http://www.irinnews.org/irin-fp.aspxUpdated everydayen-gbWed, 11 Nov 2009 12:34:07 GMTKIGALI Wednesday, November 11, 2009 (IRIN) - The group refugee status of tens of thousands of Rwandans who fled their country in the wake of the 1994 genocide could be lifted by the end of 2011, according to UN and Rwandan officials. KIGALI Wednesday, November 11, 2009 (IRIN) - The group refugee status of tens of thousands of Rwandans who fled their country in the wake of the 1994 genocide could be lifted by the end of 2011, according to UN and Rwandan officials.

Since 2002, Kigali has been keen to see invoked a clause in the 1951 refugee convention which allows for refugee status to be lifted if the conditions in a country that led to mass exodus are deemed to have changed in a fundamental, durable and effective way. This "ceased circumstances" clause is one of the convention’s cessation clauses.

Of the several million, mostly Hutu Rwandans who fled their country after the genocide, around 60,000 still live as refugees in neighbouring states. The government in Kigali has been unable to allay their fears that it is not safe to return home.

"There is no reason why Rwandan citizens should stay in the Democratic Republic of Congo [DRC], Uganda or Burundi as refugees, when their country is stable. We are pleased that we have reached common ground with UNHCR [UN Refugee Agency] over the cessation clause," Rwanda’s local government minister, Christophe Bizivamo, said recently.

According to UNHCR spokesman Yusuf Hassan, this common ground consists of a commitment "to work on a road map of activities and benchmarks which, if met, would allow the invocation of the cessation clause for Rwandan refugees by 31 December 2011."

Key points of this roadmap include:

- Actively enhancing voluntary repatriation of Rwandan refugees
- Implementing effective reintegration projects to make returns sustainable
- Securing rights for Rwandan refugees who are unable or unwilling to return, through regularizing their stay in their current country of residence, or confirming their need for continued international protection.

Once the cessation clause is invoked and blanket international protection is lifted, some individual Rwandans who are still unwilling to return home could retain refugee status by invoking "compelling reasons arising out of previous persecution".

"This exception is intended to cover instances where a person who - or whose family - has suffered under atrocious forms of persecution, should not be expected to repatriate," said the UNHCR’s Hassan.

"Even though there may have been a change of regime in his country, this may not always produce a complete change in the attitude of the population, nor, in view of his past experiences, in the mind of the refugee. Whether or not the Rwandans in DRC and Burundi fall under that category will have to be determined," he added.

nb/am/cbhttp://www.irinnews.org/report.aspx?ReportId=86982NAIROBI 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=86866JOHANNESBURG 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=86746KAMPALA 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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http://www.irinnews.org/report.aspx?ReportId=86716KAMPALA Thursday, October 22, 2009 (IRIN) - Civil society and government officials are gathered in the Ugandan capital of Kampala to discuss the Convention on the Protection and Assistance of Internally Displaced Persons (IDPs) in Africa and a declaration on refugees, returnees and IDPs.KAMPALA Thursday, October 22, 2009 (IRIN) - Civil society and government officials are gathered in the Ugandan capital of Kampala to discuss the Convention on the Protection and Assistance of Internally Displaced Persons (IDPs) in Africa [http://www.irinnews.org/Report.aspx?ReportId=86585] and a declaration on refugees, returnees and IDPs.

“It is a good convention, but the next steps are even more important,” said Dismas Nkunda of the New York-based International Refugee Rights Initiative. “The key test to the continent’s commitment to it will be the implementation.”

Countries such as Cote d’Ivoire, said Traore Wodjo of the Ivorian civil society coalition, needed to quickly implement the convention because political developments there could raise tensions, leading to renewed displacement.

“Some of those who were displaced during the 2003 conflict are yet to recover,” he added. “Forced displacement again, without protection, would completely disrupt their lives.”

The leaders at the summit, including presidents Robert Mugabe of Zimbabwe, Sheikh Sharif Sheikh Ahmed of Somalia, Yoweri Museveni of Uganda and Ruppiah Banda of Zambia, realize just how important is the challenge of displacement in Africa.

“Displacement is a scourge that is blighting the African landscape – and some of us are talking from experience,” said Zainab Bangura, former activist and now Sierra Leone’s foreign minister. “One day you are a minister, the next you are on a boat running for your life – with nothing on your back.”

Uganda’s Prime Minister Apolo Nsibambi, while praising his country’s policies on refugees, said: “The inability to effectively protect, assist and find timely solutions to the problems that created these displacement situations is posing a major threat to Africa’s development."

The convention, the first such global document, aims to comprehensively address the problems of Africa’s 12 million IDPs. It contains provisions on obligations of state parties relating to internal displacement and protection and assistance.

It also contains provisions on obligations relating to armed groups, the African Union, as well as obligations on sustainable returns, local integration or relocation and compensation.

“The concern is that there are already millions of laws that should protect IDPs, but they are not always observed,” Nkunda said. “So we need to ensure that this convention is respected by setting some kind of benchmarks against which we will evaluate its implementation.”

Civil society and AU role

The civil society meeting will make recommendations to the summit, which should strengthen the convention’s implementation processes, Nkunda said, and is keen to work with the AU to ensure it succeeds.

AU officials are upbeat that the summit, whose side events include an exhibition by actors in the humanitarian field, will fully explore the root causes of forced displacement in Africa and ways to prevent it.

“We are here to reflect on the specific challenges facing IDPs and to adopt an instrument that would bridge existing policy and legal gaps,” said Julia Joiner, AU political affairs commissioner.

Delegates include the UN High Commissioner for Refugees, Antonio Guterres, and the UN Under-Secretary-General for Humanitarian Affairs, John Holmes. There is also a big NGO and government presence.

Before the summit, Holmes flew to the northern Ugandan district of Pader where most returnees are resettling in their villages. He visited IDP camps, host communities and met aid workers and local leaders.

“As emergency relief needs reduce, development efforts need to be stepped up,” he said of the Ugandan situation, where about 500,000 out of more than two million IDPs are still in camps.

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http://www.irinnews.org/report.aspx?ReportId=86700KITGUM Wednesday, October 21, 2009 (IRIN) - Military contingents from five East African countries have begun field training in disaster and emergency response as well as anti-terrorism in the northern Ugandan district of Kitgum.KITGUM Wednesday, October 21, 2009 (IRIN) - Military contingents from five East African countries have begun field training in disaster and emergency response as well as anti-terrorism in the northern Ugandan district of Kitgum.

"The joint field training being conducted in northern Uganda is expected to develop further the capacity of the East African Community's armed forces in humanitarian assistance; disaster relief management; and, to some extent, peace support operations, counter-terrorism operations, disaster management and crisis response," Beatrice Kiraso, the deputy secretary-general of the East Africa Community (EAC) in charge of the community's political federation, told IRIN.

Supported by the US army, the 10-day training is codenamed "Natural Fire 10" because it is the 10th time such exercises have taken place since their inception in 1998. It began on 16 October with contingents from Burundi, Kenya, Rwanda, Tanzania and Uganda participating. At least 550 US marine personnel and 133 military personnel from each of the five countries are taking part.

An LRA connection?

US military officials have dismissed speculation that Natural Fire is being held in preparation for a new offensive against the Lord’s Resistance Army (LRA), whose rebellion has devastated northern Uganda, the Kitgum area in particular. In late 2008 the US was a partner with Ugandan troops in Operation Lightning Thunder, a botched attempt to capture LRA leader Joseph Kony in the Democratic Republic of Congo. Tens of thousands of civilians in the DRC, Southern Sudan and the Central African Republic have been displaced because of LRA activity.

According to long-time regional observer Peter Eichstaedt, author of First Kill Your Family - Child Soldiers in Uganda and the Lord’s Resistance Army, the joint exercises convey a clear, if tacit, message to Kony. “That message being, of course, that a multi-national force of 1,000 - an effective number for a fighting force anywhere in the world - can be assembled in this strategic location with relative ease,” Eichstaedt wrote on his blog. http://petereichstaedt.blogspot.com/

“Such a force would be a huge problem for someone like Kony, should he think about a return to northern Uganda. It shows that Uganda has allies who are willing not only to donate moral support and money in the fight against Kony and his maniacal militia, but are willing to put boots on the ground.

“This is an acknowledgement that Kony is much more than Uganda's problem, and has become a regional nightmare,” he writes.

While it makes no mention of the LRA, the US Army's Africa website says http://www.usaraf.army.mil/NEWS/NEWS_090929_STAND_TO_NATURAL_FIRE_10.html of Natural Fire: “By building capacity within partner nations and increasing our ability to work together, US Army Africa will be better prepared for future engagements. In doing so, the US Army also solidifies military rapport with allies in East Africa, key to supporting stability in the region.”

Regional threats

Kiraso said the training was taking place while the EAC was embarking on a new phase of strengthening regional integration even as the region faces "real and potential complex emergencies", which could translate into threats to socio-economic, cultural and political wellbeing of East Africans.

These threats, she said, ranged from natural to man-made disasters; poverty and disease; porous borders and the proliferation of small arms and light weapons; internal strife; and insecurity in states neighbouring the EAC.

"It is very important to develop the East African Community’s capacity to handle such emergencies and threats to peace, security and stability," Kiraso said.

Maj-Gen William B. Garrett, the commanding general, US Army-Africa and US Army-Southern European Taskforce, said the training would help build the capacity of East African armies in combating terrorism and responding to humanitarian catastrophes.

Ugandan army commander, Gen Aronda Nyakarima, said the LRA was no longer a threat to Uganda’s peace as the group was now in the Democratic Republic of Congo and in the Central African Republic. Regional cooperation, he added, was therefore required to get rid of the LRA.

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http://www.irinnews.org/report.aspx?ReportId=86678NAIROBI Monday, October 19, 2009 (IRIN) - As countries across East Africa and the Horn of Africa begin to receive El Niño-related enhanced rainfall, disaster risk reduction experts from 10 countries in the region are meeting in Nairobi to develop strategies for reducing the negative impact of the evolving El Niño phenomenon.NAIROBI Monday, October 19, 2009 (IRIN) - As countries across East Africa and the Horn of Africa begin to receive El Niño-related enhanced rainfall, disaster risk reduction experts from 10 countries in the region are meeting in Nairobi to develop strategies for reducing the negative impact of the evolving El Niño phenomenon.

"Africa, and in particular the Horn of Africa, suffers more and more the impact of climate-induced hazards," Pedro Basabe, the Africa programme representative of the UN International Strategy for Disaster Reduction (UNISDR), said on 19 October at the beginning of the three-day conference, organized by the InterGovernmental Authority on Development (IGAD) and World Bank. "Drought and floods affect directly or indirectly millions of people each year, in particular the poor who are the most vulnerable."

According to the IGAD Climate Prediction and Applications Centre (ICPAC), which produces monthly and seasonal climate outlooks, the Greater Horn of Africa is prone to extreme climate events such as drought and floods, which often have severe negative effects on the region’s key socio-economic sectors.

Experts from Burundi, Djibouti, Ethiopia, Eritrea, Kenya, Rwanda, Tanzania, Uganda, Sudan and Somalia are attending the conference, of which the second and third day will be held in the western town of Kisumu, with participants making field trips to nearby flood-prone areas.

In a keynote speech, Moses Gitari, a senior deputy secretary in the Kenyan Ministry of State for Special Programmes, said memories of the negative impacts of the 1997-1998 El Niño and awareness efforts by climate experts had helped the country develop several disaster preparedness strategies.

"These include education, awareness and information sharing, risks and vulnerability analysis, people-centred early warning, adaptation to climate change, environmental protection, vulnerability reduction through development and social programmes and community coping mechanisms," Gitari said.

He added that community level intervention was pivotal to any disaster risk reduction strategy.

Gitari said the meeting was timely since some of the intervention efforts could require support beyond individual countries' borders.

Abbas Gullet, secretary-general of the Kenya Red Cross Society, said the government, UN agencies and NGOs had, in September, developed a National Contingency Plan for El Niño, "which is being [put into operation] currently".

"We have pre-positioned relief items, human and material resources countrywide in all the eight regions we work in and have conducted drills in some of the regions with a view to putting preparedness capacity on alert status," Gullet said. "It is our hope that this workshop will provide opportunities to explore the various ways and means of entrenching disaster risk reduction in communities we work with and provide a way forward for building safer and resilient communities countrywide."

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http://www.irinnews.org/report.aspx?ReportId=86642NAIROBI Thursday, October 15, 2009 (IRIN) - Forty years after the rights of Africa’s refugees were enshrined in a landmark convention, the continent’s leaders are due to make legal history again by adopting a new instrument to assist people displaced within the borders of their own country.NAIROBI Thursday, October 15, 2009 (IRIN) - Forty years after African leaders adopted the 1969 Refugee Convention under the auspices of the Organization of African Unity, now the African Union, the continent's leaders are due to endorse a convention on internally displaced people.

The African Convention on the Protection and Assistance of Internally Displaced Persons in Africa is the main agenda for the heads of state summit on refugees, returnees and IDPs in the Ugandan capital, Kampala, from 19-23 October.

"It will be the first legally binding international instrument on IDPs with a continental scope, and UNHCR [UN Refugee Agency] hopes that it will translate into better lives for African IDPs," the agency's spokesman Andrej Mahecic told reporters in Geneva on 8 September.

Advocacy groups, including IDP Action, Amnesty International, the International Federation for Human Rights, and Refugees International, have hailed the convention. However, they noted, the initial draft contained elements that were vague or inconsistent with other international human rights standards.

"There are too many IDPs in Africa and their situation is too precarious for the situation to be allowed to drift any longer," says Jeremy Smith of the advocacy group, IDP Action. "The AU needs to move quickly to adopt its IDPs Convention and then invest sufficient resources and political will to see it effectively implemented."

The AU, in a statement, said it demonstrated Africa's leadership in addressing forced population displacement. Observers, however, say action on issues affecting African IDPs has generally been slow.

Over the years, the AU has developed various initiatives, including deployment of peace support operations, appointment of special envoys and special representatives, and mobilizing international support for post-conflict reconstruction.

In some cases, regional blocks have intervened to prevent, de-escalate and resolve conflicts - including the Economic Community of West African States (ECOWAS) in Liberia, Sierra Leone and Cote d'Ivoire; the Southern African Development Community (SADC) in southern Africa; and the InterGovernmental Authority on Development (IGAD) in Sudan's north-south conflict.

In addition, various instruments exist that offer protection to the displaced, such as the African Charter on the Rights and Welfare of the Child.

"Africa has shown the most progress in transforming the [UN] Guiding Principles into binding international instruments," Walter Kälin, Representative of the UN Secretary-General on the human rights of IDPs, said in a report to the General Assembly.

Half of all IDPs in Africa

Africa hosts at least 11 million of the world's estimated 25 million IDPs. The causes of displacement vary, according to the AU, but are largely homegrown and exacerbated by extreme poverty, underdevelopment and lack of opportunities.

"Since the 1990s, African conflicts have witnessed massive brutality against the civilian population," notes Bahame Tom Nyanduga, member of the African Commission on Human and Peoples' Rights, and Special Rapporteur on Refugees, Asylum Seekers and IDPs in Africa.

Calling on African states to accept responsibility for addressing human rights abuses faced by IDPs, he notes that armed combatants in Somalia, Liberia, Sierra Leone, northern Uganda, Darfur and eastern DRC violated the Geneva Conventions' protocol on civilian protection with impunity.

Climate change factors

Climate change has also increased the frequency and intensity of natural hazards in Africa, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA) and the Internal Displacement Monitoring Centre (IDMC).

A study by the two organizations found that natural disasters displaced 284,000 people in Mozambique in 2007, 150,000 in Benin, 72,805 in Ethiopia and 59,000 in Algeria.

However, forced displacement across the continent is mostly attributable to the acts or omissions of the state, such as human rights violations, political and socio-economic marginalization, conflicts over natural resources and governance challenges, according to the AU.

Unable to flee to another country in search of safety, IDPs seek refuge from violence within their own borders, sheltering in makeshift camps, shanty towns or scattered in local communities.

"The number and plight of IDPs in Africa is a scandal," according to IDP Action's Smith. "The African Union has talked the talk - drafting an IDP Convention which lays out the protections IDPs should be accorded - but does not walk the walk."

No global agency

The situation is complicated by the fact that globally there is no agency with a specific mandate to protect and assist IDPs - unlike refugees, who fall under UNHCR.

IDPs in armed conflict have rights as civilians under international humanitarian law. They are also protected - although not expressly referred to therein - by various bodies of law, including, most notably, national law, human rights law and, if they are in a state affected by armed conflict.

"While they are displaced, IDPs are entitled to the same protection from the effects of hostilities and the same relief as the rest of the civilian population," notes the International Committee of the Red Cross (ICRC)

However, while they make up almost two-thirds of global populations seeking safety from armed conflict and violence, they have fewer rights than refugees.

Sudan, for example, has the world's largest IDP population, with an estimated 4.5 million people affected, including 2.7 million in Darfur - of whom 317,000 were displaced this year.

"Since they are living within their own countries, IDPs remain under the legal jurisdiction of their national authorities, which may well be involved in the violence that they are fleeing," the medical charity, Médecins Sans Frontières, notes.

Binding hopes

The Kampala summit was recommended by AU ministers meeting in Burkina Faso in May and the AU Executive Council meeting in The Gambia in July 2006.

In 2007, NGOs meeting in Brazzaville urged the AU to "adopt legally binding instruments for the protection of the rights of migrants... the protection of and assistance to [IDPs] in Africa, based on the [UN] Guiding Principles on Internal Displacement".

The current draft is heavily informed by these principles, whose contents are mainly derived from existing international legal rules and standards. It is, however, a non-binding, soft law.

According to IDP Action, it "offers the hope of African states being held to binding standards by which they are to prevent displacement, respond to the immediate needs of those displaced and create the conditions for sustainable return and resettlement".

Approved by African ministers in November 2008, the convention will become legally binding once endorsed at the Kampala summit.

"The theme of the special summit," notes Tarsis Kabwegyere, Ugandan Minister for Disaster Preparedness, Relief and Refugees, "...fits in well, given the displacement trends on the continent, which have continued without a stop since the days of independence".

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http://www.irinnews.org/report.aspx?ReportId=86585NAIROBI Thursday, October 15, 2009 (IRIN) - Africa hosts at least 11 million of the world's 25 million conflict-affected IDPs. Millions more are displaced annually by natural disasters. NAIROBI Thursday, October 15, 2009 (IRIN) - - Africa hosts at least 11 million of the world's 25 million conflict-affected IDPs- Millions more are displaced annually by natural disasters-

- Sudan has an estimated 4- 5 million IDPs, thanks to the recent civil war in the south, and violence in Darfur and the east-

- At the peak of Uganda's northern conflict, at least 1- 8 million people were displaced- Most have returned home-

- Displacement does not only result from conflict, but also from natural disasters such as floods and drought-

- The Guiding Principles on Internal Displacement restate and compile existing international human rights and humanitarian law and attempt to clarify grey areas and gaps in the various instruments pertinent to IDPs-

- Refugees, after crossing an international boundary, normally receive food, shelter, and a place of safety, and are protected by international laws and conventions-

- IDPs have little protection or help, and remain under the jurisdiction of their government- No specific legal instruments relating to them exist-

- The UN Refugee Agency (UNHCR) has no specific mandate to cover IDP needs, but because many of them face similar problems to refugees, it sometimes oversees their protection and shelter-

- Female IDPs face greater risks because of potentially increased sexual and domestic violence-

- Killings and brutal sexual assaults against women, girls and men massively increased in eastern Democratic Republic of Congo after the start of military operations in January-

- Children face increased risk of abduction and recruitment by rebels or government forces, enslavement and sexual exploitation, and miss out on education-

Sources: IDMC, AlertNet, NGOs, UN agencies-

eo/mwhttp://www.irinnews.org/report.aspx?ReportId=86587NAIROBI Thursday, October 15, 2009 (IRIN) - Most IDPs in Africa have been forced out of their homes by conflict, either between government forces and armed opponents or between communities.NAIROBI Thursday, October 15, 2009 (IRIN) - Most IDPs in Africa have been forced out of their homes by conflict, either between government forces and armed opponents or between communities.

Here are some numbers:

SUDAN:

The country has the largest number of IDPs in Africa with an estimated 4.5 million at the start of the yearAt least 250,000 have been forced to flee their homes by inter-communal violence in Southern Sudan since JanuaryMost IDPs are from the war-ravaged western region of Darfur but there are concerns that with increasing violence, more southerners could become IDPs

SOMALIA:

An estimated 1.3 million displaced mainly by violence, including 700,000 who have fled the capital, Mogadishu, since FebruaryThe IDP camps lack basic facilities, such as schools, healthcare, water and sanitation, leading to widespread acute malnutrition and diarrhoeaWomen and girls are extremely vulnerable

DR CONGO:

Since the start of military operations against militia in the east in January, nearly 900,000 people have fled their homes and live in desperate conditions with host families, in forest areas, or in squalid displacement campsThis brought the total of those displaced across North and South Kivu and Orientale Province to at least two million, as at JulyAccess is a major problem for aid agencies

UGANDA:

The northern conflict between the government and the Lord's Resistance Army displaced at least 1.8 million people from their homesMost have returned home in the past two or three yearsAbout 494,300 still displaced (in camps plus transit sites), down from 710,000 in February

KENYA:

Government ordered all IDP camps to close in early OctoberMost IDPs were victims of post-election violence in 2008, which forced an estimated 600,000 people out of their homesInter-ethnic tensions over pasture have also displaced families in the north, while flooding has affected some communities in the west

COTE D'IVOIRE:

The conflict that erupted in 2002 forced an estimated 120,000 people out of their homes in the west, of whom about 45,000 are still in "transition situations" awaiting their return to their communities

CENTRAL AFRICAN REPUBLIC:

A ceasefire agreement between the government and the armed opposition in 2008 allowed many IDPs to return homeHowever, an estimated 100,000 had still not returned by the end of last yearMost of these live in makeshift homes in the bush, quite close to their villages

CHAD:

At least 168,000 people were displaced as at April, living in 38 sites, mainly in the eastMost of these fled fighting between the Chadian army and armed opposition groups, inter-ethnic violence and the spillover effects of the Darfur conflict in neighbouring Sudan

Sources: IDMC, Congo Advocacy Coalition, UN agencies

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http://www.irinnews.org/report.aspx?ReportId=86588NAIROBI Thursday, October 15, 2009 (IRIN) - The objectives of the ConventionNAIROBI Thursday, October 15, 2009 (IRIN) - - Promote and strengthen regional and national measures to prevent or mitigate, prohibit and eliminate root causes of internal displacement as well as provide for durable solutions;
- Establish a legal framework for preventing internal displacement, where possible, and protecting and assisting internally displaced persons in Africa.
- Establish a legal framework for solidarity, cooperation, promotion of durable solutions and mutual support between the state parties to combat displacement and address its consequences;
- Provide for the obligations and responsibilities of the states parties, with respect to the prevention of internal displacement and protection of, and assistance, to internally displaced persons;
- Provide for the respective obligations, responsibilities and roles of armed groups, non-state actors and other relevant actors, including civil society organizations, with respect to the prevention of internal displacement and protection of, and assistance to, internally displaced persons.

After adoption, a plan of action will be put in place to implement the convention.

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SOURCE: African Union Commissionhttp://www.irinnews.org/report.aspx?ReportId=86589DAKAR Wednesday, October 14, 2009 (IRIN) - Designed to be safe havens in times of disaster, health facilities are vulnerable to upheaval when catastrophe strikes, according to the UN, which is focusing on hospital safety for International Day for Disaster Reduction.DAKAR Wednesday, October 14, 2009 (IRIN) - Designed to be safe havens in times of disaster, health facilities are vulnerable to upheaval when catastrophe strikes, according to the UN, which is focusing on hospital safety for International Day for Disaster Reduction.

Only half of UN member countries have set aside money for health facility emergency preparedness, according to World Health Organization (WHO).

The world’s 49 least-developed countries house at least 90,000 health facilities, most of which have not been evaluated for disaster preparedness. Latin American and Caribbean countries have created a Hospital Safety Index that has been used in Bolivia, Ecuador, Peru, Oman, Sudan and Tajikistan.

In Burkina Faso September 2009 flooding forced the largest hospital to shut down. The facility is barely functioning six weeks later.  Health Minister Seydou Bouda told IRIN he believes disaster can effect change. “In Burkina Faso nothing will be like it was before. Each [health] sector activity should integrate crisis management into its operations because catastrophe can arrive at any moment.”

UN Special Representative for Disaster Risk Reduction Margaret Wahlström said much has been done to boost hospital safety worldwide, but more investment is needed to brace hospitals for potential disasters.

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http://www.irinnews.org/report.aspx?ReportId=86581NAIROBI Friday, October 09, 2009 (IRIN) - The Allied Democratic Forces/National Army for the Liberation of Uganda (ADF/NALU) may be a has-been rebel group that was only ever a minor player in the Great Lakes miasma, but close examination of precisely why it threw in the towel could help efforts to end the wider, multi-faceted conflict there.NAIROBI Friday, October 09, 2009 (IRIN) - The Allied Democratic Forces/National Army for the Liberation of Uganda (ADF/NALU) may be a has-been rebel group that was only ever a minor player in the Great Lakes miasma, but close examination of precisely why it threw in the towel could help efforts to end the wider, multi-faceted conflict there.

According to Jamila El Abdellaoui, Senior Researcher, Conflict Prevention Programme, even groups whose threat seems negligible when compared with that of the Lord’s Resistance Army or the Democratic Forces for the Liberation of Rwanda “collectively contribute to continued instability and proliferation of arms”.

The ADF/NALU, which only has an estimated 1,300 fighters, began preliminary peace talks in DRC in August 2009, and demobilization plans are being drawn up.

“In recognition of the myriad issues causing, triggering and sustaining these movements, it would be important to analyze the circumstances that led ADF/NALU to seek a peaceful way to formally end its armed opposition. Lessons learned from this process may prove valuable for dealing with the other smaller movements in the region, which will contribute to a comprehensive approach towards bringing stability to the Great Lakes Region,” El Abdellaoui wrote in an article, Cleaning out the Closet: Armed groups in the Great Lakes Region.

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http://www.irinnews.org/report.aspx?ReportId=86518BANGKOK Thursday, October 08, 2009 (IRIN) - Africa faces a double burden of obesity and hunger as millions take up increasingly sedentary lives in cities and the global financial crisis hits rural populations’ food security, nutritionists warn. BANGKOK Thursday, October 08, 2009 (IRIN) - Africa faces a double burden of obesity and hunger as millions take up increasingly sedentary lives in cities and the global financial crisis hits rural populations’ food security, nutritionists warn.

Under-nutrition continues to plague sub-Saharan Africa, where 32 percent of the world's hungry people live. However, those migrating from the countryside to cities are eating too much fatty food, leading to rising rates of obesity, diabetes, hypertension and high blood pressure, delegates at the International Congress of Nutrition (ICN) in Bangkok were told.

“The problem in Africa is [that] both under- and over-nutrition are the worst in the world. We really are facing a double burden,” Hester Vorster, of the Centre for Excellence in Nutrition at South Africa's North-West University, told the congress, which runs until 9 October.

“Over-nutrition is much the same thing as what we see in the west. Significant numbers of Africans have migrated to the cities and they are eating the wrong foods. So for Africa, the burden of disease is increasing all the time,” Jean-Claude Mbanya of the University of Yaoundé in Cameroon, and president-elect of the Belgium-based International Diabetes Federation, said.

Both over- and under-nutrition can be caused by poverty and food insecurity, with the urban poor unable to access or afford fresh and nutritious food, Helene Delisle, a nutritionist at the University of Montreal in Canada, told IRIN.

In some northern and southern African countries, over-nutrition has surpassed under-nutrition, but there is a complete lack of awareness about the new problems it brings, she said.

“These countries are not aware of it. In many areas, obesity is seen not as a problem, but as a positive sign that you are doing well in life,” she said.

Meanwhile, lower-income countries continue to suffer mainly from under-nutrition, which has actually increased over the past five years, thanks to the food price crisis of 2008 and the global financial crisis, Delisle said.

Obesity on the rise

Statistics from the World Health Organization (WHO) show how obesity has risen while under-nutrition has persisted in some countries.

In Madagascar in 1992, just 1.6 percent of children were overweight, while 35.5 percent were underweight and 60.9 percent suffered stunted growth. By 2004, 6.2 percent of children were overweight while 36.8 percent were underweight, and 52.8 percent were stunted.

The rate of overweight and obese women also doubled between 1997 and 2004, to 8.1 percent overall.

And in 1987, 5.5 percent of Moroccan children were overweight; by 2004, that figure had increased to 13.3 percent.

Obesity is also on the rise in Uganda, although under-nutrition continues to pose the biggest problem, with about 40 percent of children under five suffering from stunted physical growth and mental development due to a lack of vitamins and nutrient-rich food.

Obesity and other so-called “lifestyle diseases” are widely regarded as a problem only for older people in Uganda but are increasingly prevalent in young men, Elizabeth Madraa, the head of food and nutrition at Uganda's Ministry of Health, and a delegate at the congress, told IRIN.

Anaemia in teenage girls is also increasing due to a lack of iron in diets, she said. And in another new trend, Ugandan mothers are increasingly choosing to give their babies powdered milk rather than breast-feeding them.

“They buy milk powder because they see it advertised, and we have to fight that. We need to address all this as a nutrition problem,” Madraa said.

Greater awareness

Mbanya called for awareness campaigns and legislation to fight the negative effects of a poor diet fuelled partly by advertising. “If we want our people to change their habits we have to make it easy for them to have healthy choices,” he said.

However, progress is hampered by the poor status of nutritional science in Africa, experts say.

Few well-defined job openings, poor salaries and recognition, and a plethora of competing curricula taught by unqualified trainers are among the challenges, said Tola Atinmo, Nigerian president of the Federation of African Nutrition Societies.

"At the moment in Africa, nutrition is everybody's problem but nobody's business," said Atinmo.

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http://www.irinnews.org/report.aspx?ReportId=86490NAIROBI Thursday, October 08, 2009 (IRIN) - When an earthquake strikes a town, or a building is levelled by an explosion, news footage invariably shows search and rescue teams trawling through the rubble looking for survivors. But what does it take to rescue people trapped under tons of concrete?NAIROBI Thursday, October 08, 2009 (IRIN) - When an earthquake strikes a town, or a building is levelled by an explosion, news footage invariably shows search and rescue teams trawling through the rubble looking for survivors. But what does it take to rescue people trapped under tons of concrete?

Step one - coordination

The first thing is to activate search and rescue teams, often highly trained volunteers.

"Most of our members are doctors, ambulance operators, engineers or fire fighters," said John Holland, operations director of Rapid UK [http://www.rapidsar.org.uk/], a charitable search and rescue group.

They go through a rigorous two-year training process before they are allowed to assist in disasters.

"We try to deploy within 24 hours because the earlier we are on the ground, the better the chances of rescuing survivors," Holland said. "During the Pakistan earthquake [in 2005], we were able to deploy in 21 hours."

The International Search and Rescue Advisory Group (INSARAG) [http://ochaonline.un.org/Coordination/FieldCoordinationSupportSection/INSARAG/tabid/1436/language/en-US/Default.aspx] - a global network of more than 80 countries and disaster response organizations under the UN umbrella - has standardized guidelines for rescue missions.

"Once a government has made that call for international assistance, we alert our members, who begin mobilizing to travel to the area," said INSARAG's Winston Chang, a Singapore Civil Defence Force veteran who coordinated the search and rescue efforts following the recent earthquake in Padang, Indonesia. "We run a portal where once a disaster occurs, we pool information and our various teams can input data on their movements - whether they are on standby, mobilizing or have reached the ground."

INSARAG will usually set up an “on site operations coordination centre” where all search and rescue teams get instructions - depending on their area of specialty - on where to go and how to operate; the desk holds regular meetings to update itself and the teams on the progress being made on the ground.

"These operations can be quite large; just now in Padang, there were a total of 21 teams with 668 personnel and 67 search dogs," Chang said. "They need bases of operation where they will fuel their heavy equipment, coordinate their internal logistics and sleep."

"We also ensure that they follow specific standards of operation and remain culturally sensitive, especially since the teams are from such diverse backgrounds," he added.

Step two - analysis

Once in the disaster area, the first step is to analyze the task at hand, said Julie Ryan, a volunteer with the British NGO, the International Rescue Corps. [http://www.intrescue.co.uk/news/index.php/about-us/home]

In a collapsed building, "you need to analyze the building, assess its history and try to establish where in the building people are most likely to be", she told IRIN. "You also need to determine how badly a building has been damaged and whether it is likely to collapse any further, causing damage to [survivors] and rescue teams."

The assessment also involves checking for hazards such as downed power lines, gas leaks, flooding and hazardous materials. Protective gear includes special suits, gloves, masks, and oxygen and carbon monitoring systems for air quality.

Step three - search mode

At its most basic, this involves trying to spot limbs in the rubble, and calling out to survivors to identify their locations.

Rescuers look for "voids", or pockets where people may be trapped when walls collapse or where survivors may have hidden, such as under desks, in bath tubs or stairwells.

"We feed a camera on the end of a flexible pole into the collapsed building - this shows where people are and how much of the building's structure is left," Ryan said.

"Rescuers also use sound location devices connected to a microphone system; the device bangs on the rubble three times and if people tap back or call out for help, they can be tracked and assisted," she added.

Listening is a crucial part of the operation, and search teams will often stop for several minutes to try to hear any calls, scratches or taps.

Other search tools include a thermal image camera system, which shows areas of body heat, and trained sniffer dogs. "We also use a carbon dioxide analyzer, which helps us detect people who might be unconscious but still breathing," Ryan said.

Buildings that have been searched are marked with INSARAG-recognized signs to avoid duplication of searches.

As survivors are found, rescuers try to get them to keep talking to determine their exact location, and dig towards them - the least dangerous way to do this is by hand.

Step four - the rescue operation

If survivors are trapped under rubble, it may need to be stabilized first; a process called cribbing - the construction of a rectangular wooden framework, a box crib, underneath the debris - may be used.

Survivors who are not able to move usually need to be lifted, dragged or carried out of the rubble using special equipment.

"If people cannot be manually dug out, then we can cut them out - there are specialized tools that can cut through concrete, metal and wood to reach survivors," Ryan said. "There is also a process known as `slabbing’, where heavy slabs of concrete are removed in order to free survivors - this is always a very difficult judgment call, because it risks further collapse, which could injure or kill more people."

Concrete saws, jackhammers, chainsaws, bolt cutters, cranes and bulldozers are all part of the tool kit; chains, cables, anchors and rope-hauling systems are used to remove large pieces of masonry. Other equipment may include flat bags that are inserted under heavy objects and inflated with an air pump, and “shoring” equipment, which ensures passageways are stable and safe.

As survivors are removed, their medical condition is determined; patients are prioritized according to triage - based on the severity of their condition.

Search and rescue teams usually start the most urgent medical procedures on site; the most experienced teams may have defibrillators and endo-tracheal equipment to shock people back to life or perform emergency tracheotomies.

Step five - closure

Deciding when to end a rescue operation is always difficult.

"Obviously, the more time passes the less likely you are to find people alive," said Ryan. "But sometimes - especially if they have water available - people can remain alive for many days. In Pakistan, our team rescued two boys five days after the earthquake; they had survived on trickles of rainwater through the rubble."

According to Ryan, finding bodies - cadaver rescue - after the search for survivors is over is a very important part of any operation.

"Even when people haven't survived the collapse of a building, families find that having a body to bury is an important part of getting closure," she said.

According to INSARAG's Chang, the high octane operations can take their toll on rescuers, especially when they have to pull hundreds of dead people out of buildings.

"Most of them are used to dealing with blood and death in their daily professions, but from time to time it can become very difficult," he said. "Many teams are equipped to deal with trauma - the Swiss government's team, for instance, has a psychologist on hand, while doctors in the Singapore team have been trained to search for signs of trauma in team members."

Once the host government officially calls off the search, INSARAG starts the process of withdrawing the teams. A few remain and become part of the humanitarian relief effort, rebuilding hospitals and schools or shelter for families, but most will head back to their day jobs and await the next call to action

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http://www.irinnews.org/report.aspx?ReportId=86493DAKAR Thursday, October 08, 2009 (IRIN) - A landmine survivor in Senegal’s Casamance region on 6 October used the recent report, ‘Voices from the Ground’, based on a survey of mine victims worldwide, to remind aid agencies, Senegal’s anti-mine agency and the media of victims’ needs and governments’ responsibilities. DAKAR Thursday, October 08, 2009 (IRIN) - A landmine survivor in Senegal’s Casamance region on 6 October used the recent report, ‘Voices from the Ground’, based on a survey of mine victims worldwide, to remind aid agencies, Senegal’s anti-mine agency and the media of victims’ needs and governments’ responsibilities.

The Handicap International report, which authors say is the first such compilation of mine victims’ views on assistance, says: “[Landmine] survivors are still too often left to do just that – survive – on the margins of society, when they should be helped to rebuild their lives and thrive in the heart of their communities.”

The report includes input from 1,645 mine survivors in 25 affected countries.

Mamady Gassama of the Senegalese Mine Victims Association highlighted the Senegal portion of the report, which says the government needs to boost national funding for victim assistance rather than depend on donors.

“The government must not leave victims’ needs to – often uncertain – external aid,” said Gassama. Senegal is a signatory to the Mine Ban Treaty, which calls on the international community, and individual governments “in a position” to do so, to assist victims.

Mine survivors surveyed said among their greatest needs is assistance in skills training and employment.

np/mad/pthttp://www.irinnews.org/report.aspx?ReportId=86506BANGKOK Monday, October 05, 2009 (IRIN) - Most migrants do not move from developing to developed countries, and when they do, rather than hurting host economies, they benefit them, according to a new report by the UN Development Programme (UNDP).BANGKOK Monday, October 05, 2009 (IRIN) - Most migrants do not move from developing to developed countries, and when they do, rather than hurting host economies, they benefit them, according to a new report by the UN Development Programme (UNDP).

The UNDP's Human Development Report 2009, launched globally on 5 October in Bangkok, dispels several myths about migration, instead underlining the economic and social benefits for countries.

"Mobility can bring large gains in development," Jeni Klugman, director of the report, told IRIN. "It's presently very much constrained by a whole range of barriers, and reform [of] these barriers could allow much greater potential to be released."

The annual report calls for several migration reforms, including for states to ensure basic rights for migrants, and the mainstreaming of migration into national development plans.

ey/mwhttp://www.irinnews.org/report.aspx?ReportId=86431DAKAR Thursday, October 01, 2009 (IRIN) - According to (yet another) new climate change report, this time from development think-tank CGD, these are the 20 cities where the most people will be at the greatest risk from sea level rise and storm surges in the developing world.DAKAR Thursday, October 01, 2009 (IRIN) - According to (yet another) new climate change report, this time from development think-tank CGD, these are the 20 cities where the most people will be at the greatest risk from sea level rise and storm surges in the developing world.

The report’s basic assumptions were: one metre sea-level rise; 10 percent increase in the intensity of a 1-in-100-year storm; UN medium population projections.

Manila, Philippines

Alexandria, Egypt

Lagos, Nigeria

Monrovia, Liberia

Karachi, Pakistan

Aden, Yemen

Jakarta, Indonesia

Port Said, Egypt

Khulna, Bangladesh

Kolkata, India

Bangkok, Thailand

Abidjan, Cote d'Ivoire

Cotonou, Benin

Chittagong, Bangladesh

Ho Chi Minh, Vietnam

Yangon, Myanmar

Conakry, Guinea

Luanda, Angola

Rio de Janeiro, Brazil

Dakar, Senegal


bp/cbhttp://www.irinnews.org/report.aspx?ReportId=86388NAIROBI Wednesday, September 30, 2009 (IRIN) - Africa's orphans will experience a richer, more wholesome childhood if they are raised within a family rather than in a childcare institution, according to speakers at a conference on family-based care for children in Nairobi.NAIROBI Wednesday, September 30, 2009 (IRIN) - Africa's orphans will experience a richer, more wholesome childhood if they are raised within a family rather than in a childcare institution, according to speakers at a conference on family-based care for children in Nairobi.

"We need to heed the cry of a child's heart for an adult who will care for them and be crazy about them," said Monica Woodhouse, who runs the South African NGO, Give a Child a Family.

According to the UN, there are more than 34 million orphans in sub-Saharan Africa today, 11 million of whom lost parents to the AIDS pandemic.

Traditionally, orphans in Africa are raised by the extended family, and while many families continue to take in orphaned relatives, conventional family structures are buckling under the pressure of caring for additional children; a 2006 study in Korogocho, a Nairobi slum, found that more than half the 436 people surveyed were caring for at least one child orphaned through HIV/AIDS.

Too poor to cope, many families now reject these children, leading to a proliferation of institutional childcare facilities across the continent; in Uganda, for example, government statistics show that the number of children in orphanages nearly doubled between 1998 and 2001.

Separation is hard

"There are plenty of studies which show that raising children in institutions as opposed to families affects their cognitive, social, emotional and even intellectual development," Philista Onyango, regional director of the African Network for the Prevention and Protection against Child Abuse and Neglect (ANPPCAN), told IRIN.

"In Africa, people are not trained to work with these children and often don't know what they are doing, so orphaned children in institutions can wind up being physically or sexually abused," she added. "Many are not even registered and those that are, are not properly regulated."

According to the National Council for Children Services in Kenya, there are 417 charitable children's institutions registered, while another 800 are estimated to be operating unregistered.

"Separation from the family is harmful to children; it doesn't matter if I have grey hair on my head, my mother is still my mother, my family is still my family - children need that sense of belonging," said George Nyakora, regional training director for the SOS Children's Villages, which places children who cannot be connected to their biological families in family environments.

Cost issues

Speakers also said the cost of supporting families to raise orphans was significantly lower than keeping a child in an orphanage; a study from South Africa showed the cost of residential care can be as much as six times that of providing care to children living in poor families.

"All the money donors are pouring into institutions should instead be invested in enabling families to raise these children," Onyango said.

Even HIV-positive children on life-prolonging anti-retroviral medication do better growing up with family, according to Protus Lumiti, chief manager of the Nyumbani Children's Home in Nairobi.

"We run a home with about 110 HIV-positive children, but even we realise this is a last resort," he told IRIN. "We have another facility in Nairobi caring for 3,500 children who are based with their families but come to a centre for drugs and nutritional support - community-based care has worked very well in our experience."

"There are some extreme situations, for instance, where a child's disability is so difficult that it can only be properly managed by professionals in an institution, but there is certainly no need for as many childcare centres as we are seeing on the continent," ANPPCAN's Onyango added.

Protection factors

However, steps - including legislation, screening of families, training of child welfare professionals and setting up monitoring and evaluation mechanisms - are necessary to ensure children are successfully placed with relatives.

"We tend to focus on the moral issue of homeless, orphaned children, but we need to look at the economics of it, and to create minimum standards that families must meet in order to care for children," said Nyakora.

Onyango noted that it was not unheard of for children to be abused within their own families, so mechanisms needed to be in place to ensure families were assessed for suitability and monitored to ensure they were giving children the best possible upbringing.

"Sometimes the relatives are only interested in the deceased's property, and not the child's welfare, when they offer to take in orphans," she said. "Setting up child welfare committees at the community level who can monitor a child's progress would be an excellent idea.

"The people left to care for the children - often their grandparents - also need support beyond ensuring the children are fed, clothed and educated," Onyango said. "They need community support in parenting these children, and structures that will ensure the young children will not wind up looking after their old grandparents instead of living a child's life."

"As long as they have the financial capacity and social support to raise children, a family is the best place for a child," Nyakora said.

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http://www.irinnews.org/report.aspx?ReportId=86363KIGALI Wednesday, September 30, 2009 (IRIN) - At least 50 cases of cholera have been registered in the northwestern region of Rwanda, the Health Ministry said on 29 September. No deaths were reported in the affected region, which had been free of the disease for a decade.KIGALI Wednesday, September 30, 2009 (IRIN) - At least 50 cases of cholera have been registered in the northwestern region of Rwanda, the Health Ministry said on 29 September. No deaths were reported in the affected region, which had been free of the disease for a decade.

“Basic hygiene and lack of adequate sanitation in the region are described as the biggest issue, but medical experts and humanitarian staff have been deployed to outbreak areas," Gamariel Binamungu, director-general of the National Reference Laboratory, said. "All necessary medication is being provided to try to prevent the spread of the disease," he told IRIN.

"The humanitarian relief provided by the government and volunteers, including water purification chemicals and hygiene promotion material, means all outbreaks are under control," the mayor of Rusizi district (southwest), Fabien Sindayiheba, told IRIN.

"Poor hygiene is the main factor for the cholera outbreak, because local rivers are the main sources of water for most of families in the region," he said. "We have adopted measures to provide medical help to those infected people so they do not spread the disease to neighbouring villages," Sindayiheba noted.

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http://www.irinnews.org/report.aspx?ReportId=86369NAIROBI Tuesday, September 29, 2009 (IRIN) - Patients at an advanced stage of Human African Trypanosomiasis, or sleeping sickness, can now access more convenient, safer and cheaper treatment after the introduction of Nifurtimox-Eflornithine Combination Therapy (NECT).NAIROBI Tuesday, September 29, 2009 (IRIN) - Patients at an advanced stage of Human African Trypanosomiasis, or sleeping sickness, can now access more convenient, safer and cheaper treatment after the introduction of Nifurtimox-Eflornithine Combination Therapy (NECT).

Developed by the Drugs for Neglected Diseases Initiative (DNDi) and partners, NECT comprises the administration of oral nifurtimox, and eflornithine injections for 10 days.

Past treatment has either been the widely-used arsenic-based melarsoprol injections, which kill an estimated five percent of patients, or eflornithine monotherapy, which requires 56 one-hour infusions in 14 days.

The diagnosis of sleeping sickness, which is spread by the bite of an infected tsetse fly, involves puncturing the lower back (lumbar) for a spinal fluid sample to determine whether parasites have invaded the brain.

Brain invasion in advanced stages leads to problems such as confusion, personality changes, slurred speech, seizures, and difficulty walking and talking - left untreated, the disease is fatal. At the initial stages, symptoms include fever and aching muscles and joints.

Sleeping sickness is endemic in 36 African countries and affects an estimated 50,000 to 70,000 people at any one time.

DNDi estimates that NECT will cost about 223 Euros (about 232 $US), half the cost of eflornithine monotherapy.

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