Parliamentarians attending the Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit. Credit: APDA

By Cecilia Russell
JOHANNESBURG, May 9 2023 (IPS)

Parliamentarians from more than 30 countries agreed to send a strong message to the G7 Hiroshima Summit in Japan later this year, focusing on human security and support of vulnerable communities, including women, girls, youth, aging people, migrants, and indigenous people, among others.

The wide-ranging declaration also called on governments to support active political and economic participation for women and girls, enhancing and implementing legislation that addresses gender-based violence (GBV) and eradicating harmful practices like child, early, and forced marriages. During discussions and in the declaration, a clear message emerged that budgetary requirements for Universal Health Care (UHC) should be prioritized and the exceptional work done by health workers during the pandemic be recognized.

In his keynote address, Japan’s Prime Minister Kishida Fumio reminded delegates that Covid-19 had exposed the “fragility of the global health architecture and underscored the need for UHC.”

Kishida said that the central vision of the G7 Hiroshima Summit was to emphasize the importance of addressing human security – through building global health architecture, including the “governance for prevention, preparedness, and response to public health crises, including finance. We believe it is important for the G7 to actively and constructively contribute to efforts to improve international governance, secure sustainable financing and strengthen international norms.”

Apart from contributing to resilient, equitable, and sustainable UHC, health innovation was needed to promote a “more effective global ecosystem to enable rapid research and development and equitable access to infectious disease crisis medicines … and to support aging society,” Kishida said.

Former Prime Minister of Japan Fukuda Yasuo, Chair of APDA, and Honorary Chair of JPFP said this conference and its declaration would follow in a tradition of delivering strong messages to the G7 that improving reproductive health was crucial to the development and the future of a planet which now had 8 million people living on it.

“International Community is becoming increasingly confrontational and divided, and there is the emergence of a national leader who is threatening the use of nuclear weapons. No nuclear weapons have been used in the nearly 80 years since Hiroshima and Nagasaki. We must work together to prevent the use of nuclear weapons, which can take many precious lives and people’s daily lives. In this instance, I would like you to search for the path toward appeasement and not division. We must keep all channels of dialogue open so as to ease tension,” Fukuda asked of the conference.

While calling on parliamentarians to work together to address challenges, Fukuda also expressed concern about the widening inequities caused by Covid-19 and climate change and noted: “This network of parliamentarians on population and development has been a vital resource for parliamentarians who share the same concern for not only their own countries but for the entire planet and future generations.”

Kamikawa Yoko, MP Japan, Chair of JPFP, said that with a world population of 8 billion, it was essential to “realize a society where no one is left behind … and Japan would share its experiences of being on the frontlines of an aging society with declining birth rates. “We are living in an aging society … and given these challenges in Japan, we will try to share with you our experience and lessons through our diplomacy while trying to deepen our discussions and exchanges to seek solutions.”

Japan’s Foreign Affairs Minister Hayashi Yoshimasa said it was essential for all to cooperate during the “Anthropocene era, when human activities have promised to have a major impact on the global environment, global issues that transcend national borders, such as climate change, and the spread of infectious diseases, including Covid-19 are becoming more and more prevalent.”

He reminded the delegates that at the center of Japan’s economic growth post World War II was mainly through health promotion and employment policies.

Delegates of the Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit agreed to send a strong message on human security to the Summit. Credit: APDA

Director of the Division for Communications and Strategic Partnerships of UNFPA, Ian McFarlane, said it was not about the “numbers of people but the rights of the people that matter. It’s not about whether we are too many or too few, but whether women and girls can decide if, when, and how many children to have.”

A recent UNFPA report indicated that nearly half of the women across the globe could not exercise their rights and choices, their bodily autonomy, and expressed hope that policies in the future continue to focus on humanity and universal human rights.

Despite being close to the 30th anniversary of the International Conference on Population and Development (ICPD), the conference heard that much still needed to be done regarding women’s rights.

New Zealand MP and co-chair of AFPPD Standing Committee on Gender Equality and Women Empowerment, Angela Warren-Clark, reminded the audience that women still only held 26 percent of parliamentarian seats globally. While women make up 70 percent of the workforce in the health sector, only 25 percent have senior leadership positions.

“It is women in this pandemic who bore the increased burden of unpaid work at home as schools were closed, and it is girls and the poorest families who were taken out of school and forced into early marriages … We believe that if women had an equal say in decision-making during the pandemic, some of these mistakes would have been avoided.”

Baroness Elizabeth Barker, MP from the United Kingdom, told parliamentarians their role was to ensure that “no person on earth, from the head of G7 country to a poor person in a village, can say that they do not know what gender equality is. And they do not know what gender violence is.”

Barker suggested they use international standards, like the Istanbul Convention on Violence Against Women, to compare countries. “And you know that if your country doesn’t come out very well, they really don’t like it.”

She pointed to two successes in the UK, including stopping virginity testing and tackling the practice of forced marriages. She also warned the delegates that there was a right-wing campaign aimed at destroying human rights gained, and they chose different battlegrounds. The overturning of abortion rights in the United States in the Roe vs. Wade case was an example, as was the anti-LGBTQ legislation in Uganda.

Hassan Omar, MP from Djibouti, gave a host of achievements in his country, including ensuring that women occupy 25 percent roles in politics and the state administration and the growing literacy of women numbers in his country.

Risa Hontiveros, MP Philippines, painted a bleak picture of the impact of Covid in her country.

Hontiveros said GBV increased during Covid and extended to the digital space.

“The Internet has become a breeding ground for predators and cyber criminals to prey on children, especially young women, and girls. The online sexual abuse and exploitation of children … has become so prevalent in the Philippines that we have been tagged as the global hotspot.”

In a desperate attempt to provide for their families, even parents produced “exploitative material of their own children and sold them online to pedophiles abroad.”

To address these, she filed a gender-responsive and inclusive Emergency Management Act bill, which seeks to address the gender-differentiated needs of women and girls, because they were “disproportionately affected in times of emergencies.”

Former MP from Afghanistan Khadija Elham’s testimony united many in the conference and even resulted in proposals from the floor to include a condemnation of the Taliban’s women’s policies.

Elham said GBV had increased since the Taliban took over – women were forced to wear a burqa in public, they were not allowed to work, and those who wish to “learn science or (get an) education are forced to continue their studies and hidden places like basements.”

If their secret schools are exposed, they face torture and imprisonment. During the last two months, 260 people, including 50 women, were publicly whipped – a clear violation of their human rights. Women’s representation in political life has been banned, and women are no longer allowed to work in NGOs – and it has been “550 days since women could attend high schools and universities.”

She called on the international community, the United Nations, to pressure the Taliban to restore women’s work and education rights.

Nakayama Maho, Director of the Peacebuilding Program at the Sasakawa Peace Foundation, announced new research on factors contributing to men’s propensity to GBV. The research found that the higher a man’s educational attainment, the lower the level of violence. There were also lower levels of violence with “positive” masculinity – such as a man being employed, married, and capable of protecting his family. Men who experienced violence during times of conflict tended to support violence to instill discipline, or protect women and communities.

Dr Roopa Dhatt, Executive Director of Women in Global Health, summed up this critical session by saying, “Equal leadership for women in all fields is a game changer, particularly in politics and health.”

Japan’s Health, Labour and Welfare Minister, Kato Katsunobu, noted during his closing address that the G7 countries “share the recognition that investment in people is not an expense, but an investment… and as you invest in people you can create a virtuous cycle between workers well-being and social and economic activities.”

He said Japan had a lot to offer concerning aging populations.

“Japan has been promoting the establishment of a comprehensive community-based care system so that people can continue to live in their own way in their own neighborhood until the end of their lives and is in the position to provide knowledge to the G7 countries and other countries who will be facing (an aging population) in the future.”

Dr Alvaro Bermejo, Director-General of IPPF, commended the conference and said he was “thankful” that the conference declaration would tell G7 governments to set an example. “Marginalized and excluded populations are at the heart of human security and can only be achieved in solidarity, and that message from this conference is clear.”

Professor Takemi Keizo, MP Japan, Chair of AFPPD, summed up the proceeding by saying that parliamentarians as representatives of the electorate were vital to creating a “positive momentum in this global community and overcoming so many difficult issues.”

Takemi elaborated on some issues facing the world now, including climate change and military conflicts, but as parliamentarians, there was the opportunity to “build up the new basis of the global governance, which can be very beneficial.”

NOTE: Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit was organized by the Asian Population and Development Association (APDA), the Asian Forum of Parliamentarians on Population and Development (AFPPD), and the Japan Parliamentarians Federation for Population (JPFP).

It was supported by the Ministry of Foreign Affairs of Japan (MOFA), United Nations Population Fund (UNFPA), Japan Trust Fund (JTF), and Keidanren-Japan Business Federation in cooperation with the International Planned Parenthood Federation (IPPF).

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APDA organizes regular conferences bringing together various parliamentarians from Asia, Africa, the Americas, and Europe to address critical issues on population and development – including youth employment and other issues arising from ICPD25 take center stage. Here Bridget Bedu takes a test in computational electronics as her daughter Giovana plays under the desk at the National Vocational Technical Institute training center. Credit: IMF Photo/Andrew Caballero-Reynolds

By Cecilia Russell
JOHANNESBURG, Jan 6 2023 (IPS)

Many Ghanian Members of Parliament (MPs) champion adolescent reproductive health rights to stop the practice of child marriage, which is prevalent in some areas of the country even though the country’s Constitution and Children’s Act outlaw it, Dr Rashid Pelpuo (MP) told IPS in an exclusive interview.

Pelpuo, who is President of the African Parliamentarians Forum on Population and Development, also said it had become “normal practice” for MPs to work to support youth and “lead discussions on issues of family planning and adolescent reproductive health at youth sensitization programmes.”

He told IPS the Presidents of the Pan African Parliament (PAP) and the African Parliamentarians Forum on Population and Development recognize: “Our shared interest in, commitment to, and existing cooperation on population and development issues such as sexual and reproductive health and rights, including family planning and HIV/AIDS…” This commitment is expected to be signed in a memorandum of understanding in 2023.

President of the African Parliamentarians Forum on Population and Development and Member of Parliament Dr Rashid Pelpuo.

Here are excerpts from the interview:

IPS: While Ghana’s Constitution and its Children’s Act both outlaw child marriage, according to a study, 1 in 5 girls get married before age 18 and 1 in 20 before they are 20. These marriages are more common in the northern regions.

How are parliamentarians dealing with these issues?

RP: The issue of child marriage in Ghana is traceable to an age-old tradition of marrying women early ‘before they are spoiled’ – a woman who has ‘known a man’ before marriage was a disgrace to the family that has brought her up. Though this situation no longer exists, the practice of early marriage of women continues, especially in rural Ghana.

Parliamentarians of the Population and Development Caucus and others are strong advocates against this practice both in and outside Parliament.

According to the Ghanaian 1992 Constitution and the Children’s Act, it is unlawful to marry a girl before she’s 18 years of age. In a few cases when such laws are violated by a man who marries before the minimum age or even before the girl has finished her basic education, MPs will normally work with law enforcers to free the girl and help prosecute the culprit.

A good number of MPs have signed on as champions of adolescent reproductive health and rights and are key supporters of family life education. This year alone, MPs have worked with the United Nations Population Fund (UNFPA) in key locations to interact with young people and address their health and education challenges by referrals.

IPS: West Africa’s population accounts for about 30% of Africa’s population. From roughly 367 million people today, it is expected to increase to almost 570 m by 2035. However, the region is yet to benefit from the ‘demographic dividend.’ Many say that a high population of youth is a challenge for the government; there is a high cost of health care, education, and other services and high levels of unemployment. How are parliamentarians working towards policies that may reduce fertility rates, improve education, family planning, etc.?

RP: The fertility rate in Ghana is 3.696 births per woman (Ghana Statistical Service, 2022), as against the fertility rate of Africa at 4.212 births per woman. Ghana’s fertility rate has been consistently declining since 1985 and is expected to be 2.9 births per woman in 2025. As part of efforts to sensitize the public about unplanned birth and avoidance of teenage pregnancy, Parliamentarians often interact with youth leaders along with experts on the issue of reproductive health.

For example, in November last year, MPs interacted with young people about issues with their reproductive health. Also, at the beginning of December 2022, on the occasion of the birth of the world’s 8 billionth child, MPs held a workshop, with the UNFPA sponsorship, to view the implications of having a global population of 8 billion on Ghana.

After that programme, the MPs pledged to revise their annual advocacy on Ghana’s population growth and concerns to quarterly advocacy through statements on the floor of Parliament. The thrust of MPs’ work in supporting the education and awareness of the youth is in policy advocacy and direct interaction with the youth. It has become normal practice for MPs to lead discussions on family planning and adolescent reproductive health issues at youth sensitization programmes.

A chunk of the programme of the African Parliamentarians Forum, often sponsored by the Asian Population and Development Association (APDA) and the UNFPA, centers on issues of family planning, reproductive health, and universal health. This appears to be a direct response to the high fertility rate of sub-Saharan Africa at 4.6 births per woman (World Bank Report, 2021). Knowing the frequent occurrence of teenage pregnancy and unplanned births throughout the continent, it has become a necessary effort to sink home the need for policy advocacy in these areas for all African countries.

In a memorandum, yet to be signed by the Presidents of the Pan African Parliament and the African Parliamentarians Forum on Population and Development, Parliamentarians recognized “our shared interest in, commitment to, and existing cooperation on population and development issues such as sexual and reproductive health and rights including family planning and HIV/AIDS…”

IPS: In Ghana, the maternal mortality rate is shrinking. Figures quoted online are that it is 308 per 100,000. It is much higher in other countries in the region; in Ghana’s neighbor Nigeria, the rate stands at 917/100,000. While both seem to be going down (which is good), they are a long way from the 70/100,000 in the SDG 3 targets. What are parliamentarians working toward to improve this in Ghana? Is there regional cooperation to address this?

RP: Parliamentarians often make policy statements on maternal health directed at the ruling government to address the concern about the unacceptable situation of high maternal deaths in Ghana. Issues on maternal death are paramount in our health policies. Ghana has introduced a Free Maternal Health Care Policy (FMHCP) on which pregnant women register for free health insurance and receive free medical care. Parliamentarians have played an advocacy role in developing this policy and have been reaching out to women who may not be aware of it to help them take advantage of it. The impact has been very positive (and shows) in annual improvements in maternity health.

There has been regional cooperation in discussing and sharing information on Universal Health Care and reproductive health and rights. The African Parliamentarians forum has had a number of meetings and conferences with their counterparts from other regions, especially with the Asian and European Parliamentarians forums that touch on issues on reproductive health and policy sharing. Major cooperation in areas of maternal health is recorded in various international conferences that tackle the problems of high maternal mortality. Such conferences include Partnership for Maternal, Newborn and Child Health (PMNCH), New Delhi, India, in December 2018, and Women Deliver (Africa Parliamentarians), Vancouver, Canada, in June 2019. Such arenas of cooperation give a good comparative understanding of how various countries across regions tackle reproductive health challenges.

IPS: Could you elaborate on APDA’s role in facilitating regional cooperation on the ICPD25 programme of action?

The Asian Population and Development Association (APDA) was established in Japan as a Non-Governmental Organization directed at addressing the challenges posed by issues on population and development. It serves as the Secretariat of the Japan Parliamentarians Federation for Population (JPFP) and directs its focus on the role of the Japanese MPs and their counterparts in Asia, Africa, Arab and other regions. APDA’s research focuses on three main areas, which are gender, health, and social policy issues. Since the establishment of the ICPD 25 as a focus area of intervention, APDA has organized various programmes.

APDA often organizes conferences in Asia, Africa, and the Middle East under ICPD 25 thematic areas. These conferences often bring together various parliamentarians from Asia, Africa, the Americas, and Europe to address critical issues on population and development. Issues such as youth unemployment and other goals of ICPD25 are center stage at the conferences.

Indeed each year, APDA, in collaboration with the UNFPA, organizes annual conferences on ICPD25. In recent times APDA has organized webinars and conferences for regional participation both in June, July and September 2022.

In September 2022, the conference with the theme “The Role of Parliamentarians in Realizing the ICPD25 Commitments” was patronized by Asian and African Parliamentarians.

Another follow-up meeting on ICPD25 Commitments was held in June 2022 in Addis Ababa, Ethiopia. It was supported by UNFPA ESARO and Japan Trust Fund (JTF) with cooperation from the International Planned Parenthood Federation (IPPF). More than 100 participants, including parliamentarians, officers of national committees on population and development, and UN experts, attended.

In effect, APDA has always supported the implementation of the ICPD25 in various ways but mostly through international conferences that ensure regional cooperation and participation.

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Maldives Minister for Gender, Family, and Social Services, Aishath Mohamed Didi, in her keynote address said her island country faced unique development challenges and is vulnerable to economic shocks and climate change.

By Cecilia Russell
Johannesburg, Oct 18 2022 (IPS)

An aging population needn’t be a burden, experts told Parliamentarians at a conference co-hosted by UNFPA Asia Pacific Regional Office and the Asian Population and Development Association (APDA).

Two National Transfer Account (NTA) experts told the session that with good planning and policy, it was possible to change the trajectory so that those in retirement were not only reliant on the state.

NTAs provide a coherent accounting framework of economic flows from one age group or generation to another.

UNFPA’s short video outlined the impact of an aging population in Thailand. Currently, adults take care of three elders and two children, but with the aging population in 2025, this will increase to four elders and three children, but by 2035, the number of dependents will increase to six elders and three children.

Professor Sang-Hyop Lee of the East-West Center and the University of Hawaii, succinctly in an “elevator pitch,” explained his interests in population. These included “looking at how a changing population structure affects society and economy, current and future,” and “what public policies could be pursued to influence the outcome.”

Lee said that using NTA tools with disaggregated data, including consumption (both private and public sector) and other variables like income and savings, could assist with policy development.

By 2080, he said, the whole Asia Pacific region would have an aging population – and public policy could change the outcomes by including evidence and knowledge-based policy to influence labor patterns of the female, youth, and elderly labor force; increasing productivity through effective education, health investments, training and finally to improve the work-to-retirement transition.

Eduardo Klein, Regional Representative of HelpAge International, who chaired the session, commented that the key takeaway was that the NTAs were a crucial tool for developing strategies to adapt to population aging.

In her keynote address, Maldives Minister for Gender, Family, and Social Services, Aishath Mohamed Didi, said that her country, which was a small island state the country, faced “unique development challenges and is vulnerable to economic shocks and climate change.”

The population is about 500 000 people, 70% of whom are Maldivians and the rest foreigners; 64% are working age, and more than 37% are under 25; those 65 and older account for 3.4% of the population.

“The Maldives entered the window of opportunity in 2010 when the majority of the population was working, and it’s estimated that the democratic transition will be completed by 2030,” Didi said. “Due to a rapid fertility decline and increased life expectancy, it’s estimated it will become an aging population by 2030.”

She outlined various policy changes in the Maldives, including addressing the investment in children, which was lower than in other economies with similar fertility or development levels. The country had included free basic education from ages four to 16 and also spent US$ 30 million supporting 15,000 students to achieve their first degrees. This has been expanded to include zero-interest rate loans. In the past two to three years, the Maldives had spent over US$ 64 million to support about 2000 students studying abroad in 31 countries. Other efforts to improve education included investing in technical and vocational education and providing skill development opportunities for youth, including apprenticeship programmes, particularly in the outer regions away from the capital or the central areas.

Didi said the Maldives depended highly on tourism, but foreign workers (primarily men) comprised 60% of the workforce. Women only play a small role in the industry and hold the most informal sector jobs.

“Young people are required to become skilled and equipped to compete with foreign workers in the domestic economy,” Didi said, adding that the demographic dividend transition was expected to create both opportunities and challenges. “The aggregate public spending on healthcare and other social protection needs to grow by more than 2 percent per year until 2050 to maintain the same level of service enjoyed by the population in 2022 – even with per capita benefits, the government’s budget needs to grow substantially.”

Klein noted that Didi’s overview showed how the Maldives was in the demographic dividend and was investing in the future and that investment had a “return in improved health and a better educated, more productive, more engaged, and a healthier population living in a harmonious society.”

Rikiya Matsukura, Associate Professor at Nihon University, noted that opportunities arose with planning and strategic policymaking. While an aging population was “inevitable” and “wasn’t curable,” policymakers played a crucial role in changing the trajectory.

Matsukura outlined four demographic dividends: The first demographic was achieved through the expansion of the workforce. The second demographic dividend is achieved through investing in human capital – leading to higher productivity. The third demographic dividend, which he termed the “longevity dividend” or “silver dividend,” was achieved through investing in longevity and longer working life. Finally, the fourth dividend would be achieved by investing in education, especially in the STEM fields.

While people aged 55 to 70 may not be working, if they are healthy, they could work, Matsukura said, that this could create an additional workforce.

“In the case of Japan, the income generated by additional elderly workers could correspond to 3.2 to 6 percent of Japan’s real GDP,” he noted.

This elderly workforce could be assisted by technology – artificial intelligence (AI) and robotics and the economy could grow by 35% if technology could make housework easier.

Lee noted that there was no easy answer but what was required was short and long-term planning which took into account crises. This aging population issue will not go away.

Klein too, noted said future planning was complex. For example, India (among other countries) had invested in education, but because of the COVID-19 pandemic, children could not attend school for two years, which would have consequences for the future workforce. Climate change, in addition to aging, would need to be planned for in Bangladesh.

During the discussion, parliamentarians were concerned about the impact of the COVID-19 pandemic. Dr Jetn Sirathranont, an MP from Thailand, noted that policymakers needed to use the NTA tools, but post-pandemic, every country, including Thailand, was experiencing a situation where there was “less income and less revenue but high expenses.”

Sirathranont asked how one could apply NTA tools in these circumstances.

While Klein quipped that this was a million-dollar question, Lee said what was required was short and long-term planning which took into account crises like the pandemic. However, he noted, “this aging population issue will not go away.”

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Ricksani Alice, 19, who was married at a young age but is now back in school hoping to complete her education thanks to the Spotlight Initiative talks with UNFPA Gender Programme Officer Beatrice Kumwenda at Tilimbike Safe Community Space in Chiludzi village, Dowa, Malawi on November 2, 2020. Credit: UNFPA ESARO

By Cecilia Russell
Johannesburg, Sep 29 2022 (IPS)

Child marriage continues to be a scourge in many African countries – despite legislation and efforts of many, including parliamentarians, to keep girls in school and create brighter futures for them. This was the view of participants in a recent webinar held under the auspices of the African Parliamentary Forum on Population and Development (FPA) and UNFPA East and Southern Africa Regional Office (ESARO).

The webinar, supported by the Asian Population and Development Association (APDA) and the Japan Trust Fund, heard how progressive legislation prohibiting marriage for adolescents under 18, and in one case, 21, was not enough to stop the practice.

Dr Kiyoko Ikegami, Executive Director, and Secretary General, APDA, noted in her opening address that the COVID-19 pandemic had affected child marriage prevention programmes and increased poverty and inequality, which was a driving force in child marriages.

Chinwe Ogbonna, UNFPA ESARO Regional Director a.i, said while there had been considerable achievements since the 1994 ICPD conference in Egypt – the work was not yet done.

She encouraged the parliamentarians to commit themselves to actions they agreed to at a regional meeting in Addis Ababa in June, which included “amplifying evidence-based advocacy.” In Africa, she said, teenage pregnancy and HIV prevalence are high. Gender-based violence was on the rise, and femicide and the harmful practices of child marriage, and female genital mutilation continued.

The webinar heard from members of parliament in various countries across the African continent.

Fredrick Outa, from Kenya, FPA Vice-President, told the delegates that while Kenya had made ambitious commitments, FGM was an area of concern. Kenya was committed to strengthening coordination in legislation and policy framework, communication and advocacy, integration and support, and cross-border cooperation to eliminate FGM.

Kenya aimed to eliminate GBV and child and forced marriages by “addressing social and cultural norms that propagate the practice while providing support to affected women and girls.”

An MP from Zambia, Princess Kasune, said it was of concern that the Zambia Demographic and Health Survey (ZDHS) of 2018 indicated that 29 percent of women aged 20-24 reported being married before 18. The country had various programmes to address this, including partnering with traditional rulers and civil society to fight early child marriage.

“Chiefs and headmen have made commitments in the fight against child marriage …. Traditional rulers are themselves champions in the fight against child marriage,” Kasune said.

She said the practice continues even though the Marriage Act prescribes 21 as the minimum age for marriage.

However, customary law differed, and there needed to be consistency in legislation.

The other crucial campaign against early marriages was to keep children in school. While the government had employed 30 000 teachers in rural areas, more was needed.

“Keeping children in school was critical to lowering the incidence of child marriage,” Kasune said.

Muwuma Milton, MP Uganda, agreed that culture played a part in eliminating harmful practices like child marriage. The country was applying a multifaceted approach to eliminating this – including school feeding schemes, providing sanitary packs for girls, and encouraging young mothers to return to school after delivery.

“A challenge is that the country has unmet needs for family planning services, which stands at 30%, and there is a culture that believes that once a girl reaches menstruation age, they are old enough to get married,” Milton said.

Matthew Ngwale, an MP from Malawi, noted that his country adhered to the Southern African Development Community (SADC) protocol that condemns the marriage of people under 18. The Malawian constitution, Marriage, Divorce, the Family Relations Act (2015), and the Childcare Justice and Protection Act all reinforce this policy.

But, Ngwale said, despite “progressive legislation, Malawi has one of the highest rates of child marriage in the world, where approximately 42% of girls get married before the age of 18, and 9% are below the age of 15. Approximately 7% of boys marry before the age of 18.”

He also noted that child marriage is higher in rural than urban areas. Rural girls are 1.6 times more likely to marry early than their urban counterparts.

Poverty is a clear driver, with women in the predominantly ‘poor’ south marrying at a slightly lower age than those in the ‘wealthier’ north and central regions.

“In Malawi, children from more impoverished families are twice as likely to marry early than those from wealthier families,” Ngwale said, and in a country where data shows that 51.5% of the people live below the poverty line, which is higher in rural areas at 60% compared to urban areas at 18%.

Traditional initiation practices, done as part of a rite of passage when a girl reaches puberty, encouraged early sexual activity, Ngwale said, and the prevalence of child marriage is higher among matrilineal than patrilineal groups.

“Due to food insecurity, child marriage often becomes a more likely coping mechanism as families seek to reduce the burden of feeding the family,” he said.

Climatic challenges, such as droughts and floods, have become more frequent and catastrophic.

Child marriage impacts secondary school completion rates. In Malawi, only 45% of girls stay in school beyond 8th grade.

“Most young girls who leave school due to child marriage have few opportunities to earn a living, making them more vulnerable to GBV. Child marriage lowers women’s expected earnings in adulthood by between 1.4% and 15.6%,” he said.

However, the Malawi government had created a conducive environment for civil society organizations to work with the government to end child marriage – including the official Girls Not Brides National Partnership.

Pamela Majodina, MP Republic of South Africa, told the webinar the country was committed to the objectives of ICPD25. It has passed laws, including the Domestic Violence Act, Children’s Act, Sexual Offences Act, and Child Justice Act, where it is a criminal offense to have sex with a child under 16 – regardless of consent.

Goodlucky Kwaramba, MP Zimbabwe, said her country was committed to reducing teenage pregnancies from 21.6% to 12% by 2030 and delivering comprehensive Family Planning services by 2030.

An MP from Eswatini, Sylvia Mthethwa, said her country, with 73 percent of the population below 35 and youth unemployment at 47 percent, was committed to ensuring that youth was front of mind. While senators were mobilizing financial resources, the National Youth Policy and National Youth Operational Plan had been developed.

Meanwhile, in Tanzania, some successes were already recorded Dr Thea Ntara, MP Tanzania, said rural areas were fully supported in the rollout of free ARVs, and adolescent and youth-friendly SRH services have been available in more than 63% of all health facilities since 2017.

Note: The webinar series is based on a recommendation of the African and Asian Parliamentarians’ meeting to Follow-Up on ICPD25 Commitments held in June 2022 in Addis Ababa, Ethiopia.

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Delegates at the 'Intergenerational Dialogue of the Asian Parliamentarians and Youth Advocates on Meaningful Youth Engagement' discussed how meaningful dialogue amplify young people’s issues and lead to laws and policies which benefit them. Credit: APDA

By Cecilia Russell
Johannesburg, Jun 7 2022 (IPS)

Young people are often the first to rebuild their communities. However, youths’ diverse challenges cannot be addressed without meaningful dialogue, says Klaus Beck, Regional Director of UNFPA APRO ai.

He was speaking during the hybrid conference ‘Intergenerational Dialogue of the Asian Parliamentarians and Youth Advocates on Meaningful Youth Engagement’ on June 2 and 3, 2022.

Beck noted young people were severely affected during the COVID-19 pandemic because many were forced out of jobs due to the economic recession. Many other young boys and girls had missed school – some dropping out altogether. There was an impact on anxiety and depression and increased suicide. With almost a billion young people aged 10 to 24 years living in the mid to low and middle-income countries in Asia and accounting for 60% of the world’s population – this is a very powerful group that needs to be taken seriously.

“We know that young people are among the first to step up to help their communities rebuild. During the COVID 19 pandemic, young people were mobilized to respond to the crisis by working as health workers, advocates, volunteers, scientists, social entrepreneurs, and innovators,” Beck said. “We cannot address the diverse challenges in needs and support their leadership without partnering with them. It is, for this reason, that the engagement of young people in policy and programs is crucial.”

Meaningful youth engagement should include the poorest and the most marginalized. Beck said policymakers must have a systematic method for conducting open and inclusive dialogue. Many youth participants at the conference elaborated on this theme.

Ayano Kunimitsu, an MP from Japan, said youth made impressive contributions on the frontlines and through initiatives during the pandemic, even though they often faced structural barriers due to cultural norms and the digital divide.

Parliamentarians should ensure “opportunities are given to young people to exercise their potential and that youth voices are reflected into national policies and strategies,” she said.

Young people were often the first to respond during a crisis, yet were often marginalized, an ‘Intergenerational Dialogue of the Asian Parliamentarians and Youth Advocates on Meaningful Youth Engagement’ co-hosted APDA and Y-PEER heard. Credit: APDA

Dr Jetn Sirathranont, MP from Thailand, represented the host country. While there were negative impacts due to the pandemic, Thailand changed its Criminal Code in February 2021 and passed a law that allowed women to unconditionally terminate their 1st term pregnancies.
Abortion is allowed under certain circumstances up to 20 weeks, he said.

He said though intergenerational discussions, youth were involved in developing youth policy and legislation alongside Parliamentarians.

Virasak Kohsurat, MP for Thailand and the former Minister of Social Development and Human Security, said the country’s constitution required that one-third of all members in a committee looking at draft bills be drawn from NGOs working for and with that group of the population. Likewise, with Senate committees, he said.

He suggested a combination of “deep listening” and being patient, polite, and open was an essential strategy for success in meaningful youth engagement.

When the subject matter could get emotive and controversial, for example, global warming and education, this strategy would keep the conversation on track.

During a discussion of the best way for young people to engage with parliamentarians, one delegate suggested that UN agencies could contribute to ensuring all, including marginalized rural communities, was included. The dialogue was crucial and should not leave anybody behind.

Rebecca Tobena, a youth delegate from Papua New Guinea, agreed, especially in a country like hers with a clear hierarchy and where women and youth are on the bottom rung.

Irene Saulog, a member of the House of Representatives in the Philippines, said the UN estimated that 30 percent of the world’s students, both at schools and universities, amounting to 1.5 billion people in 188 countries, were excluded from face-to-face learning during the pandemic.

This closure of school affected the youths’ well-being.

“The young generation experienced significant psychological impacts of social distancing and quarantine measures,” Saulog said.

The young generation experienced significant psychological impacts of social distancing and quarantine measures during the COVID-19 pandemic, yet their contribution and creativity was praised during an ‘Intergenerational Dialogue of the Asian Parliamentarians and Youth Advocates on Meaningful Youth Engagement’ held virtually and in Bangkok, Thailand. Credit: APDA

The lack of face-to-face learning exacerbated inequality because students from marginalized sectors were less likely to have access to online education.

She quoted the International Labour Organization and the Asian Development Bank report, which estimated that an estimated 220 million employed young people ages 15 to 24 years old only have temporary jobs in the Asia Pacific.

“This results in them depending on taking informal jobs to earn a living, risking their health.”

Saulog noted that in the Philippines, 28 percent of the population of 30 million Filipino citizens were between 10 to 24 years old.

“With the right policies and investments, our country is poised to reap the benefits of a large number of youths … it was worth passing legislation that benefitted the youth.”

Youth made and are making major contributions, Saulog said. She wanted the audience to know that “we are delightfully surprised by your creativity”, especially in the digital age where the solutions created were “beyond our imaginations”.

Nepalese youth representative Safalta Maharjan noted that while youth were considered the country’s “future,” they were not prioritized.

Maharjan said youth should have the right to participate in the decision-making of a family, community, and public institutions on matters that concern them. The participation of youth in decision making was notably lacking in the rural areas

“Many youths in rural areas are uneducated, and this needs to be prioritized,” she said.

Thai Children and Youth Council members Dusadee Thirathanakul and Issara
Paanthong gave a joint presentation in which they said the National Child and Youth Development Promotion Act underpinned youth policy in Thailand, and during COVID-19 young people were involved in ensuring that students’ futures were not jeopardized. Youth also shared campaigns via social media and ran a civil rights campaign.

Rajasurang Wongkrasaemongkol shared details of a youth-led campaign, including AI, to improve the use of wearing masks and correctly. The project received high praise from participants – and reinforced the message of the effectiveness of youth-led projects.

The Intergenerational Dialogue of the Asian Parliamentarians and Youth Advocates on Meaningful Youth Engagement, held in Bangkok, Thailand, and virtually, was co-hosted by APDA, and Y-PEER. UNFPA supported the dialogue.
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Creative ways are needed to meet the ICDP 25 goals. Here girls and young women are learning to code in North Darfur as a way to increase future job prospects and economic empowerment. Credit: UNFPA Sudan

By IPS Correspondent
Johannesburg , Feb 28 2022 (IPS)

A crucial two-day meeting of Parliamentarians from the Asian, Arab and African regions will put human-rights-based legislative frameworks under the spotlight as the regions work to implement the ICPD Programme of Action.

In the first part of this series, IPS spoke exclusively to the Regional Director of UNFPA ASRO, Dr Luay Shabaneh. He outlined the many responses the UNFPA had to gender-based violence, child marriage, and eradicating female genital mutilation in the Arab region.

In part 2, IPS spoke to Dr Rida Khawaldeh, MP Jordan, and Larry Younquoi, MP Liberia, Member of Executive Committee of the African Parliamentary Forum on Population and Development (FPA).

Larry Younquoi, MP Liberia, Member of Executive Committee of the African Parliamentary Forum on Population and Development (FPA) and Dr Rida Khawaldeh, MP Jordan spoke to IPS about creating a just, equitable and sustainable society post-COVID-19.

Here are excerpts from the interviews:

IPS: How are parliamentarians in your country ensuring adequate laws to protect women?

Dr Rida Khawaldeh, MP Jordan 

There is a Women’s Rights Committee at parliament and is considered one of the major and most influential committees. It includes specialists and lawyers, and they are acutely aware of developing a legal framework to protect women’s rights.

Larry Younquoi, MP Liberia, Member of Executive Committee of the African Parliamentary Forum on Population and Development (FPA)

The Liberian Legislature has taken a number of steps to ensure there are adequate laws to protect women’s rights. For instance, the body has passed the devolution law, which provides enhanced women’s land rights. Women are guaranteed equal participation through the amendment of the electoral acts.

IPS: How are parliamentarians in your country ensuring the justice system (from the police to the courts) are adequately sensitized to GBV and have the budgets to ensure that perpetrators are charged, and women supported adequately?

Khawaldeh: The Legal Committee is one of the parliament’s major committees in Jordan, and specialists on this committee ensure the law, regulations, and practices are sound and supportive of women.

Younquoi: Parliamentarians in my country are on record for fighting against GBV. For instance, she has passed laws to amend the Gender Ministry Law and strengthened its role in protecting women and girls from GBV. Equally, the lawmakers have passed a law to establish the Women and Children Unit at the National Police. Of course, they ensure adequate budgetary appropriations for implementing the regulations.

The provisions of the Rape Law also criminalize sexual relationships with girls below 18 years of age. The Legislature has made rape a non-bailable crime. Through the National Budget, it provides funding allocations to enhance the welfare of the girls while in school.

IPS: As parliamentarians, what programmes are you putting in place to ensure that child marriages are eradicated?

Khawaldeh:  Women Rights Committee ensures that the laws conform to good marriage practices. This issue is emphasized by both the Women’s Rights Committee and the Legal Committee to provide better protection and follow up on the implementation of the legislation.

Younquoi: The Legislature has taken practical steps by not only raising the age of marriage to 18 years but making it a criminal offense to engage in sexual activities with girls under the age of 18. This is irrespective of whether or not the girl consents.

To ensure that the laws are implemented, legislators create awareness about them during town hall meetings with their constituents. They further sensitize them not to keep the issue of such statutory rape secret within the family. Additionally, they speak openly against early marriage.

IPS: How are parliamentarians in your country ensuring that the practice of FGM is being eradicated?

Khawaldeh: This issue is consistently raised and addressed by the Women’s Rights Committee to ensure better practices and eradicate any misuse of the regulations.

Younquoi: Legislators’ major step towards eradicating FGM is the passage of a law that states that no one should be forced to undergo FGM. The Legislature is contemplating passing a law to eliminate it. However, the practice is deeply rooted in the culture of the people – despite this, the legislators continue to persevere.

IPS: Is your country on track to achieve ICPD 2030 agenda, and if not, what is required to ensure that the country moves towards this objective?

Khawaldeh:  Jordan’s Parliament is aware and working toward the ICPD 2030 agenda. The National Council for Family Affairs, in the Department of Family Affairs at the Police Directorate, civil societies organizations, and NGOs involved in family affairs and gender issues are working towards the ICPD25 PoA.

Hon. Larry Younquoi,

My country is on track to eradicate GVB by 2030, in line with ICPD25.

IPS: What is your expectation of the inter-regional meeting in Cairo?

Khawaldeh:  I expect a thorough discussion of different aspects of human security. We will learn from the experiences of others. In addition, I would expect coordination at the regional level to help achieve the 2030 goals.

Younquoi:

At the upcoming inter-regional meeting in Cairo, I expect a robust cross-fertilization of ideas and lessons learned from the various countries in attendance.

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Getting back on track post-COVID-19 is crucial says Regional Director of UNFPA ASRO, Dr Luay Shabaneh. The UNFPA runs several programmes for women and girls, here girls listen to a youth educator network Y-PEER presentation on the harms of female genital mutilation at their school in Garowe, Puntland. Credit: UNFPA Somalia/Tobin Jones

By IPS Correspondent
Johannesburg , Feb 27 2022 (IPS)

Parliamentarians’ leadership in a post-COVID-19 recovery is crucial to achieving the International Conference on Population and Development (ICPD) agenda. The involvement of lawmakers in ensuring a more equal, just, and sustainable society will come under the spotlight during a two-day inter-regional meeting organized by the Asian Population and Development Association (APDA) and the Forum of Arab Parliamentarians on Population and Development (FAPPD,) and supported by UNFPA ASRO in early March 2022.

The Regional Director of UNFPA ASRO, Dr Luay Shabaneh, spoke exclusively to IPS.

Under the spotlight at the meeting will be efforts by lawmakers to ensure that no one is left behind.

“To this end, parliamentarians’ leadership is vital in ensuring population issues are addressed using a human rights approach and a gender lens and in securing rights and choices for all,” Shabaneh says.

At the Cairo hybrid meeting, APDA, with support from UNFPA ASRO and FAPPD, will engage parliamentarians in a debate on issues impacting human rights and gender-based violence (GBV). The aim is to champion a rights-based approach to policies and legislation to achieve the 2030 Agenda and ICPD PoA.

Regional Director of UNFPA ASRO, Dr Luay Shabaneh.

Here are excerpts from the interviews:

Inter Press Service:

UNFPA works extensively with women displaced, often affected by wars/conflicts, living in crises, and now over the past two years, has had to deal with COVID protocols characterized, in many countries, by lockdowns and restrictions. How has UNFPA continued with its GBV services during this time?

Regional Director of UNFPA ASRO, Dr Luay Shabaneh

It is well known that the pandemic has had a disproportionate impact on women and girls and has exacerbated pre-existing inequalities, resulting in alarming health and economic impacts for women and increased reports of GBV.

UNFPA adjusted its support to mitigate against some of the impacts through programmes like Women and Girls Safe Spaces. UNFPA and partners have adopted different delivery modalities due to COVID-19 restrictions such as hotlines and online counseling instead of face-to-face engagement. It is increasingly investing in cash and voucher assistance (CVA) in the Arab States region to address economic barriers to access SRH and GBV services or purchase necessary items.

On the ground, UNFPA continues to address GBV prevention and response through sensitizing national partners on intersections of gender and public health and how to manage the increased risk of GBV ethically and effectively.

UNFPA works to ensure barriers and risks of exclusion faced by women and girls with intersecting and multiple forms of discrimination are lowered. It developed online tools on GBV prevention and response during COVID-19 supported hotlines to address the immediate needs of GBV survivors. It distributed dignity kits adapted to COVID-19 for female healthcare workers, women and girls in quarantine and isolation, and refugees and asylum seekers. UNFPA updated the GBV referral pathways to compensate for the disruption of services, particularly for clinical management of rape and offering GBV prevention and response essential services package at UNFPA-supported safe spaces.

At the regional level, UNFPA continues to provide capacity building and support to government and civil society representatives responsible for delivering GBV services to ensure that service provision continues to meet international human rights standards in light of COVID-19 restrictions.

In 2021, capacity-building training was delivered online to officials in Iraq, Tunisia, Jordan, Morocco, Lebanon, and Bahrain based on a regional handbook on essential services for GBV developed by the UNFPA ASRO.

IPS:  In the Arab region, as in other areas, child and early marriage, harmful practices like FGM continue. How is UNFPA working with parliamentarians to ensure legislation, budget, and support services for women and girls?

Shabaneh: The collaboration with the parliamentarians in Somalia includes advocacy efforts for the passage of the draft sexual offenses bills, which considers child marriage as a violation of the bodily autonomy of young girls and therefore is considered a sexual offense. The women’s caucus of the national parliament is the focal point for child/women-related policies and strategies.

On June 10, 2021, Puntland State in Somalia passed a zero-tolerance FGM bill to the parliament. It is expected that this bill, once passed into law, will have a ripple effect in the campaign to end FGM in Puntland. The approval of the FGM bill in Puntland makes it one of the first constituencies in Somalia to approve a zero-tolerance FGM bill.

Substantial advocacy efforts have been invested ahead of the passing of this legislation. The Ministry of Justice in Puntland, which is among the key recipients of UNFPA UNICEF Joint Program funds, has been vigorously pushing to endorse the zero tolerance of FGM. UNFPA supported consultations with religious leaders, parliamentarians, and communities and in drafting the FGM Zero Tolerance Bill. UNFPA has also supported FGM campaigns in Puntland, leading to many abandoning the practice. Currently, UNFPA Somalia is working with the women caucus in the parliament and the human rights committee to ensure the passage of the zero-tolerance bill.

In Djibouti, the UNFPA has put two strategies to end harmful practices and child marriages.

This includes article 333 of the penal code and Article 13 of the 2013 Family Code now stipulate that the legal age of marriage is 18 years old. In February 2020, a law on the promotion, protection, and care of victims of gender-based violence with the technical support of UNFPA was adopted by a presidential decree.

UNFPA continues to implement activities through a joint program against FGM. UNFPA has also supported the development of a national protocol for the care of victims of GBV, including FGM. It established a circuit for the care of victims through the adoption of essential service packages by the three key sectors such as health, justice, and social.

IPS:  How is UNFPA supporting parliamentarians in developing human rights-based legislative frameworks in the region?

Shabaneh: ICPD affirmed the application of universally recognized human rights standards to all aspects of population programmes. Its Programme of Action (PoA) provides that the promotion rights for all people in reproductive health, including family planning and GBV, is deeply rooted in gender inequality. It is a notable human rights violation in all societies.

To this end, parliamentarians’ leadership is vital in ensuring population issues are addressed using a human rights approach and a gender lens and securing rights and choices for all.

ASRO proved to have interlinkages between the executive and legislative authorities to collaborate and work closely towards implementing Nairobi commitments and the ICPD’s unfinished agenda through Parliamentarians’ declarations.

These declarations rolled out at the country level, for example, Lebanon, Morocco, Djibouti, Palestine, to ensure concrete implementation and linkage between the regional and national levels, promoting and advocating for the UNFPA mandate.

IPS: Many countries are far off course to meeting the ICPD25 agenda. How can parliamentarians assist in getting the Programme of Action back on track?

Shabaneh: Parliamentarians can support the enforcement of laws and policies to respect and protect human rights-based approaches and eliminate GBV to accelerate the implementation of the ICPD PoA.

IPS: Is there anything else you would like to add?

Shabaneh: It is important to plan for growing numbers and proportions of older persons and ensure budgetary issues to achieve the goals laid out in the 2030 Agenda for Sustainable Development.

There is a need to invest in young people (life cycle approach) by promoting healthy habits and ensuring education and employment opportunities. We also need to broaden access to health services and social security coverage for all workers to improve the lives of future generations of older persons.

Overall, opportunities to strengthen partnerships to use informal support systems and unveil the potential capacities can significantly drive the agenda forward.

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By IPS Correspondent
Tokyo, Feb 17 2022 (IPS)

The Asian Population and Development Association (APDA) has been ahead of the international community in addressing population and development issues, says the former Japanese Prime Minister and Chair of APDA Yasuo Fukuda.

Yasuo Fukuda, Yoko Kamikawa, MP and Chair of Japan Parliamentarians Federation for Population (JPFP), and Professor Keizo Takemi, MP and Chair of Asian Forum of Parliamentarians on Population and Development (AFPPD), were speaking to IPS ahead of the 40th anniversary of APDA and AFPPD.

Asian Population and Development Association (APDA) and the Asian Forum of Parliamentarians on Population and Development (AFPPD) continued their crucial role of supporting parliamentarians in promoting population and development agenda during the COVID-19 pandemic by organizing online and hybrid events. The organizations this year celebrate their 40th anniversary. Credit: APDA

JPFP was formed in 1974 out of concern for burgeoning populations, food security, and other development issues in Japan. APDA and AFPPD were founded in 1982 – ahead of the International Conference on Population and Development (ICPD) in Cairo in 1994.

“APDA has consistently propounded groundbreaking concepts and frameworks and led international public opinion and activities in this field,” says Fukuda.

“Based on the idea that it is necessary to promote balanced development through social development to ameliorate a rapid increase in population and poverty, APDA has consistently advocated, ahead of the international community, to address population issues from such a perspective of economic and social development.”

Kamikawa agrees and sees the organizations playing a crucial role in post-COVID-19 development as countries and continents race to meet the ICPD 25 commitments.

“APDA has been working on food and population issues from a wide perspective, and now it is required to deepen the discussions on topics such as health, “water for life”, and climate change from the perspective of population,” Kamikawa said. She added that “what we learned from the COVID-19 pandemic is how important it is to share experiences and knowledge of each country with the rest of the world.”

Looking toward the future, Takemi says climate change, the impact of COVID-19, and digitalization have impacted on widening the gap between rich and poor.

He also notes that an ageing population is Asia’s “most emerging issue.” AFPPD has put this on the agenda, and it counts as a crucial success.

Looking back on the 40th years and looking forward to the future are former Japanese Prime Minister and Chair of APDA Yasuo Fukuda, Yoko Kamikawa, MP and Chair of JPFP, and Prof. Keizo Takemi, MP and Chair of Asian AFPPD. Takemi was interviewed by Prof. Kiyoko Ikegami, Executive Director of AFPPD. Credit: APDA

Here are excerpts from the interviews:

IPS: In 1974, some 20 years before the ICPD conference in Cairo in 1994, JPFP was formed because of concerns about burgeoning populations, food security, and other development issues in Asia. Then APDA was established in 1982. What would you consider to be the most significant success of the organization?

Former PM Hon. Yasuo Fukuda: For one, APDA has consistently propounded groundbreaking concepts and frameworks and led international public opinion and activities in this field.

Based on the idea that it is necessary to promote balanced development through social development to ameliorate a rapid increase in population and poverty, APDA has consistently advocated, ahead of the international community, to address population issues from such a perspective of economic and social development.

Under this principle, Japanese parliamentarians launched JPFP, the world’s first supra-partisan parliamentary group on population and development, in 1974, followed by the founding of APDA in 1982. JPFP and APDA strongly supported the establishment of regional parliamentary fora and National Committees on Population and Development in various countries and created a groundbreaking framework of a parliamentary network.

Through this network of parliamentarians, APDA and JPFP have taken the lead in parliamentary activities on population and development worldwide, effectively sharing diverse knowledge, including Japan’s experiences and promoting international cooperation, which resulted in concrete results.

Japanese politicians, who were involved in JPFP and APDA, also played a central role in the formation of the concept of “sustainable development”, which is the basis for today’s SDGs. They requested the United Nations to establish the World Commission on Environment and Development (commonly known as Brundtland Commission) in 1984. The concept of “sustainable development” was presented in their report adopted in 1987.

On the occasion of our 40th anniversary, we would like to continue to promote inter-regional cooperation and collaboration in response to the challenges faced by each region and address population and development issues both domestically and internationally from a long-term perspective, beyond the SDGs. In particular, we would like to focus not only on economic development but also on valuing each individual, drawing out the full potential, respecting each culture and tradition, and fostering the importance of cultivating humanity.

IPS:  APDA and JPFP have established global partnerships in Asia, Africa, and the Arab region. How necessary are these multilateral arrangements to achieve the ICPD Programme of Action?

Hon. Yoko Kamikawa, Chair of JPFP:

As various global issues are becoming more and more serious, it has become clear that population and development issues are complicatedly and closely related to various other areas, with diversified demographics worldwide.

Therefore, as the principles of the ICPD, which is a major outcome of our activities to date, have been taken over by the principles of the SDGs, it is no exaggeration to say that addressing population issues will also mean the achievement of the SDGs.

APDA has been working on food and population issues from a broad perspective, and now it is required to deepen the discussions on topics such as health, “water for life”, and climate change from the perspective of the population.

Our role as parliamentarians is to serve the people of respective countries, fulfilling a responsible role in legislation and administration to realize a society where everyone can maintain life and health and enjoy human rights and quality of life bestowed upon people. However, what we learned from the COVID-19 pandemic is how important it is to share experiences and knowledge of each country with the rest of the world.

I hope that APDA will further contribute to achieving the ICPD Programme of Action and SDGs and ushering in a new post COVID era by strengthening the networks and platforms of parliamentarians it has developed over the past 40 years.

Prof. Kiyoko Ikegami, Executive Director of AFPPD: Is there a crucial new challenge in the Asia region that parliamentarians need to confront?

Hon. Prof. Keizo Takemi, Chair of AFPPD: The ageing population is the most emerging issue in Asia, although UNFPA did not yet recognize this in the past. I believe that one of the great outcomes of the AFPPD was to improve the recognition of the issues relating to ageing, not only demographic change but as improvement of quality of life of the older people.

AFPPD co-sponsored seminars on the ageing and nursing service in Vietnam in 2017, which helped members of AFPPD to fully understand the issue of ageing. With the Health Ministry of Vietnam, AFPPD National Committees of Vietnam, the Ministry of Foreign Affairs of Japan, and JCIE, AFPPD conducted discussions about a caring service to ensure people can age happily.

Unemployment is also a serious problem, especially in central Asia, where the youth population is rapidly increasing, and migrant worker numbers are also increasing. It is an urgent matter to be resolved due to the dynamics of youth behavior in the context of a nation-building process. An AFPPD-led seminar on youth has looked at how to get youth involved in industry after being trained, and at the same time how to encourage industry to respond to the needs of each nation.

Ikegami: What are the crucial discussions to be had in this anniversary year on SDGs and the ICPD25 Programme of Action?

Takemi: The recognition and addressing climate change and population are the most critical issues in front of us.  We have learned that it is inevitable to create and accept the new framework and concept of population issues in the Anthropocene era, in order to respond to current and future population-related issues.  The discussions have just begun, but there are several ideas to be debated, such as the close relation between water and population, demographic analysis on human movement of refugees, and internally displaced persons.  It is definitely challenging, for all of us MPs, to foresee the future planning of our nations.

• Prof. Kiyoko Ikegami, Executive Director of AFPPD, interviewed Takemi.

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Delegates at an online conference organised by APDA and AFPPD looked at ways to mitigate the impact of COVID-19 on women and girls.

By Cecilia Russell
JOHANNESBURG, South Africa, Apr 6 2021 (IPS)

Girls in Asia don’t want to go back to normal – they want to go “back to better than normal”, says Zara Rapoport, a delegate during an online seminar on the impact of the COVID-19 pandemic on gender.

The seminar, held this week, was organised by the Asian Forum for Parliamentarians on Population and Development (AFPPD) and the Asian Population and Development Association (APDA). It focused on the impact of COVID-19 on gender in the Asia Pacific and Central Asian regions.

Rapoport, the Regional Gender Equality and Inclusion Lead for Plan International Asia Hub, said her organisation had worked with a group of girls to design a youth-led, feminist report with a post-COVID-19 vision of the future.

Their ideas included what the girls termed a ‘revolutionary reset’. They felt that the world they came from before the pandemic was intrinsically unequal – and this needed to change.

She said her organisation took on board the adolescent girls’ suggestions to see a future world with “gender justice, education and training for everyone”. A world where women and girls have rights to protection, gender equality, and climate change is addressed.

While the message was clear, the impact of the pandemic on women was devastating. However, most of the speakers concentrated on programmes to address women’s issues across the Asia Pacific and Central Asian regions.

Professor Keizo Takemi, MP, Japan, and Chair of AFPPD reminded delegates that it was critical to address gender issues. Research showed women were at higher risk from the pandemic’s COVID-19 impacts, which included reduced access to reproductive health care.

Upala Devi, Gender Advisor UNFPA APRO, said it was “very, very disheartening to see all the gains made in the last 20 years erased, reversed, in just one year in the pandemic.”

She said a recent gender gap report had estimated that it would take another 75 years to regain some of the gains. This was not something we would see in our lifetime, she warned. The pandemic, she warned, was not over, and India and Bangladesh were experiencing the third wave with lockdowns and other social distancing restrictions coming into play.

Nevertheless, Devi said the pandemic forced organisations to focus on continuity and life-saving gender-based violence (GBV) and health response services.

She outlined several innovative delivery models which had gained traction in the region.

“We’ve looked at the development of the technical guidance on the remote provision of human response services … ensuring that those who are the most vulnerable and marginalised have access to services,” Devi said. This included, at a macro ‘South South-level’, facilitating, country-to-country sharing of knowledge, strategies, and promising practices.

It included developing a guidance note on the adaptation of dignity kids for a COVID-19 context at a regional level.

Then at a national level, there was evidence of really innovative programming.

Devi said the “Spotlight Initiative”, a multi-year global partnership between the European Union and the United Nations to eliminate all forms of violence against women and girls, had been rolled out in some countries in the Asia Pacific.

Under this initiative, countries like Papua New Guinea and Timor-Leste worked with remote service delivery workers to strengthen responses in delivering GBV services.

“We have created creative shelters in many countries like Bangladesh and India, and Thailand. We have looked at innovative means to provide psychosocial support through free counselling and tele-counselling … and SMS-based psychosocial first aid,” she said, outlining some of the other innovations in the region.

Devi said they were looking at remote case management in, for example, countries like Pakistan.
APPs were now safety nets for women, with good examples from Delhi and Mumbai in India. The safety APPs ensure that women have access to the nearest police station if they feel that their safety had been compromised.

Other innovations included one stop COVID centres.

Ulukbek Batyrgaliev, member of IPPF’s Board of Trustees, Chair of National Youth Committee at the Reproductive Health, said women in the Central Asia region were largely excluded from decision making. About 83 percent of women suffer from domestic or sexual violence, forced and early marriages and were affected by some harmful and humiliating cultural and social practises, like virginity tests.

Nevertheless, through the organisation’s social media outreach during the COVID-19 pandemic, they could reach 50 000 girls and women. In addition, it created information videos on sexual and reproductive health, HIV and so on.

Björn Andersson, Regional Director, UNFPA APRO, reminded parliamentarians they played a critical role in shaping a “more equal future”. He joined other delegates, including Maher Afroze, who said she was COVID-positive, to applaud and celebrate women leaders in the front lines of the COVID-19 in pandemic response. The delegates clapped for the doctors, nurses, midwives and other health workers, social workers, psychosocial counsellors, hotline operators and community volunteers. They thanked them for finding new and innovative ways to reach women and girls in need and provide life-saving services.

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Delegates at the hybrid conference held virtually in Beirut, Lebanon. The conference discussed the impact of COVID-19 the regions’ ICPD25 commitments. Credit: APDA

By Cecilia Russell
JOHANNESBURG, South Africa, Mar 29 2021 (IPS)

More than eight million people moved onto the poverty line in the Arab region, a conference of Arab and Asian parliamentarians heard.

The hybrid conference, held simultaneously in Beirut, Lebanon, and via video conferencing to delegates in Asia and the Arab region, was a follow up on earlier discussions on the regions’ ICPD25 Commitments.

Dr Luay Shabaneh, Regional Director, UNFPA ASRO, said research showed that women were impacted more than other groups – especially as they made up 70% of front-line workers. Women’s health and reproductive rights needed to be high on the agenda because the pandemic’s mortality rate was higher for women. He called on parliamentarians to take care of reproductive health and rights, ensure laws to punish perpetrators of gender-based violence were enacted, and finance for programmes was available.

“Every two hours, a woman dies while giving birth in Yemen,” Shabaneh said. During a recent visit to the country, he met a divorced woman who was 14 years old and a grandmother of 27. Her husband and her mother-in-law abused the grandmother until she decided to leave.

“These case histories were not unusual in the Arab and Asian region,” he said and needed addressing.

Other delegates at the conference, organised by the Asian Population and Development Association (APDA) and the Forum of Arab Parliamentarians on Population and Development (FAPPD), agreed. The conference heard that in the Arab world, female circumcision impacted 55% of girls aged between 15 and 19 years old, and one in five girls marry before there are 18. The diversion of resources and attention away from ICPD25 commitments impacted child marriages and female circumcisions – with estimates that 13 million child marriages and two million female circumcisions could have been prevented.

Teruhiko Mashiko, a Japanese MP and member of APDA Board of Directors and Vice-Chair of the Japan Parliamentarians Federation for Population addresses a hybrid conference of parliamentarians from Arab and Asian countries on impact of COVID-19 the regions’ ICPD25 commitments. Credit: APDA

Teruhiko Mashiko, a member of the Parliament from Japan, member of APDA Board of Directors and Vice-Chair of the Japan Parliamentarians Federation for Population (JPFP), reminded delegates the means to fight against pandemic were being developed. It was crucial, however, to keep an eye on population issues to achieve sustainable development. More than 115 million people had been affected by COVID-19, and more than 2.5 million people died globally. However, tens of millions of unwanted children were born every year.

Minister Plenipotentiary Tarek El-Nabulsi, representative of the League of Arab States, said a report on the region had shown the dire implications of COVID-19 and the need to prioritise the ICPD and Sustainable Development 2030 plan.

“The report estimated 1.7 million jobs would be lost in the region, and the middle class would decline,” El-Nabulsi said. “Eight million people could move down onto the poverty line.”

Moving education onto digital platforms had not benefited the poor who did not have access to technology, and it also disadvantaged people with visual and audio disabilities.

Minister El-Nabulsi said the Arab League had arranged a meeting of high-level officials to enhance national initiatives to control COVID-19 and its impact on vulnerable people. A 15-point plan was set up to reduce its impact on women and girls, protect women, and support and protect pregnant women. The social sector segment also launched an initiative to protect women in refugee camps and women under occupation.

With the support of the UNFPA, an education campaign to confront the coronavirus under the hashtag #COVID-19TalkAboutYourStory was launched.

El-Nabulsi was one of several delegates who expressed concern over the refugees. The refugees in the region placed a heavy burden on the states because it was crucial to extend healthcare services to refugees and displaced.

Asem Araji, an MP from Lebanon, said 1.5 million displaced Syrian refugees and Palestinian people would need vaccinations. He said this should be international responsibility and not just the responsibility of Lebanon.

The impact of the pandemic on education was high on the agenda of the parliamentarians’ concerns. Elyas Hankash, an MP in Lebanon, said the COVID-19 lockdowns had a social, psychological, and physical impact on the youth.

“Unemployment and the lack of prospects had impacted their psychological health,” he said. This led some to drugs and others to depression.

The disruption to education was a disaster, especially as many youths could not connect to the internet and could not participate in the online educational offerings—this resulted in school dropouts.

Lebanon’s economy was fragile, and many young people work in the informal sector, lacking worker protection.

Forty-one percent of the country’s youth had been negatively affected. Unemployment increased when many businesses closed.

He called on other countries in the region to assist – this was a burden that needed to be shared.

Hankash said that while $50,000 had been set aside for youth development, what was needed was a proper plan, including a cheaper housing plan.

Pierre Bou Assi, an MP in Lebanon, expressed concern that the pandemic’s solution – the vaccine programme was problematic as there was no equality of access between countries. He too feared with two years of education lost, “a generation of children was sacrificed”.

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Parliamentarians from Africa and Asia met to discuss how to improve the conditions of women, girls, and youth during pandemics. Credit: APDA

By Cecilia Russell
JOHANNESBURG, South Africa, Mar 11 2021 (IPS)

COVID-19 restrictions exposed women and girls to heightened abuse – revealing the conditions in which gender-based violence became the shadow pandemic on the continent, a recent webinar attended by parliamentarians from Africa and Asia heard.

Gift Malunga, United Nations Population Fund (UNFPA) country representative for Zambia, told delegates that during the lockdown in Zambia, 90% of calls to traditional hotlines between March and May 2020 were related to intimate partner violence.

Malunga was talking at the webinar facilitated by the Asian Population and Development Association (APDA) and supported by UNFPA-JTF. This was the second event to enable inter-continental sharing of information on implementing ICPD25 commitments during the COVID-19 pandemic. The webinar’s theme emphasised gender-based violence (GBV) during lockdowns.

Asahiko Mihara, a member of parliament and Deputy President of Japan-AU Parliamentarians Friendship League, opened the forum by noting that women, as frontline workers, played a crucial role in managing the pandemic. However, the reallocation of resources, including SRH services, could be detrimental to global and national efforts to improve women’s health, he said.

Malunga said while even before the pandemic sexual and gender-based violence was high, with one in three women on the continent having experienced physical or sexual intimate partner violence, the pandemic exacerbated this. Services for sexual reproductive health were disrupted, and as a result, the UNFPA expected long-term consequences, including, according to a study, 7 million unintended pregnancies every six months.

The study also estimated that an additional 18 million child marriage cases could occur due to disruptions of programs to prevent female genital mutilation and child marriage. Transactional sex increased as poverty increased.

When girls dropped out of school, “they become more vulnerable to sexual and gender-based violence, even to teenage pregnancy, to sexually transmitted diseases including HIV and child marriage,” Malunga said.

“This perpetuates the cycle of poverty. COVID-19 affected women who worked in the informal sector as they had been pushed out of work. When more vulnerable to poverty, they also experienced more GBV in their homes.”

The eastern Southern Africa region recorded spikes in GBV, child marriage, and teenage pregnancies across all countries. In addition, child marriage was on the rise. Malawi recorded an 11% increase in teenage pregnancies and an additional 13 000 cases of child marriage from January to August 2020, compared to 2019.

In Zambia, during partial lockdowns, there was increased exposure to GBV, and a study conducted in December 2020 showed that 30% of young people between the ages of 15 and 24 experienced domestic violence.

There was also an increase in transactional sex, Malunga quoted a respondent:

“Child marriage is on the increase because parents have become poorer and can’t afford to provide adequately for their children. Lack of income and prolonged closure of schools are the major causes of the increase in child marriage. This is more common in large families where hunger is more pronounced.”

She called on parliamentarians to advocate for an enabling environment for women and girls. She said while many countries had great policies and strategies, problems arose with implementation.

Sam Ntelamo, Head of the Sub Office International Planned Parenthood Federation (AR) Sub-Office to the African Union & UNECA, called on the delegates to support the AU’s recently launched gender equality and women empowerment strategy.

He said that because of circumstances, even civil society found itself hampered because of restrictions imposed during the pandemic – this included not being able to reach those in need because of a loss of funding.

Ntelamo said CSOs implored governments to address women and girls’ needs, especially in rural and remote areas. These areas needed time-sensitive services such as voluntary termination of pregnancies. Governments should guarantee access to assistance and protection of women survivors of sexual violence, trafficking, and other exploitation.

Justine Coulson, Deputy Regional Director, UNFPA East and Southern Africa Regional Office, reiterated the call asking parliamentarians to consider what was needed to halt the trends.

She said it was also critical to look at the impact on the youth, which ranged from school and university closures, loss of employment, heightened food insecurity, and accessing health services. South Africa, Namibia and Botswana were already among some of the world’s most unequal countries despite being middle-income countries, and this inequality had increased during COVID-19.

The webinar attended by about 50 parliamentarians from Botswana, Cameroon, Eswatini, Ethiopia, Ghana, India, Japan, Kenya, Liberia, Malawi, Malaysia, Pakistan, Philippines, Sierra Leone, Somalia, Tanzania, Tchad, Uganda, Zambia, and Zimbabwe. Also present were delegates UN affiliates, the Southern African Development Community, and the AU.

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Delegates at a webinar discuss COVID-19 and its impact on older persons.

By Cecilia Russell
JOHANNESBURG, South Africa, Jan 29 2021 (IPS)

Internationally COVID-19 extracted a heavy toll on older people – raising concerns in the Asia Pacific region where more than half of the world’s ageing population live.

“Rising inequalities have resulted in the increasing poverty, insufficient access to health and social protection services, which have been further exacerbated by the COVID-19 pandemic,” Bjorn Andersson, Regional Director of UN Population Fund (UNFPA) Asia Pacific said. He spoke at a webinar to discuss a recently released policy review undertaken on Vietnam, Australia, Thailand, and Kazakhstan.

“Older women, who constitute most of the sector (some are above 80 years old), often bear the brunt of old age and poverty. Older men usually have more financial security as a result of their lifetime of earnings,” Andersson said, noting that older persons were more significantly impacted by the COVID-19 virus which results in mortality and comorbidity. He pointed out that this scenario also disrupted the International Conference on Population and Development (ICPD) Programme of Action’s achievements and the 2030 Agenda.

The study’s leader, Keizo Takemi, the chair of the Asian Forum of Parliamentarians on Population and Development (AFPPD) said while most low-income Asian countries had not been affected by the crisis on a massive scale, it was an “unfortunate reality that some sovereign nations tend to be exclusive and focus only on their people when it comes to health intervention such as vaccine, immunisation and delivery systems.”

There was a need to develop a global governance structure to create accessible development and allocation system fairly and efficiently given the limited resources, he said.

Each country studied had diverse social issues – and had come up with different solutions for their older population during the pandemic.

Dr Nguyen Van Tien, former Vietnam parliamentarian and AFPPD’s vice-chairperson, said that only a few older persons had pensions in Vietnam. In Hanoi, for example, many needed help with their daily routines, but the human resources to care for them were few.

Many, especially women living in rural areas experienced loneliness and isolation in old age, and abuse and violence were also experienced.

“Critically it was important to ensure that attention is drawn to older people in emergency situations – due to their old age and inability to cope with and fully take care of themselves, coupled with the lack of adequate care from society during disasters, older persons are the most vulnerable to death,” Van Tien said.

Independent consultant Hadley Rose presented data for both Australia and Thailand.

In Australia, about one million older persons received aged care at home or community-based setting. It used technology – a COVID-19 call line to mitigate boredom, loneliness or feeling of isolation during the lockdown periods to managethe pandemic.

Telehealth services, a consultation facility via phone or video chat, were available mainly for older persons (70 years and older). Going to the clinic for medical consultation becomes the last option, and a “COVID Safe” app was set-up for smartphones for contact tracing. Older persons are encouraged to use the app to know if they came in contact with a COVID-19 positive person. When the vaccine becomes available older persons and aged care workers will be prioritised, she said.

In contrast, Thailand’s older persons were mostly living with their relatives or near to them.

“While this is good in terms of limiting the spread of COVID-19, this set-up puts pressure on the families, especially since some breadwinners in the families have lost their jobs as a consequence of the pandemic,” Rose said.

Thailand had adopted its second national plan of action for older persons in 2001 and will be effective until 2021. Because residential health care was not common,the country relied on 50,000 medical health volunteers to assist in older persons’homes.

During March and April 2020, about one million health volunteers managed to do COVID-19 screening for eight million households across the country.

Svetlana Zhassymbekova presented the result of the legislative and policy reviews for the republic of Kazakhstan. According to a UN Policy Brief, Kazakhstan’scommunity-level responses from volunteers’ networks ensured social support of older persons affected by COVID-19 was a best practice worth citing. Kazakhstan has more than 200 volunteer organisations, which the national party was providing funds. These organisations delivered various humanitarian packages.

The packages included providing protection and humanitarian assistance to older persons to restore familyties. Where people lived alone, they were provided with an electronic device to access information and seek help if required.

Professor Keizo Takemi, chair of AFPPD, said the discussions on older persons were crucial. Eighty percent of deaths caused by COVID-19 were people aged 70 and above. He called on parliamentarians to serve as “catalysts for change (working) toward more efficient handling of COVID-19 and continuously protecting people from the infection.”

The research report: Legislative and Policy Reviews on Ageing was undertaken with the support of the Japan Trust Fund and UNFPA, APDA and AFPPD launched the project featuring comprehensive policy review in four countries, namely, Vietnam, Australia, Thailand, and Kazakhstan.

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The Asian Population and Development Association (APDA) is concerned by the societal socio-economic impact COVID-19 has created in the region, including the impact on employment and in unpaid care work, impact on health, including reproductive health services, and the impact of domestic violence during lockdowns. Credit: Bhuwan Sharma/IPS

By Cecilia Russell
JOHANNESBURG, South Africa, Sep 17 2020 (IPS)

The negative impact of the coronavirus pandemic is likely to be felt long after the COVID-19 health risk is resolved, a high-level meeting under the auspices of the Asian Population and Development Association (APDA), heard.

Parliamentarians and civil society met today, Sept. 17, to discuss policy changes in Asia and the Pacific Region during COVID-19. They also reflected on policy changes since the Nairobi Summit on International Conference on Population Development (ICPD25) last year. This was the second-high level meeting held to discuss the ICPD25 conference this week. Earlier the Arab region met to discuss their Nairobi commitments.

Yoko Kamikawa, chair of the Japan Parliamentarians Federation for Population, in a recorded speech noted the pandemic had affected many people, expanding inequality. “Disparity may widen,” she said, and as a result, society may become more divided.

“We are very much concerned how much societal socio-economic impact COVID-19 has created, including the impact on employment and in unpaid care work, impact on health, including reproductive health services, and the impact of domestic violence during lockdowns.”

Davide De Beni, Health Economist for United Nations Population Fund’s Asia Pacific Regional Office, painted a bleak picture for the Asia region with only East Asia being the exception. This is largely because of China, which is expected to grow at 1.8 percent this year.

However, the overall contraction of 0.7 percent for the region this year hid the state of some countries like the Maldives and Thailand. Both these countries were less affected by the pandemic than by the international economic fallout.

The Maldives, which is dependent on tourism, saw its economy contract by 20.5 percent and Thailand by 8 percent. These figures, taken from the Asian Development Bank report from this week, “showed the path to recovery remained precarious and nobody knows what to expect,” De Beni said.

De Beni said government action taken was unprecedented and ranged from fiscal policies to mitigate tax relief and sector-specific support with central banks cutting rates. However, the “scale, the scope and the duration (of these measures) are often limited and also provide a limited stimulus to the economy”.

He warned that the social, economic and health dimension of the crisis and social protection is likely to become even more relevant in the emergent phase and the recovery phase of this crisis.

There were projections that in 2020 maternal mortality ratios could increase by between 17 and 43 percent – and from data collected in both Bangladesh and Myanmar, these projections are in line with the reality.

Family planning too was problematic with the unmet need for effective family planning expected to spike from between 21 to 40 percent.

This could amount to a human rights crisis – with mental health issues, gender-based violence and other harmful practises exacerbated.

Rose Hadley, consultant and expert, concentrated on the ICPD programme of action looking at Sri Lanka and Lao, and acknowledged that while things had changed significantly since the Nairobi summit, both countries had made commitments following the summit.

Sri Lanka had created strong policy statements for women and youth, even to the point of targeting certain occupations where women were particularly vulnerable. 

Fielding questions on concerns COVID-19 had created increased pressures for women and vulnerable groups – including increased suicides, early marriages, gender-based violence,

Hadley said that education and the primary health care system were both keys to finding resolutions to these challenges.

“Education is keeping girls out of early marriages. Promoting education is passing health information to children … Investigating in education is investing in health, and it is investing in economic development,”  Hadley said.

While she was not an expert on mental health – she believed it was time for the revival of the primary health care system. Primary health facilities could scene for mental health, help address gender-based violence and basic sexual reproductive health and rights.

Sri Lanka had during the COVID-19 period expanded a national hotline for women to a 24-hour service. This was critical for a lot of families stuck at home during lockdowns and where they were unable to go out or access services easily.

Meirinda Sebayang, chair of civil society organisation Jaringan Indonesia Positive, said COVID-19 meant that in her country maternal mortality was expected to rise as 28 percent of the health centres were not fully functioning. This also meant unmet needs for families.

One organisation tracked the statistics during the pandemic and found that there were a high number of gender-based violence cases, One survey also showed that 96 percent of respondents reported that the burden of household work was increasing. Many respondents cited a rise in household expenditure was creating stress.

Sebayang’s organisation surveyed about 1,000 respondents. The results indicated that people living with HIV in Indonesia were finding it challenging to access their medication.

Limited mobility during lockdowns meant an increase in sexual and gender-based violence at home and these might have “contributed to the unwanted pregnancies and also for unsafe abortions”.

Sebayang said it was essential to create protocols to deal with a pandemic. While civil society could reduce the impact of the disease, it required working together with government and service providers.

She pointed to several successes, like the use of smartphones for the treatment of tuberculosis patients.

“So, I think there are many, many things that we can do. We have to become more innovative and also have to have strong collaborations with the service providers, the government and also other civil society organisations and try to be inclusive … to find a way to win over this enemy.”

Dr. Osamu Kusumoto, Executive Director/Secretary-General of APDA, reminded the delegates that there was an advantage now.

“About 100 years ago (during the Spanish flu epidemic), there were no measures, but now we can discuss countermeasures.  We should think about work together,” he said, closing the meeting.

Meanwhile, earlier in this week Arab parliamentarians met to discuss the Nairobi commitments. While there had been a strong representation of the region at the summit, a report indicated some concern about the regions’ lack of commitment to several important challenges including maternal deaths among adolescent girls; unintended pregnancies; research and knowledge generation; capacity development of health providers and strengthening health care.

There was a call for youth-related commitments in the countries to be scaled up, especially support for youth associations and networks.

There was also a call for the countries to take more decisive action on female gender mutilation, child marriage, gender-based violence services and the elimination of all forms of discrimination against all women and girls.

Morocco acknowledged it had significant challenges ahead of it. Yet, it said it had achieved some progress in lowering the literacy rate, which was 90 percent in 2014 against 58 percent in 1994. Child mortality had dropped from 80 deaths per 1,000 live births in 1990 to 22.4 deaths per 1,000 live births in 2018, and maternal mortality decreased from 332 deaths in 1992 to 72.6 deaths per 100,000 live births in 2017.

In addition, more women and youth were in positions of leadership.

Palestine, likewise, outlined key priorities including the adoption of it’s Family Protection Law, raise the marriageable age and the adoption of a cross-sectoral approach towards sexual and reproductive health and rights.

Increased cases of violence against women and children have been reported in Sri Lanka during the COVID-19 lockdown. The loss of income because of the COVID-19 lockdown has made some more vulnerable to abuse. Credit: Amantha Perera/IPS.

By Mantoe Phakathi
MBABANE, Aug 19 2020 (IPS)

The coronavirus pandemic has resulted in the escalation of violence against women and children in Sri Lanka.

A recent survey by CARE Consortium, a collection of three organisations including Delivery and Solitary Trust (DAST), Young Out Here and National Transgender Network, found that 26 percent of respondents experienced violence during the COVID-19 curfew. The COVID-19 curfew was imposed in March and lifted in June in an effort by the government to curb its spread.

The survey titled COVID19 Impact on Key Populations PLHIV and SR Organisations shows that 76.8 percent of the respondents experienced verbal abuse, while 7.8 percent encountered physical and 5.6 percent sexual violence. The survey further reveals that the main perpetrators were neighbours at 49 percent followed by parents at 25 percent, intimate partners at 24 percent and the police at 10 percent.

Out of the 329 respondents, 56 percent were men, 16 percent transgender women, 16 percent sex workers, 32 percent people who use drugs and 3 percent beach boys.

According to Niluka Perera, a consultant from CARE Consortium, most of the respondents did not seek support after experiencing the violence because they did not know where to go.

“There is no safety net when key populations face violence because they cannot go to the police,” Perera told IPS. “The violence is based on their identity which is stigmatised and even the police tend not to care.”

For example, he said, a sex worker who gets beaten up by someone is not likely to report the incident to the police because, although sex work is not criminalised, it is not practised in the open.

“It gets worse with men because they’re expected to be strong such that men who have sex with men find it difficult to report abuse because they are supposed to be strong [as well as] the fact that they are supposed to operate in private,” said Perera.

He attributed the escalation of violence during COVID-19 lockdown to the fact that members of the key populations had to be confined to their homes with their abusers who maybe their family members. Some of them lost their sources of income which exposed them to further abuse.

“The abuse further contributed to mental health concerns,” said Perera. The survey found that out of 248 respondents, 174 expressed hopelessness, 159 said they were stressed, 95 suffered from anxiety and 34 experienced depression.     

He told IPS it is acceptable that the focus is on women and children when talking about gender-based violence because they are the ones who experience it the most. However, Pereira said it is important to address violence against men as well because it is often overlooked.

“The issue is not who is perpetrating violence against men but it is how the status quo normalises that kind of violence. The same applies to violence against women,” said Pereira.

He said trillions, that could help to reduce poverty and hunger, are invested in activities that perpetuate violence such as buying guns for the army or supporting wars. Army budgets across the world are always increasing.

“The systems we have, not only in Sri Lanka but all over the world, are too happy to invest in things that perpetuate violence,” said Perera.

Shelani Palihawadana, the coordinator of the sexual and reproductive health access to youth with disabilities at the Youth Advocacy Network Sri Lanka, concurs, adding that the COVID-19 pandemic has worsened police violence. She argued that most of the violence meted by police is against men which is referred to as police brutality and not GBV.

“Police tend to be violent when arresting men compared to when they’re arresting women,” Palihawadana told IPS. “There needs to be awareness around GBV against men because men then take the violence they experience to their families.”

She said men who are members of the Lesbian Gays Bisexual Transgender Intersex and Queer (LGBTIQ) are ignored even when they go to report GBV cases at the police because they are expected to be tough.

Like Perera, Palihawadana said some forms of GBV have been normalised in Sri Lankan society such that complaining about them does not attract any action. For example, she said, women are always exposed to sexual harassment when using public transport, something that is no longer considered an issue because it happens all the time.

According to Desaree Soysa, the chairperson of the youth technical advisory committee at Family Planning Association of Sri Lanka, the government is not making enough effort towards meeting the commitments made at the Nairobi Summit to end GBV and eliminate any discrimination against vulnerable groups including key populations.

She said, since the 25th International Conference on Population Development (ICPD) where the promise to accelerate progress towards meeting the target of SDG5 by 2030, nothing much has been done.

The Japan Parliamentary Federation for Population and its secretariat, the Asian Population and Development Association (APDA), has committed to endorse the ICPD25 agenda. As part of its work in Asia, APDA has focused its work on the prevention of violence against women and girls.

“Attention is given to COVID-19 and during the curfew period we couldn’t even meet,” Soysa told IPS.

Besides, she said, ministers are not interested in GBV issues in the middle of a pandemic and hoped that more work will be done once COVID-19 has been put under control.

Soysa said Sri Lanka has made progress in reducing its maternal mortality rate to 1 percent, the lowest in Asia. But she said more needs to be done in giving women access to safe abortions.

Senior citizens supervise the construction of a community-run tree nursery and collective farm in Alangalang of Philippine’s Eastern Visayas region. Courtesy: Divisoria Peatland Farmers Association/WEAVER

By Stella Paul
HYDERABAD, India , Jun 5 2020 (IPS)

In the Philippines, May has long been a month of joy when farmers harvest their rice crop and celebrate the Pahiyas harvest festival. But this year, the mood was somber. The food production and supply system also affected, thanks to the coronavirus lockdown, and the economy frozen. As a result, millions of Filipinos, especially senior citizens, are now looking at an uncertain future.

• The country reopened gradually on Jun. 1, with some businesses being allowed to open.

Vulnerable Elderly in a Pandemic

Currently, 8.2 million of the country’s 109 million people are in the 60 and above age group, with almost 5 percent of the population aged 65 years and above. However, according to projections made by the Commission of Population and Development, a government institution, the numbers are growing and by 2030 the Philippines will have an elderly population of above 7 percent, putting it alongside the ageing Asian countries of Japan, China and South Korea.

But the welfare of the elderly has been a matter of public concern in the Philippines.

The country’s Human Rights Commission says that at least 40 percent of senior citizens experience abuse of some kind. This includes verbal, physical and financial abuse, perpetrated mostly by their children and other family members.

The commission, however, admits that there is a dearth of credible research done on the issue. A 2017 presentation by the advocacy group Coalition of Services of the Elderly also mentions that elderly Filipinos often become “the subject of discrimination, ridicule and even abuse. Some consider them merely as objects of charity and not individuals with inherent, equal and universal rights as other members of the society”.

An urban slum in Manila, Philippines. The COVID-19 pandemic has increased the vulnerabilities of the urban poor, especially senior citizens. Credit: Stella Paul/IPS

As part of its current work in Asia, the Asian Population and Development Association is looking primarily into the issue of the advanced ageing of Asian societies.

It’s policy brief on Ageing in Asia acknowledges that “policy responses to population ageing inherently involve questions of values, any responses require both the active involvement of parliamentarians and the creation of platforms for public discussions on these issues”.

Indeed, the abuse of senior citizens has prompted lawmakers in the Philippines to propose a special law to protect them. The “Anti-Elder Abuse Act,” was introduced to parliament last January and proposes to fine and penalise those who abuse senior citizens physically, psychologically, financially or sexually.

The proposed law also recognises senior citizens as a vulnerable sector who should receive a PhP 5,000 to PhP 8,000 (between $100 to $160) in cash assistance. It was approved by the country’s House of Representatives in February but is still to be formally passed into law. 

But in the meantime, the lockdown and subsequent restrictions put into place to fight the COVID-19 pandemic increased the vulnerabilities of the elderly. Local media regularly reported on senior Filipinos suffering from a lack of food and medicine as they remained indoors.

Risa Hontiveros, the Philippines first socialist woman senator and one of the country’s youngest lawmakers, has been a fierce advocate for senior citizen’s rights and protection. Hontiveros tells IPS that the COVID-19 pandemic has magnified the vulnerabilities of the Filipino elderly, particularly the poor.

“Since the government imposed what it calls the Enhanced Community Quarantine (ECQ) under which people are prohibited from leaving their houses except for frontliners and other essential personnel, poor senior citizens who still work, many in the informal sector, have been deprived of their main source of livelihood. They are left with very little choice but to rely on local government food packages that are simply not enough, and in many cases, inconsistent in their distribution,” Hontiveros says.

Fighting Curbs on Working Elderly

The lockdown in the Philippines started on Mar. 8 and and by the end of April the government had announced people over 60 and younger than 20 would be forbidden from leaving their homes even after “enhanced community quarantine” measures were lifted in early May. 

It drew massive protests from senior citizens as an overwhelming majority of them (over 6 million) were still in active jobs. The country currently has a workforce of 45 million.

The regulation was based on the number of COVID-19 patients and casualties aged 60 and above, and initial cases that showed transmission occurred mainly among the elderly who generally have weaker immune systems.

An elderly pedicab driver in Manila. The elderly, especially from poor communities, continue to face multiple vulnerabilities and sustainability challenges in the Philippines, which have increased due to the COVID19 pandemic. Credit: Stella Paul/IPS

But seniors citizens argued that not many of them are sickly or weak and those who were still earning, have to support their families financially.

To put a blanket curb on their mobility served to push them towards acute financial struggle and insecurities.

Finally, in May, the government allowed senior citizen who are part of the formal workforce to return to work. The stay-home order for those outside of the organised job sector, however, still remains valid and continues to be opposed by senior citizens who have taken social media to voice their anger.

According to members of one such group on Facebook “Seniors sa Panahon ng COVID”, the government’s decisions are only hurting the already vulnerable seniors further.

“It only goes to show that our voices are still not being heard by the Inter-Agency Task Force for the Management of Emerging Infectious Disease (IATF) ) and we will remain in ISOLATION until full quarantine is lifted and by approximating it, it might last until somewhere next year. That is too much already for us to be imprisoned in our homes,” Virgilio Dedeles, one of the group members, says.  

Missing Essentials

For poor senior citizens, locked in their homes and dependent on aid, this means continued uncertainty and vulnerability.

76-year-old Lola Rosita of Malabon city says that since the lockdown began, the government has provided relief goods twice, but it’s still not enough. “We really need medicines to treat our current health conditions, hygiene kits, and face masks but we can’t buy them,” Rosita tells IPS.

The struggles of seniors living with disabilities is even greater.

Lola Paz, 71, from Bagong Silangan in Quezon city has a leg impairment due to avascular necrosis. She says that the government relief works are inadequate and lacking transparency.

“Based on my observation, the government doesn’t make any considerations to older persons. They know that older persons are at risk but we are ignored, especially as we face all these difficulties. We, [senior citizens] should be one of the priorities,” she tells IPS.

Hontiveros also agrees. 

However, the unclear guidelines and their actual implementation have caused much confusion in communities.

Quarantine guidelines failed to consider elderly couples and the elderly living alone, making access to food and other basic commodities difficult.

“My office, in partnership with the Coalition of Services of the Elderly and other senior citizens’ organisation launched a relief mission that provided immuno-packs containing masks, milk, vitamins, rice and other food items,” Hontiveros says.

Mobilising for Food Security

But in some provinces, senior citizens are using innovative ways such as diverse use of land and community farming to save off insecurities.

71-year-old Lola (Grandma) Anita lives in Alangalang, a town in the country’s second-largest peatland — the Leyte Sab-e Basin.

But she is not retired. These days Anita spends hours supervising a plant nursery that is part of a community initiative led by senior citizens to ensure food security for all through environmental conservation.

The nursery is run by Divisoria Peatland Farmers Association (DPFA), a collective that has joined hands with local government to restore the peatlands endangered by indiscriminate agricultural activities, deforestation, land degradation and occasional forest fire.

The restoration of the peatland – originally an initiative of the ASEAN Peatland Forest Project – aims to replant areas to suitable crops for local people and restore the natural, indigenous vegetation in some areas.

In the nursery, Anita is joined by several other senior citizens who are collectively growing plants and vegetables that are indigenous to their province and which can help restore the peatland eco-system.

Since the COVID-19 crisis began, farmers have not able to market their produce due to travel restrictions.

But with their collective subsistence farming, these senior citizens are not just restoring the peatland eco-system, but are sustaining their community, checking potential food loss while doing this sustainably.

The collective nursery is part of a larger plan, explains Paulia Lawsin Naira, founder of a local NGO called WEAVER, which works closely with the peatland restorers by mobilising and training them.

“Each of the plants grown here has multiple uses and can open up more livelihood opportunities for the locals. For example, Lanipao is used both for fuel wood and house construction and Ticog grass is used for handicrafts,” Lawsin tells IPS.

For Anita, being able to sustain their community while doing this sustainably is the need of the hour.

“COVID-19 has affected us [senior citizens] so much. The nursery helps me stay productive and also earn by making meaningful contributions to our environment,” she tells IPS.

The new coronavirus (COVID-19) continues to wreak havoc across the world, as the number of infections and deaths rapidly rise. It has the potential to infect anybody regardless of age or gender. There are grave concerns that the economic fallout from COVID-19 may be comparable to that of the Great Depression. According to Johns Hopkins Coronavirus Resource Center, there are 2,064,668 confirmed cases of COVID-19 and 137,124 deaths due to SARS-CoV-2 (the virus causing COVID-19). In Japan as of noon April 15, there were 8,100 cases of COVID-19 , 119 deaths, and 901 patients discharged from hospitals.

Osamu Kusumoto

This situation is related to population issues because the spread of infection increases exponentially relative to population density. The outbreak in Wuhan quickly spread because it is a mega city of 11 million people.

The Ebola hemorrhagic fever is another infectious disease that caused global fear because it gripped regions of Africa intermittently from 1976 to March 2019 with 30 regional outbreaks. Until the outbreak in West Africa in 2014, the majority occurred in rural areas with relatively small populations.

The current COVID-19 pandemic is far greater in scale. Globalization breaches physical gaps which means that whatever occurs elsewhere inevitably becomes our own problem. However, attendant challenges such as reproductive health (RH) and family planning attract little attention despite its enormous contribution to the spread of Covid-19.

Although it may not be possible to verify the following 1994 US data (since no results from other studies of a similar scale are available), it represents current world averages. It shows birthrates from planned and unplanned pregnancies and the rate of abortions, which were 50.4%, 23.0%, and 26.6%, respectively. This shows that about half of the number of lives born into the world were planned, the other half unplanned, and about the same number of lives as the number of all births were lost to abortion.

Using these ratios, a simple estimate can be made applying statistical data of the UN Population Division. If the annual average number of births is 139.53 million from 2020 to 2025, then 95.81 million of these births would be planned, 43.72 million unplanned, and 50.57 million will end up in abortion. Tragedies like this occur every year. It will have a cumulative impact which continues to affect the very foundations of society.

COVID-19 instills a genuine fear in society because we never know when we will fall victim to the disease. On the other hand, the cited issues evoke only a sense of indifference because of the notion that “it has nothing to do with me.” This fails to raise a sense of social concern.

After COVID-19, the world will appreciate more that when it comes to infectious diseases, there is no such thing as “someone else’s problem”. The principle should be the same for problems concerning the environment and the population. It may be difficult for people to realize this now but, from a long-term perspective, they will have a decisive impact on our world. The Sustainable Development Goals (SDGs) clearly demonstrate keen awareness on inter-dependence in today’s world.

The singularity of AI is likely to accelerate separation in production and labor and precipitate changes that are more far-reaching than the capitalist revolution. In the free market, brought about by information revolution, an oligopoly of wealth represented by GAFA (Google, Apple, Facebook and Amazon) has emerged, but consumers with purchasing power may disappear. If social norms that underpinned our society until recently are lost, despite the notion of “being able to have a rewarding life by working diligently”, social disorder may emerge.

COVID-19 is forcing our society to change. We must view this as an opportunity to rise to the occasion and build a new society to achieve the SDGs.

(The author is Secretary General and Executive Director, Asian Population and Development Association (APDA)

Ann Kihii (25) spends time with other young women from poor communities in Nairobi and use embroidery to create images that tell a story about the daily challenges they face. They also get a chance to discuss the issues among themselves in a safe space. Credit: Mantoe Phakathi / IPS

By Mantoe Phakathi
NAIROBI, Kenya, Nov 14 2019 (IPS)

While women find it hard to talk about their painful experiences, some have found a way of expressing themselves through art. Women, trained as artists, from Nairobi’s informal settlements Kibera and Kangemi, have produced a beautiful quilt that tells stories about their daily challenges.

Displayed at the Pamoja Zone of ICPD25, the quilt is used to lobby delegates to rally behind girls and women by ensuring that they enjoy sexual reproductive rights and end gender-based violence.

Being able to express yourself through art

While the embroidered quilt is a beautiful piece of work, each square that forms part of it it is sewn by different women who are expressing their sad experiences.

“I live in a community where violence against women is the order of the day,” she told IPS. “Unfortunately, women find it hard to talk about it.” Ann Kihiis (25) is one of the young women who have turned out to be a fine quilt maker. Using small square pieces of fabric, she sewed an image of a woman who was experiencing violence in her marriage.

In the same image, there is a shadow which she says symbolises the anger and hurt that an abused woman carries with her all the time unless she is able to talk about it and heal from the experience. Although she has never been in an abusive relationship, she said observing it from a young age in her family and community has traumatised her.

Ann Kihii showcases the quilt that she contributed in making where she designed an image of a woman in an abusive relationship who always carries the anger and hurt. Credit: Mantoe Phakathi / IPS

“I love art and this is a way of creating awareness about gender-based violence and letting people know that it’s okay to talk about it,” said Kihiis.

She said she is aware that women who are abused end up believing that they do not deserve to be loved, something that is not true.

Art brings women together

On the same quilt, other artists made images depicting crime, drugs and teenage pregnancy. For example, there is an image of a young girl who is sitting on a desk with a baby on her back. This, according to Bobbi Fitzsimmons, a quilter from the Advocacy Project is the story of a young girl who was abandoned by her father after falling pregnant. When she fell pregnant for the second time, she decided to take control of her life and returned to school even if it meant studying with much younger learners.

Bobbi Fitzsimmons, a quilter from The Advocacy Project, trains women groups across the world to express the challenges they face by using embroidery, painting and applique to raising awareness so as to get support in addressing gender-based violence and sexual reproductive health rights. Credit: Mantoe Phakathi / IPS

“Art is a very effective way of expressing oneself,” she said. “What’s more, the women came together while working on the quilt and discussed their issues, in what was a safe space for them to talk.”

The Kenyan women artists are trained by the Kenya Quilt Guild under Fitzsimmons’ directorship.

The United National Population Fund (UNFPA) funded The Advocacy Project to train the women. They also funded the exhibition of quilts from women in other parts of the world. For example, there is a quilt from Nepal on display with squares of paintings through which a group of women from the Eastern part of the country expresses themselves after they were treated for uterine prolapse, a painful condition affecting 600 000 women in Nepal. Another quilt donning the walls of the Pamoja Zone is one from survivors of sexual violence from the Democratic Republic of Congo, while another depicts child marriages in Zimbabwe.

In total, 18 quilts are on display at the exhibition, where delegates are fascinated by the stories.

Karen Delaney, the deputy director of The Advocacy Project believes that through this initiative, women do not only come together to talk about their issues but they also get a lifetime skill for income generation. Credit: Mantoe Phakathi / IPS

In making the quilts the artists are trained to use the following skills: beadwork, painting and applique.

“Apart from the opportunity of bringing together the women, they gain skills that they can use to generate income for the rest of their lives,” said Karen Delaney, the deputy director at The Advocacy Project.

Bettina Maas / UNFPA Ethiopia. Credit: Crystal Orderson / IPS

By Crystal Orderson
NAIROBI, Kenya, Nov 14 2019 (IPS)

The United Nations Population Fund, UNFPA Ethiopia country representative, Bettina Maas speaks to IPS at the ICPD25 Nairobi Summit and she says she is optimistic that this time around that the three critical commitments; bringing preventable maternal deaths, gender based violence and harmful practices, as well as unmet need for family planning to zero will be realized.

Crystal Orderson spoke to Maas at the Nairobi Summit.

ICPD25 Youth delegates: Michele Simon (left) and Botho Mahlunge. Credit: Joyce Chimbi / IPS

By Joyce Chimbi
NAIROBI, Kenya, Nov 14 2019 (IPS)

Every day in developing countries it is estimated that 20,000 girls under the age of 18 give birth. This amounts to 7.3 million births a year.

Complications from pregnancy and childbirth are still the leading cause of death among adolescent girls, according to the United Nations Population Fund (UNFPA) statistics.

Let us be heard

Born long after the Cairo Promise, the 18-year-old Michelle Simon and the 19-year-old Botho Mahlunge both youth representatives from Botswana, lament that years later a world where girls can enrol and stay in school is far from the lived reality for millions of adolescents across the globe.

“When I was 13 years old I started to see the connection between girls getting pregnant and dropping out of school. “These girls were very bright but when they left school they never returned.

I started to talk about preventing these pregnancies at that young age,” Simon tells IPS.

Simon says that 25 years after the promise, “it is very sad because those who should be protecting us have failed us. Parents cannot even close the gap between them and their adolescent”.

She argues that parents have abdicated their responsibility to the education system and the entire society. “But where is the parent’s responsibility towards adolescent health?” she asks.

Simon says that in this era of technology and information, adolescent health should not be the problem area that it is. “We cannot hide behind culture and say that ours is a conservative society.

Culture should reflect problems

“Culture evolves and it must so that it can reflect the problems we are facing,” she says.

Mahlunge says that failure to educate our young people on sexuality “is the reason so many girls are getting pregnant and infected with HIV.”

She says the continued exclusion of young people in rural areas from sexual and reproductive health and rights discussion is also to blame for the prevailing state of affairs.

“Young people in rural areas are completely vulnerable. They are so far removed from the little information and services available to young people in urban areas,” Mahlunge observes.

We need sexual health education

Denis Otundo from the Network for Adolescent and Youth of Africa says that the ICPD25 conference has a lot in store to offer adolescents.

He notes that the stigma attached to providing adolescents with comprehensive sexuality education in many African countries is unfounded.

“This Summit is very clear on what needs to be done. As early as at the age of 15 years, adolescents should start receiving information on sexuality. The focus is to provide the right information, at the right time so that adolescents can make the right decisions,” he says.

Otundo says that this information includes life skills “on how to say no to sex because this is part of promoting adolescent health. It is also about training them on identifying all forms of violence, teaching them about available channels to report violence, and how to report”.

Experts at UNFPA argue that if laws support access to adolescent sexual and reproductive health rights, this could delay early sexual debut because such rights encourage and enable young people to make sound decisions.

He says that when young people lack access to proper information, they turn to fellow adolescents for information.

Invest in young people says the Asian Population and Development Association

Dr Osamu Kusumoto from the Asian Population and Development Association (APDA) says that the capacity of countries to accelerate and achieve ICPD25 commitments is dependent on the extent to which countries invest in their young people.

“Unplanned pregnancies are a big problem in developing countries. When you have a large population of young people pregnant while they should be in school, this is a problem for the economy too,” he says.

In Kenya alone, UNFPA statistics show that many young girls are likely to have repeated pregnancies.

As many as one in five girls give birth before the age of 18 years, even worse, as a majority of then will get married. Girls between 15 to 19 years are particularly at risk of acquiring HIV.

Kusumoto says that interventions must address young people’s most pressing problems. In this way, they can stay in school and acquire the skills needed to participate in the economy.

Young people are the heart of this Summit

“Adolescents are at the heart of the Summit. All the commitments that have been made, in one way or another, touch on adolescents,” says Otundo.

He says that adolescents are the most affected by sexual and gender-based violence, and harmful practices including female genital mutilation and child marriages.

Among the private sector partners who have committed funds to deliver the Cairo promise include Plan International who will allocate $500 million to improve the sexual and reproductive health and rights of girls and adolescents by 2025.

“I speak out about unwanted pregnancies and violence against young people. I also speak out about the need to stay in school because I believe this is what we need to accelerate the promise made to us even before we were born,” Simon says.

Botho encourages young people wherever they may be “to engage and to dialogue. If you see an opportunity to hold government accountable, do not hold back.”

MARTIN KARADZHOV, Global Youth Commitee speaking at ICPD25. Credit: Mantoe Phakathi / IPS

By Mantoe Phakathi
NAIROBI, Kenya, Nov 13 2019 (IPS)

Governments across the world must ban all state-implemented harmful practices against the Lesbian, Gay, Bisexual, Transgender, Queer and Intersex (LGBTQI) community delegates at the ICPD25 tells IPS.

Adding his voice in bridging the gap of Sexual Reproductive Health Rights (SRHR) among the youth, Martin Karadzhov, chair for Global Youth Steering Committee, told delegates at a youth event themed “our bodies, our lives, our world”, at the 25thInternational Conference on Population Development (ICDP25).

LGBTQI young people remain voiceless

Although there are 1.8 billion youths between the ages of 10 and 24 years, they continue to be marginalised when it comes to SRHR issues. Karadzhov said LGBTQI youth in many countries were subjected to harmful practices including pressure on them to convert, a practice with no scientific basis which is also unethical and, in most instances, a torture. “Justice for one is justice for all,” he said.

He urged governments to repeal discriminatory laws against the LGBTQI community, adding that they were denied access to Sexual Reproductive Health (SRH) services on the basis of their sexuality. “Our human rights are not controversial,” said Karadzhov.

Young people often only a statistic

Echoing his sentiments was Mavis Naa Korley Aryee, a youth programme national radio host at Curious Minds. She said although there are 1. 8 billion reasons why young people should be involved in decision-making process, they are only mentioned as statistics.“Being part of a minority should not be a reason for discrimination,” said Aryee.

Young people speak out at Nairobi Summit. Credit: Mantoe Phakathi / IPS

She advocated for access to SRH services to be made available to all young people, adding that they have a right to make choices about their bodies. She was, however, encouraged by the way the global youth had stood up to be counted despite the challenges they face. Aryeenoted that the youth contributed to the development agenda leading to ICPD25, adding that the UN Sustainable Development Goals (SDGs) are also about them.

“We have then numbers. No one will ignore 1.8 billion reasons. The more we collaborate, the more we advance our agenda,” she said.

Fighting for a seat a the table

The global youth is fighting for a seat on the decision-making table where Marco Tsaradia, a Member of Parliament from Madagascar, said young people are told: “things have always been done like this”. He said the youth are keen to bring about new ideas because they are talented and innovative. However, he complained that the existing decision-making structure prevented them from achieving this objective.

It gets worse if young persons with disabilities want to enter the table because, said Leslie Tikolitikoca from the Fiji Disabled Peoples Federation, they tend to be “judged on their disabilities rather than their abilities”. For example, he said, instead of providing services to those who are unable to hear or see, those in power would rather make decisions on their behalf instead of helping them to contribute to the discussion.

“How are we going to ensure that we leave no one behind if we don’t involve all young people?” he wondered.

EU commits funding

Following the youth’s proposed solutions to their SRHR, Henriette Geiger, from the directorate of people and peace at the European Union Commission, said it was time to act. She said the EU has proposed that governments should consider reducing the voting age to 16 years.

Young people at ICPD25 youth session. Credit: Mantoe Phakathi / IPS

“That would make a huge impact in decision-making on youth policy,” she said, adding that the EU was funding key initiatives to change public perceptions about the LGBTQI community by using film.

Although she said the EU was involved in many SRHR programmes in Africa, she further pledged €29 million towards SRHR programmes for the youth, urging organisations to take advantage of this initiative.

Not all doom and gloom

During the opening address of the ICPD25, the United Nations Population Fund (UNFPA) executive director, Natalia Kanem, told delegates “good progress is not good enough”, insisting that the promises made to girls, women and everyone should be kept.

Kanem paid special tribute to the youth, for bringing new ideas and resources to make rights and choices a reality.

“To the youth, you’re inspiring in pushing us to go further Thank you,” said Kanem.

It is not all sad and gloomy for the youth, said Ahmed Alhendawi, the secretary-general of the World Organisation of the Scouts Movement. The fact that the youth have formed themselves into a global youth movement should be celebrated because that is how they are going to win the fight to be part of decision-making processes.

Teruhiko Mashiko, Japan Parliamentary Federation for Population

By Joyce Chimbi
NAIROBI, Kenya, Nov 13 2019 (IPS)

The Japan Parliamentary Federation for Population represented by Mr Teruhiko Mashiko and its secretariat, the Asian Population and Development Association (APDA) has made a clear and concrete commitment to endorse the ICPD25 agenda. Mashiko tells IPS that Japan, as should every country driven by the well-being of its population, should create the best possible conditions to achieve the ICPD25 agenda.

Interview by Joyce Chimbi at the ICPD25 in Nairobi, Kenya

Q. What lessons are there for developing countries from Japan to accelerate the achievement of sustainable development?

A. The focus of the ICPD25 debate should be focused on how sexual and reproductive health and rights parallel to other development concerns such as food security and women empowerment. Gender equality and freedom for women to make their choices freely is a priority for Japan.

Q. Why are the twin issues of population and development so critical for Africa and for developing countries across the globe?

A. Population is a global issue for both developed and developing even for countries like Japan. This is despite Japan being the first country to achieve a successful demographic transition. Population and development issues are very important for us even though we are already enjoying demographic dividends.

Q. How did Japan achieve this very important demographic transition?

A. Post Cairo, many of the countries which are considered to be developed today prioritized population issues as a key development agenda. Africa must now focus on managing its population so that every pregnancy is wanted. Today, the continent has high unmet needs for family planning and unplanned pregnancies, especially among young people.

Investing in children and young people is critical for sustainable growth in Africa. Importantly, designing special sexual and reproductive health and rights services will prevent early and unplanned pregnancies among Africa’s young. Consequently, they will stay in school and acquire important skills to contribute to building the economy.

Q. High youth unemployment rates prevail across Africa, what lessons can Africa learn from Japan?

A. Economic development is critical because, without a healthy economy, job creation becomes an impossibility. Africa will need to address itself to the Sustainable Development Goals (SDGs) and develop sound economic policies.

This will require an in-depth analysis of the challenges facing each country respectively. Matching these needs to specially tailored economically sound policies is very important. An economically active society will accelerate the fulfilment of the ICPD25 agenda.

Q. Why is it so critical for parliamentarians to be involved in developing commitments around the ICPD25 agenda?

A. Parliamentarians are the backbone of legislation in every country. They are key in developing legislation that is progressive and that speaks to the needs of its people. Africa, for instance, will need sound legislation that responds to each country’s most pressing needs including food security, women empowerment, job creation and social security. Without this critical role, populations cannot be managed and provided with what they need to lead fulfilled lives.

Policy direction and planning is the role of parliament after which the government steps in to implement. It is a very clear and complementary relationship that will become even more critical as countries accelerate the ICPD Programme of Action (Poa).

Q. What happens when progressive laws remain unimplemented?

A. Political stability and the quality of politics itself will become increasingly critical for Africa and other developing countries. Democracy and political goodwill is the cornerstone on which Cairo promise will be delivered.

Educating old and new parliamentarians on the need to develop a legislative framework that speaks to the ICPD25 agenda is very important. It is through such initiatives that countries will be able to accelerate and achieve their targets as discussed at this Summit.

Q. How important is consensus around ICPD25 commitments for priority countries where many of the population and development challenges prevail?

A. Consensus on the inter-relationship between population growth and economic development is very important. The overwhelming consensus among stakeholders including governments, political leaders and the people they serve will ensure that these commitments are flagged as critical areas of sustainable development. This will ensure that resources will be mobilized to facilitate their achievement.

Q. How important is political transparency and accountability?

A. Political transparency and accountability must be encouraged at all levels of political representation. In their absence, people will lose trust in the leaders they have in place to represent them. We need more and more self-less politicians, state men and women.

Leaders must feel disturbed by the discomfort of their people. Having only a few of this kind of leaders will derail progress. People’s opinions, desires and aspirations must pass through parliament. Consequently, very country’s legislative framework must be the true reflection of these needs, aspirations and desires. It is the people that should decide what is most needed.

However, it is not all about politics, the goodwill of the people is also very important. Dialogue and inclusivity around these commitments must be encouraged and dissenting voices heard.

Jeffrey Jordan/ President of the Population Reference Bureau with ICPD25 participants. Credit: Joyce Chimbi / IPS

By Joyce Chimbi
NAIROBI, Kenya, Nov 13 2019 (IPS)

One in five women globally lives with a disability even as they have same needs and interests as women without disabilities, their access to sexual and reproductive health services and rights remains severely limited.

Delegates representing people living with disabilities at the ICPD25 Conference painted a grim picture of barriers and challenges they face.

“We are perceived to be asexual and therefore offering us reproductive health information is considered wasteful,” says Josephta Mukobe, principal secretary of the Kenya’s Ministry of Culture and Sports.

Motherhood remains taboo for differently abled women

Mukobe says motherhood for them is taboo, and that a pregnant woman with a disability is a phenomenon to be pitied, even ridiculed by society.

“We cannot enjoy pregnancy because people look at us and wonder what poor beast this is with a disability. They are even shocked that you even have sexual organs,” she expounds, and adds: “We desire love and active and healthy sexual life to raise a family.”

Under international law and multilateral agreements, governments have a responsibility to ensure equal respect, protection and access to sexual and reproductive health, as well as rights for people with disabilities. But this is policy – and a long way to practice.

Fighting Exclusions

Veronica Njuhi, chairperson of Women Challenged to Challenge, a movement that ensures women with disability develop a capacity to overcome barriers and discrimination, speaks of how she was continually excluded from training on HIV/Aids.

“My employer never included me in any training on HIV/Aids even though it was offered to all employees. When I confronted him, he was very shocked because he did not think I needed training on HIV/Aids,” she says.

Raising awareness

According to the Population and Reference Bureau, the ratio of people living with disabilities accounts for one in seven globally. Critically, 80 percent of them are living in developing countries where sexual and reproductive health and rights interventions are not only limited, but are most wanted.

Veronica Njuhi I’m conversation with ICPD25 participant. Credit: Joyce Chimbi / IPS

Girls and women are particularly vulnerable, and are more likely to experience violence. Young people with disabilities, under the age of 18, are especially vulnerable as they are nearly four times more likely than youth without disabilities, to be abused.

“When people with a disability overcome barriers, it is a representation of what is possible. The world is about all of us, no one should be left behind,” says Jeffrey Jordan, president of the Population Reference Bureau (PRB), told IPS.

Jordan argues that the ICPD25 commitment cannot be achieved when one in seven people in the world are left out of deliberations.

Reaching out to the most vulnerable

“As we strengthen sexual and reproductive health and rights globally, it is crucial that we reach out to the most vulnerable communities,” he says.

Given that they are the least likely to be educated about their sexual and reproductive health and rights, people with a disability are predisposed to greater risk of exploitation, unplanned pregnancy, and sexually transmitted infections.

“Sex is a private issue which we would also like to explore in private. This is not always possible because if we do not speak out, we will continue to be ignored,” Mukobe says.

She says that interventions must be tailored to suit their special needs, and that they need to be informed on what does not work for them. “A female condom cannot be used among those of us whose legs are crooked. A blind person cannot read without using braille to figure out if a male condom has expired because expiry dates are not written on the condoms,” she adds.

For women with a hearing impairment, the scenario is dire. When seeking health services, they often need to be accompanied by a person who understands sign language. Njuhi says this person is not always available.

“We are pushing for change and now public hospitals in Kenya have at least one person who can understand sign language,” she says.

“A person who is not deaf can easily be treated for a sexually transmitted infection in private. But those who are deaf are humiliated and shamed because they need someone who understands sign language,” Mukobe explains.

Njuhi further reveals that because of existing communication barriers, women with a hearing impairment have for a long time received the injectable even when it was not their primary or preferred contraceptive option.

“The health providers who did not want to struggle explaining various methods, their benefits and side effects, have found the injectable easy to administer. A woman will just be told to return after three months for their follow up dose,” Njuhi reveals.

We will not be silenced

Njuhi further notes the attitude that most health providers have towards pregnant women with disability has contributed to many of them delivering at home without a skilled attendant.

“Just because a woman with disability is pregnant does not mean she was raped. She deserves all the services that will help her travel the safe motherhood route without judgement,” Njuhi advises.

Mukobe decries the state of many health facilities, particularly public sector hospitals, for being extremely unfriendly to those with a disability. She says that beds are often not adjustable, adding on to the list of the many barriers they have to overcome.

Against this backdrop, delegates from this vulnerable community like Njuhi have vowed to take their rightfully place at ICPD25 “because it is not a global conference without us.”

South Sudanese refugee, Priscilla Nyamal

By Crystal Orderson
NAIROBI, Kenya, Nov 13 2019 (IPS)

Young women and girls are still subjected to a range of harmful practices and violence, including early marriage. Every year, an estimated 12 million girls get married before the age of 18.

In an IPS exclusive from the ICPD25 summit one young brave woman from South Sudan tells us her story of how she had to fight her family and community from becoming a child bride. With the help of the UNFPA in Kenya, Priscilla Nyamal is now advocating for young girls and wants the world to know that child marriage should stop. Priscilla shares her story to IPS.

For each of the 830 women dying each day from pregnancy complications and childbirth, an estimated 20 others suffer serious injuries, infections or disabilities.

This is the reality that millions of women face, and informs the Nairobi Summit’s three critical commitments which are to bring preventable maternal deaths, gender-based violence and harmful practices, as well as unmet need for family planning, to zero. To achieve this objective money is needed.

Joyce Chimbi

Finding the money for commitments

Private sector organisations including the Ford Foundation, Johnson & Johnson, Philips and World Vision, announced that the world as envisioned in Cairo in 1994 will cost $264 billion to deliver.

“Building financial momentum and bridging existing resource gaps around these commitments will not be easy. While most countries have constitutionalised reproductive health and rights, mobilising domestic resources has not automatically followed,” says Nerima Were, programme manager of the Kenya Legal and Ethical Issues told IPS.

How much will it really cost to deal with family planning?

To bring maternal mortality to zero in the 120 countries that account for over 95 percent of maternal mortality will cost $115.5 billion in key maternal health interventions.

Ending the unmet need for family planning in the same number of priority countries will cost $68.5 billion. Ending gender-based violence will require investing 42 billion dollars in 132 priority countries.

Currently, only $42 billion in development assistance is expected to be spent on advancing these goals. It, therefore, means that an additional $222 billion in investments will be required over the next decade.

Who will really fund commitments?

Were says that envisioning and articulating what form and shape these investments will take, is critical. She argues that at the moment it is not clear whether these additional costs will be raised in foreign investments, domestic allocation or private spending.

“This discussion is not just about dollars and cents but values and choices. It is also about translating choices into practical ways of making decisions,” says Achim Steiner, of the United Nations Development Programme, UNDP.

Steiner says that financial decisions can be framed in different ways, and that analysing the cost and gaps in delivering the three commitments, is a way to advise the world on how to invest.

Making informed decisions

“It is about helping societies to be better informed and to make better choices. The issue is not what it will cost to bring them to zero, but the cost of not bringing them to zero,” he argues.

World Bank data has shown that family planning is the “best buy” for governments. For each additional dollar spent on contraceptive services in developing countries, the cost of maternal and newborn healthcare could be reduced by two dollars and twenty cents. Importantly, estimates also show that every dollar invested in family planning pays itself back $120 in saved costs.

Africa must and can find the money

Researchers at the African Population and Health Research Centre indicate that African countries will need to dig deeper.

Budget underspending in the health sector prevails across the continent. “Africa has the resources to achieve these three critical goals. The exponential growth of economies across the country is reflective of the continents financial muscle,” says Jackson Chekweko, executive director for Reproductive Health Uganda, the member association for International Planned Parenthood Federation (IPPF).

Chekweko argues that political will and commitments are more important, and that “there will always be resources for what the government, especially presidents, say is a priority. African presidents wield a lot of influence on resource allocation.”

He argues, for instance, that Uganda made a commitment at the recent London Summit “to allocate $5 million to family planning annually. This has been done because the president said so.”

Bold leadership from Kenya’s Uhuru Kenyatta

Chekweko adds that there’s also a new generation of leaders such as President Uhuru Kenyatta of Kenya who will not shy away from making ambitious commitments.

“President Kenyatta made several bold statements at the ICPD25 Summit. He has declared that East African countries will reduce FGM to zero by 2022 and confirmed gender-based violence will, without a doubt, be reduced to zero,” he says.

Chekweko says that a demonstrable political commitment will encourage partnerships to help meet existing resource gaps. “Once we agree that issues of sexual and reproductive health and rights are a priority, the money will follow this purpose. Even if it means raising taxes such as VAT(value-added taxes) and PAYE (pay as you earn) by just one percent, it will be done,” Chekweko says.

Were adds that within the context of limited domestic funding, a scale back by external donors, and ambitious health and health coverage targets and domestic resource mobilisation, has never been more critical.

“To reach zero in all three areas, governments will need to carefully decide what their priorities are, anything that falls within that priority framework must be achieved,” she says.

ICPD25 opening, Crown Princess Mary from Denmark with President Uhuru Kenyatta (middle ), and the key speakers. Credit: ICPD25

By Mantoe Phakathi
NAIROBI, Kenya, Nov 12 2019 (IPS)

More than 6 000 delegates in the population development sector are gathering in the Kenyan capital of Nairobi this week to renew the promise made to girls and women 25 years ago in Cairo.

Giving them the renewed mandate were young girls from different African countries, in their firm voices, called upon delegates to ensure that they have access to sexual reproductive health rights, justice and equality.

“I want to be educated about sexual and reproductive rights,” said one of the girls to the applause of the packed conference room at the Kenyatta International Convention Centre.

A call to Action

In this conference, the girls aim to jolt the delegates to action following a commitment made in the Egyptian capital of Cairo in 1994. The commitment then was to create equality for all by placing women at the centre of global development strategies.

A quarter century later, and in commemorating the 25th anniversary of the International Conference on Population Development (ICPD25), the delegates from 179 countries are renewing the Cairo Promise in light of the fact that the 1994 vision is far from being a reality. The Nairobi Summit is therefore focusing on doubling efforts in the following key areas:

• • • Universal access to sexual and reproductive health and rights as a part of universal health coverage.

• • • Financing required to complete the ICPD Programme of Action and to sustain the gains made.

• • • Drawing on demographic diversity to drive economic growth and achieve sustainable development.

• • • Ending gender-based violence and harmful practices.

• • Upholding the right to sexual and reproductive healthcare even in humanitarian and fragile contexts.

There’s been progress, but…

The United Nations Population Fund (UNFPA) executive director, Natalia Kanem, told delegates that despite the long journey ahead, progress has been made in the last 25 years.

UNFPA Executive Director, Natalia Kanem speaking at the Opening of the Nairobi Summit. Credit: ICPD25

“Maternal mortality is down 44 percent, worldwide,” said Kanem, adding: “This means four million women who would have otherwise died while pregnant, or at childbirth, are alive today.”

While she noted that there was a good reason to celebrate, she, however, noted that “good progress is not good enough”, insisting that the promises made to girls, women and everyone should be kept.

In illustrating the challenges, she said within the short space of time that she was standing at the podium, at least 46 under-age girls have been forced to marriage, and a countless number of girls have been sexually abused, hurt and traumatised.

“The victims and survivors are most likely to be shamed and blamed than the perpetrators who violated them,” Kanem said.

She paid tribute to governments, civil society organisations, UN agencies, the private sector and the youth, for bringing new ideas and resources to make rights and choices a reality.

“To the youth, you’re inspiring in pushing us to go further. Thank you,” she said.

Ending Female Genital Mutilation (FGM)

Also adding his voice to action against all practices, policies and laws that put women at a disadvantage, was the Kenyan President Uhuru Kenyatta.

He reminded the delegates that there were absent participants from the Nairobi Summit. In his statement, he was making reference to women of the world who would, this year alone, experience gender-based violence inflicted most likely by someone close to them. He was also referring to the 800 women and girls who die every day during pregnancy or childbirth, the four million girls who are forced to undergo Female Genital Mutilation (FGM), the more than 33 000 girls married every day before the age of 18 and millions of unemployed youths with limited hope for a better future.

Kenyatta urged delegates to let their deliberations “ be guided by the needs, the aspirations and the unrealised potential of those individuals who are not present here.”

He noted that significant progress in key areas, though uneven, has been made since 1994 when the Cairo Promise was first made. Kenyatta observed that today nearly one billion fewer people live in extreme poverty compared to 1990, life expectancy has increased by seven years, universal access to primary education has gone up and access to birth control has also increased, leading to a reduced global fertility rate.

“We’ve also seen a steady, though slow increase, in the number of women in leadership and decision-making positions in all sectors of society,” said Kenyatta.

In renewing the promise, Kenyatta said the packaging of priority actions will differ from country to country depending on their development needs, urging nations to at least commit to increasing secondary and tertiary education for both boys and girls. He also implored the nations to strive to reduce maternal deaths and to eliminate incidents of FGM.

Youth involvement non-negotiable

The United Nation’s (UN) deputy secretary-general, Amina Mohammed, called for the youth’s involvement in the decision-making table, adding that there must be data of support programmes.

“Millions of women and girls are still waiting for promises to be met, they’ve been waiting for a long time,” she said, and insisting that women and girls are the owners of their bodies.

Rasmus Prehn, Minister for Development Cooperation, Denmark addressing ICPD25 in Nairobi. Credit: ICPD25

Danish Minister for Development Cooperation Rasmus Prehn said women and girls are at the heart of sustainable development. He called upon delegates to maximise their effort in this endeavour, adding that he was looking forward to ICPD30 only if it is about celebrating success. “Women and girls are the true owners of their bodies,” he said.

UNFPA-supported midwives ensured that this young woman gave birth safely in Bor Hospital, South Sudan. © UNFPA South Sudan

By Julitta Onabanjo
JOHANNESBURG, South Africa, Nov 12 2019 (IPS)

This is a special year for all rights-based health advocates, as we celebrate 25 years of the International Conference on Population and Development (ICPD).

At the ICPD in Cairo in 1994, for the first time world leaders from 179 member states committed to the principles that underpin today’s Sustainable Development Goals: non-discrimination and universality; the centrality of health, including sexual and reproductive health and rights; education; women’s empowerment and gender equality; and the collective need to ensure environmental sustainability.

In the past 25 years, noteworthy progress has been made towards the realization of universal sexual and reproductive health and rights (SRHR) in most parts of the world, including in East and Southern Africa.

The East and Southern Africa region is home to more than 600 million people, with a third of its population between 10 to 24 years of age.

In the East and Southern Africa region:

• Today, one in three women are using a modern family planning method, compared to less than one in ten in 1994. Higher use of modern family planning methods has enabled women to exercise their right to determine the timing and number of their children;
• A woman’s chance of dying due to pregnancy or childbirth has declined from a 1-in-20 risk during her lifetime to a 1-in-55 risk;
• Many countries have criminalized gender-based violence (GBV), and have outlawed child marriage and female genital mutilation;
• New HIV infections have declined by 20 per cent, while AIDS-related deaths have decreased by 44 per cent since 2010.

Considering the current pace of progress, it could be concluded that the East and Southern Africa region is unlikely to achieve universal access to SRHR and Universal Health Coverage (UHC) by 2030.


Despite good progress, the promise of the ICPD remains to be fulfilled for millions of people in the East and Southern Africa region. One in five women do not have their family planning needs met.

Lack of contraceptive choices is producing sub-optimal health and fertility benefits. Although care during pregnancy, delivery and post-delivery has improved, the quality and cost of these services remain a challenge.

More women appear to be dying due to poor quality care than lack of access to care. One in three girls are being married by age 18, and almost one in six young women aged 20 to 24 years continues to experience gender-based violence.

Legal systems still have difficulty convicting perpetrators of gender-based violence. Ninety-eight per cent of all new HIV infections are now occurring in just 15 countries, the majority of them in East and Southern Africa. These challenges are exacerbated in conflict, humanitarian and emergency settings.

Considering the current pace of progress, it could be concluded that the East and Southern Africa region is unlikely to achieve universal access to SRHR and Universal Health Coverage (UHC) by 2030.

In this context, the ICPD25 Nairobi Summit provides a great opportunity to recommit ourselves to redoubling our efforts to accelerate progress towards universal SRHR, and women’s empowerment and gender equality – the unfinished agendas of the ICPD.

The good news is that, along with the steady but noteworthy progress towards SRHR for all, leaving no one behind, the momentum around Universal Health Coverage is also growing in the East and Southern Africa region.

The Political Declaration of the High-Level Meeting on UHC by Heads of State and Government and representatives of States and Governments will further strengthen this momentum.

Through the high-level declaration, world leaders have committed to progressively achieve Universal Health Coverage, achieve universal access to SRHR, and stop the rise and reverse the trend of catastrophic out-of-pocket health expenditure by providing measures to ensure financial risk protection and eliminate impoverishment due to health-related expenses, by 2030.

To generate resources for Universal Health Coverage, many countries are initiating innovative financing arrangements (e.g. pool health financing and pre-payment mechanisms), and to ensure that the cost of using health services does not put people at risk of financial harm, many countries are strengthening their financial protection mechanisms.

However, the current and, for many, proposed minimum essential UHC benefit packages, financing and financial protection mechanisms do not include six out of the nine recommended essential SRH bundles of services (see Box 2, 4-9). In many countries, even if the remaining three essential SRHR bundles of services are part of UHC benefit packages, they are not fully covered under UHC financing and financial protection mechanisms.

The current momentum around UHC in the region should become a powerful framework for accelerating progress towards universal SRHR:

• When comprehensive SRHR services are progressively integrated into the UHC benefit packages, and financing and financial protection arrangements ensure that the use of SRHR services does not expose the user to financial hardship;
• When UHC policies and programmes prioritize integrated, people-centered delivery of primary promotive, preventive, curative, rehabilitative and palliative health care, including SRHR, by following a life-course approach;
• When UHC policies and programmes ensure that ‘no one is left behind’, with an endeavour to get essential health and SRHR services to those left furthest behind first, founded on the dignity of the human person and reflecting the principles of equality and non-discrimination;
• When the opportunities and risks associated with existing/proposed UHC financing, delivery and financial protection arrangements are better understood and evidence-based measures implemented to minimize undesirable outcomes, including development of evidence-driven country-specific policies on the role of the private sector in attaining universal SRHR and UHC;
• When UHC policies and programmes strengthen the capacity of national governments to exercise strategic leadership and coordination, focusing on intra as well as inter-sectoral coordination and integrated, people-centered delivery; as well as strengthen the capacity of local authorities, and encourage them to effectively engage with their respective communities and stakeholders to accelerate progress towards universal SRHR and UHC.

What will you march for? I march for the full, effective and accelerated implementation of the ICPD Programme of Action – an agenda still to be fully realized – an agenda that includes at its core universal SRHR.

Achieving this target would require us to take advantage of the momentum of Universal Health Coverage. SRHR and UHC will need to become more entwined. Simply put – there can be no UHC without universal SRHR and vice versa. Together, let’s march for the universal goal of UHC and SRHR for all, with no exceptions!

Excerpt:

Gender equality and women empowerment at the heart of ICPD25. Credit: Joyce Chimbi / IPS

By Joyce Chimbi
NAIROBI, Kenya, Nov 11 2019 (IPS)

Every day 830 women die while giving life. At least 33,000 girls are forced into child marriage with 11,000 girls undergoing female genital mutilation. These are some of the cruel realities young women face every day. However, there is renewed hope that delegates expected to attend the International Conference on Population and Development (ICPD) in Nairobi this week will re-energise and breathe new life to the Cairo Promise.

“The Summit is a call to action to accelerate progress towards the world we imagined in 1994,” Arthur Erken, one of the three co-chairs of the International Steering Committee of the Nairobi Summit, tells IPS. He emphasises that the magic of the first ICPD conference is in the paradigm shift from “a numbers-driven approach to development to placing people, their needs and aspirations, at the heart of sustainable development”.

Erken says this summit is, therefore, a call to action to countries and partners to fulfil the Cairo Promise by making concrete commitments towards achieving the ICPD goals.

Unfulfilled promises and Re-energising the global community

Co-hosted by the governments of Kenya, Denmark and the United Nations Population Fund (UNFPA), the Nairobi Summit takes place on the 25th anniversary of the ground-breaking 1994 International Conference on Population and Development (ICPD).

Arthur Erken says that ICPD25 is a call for action to accelerate the Cairo promise. Credit: Joyce Chimbi / IPS

Other experts such as Beatrice Okundi, assistant director of the National Council for Population and Development (NCPD), affirms that at the heart of the promise is gender equality, and the emphasis placed on equality and empowerment of women and girls.

Raising awareness

Okundi says that accelerating the Cairo Promise will require raising awareness on the relationship between population growth and sustainable development. “For Kenya to absorb an additional one million people every year as it has done for the past 10 years, our economy must grow at a double-digit figure up from the current 5.7 percent,” she tells IPS.

Five themes to a call for Action

Erken explains that the summit is focused around five themes: universal access to sexual and reproductive health and rights, financing the ICPD agenda, drawing on the demographic dividends, ending gender-based violence and harmful practices and upholding the right to sexual and reproductive healthcare, even in humanitarian and fragile contexts.

He says the summit is also about achieving three critical zeroes: zero unmet need for family planning, zero maternal deaths and zero violence and harmful practices against women and girls, including child marriages and female genital mutilation. “ICPD25 is also about assessing how much these three zeroes will cost governments as well as partners, and emphasises the need for innovative financial models,” Okundi adds.

She says that “ICPD sets in place a far-sighted plan that advances human well-being and their rights, well ahead of numerical numbers”.

Erken points out the Nairobi Statement “is not a negotiated document”. However, it is nonetheless the overall global framework formulated and based on wide consultations with diverse stakeholders, including governments and CSOs, among others. “This statement is an embodiment of areas that need prioritisings. It is a reflection of the state of implementation of the ICPD Programme of Action and the areas where concrete commitments are required in order to move the ICPD agenda forward.”

Finish what we started….

But not every expert or delegate is as hopeful, as expressed by Angela Nguku, the executive director of White Ribbon Alliance, an international coalition on safe motherhood. She argues there is no need for new promises or commitments.
“We need to finish what we started in Cairo by removing obstacles, especially corruption from our path,” she says. Nguku says that misappropriation of public funds continues to stand between populations and Cairo promise.

“On this continent, the ICPD agenda remains unfulfilled, not because of a resource gap, but a leadership and governance gap. We need to put the resources we have where they are needed,” she tells IPS.

Nonetheless, delegates expect that the new commitments made in the next three days will lead to completion of the unfinished business of ICPD.

Let’s not wait another 25 years

ICPD25 runs from November 12-14, bringing together more than 6,000 delegates from around the world, with at least 164 countries and delegates drawn from civil society organisations, grassroots organisations, young people, business and community leaders, faith-based organisations, indigenous peoples, international financial institutions, people with disabilities, academics and many others working towards the pursuit of sexual and reproductive health and rights.

“The summit is not a platform to prescribe solutions to convening countries and convening delegates. It is an opportunity for governments and other partners to make commitments, and own the process,” says Erken.

Experts acknowledge that tremendous progress has been made over the last 25 years, but emphasize that a lot more will need to be achieved in a shorter period of time, to fulfil the promise by 2030.

“We cannot have another 25 years of ICPD. This is hopefully the last ICPD conference,” Erken observes.

Kenyan President Uhuru Kenyatta hailed the strong partnership between his government and UNFPA during a meeting with UNFPA’s Executive Director, Dr. Natalia Kanem in March 2019, which will jointly convene the ICPD 25 from 12 to 14 November 2019 along with the Government of Denmark. Credit: PSCU

By Siddharth Chatterjee
NAIROBI, Kenya, Nov 8 2019 (IPS)

As we count down the remaining days to the opening of the Nairobi Summit or the International Conference for Population and Development(ICPD), I am confounded by how much humanity has managed to simultaneously empower more women than at any other time in history, while at the same time failing to see that ‘women’s issues’ are actually ‘everyone’s issues’.

That countdown evokes memories of my own grandmother, who followed a common trend in India at the time, dropping out of school to get married and give birth to her first child at age 11. In many parts of the world, girls have over the years faced unthinkable obstacles while trying just to get an education, often jeopardizing their personal safety and risking being ostracized by their families and communities.

It wasn’t until a mere 25 years ago at the ICPD in Cairo that the world agreed that population and economic development issues must go hand in hand, and that women must be at the heart of our efforts for development.

Back then, governments, donors, civil society, and other partners made commitments to reduce infant and child mortality, reduce maternal mortality, ensure universal education, and increase access to sexual and reproductive health and rights, amongst many others. These commitments were a massive step forward for the rights of women and girls.

At the Conference in Nairobi, we all have an opportunity to repeat the message that women’s empowerment will move at snail-pace unless we bolster reproductive health and rights across the world. This is no longer a fleeting concern, but a 21st century socio-economic reality.

We can choose to take a range of actions, such as empowering women and girls by providing access to good health, education and job training. Or we can choose paths such as domestic abuse, female genital mutilation and child marriages, which, according to a 2016 Africa Human Development Report by UNDP, costs sub-Saharan Africa $95 billion per year on average due to gender inequality and lack of women’s empowerment.

Fortunately, the world has made real progress in the fight to take the right path. There is no lack of women trailblazers in all aspects of human endeavour. It has taken courage to make those choices, with current milestones being the result of decades of often frustrating work by unheralded people, politics and agencies.

Leaders like the indefatigable Dr. Natalia Kanem the Executive Director of UNFPA and her predecessors, supported especially by the Nordic countries, are pushing the global change of paradigm to ensure we demolish the silo of “women’s issues” and begin to see the linkages between reproductive rights and human prosperity.

Numerous studies have shown the multi-generation impact of the formative years of women. A woman’s reproductive years directly overlap with her time in school and the workforce, she must be able to prevent unintended pregnancy in order to complete her education, maintain employment, and achieve economic security.

Denial of reproductive health information and services places a women at risk of an unintended pregnancy, which in turn is one of the most likely routes for upending the financial security of a woman and her family.

A lot has been achieved since the years of my grandmother, when girls were expected to be demure and remain in the background. In many places the current teenage girl believes that every door is open to them; they can rise to any heights.

Yet in a lot of other countries, girls are up against a system that seems rigged against them for the long-term. These are countries where greater leadership and the right policies are sorely missing; where women and girls are robbed of the education they deserve and the jobs they need to lift themselves and their families out of poverty; where they are victims of sexual and physical abuse in their own homes or sold into child marriage.

As the UN Resident Coordinator to Kenya, I am privileged to serve in a country, which is hosting this very important conference. It has shown leadership to advance the cause of women’s right-from criminalizing female genital mutilation to stepping up the fight to end child marriage and pushing hard on improving reproductive, maternal and child health.

When the ICPD opens in Nairobi on 12 November 2019, I wonder how my grandmother’s life might have been different if she had been able to learn how to read and write and achieve her full human potential, but also appealing to all Governments to work towards giving half the world population the final and absolute control over their own bodies.

Siddharth Chatterjee is the United Nations resident coordinator to Kenya.

By Osamu Kusumoto
TOKYO, Japan, Oct 9 2019 (IPS)

Currently, the topic of abortion as human rights leaves the world bustling. When the state of Alabama¹ in the United States enacted a very strict ban on abortion, it shocked the world. This prompted so-called conservative movements, led by female business owners, to make a full-scale advertisement in the New York Times claiming abortion is a human right² ; hence the global debate between pro-life and pro-choice.

Osamu Kusumoto

This discussion is a remnant of the debate at the International Conference on Population and Development (ICPD) in 1994. Twenty Five years into the ICPD and the struggle between opposing views persists, causing the continued disruption in the　accessibility of women to reproductive health. This is especially true in developing countries.

The purpose of this paper is to show that pro-life and pro-choice are actually following the same logical development despite failing to arrive at the same conclusion.

Current Status of ICPD and Reproductive Rights

As its name suggests, ICPD is a conference that places population issues in the context of sustainable development, which served as the basis of the current Agenda 2030. However, the population problem has been treated as a value and not a scientific issue. Following this paradigm, possible solutions are unattainable.

Efforts are being made to include abortion in the ICPD Programme of Action (PoA), particularly in paragraphs 5.5., 7.3. and 7.36, which defines Reproductive Rights. The principles behind such effort are that:

A) Reproductive rights embrace certain human rights that are already recognized in national laws, international human rights documents and other consensus documents.

B) These rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so.

The concept of the reproductive right is not included in the human rights defined by the UN CESCR.

Pro-choice advocates aim to expand the definition of reproductive rights in the ICPD PoA and position the right to abortion in 7.3, which refers to the number of and spacing of children. As such, the right to abortion is not an infringement to self-determination, which is central to the concept of human rights.

Pro-life advocates, on the other hand, regard abortion as infringing on the right to existence of another life, which is a gift from God.

However, it must be recognized that unplanned and unwanted pregnancies also happen. One case in point is the Yazidi girl who got pregnant as a result of sexual assault by members of ISIS. She was alienated from her community causing further victimization of the child. This is just one case and many more are happening in different parts of the world. Such abuse put women and girls in difficult position. How can this kind of problem be addressed?

The basis of human rights is respecting the dignity of human life as part of society regardless of one’s race, religion, or culture. Therefore, this contradicts the concept that abortion is a human right. Obviously, no matter how extensive the discussion on this problem could go, no logical solution can be reached. Ergo, it is meaningless to engage in an argument that will always end up in a stalemate.

Possible solution

Reproductive Rights as defined in the ICPD PoA intends to prevent pregnancy in situations where self-determination is not possible – these cases must be devoid of theological debates. Serious discussions and negotiations had been made during the formulation of the ICPD PoA and it can be assumed that a reasonable conclusion was drawn because it was adopted and ratified by many countries.

The debates on abortion may be addressed through a democratic decision-making mechanism. Unless the conditions for achieving reproductive rights are there, such as the meaningful empowerment of women, access to education, improved socioeconomic status, advancement in the field of health – especially in family planning – and full dissemination of reproductive health services, women cannot be held accountable.

Abortion is not a matter that should be recognized as a right yet, but it is an issue that should be treated with the utmost care. Appropriate medical measures must be put in place for situations where the conditions for reproductive rights cannot be met, resulting in an unwanted pregnancy. Otherwise, prolife means denying the life and dignity to human beings who are victims of circumstances.

The suggestion is to separate the issue of abortion from reproductive rights. This way, it will be possible to present a more realistic, reasonable and relevant solution that could be more commonly acceptable.

¹ https://www.huffpost.com/entry/alabama-senate-abortion-bill-passes_n_5cd9fba1e4b073aa0b3266d9?guccounter=1
² https://forbesjapan.com/articles/detail/27402?utm_source=owned&utm_medium=referral&utm_campaign=mailmagazine_0522_1461&utm_content=art1

Excerpt:

By Razeena Raheem
UNITED NATIONS, Sep 16 2019 (IPS)

Over the years, the UN Population Fund (UNFPA) has worked in tandem with legislators and parliamentarians to help implement the historic Programme of Action (PoA) adopted unanimously by over 20,000 UN delegates at a landmark International Conference on Population and Development (ICPD) in Cairo back in 1994.

The PoA included a commitment to reduce maternal and infant mortality, promote reproductive health and family planning, halt the spread of HIV/AIDS among women and children, and strengthen women’s empowerment and gender equality, among others.

But the successful implementation of the PoA was left primarily in the hands of parliamentarians, who were expected to initiate and pass legislation in their home countries, while their governments were mandated to fund and execute the proposed plans and laws.

Pointedly addressing legislators, UNFPA Executive Director Dr. Natalia Kanem says: “As parliamentarians, you have the power to transform the voices of your people into concrete action. You have the power to make a real difference. I appeal to you to protect the precious mandate that you share with UNFPA. Our women, girls and young people deserve no less.”

As UNFPA plans to commemorate the 25th anniversary of ICPD at an international conference (ICPD25) in Nairobi in November, the Asian Parliamentarians for Population and Development (APDA) will hold a meeting in Rabat, Morocco 18-20 September to review and assess ICPD25.

The subject: “Moving Forward the Unfinished Business of the ICPD”

The APDA, which is based in Japan, says the planned parliamentarian meeting aims to update and contribute to the realignment of Arab and Asian Parliamentarians with UNFPA’s strategic objectives of the ICPD25.

Additionally, it plans to promote synergetic partnership among parliamentarians, UNFPA, and other stakeholders and to help formulate Action Plans for parliamentarians to respond to the unique regional contexts to accelerate implementation of the ICPD PoA.

The Rabat meeting is organized by APDA. hosted by the House of Councilors of Morocco and The Forum of Arab Parliamentarians on Population and Development (FAPPD) and supported by the Japan Trust Fund (JTF), and the UNFPA in cooperation with the International Planned Parenthood Federation (IPPF).

A quarter of a century after ICPD, the UNFPA points out that the world has seen “remarkable progress”, with a 25 per cent increase in global contraceptive prevalence rate around the world.

Adolescent births have declined steeply, and the global maternal mortality ratio has fallen.

“But progress has been slow and uneven, since hundreds of millions of women around the world are still not using modern contraceptives to prevent unwanted pregnancies, and global targets on reducing maternal deaths have not been met.”

In an appeal to parliamentarians, Dr Kanem said: “You have pushed your governments towards ambitious goals for the future, and you have held them accountable for promises made in the past. In the coming months we will need you to hold steadfast and ensure that the rights of women and girls, especially in the most vulnerable regions of the world, do not get swallowed up in the political turmoil that threatens to roll back the progress we have made.”

“Although much has been accomplished since the ICPD in 1994, much more has yet to be done. The achievement of the ICPD goals will depend on the political will to fill the gaps in laws, policies and funding. Only with the support of parliamentarians can we build this political will,” she declared.

In a concept note to delegates, APDA says the year 2019 is a milestone marking the 25th anniversary of both the ICPD and the International Conference of Parliamentarians on Population and Development (ICPPD), both organized in Cairo, Egypt.

The ICPPD, which was convened ahead of the ICPD and attended by approximately 300 parliamentarians from 117 countries had a profound influence and contributed to the ICPD Programme of Action.

Driven by the consensus of parliamentarians, the ICPPD merits positioning population issues at the center of sustainable development as reflected in the Preamble and Principles of the ICPD’s Programme of Action. This provided solid grounds for mutual reinforcement between ICPD and ICPPD.

The endorsement of the ICPD Programme of Action 25 years ago, came with reservations from some countries, due to cultural and religious reasons, the concept note said.

“This was basically on sexuality issues and empowerment of women. Nevertheless, one of its major outcomes was the universal access to Sexual and Reproductive Health and Reproductive Rights (RR), including determination of the number, timing and spacing of children; and the right to have access to SRH information and services, as a cornerstone of sustainable, inclusive, and equitable development where no one is left behind.”

The Rabat meeting is also aimed at updating and contributing to the realignment of Arab and Asian Parliamentarians with UNFPA’s strategic objectives of the ICPD25 and promote synergetic partnership among parliamentarians, UNFPA, and other stakeholders and to help formulate Action Plans for parliamentarians to respond to the unique regional contexts to accelerate the implementation of the ICPD Programme of Action.

Given the centrality of the ICPD Programme of Action to achieving the SDGs, and based on progress and achievements made by the Kingdom of Morocco with regard to SDGs, ranking highest among African countries with an implementation rate of 66.1%, a case study of Morocco will be presented at the meeting.

The study will address experience and lessons learned on how parliamentarians can create an enabling environment for achieving of the SDGs in their respective countries.

It is also hoped, says the concept note, that this project will play a catalyst role for promoting parliamentarians’ networking, which should serve the purpose of the JTF (Japan Trust Fund), and enhance sustained multi-stakeholder dialogue for generating synergies among parliamentarians to achieve optimal results.

The meeting in Morocco is also expected to adopt a set of Parliamentarians’ Recommendations for the ICPD+25

By Osamu Kusumoto
TOKYO, Japan, Aug 19 2019 (IPS-Partners)

The Asian Population and Development Association (APDA) organized the “African and Asian Parliamentarians’ Meeting on Population and Development for ICPD+25” on August 5 – 6, 2019, in Dar es Salaam, Tanzania, to serve as a platform to gather the opinions and set of proposed actions of parliamentarians in the Asia and Africa regions.

Osamu Kusumoto

The theme of the event, which is called ICPD+25, will revolve along with the progress made by countries on the Programme of Action (PoA) in the last 25 years, as well as on how to tackle the unfinished business of the ICPD. The event will also underscore the role of parliamentarians in ensuring that the gaps are addressed.

The ICPD+25 Summit in Nairobi will coincide with the 50th-anniversary celebration of the establishment of UNFPA, the international organization who was and continue to be the main force behind the ICPD.

The ICPD+25 Summit will define the efforts of countries in addressing population issues in the context of the Sustainable Development Goals, which was adopted in 2015.

The ICPD Programme of Action shaped the discourse around the issues of population, reproductive health and rights, and gender equality. Before the ICPD, the population was regarded as the main variable for achieving sustainable development.

The ICPD achieved a paradigm shift in the way we perceive population issues as its nature from one of the most important variables for achieving sustainable development to becoming the subject of society’s debates. It used to be handled as a statistical target but following the principles of the ICPD, it became clear that addressing population issues should be a result of voluntary decision making or through informed choice.

As a result, two different philosophies were formed: the population is the largest variable in sustainable development, and at the same time it is not a means of sustainable development. The past 25 years of addressing population issues exist between these two directions, and the center of the population activities was a history that emphasizes the direction of RR.

In view of this, the African and Asian Parliamentarians’ Meeting is set to make a major contribution to the Nairobi Summit, which requires substantial international agreement since ICPD, through the integration of reproductive rights and the SDG approaches. It clarified several issues, made recommendations and affirmed its commitments.

Thus,

(1) Reaffirming the philosophy of ICPD, which clarified that the population does not just number, it refers to humans that constitute the society;

(2) Clarifying that the purpose of ICPD and SDGs are the same and that without finishing the unfinished business of the ICPD Programme of Action is not possible to achieve the SDGs;

(3) The reproductive rights concept has been clearly defined in the ICPD as early as 25 years ago. Efforts to prevent unwanted and unplanned pregnancy – which is the main cause of population growth in developing countries – must be triggered by arguments that population-related problems hamper the achievement of sustainable development goals;

(4) There is a need to achieve an appropriate level of fertility rate in developing and developed countries by using the same perspective to view to fulfill the Reproductive Rights. Fertility transition which introduces balanced fertility at both developing countries and developed countries what will be called the third demographic transition should be the result of social and economic policies that bring about the development in countries; and

(5) Mere discussions and/or interpretation about reproductive rights concept is not productive. To realize its actual meaning, questions such as “How can we achieve reproductive rights?” should be the front and center of the discussions. This and questions around requisite conditions to avoid death due to starvation i.e. ensuring food security, protecting the environment, and securing water are just as important and critical discussion components and should be considered in the bigger scheme of things.

Excerpt:

An eight-month-old boy is examined by a doctor at Amana Hospital in Dar es Salaam, Tanzania. While women are increasingly using contraceptives to plan their families, there are still too many who lack access to critical reproductive health services. Credit: Kristin Palitza/IPS

By IPS Correspondents
DAR ES SALAAM, Tanzania, Aug 10 2019 (IPS)

Khadija Zuberi, 23, from Ruaha Mbuyuni village in Tanzania’s central highlands, is a single mother to her four-year-old son, Hashim.

It has been a financial struggle for Zuberi—who has completed high school, but has no further qualifications—to raise her son. While she is still in a relationship with Hashim’s father and he reportedly supports them, he doesn’t live in Ruaha Mbuyuni village, located in Iringa.

Zuberi has worked all sorts of jobs to provide for her son. She remembers her first job as a helper at a local food outlet. She was paid the equivalent of a dollar a day for a job that started at 5am and ended 14 hours later.

“You find yourself working so hard and when you get paid you can’t even meet your basics needs,” she told IPS.

Last March, Zuberi became a recipient of a project called Malkia wetu, Swahili for ‘Our Queens’. It is a programme run by Kilimo Kan, a local agribusiness that supports the development of smallholder farmers in Iringa. Malkia wetu specifically targets young women between the ages of 14 and 24 from Ruaha Mbuyuni village. After training the young women, they are each allocated a piece of land and agricultural inputs with the agreement that the produce will be sold back to Malkia wetu.

“The programme facilitates young women to use agribusiness to avoid risky livelihood options such as early marriage and pregnancy or prostitution and instead become financially literate, entrepreneurial leaders generating income from farming,” the company says on a Facebook post.

Now Zuberi runs her own small food business, selling soup to villagers in the morning and evening and also farming tomotoes. 

Many don’t have access to critical reproductive health services

Young women like Zuberi aren’t an exception here. According to the United Nations Population Fund (UNFPA), one in four Tanzanian adolescents aged 15-19 have already begun having children and the fertility rate is five children for every women in a country of just over 57 million people.

While women are increasingly using contraceptives to plan their families, UNFPA states “there are still too many who lack agency, education, and access to critical reproductive health services. The unmet need for family planning for married women (aged 15 to 49) stands at 32 percent”.  

A Department for International Development (DFID) study titled “Barriers to Women’s Economic Inclusion in Tanzania” lists these barriers as time poverty (because women spend significant time on household chores); lack of education; and even reproductive health pressures.

While Tanzania remains one of the African nations to experience sustained economic growth, according to USAID this is limited by a high population growth: “High population growth and low productivity in labour-intensive sectors like agriculture, which employs 75 percent of the population, limit broad-based economic growth. ”

African and Asian Parliamentarians met in Dar Es Salaam, Tanzania from Aug. 5 to 8 to address what needs to be done ahead of the summit on the International Conference on Population and Development (ICPD25).

The Nairobi Summit on ICPD25

With less than 100 days to go before the Nairobi Summit on the International Conference on Population and Development (ICPD25), African and Asian Parliamentarians met in Dar es Salaam, Tanzania from Aug. 5 to 8 to address what needs to be done ahead of the November summit.

• ICPD25 refers to a 1994 meeting in Cairo, Egypt, where world governments adopted a plan of action, calling for women’s reproductive health and rights to take centre stage in national and global development efforts.
• Titled the “African and Asian Parliamentarians’ Meeting on Population and Development for ICPD+25”, the Tanzania meeting this week aimed to provide a platform for deepening regional parliamentarians’ understanding of the significance of UNFPA’s work and equipping parliamentarians with knowledge and skills to take concrete measures to advance the implementation of the ICPD Programme of Action and Sustainable Development Goals.
• The Programme of Action recognises “that reproductive health and rights, as well as women’s empowerment and gender equality, are cornerstones of population and development programmes,” according to UNFPA. The meeting was organised by the Asian Population and Development Association (APDA). While parliamentarians recognised that progress had been made since Cairo, considerable gaps remain within certain countries.

Tanzania’s Speaker of parliament, Job Ndugai, said that his country was committed to the ICPD Programme of Action. He also urged Tanzanians to limit the size of their families relation to their economic status so that parents could provide their children with the basic necessities.

“We should look at this on a family level. You and your family…the children that you are [having] do they reflect your financial status? The important thing here is the amount of people we have should relate with our economic [status],’’ said Ndugai.

Sinichi Goto, Ambassador Extraordinary and Plenipotentiary of Japan to Tanzania, said African countries were making efforts to achieve the SDG’s. While Asia currently has more than half of the world’s population, Africa is estimated to account for more than 90 percent of the increase in the global population between 2020-2100.

Empowering women means empowering communities

Nenita Dalde, from the Philippine Legislators’ Committee on Population and Development Foundation said that African and Asian governments have to ensure that women benefitted equally and participate directly in development programmes and projects.

The gains of this would be far-reaching. “When you empower women you heighten employee morale and it inspires them to give back,” she told IPS.

Helen Kuyembeh, a former member of parliament from Sierra Leone told IPS that communities experienced positive impacts when women are empowered.

“The benefits start in the household when [a woman’s] income increases,” she said, explaining that it will impact what the family ate, their health and the children’s education.

She added that when women were empowered to start they are own businesses they usually would employ other women and provide inspiration to them.

She has seen this first hand.

“When I was an MP, I created programmes to support women in my village to become more self-sufficient and this programme has uplifted a lot of women from my village and now they are not lonely and unhappy,” Kuyembeh said.

Zuberi, is more certainly a case study for this.

She earned 450 dollars from selling her first harvest of tomatoes, and makes over 300 dollars a month in a country where the mean monthly income for men is 117 dollars a month and 71 dollars a month for women, according to the DFID study. Women’s salaries are on average 63 percent lower than those paid men here, according to USAID.

But not Zuberi. With the money she earns she can pay her own rent and is able to support her son.