http://www.irinnews.org/irin-fp.aspxUpdated everydayen-gbFri, 12 Mar 2010 08:54:00 GMTADDIS ABABA Friday, March 12, 2010 (IRIN) - On stage in the Ethiopian capital, Addis Ababa, Mestihet Temane, 27, enacts the story of how, after the death of her parents, a young woman winds up alone on the streets with no money, no confidence and no support.ADDIS ABABA Friday, March 12, 2010 (IRIN) - On stage in the Ethiopian capital, Addis Ababa, Mestihet Temane, 27, enacts the story of how, after the death of her parents, a young woman winds up alone on the streets with no money, no confidence and no support.

"Sometimes I cry when I'm singing and so do a lot of the people listening," she told IRIN/PlusNews.

Mestihet is a member of Mekdim Ethiopia National Association, a local NGO that performs HIV-related dramas at offices, colleges and community centres. The drama and music club members who put on the plays are a mixture of orphans and people living with HIV - their harrowing stories of abandonment and discrimination are often semi-autobiographical.

Despite public attempts to tackle the subject of HIV, the status of many of Mekdim's actors is not revealed to audiences; many of them also keep their HIV status secret in their personal lives.

"A colleague said, 'if I knew you had HIV I would not have swapped clothes with you'," Dawit*, a 21-year-old actor said. "Even now there is a problem with HIV and discrimination."

Mickey*, a dancer, says he suffers psychologically when his colleagues discuss the HIV-positive status of other dancers in a derogatory manner; Fatiya*, 17, has kept her infection hidden from her landlord due to fear of eviction.

According to Tilahun Sheko, Mekdim's programme manager, while the plays have significantly increased the number of visitors to the voluntary counselling and testing clinics that accompany the performances, many in Addis, particularly the wealthy, are still "more worried about their reputation than getting treatment".

Alemu Anno Ararso, the director of the multi-sectoral response coordination directorate at the Federal HIV/AIDS Prevention and Control Office, said just like the government's "community conversations" - where participants are encouraged to discuss and share their experiences, including traditionally taboo issues - the Mekdim plays were a useful tool in demystifying HIV.

"They tell the stories and how it is transmitted," he said. "They are giving their life experiences; no one can know more than they can."

However, Alemu acknowledged that despite the government's efforts to tackle stigma, the problem persists.

"Ethiopians prefer to keep silent. We don't want to disclose ourselves. If I have a problem, I don't want to talk about it," he added. "That is why the community conversation strategy has been used. They listen to their friends and everything comes out."

Alemu further noted that the issue of stigma affected HIV programming. "We have problems of uptake of services and it revolves around stigma. If you're found to be HIV-positive you will be discriminated against, so people decide not to get tested," he said. "We can understand the effect by proxy; it's all because of discrimination.

A local NGO, Network of Networks of HIV Positives in Ethiopia, is working on a stigma index - due to be completed this year - that will reveal the root causes and extent of stigma in the Horn of Africa nation.

"HIV is everybody's business, so everybody has to talk about it; you can fight HIV by improving knowledge and behaviour," he added.

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* Not their real nameshttp://www.irinnews.org/report.aspx?ReportId=88404NAIROBI Tuesday, March 09, 2010 (IRIN) - Global funding shortfalls for fighting AIDS could make it impossible for developing countries to implement new World Health Organization treatment guidelines, activists have said. NAIROBI Tuesday, March 09, 2010 (IRIN) - Global funding shortfalls for fighting AIDS could make it impossible for developing countries to implement new World Health Organization treatment guidelines, activists have said.

WHO released new guidelines on antiretroviral therapy (ART) in December 2009, raising the CD4 count - a measure of immune strength - at which HIV-positive people should start ART from 200 to 350. Research has shown that starting ART earlier reduces the rate of death and opportunistic disease.

"WHO's new recommendations are excellent in theory, but they did not give us a practical way of implementing the guidelines - already we have shortages of drugs in trying to put people with CD4s below 200 on treatment," said James Kamau, coordinator of the Kenya Treatment Access Movement.

"How will we now put so many more people on ARVs? The increased number of people on drugs means not just more drugs, but more labs, more health centres and health workers, more general care - the expense is enormous."

An estimated four million people around the world are currently on ART - a 10-fold increase since 2003, when the drugs became widely available - but this figure still represents just over one-third of the people who need the medication.

"If WHO's new recommendations are not implemented, the international community risks subsidising less expensive yet sub-standard care for developing countries," said Sharonann Lynch, MSF's HIV/AIDS policy advisor, in a press release.

"Avoiding this will depend on the willingness of donors to make new commitments. Although this is not easy in today's financial environment, donor countries cannot back away from supporting the promise of universal access to treatment made five years ago."

"The situation is now an emergency"

In Uganda, where the government plans to release new treatment guidelines reflecting WHO's recommendations, officials said the number of people needing treatment would rise from 300,000 to about 750,000. The country recently suffered drug shortages in its public health sector, partially caused by funding problems.

"The numbers will be too great for us to manage," said Dr David Kigawalama, head of prevention services at the Uganda AIDS Commission. "We need to sit with our AIDS development partners to forge a way forward."

Ahead of a high-level meeting between Group of Eight (G8) leaders and AIDS advocates in London on 10 March, AIDS activists met with British International Development Minister Gareth Thomas on 9 March and called on the world's wealthiest nations to honour their 2005 Gleneagles pledge to achieve universal access to HIV prevention, treatment and care by 2010.

"Instead of building on progress, some donor nations and governments of highly affected countries are backing away from the universal access commitment with a series of poorly funded half-measures on AIDS," the executive director of the International AIDS Society, Robin Gorna, said in a press statement.

"The situation is now an emergency: new treatment enrolments in many countries are coming to a standstill, the risk of drug resistance is increasing, and fragile gains made over the last 10 years may soon erode, with potentially serious consequences for future efforts to control this epidemic."

The activists singled out Canada - the only G8 nation firmly opposed to the Financial Transactions Tax, a tiny tax on financial transactions that could raise the billions of dollars needed to fulfil the universal access pledge.

The global economic downturn forced the Global Fund to Fight AIDS, Tuberculosis and Malaria, the world's largest funder, to cut disbursements by 10 percent in 2008, while the US President's Emergency Plan for AIDS Relief (PEPFAR) has flat-lined funding to many countries, limiting the growth of PEPFAR-funded treatment programmes.

kr/kn/he http://www.irinnews.org/report.aspx?ReportId=88368NAIROBI Friday, March 05, 2010 (IRIN) - Here are the most popular new articles on the IRIN website over the last 24 hours. Updated hourly. This feature was launched on 18 July, but will display the latest, most popular items of today.NAIROBI Friday, March 05, 2010 (IRIN) - ---http://www.irinnews.org/report.aspx?ReportId=73277JOHANNESBURG Wednesday, February 24, 2010 (IRIN) - Temperatures seem set to soar to perilously high levels because of climate change. In another 40 years, would maize still be the staple food in Kenya, already hit by five failed rainy seasons? If not, what could people grow and eat? And if you could grow maize, how much water and fertilizer would it need? JOHANNESBURG Wednesday, February 24, 2010 (IRIN) - Temperatures seem set to soar to perilously high levels because of climate change. In another 40 years, would maize still be the staple food in Kenya, already hit by five failed rainy seasons? If not, what could people grow and eat? And if you could grow maize, how much water and fertilizer would it need?

If you live in the remote semi-arid Karamoja region of northeastern Uganda - beset by 14 droughts in 25 years - you might also want to know what your options are for continued food security.

For the first time, a customized regional climate model linked to crop growing and water models, run on a supercomputer at Michigan State University (MSU), will help provide crop breeders in three East African countries - Kenya, Uganda and Tanzania - with detailed answers on crop yields.

Many research institutions have been working on models to predict the impact of climate change on food production in Africa, but in a few months the MSU model will help scientists and breeders to zoom in at a regional level on the possible impact of climate change on a wide variety of crops in these countries.

The research could help produce climate-resilient varieties of food crops, said Jennifer Olson, lead researcher and associate professor at MSU's College of Communication Arts and Sciences.

"East Africa is already experiencing the impact of climate change - food crops are experiencing extreme water stress," she commented. People living in Kenya's highlands, who have traditionally grown tea and coffee, have begun experimenting with maize and beans as the climate has grown warmer.

Work on the model began 10 years ago with the recording of relevant data, such as the impact of nutrients on a certain food crop, or the impact of water stress on another, which were subsequently fed into the model. "The model is still being perfected," said Olson.

The model can experiment with the impact of climate change, such as high temperature and water stress on a certain crop variety, saving the time that would have been spent on field trials, "which will help speed up the agricultural research cycle", she noted.

The researchers intend to launch the model at a workshop in June. Concern about increasing food insecurity in East Africa has prompted two institutions to set up a research grants to encourage innovative solutions.

The New Partnership for Africa's Development (NEPAD), based in South Africa, and the International Livestock Research Institute (ILRI), in Nairobi, Kenya, announced a US$10.67 million grant from the Swedish International Development Agency (SIDA) to support the establishment of a multidisciplinary competitive funding mechanism for biosciences in Burundi, Ethiopia, Kenya, Rwanda, Tanzania and Uganda.

ILRI's Bruce Scott said they would be looking for innovative solutions using bioscience to improve crop resilience to climate change, or perhaps to improve the shelf-life of a food product.

jk/he http://www.irinnews.org/report.aspx?ReportId=88225DAKAR Monday, February 22, 2010 (IRIN) - A meningitis epidemic has struck earlier than usual and is spreading across sub-Saharan Africa's "meningitis belt" from Senegal to Ethiopia, according to health ministries in the region. The disease occurs during the dry season, with most cases reported in mid-April. DAKAR Monday, February 22, 2010 (IRIN) - A meningitis epidemic has struck earlier than usual and is spreading across sub-Saharan Africa's "meningitis belt" from Senegal to Ethiopia, according to health ministries in the region. The disease occurs during the dry season, with most cases reported in mid-April.

As of 7 February, health ministries in high-risk countries reported 2,298 cases, with a 13-percent fatality rate. Burkina Faso has reported the highest number of cases, but Togo has experienced the highest fatality rate, where 25 of 108 infected people died.

The World Health Organization (WHO) described the situation as "alarming".

Mamoudou Harouna Djingarey, a WHO epidemiologist and meningitis expert, told IRIN it was still not clear why infections were spreading earlier than expected. "This [timing] is a sign of a major epidemic risk if no action is taken," he warned. Extensive meningitis outbreaks tended to occur every eight to 10 years, he said, but were now occurring about every four years.

In the 2009 meningitis season, 14 African countries reported a total of 78,416 suspected cases, including 4,053 deaths, the largest number of infections since the 1996 epidemic.

Studies are being carried out to determine whether climatic and environmental factors might be influencing the extent of the current epidemic. Djingarey told IRIN that infections had also been reported further south than usual, including in Uganda, Kenya and Democratic Republic of Congo.

Burkina Faso

On 17 February the Health Ministry in Burkina Faso reported 1,251 meningitis cases, with a 15.4 percent fatality rate. This time last year there were 25 percent less infections, but a similar percentage of deaths.

The disease has reached epidemic proportions in Pama in the east, Titao in the north, Sapouy in the centre west, and Batié in the southeast, defined by WHO as areas where at least 10 out of 100,000 people are infected. Three other districts with half as many reported infections are on alert, according to Burkina Faso's Ministry of Health.

Vaccinations have been carried out in Pama and Titao, and more are scheduled to take place in the centre west on 20 February. "If we can react quickly the numbers will drop," Health Ministry epidemiologist Jean Ludovic Kambou told IRIN.

WHO recommends vaccinating everyone aged from 2 to 29 years and living in an epidemic zone, as well as people in neighbouring areas that are on "alert". If the country does not have enough vaccine, it can request no-cost or minimal-cost vaccines from a meningitis vaccine stock managed by WHO. Alejandro Costa, a WHO vaccine scientist, told IRIN no countries have requested vaccines as of 19 February.

Costa told IRIN 100,000 doses of vaccine from the stockpile had been sent to Chad, which did not have vaccines on hand but was facing an epidemic in the southern regions of Mandoul and Logone Orientale. Chad's Ministry of Health said 42,000 people in the southern town of Doba needed vaccination.

On 19 February the government reported 507 meningitis infections that have led to 56 deaths, an 11 percent fatality rate.


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http://www.irinnews.org/report.aspx?ReportId=88179ADDIS ABABA Tuesday, February 09, 2010 (IRIN) - The whims of fashion collided with some of life's harsher realities when, during a recent fashion show in the Ethiopian capital, Addis Ababa, condoms were the fabric of choice on the catwalk.ADDIS ABABA Tuesday, February 09, 2010 (IRIN) - The whimsy of fashion collided with some of life's harsher realities when, during a recent fashion show in the Ethiopian capital, Addis Ababa, condoms were the fabric of choice on the catwalk.

At the Condom Clothes Fashion Show - held in January and organized by social marketing group DKT with the Zalef Fine Art and Fashion Design Institute - 10 spectacular dresses made exclusively from 10,000 male and female condoms of all colours, shapes and sizes were on show.

"In Ethiopia, condoms have a bad image; people are afraid when they want to buy condoms at the supermarket - they even try to hide the condoms quickly after they have bought them," Emebet Alemu, designer of the dresses and organizer of the shows, told IRIN/PlusNews. "We wanted to change that by using an art event; [maybe] the show will open people’s minds a little ... maybe it will make them [condoms] seem more normal for people."

The latex garments were later modelled at four shows - all held under the theme, "Abstain, Be faithful and use Condoms" - at the Hilton Hotel in Ethiopia's capital; there is also a plan for the event to be taken to Adama, a major regional city.

The fashion initiative is the latest move by DKT to try to break the stigma associated with condom use in Ethiopia; in 2009, it set up a condom café in Addis, and ran a two-month campaign to distribute condoms and kerosene to house helps in the capital.

Condom stigma

Despite such campaigns, however, condoms remain highly stigmatized in Ethiopia; a 2008 study [http://ejhd.uib.no/ejhd-v22-n3/226%20Which%20factors%20influence%20North%20Ethiopian%20adults'%20use%20of%20d.pdf] in Adwa town, about 1,000km north of Addis Ababa, found that 46 percent believed that people who used condoms were promiscuous.

"Instead of teaching one-to-one relationships, they promote condoms," Gelila Ejigu, 24, said of the condom fashion shows. "When people see it they will think they should have the type of relationships where they must use a condom."

However, Emebet Abu, DKT Ethiopia's head of communications, explained that the condom fashion campaign was tailored to the youth, with a view to highlighting condoms as an additional option and not a replacement for abstinence or fidelity as methods of HIV prevention.

"The idea of the show was to target young people, who like fashion and design," he said. "We also teach abstinence and to be faithful, but some young people will not abstain or be faithful; they may have more than one partner already so they must use condoms."

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http://www.irinnews.org/report.aspx?ReportId=88046DAKAR Wednesday, January 27, 2010 (IRIN) - Health experts hope the release of data showing the success of rotavirus vaccine will help compel policymakers to ensure all children will be immunized. DAKAR Wednesday, January 27, 2010 (IRIN) - Health experts hope the release of data showing the success of rotavirus vaccine will help compel policymakers to ensure all children will be immunized.

Rotavirus – the top cause of severe and often fatal diarrhoea and dehydration in children – kills some 527,000 children a year globally, nearly half of them in sub-Saharan Africa.

“It is our hope that these data will catalyze action so that one day we can live in a world where no child dies from diarrhoea,” Kathy Neuzil, senior clinical advisor for vaccines at the international health non-profit PATH, said in a 27 January statement.

Published on 27 January in the New England Journal of Medicine, results from first-ever clinical trials in South Africa and Malawi show that a live, oral rotavirus vaccine significantly reduces the episodes of severe rotavirus gastroenteritis in African children during the first year of life.

The data “provide policymakers with the critical information they need to make decisions about rotavirus vaccine introduction,” George Armah, professor and rotavirus expert at Ghana’s Noguchi Memorial Institute for Medical Research, said.

The trial results led the World Health Organization in June 2009 to recommend global use of the vaccine.

The Africa trials focused on the vaccine’s performance in high mortality, low-income settings, according to a 27 January communiqué by PATH and GAVI Alliance.

Health experts point out that while rotavirus infection in treatable, it has devastating and deadly impact in rural and poor areas where people cannot access medical care. “Vaccines represent the best hope for preventing the severe consequences of rotavirus infection,” Nigel Culiffe of University of Liverpool said in statement.

The trials were coordinated and co-funded through a partnership between GlaxoSmithKline Biologicals and the GAVI Alliance-funded Rotavirus Vaccine Trials Partnership – PATH, WHO and the US Centers for Disease Control and Prevention.

np/ajhttp://www.irinnews.org/report.aspx?ReportId=87899JOHANNESBURG Tuesday, January 19, 2010 (IRIN) - The best search and rescue workers have stamina, a phenomenal sense of smell, and sharp hearing - they usually also have four legs. JOHANNESBURG Tuesday, January 19, 2010 (IRIN) - The best search and rescue workers have stamina, a phenomenal sense of smell, and sharp hearing - they usually also have four legs.

Highly trained dogs and their handlers can offer the best chance of survival to people buried in the rubble of an urban search and rescue (USR) site, where there are often no outward signs of life.

The dog

Intelligence and a remarkable nose make dogs ideal for the job, according to Ann Christensen, Canine Committee Chair at the US-based National Association for Search and Rescue. Most dogs have better vision than humans, particularly in the dark, and more acute hearing. But it is their sense of smell - said to be a thousand times more sensitive than that of people - that really sets them apart.

Popular breeds are German Shepherds, Border Collies and Golden or Labrador retrievers, with trainers looking for a specific combination of talents. "There are only a few dogs can do this type of work, that have the right stuff. The average family pet can't do this, no matter what training you give them," Christensen told IRIN.

Disaster sites are usually extremely dangerous and stressful, so "a disaster dog has to be confident, courageous and agile"; it must be able to focus while sniffing through the wreckage and ignore all other scents and noises, no matter how tempting.

The training

"It takes a minimum of around 18 months to two and a half years to train a ... team [consisting of a dog and handler]. Normally, if you have a dog that has the ability, the drive, the focus to carry out the job, it actually takes longer to train the handler," said Chris Pritchard, Coordinator for USR Dog Teams at the International Search and Rescue Team of the United Kingdom Fire and Rescue Service.

Handlers are an integral part of the dog's training and by the end of it, if the chemistry is right, they are partnered for the duration of the dog's working life - about 10 years.

"When a handler certifies with a dog, they certify as a team and they work together. You develop a very strong bond with the dog because you spend a lot of time training with the dog, travelling with the dog, going on missions with the dog – you spend almost more time with your dog than you do with your family," said Christensen.

According to Wolfgang Zörner, president of the International Rescue Dog Organisation, the global umbrella body that ensures members comply with the standards set by the UN International Search and Rescue Advisory Group (INSARAG), international teams must pass a mission readiness test to qualify for deployment.

"Once you pass, the certification is valid for three years, but the test is very hard - it goes on continuously day and night for two days, and not more than 40 percent pass," he commented.

The Equipment

Canine-handler teams need to be completely self-sufficient for up to 10 days after deployment. That means they arrive on site with tents, food, medical and veterinary equipment or water. The dogs need at least one litre per day - more in hotter climates - to maintain workable levels of hydration. Appropriate kennelling is also important to keep the dogs secure on site.

Besides their leash and collar, equipment can range from lifting harnesses and cooling jackets to dog boots. "You want to protect the dog so that it can do its job - they are as important as the rescuers," said the UK's Pritchard.

The deployment

The first 24 hours after a disaster has struck is the "golden day", Pritchard commented. "The ability of the individuals that may be trapped to survive starts to decrease dramatically after that."

Zörner noted that "every disaster is different, but the main objective is to be on site as soon as possible. In every catastrophe there are always some miracles, and some people survive longer, but normally a person cannot stay alive without water for more than four days."

His last mission was the Padang earthquake in Indonesia. "When the call comes in we can be ready to deploy with the dogs within eight hours," he said. Typically, a call will come through the INSARAG Virtual On Site Operations Coordination Centre (OSOCC) – an online information exchange and coordination tool for disaster managers and international response organisations.

The canine-handler teams become part of a larger group of USR specialists. Once medical checks are passed, teams are briefed, equipment is checked and palletised for transportation, and the team heads off, either on civilian or military aircraft.

The search

On arrival the teams report to the OSOCC, usually set up by INSARAG in cooperation with the local emergency management authority. "The problem on the spot is always transportation. To get from the airport to the [OSOCC] and then to the sites," said Zörner.

Given the limited time and resources, initial reconnaissance to identify priority areas is essential. "It is important that they [OSOCC] already know where it is useful to search with dogs; that they have conducted an initial assessment," he noted.

The dogs are one part of the "technical search element", the others are highly sensitive acoustic equipment that can pick up minute sounds, and tiny cameras that can be manoeuvred through tiny cracks or holes drilled in concrete.

"It's a big game of hide and seek - that's the only reason the dogs go out and find. If the dog locates a scent source it will demonstrate that by either scratching, or through a focused bark, and will continuously bark at that point where the scent is most strong," said Pritchard.

"But that does not necessarily mean that the person is buried right under them - the scent can travel a considerable distance. We then work the dog at different angles to see if the scent is coming out somewhere else." A second dog is often brought in to verify a find.

The dogs are used in more than one phase of the rescue operation. "Once rubble is removed from an area and dogs can get closer, that may open a scent channel and allow the dogs to pick up on the scent of a person that is trapped. We recommit dogs to the building as we remove large pieces of rubble," Prichard said.

The rescue

"They recognize a human scent picture made up of many different scents - like the clothing that people wear ... the food that they ate, the polish of their shoes, sweat glands." It is generally understood that they also home in on skin rafts – scented skin cells that drop off human beings at a rate of 40,000 a minute.

Once a find is confirmed, the dogs are removed so that the victim can safely be taken out. Because searching is essentially a game, a find is always rewarded – usually with a toy – to ensure the dogs remain motivated.

Zörner said a dog worked for 20 minutes, because "If it works too long the dog loses interest and the work is no longer secure – he can give an indication even when it is not absolutely sure," and then rested for the same amount of time.

"We search only for live people - that is the priority." When the search is called off - usually 10 days after the disaster began - the dog-handler teams are sent home.

Then, as the humanitarian phase of the relief operation intensifies, another specialist sniffer dog - the cadaver dog - is brought in to search for the dead.

tdm/oa/hehttp://www.irinnews.org/report.aspx?ReportId=87790NAIROBI Tuesday, January 19, 2010 (IRIN) - More than two-thirds of African countries have laws criminalizing homosexual acts, and despite accounting for a significant percentage of new infections in many countries, men who have sex with men tend to be left out of the HIV response. NAIROBI Tuesday, January 19, 2010 (IRIN) - More than two-thirds of African countries have laws criminalizing homosexual acts, and despite accounting for a significant percentage of new infections in many countries, men who have sex with men tend to be left out of the HIV response.

"[They] are going underground; they are hiding themselves and continuing to fuel the epidemic," UNAIDS executive director Michél Sidibé told IRIN/PlusNews recently. "We need to make sure these vulnerable groups have the same rights everyone enjoys: access to information, care and prevention for them and their families."

IRIN/PlusNews has compiled a short list of human rights violations against gay Africans:

Malawi - On 28 December 2009, soon after a traditional engagement ceremony, Steven Monjeza and Tiwonge Chimbalanga were arrested and charged with "unnatural offenses", which carries a maximum prison term of 14 years, and "indecent practices between males", which carries five years.

The men deny that they have had sexual relations, but the state prosecutor has applied for them to be sent to hospital to prove they have had sex, which rights activists and their lawyers say would violate their constitutional right to dignity. The trial has been postponed until 25 January 2010.

Uganda - In October 2009, David Bahati, parliamentary representative of the ruling party, tabled the Anti-homosexuality Bill (2009), a private member's Bill. It proposes, among other things, the death sentence for the crime of "aggravated homosexuality" when an HIV-positive person engages in homosexual sex with someone disabled or below the age of 18.

Homosexuality is illegal in Uganda and punishable by a maximum sentence of life in prison.

AIDS advocates and human rights groups have strongly criticized the Bill as violating the privacy of gay people, and after pressure from several international leaders, President Yoweri Museveni has distanced himself from it, reducing the likelihood that it will be passed in its current form.

Nevertheless, a local tabloid, The Red Pepper, routinely releases lists of alleged Ugandan homosexuals.

Tanzania - In May 2009, a local newspaper, Ijumaa, featured a photograph of two men in bed together with the headline, "Caught Live!" A report by several gay rights groups http://www2.ohchr.org/english/bodies/hrc/docs/ngos/LGBT_Tanzania96.pdf noted that the accompanying article included derogatory and discriminatory language about men who have sex with men.

An Ijumaa reporter, accompanied by three policemen, had followed the men from the street into a private hotel, where they had invaded their room and taken the photographs that later appeared in the newspaper.

According to the International Gay and Lesbian Human Rights Commission http://www.iglhrc.org/cgi-bin/iowa/article/takeaction/resourcecenter/993.html, more than 40 gay and lesbian activists in Tanzania were arrested on charges of debauchery in 2009.

Burundi - In April 2009, President Pierre Nkurunziza signed into law a bill criminalizing homosexuality for the first time in Burundi's history. Anyone found guilty of engaging in homosexual activity faces imprisonment for two to three years and a fine of up to US$80.

Paradoxically, other articles in the same legislation take steps to protect human rights, including abolition of the death penalty and the outlawing of torture, genocide, war crimes and crimes against humanity.

Senegal - In December 2008, the Senegalese government arrested nine men involved in providing HIV prevention, care and treatment services to the country's lesbian, gay, bisexual and transgender community http://www.plusnews.org/Report.aspx?ReportId=82453.

The men were later sentenced to eight years in prison on charges of "membership of a criminal organization and engaging in acts against the order of nature", but in April 2009 an appeals court overturned this verdict http://www.plusnews.org/Report.aspx?ReportId=84064.

Arrests for homosexual activity are not uncommon in Senegal; in August 2008 two men were arrested at their home in Dakar and charged with "homosexual marriage" and acts against the order of nature. According to rights groups, a total of 30 men were arrested on charges of homosexuality in 2009.

Egypt - In May 2008, a court in the Egyptian capital, Cairo, convicted five HIV-positive men of "habitual practice of debauchery", a phrase that encompasses consensual sexual acts between men.

The convictions were part of a crackdown on people living with HIV/AIDS, during which 12 men suspected of being HIV-positive were arrested; while in custody, they were subjected to HIV tests and anal examinations to determine whether they had had sex with other men. Earlier in the crackdown, in January 2008, four HIV-positive men sentenced to one-year prison terms for debauchery.

Gambia - In May 2008, Gambian President Yahya Jammeh gave gay people 24 hours' notice to leave the country. He promised stricter laws on homosexuality than in Iran, and threatened to behead any gay people discovered in the country.

Jammeh's statements were thought to have been in response to a number of Senegalese gay men fleeing across the border into Gambia to escape persecution in their own country.

South Africa - In April 2008, Eudy Simelane, the openly gay star of South Africa's Banyana Banyana national female football squad, was found murdered in a park on the outskirts of Johannesburg. She had been gang-raped and brutally beaten before being stabbed to death.

Rights groups said the attack was likely to have been an incident of "corrective rape", in which men rape lesbian women on the pretext of trying to "cure" them of their sexual orientation.

Since then there has been a spate of similar attacks http://www.plusnews.org/Report.aspx?ReportId=85268 on lesbian women in the country, but few ever reach the courts. According to a 2009 report by the NGO, ActionAid, there have been 31 recorded murders of lesbian women since 1998, with just three cases reaching the courts, and only one conviction.

Cameroon - In January 2008, a Cameroonian court sentenced three men accused of homosexuality to six months' hard labour. Homosexual acts are punishable by up to five years in prison, and gay men are routinely imprisoned.

Although the penal code does not give the state the power to arraign someone unless the person was caught in flagrante delicto, rights groups say people suspected of being gay are often arrested in public restaurants and bars.

Nigeria - In August 2007, 18 men - all allegedly cross-dressers - were arrested in Bauchi State, a predominantly Muslim state in the north of the country; they were charged with sodomy, the charges were later changed to vagrancy or idleness. The men were eventually freed on bail, but in March 2009 the case was still pending.

kr/kn/he http://www.irinnews.org/report.aspx?ReportId=87793SANAA Sunday, January 17, 2010 (IRIN) - The UN Refugee Agency (UNHCR) received 77,802 new arrivals from the Horn of Africa in 2009, a 55 percent increase over 2008 and the first time Somalis were not the majority nationality, the agency's external relations officer Rocco Nuri told IRIN in Sanaa on 16 January.SANAA Sunday, January 17, 2010 (IRIN) - The UN Refugee Agency (UNHCR) received 77,802 new arrivals from the Horn of Africa in 2009, a 55 percent increase over 2008 and the first time Somalis were not the majority nationality, the agency's external relations officer Rocco Nuri told IRIN in Sanaa on 16 January.

The biggest change over 2008, he said, was that the number of Ethiopians making the perilous boat journey across the Gulf of Aden more than doubled to 44,814, while 32,988 Somalis reached Yemen’s shores.

"There are various push factors behind the increasing number of Ethiopians, such as conflict, famine, drought and lack of job opportunities," Nuri said.

He added that the global financial crisis and subsequent rise in commodity prices “also played a role in pushing more people to leave their countries in search of better opportunities”.

Over 700,000 immigrants

There are more than 700,000 African immigrants in Yemen, the majority of whom are Somalis, deputy foreign minister Ali Muthan told a symposium in Sanaa on 12 January at the launch of a new initiative entitled ‘Supporting Yemeni Government and Civil Society to Meet Migration Challenges’.

He said that "out of the total number of African immigrants in Yemen, only 200,000 have refugee status”.

"The government has made tireless efforts to reduce the influx of Africans into its territory through contributing to enhancing stability and security in Somaliland," Muthan said.

According to UNHCR, all Somalis arriving in Yemen are granted prima facie refugee status while non-Somalis wanting to claim asylum are required to apply at a UNHCR office.

Hazardous journey

For those escaping war, violence and persecution, the hazardous journey to East African ports and then across the Gulf of Aden in the hands of ruthless people smugglers only adds to their suffering, according to UNHCR officials.

"They walk sometimes for days or travel in risky conditions prior to reaching one of the main departure points in Somalia and Djibouti. Once a deal with smugglers is made, they are put on over-packed, rickety boats and are likely to be subjected to psychological and physical violence at the hands of smugglers, as well as being left with no water and food for days under a blistering sun," Nuri told IRIN.

He added that smugglers often beat passengers to prevent them from moving and putting their small boats at risk of capsizing. Sometimes people were forced to jump overboard. "When a boat capsizes, many drown and the likelihood of finding the missing alive is very low," he said.

According to UNHCR, at least 309 people drowned or did not survive the trip in 2009. However, this was less than half the 590 that died in 2008.

ay/edhttp://www.irinnews.org/report.aspx?ReportId=87759NAIROBI Wednesday, December 23, 2009 (IRIN) - More people made the journey from the Horn of Africa to Yemen in 2009 than ever before, despite the Red Sea and the Gulf of Aden being one of the most dangerous migration routes in the world, where the perils include drowning, sharks and unscrupulous people smugglers. NAIROBI Wednesday, December 23, 2009 (IRIN) - More people made the journey from the Horn of Africa to Yemen in 2009 than ever before, despite the Red Sea and the Gulf of Aden being one of the most dangerous migration routes in the world, where the perils include drowning, sharks and unscrupulous people smugglers.

According to the UN Refugee Agency, 74,000 people crossed the Red Sea from the Horn of Africa to Yemen in 2009, 50 percent more than the number who made the journey in 2008;


309, at least, died during the crossing this year;
32,000 of the 2009 refugees were Somalis, about the same number as in 2008, but a smaller proportion of the total than last year;
42,000 of the 2009 refugees were Ethiopians, double the 2008 figure;
150,000 Somali refugees currently live in Yemen.

am/mwhttp://www.irinnews.org/report.aspx?ReportId=87535DAKAR Tuesday, December 08, 2009 (IRIN) - African health experts are calling on governments to vaccinate all children against rotavirus, to end an “unacceptable” yet preventable situation in which the virus kills some 1,400 children in developing countries daily.DAKAR Tuesday, December 08, 2009 (IRIN) - African health experts are calling on governments to vaccinate children against rotavirus, to end an “unacceptable” yet preventable situation in which the virus kills some 1,400 children in developing countries daily.

The West African Rotavirus Advisory Board on 3 December held a meeting in the Senegalese capital, Dakar, as part of efforts to advance the vaccine’s use after the World Health Organization recommended its inclusion in national immunization programmes worldwide.

George Armah, professor and rotavirus expert at Ghana’s Noguchi Memorial Institute for Medical Research, told IRIN the evidence is clear and must be used to push policymakers to act. “Rotavirus is one of the major causes of diarrhoea deaths and hospital admissions. There are vaccines that are very effective and can radically reduce mortality and morbidity from rotavirus infection.”

Rotavirus is the leading cause of severe diarrhoea and dehydration in children, with some 527,000 deaths of under-fives per year – 85 percent of them in Africa and Asia, according to WHO.

Following a recent rotavirus meeting in Kenya, a number of countries in southern and eastern Africa applied to the GAVI Alliance – the global public-private partnership to increase vaccine access – for assistance in introducing rotavirus and pneumococcal vaccine.

Call to action

The Dakar meeting – financed by GlaxoSmithKline, makers of one of two rotavirus vaccines – was in part a chance to present to West African countries a “call to action” from the Kenya meeting; the document says governments must immediately recognize the magnitude of the rotavirus problem and make vaccination against the virus a priority.

GAVI supports the introduction of vaccines in eligible countries, with a commitment that the country will gradually increase its contribution.

Armah said health officials are still learning about rotavirus. He said the key is making them understand the toll rotavirus takes and the importance of vaccination.

“It’s largely a question of ignorance. I’ve been to meetings where ministers have said, ‘We do not have a rotavirus problem in our country.’ But then we show them evidence and say, ‘Yes, there is a problem’.”

Health experts in West Africa say while rotavirus infection is treatable, for many people in rural areas who cannot easily access medical care, vaccination is the most effective way to avoid severe cases and deaths.

Caught early, rotavirus infection can generally be treated with oral rehydration solutions, according to a 3 December op-ed by Armah and Ousmane Ndiaye, paediatrics professor at the University of Dakar and head of paediatrics at Abass Ndao hospital.

“The main problem is that despite this simple treatment many children in West Africa continue to die of the illness. It is distressing for a mother to lose a child if a preventive measure like a vaccine is available.”

Armah and Ndiaye estimate that by 2025 the vaccine could prevent worldwide 100 million hospital stays and 2.5 million deaths.

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http://www.irinnews.org/report.aspx?ReportId=87363NAIROBI Thursday, November 26, 2009 (IRIN) - From the first goat sales about five years ago, creative NGO fundraisers have expanded a range of animal and farm-related "gifts" for sale online to benefit developing countries. NAIROBI Thursday, November 26, 2009 (IRIN) -  From the first goat sales about five years ago [http://news.bbc.co.uk/2/hi/uk_news/magazine/4078527.stm], creative NGO fundraisers have expanded a range of animal and farm-related "gifts" for sale online to benefit developing countries.
 
The approach has its detractors and not all NGOs have joined the trend. IRC [www.theirc.org], which is promoting its gift catalogue this week, for example, offers no living creatures, sticking to school supplies and mosquito nets.
 
Important: Inclusion in the list below does not imply endorsement by IRIN, nor should exclusion be interpreted as significant. Buyer beware and always read the fine print. The NGOs may not literally spend the funds on the purchase of an individual animal.  
 
Nonetheless, as the Christmas fund-raising season picks up, IRIN has rounded up a few options just to give a whiff of the livestock-related fundraising available. If you have found more "funusual" (or outrageous) charity gift ideas, drop us a line at feedback and we'll make a list  [LINK].
 
Manure: (Oxfam Australia, from AUS$15) - [http://www.oxfamunwrapped.com.au/Product.php?productid=103] (promotional video here: http://www.oxfamamericaunwrapped.com/beep.html)
 
Sheep: (Save the Children, $30) [https://secure.savethechildren.org/01/web_cat_d_1_sheep]
 
Goat: (ADRA, $70) [https://secure2.convio.net/ccadra/site/SPageNavigator/giftcatalog10]
 
Pig: (World Vision Spain, EUR60) [http://worldvision.es/colaborar_regalos_pedido.php?action=add&id_regalo=4]
 
Alpaca: (Practical Action, £50) [http://www.practicalpresents.org/view_product.php?product_id=9]
 
Llama: (Project Concern, $100) [https://secure2.convio.net/pci/site/Ecommerce/692413658?VIEW_PRODUCT=true&product_id=1121&store_id=1141]
 
Cow: (Send a Cow, £125) [http://www.sendacowgifts.org.uk/mumstheword]
 
Camel: (£230, Muslim Hands) [http://www.muslimhands.org/en/gb/great_charity_gifts/select_gift/?gift=G1]
 
And finally:
 
Fermented cow's urine: (Farm Africa, £20) [http://www.farmafricapresents.org.uk/buy/item/9]
 
28 Farm Animals (2 sheep, 2 cows, 2 goats, 2 pigs and 20 chickens): ($2,000, World Vision) [http://donate.worldvision.org/OA_HTML/xxwv2ibeCCtpItmDspRte.jsp?section=10375&item=92]
 
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http://www.irinnews.org/report.aspx?ReportId=87197ADDIS ABABA Tuesday, November 24, 2009 (IRIN) - The Ethiopian government has vehemently rejected accusations that it has excluded some opposition supporters from a food-for-work programme, charges that are the focus of growing international concern in the run-up to elections in 2010.ADDIS ABABA Tuesday, November 24, 2009 (IRIN) - The Ethiopian government has vehemently rejected accusations that it has excluded some opposition supporters from a food-for-work programme, charges that are the focus of growing international concern in the run-up to elections in 2010.

"Such complaints are totally baseless! Totally baseless,” said State Minister for Disaster Management and Food Security Mitiku Kasa, adding that he had investigated the matter.

"Government has no intention to discriminate [against] the poor based on such grounds. After all, it is the community [that] is mandated to select who should be involved in the [productive safety net, or food-for-work] programme,” he said.

"The programme targets the community and government doesn't get involved in the selection process. It has nothing to do with politics or political ideology. It’s all absolutely owned by the community. It is the community [that] has a say in this programme," he said.

One of the government’s chief accusers is Medrek Gebru Asrat, spokesman for the Forum for Democratic Dialogue in Ethiopia, a coalition of eight parties that analysts say is well placed to challenge the ruling Ethiopian People’s Revolutionary Democratic Front.

"The government is trying to control which party people join. Food aid should not be used as a political weapon," Gebru said.

Earlier this month, Britain’s State Minister for Development Gareth Thomas called on Ethiopian authorities to look into the charges that food aid had been withheld from opposition supporters to force them to back the ruling party.

"I have heard allegations from the international community about distribution of food aid and the [food-for-work] programme and I have already raised those accusations with the deputy prime minister," Thomas told reporters in Addis Ababa.

Thomas said Britain had made no decision to suspend aid to Ethiopia but that it could take "tough decisions" if necessary.

Britain donated 71 million pounds (US$119 million) to the food-for-work scheme this year, making it the second-largest donor after the World Bank.

The United States has also raised similar concerns that its humanitarian aid does reach all those most in need.

“The US Government is aware of the recent complaints. USAID personnel in Ethiopia are increasing field visits to observe distribution dynamics with specific attention to these allegations,” read the statement from the US government.

Some 6.2 million people in Ethiopia are deemed by the UN to need relief food, while another seven million benefit from the government-administered productive safety net programme.

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http://www.irinnews.org/report.aspx?ReportId=87175DUSHANBE Thursday, November 12, 2009 (IRIN) - Even as world food production grows, hunger is on the rise in many poor countries, according to the Global Crop Prospects and Food Situation report for November, published by the Food and Agriculture Organization (FAO) on 12 November.DUSHANBE Thursday, November 12, 2009 (IRIN) - Even as world food production grows, hunger is on the rise in many poor countries, according to the Global Crop Prospects and Food Situation report for November [http://www.fao.org/docrep/012/ak340e/ak340e00.htm], published by the Food and Agriculture Organization (FAO) on 12 November.

The report highlights a contradiction: world cereal production is at its second-highest level ever, yet food prices remain very high. It identifies 77 countries that are both low-income and food deficit.

In East Africa, cereal prices range from 68 percent to 177 percent over the 2007 numbers. In southern Africa, prices are 58-200 percent higher than in 2007, and in most of Asia prices are up 40-70 percent. Since most low-income food deficit countries are food importers, they lose far more from high prices than they gain from steady crop production.

Hunger, in most cases, is caused by lack of money rather than a shortage of food production, according to the World Food Programme (WFP). [http://www.wfp.org/hunger/causes] In 2008 the number of undernourished people in the world increased by 40 million, despite record harvests. [http://www.fao.org/news/story/en/item/8836/icode/]

The new FAO report suggests that 2009 is likely to see a similar increase in hunger.

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http://www.irinnews.org/report.aspx?ReportId=87006JOHANNESBURG Wednesday, November 11, 2009 (IRIN) - A move by donor countries to provide aid agencies with cash, allowing them the flexibility to source cheaper or more appropriate food in the region or beneficiary country and save on transport and warehousing costs, is not addressing nutritional needs, according to a new report.JOHANNESBURG Wednesday, November 11, 2009 (IRIN) - A move by donor countries to provide aid agencies with cash, allowing them the flexibility to source cheaper or more appropriate food in the region or beneficiary country and save on transport and warehousing costs, is also not addressing nutritional needs, according to a new report.

Food aid should include foodstuffs fortified with micronutrients and animal protein. "The emphasis is more on quantity rather than quality, and rarely does the food aid target the most vulnerable groups: children under five, pregnant women and lactating mothers," said Stéphane Doyon, of the international medical charity, Médecins Sans Frontières (MSF), a co-author of the organization's report, Malnutrition: how much is being spent?

"Barely 1.7 percent of interventions reported as 'development food aid/food security' and 'emergency food aid' between 2004 and 2007 actually address nutrition needs," he said.

The MSF report was published ahead of a new UN Children's Fund (UNICEF) report, which points out that the level of child and maternal undernutrition "remains unacceptable" throughout the world; 90 percent of the developing world's chronically undernourished or stunted children live in Asia and Africa.

jk/he http://www.irinnews.org/report.aspx?ReportId=86993NAIROBI Wednesday, November 04, 2009 (IRIN) - Encouraging the use of traditional African herbal medicines could prevent some of the one million malarial deaths on the continent, according to specialists attending a conference www.mimalaria.org/pamc in Nairobi. Many poor communities, especially in rural settings, cannot afford modern malarial drugs and many people die due to inaccessibility of treatment.NAIROBI Wednesday, November 04, 2009 (IRIN) - Encouraging the use of traditional African herbal medicines could prevent some of the one million malarial deaths on the continent, according to specialists attending a conference www.mimalaria.org/pamc in Nairobi. Many poor communities, especially in rural settings, cannot afford modern malarial drugs and many people die due to inaccessibility of treatment.

“Malaria kills many people in Africa, both children and adults, despite the availability of free treatment in certain African countries. While it is true many governments in Africa, with development partners, give free pediatric treatment for malaria, many still cannot access this facilities and resort to home treatment,” says Merlin Wilcox of the Research Initiative on Traditional Antimalarial Methods and the University of Oxford.

Some specialists at the ongoing 5th MIM Pan African Malaria Conference in Nairobi said medicines drawn from plants that abound in the continent could be utilized to save many people, especially those in poor settings, from malaria.

BN Prakash, a researcher with the Foundation for the Revitalization of Local Health Traditions, based in Bangalore, said Africa could draw on experiences in India where medicinal plants have been used with great success in the control of malaria-related deaths.

“Research in India has shown a 5-10 times reduction in malaria-related deaths among communities who use traditional medicinal plants like Guduchi [tinospore coeditdia], a local medicinal plant found in India,” said Prakash.

Preserving traditional knowledge

Another speaker, Gemma Burford of the Global Initiative for Traditional Systems of Health, said while there had been increased cases of loss of knowledge about traditional medicinal plants, student-led research could be used to preserve knowledge and create a database on these plants.

“When we carried out research involving school children in rural Tanzania about traditional Maasai medicines, we found out that 48 percent of these children already had knowledge about these plants. We used [this knowledge] to create a database for the purposes of preserving the knowledge and these plants too,” said Burford.

“It is important to note that many malarial drugs are still bought from commercial pharmaceutical shops and not many of them are that cheap. Costs also involve how easy or not it is to access these government facilities, especially in Africa where medical facilities are far-flung,” Burford said.

Educating the youth

Speakers at the conference called on African governments to introduce educational programmes that would teach the younger generations about the traditional methods of treating malaria and other diseases plaguing the continent.

“The biggest obstacle to use of traditional medicines is lack of interest from the youth and teaching them about these medicines would be the best way to let them appreciate their values. Evangelical churches and development agencies must also be persuaded to stop fighting traditional African medicine because modernity and tradition can be married to provide a formidable force against malaria,” added Burford.

Effectiveness and dangers

Doumbo Ogobara, director of the Mali Malaria Research and Training Centre, and a lecturer at the University of Bamako, said there should be more research to ensure the effectiveness of traditional medicinal plants in the treatment and management of malaria.

“More research must be directed towards finding out the effectiveness of these traditional medicinal plants and their safety and efficacy because initiatives on using them could be counter-productive if this is not done. More emphasis therefore must be laid on research for plant-based prophylactics for malaria,” said Ogobara.

Mahamadou Sissoko of the Centre called for caution in taking the traditional medicinal route, arguing that many malaria-related deaths have occurred even among communities that have relied heavily on traditional plants for treatment.

“People are dying even in places where there is still widespread use of traditional medicinal plants and unless the efficacy of a traditional plant on malarial treatment can be ascertained through vigorous research, we could have our backs against the wall. Many traditional healers will abuse this and give anything as medicine so long as it is a plant - we must urge caution,” said Sissoko.

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http://www.irinnews.org/report.aspx?ReportId=86866ADDIS ABABA Monday, November 02, 2009 (IRIN) - Being a university freshman is an exciting time for any young person, but many students get carried away, partying too hard and taking sexual risks.ADDIS ABABA Monday, November 02, 2009 (IRIN) - Being a university freshman is an exciting time for any young person, but many students get carried away, partying too hard and taking sexual risks.

"It's a chance to experience life; there is no family, there are no restraints," said Biniam Mohammed, project coordinator of the Modelling and Reinforcement to Combat HIV/AIDS (MARCH) [http://www.aau.edu.et/march] project in the Siddist Kilo Campus of Addis Ababa University (AAU). "Some use it in a good way but some do risky things, such as chewing khat [a mild stimulant] … having [unprotected sex] and using commercial sex workers.

"Some of these students will have limited awareness of the risks of HIV/AIDS, and then there is peer pressure as well," he added.

Ethiopia's overall HIV prevalence is a relatively low 2 percent, but prevalence in the capital, Addis Ababa, is 7.5 percent. According to the Federal HIV/AIDS Prevention and Control Office (FHAPCO), anecdotal evidence of widespread unsafe sexual practices suggests students may be among the more high-risk groups in terms of HIV vulnerability.

MARCH statistics show that 50 percent of AAU students are sexually active, but only half of them use condoms, said Biniam.

High-risk behaviour

"Often they do not use condoms… they are doing it emotionally, without any thought," said Selam, a 19-year-old AAU student.

Selam added that students coming to the city from the countryside usually had less information about HIV and were not as street-smart as Addis youth, leaving them unprepared to resist unwanted sexual advances or insist on protected sex.

Former student Girma Tesfaye, now Addis Ababa project coordinator for HIV-focused NGO Mekdim, says female students often fall prey to “sugar daddies”.

"There are lots of beautiful girls at university and older people with beautiful automobiles stop around the university and look for them," he said. "It is common to take students this way. They have lots of money; they will provide the girls with money and different [presents].

"The older 'daddy' may have three or four partners in such a way, which facilitates the spread of HIV," he added.

Selam agrees that this is a significant problem, noting that in the early evening, heavily made-up and scantily clad female students make their way to the area outside the main gates known as the Debab to try to find a rich boyfriend, usually one who already has a wife, and quite possibly a string of other girlfriends.

"If you have sex because of a threat, or you have a 'sugar daddy', it is one-sided and that makes them more at risk," said MARCH's Biniam. "Influenced or coerced sex is high risk."

Evidence also suggests that male students use local sex workers; a survey [http://siteresources.worldbank.org/INTHIVAIDS/Resources/375798-1103037153392/EthiopiaSynthesisFinal.pdf] of Addis-based sex workers found that 5.8 percent of their clients were students. Sex workers in the nearby Arat Kilo area confirmed that many of their clients were AAU students.

MARCH, with funding from the US President's Emergency Plan for AIDS Relief, produces Life 101, a quarterly photo graphic novel that follows the story of three students and one couple at AAU as they experience daily university and city life and deal with issues such as transactional sex, condom use, relationships, testing for HIV, and gender equity. MARCH also facilitates student-led entertainment events to stimulate discussion of the issues.

Recently, more than 20 Ethiopian university presidents initiated a request [http://hapco.gov.et/index.php?option=com_content&task=view&id=103&Itemid=2] to the Ministry of Education and FHAPCO for more HIV activities, including a national HIV/AIDS policy and strategy for universities, an HIV/AIDS research and information centre, gender and HIV/AIDS advocacy efforts and sustainable training and discussion forums.

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http://www.irinnews.org/report.aspx?ReportId=86837JOHANNESBURG Thursday, October 29, 2009 (IRIN) - An African international agreement has opened the door to a debate on the rights and protection of people displaced by natural disasters, with a nod to migration as a result of climate change. JOHANNESBURG Thursday, October 29, 2009 (IRIN) - An African international agreement has opened the door to a debate on the rights and protection of people displaced by natural disasters, with a nod to migration as a result of climate change.

The Kampala Convention, a ground-breaking treaty adopted by the African Union (AU), promises to protect and assist millions of Africans displaced within their own countries. Significantly, the treaty recognized natural disasters as well as conflict and generalized violence as key factors in uprooting people.

Jean Ping, chairperson of the Commission of the African Union, told IRIN that "more and more people are likely to be displaced" as Africa experiences more frequent droughts and floods brought about by climate change.

He said the inclusion of displacement by natural disasters was informed by the global debate on the need to develop a framework for the rights of "climate refugees" - people uprooted from their homes and crossing international borders - because the changing climate threatened their survival.

The treaty also calls on governments to set up laws and find solutions to prevent displacement caused by natural disasters, with compensation for those who were displaced. Migration expert Etienne Piguet said with the Kampala Convention the AU had "once again" tried to push the envelope.

In 1969 the Convention Governing the Specific Aspects of Refugee Problems in Africa, adopted by the then Organization of African Unity, had gone a step further than the 1951 UN Refugee Convention by using a definition of "refugee" that included not only people fleeing persecution but also those fleeing war or events seriously disturbing public order.

Piguet described the reference to people displaced by natural disasters as an "interesting attempt" to find "adequate answers to the new concern about migration linked to environmental degradation".

In 2008 climate-related natural disasters like droughts, hurricanes and floods forced 20 million people out of their homes, while 4.6 million people were internally displaced by conflicts, according to a recent joint study by the UN Office for the Coordination of Humanitarian Affairs (OCHA) and the Geneva-based Internal Displacement Monitoring Centre.

The Representative of the UN Secretary-General (RSG) on the Human Rights of the Internally Displaced Persons in a submission to the UN Framework Convention on Climate Change noted that people uprooted from their homes by natural disasters enjoyed protection under the existing human rights law and the guiding principles on internal displacement.

However, the Kampala Convention also calls on governments to "prevent or mitigate, prohibit and eliminate root causes" of displacement, and find "durable solutions" to them.

Moussa Idriss Ndele, President of the Pan-African Parliament, the legislative body of the AU, said the debate in Kampala on the rights of people displaced by natural disasters did not "quite evolve properly - we did not address the issue of climate change" because most people still believed conflict was the biggest trigger of displacement.

Can of worms

However, it was unclear which events could be linked to climate change. "More and more people are being displaced by floods, which are becoming more and more frequent and intense," said Rachel Shebesh, chair of the African Parliamentarian Initiative for Climate Risk Reduction.

The RSG said there was a need to clarify or even develop a legal framework to help people who moved inside or outside the country because environmental degradation and slow-onset disasters - like desertification, salination of soil and groundwater - made areas uninhabitable, and if displaced persons could not return to their homes they should be considered forcibly displaced.

The Intergovernmental Panel on Climate Change (IPCC) has projected more frequent and intense floods and droughts in Africa during the next few decades, and the debate is not only set to continue, but to intensify.

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http://www.irinnews.org/report.aspx?ReportId=86805KAMPALA Tuesday, October 27, 2009 (IRIN) - The African Union Convention for the Protection and Assistance of Internally Displaced Persons in Africa is a comprehensive document that will, if ratified, fill a void in international humanitarian law, say experts. KAMPALA Tuesday, October 27, 2009 (IRIN) - The African Union Convention for the Protection and Assistance of Internally Displaced Persons in Africa is a comprehensive document that will, if ratified, fill a void in international humanitarian law, say experts.

Whereas the rights of people who flee across national boundaries are protected under the 1951 Convention Relating to the Status of Refugees and a similar instrument introduced 18 years later by the Organization of African Unity (now the African Union), there has been no international legislation catering specifically for people displaced within their own country (IDPs).

IDPs vastly outnumber refugees in Africa. In just 10 of the 18 countries in east and central Africa, there are more than 10 million IDPs, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA), with Sudan (four million), the Democratic Republic of Congo (2.12 million) and Somalia (1.55 million) heading the list.

In the same region, there are refugees in 16 countries, totalling just less than two million, according to OCHA.

This latest instrument, also known as the Kampala Convention because it was signed in the Ugandan capital, "obliges governments to recognize that IDPs have specific vulnerabilities and must be supported", said Walter Kälin, Representative of the UN Secretary-General on the Human Rights of Internally Displaced Persons.

"It covers all causes of displacement, is forceful in terms of responsibility and goes beyond addressing the roles of states to those of others like the AU and non-state actors."

Signed by 17 African states at the end of summit on 23 October, the convention defines IDPs broadly, irrespective of who is displacing them.

According to the International Committee of the Red Cross (ICRC), the convention provides a solid framework for enhancing the protection and assistance of IDPs in Africa. The ICRC is the custodian of international humanitarian law.

"The crucial challenge now is the same one facing international humanitarian law in general – ensuring that once the convention is signed and ratified by as many states as possible, it is actually implemented and respected," ICRC president Jakob Kellenberger said.

"States must now take concrete steps to implement the convention into their own national legislation and regulation systems, and develop plans of action to address issues of displacement.

"The convention goes further than international humanitarian law treaties in some aspects, for example, in the rules it contains on safe and voluntary return, and on access to compensation or other forms of reparation," Kellenberger added.

Next steps

To become a binding document, the convention has to be ratified by 15 of the AU's 53 member states.

"No international treaty is perfect, and the AU IDP Convention does have a few weaknesses. Concerns over the lack of effective enforcement mechanisms and insufficient guarantees for equality and non-discrimination have been raised," the Brookings-Bern Project on Internal Displacement noted in a statement.

"There is some question regarding the extent to which non-state actors and armed groups called upon by the convention to protect IDPs can be bound by its provisions. Nevertheless, the convention, which has benefited from the input of international experts, is considered to be generally consistent with international standards such as the Guiding Principles on Internal Displacement."

AU officials in Kampala were cautiously upbeat, urging member states to remain engaged. "It is the responsibility of member states that the convention becomes a binding instrument," Jean Ping, AU Commission President, said. "At this point, it is an achievement, but not an end in itself."

Zambian president Rupiah Banda also chose his words carefully. "We have given legal force to the task ahead and Zambia is ready to sign," he said. "Those who are displaced should not be forgotten."

An observer who requested anonymity said progress would require member states to demonstrate greater political will to implement the convention and address concerns about sovereignty and enforcement.

"It is a question of a progressive [AU] Commission versus [conservative] member states," he told IRIN in Kampala. "For example, the inclusion of armed groups in the draft was interpreted by some member states as lending legitimacy to such groups."

The convention emphasizes the sovereignty of member states but spells out the obligations and responsibilities of armed groups. Among others, it prohibits armed groups from carrying our arbitrary displacement, recruiting children and impeding humanitarian assistance.

"Overall, though, the convention has a good chance of getting the necessary signatures rather quickly," the observer added. "In April, SADC’s [Southern African Development Community] 11 members committed to speedy signature."

Political will

Civil society leaders, attending a parallel event, insisted political will and demonstrated commitment were key to progress. The fact that only five presidents came to Kampala, they said, called for an urgent strategy to bring on board more states.

Present were Banda, Ugandan President and host, Yoweri Museveni, Zimbabwe's Robert Mugabe, Somalia's Sheikh Sharif Sheikh Ahmed and Mohamed Abdelaziz of Saharawi, along with high-level UN, INGO and AU delegations.

"It is one thing to have a good convention and another to implement it," Dismas Nkunda of the New York-based International Refugee Rights Initiative told IRIN.

In 2007, the AU adopted the African Charter on democracy, elections and governance, but it has so far been ratified by only two member states.

The basic question of impunity also needed to be addressed. Until African countries learn to respect the law, participants said, the continent would "remain at rock bottom" in its attempts to address the problems of the displaced.

AU officials seemed conscious of these sentiments. "We have come a long way, but a plan of action is now envisaged," Jolly Joiner, AU commissioner for political affairs, told IRIN. "Once member states are on board, we will take this convention forward."

Antonio Guterres, head of the UN Refugee Agency (UNHCR) and representative of the UN Secretary-General at the summit, said solving the question of displacement in Africa required political solutions.

"There is no humanitarian solution to conflict," he explained. "The solution is always political."

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http://www.irinnews.org/report.aspx?ReportId=86762NAIROBI Tuesday, October 27, 2009 (IRIN) - Replacing manual data with electronic health records would significantly improve the quality of care and enable African HIV treatment programmes to be scaled up more efficiently, say the authors of a new article on the subject. NAIROBI Tuesday, October 27, 2009 (IRIN) - Replacing manual data with electronic health records would significantly improve the quality of care and enable African HIV treatment programmes to be scaled up more efficiently, say the authors of a new article on the subject.

"Talkin' About a Revolution", published in the latest edition of the Journal of Acquired Immune Deficiency Syndromes, looked at the Academic Model for Providing Access to Healthcare (AMPATH), a programme that uses electronic health records in care and treatment services for around 100,000 HIV-positive patients at sites across western Kenya.

"Scaling up treatment programmes requires timely data on the type, quantity and quality of care being provided," the authors said. "Health care is an information business; managing patient care requires managing patients' data at many levels ... health care systems the size of AMPATH (or larger) cannot effectively be managed without ... [electronic] data."

More efficient care

The health data system can help programme managers avoid medical errors and stock-outs of key medicines, while enabling clinicians to monitor and care for their patients more effectively.

"Electronic records help us store data efficiently, retrieve it when we need it, and monitor and evaluate the progress of our programmes much more easily than if we were using manual systems," said Erica Kigothe, AMPATH's programme manager in charge of data management.

"When a patient comes to a clinic for a visit, instead of poring over large files, the clinician has one summary sheet that contains all the vital patient information and should he or she need more information, they can always go back to the patient's computerized file," she told IRIN/PlusNews.

A previous study comparing an AMPATH clinic before and after the adoption of electronic health records found that patient visits were 22 percent shorter, provider time per patient was reduced by 58 percent, and patients spent 38 percent less time waiting.

Kigothe noted that assessing disease trends was also easier with electronic records, as was collating data for the purposes of research and new directions in programme development.

Electronic health systems have been successfully used in the care and treatment of HIV in Lesotho, Malawi, Rwanda, South Africa and Uganda, but few African countries have adopted the systems on a large scale.

"Programme implementers in low-income countries sometimes see clinicians' recording of patient data and the management of those data as secondary to providing good care, or even a distraction," the article's authors commented.

Not all smooth sailing

The programme has not been without its difficulties. "In one of our sites in Busia [town on the Kenya-Uganda border] they have very frequent power outages, so they have had to find ways to work around it, inputting data when power is on, even if that is at night," Kigothe said.

Finding people with computer skills is not always easy in the developing world, particularly in rural areas, and "like any equipment, computers break down from time to time and require repair or replacement, which can cause some problems" and incur additional expenses, she said. "In addition, the data collectors are human, and therefore prone to the occasional error."

Electronic systems are not cheap; they require considerable investment in computers, training data collectors and hiring information technology experts. However, according to the study, AMPATH's total cost of care is under US$100 per patient per year, making the system financially feasible even in resource-poor settings.

"You're going to have to spend quite a lot of money to set up the system," Kigothe said. "But looking at the big picture, it saves so much in the long run - for example, each of our data collectors manages 2,000 patients' information, something that would be impossible using manual data collection."

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http://www.irinnews.org/report.aspx?ReportId=86768MIDRAND Tuesday, October 27, 2009 (IRIN) - Disaster risk reduction as a tool for climate change adaptation is a "technical mouthful" said Rachel Shebesh, chair of the African Parliamentarian Initiative for Climate Risk Reduction. MIDRAND Tuesday, October 27, 2009 (IRIN) - Disaster risk reduction as a tool for climate change adaptation is a "technical mouthful" said Rachel Shebesh, chair of the African Parliamentarian Initiative for Climate Risk Reduction.

Members of the Pan-African Parliament thought so too. The legislative body of the African Union met in Midrand, halfway between Johannesburg and Pretoria in South Africa, for a parliamentary debate on climate change in Africa.

Shebesh, the new champion of disaster risk reduction (DRR) in Africa for the UN International Strategy for Disaster Reduction (UN-ISDR) has been given the job of making the subject accessible.

Why?

The UN Special Representative of the Secretary-General for Disaster Risk Reduction, Margareta Wahlström, said DRR was "the first line of defence" against climate risks. Many countries did not have a plan that covered what to do to adapt to the impact of climate change, but drawing up a disaster risk reduction plan was a starting point.

DRR deals with the short-term changes in climate variables, such as temperature; adaptation to climate change is about long-term changes to climate. It is now widely acknowledged that reducing vulnerability to climatic variables could improve resilience to the increased hazards associated with climate change.

What does it mean?

Wahlström acknowledged that trying to explain to countries what this meant, and how to take DRR into account, could sometimes be problematic. Essentially, it is about "disaster-proofing" any plan or programme.

"You take into account the current and future disaster risks. If you are building a bridge in an area, you study the soil, ask the people who live in the area about what they know about the conditions in the area: do they build in the area? What precautions do they take? The easiest thing to do is draw up a check list."

Wahlström said she had come across several cities and towns in developing countries who had already been doing this, and "we are now busy putting all this information together for our next report."

She also said she would not be surprised if "disaster-proofing" became a pre-requisite for sourcing money for any climate change adaptation project, "but I would rather countries took up the initiative on their own." India, she said has made it mandatory for projects costing a certain amount to be disaster-proof so as to qualify for funds.

jk/he http://www.irinnews.org/report.aspx?ReportId=86774KAMPALA Monday, October 26, 2009 (IRIN) - Seventeen countries signed the African Union convention on internally displaced persons (IDPs) after years of preparation culminated in a week of meetings in the Ugandan capital but a lot more hard work remains before it becomes effective, according to observers.KAMPALA Monday, October 26, 2009 (IRIN) - Seventeen countries signed the African Union convention on internally displaced persons (IDPs) after years of preparation culminated in a week of meetings in the Ugandan capital but a lot more hard work remains before it becomes effective, according to observers.

"The most important step now is implementation," Julia Dolly Joiner, AU commissioner for political affairs, said. "We need to move from intentions to actions."

For the Brookings-Bern Project on Internal Displacement,  it is crucial that implementation is carried out "in a timely fashion and in a manner that makes a real difference to the lives of persons affected by internal displacement in the region, including host communities.
 
"The first step forward should involve a process of national dialogue and civic education aimed at securing the Convention's ratification and implementation by the State parties," according to a statement by the project, which monitors displacement issues worldwide to promote best practice among governments and other actors.

Fifteen countries must ratify the convention before it enters into effect.

Organizers of the 19-23 October meetings  insisted that the fact that only 17 signed did not represent a lack of political will and commitment on the part of the African states.

"We debated together and we agreed but when it comes to signing, the person has to have been given the authority by his government to sign," one AU official told IRIN. "Only 17 had such authorization."

Ugandan President Yoweri Museveni, who chaired the summit, praised it as "a very important milestone [that] has gone beyond conflicts to address issues of development.

"We have at least agreed in words, we now have to put our words [into] action," he told a news conference. "The solace for the women in Darfur may not be very immediate, but the fact is that people have come together to discuss the matter."

Partnerships urged

Joiner called for international support. "Africa cannot do it alone; that is why we are calling for partnerships," she told IRIN. "We are optimistic that countries will be faithful to their commitments under the convention.”

The AU will now try to get more signatures, and lobby 15 countries to ratify the convention so it can become a binding document. Observers, however, say much more work needs to be done to generate political will, given that most presidents stayed away from the summit.

The convention addresses the root causes of displacement in Africa, where at least 11 million people are displaced by conflict and climate change-related natural disasters, among other reasons.

According to the Brookings-Bern Project, three of the world's top five countries with the largest populations of conflict-induced IDPs are in Africa.

These include Sudan, with an estimated 4.9 million IDPs, the Democratic Republic of Congo, with at least one million, and Somalia, where the UN estimates 1.5 million are displaced. Hundreds of thousands more are displaced in Cote d'Ivoire, Ethiopia, Kenya, Uganda, and Zimbabwe.

Overall, citizens in at least 20 African states are experiencing internal displacement.

The convention aims to promote regional and national measures to prevent, mitigate, prohibit and eliminate the root causes of internal displacement as well as provide durable solutions.

"People who flee persecution or conflict and cross into another country are categorized as refugees and, as such, benefit from a long-standing and well-oiled international legal protection system, including the 1951 Refugee Convention," the UN High Commissioner for Human Rights, Navi Pillay, said.

"Until now [IDPs] have been more or less excluded from the system of international legal protection, even though they are often displaced in exactly the same way, and for exactly the same reasons, as refugees. At least in Africa, that should no longer be the case."

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The IDP convention obliges states to:

- Prohibit and prevent arbitrary population displacements, respect the principles of humanity and human dignity, as well as aspects of international humanitarian law concerning the protection of IDPs;

- Ensure assistance to IDPs, incorporate obligations under the convention into domestic law and designate a body to coordinate IDP protection and assistance;

- Devise early warning systems on potential displacement and establish disaster risk reduction strategies, protect communities and respect individual rights on protection against arbitrary displacement;

- Respect the mandates of the AU and UN, and the roles of international humanitarian organizations; and

- Take necessary action to effectively organize humanitarian relief and guarantee security; respect, protect and not attack humanitarian personnel or resources, and ensure armed groups conform with their obligations.

It prohibits armed groups from:

- Carrying out arbitrary displacement, hampering the provision of protection and assistance to IDPs and restricting the movement of IDPs;

- Forcibly recruiting, kidnapping or engaging in sexual slavery and trafficking; or

- Attacking humanitarian personnel or resources.


It obliges the AU:

- To intervene in respect of grave circumstances such as war crimes and crimes against humanity;

- To respect the right of members to request such an intervention and support efforts to support IDPs; and

- Strengthen capacity and coordinate the mobilization of resources for protection and assistance to IDPs.

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http://www.irinnews.org/report.aspx?ReportId=86746HARGEISA Friday, October 23, 2009 (IRIN) - Immigration officials in the self-declared republic of Somaliland have expressed concern over the increase in the number of illegal Ethiopian migrants entering the region, with claims that up to 90 people are arriving daily, against 50 in 2008.HARGEISA Friday, October 23, 2009 (IRIN) - Immigration officials in the self-declared republic of Somaliland have expressed concern over the increase in the number of illegal Ethiopian migrants entering the region, with claims that up to 90 people are arriving daily, against 50 in 2008.

An immigration official, who requested anonymity, said most of those arriving in Somaliland were asylum-seekers from the Oromiya region of Ethiopia. Others transit through Somaliland en route to the Arabian Peninsula.

The exact number of Ethiopian refugees in Somaliland is unclear as the region's authorities and the UN Refugee Agency, UNHCR, have different figures.

Mohamed Ismail, the director of social affairs in the Ministry of Interior - charged with overseeing refugee affairs and asylum-seekers – said: "We consider 4,000 individuals as Ethiopian refugees but all the other people who live in Somaliland are not refugees; [they have] come to Somaliland for a better life."

According to UNHCR Somalia, Somaliland has 1,600 Ethiopian refugees and more than 14,000 asylum-seekers.

"UNHCR has the responsibility of engaging in strong information campaigns targeting Ethiopians on their right to seek asylum if they are fleeing persecution in their country and of the rights they have as refugees," Roberta Russo, a spokeswoman for the agency, told IRIN on 22 October.

However, a source in the Ministry of Interior said the last estimate by the ministry and UNHCR in 2006 was that at least 8,000 Ethiopian refugees were in Somaliland.

Saleban Ismail Bulale, chairman of the Horn of Africa Human Rights Organization, based in Hargeisa, said: "UNHCR has granted refugee status to only 1,500, but it is estimated that there are thousands of Ethiopians in Somaliland."

Living on the streets

Asha Abdi, an Ethiopian mother of six living on the streets of Hargeisa, told IRIN: "My children and I left our home in Babuli town in Ethiopia's Oromiya Region several months ago; we came because we had suffered lack of food for a long time."

Hers is one of several Ethiopian families trying to survive on Hargeisa's streets. "We live in the shade of local houses and beg for food to survive," Asha said.

An Ethiopian official, who requested anonymity, told IRIN it seemed the UNHCR office in Hargeisa was encouraging asylum-seekers to enter Somaliland.

"Ethiopians emigrate to Somaliland in search of a better life; for example, they want to be relocated to a foreign country. You see them coming here and then going back to their homes after registering with the UNHCR office in Hargeisa as asylum-seekers," the official said. "When their time comes for their relocation, they come back to Hargeisa."

However, Russo said UNHCR did everything possible to inform the refugees of their rights and to ensure the protection mechanisms put in place were not abused.

In very few cases, she said, UNHCR offered the option of resettlement to a third country if the refugees faced insecurity in the country of asylum or if it was impossible for them to integrate. Russo added that this opportunity was offered to the most needy cases.

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http://www.irinnews.org/report.aspx?ReportId=86708KAMPALA Friday, October 23, 2009 (IRIN) - With increasing natural disasters, including floods, storms and droughts, hitting the continent, more people in Africa are likely to be displaced, creating a challenge for governments, the UN warns.KAMPALA Friday, October 23, 2009 (IRIN) - With increasing natural disasters, including floods, storms and droughts, hitting the continent, more people in Africa are likely to be displaced, creating a challenge for governments, the UN warns.

Displacement caused by natural disasters, said John Holmes, the UN Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, promised to be one of the greatest challenges African countries would face.

“As many countries… know from recent painful experiences, climate change is already increasing the frequency and intensity of extreme hazard events, particularly floods, storms and droughts,” Holmes told an African Union (AU) summit in the Ugandan capital, Kampala, on 22 October.

In 2008, Africa reported 104 natural disasters, of which 99 percent were climate-related, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA).

Over the past 20 years, the population of Africans affected by natural disasters doubled from nine million in 1989 to 16.7 million in 2008. Of all the disasters on the continent, 75 percent were a result of drought.

“By 2020, rain-fed agriculture is expected to have reduced by half because of shifting rainfall patterns, scattering millions of people across the continent in search [of] new livelihoods,” Holmes said.

The meeting is discussing a draft convention for the protection and assistance of internally displaced persons and a declaration on refugees, returnees and the internally displaced.

The convention is the first such global document that aims to comprehensively address the problems of Africa’s 12 million IDPs.

Transitional justice

Before the meeting, civil society leaders called for concrete action on the convention, when adopted. Chris Dolan of the Uganda Refugee Law Project urged delegates to look beyond existing models of protection and assistance to IDP, refugee and returnee populations and draw from creative transitional justice practices around Africa.

“One step towards this would be to ensure that the plan of action that is put in place to implement the decisions adopted at the summit makes links between the African Union’s draft… and the policy on post-conflict reconstruction and development,” he added.

“Another will be to link… to ongoing transitional justice processes on the continent.”

At least 15 countries need to ratify the proposed convention for it to come into force, and diplomats at the summit are confident the signatures will be raised soon. Preparatory work, they added, had shown broad support across the continent.

“It is the responsibility of member states that the convention becomes a binding instrument,” Jean Ping, AU Commission chairman, told the meeting. “It is an achievement, but not an end in itself. It is a beginning.”

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