<?xml version="1.0" encoding="UTF-8"?><rss xmlns:content="http://purl.org/rss/1.0/modules/content/" version="2.0"><channel><title>IRIN - Togo</title><link>http://www.irinnews.org/irin-fp.aspx</link><description>Updated everyday</description><language>en-gb</language><lastBuildDate>Tue, 15 May 2012 17:31:06 GMT</lastBuildDate><item><title>FOOD: Power to the people!</title><pubDate>Tue, 15 May 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201104051041120547t.jpg" />]]>JOHANNESBURG 15 May 2012 (IRIN) - The UN Development Programme (UNDP) launched its first Africa Human Development Report today, stressing food security as a means to a better quality of life for all. </description><body><![CDATA[JOHANNESBURG 15 May 2012 (IRIN) - The UN Development Programme (UNDP) launched its first Africa Human Development Report [http://www.undp.org/content/undp/en/home/librarypage/hdr/africa-human-development-report-2012/ ] today, stressing food security as a means to a better quality of life for all.  

The argument is straightforward: Most people in Africa depend on agriculture, and better nutrition is good for human development. More food production means more food and income in people’s pockets, which has spin-offs which are beneficial for health and education. 

The report is not another exhortation to farmers to grow more food. Pedro Conceicao, chief economist with the UNDP Regional Bureau for Africa, explained that exclusively looking at linkages between small-scale farmers and agriculture or gender empowerment and agriculture were “piecemeal approaches” and not helpful. “We have to move beyond silver bullet obsessions [such as agricultural subsidies] or attention-grabbing headlines.” 

He reasoned that high economic growth rates in Africa had not necessarily resulted in a reduction in poverty and food insecurity - which points to accessibility to food and purchasing power as key factors. The report emphasizes “empowerment” and participation as important levers for change. 

It argues that countries need to implement a more strategic vision of food security. An approach to emulate would be what Ethiopia had done to beef up its agriculture sector by setting up a separate Agricultural Transformation Agency (ATA) [ http://www.ata.gov.et/about/our-mandate/ ] right next to the prime minister’s office. It is modelled on similar initiatives in Asia which helped accelerate economic growth in South Korea and Malaysia, for instance. ATA addresses bottlenecks in areas such as soil management, research and extension services. 

The report calls for new approaches covering multiple sectors - from rural infrastructure to health services, to new forms of social protection and empowering local communities. It calls for action in four critical areas: 

1. Increasing agricultural production: It acknowledges that boosting production would be integral to any approach to becoming food secure, and calls for investment in research, infrastructure and inputs and a Green Revolution in Africa; 

2. More effective nutrition: Develop coordinated interventions which boost nutrition while expanding access to health services, education, sanitation, and clean water; 

3. Building resilience: Investment in crop insurance, employment guarantee schemes, and cash transfers to shield people from risks and make them less vulnerable to shocks; 

4. Empowerment and social justice: Gender empowerment, access to land, technology and information are important to make people food secure. 

IRIN interviewed two leading experts on the issues. 

Steven Wiggins, research fellow with the UK’s Overseas Development Institute, who has been studying agriculture and rural development in Africa since 1972: 

Africa is not one unitary entity: “There are 56 countries in Africa... When Africa is considered as a single unit, there is a great danger that it is compared to other similar units, above all Asia, leading to analyses that suggest that if only Africa were more like Asia, then things would improve. Well, I’m not sure that Botswana has very much to learn from, say, Afghanistan, thank you very much. Hyperbole aside, the point is this: in Africa we have several, if not many, cases of admirable progress in food and nutrition security, but we overlook this.” 

Real progress takes time: “A longstanding issue in African policy debates is the search not only for growth, but for growth that is `transformative’. Even when an African economy grows, the pessimists say `yes, but where is the transformation?’ usually noting that in Asia growth is transformative. Well, yes, where that has apparently happened in Asia... it is the result of 30 or 40 years of sustained progress. Yet damning judgments are made about African countries after less than 10 years of sustained and high economic growth." 

Too complicated and demanding: It would have been better had it [the overview [of the report] stuck to a few fundamental propositions that are well supported by the evidence, namely: smallholder development plus primary health plus clean water will almost always reduce child malnutrition. Yes, let’s add girls in secondary school to the list: that will strengthen these links. But it’s that simple. 

Peter Gubbels, the West Africa co-coordinator for Groundswell International, a global partnership of local farming communities, has 30 years of experience in rural development, including 20 years living and working in West Africa. He is based in Ghana. He says: 

Move beyond the Green Revolution: “The report… seems to embrace the Green Revolution approach to agricultural improvement, citing... the results... in Asia, and seeking to now apply those lessons to Africa. The report suggests implicitly, that one reason Africa still has hunger is because Africa has not benefited from `science-based, input-intensive’ support. This is highly misleading. There have been many efforts to promote Green Revolution in Africa. Almost all have failed.” 

Missing bits: “There is no mention of Conservation Agriculture, or of the Brown Revolution [to promote soil fertility and conserve water].” 

Under-funding in agricultural research: “This is true but is also misleading. There has been a great amount of funding in the CGIAR [Consultative Group on International Agricultural Research] system in Africa, including IITA [International Institute of Tropical Agriculture] in Nigeria, from the 1970s onwards. One reason donors reduced funding in the 1990s was because it was not generating good production results. 

“But this report seems to assume that investing in new seeds, fertilizers, tractors, irrigation and training is what is needed... And how many very poor small-scale farmers can afford tractors?” 

Understanding resilience: “Equally disturbing is the suggestion that long-term resilience measures can enable risk averse, poor small-scale farmers to adopt riskier, but more productive, agricultural technologies. This is twisting my understanding of resilience. The aim is to reduce (or at least manage risk), using low external inputs and local ecological systems, not to increase risk by creating dependence on external expensive inputs (insurance, etc) for poor, vulnerable farm families working in marginal conditions. The way forward would be to develop crops and technologies that both increase food production and reduce risk by conservation agricultural techniques.” 

"Subsuming” nutrition into food security: “There is not just food insecurity in Africa. There is both food insecurity and nutrition insecurity. Currently in the Sahel, there is both a food crisis and a nutrition crisis. They may be linked, but the causes are quite different, and the solutions that are [rooted] in food security are almost always inadequate. 

“Just as we need to change the strong association of agriculture with food security, we also need to move nutrition out of the confines of food security. There is still a very strong tendency to believe that food aid, and increasing food production, solves most of malnutrition. It does not. It only helps prevent major spikes in the already existing emergency level of chronic and acute malnutrition.” 

Controversial issues side-stepped: “The report also almost completely sidesteps... genetically modified seeds... the role of agribusiness in land-grabbing, control of seeds, pushing pesticides and herbicides.” 

jk/oa/cb 
]]></body><link>http://www.irinnews.org/report.aspx?ReportId=95459</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201104051041120547t.jpg"/></td><td valign="top">JOHANNESBURG 15 May 2012 (IRIN) - The UN Development Programme (UNDP) launched its first Africa Human Development Report today, stressing food security as a means to a better quality of life for all. </td></tr></table>]]></content:encoded></item><item><title>CLIMATE CHANGE: Farmers and forecasts</title><pubDate>Mon, 02 Apr 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2012/201203301412410080t.jpg" />]]>BINGERVILLE/DAKAR 02 April 2012 (IRIN) - Unpredictable rainfall in parts of Côte d’Ivoire cost some farmers over half of their harvest in 2011 producers told IRIN, but, armed with more knowledge about how to get weather reports and interpret them, they might still have been able to boost their output, say agricultural specialists.</description><body><![CDATA[BINGERVILLE/DAKAR 02 April 2012 (IRIN) - Unpredictable rainfall in parts of Côte d’Ivoire cost some farmers over half of their harvest in 2011 producers told IRIN, but, armed with more knowledge about how to get weather reports and interpret them, they might still have been able to boost their output, say agricultural specialists.
 
Marc Kouamé, a farmer in the north who grows okra, peanuts and cassava, told IRIN that farmers “no longer know where to turn” because of the changing seasons. "I lost half of my peanut production because I didn’t plant it at the right time,” he said. Many farmers feel more and more helpless in the face of such uncertainty.
 
Between 1971 and 2000, rainfall in Côte d’Ivoire dropped by 15 percent, according to Augustin Kouakou Nzue, head of agro-climatic studies in the National Weather Service (Direction Météorologie Nationale), although it has increased slightly since 2000.
 
In southern Côte d’Ivoire, farmers took clearly defined seasons for granted until the 1980s: rains from April to mid-July; a short dry season from mid-July to September; a short rainy season until November; and finally a long dry season from December to March. Now, the rains come later and finish earlier, with longer dry seasons and patchy distribution, says Nzue.
 
Most growers rely on rain-fed production, so the long-term impact of this shift could devastate Ivoirian farmers, who make up 60 percent of the workforce. Cocoa, the country’s main export crop, could also be affected - a September 2011 study by the International Centre for Tropical Agriculture, based in Cali, Colombia, predicts that rising temperatures may make it too hot to grow cocoa by 2050. [ http://www.ciat.cgiar.org/Newsroom/Lists/News/DispForm.aspx?ID=80 ]
 
Sidiki Cissé, head of the National Agency to Support Rural Development (ANADER) in the commercial capital, Abidjan, is clearly worried. "The desperation of farmers is clear to see," he told IRIN.
 
Poor and erratic rainfall in 2011 and the subsequent poor harvests across the southern Saharan band have thrown 13 million people into a food security crisis in the Sahelian zones of Burkina Faso, Mauritania, Nigeria, Niger, Chad, Mali and Senegal. [ http://reliefweb.int/disaster/ot-2011-000205-net ]
 
Donors and investors are channelling climate adaptation funds into improved weather forecasting and more sophisticated climate science, but few groups are focusing on how climate information can better be used by farmers and communities in disaster-prone areas.
 
“People don’t see this kind of stuff as a critical research priority,” said Amane Tall, who is affiliated to the US-based Johns Hopkins University and the International Committee of the Red Cross/Red Crescent Climate Centre in The Netherlands. “They invest in improving the science of climate change – which is great – but how do we make links between the science and the decision-making at all levels?”
 
The various communities working on climate change – scientists, environmentalists, humanitarian NGOs, disaster risk reduction experts – have tended to work separately, in their silos, but now dialogue is needed, said Emma Visman, Futures Group Manager at the Humanitarian Futures Programme (HFP), which tries to prepare the humanitarian community for future disaster scenarios. “Dialogue seems to be the key word,” she said, “but we don’t yet have the resources or space to do it.” [ http://www.humanitarianfutures.org ]
 
A few groups are attempting to bridge the information gap, including various national meteorological agencies, the World Meteorological Organization, the HFP, and some humanitarian and development NGOs such as Christian Aid.
 
Côte d’Ivoire, Burkina Faso, Gambia, Mali, Guinea and Togo, among others, are part of the West Africa Metragri programme, co-funded by the World Meteorological Organization and the State Agency for Meteorology (AEMET) in Spain. The plan is to train 200 farmers in Côte d’Ivoire to become more aware of rainfall patterns in their areas, and how to use rain gauges to monitor precipitation. [ http://www.wmo.int/pages/prog/wcp/agm/roving_seminars/west_africa_fr.html ]
 
Nzue told farmers at a training session in Bingerville, Côte d'Ivoire the best time to sow certain crops is one or two days after the first 20mm of rain has fallen. In 2011 this would have been on 21 March in Bouaké in central Côte d’Ivoire, and on 11 April in San Pedro in the southwest.
 
Farmers are asked to send the rainfall data they collect to the National Weather Service [Direccion Météorologie Nationale), so that agronomy research centres can draw up new crop calendars to help them adapt planting schedules to their particular micro-climate, said Amin Gbo, chief executive officer of ANADER.
 
Sidiki Cissé, head of ANADER, says corn, rice, sorghum and millet are most affected by changing rainfall patterns. In Burkina Faso local corn varieties suffer most because unlike imported varieties, they have not been designed to grow more quickly with less water, said Judith Bienvenue Fanfo, head of the Burkina Faso National Meteorological Office, which also collaborated on a project that has trained 450 farmers since 2007 to use climate and weather information.
 
HFP has worked on pilot studies in the Mbeere district of eastern Kenya and flood-prone Kaffrine in central Senegal to bring together communities, humanitarian partners (Christian Aid Kenya and the Senegalese Red Cross) and National Met offices to determine how to improve the exchange and use of weather information.
 
In Senegal, weather forecasts are broadcast on national radio, in newspapers, on television and via the internet, but these avenues are not readily accessible by local communities, said Visman.
 
The Kenya Meteorological Department (KMD) makes available daily, weekly, monthly and seasonal forecasts, but most people are unable to access the channels it uses to distribute this information and find the format difficult to understand, so they resort to using inaccurate information in uncertified channels instead.
 
Catering to the information preferences of individual groups can be resource-intensive. In one Senegalese village, asked to set up a climate road show women traders wanted a face-to-face information exchange; men wanted to use the mosque, while youths thought it best to share information under “talking trees” where they gather in the late afternoons.
 
After just a few months, the information exchange in Senegal started paying off, said Tall. Families said they kept their children home from school when forecasts predicted strong winds and rain. “There is also a psychological element – people are relieved to have the information and it can be very empowering,” she said. In Kenya the project has run less than 12 months and it is too soon to measure the results.
 
The Met Offices in both countries have signed memorandums of understanding with the humanitarian partner involved to ensure better collaboration.
 
Funding
 
Richard Ewbank, Climate Change Coordinator at Christian Aid, says such projects are likely to remain limited, due to a lack of funding for mitigation and resilience-building. Despite a complex web of climate change adaptation funds – including those of the UN Framework Convention on Climate Change (UNFCCC), money from foundations and multilaterals, and promises by developed countries to mobilize US$100 billion to boost adaptation efforts by 2020 – it took HFP two years to find funding for its 12-month pilot project, before it eventually tapped into the UK Department for International Development’s Climate and Development Knowledge Network. [ http://www.irinnews.org/Report/88070/AID-POLICY-Climate-change-and-adaptation-funding-equally-unpredictable ]
 
Christian Aid has its own church-based funding source. “It’s hard to persuade donors to pre-fund season forecast information – they prefer to fund humanitarian situations when they hit,” Ewbank told IRIN.
 
However, as donors start to see the pay-off from more detailed weather information in the right hands, it may generate more interest. “If climate services get more accurate,” he said, “then clearly our scope to use these tools will also improve.”
 
om/aj/he

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=95214</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2012/201203301412410080t.jpg"/></td><td valign="top">BINGERVILLE/DAKAR 02 April 2012 (IRIN) - Unpredictable rainfall in parts of Côte d’Ivoire cost some farmers over half of their harvest in 2011 producers told IRIN, but, armed with more knowledge about how to get weather reports and interpret them, they might still have been able to boost their output, say agricultural specialists.</td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Giant anti-polio drive threatened by insecurity</title><pubDate>Fri, 23 Mar 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2012/201201311207110246t.jpg" />]]>DAKAR 23 March 2012 (IRIN) - Health volunteers, aid agency and health authority staff are trying to immunize 111.1 million children under five across 20 countries in West and Central Africa against polio. The four-day campaign started today, but instability in some of the target countries could hamper the effort.</description><body><![CDATA[DAKAR 23 March 2012 (IRIN) - Health volunteers, aid agency and health authority staff are trying to immunize 111.1 million children under five across 20 countries in West and Central Africa against polio. The four-day campaign started today, but instability in some of the target countries could hamper the effort.
 
Parts of Nigeria are highly unstable due to ongoing attacks by Boko Haram; [ http://www.irinnews.org/Report/94691/NIGERIA-Timeline-of-Boko-Haram-attacks-and-related-violence ] a rebellion is currently under way in northern Mali, [ http://www.irinnews.org/Report/95127/MALI-Rebellion-claims-a-president ] while security in the capital Bamako is also precarious with a military junta having ousted the president. 
 
Over half of the children targeted - some 57.7 million, are in Nigeria, which is West Africa’s only polio-endemic country.
 
Meanwhile parts of Niger (for instance Tillabéri in the northwest) are difficult to access, as are parts of eastern Chad, with some aid agencies working only with armed escorts.
 
“Access to children [in some of these places] can be a serious problem,” said UN Children’s Fund (UNICEF) regional health specialist Halima Dao. 
 
“Vaccinators’ safety can be compromised, or insecurity means the whole population of a village may flee at a moment’s notice, or there may be far more people than we expected in an area, due to displacement,” she told IRIN. 
 
The conflict in northern Mali has, for instance, led to about 195,000 people being displaced either within the country or when they fled to Algeria, Mauritania, Niger, Burkina Faso and Senegal, according to the UN Refugee Agency (UNHCR), but these numbers are constantly changing as people return or move from camps to host villages, meaning reaching them could be complicated.
 
Dao admits some children in the Tombouctou  and Kidal regions of northern Mali may not be reached, though they are discussing with NGOs working there, including Médecins Sans Frontières and the Malian Red Cross, to see how to reach as many as they can. “We have to work with authorities and NGOs who are used to accessing these insecure areas,” she said. 
 
For a polio immunization campaign to be effective, 100 percent of the children must be reached, says the World Health Organization (WHO), while the long-term fight against polio will only work if routine immunizations are consistently kept up, for at least 90 percent of children under five, for several years running.
 
Last year, election-related in violence in Côte d’Ivoire hampered efforts to quash a polio outbreak affecting 36 children, according to aid agencies. 
 
Thus far, only Ghana, Cape Verde, Burkina Faso, Gambia and Togo have achieved the required 90 percent coverage, according to UNICEF.
 
Children in the hardest-to-reach areas are often the most vulnerable, said Dao, as they do not have access to regular health services. Agencies will try to give Vitamin A and de-worming medicine to these children where possible. 
 
Weak health systems
 
Human error and weak health systems also play an important role in sub-optimal immunization reach: In Chad, [ http://www.irinnews.org/Report/94769/CHAD-Why-polio-is-so-hard-to-eliminate ] for instance, where the health system is broken, just 60 percent of children have been covered, according to UNICEF. 
 
The campaign involves hundreds of thousands of health workers, though it will not lead to eradication in one fell swoop, said Dao. “We hope the exercise will bring us closer to reaching our goal of interrupting wild polio virus transmission in our region in 2012,” said Luis Sambo, West Africa director of WHO in a 22 March communiqué. [ http://www.unicef.org/media/media_62054.html ]
 
Despite a resurgence of the virus in West Africa, the global fight against polio has made progress: since 1988, when the Global Polio Eradication Initiative [ http://www.polioeradication.org/ ] was launched, polio has reduced by over 99 percent. At the time some, 350,000 children were paralysed by polio each year but in 2011 the reported caseload was 650, according to UNICEF.
 
An intense effort to stamp out polio in India led to no new cases being reported in 2011. India alongside Pakistan, Afghanistan and Nigeria is one of the world’s four polio-endemic countries. “If India can do it, then so can these African countries,” said Dao. “We’ve reached 99 percent of the world - we need to reach that final 1 percent; the whole programme is at risk,” she said.
 
aj/cb

Polio in West Africa
- 62 cases of polio were reported in Nigeria in 2011; thus far 10 have been reported in 2012
- 132 cases of polio were reported in Chad in 2011; while 2 have been reported so far in 2012
- No cases have as yet been reported in other West African countries
Source WHO: [ http://www.polioeradication.org/Dataandmonitoring/Poliothisweek/Wildpolioviruslist.aspx ]

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=95145</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2012/201201311207110246t.jpg"/></td><td valign="top">DAKAR 23 March 2012 (IRIN) - Health volunteers, aid agency and health authority staff are trying to immunize 111.1 million children under five across 20 countries in West and Central Africa against polio. The four-day campaign started today, but instability in some of the target countries could hamper the effort.</td></tr></table>]]></content:encoded></item><item><title>HEALTH: Yaws treatment study prompts WHO review</title><pubDate>Wed, 11 Jan 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2012/201201110749170559t.jpg" />]]>BANGKOK 11 January 2012 (IRIN) - Findings that a one-time oral treatment to cure yaws, a neglected tropical disease, is as effective as the currently recommended penicillin injection have prompted the World Health Organization (WHO) to convene a meeting on how the disease may be wiped out.</description><body><![CDATA[BANGKOK 11 January 2012 (IRIN) - Findings that a one-time oral treatment to cure yaws, a neglected tropical disease, is as effective as the currently recommended penicillin injection have prompted the World Health Organization (WHO) to convene a meeting on how the disease may be wiped out. 
 
 "We may be closer now than we have been in decades," Kingsley Asiedu, a yaws expert with WHO's Department of Neglected Tropical Disease Control, told IRIN, calling the study [ http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61624-3/abstract ] on the bacterial skin disease, which leads to chronic disfiguration and disability in 10 percent of untreated cases, the most significant in half a century. 
 
 After a UN-led worldwide control programme cut infections from 50 million to 2.5 million in 1964 in 46 countries, the disease re-emerged in the 1970s when control efforts lagged, affecting an estimated 460,000 people - mostly children - in poor, tropical rural areas mainly in Africa and Asia, according to the most recent figures reported to WHO in 1995. 
 
 In 2010, the Lihir Medical Centre in Papua New Guinea (PNG), where the disease is still endemic, gave the one-time oral dose of the antibiotic azithromycin to about half of 250 infants and children from six months to 15 years infected with yaws. 
 
 Follow-up exams in 2011 showed the treatment was as effective as penicillin injections, which - unlike oral antibiotics - require trained health staff and equipment often scarce in areas most in need of treatment, wrote the researchers. 
 
 In a recent index of health workers' outreach [ http://www.savethechildren.org.uk/sites/default/files/docs/HealthWorkerIndexmain_4.pdf ] by the NGO Save the Children, PNG ranked in the bottom 20 of 161 surveyed countries. 
 
 The meeting of yaws experts convened by WHO in Geneva from 5-7 March will "fully define how we are going to embark [on a new yaws treatment regimen] using azithromycin", said Asiedu. 
 
 WHO's yaws treatment guidelines date back to the 1960s and there have been no alternatives since, he added. 
 
 In Southeast Asia, WHO set the goal for regional eradication by 2012 in two remaining endemic countries - Indo¬nesia and Timor-Leste. PNG, the Solomon Islands and Vanuatu have also reported cases. 
 
 Sub-Saharan Africa was the most heavily affected based on earlier estimates, but the "picture is not entirely clear now", said Asiedu. Cameroon, Central African Republic, Congo, Côte d'Ivoire, Democratic Republic of Congo, Ghana, Sierra Leone and Togo have all reported cases. 
 
 More studies are needed to ensure resistance to azithromycin treatment does not develop, said David Mabey from the London School of Hygiene and Tropical Medicine. 
 
 While penicillin "has stood the test of time" - still as effective fighting the bacteria causing yaws after roughly 60 years - he noted mass azithromycin had only been used in developing countries for about a decade to treat trachoma [ http://www.irinnews.org/report.aspx?reportid=89568 ], another bacterial disease prevalent in poor rural areas. 
 
 Discussions at the upcoming WHO meeting will include a measure to monitor antibiotic resistance, said Asiedu. "Antibiotic resistance is a risk in any treatment and we always have to be vigilant." 
 
 pt/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=94621</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2012/201201110749170559t.jpg"/></td><td valign="top">BANGKOK 11 January 2012 (IRIN) - Findings that a one-time oral treatment to cure yaws, a neglected tropical disease, is as effective as the currently recommended penicillin injection have prompted the World Health Organization (WHO) to convene a meeting on how the disease may be wiped out.</td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Call for more coordinated approach to child protection</title><pubDate>Wed, 04 Jan 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2012/201201041152580355t.jpg" />]]>DAKAR 04 January 2012 (IRIN) - A new report on child migration in West Africa says thousands of children are being sold, exchanged or transported out of their communities each year in violation of internationally-recognized rights of the child, and calls on the Economic Community of West African States (ECOWAS) to persuade governments to better protect these children.</description><body><![CDATA[DAKAR 04 January 2012 (IRIN) - A new report on child migration in West Africa says thousands of children are being sold, exchanged or transported out of their communities each year in violation of internationally-recognized rights of the child, and calls on the Economic Community of West African States (ECOWAS) to persuade governments to better protect these children.
 
 Among the recommendations identified were: the need to align social norms, national laws and international standards of protection; the need to improve the development of children within their locale; the promotion of community mechanisms for child protection; the inclusion of children’s views in any protection regime; and joint initiatives to protect children from unlawful cross-border movement.
 
 The 79-page report [ http://www.tdh.ch/en/documents/which-protection-for-children-involved-in-mobility-in-west-africa ] drawn up by representatives of several national and international NGOs, entitled Quelle protection pour les enfants concernés par la mobilité en Afrique de l’Ouest? (What Protection for Child Migrants in West Africa?) looked at the problem in Benin, Burkina Faso, Guinea and Togo in 2008-2010.
 
 “At the governmental level measures are generally limited to passing national laws. Joint action might simply amount to police intercepting and repatriating children,” said Moussa Harouna, programme coordinator for NGO the African Movement of Child and Youth Workers, stressing that greater unity of action was required by governments and international organizations to support village development initiatives and set up child protection measures. 
 
 The report calls on states and development agencies to integrate child migration into their development and child protection strategies. It wants any future ECOWAS action on the movement of people, particularly children, to be an essential part of a “coherent and pragmatic policy” against human trafficking and child labour.
  
 In addition, it calls on individual states to boost their ability to find victims of child trafficking and to differentiate this practice from other forms of mobility. 
  
 Push factors
 
 Children may leave their communities because of conflict within the family, or the desire for education, apprenticeships or job opportunities to help their families. Some parents force their children to leave, but often departure is voluntary and motivated by the quest for a better life.
  
 Zelmet Fatimah and Zeydata Amina from Niger, two girls who beg along the Teteh Quarshie Interchange, a busy highway in the Ghanaian capital Accra, say they left home because of hunger. “There is no food there,” said Zeydata, “I come here every day with my sisters and my parents to beg for money. I beg because we don’t have money and I am hungry.”
  
 However, push factors are many and varied: “The children’s motivations are rooted in the current changing world… It is misleading to believe that a state, civil society and development partners have the capacity and sufficient legitimacy to end, simply, this many-sided practice of child mobility,” said the report. 
  
 Positive outcomes
  
 While no one knows the precise scale of child migration, the report says outflows of children are generally from Mali, Niger and Guinea-Bissau, and their destinations are Benin, Cote d’Ivoire, Ghana, Nigeria and Togo.
  
 Outflows north are less intense. The report says just 10 percent of the total number of children seeking to reach the Maghreb and Europe are from West Africa. Many are seasonal travellers, leaving for short or medium periods at the end of the farming season. 
  
 The migration of children is not always a negative phenomenon: migrant children send money home. Those from the same community might collectively fund a project. 
  
 Harouna said this had been the case in some villages in the Niger region of Makalondi, near the border with Burkina Faso, where migrant children had jointly paid to build a school for their community. The effect had been to encourage those who were too young to migrate to remain in their communities, at least for much longer, and others to return. 
  
 “The objective is no longer to stop migration at all cost,” Haround said. “It is also to improve conditions in the communities so that children do not have to leave to seek fortunes and a better life. Yet, even if they do, then organized protection must be provided within their host states or new communities in their own countries.” 
  
 oss/cb
 
 ]]></body><link>http://www.irinnews.org/report.aspx?ReportId=94582</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2012/201201041152580355t.jpg"/></td><td valign="top">DAKAR 04 January 2012 (IRIN) - A new report on child migration in West Africa says thousands of children are being sold, exchanged or transported out of their communities each year in violation of internationally-recognized rights of the child, and calls on the Economic Community of West African States (ECOWAS) to persuade governments to better protect these children.</td></tr></table>]]></content:encoded></item><item><title>BENIN-TOGO: Joining forces to fight piracy in the Gulf of Guinea</title><pubDate>Tue, 29 Nov 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201111011217240688t.jpg" />]]>LOMÉ 29 November 2011 (IRIN) - West African states are pledging to work together to fight the piracy spreading across the Gulf of Guinea, where it is damaging local economies and starting to impact on the region’s trade, according to the United Nations.</description><body><![CDATA[LOMÉ 29 November 2011 (IRIN) - West African states are pledging to work together to fight the piracy spreading across the Gulf of Guinea, where it is damaging local economies and starting to impact on the region’s trade, according to the United Nations.

Some 53 piracy attacks have been reported in 2011, up from 47 in 2010. Four of the reported attacks occurred off Togo and 22 off Benin, which share 177km of coastline, according to the International Maritime Organization (IMO). Neither country reported a single attack in 2010.

The IMO says the real figures are likely to be higher as attacks often go unreported when the value of goods and money stolen is below insurance minimums and the ships do not wish to be delayed by lengthy investigations.

Regional cooperation

Individual governments are trying to counter the threat, but many are weak and have limited resources. The Togolese government has made some progress due to constant naval patrols and its geographical distance from Nigeria - where pirates are thought to find refuge in the labyrinthine waterways of the Niger River Delta - but invariably they find new ways to escape the patrols, said sea captain Monty Jones, chairman of shipping agents Togo Oil and Marine.

In response to the attacks, regional cooperation has started to grow - in September Benin began a six-month naval alliance with Nigeria to undertake joint patrols along the coast. The navies of Togo and Ghana are expected to follow suit.

Chris Trelawny, Deputy Director of the Maritime Safety Division at the IMO, says the organization is working with 15 coastal states - all members of Maritime Organization of West and Central Africa (MOWCA) - to introduce a coast guard network, and is trying to draw on lessons learned elsewhere.

To help plan a coordinated regional response, an ECOWAS sub-committee of chiefs of defence staff will meet in Benin’s economic capital, Cotonou, at the end of November. A further ECOWAS summit is planned for early 2012 to mobilize political support to combat piracy.

An assessment, co-led by UN Office on Drugs and Crime (UNODC) and the UN Department of Political Affairs (DPA), is also underway in West Africa to examine the scope of the threat and make recommendations for UN support to regional efforts to halt piracy.

“There is a good precedent for international cooperation working,” said Trelawny, citing success in piracy hot-spots such as the South China Sea and the waters off Singapore.

But any efforts at sea need to be backed up by rule of law on land. “You need the judiciary, the prosecution and the port authorities involved,” Trelawny noted.

A secure ocean will assist the long-term development of West Africa. If the waters were secure, private industries such as fisheries, processing plants and distributors would thrive, thereby providing more jobs and boosting the economy, Trelawny said. West African governments should “look at the 200 miles off the coast as an investment opportunity.”

Local economies “crippled”

At a regional seminar on maritime security in Cotonou in mid-November it was announced that there has been a 70 percent decrease in ship activity in the local port. “It [piracy] is having a serious effect on the local economies… The number of ships [in Benin] has gone down and the higher insurance rates are crippling everyone - that is obviously going to have an effect,” Trelawny pointed out.

Most attacks off Benin are directed at oil and energy tankers and are not only damaging local economies and threatening seafarers but could also threaten the security of the energy supply.

The economic damage that piracy can cause can be seen in East Africa, where the presence of Somali pirates has been “hammering” the tourism economy of the Seychelles. In Kenya, only one cruise ship has entered Mombasa port this year, Trelawny said. “It's a wakeup call to West African states.”

“Intimidating” violence

The level of violence in piracy attacks in West Africa is higher than those off Somalia, according to the IMO, with most incidents involving crew members being beaten or threatened with knives and guns, ship property and personal belongings being stolen, and the pirates leaving quickly.

“They [pirates] spray the wheelhouse with machine gun fire before trying to board. It is a normal military tactic: intimidate your enemy,” said sea captain Jones, who has been hijacked several times.

Many pirates are armed with handguns and long guns, he said, and are often high on drugs. “There is no way to reason with them,” he said, adding that a number of seamen have been killed by pirates in the Gulf of Guinea.

According to the IMO, the attacks are generally for theft, including the theft of oil, rather than for kidnapping and ransom. In previous years some attacks - such as those orchestrated by the Movement for the Emancipation of the Niger Delta (MEND) - have been politically motivated, Jones told IRIN. [ http://www.irinnews.org/report.aspx?reportid=88002 ]

“The pirates ran the ships out of Lagos [in Nigeria], so they moved to Benin, where they were safe for about three years. The pirates got more sophisticated and moved over to Benin, so now the ships have moved over to Lomé [capital of Togo],” said Jones.

An amnesty programme launched by the government in 2009 for militants in the Niger Delta seems to have reduced the frequency of attacks in Nigeria, said Trelawny. “But more effective enforcement in their waters is spreading piracy into other areas - the pirates will go where they can get away with it.”

Private sector to fill gap

Jones and others believe many pirates are fed inside information about valuable cargo and ship locations. “There are hundreds of containers on board and the pirates know exactly which container has the valuable cargo,” said Jones, who has operated in West Africa for 30 years.

“That means there is a leak, possibly with customs, who know the exact container number. This is much more sophisticated than what meets the eye. It’s not random gangsters, it's organized crime.”

With capacity low in many of the governments concerned, the private sector is stepping in to fight the scourge off the shores of Benin and Togo.

VLC Securité, a private security firm run by Mike Hounsinou, has been hired by ship charterers or owners to ensure the safety of cargoes and crews. "Sailors who are on board the vessels are afraid. They fear because they know what can happen in these waters," Hounsinou told IRIN.

On average, his guards are working on approximately five percent of ships in the Lomé anchorage. The dangers and the training required for the guards working on vessels mean their salaries have increased to 10 times higher than usual, Hounsinou said.

International support is also being offered. Training teams from the United States and European countries are trying to boost governments’ ability to fight piracy and protect oil platforms through the US-led Africa Partnership Station (APS), linked to the American military command, Africom. [ http://www.africom.mil/ ]

So far, APS has provided boats to the navies of Togo, Nigeria, Benin and Ghana to help them fight pirates. The boats are valued at US$800,000 each, and with a range of 150 nautical miles the navy is only minutes away from any vessel in anchorage, according to Jones.

In response to Beninese President Boni Yayi's call for assistance from the UN Security Council, France has pledged an investment of $1 million over the next three years.

dh/aj/wb/he

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=94333</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201111011217240688t.jpg"/></td><td valign="top">LOMÉ 29 November 2011 (IRIN) - West African states are pledging to work together to fight the piracy spreading across the Gulf of Guinea, where it is damaging local economies and starting to impact on the region’s trade, according to the United Nations.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Sub-Saharan sanitation targets “two centuries away”</title><pubDate>Fri, 18 Nov 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201009290759390875t.jpg" />]]>LONDON 18 November 2011 (IRIN) - It will take two centuries for sub-Saharan Africa to meet the Millennium Development Goal (MDG) to reduce by half the proportion of people without sustainable access to safe drinking water and basic sanitation, according to NGO WaterAid, which calls on national leaders to commit 3.5 percent of their annual budget to the sector.</description><body><![CDATA[LONDON 18 November 2011 (IRIN) - It will take two centuries for sub-Saharan Africa to meet the Millennium Development Goal (MDG) to reduce by half the proportion of people without sustainable access to safe drinking water and basic sanitation, according to NGO WaterAid, which calls on national leaders to commit 3.5 percent of their annual budget to the sector. [ http://www.wateraid.org/ ]
 
 Water, sanitation and hygiene (WASH) are being sidelined as governments concentrate on health and education, says the WaterAid report. Meanwhile, people’s lack of access to clean water and basic sanitation services is holding back social and economic development in the region, costing around 5 percent of gross domestic product (GDP) every year. 
  
 Loss higher than development aid
 
 Inadequate WASH services cost sub-Saharan Africa more than the whole continent receives in development aid - US$47.6 billion in 2009 - according to WaterAid. 
  
 The World Health Organization (WHO) estimated the financial impact of inadequate WASH facilities by looking at the health issues linked to poor hygiene, child mortality, waterborne tropical diseases, the time people spend collecting water; and reductions in educational achievement due to illness and girls’ attendance rates at schools. 
  
 “Diarrhoea, 90 percent of which is attributable to inadequate sanitation and dirty water, is the single biggest killer of children in Africa, and yet sanitation targets are off-track,” Tom Slaymaker, one of the report’s authors, told IRIN.
 
 Every day, 2,000 children die from diarrhoea in sub-Saharan Africa. Four out of 10 people do not have access to safe water, while seven out of 10 do not have appropriate sanitation facilities. 
  
 The disparity between rich and poor is stark. Poor people in sub-Saharan Africa are more than 15 times more likely to practice open defecation due to inadequate or poorly maintained toilets. 
  
 “Unless this changes, we won't see educational progress and it will hold back progress on child health. If you look at development in industrialized countries, sanitation has been key to enabling economic growth and achieving acceptable living standards,” said Slaymaker.
 
 Ministries not powerful
 
 Progress has been slow partly because WASH is not “sexy”, he commented. “On one level it's just a question of political will. Sanitation is not a sexy topic - politicians much prefer to say they're opening a hospital or school, rather than building some toilets.” 
  
 Most policy-makers in charge of WASH “have access to clean water and good sanitation, so they may not be motivated to address it in a distant rural part of the country,” said WaterAid senior policy analyst John Garret. 
  
 Slaymaker noted that “The water ministry is generally less powerful relative to the education and health ministries - which [tend to] have more civil servants and more leverage with the ministry of finance during and after the budget process - [so] in the scramble for funds, the water ministry and sanitation organizations lose out. This all contributes to the sector being a low priority."
 
 Water and sanitation is not an easy sector to reform, given it is usually spread across different ministries, and there is often “no single unified voice in the national budget process for sanitation”, he added.
 
 “Last chance”
 
 WaterAid calls on donors to double the global aid flow to WASH with an additional $10 billion per year in the run-up to 2015, the deadline for achieving the MDGs.  
  
 African governments need to commit at least 3.5 percent of GDP to sanitation and water to get back on track, Slaymaker told IRIN. Only Lesotho, Kenya, Niger and Tanzania are currently spending more than 0.9 percent of GDP on WASH. In Côte d'Ivoire, Ghana, Liberia, Madagascar, Nigeria, Uganda and Zambia, the most recent expenditure figures fall well below the original 2009 commitment of 0.5 percent of GDP. 
  
 “Despite all the political commitments, we haven't seen the finances to back it up,” Slaymaker told IRIN. African heads of state met in the Rwandan capital, Kigali, earlier in 2011, and although many of their governments had made a commitment in 2009 to spend 0.5 percent of the annual budget on sanitation, “only one or two countries… realized that,” he said. 
  
 Despite this challenge, Slaymaker still thinks the MDG goal can be met if politicians drastically change course. “This is the last chance to make an effort to get back on track,” he told IRIN. “It's a question of… concerted partnership between donors, governments and the private sector. What's lacking at the moment is that concerted drive.”
 
 jl/aj/he 
  
  
 FACT BOX
 
 Over one billion people will miss the global MDG sanitation target if things continue unchanged 
  
 In Asia, India will not reach its MDG on sanitation before 2047, while Bangladesh, Pakistan and Nepal will not achieve the target before 2028. 
  
 Lack of access to water and sanitation costs African and Asian countries up to 6 percent of their gross domestic product (GDP) each year. 
  
 In India the shortfall in water and sanitation services cost the economy around 6.4 percent of GDP - the equivalent of US$53.8 billion in 2006, according to the World Bank.
 
 In Ethiopia, 193,000 deaths per year are WASH-related, and 71.4 million people have no access to sanitation facilities.
  
 Similar figures apply to Mali, Niger, Benin, Ghana and Congo, where 194,000 deaths a year are WASH-related and 49.5 million people have no access to sanitation facilities. 
  
 According to WaterAid, the Côte d'Ivoire administration targeted 0.06 percent of its GDP to water and sanitation, Ghana spent 0.29 percent, Liberia 0.28 percent, Madagascar 0.28 percent, Nigeria 0.18 percent, Uganda 0.41 percent and Zambia 0.56 percent.
 
 (Sources: World Bank; WHO/UNICEF Joint Monitoring Programme, 2010; national government documents 2008-2010; WaterAid) 
  
 
 ]]></body><link>http://www.irinnews.org/report.aspx?ReportId=94241</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201009290759390875t.jpg"/></td><td valign="top">LONDON 18 November 2011 (IRIN) - It will take two centuries for sub-Saharan Africa to meet the Millennium Development Goal (MDG) to reduce by half the proportion of people without sustainable access to safe drinking water and basic sanitation, according to NGO WaterAid, which calls on national leaders to commit 3.5 percent of their annual budget to the sector.</td></tr></table>]]></content:encoded></item><item><title>FOOD: Rumpus over GM food aid</title><pubDate>Tue, 18 Oct 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201108011245250824t.jpg" />]]>JOHANNESBURG 18 October 2011 (IRIN) - Genetically modified (GM) food aid bound for Africa has long been a bone of contention among governments, scientists, activists, consumers and aid workers.</description><body><![CDATA[JOHANNESBURG 18 October 2011 (IRIN) - Genetically modified (GM) food aid bound for Africa has long been a bone of contention among governments, scientists, activists, consumers and aid workers. 
 
 On 18 August a drought-affected Kenyan government fired the head of its National Biosafety Authority for expediting the process to import milled food aid which might have contained genetically modified organisms (GMO). In the weeks preceding and after the incident, public debate on the issue was distorted by extreme positions either for or against GM food. 
 
 “When you have people starving in your country you don’t simply turn your back on food at your door-step just because it is labelled GM - it is expected that biosafety risk assessments should have been conducted before the importation of the food to see whether it does indeed pose a threat before taking a decision. Taking this decision so late in the day could have serious consequences for the suffering people,” says Diran Makinde, director of the New Partnership for Africa’s Development’s (NEPAD’s) African Biosafety Network of Expertise (ABNE), a pool of scientific experts set up by the African Union. 
 
 There have been different degrees of resistance to GM food and GM food aid in Africa. 
 
 In 2002 Zambia announced it would not accept GM food aid in any form. Positions were polarized to a great extent after a quote from a US state department official, “Beggars can’t be choosers”, hit the headlines. It prompted the then president, Levy Mwanawasa, to say hunger was no reason for feeding his people “poison”. Since then Zambia has become a poster-child for the anti-GM lobby. 
[ http://dspace.cigilibrary.org/jspui/bitstream/123456789/28948/1/African%20perspectives%20on%20genetically%20modified%20crops.pdf?1 ]
 
 Zimbabwe, Malawi and Mozambique said they could allow imports of GM food aid in its milled form as this eliminated the risk of the germination of whole grains and limited possible contamination of local varieties. [ http://www.eoearth.org/article/Genetically_modified_crops_in_Africa ]
 
 Lesotho and Swaziland allowed the distribution of non-milled GM food/grains, but warned people that it was for consumption not cultivation. 
 
 In 2004, Angola and Sudan announced restrictions on GM food aid. 
 
 Cautious approach 
 
 Most African countries approach GM technology applied to crops with caution. 
 
 “Why shouldn’t we be wary of this technology and its possible long-term health impacts, if the EU [European Union] is. If it is not good for them, why should it be good for us?” said Tewolde Egziabher, Ethiopia’s director of the Environmental Protection Agency. 
 
 Egziabher was one of the main architects of the Cartagena Protocol, the international law on biosafety which came into effect in 2003 and which allows countries to impose bans on foods containing GM. 
 
 The Protocol’s cornerstone is “precaution”, notes a UN Environment Programme briefing. [ http://www.eoearth.org/article/Responses_to_genetically_modified_crop_use_in_Africa ]
  
 It gives governments the discretion to impose bans even where there is insufficient scientific evidence about the potential adverse effects of GM crops. The USA has yet to ratify the Protocol. 
 
 GM technology injects foreign genes into a crop that can improve its appearance, taste, nutritional quality, drought tolerance, and insect and disease resistance. There has been cautious optimism about the new technology in some quarters. 
 
 “As crop yields drop because of weather shocks, GM technology is not the panacea, as Africa will feel the impact of climate change in the long-term. But it is potentially yet another tool in our fight to improve production,” said Per Pinstrup-Andersen, 2001 World Food Prize laureate and the author of a book on the politics of GM food. 
 
 Most critics of GM food, however, argue that foreign genes can produce toxic proteins and allergens, even possibly transfer the genes to bacteria in the human gut; or transfer these traits to other crops with unknown consequences. 
 
 Global divide 
 
 A deep mistrust also prevails in Africa, given the fact that two power blocs - the EU and the USA remain divided over GM. 
 
 Only one strain of GM maize, Monsanto 810, and one modified potato, have been approved in the EU, and most countries grow neither commercially. Spain accounts for about 80 percent of GMO grown in the EU in terms of land under cultivation, but Austria, France, Greece, Hungary, Germany and Luxembourg have banned all GMO cultivation. [ http://blogs.nature.com/news/2011/07/eu_parliament_votes_to_allow_r.html ]
 
 On the other hand, in the USA, where 70 percent of maize is GM, GM food need not be labelled. Some food experts say both the EU and the USA have vested interests in promoting their respective views in Africa, which is seen as a potential market and supplier of either GM or non-GM products. 
 
 In Africa, the production of GM food is still in its infancy. South Africa (70-80 percent of its maize, soya and cotton production), Egypt (maize) and Burkina Faso (cotton) are the only African countries commercially producing GM crops, according to ABNE. 
 
 Traditionally the USA has been the biggest donor in kind to the World Food Programme (WFP). But the aid agency is trying to broaden its source of food aid. In 2010, WFP said 36 percent of its food aid, or two million out of 5.7 million tons disbursed globally, was procured in developing countries. [ http://www.wfp.org/content/food-aid-flows-2010-report ]
 
 While wheat accounts for more than 50 percent of WFP’s global cereal component, GM wheat does not figure as it is not grown commercially. According to data from 2006, at least 38 percent of cereal food aid to Africa was wheat and wheat flour, said Christopher Barrett, a food aid expert. Though wheat tends to be a less important part of the African diet than maize, aid agencies sometimes offer wheat instead of GM maize in emergencies. [ http://faostat.fao.org/site/485/default.aspx#ancor ]
 
 Possible solutions 
 
 Milling the grain is an obvious solution, said Julia Steets, an aid policy expert at the Global Public Policy Institute. "Milling either at source or in the port of arrival or in the prepositioning warehouses - it would of course also help to know in advance which governments take what positions on that, so that the food aid agencies are prepared." 
 
 The stance of recipient countries has to be respected. When a country prohibits GMO, sourcing alternative commodities and routes can “obviously impact delivery times and costs but those are the parameters in which we work,” said David Orr, WFP spokesman. “We always abide by the laws and regulations of recipient countries.” 
 
 If a country is not receptive to GM food - “give the country the money for procurement of the food from an African country with a surplus (local procurement is better than shipping food all the way from the US any way),” said Pinstrup-Andersen. 
 
 Food aid agencies in Africa usually turn to South Africa for surplus maize. The country has systems in place to segregate non-GM from GM, says Thom Jayne, professor of international development at Michigan State University. 
 
 Farmers in South Africa certify non-GM content by conducting a basic test, which detects specific proteins produced by a GM plant. The non-GM grain is separated from the rest before being shipped. 
 
 Another way of separating GM from non-GM crops involves contract-farming schemes first set up in 2004-2005. The process involves the purchaser identifying farmers who buy non-GM seed. Tests are conducted on their field for any traces of GM before they are offered a contract. 
 
 But all these measures involve extra costs. 
 
 Legislation 
 
 In 2001 the African Union drafted the African Biosafety Model Law but taking an even more cautious approach than the Protocol, allowing countries to adopt more stringent measures to assess the safety of GM food. 
 
 National biosafety laws exist in 17 of the 54 African countries. In most countries, the legislation is a work-in-progress. 
 
 Labelling and verifying the content of a crop on a day-to day basis is an outstanding issue. South Africa, the first country in Africa to put biosafety laws in place (in 1997), has yet to develop a labelling process. 
 
 More public education and debate around GM food needs to happen, said Pinstrup-Andersen. “Almost all GM-food varieties have been through stringent testing for health safety, which non-GM food has not undergone ever. People need to engage with the science and not the politics.” 
 
 jk/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=93991</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201108011245250824t.jpg"/></td><td valign="top">JOHANNESBURG 18 October 2011 (IRIN) - Genetically modified (GM) food aid bound for Africa has long been a bone of contention among governments, scientists, activists, consumers and aid workers.</td></tr></table>]]></content:encoded></item><item><title>HEALTH: Cervical cancer on the rise in developing world</title><pubDate>Tue, 20 Sep 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2009/200911041028050170t.jpg" />]]>LONDON 20 September 2011 (IRIN) - Last year, an estimated two million women around the world developed breast cancer or cancer of the cervix (the neck of the womb); more than 600,000 died – the equivalent of six large passenger planes crashing every single day.</description><body><![CDATA[LONDON 20 September 2011 (IRIN) - Last year, an estimated two million women around the world developed breast cancer or cancer of the cervix (the neck of the womb); more than 600,000 died – the equivalent of six large passenger planes crashing every single day.

These are the results published by a team from the University of Washington in Seattle in the British journal, The Lancet, [ http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961351-2/fulltext ] ahead of the non-communicable diseases conference at the UN in New York [ http://www.un.org/en/ga/president/65/issues/ncdiseases.shtml ]. 

The study is the first global analysis of trends in cervical and breast cancer incidence and mortality, using data from 187 countries. It shows that while breast cancer deaths are concentrated among older women in richer countries, 76 percent of cases of cervical cancer now occur in developing countries, where the incidence of the disease is still increasing. Almost half those cases are in women under 50.

The authors conclude: “Our findings show that in developing countries in the reproductive age groups, breast and cervical cancer are substantial problems of a similar importance to major global priorities such as maternal mortality.”

The variations in trends for breast and cervical cancer in countries even within the same region mean “known, major risk factors such as obesity and consumption of animal fat do not account for all recorded patterns. The interaction between genes and the known individual risk factors might explain these divergent trends.” 

The study emphasizes the need for better surveillance and data gathering systems.

Data gaps

While figures are abundantly available from Western Europe and North America, as well as India, whole swathes of Africa, especially central Africa, provide hardly any data at all. And even in those African countries that do attempt to keep records, accuracy is still patchy.  

One gynaecologist of 40 years’ experience in Lagos, Tayo Sawyerr, told IRIN he felt the city’s statistics were reasonably complete because: “They won’t let you bury a body unless you can produce a death certificate. And the death certificates are identical to those in the UK, and have to show the cause of death.” 

Meanwhile, in rural Togo, burial is a private matter, inside the family compound. Registering a death costs money, and with no obvious benefit to the family, many are never recorded.

Even where there is data, the researchers found some countries, such as Uganda, recorded the incidence of cancer, but not the mortality rate. In Tanzania, it was the other way round. Some places simply recorded “cancer” without specifying what kind, or did not distinguish between cervical cancer and cancer of other parts of the womb. 

Extrapolating

Asked how much confidence he had in the statistics, Raphael Lozano, professor of global health at Seattle’s Institute for Health Metrics and Evaluation, told IRIN: “We were fortunately able to gather information from countries with cancer registries, such as Malawi, Uganda, Namibia, Zimbabwe and South Africa. Both Cape Verde and South Africa had vital registration data [births and deaths]. And we relied on verbal autopsy information from nationally representative studies in Mozambique and Burkina Faso… Our models allowed us to borrow strength from data from countries within the same region and others.

“The quality of the data varies across countries and years, and we correct for this known bias. However, in the case of vital registration, there is good evidence that the quality of reporting of breast cancer on death certificates is acceptable compared to other causes of death.”

He said he was also confident that the apparent rise in cancers among younger women was not just the result of better maternity services, which meant women were seen regularly by health professionals. 

“I believe the rise in cancer in women of reproductive age is real. In some countries the increase is modest, but in others it is quite significant. For example, in Cameroon in 1980, 33 percent of breast cancer deaths were in women [younger than] 50 and in 2010, that fraction increased to 43 percent. 

“In Equatorial Guinea the increase was even bigger, from 22 to 43 percent. This can’t all be explained with better screening and better surveillance, especially given the health system challenges in some of these countries.”

Sawyerr is also convinced that the rise, especially in cervical cancer, is real. “I have had a long career,” he says, “and I am unfortunately surprised that I am beginning to see a lot of people with cervical dysplasia [abnormal cell growth in the cervix] and with HPV involvement. I am treating one woman at the moment for cancer of the cervix and she is just 34 years old.”

HPV is the Human Papilloma Virus, a sexually transmitted disease [ http://www.cdc.gov/std/HPV/STDFact-HPV.htm ] implicated in the development of cancer of the cervix. A vaccination against HPV is now available and – together with regular screening – is one of the factors reducing the incidence and mortality from cervical cancer in richer countries. 

But with the vaccine initially costing about US$300 for a course of three doses it was priced beyond the reach of developing countries. Now the Global Alliance for Vaccines and Immunisation, GAVI, has negotiated a price of $5 a dose with the manufacturers, and is planning to roll out the vaccine in eligible countries soon.  

Senegal’s Health Minister, Modou Diagne Fada, told IRIN in June he hoped it would be available there by 2015. “Nowadays malaria is no longer our leading cause of death. Today the leading causes of death are chronic diseases, and non-transmissible diseases, especially cancer. Among these cancers there is one which is very deadly, cervical cancer, and I think the introduction of the vaccine against the Human Papilloma Virus would help us reduce the number of our women who die from this disease.”

eb/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=93767</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2009/200911041028050170t.jpg"/></td><td valign="top">LONDON 20 September 2011 (IRIN) - Last year, an estimated two million women around the world developed breast cancer or cancer of the cervix (the neck of the womb); more than 600,000 died – the equivalent of six large passenger planes crashing every single day.</td></tr></table>]]></content:encoded></item><item><title>In Brief: Civil society studies West Africa &quot;counter-terrorism plan&quot;</title><pubDate>Tue, 09 Aug 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/1181t.jpg" />]]>DAKAR 09 August 2011 (IRIN) - Journalists and civil society members in West Africa analysed a “counter-terrorism plan” drawn up by the Economic Community for West African States (ECOWAS) at a 4-5 August meeting in the Senegalese capital Dakar.</description><body><![CDATA[DAKAR 09 August 2011 (IRIN) - Journalists and civil society members in West Africa analysed a “counter-terrorism plan” drawn up by the Economic Community of West African States (ECOWAS) at a 4-5 August meeting in the Senegalese capital Dakar. [ http://www.ecowas.int/ ]
 
 Main issues that emerged were the need to strengthen regional cooperation and to address root causes of terrorism - poverty and lack of education, said Biram Diop, director of the African Institute for Security Sector Transformation, who facilitated discussions. “If people are poor and cannot satisfy their basic needs they are fragile and easy to recruit,” he told IRIN. “Teaching literacy [is important] so people are empowered to think independently.” [ http://www.irinnews.org/report.aspx?reportid=90703 ]
 
 “It’s important to have media and civil society involved because they play a more and more important role in our countries’ stability,” Diop said, adding that these institutions can “serve as a bridge” to communicate information to the public, and “pressure politicians to make the right decisions at a national and district level”. 
 
 Issues discussed at the meeting are to be incorporated into the plan, which ECOWAS is to present to member countries. Experts say “terrorist” activities and organizations know no borders and a regional approach is needed. 
 
 wb/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=93458</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/1181t.jpg"/></td><td valign="top">DAKAR 09 August 2011 (IRIN) - Journalists and civil society members in West Africa analysed a “counter-terrorism plan” drawn up by the Economic Community for West African States (ECOWAS) at a 4-5 August meeting in the Senegalese capital Dakar.</td></tr></table>]]></content:encoded></item><item><title>FOOD: Home-grown nutrition research for Africa</title><pubDate>Thu, 21 Apr 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2008/2008022618t.jpg" />]]>JOHANNESBURG 21 April 2011 (IRIN) - A group of international academic institutions and an NGO backed by the European Union (EU) have launched Sustainable Nutrition Research for Africa in the Years to come, or SUNRAY, to develop a nutrition agenda for Africa, with specific emphasis on the 34 sub-Saharan countries.</description><body><![CDATA[JOHANNESBURG 21 April 2011 (IRIN) - A group of international academic institutions and an NGO backed by the European Union (EU) have launched Sustainable Nutrition Research for Africa in the Years to come, or SUNRAY, [ http://sunrayafrica.co.za ] to develop a nutrition agenda for Africa, with specific emphasis on the 34 sub-Saharan countries. 
 
 "We want to make sure nutrition interventions in the next 10-15 years - when Africa faces potential environmental changes which will impact on nutrition - are sustainable, driven by African countries, and their priorities are not pre-defined by donors," said Carl Lachat, a researcher at the Belgium-based Institute for Tropical Medicine, one of the participating institutions. 
 
 A recent study by the International Food Policy Research Institute (IFPRI), a US-based think-tank, found that in another two decades the effect of climate change on food production could drive child malnutrition up by 20 percent. 
 
 The two-year SUNRAY project has invited proposals for working papers from African researchers to review the relationship between nutrition and climate change; the influence of rising food prices; the future availability of water; social dynamics in households, and the effect of rapid urbanization, among other themes in order to identify the specific research needs for nutrition in these areas. 
 
 Research in Africa 
 
 Proposals for working papers will be assessed by academics at four universities in sub-Saharan Africa: North-West University in South Africa; Sokoine University in Tanzania; the University of Abomey-Calavi in Benin; and Makerere University in Uganda. 
 
 "South Africa plays in a different league in terms of research when compared to the rest of Africa, but our research is more influenced by Western concepts, so if you are to look at good home-grown research pertaining to local foodstuffs, Nigeria and Kenya are a lot more advanced," said Prof Annamarie Kruger, director of the Africa Unit for Transdisciplinary Health Research at North-West University. 
 
 "This project is very attractive in the sense that we now have an opportunity to develop interventions suited for African conditions and we have a say in our agenda; we also know the gaps that need to be addressed - it is not like we are doing research for European driven projects." 
 
 Lachat pointed out that the backing of the EU meant rich countries are calling for African involvement in setting the priorities for nutrition research and funding. 
 
 Proposals for the project are being accepted by 22 April, with the first of a series of workshops with the authors being held later in 2011. 
 
 Ahead of the workshops, the collaborating institutions intend holding discussions with nutritionists, researchers, businesspeople in the food sector, and policy makers in seven African countries - Benin, Mozambique, Rwanda, South Africa, Uganda, Togo and Tanzania. 
 
 Lachat said they realized that political backing was critical to ensure the research made the journey from paper to the real world, so "we are involving African political leaders in the initiative." 
 
 The project will produce a roadmap document summarising research priorities, strengths and gaps, resource requirements, opportunities for linkage and support between African and Northern institutions, or synergies between existing initiatives and research in other sectors. 
 
 Only nine of the 46 countries in sub-Saharan Africa are on track to achieve the UN Millennium Development Goal to eradicate extreme poverty and hunger by 2015. 
 
 jk/he

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=92550</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2008/2008022618t.jpg"/></td><td valign="top">JOHANNESBURG 21 April 2011 (IRIN) - A group of international academic institutions and an NGO backed by the European Union (EU) have launched Sustainable Nutrition Research for Africa in the Years to come, or SUNRAY, to develop a nutrition agenda for Africa, with specific emphasis on the 34 sub-Saharan countries.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Opposition building to Great Green Wall</title><pubDate>Fri, 08 Apr 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201104081211530965t.jpg" />]]>NAIROBI 08 April 2011 (IRIN) - What’s green, controversial, 15km wide, 7,775km long, cuts across 11 African countries and is designed to reduce livestock deaths and boost food security for millions of people? Nothing yet, but the Great Green Wall project, a pipe-dream for decades, was recently endorsed by a swathe of African states stretching from Senegal to Djibouti.</description><body><![CDATA[NAIROBI 08 April 2011 (IRIN) - What’s green, controversial, 15km wide, 7,775km long, cuts across 11 African countries and is designed to reduce livestock deaths and boost food security for millions of people? Nothing yet, but the Great Green Wall project, a pipe-dream for decades, was recently endorsed by a swathe of African states stretching from Senegal to Djibouti. 
 [ http://www.thegef.org/gef/press_release/great_green_wall_2011 ] 
 
 An estimated 10 million people faced severe food shortages due to recurrent drought and climate change in the Sahel region last year. [ http://www.un.org/apps/news/story.asp?NewsID=34840&Cr=Africa&Cr1=hunger ] In Niger alone, the famine in 2010 left half the country’s population needing food aid and one in six children suffering from acute malnutrition. Some villagers in Niger described 2010 as worse than the 1973 drought that killed thousands of people, according to Malek Triki, West African spokesperson for the World Food Programme (WFP). [ http://www.wfp.org/content/aid-workers-warn-famine-disaster-niger ] 
 
 The Great Green Wall (GGW) project, originally proposed by Burkina Faso’s Marxist leader Thomas Sankara in the 1980s, was later resurrected by former Nigerian President Olesegun Obasanjo in 2005 before receiving approval by the African Union in December 2006. In June 2010, 11 countries involved signed a convention in Chad to further the development of the project, but the plan remained on standby until February when it was officially approved at an international summit in Bonn, Germany. 
 
 During the summit, the Global Environment Facility (GEF) [ http://www.thegef.org/gef/whatisgef ] set aside US$115 million to fund the wall. Mohamed I Bakarr, a senior environment specialist with GEF, told IRIN the wall “is in reality a metaphor to reflect the vision of African leaders for an integrated land-use system that addresses environment and development needs across all affected countries”. The GEF foresees the wall adopting a “mosaic” of “sustainable land-management systems with stakeholders, including grassroots communities, in all 11 countries implementing options that are appropriate to the local context”. 
 
 The plan entails each country implementing its own land, water and vegetation-management projects on up to two million hectares of land, under the framework of the UN Convention to Combat Desertification. [ http://www.thegef.org/gef/press_release/great_green_wall_2011 ] Monique Barbut, CEO of the GEF, said in a statement it would not fund “an all-out tree-funding drive from Dakar to Djibouti”, but rather, would allocate the funding according to national priorities, which have yet to be finalized. In a paper adopted by the Sahara and Sahel Observatory (OSS) in 2008, alleviating poverty is said to be one of the wall’s principal objectives. 
 
 The paper outlines national and regional objectives, including consolidating and expanding existing greenbelts of trees, conserving biodiversity, restoring and conserving soil and promoting income-generating activities, as well as carbon capture and storage of 0.5-3.1 million tons of carbon per year. [ http://www.grandemurailleverte.org/gmven/donnees/Concept_Note.pdf ] 
 
 Indigenous communities "threatened" 
 
 The project has faced opposition, despite its stated commitment to combating drought and desertification, which have exacted a heavy toll on the region as a whole. Wally Menne, a member of Timberwatch, the African NGO focal point for the Global Forest Coalition, told IRIN the organization was sceptical. “In our view it seems poorly conceived in terms of both ecological and socio-economic considerations. Its chances of being a success could be limited, and it may even cause more harm to the environment,” he said. The Global Forest Coalition campaigns for the rights of indigenous and forest people and for socially just policies. 
 
 Menne added that the inclusion of carbon sequestration activities and the potential future development of REDD projects (Reducing Emissions from Deforestation and Forest Degradation) as components of the GGW would require converting suitable land within the belt to fast-growing foreign species of monoculture tree plantations and carbon sinks opposed by many indigenous groups in the Sahel. Growing plantations would also require displacing people living on land earmarked for the GGW and would lead to further depletion of scarce water sources. 
 
 A concept paper on the kinds of vegetal species to be included in the GGW states that the wall will run through both inhabited and uninhabited areas, but will be located in areas where the average annual rainfall is higher than 200mm. It also stated that the only species to be adapted to the wall would be "primarily those that are found, live and develop there". [ http://www.grandemurailleverte.org/donnees/especes_vegetal.pdf ] 
 
 However, in a statement to the Indigenous People’s of Africa Coordinating Committee, IPACC, Sada Albachir, director of Association Tunfa, a Tuareg human rights group in Niger, said that “international agreements in the past introduced alien invasive species into the Sahara, without tackling the root problems of poor governance, dangerous uranium mining, and a failure to conserve biodiversity and water security in the arid region. I think the idea of planting a Green Wall across Africa is not to be entertained by indigenous people living in the proposed sites, unless the project has been studied in collaboration with them and they are also involved in the implementation.” [ http://www.ipacc.org.za/eng/news_details.asp?NID=276 ] 
 
 The programme coordinator for the OSS, Jihed Ghannem, told IRIN such concerns were baseless. “The full participation of communities is essential,” he said. 
 
 Timberwatch’s Menne told IRIN: “In my experience, ‘consulting’ local communities usually means misinforming them about the potential impacts of a project by exaggerating how they will benefit, whilst neglecting to inform them of the negative impacts. When they say that local communities will be an integral part of the project, it normally means that they will be used to provide cheap labour.” 
 
 Part of the GGW concept plan includes a section on “Food for Work” designed to recruit unemployed workers in each country to help with the planting of the greenbelt in the Sahel. According to OSS, under the scheme, “members of the communities assuming responsibilities are paid in part at the time of planting. The remainder is paid two years later on the basis of the plant growth scale.” The plan also indicates that private businesses, including “initiators of safari parks, modern farming, ecotourist sites” will find “some economic opportunities” in the wall. [ http://www.grandemurailleverte.org/gmven/objectifs.php ] 
 
 Menne said the wall could be a useful tool to combat desertification only if “viewed as an exercise in adaptation, rather than as an opportunity for climate change mitigation and making money from CDM/REDD carbon offsets as presently envisioned”. 
 
 According to Khadija Hassan*, representative of an indigenous people’s organization, the GGW might also interfere with migration patterns of pastoral communities and instead should incorporate ancestral systems of land management. “It would be best to protect what already exists in the region, stop the felling of trees in valleys and oases, repair damage caused by climate change, educate communities about REDD and restore livestock that has been lost,” she said. “I find the project is good, but too ambitious.” 
 
 *Not her real name 
 
 zm/am/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=92422</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201104081211530965t.jpg"/></td><td valign="top">NAIROBI 08 April 2011 (IRIN) - What’s green, controversial, 15km wide, 7,775km long, cuts across 11 African countries and is designed to reduce livestock deaths and boost food security for millions of people? Nothing yet, but the Great Green Wall project, a pipe-dream for decades, was recently endorsed by a swathe of African states stretching from Senegal to Djibouti.</td></tr></table>]]></content:encoded></item><item><title>SAHEL: Meningitis - the role of dust</title><pubDate>Mon, 14 Feb 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201101120725490578t.jpg" />]]>DAKAR 14 February 2011 (IRIN) - Researchers are analysing dust from the Sahel to study its role in the spread of bacterial meningitis in this region hardest hit by the debilitating and often fatal disease.</description><body><![CDATA[DAKAR 14 February 2011 (IRIN) - Researchers are analysing dust from the Sahel to study its role in the spread of bacterial meningitis in this region hardest hit by the debilitating and often fatal disease. 
 
 Study of the link between climate and infectious diseases is increasingly important as environmental changes appear to be pushing the so-called meningitis belt - from Ethiopia to Senegal – southwards, experts say. 
 
 Researchers with the International Research Institute for Climate and Society (IRI) [ http://portal.iri.columbia.edu/portal/server.pt ] at Columbia University, which looks at how climate information can be incorporated into preventive measures or early warning systems, are collecting dust samples in Ghana, Niger and Senegal in the study’s initial phase. 
 
 In the meningitis belt meningococcal meningitis outbreaks come with the dry season and taper off with the first rains, and dust has long been seen as contributing to the spread. Experts say mineral dust could be irritating membranes making people vulnerable to infection, or in other ways favour the spread of the bacteria. [ http://www.who.int/mediacentre/factsheets/fs141/en/index.html ] 
 
 “The mechanism by which dust may influence meningitis epidemic occurrence remains unclear,” IRI senior research scientist Madeleine Thomson told IRIN. “But the most common explanation for this role is that physical damage to the epithelial cells lining the nose and throat in dry and dusty conditions permits easy passage of the bacteria into the blood stream.” 
 
 The study will further probe the dust’s characteristics. “We will look at the properties of the dust and other climatic and environmental variables and determine whether, or to what extent, they influence the spatial and temporal occurrence of either carriage [when bacteria are present in the nose and throat but are non-invasive] or disease [when the bacteria are in the bloodstream],” Thomson said. 
 
 Researchers must also consider other potential mechanisms, said Thomson. For instance, she said, dust particles may impact the fluid dynamics of airborne transmission of the bacteria as well as preceding viral infections, and the high iron content of Sahelian dust may help activate the iron-hungry meningococcus bacteria. 
 
 High dust levels might also affect human behaviour: Crowding in small rooms with windows blocked can reduce ventilation, and facilitate transmission. Dust could also have an impact on other climatic variables, such as temperature and humidity, which may also be important drivers of meningitis infection and disease, Thomson explained.
 
 While several diverse factors play a role in bacterial meningitis outbreaks, an understanding of how the dust might be affecting people’s vulnerability can significantly boost prevention efforts, experts say. 
 
 In support of vaccine strategies 
 
 The dust research adds to a broader international World Health Organization-led project called MERIT [ http://merit.hc-foundation.org/ ] (meningitis environmental risk information technologies), which is designed to support current vaccine strategies as well as the African Meningoccocal Carriage Consortium (MenAfriCar), [ http://www.menafricar.org/ ] and the distribution of the new proactive vaccine currently being rolled out in West Africa. The new vaccine provides 10 years of protection as opposed to two or three. [ http://www.irinnews.org/Report.aspx?ReportID=90773 ] 
 
 Meningococcal disease - bacterial meningitis - occurs throughout the world, but attack rates in the meningitis belt are many times higher than those in other parts of the world. Death rates are generally 5-10 percent, according to MenAfriCar. The disease can also cause blindness, hearing loss, brain damage and loss of limbs. 
 
 The dust study is being funded by the NIEHS Center for Environmental Health in Northern Manhattan [ http://www.cumc.columbia.edu/dept/niehs/ ] and by a grant/cooperative agreement from the US National Oceanic and Atmospheric Administration. [ http://www.noaa.gov ] 
 
 IRI’s Thomson said interdisciplinary research into such burdens in poor countries is particularly difficult to fund, but that study of climate-sensitive infectious diseases like meningitis and malaria is increasingly important. “Climate and environmental change have the potential to impact on the effectiveness of disease control programmes,” she told IRIN. “For instance, there is a major concern that changes in the climate and environment are pushing the meningitis belt southwards; if this is the case there will be important implications for the development of meningitis control strategies.” 
 
 Burden 
 
 While meningitis is not the top killer disease in the Sahel, the frequent, major epidemics deal a heavy blow to health systems and to families and communities. 
 
 “Meningitis not only kills, it maims,” IRI’s Francesco Fiondella told IRIN. “It has long-term impacts on society. It draws resources from families and societies when people either die from the disease or become deaf or blind or lose a limb.” 
 
 Kandioura Touré, head of epidemiological surveillance and infectious illness in Mali’s Health Ministry, said meningitis is a constant burden and any progress in reducing cases has a huge impact. 
 
 “Meningitis weighs heavily not only on families - with deaths and cases of deafness and other disabilities - but also on the health system,” he told IRIN. “Each year we face these epidemics.” 
 
 Mali is one of three countries where the new vaccine is being rolled out. “These efforts give us hope we can finally eliminate the burden of this disease,” Touré said. 
 
 np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91916</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201101120725490578t.jpg"/></td><td valign="top">DAKAR 14 February 2011 (IRIN) - Researchers are analysing dust from the Sahel to study its role in the spread of bacterial meningitis in this region hardest hit by the debilitating and often fatal disease.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Serious about food</title><pubDate>Thu, 06 Jan 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2008/2008022616t.jpg" />]]>JOHANNESBURG 06 January 2011 (IRIN) - The record prices of staple grains in 2008 made investment in agriculture an attractive proposition for countries exporting as well as importing food. The African Union (AU), with its mix of producers and buyers, has been steadily gearing up for self-sufficiency.</description><body><![CDATA[JOHANNESBURG 06 January 2011 (IRIN) - The record prices of staple grains in 2008 made investment in agriculture an attractive proposition for countries exporting as well as importing food. The African Union (AU), with its mix of producers and buyers, has been steadily gearing up for self-sufficiency. 

Shortly after Malawian president Bingu wa Mutharika became AU chair in 2010, he announced a plan to make Africa food secure in the next five years. 

Martin Bwalya, head of the Comprehensive Africa Agriculture Development Programme (CAADP) said the AU’s seven-year roadmap to put the spotlight on farming so as to promote food security and economic growth, and reduce poverty, had been set in motion five years ago. 

By the end of 2010, the agriculture development plans of 18 African countries had undergone a rigorous independent technical review and were being rolled out. 

Over 60 percent of Africa’s people live in rural areas and most depend on farming for food and income. Agriculture contributes between 20 percent and 60 percent of the gross domestic product (GDP) to national coffers. 

In a document called The African Food Basket, Mutharika spelt out the details of his plan, which requires countries to allocate a substantial portion of their budget to agriculture, provide farming input subsidies, and make available affordable information and communications technology. 

This would be possible with the help of a new strategic partnership between countries, donors, aid agencies and the private sector. 

CAADP, initiated in 2003, covers all the main aspects of Mutharika’s plan, including the commitment to devote at least 10 percent of their budgets to agriculture. 

Under the programme, countries draw up comprehensive investment plans that include the four CAADP pillars: sustainable land and water management; improved market access and integration; increased food supplies and reduced hunger; and research, technology generation and dissemination. 

“We expect the countries to contribute at least 10 percent of the annual expenditure budget demonstrating local ownership and responsibility…”, said Bwalya. 

He added while development aid financing remained important, it was also crucial that countries consider measures to attract direct private sector financing to agriculture.

Uganda, one of the 18 states to undergo the review process, has accounted for about 65 percent of its funding requirements from its own budget. 

The AU’s development agency, the New Economic Partnership for Africa’s Development (NEPAD), which runs CAADP, helps countries to mobilize funds. 

Is achieving food self-sufficiency in five years a realistic goal? It would be a tough call said Ousmane Badiane, director for Africa at the US-based International Food Policy Research Institute (IFPRI). 

He noted that the AU had 53 members with varying degrees of agriculture investment, development and needs, and some countries did not have the structural capacity to reach the target of food self-sufficiency for many reasons including civil conflicts. 

Going regional 

A more realistic option, Badiane said, would be for countries with the potential to improve food production to produce enough to feed their less productive neighbours. This called for expanding regional trade and investment in transportation, including ports, railways and highways linking countries. 

AU members have begun to take regional economic integration “seriously”, noted Calestous Juma, professor of international development at Harvard University in his recently released book, The New Harvest. 

He lists regional markets as one of the three opportunities that could fortify Africa’s food security against the rising threat of climate change. 

There are at least eight Regional Economic Communities (RECs), such as the Common Market for Eastern and Southern Africa (COMESA) and the East African Community (EAC) “that are recognized by the AU as building blocks for pan-African economic integration”. However, “regional cooperation in agriculture is in its infancy and major challenges lie ahead." 

Regions could become food secure “by capitalizing on the different growing seasons in different countries and making products available in all areas for longer periods of time”, he wrote. 

Both Mutharika and CAADP emphasize the development of regional markets. Mutharika listed 12 regional trade corridors identified by the various RECs and suggested the AU draw up an institutional framework for each corridor. 

Science and technology 

In his book Juma lists advances in science and technology as another factor that could propel Africa towards food self-sufficiency, and called for more investment in the creation of regional hubs of research and innovation. 

Research is being carried out by groups created under NEPAD, such as the Biosciences Eastern and Central Africa Network (BecANet), which has been leading research on food crops, including banana, teff, cassava, sorghum and sweet potatoes. More investment in networks, especially agriculture-related ones, could produce far-reaching results. 

Subsidies 

Underuse of fertilizers has often been cited as a major cause of low production in Africa. Only four countries – Egypt, Malawi, Mauritius and South Africa – have exceeded the 50 kg per hectare target set by the AU, Mutharika noted in his plan. 

Fertilizer use in Africa accounts for less than 10 percent of the world average of 100 kg per hectare, “Just five countries (Ethiopia, Kenya, South Africa, Zimbabwe, and Nigeria) account for about two-thirds of the fertilizer applied in Africa,” Juma said. 

Mutharika, who promoted the provision of subsidised fertilizer in Malawi, makes a strong case for this approach. At present 19 African countries are implementing various programmes providing fertilizer. 

Juma sees leaders like Mutharika, who has prioritized food security as the third factor that could set Africa on the path to food security. The Malawian government devotes 16 percent of its national budget to agriculture. 

Yet IFPRI’s Badiane sounded a note of caution on subsidies and cited the case of Senegal. After independence the West African country put in place an agriculture subsidy programme in the 1960s that was even more comprehensive than Malawi’s. “It had a dramatic effect on agriculture in Senegal, but by 1979 one of its [agriculture] agencies had worked up a deficit amounting to 98 percent of the national budget.” 

Carefully managed subsidies, run for a short term, and aimed at strengthening existing markets and agricultural infrastructure, were a lot more effective, he said. 

The Rwandan government provided free fertilizer to farmers for four years after 1994. In 1998 it wanted to hand over importing and distribution to the private sector, which unfortunately lacked capacity, so the government continued to procure and import fertilizer but left distribution and selling to the private sector. 

Since then, aid from financial institutions has helped the private sector build capacity to import, and at least 20 bodies now import several hundred tonnes of fertilizer, Badiane said. 

Way forward 

The AU’s plans for agriculture also tackle other major issues affecting food security, such as irrigation (only four percent of Africa’s crop area is irrigated, compared to 39 percent in South Asia); improving soil fertility (more than three percent of agricultural GDP in Africa is lost annually as a direct result of soil and nutrient loss); post-harvest storage loss (sub-Saharan Africa loses about 40 percent of its harvest per year, against one percent in Europe); setting up databanks to share early warning information and energy. 

There is a high level of engagement between countries on agriculture. “They meet regularly and we support them in building evidence-based information,” CAADP’s Bwalya noted. 

If they stayed the course in implementing CAADP, Badiane said in five years a large number of African countries, if not food secure, would be in a much better position to feed themselves. 

jk/he 
]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91547</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2008/2008022616t.jpg"/></td><td valign="top">JOHANNESBURG 06 January 2011 (IRIN) - The record prices of staple grains in 2008 made investment in agriculture an attractive proposition for countries exporting as well as importing food. The African Union (AU), with its mix of producers and buyers, has been steadily gearing up for self-sufficiency.</td></tr></table>]]></content:encoded></item><item><title>HEALTH: Sickle cell disease still feared and deadly</title><pubDate>Thu, 30 Dec 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/20058153t.jpg" />]]>BANGKOK 30 December 2010 (IRIN) - A century after the drawing of an anaemic patient’s sickle-shaped red blood cells came out of Chicago in the USA - a sketch that officially placed this still pervasive genetic disorder into medical books - confusion, discrimination and lack of treatment continue to surround sickle cell disease (SCD), especially in Africa where more than 200,000 babies are born every year with the disease.</description><body><![CDATA[BANGKOK 30 December 2010 (IRIN) - A century after the drawing of an anaemic patient’s sickle-shaped red blood cells came out of Chicago in the USA - a sketch that officially placed this still pervasive genetic disorder into medical books - confusion, discrimination and lack of treatment continue to surround sickle cell disease (SCD), especially in Africa where more than 200,000 babies are born every year with the disease. 

“Sickle cell is a true public health problem with medical, human and social dimensions,” Oumar Ibrahima Touré, Mali’s health minister until earlier this month, told IRIN. 

Despite advances in treatment and research over the past century, SCD is still largely undiagnosed in the world's most affected areas where the problem is too complex for any quick-fix solutions, researchers say. 

And without treatment there is a 50 percent chance a sickle cell patient will die before the age of five, most commonly of a blood infection. 

For its impact on lives and livelihoods, SCD has been deemed a “threat to the economic and social development of Africa” by the West Africa-based Federation of Associations Combating Sickle Cell Disorder in Africa (FALDA). 

Still misunderstood 

“People still don’t know about this sickness and there’s a lot of judgment, forcing sick people to hide,” said Dramane Banao, president of a national initiative to fight SCD and mother of a 19-year-old woman with SCD in the West African country of Burkina Faso. 

Sickle cell disease is inherited and present at birth, but can show no symptoms for the first four months of life. 

Characterized by irregular haemoglobin (iron-rich, oxygen-transporting protein in red blood cells), the disease causes red blood cells to morph into a sickle-shape (crescent) instead of a disc, which leads to clumping and blocked blood vessels. 

This clumping can cause pain, infection and, in some cases, organ damage. 

When sickle-shaped cells die, sickle cell anaemia, the most common form of SCD, takes hold. 

Anti-cancer drugs and bone marrow transplants have extended the life expectancy of sickle cell patients into their 50s. 

“Life expectancy has increased, which is a huge accomplishment in the fight against the disease,” Dapa Diallo, director-general of the Centre for Sickle Cell Disease in Mali, said. “Sickle cell cannot be cured, but with proper care [the health of a patient] can be improved.” 

But life expectancy for a person with SCD in Africa, where a proper diagnosis is scarce, is still less than 20 years on average. 

“They didn’t know at all what the sickness was and treated me for malaria,” Abdoul Karim Ouedraogo, a 42-year-old sickle cell patient, said. At first, he was thought to be cursed, and now walks with crutches when SCD, prior to his diagnosis, damaged his hip. 

Discrimination 

Up to one in four adults in sub-Saharan African countries like Nigeria carry the sickle cell trait, according to the World Health Organization (WHO). 

Though carriers do not necessarily experience symptoms, testing is recommended for genetic counselling. A man and woman, if both are carriers, have a 25 percent chance of having a child with SCD. 

But the development of genetic testing, which has resulted in improved prenatal diagnosis in some parts of the world, is underutilized in the most heavily affected parts of West Africa, and has even led to discrimination and fear. 

Finding a marriage partner can prove difficult for carriers of the trait: Carriers can be perceived as being sentenced to having a very sick child. 

“We see ourselves as burdens on our families,” Moussa Soulale, diagnosed at 13 and now 25, said from Mali where she is a teacher who has learned to live with her illness. 

Screening, education, prenatal diagnosis and treatment have proven effective in fighting the disease among smaller populations, such as in the eastern Mediterranean country of Cyprus. 

But affected countries in Africa - where some populations have up to a 45 percent carrier rate, according to WHO - pose other challenges.  

“The level of care and quality of management of the crisis are not well studied in Africa,” said Brahima Soumaoro, a Mali-based medical researcher. 

There is an urgent need to put in place training for health workers “based on standards of proven efficacy,” he said, in the hope of containing SCD as it has been contained in the USA and Europe. 

GLOSSARY:

Anaemia: a condition in which blood has a lower than normal count of red blood cells.

Haemoglobin: An iron-rich protein in red blood cells that carries oxygen from the lungs to the entire body. 
Sickle cell disease is characterized by irregular haemoglobin.

Sickle cell anaemia: Healthy red blood cells live about 120 days in the bloodstream, but sickle-shaped red cells die within 20 days, which creates a shortage of red blood cells and less oxygen movement. This is the most common form of sickle cell disease.

Inherited disease: When an offspring is born to two parents who carry the sickle cell trait. 

Sickle cell crisis: Sudden pain throughout the body when blood clumps and oxygen is not delivered. A crisis can last for hours to weeks.
 
Sickle cell trait: Carrying one copy of the sickle cell gene does not translate into experiencing symptoms of the disorder; rather, the trait is passed to offspring, which have a 50 percent chance of carrying the disease and a 25 percent chance of having two copies of the trait and thus having the disease. 
[ http://www.nhlbi.nih.gov/health/dci/Diseases/Sca/SCA_Causes.html ]
 
(Source: US National Institutes of Health) 
[ http://www.nhlbi.nih.gov/health/dci/Diseases/Sca/SCA_WhatIs.html ]

TIMELINE: 

1910: James Herrick, a doctor in Chicago in the USA notices “peculiar elongated and sickle shaped” blood cells in Walter Clement Noel, a dental student from Grenada suffering from anaemia. Sickle cell disease, though known for years in Africa, was then formally reported in the US medical journal, Archives of Internal Medicine. 

1917: The genetic basis for sickle cell is first suggested by Victor Emmel, an American anatomist, in the US medical journal, Archives of Internal Medicine. 

1922: Three more cases are reported in the USA and the disease is formally named. 

1923: Doctors at the Maryland-based Johns Hopkins University conclude sickle cell disease is an “autosomal recessive characteristic” - two copies of the gene must be present for it to be expressed. 

1927: It is discovered that “sickling” happens because of a lack of oxygen. 

1940: The connection is made between abnormal haemoglobin and the tendency of red blood cells to sickle. 

1949: It is determined that carrying the sickle cell trait can be symptomless. 

1954: Anthony Allison hypothesizes that the sickle cell trait offered protection against malaria. As more research was done, it is discovered that those with the sickle cell trait, not the disease, are protected against malaria. But those with sickle cell disease either die from the blood disorder or die after coming into contact with malaria because of a weakened immune system. Subsequent research has called into question the sickle cell trait’s ability to protect against malaria. 

1970s: Forced testing for black people proliferates when sickle cell screening programmes began in the USA. 

1979: Calculations suggest the sickle cell gene developed 70,000-150,000 years ago. 

1994: It is recognized that all of the areas where sickle cell disease originated have been, or are now, endemic locations of malarial infestation. 

1995: Hydroxyurea, an anti-cancer drug, is found to be an effective therapy in reducing complications from SCD. 
[ http://www.nejm.org/doi/full/10.1056/NEJM199505183322001 ] 

1996: Bone marrow transplants are now used to treat sickle cell disease in children. 
[ http://www.nejm.org/doi/full/10.1056/NEJM199608083350601 ] 

1996: The Federation of Associations Combating Sickle Cell Disorder in Africa (FALDA) is formed. 

2000: The introduction of pneumococcal vaccine greatly reduces child mortality in the USA as those with SCD were at high risk of developing pneumococcal meningitis. 

2003: Hydroxyurea increases life expectancy for sickle cell patients. 
[ http://jama.ama-assn.org/content/289/13/1645.full ] 

2010: Mali President Amadou Toumani Touré opens a research centre to promote SCD research, training and genetic counselling for medical follow-up, with the ambition of creating globally influential advancements. Touré calls the centre part of the fight against poverty. 

nb/pt/cb 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91483</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/20058153t.jpg"/></td><td valign="top">BANGKOK 30 December 2010 (IRIN) - A century after the drawing of an anaemic patient’s sickle-shaped red blood cells came out of Chicago in the USA - a sketch that officially placed this still pervasive genetic disorder into medical books - confusion, discrimination and lack of treatment continue to surround sickle cell disease (SCD), especially in Africa where more than 200,000 babies are born every year with the disease.</td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Pick of the year 2010</title><pubDate>Thu, 30 Dec 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201011181906140831t.jpg" />]]>DAKAR 30 December 2010 (IRIN) - This year in West Africa natural and man-made disasters - from floods to fighting - brought anguish and emergency assistance, and left communities, aid workers and analysts mulling the long-term causes.</description><body><![CDATA[DAKAR 30 December 2010 (IRIN) - This year in West Africa natural and man-made disasters - from floods to fighting - brought anguish and emergency assistance, and left communities, aid workers and analysts mulling the long-term causes. 
 
 The always harsh lean season brought a nutrition crisis in Niger, Chad and other parts of the Sahel; a massive aid operation saved many lives, experts say, but the very fact that under-nutrition regularly kills children in the region means prevention measures need just as much attention. 
 
 [ http://www.irinnews.org/Report.aspx?ReportId=88385 ] 
 [ http://www.irinnews.org/Report.aspx?ReportID=89734 ] 
 
 Parched earth soon turned into waterways in much of the region, including in Benin where agriculture experts said farming families will feel the impact of this year’s floods well into 2011. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=91022 ] 
 
 In a region where emergency humanitarian needs often stem from long-term structural problems, aid groups grapple with how to work sustainability into short-term life-saving operations. Researchers are examining whether donor aid to the public health sector lets governments off too lightly. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=88785 ] 
 
 Governments and governance continue to be put to the test in West Africa - with mixed results. The world watched nervously as Côte d’Ivoire and Guinea held overdue, high-stakes presidential elections. By the end of 2010 Côte d’Ivoire - with two governments and severe unrest - was shoved out of the African Union, and Guinea - with its first-ever elected civilian leader - welcomed back in. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=91426 ] 
 [ http://www.irinnews.org/Report.aspx?ReportID=89627 ] 
 
 In another state with a turbulent political history, analysts wondered whether a coup in Niger, where then President Mamadou Tandja was working to prolong his stay in power, was not a turn for the better. The country is scheduled to start the new year with presidential elections. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=88174 ] 
 
 Elections are also set for early 2011 in Nigeria, where government and civil society continue to battle chronic unrest in the Niger Delta and communal violence in the centre and north. 

 [ http://www.irinnews.org/Report.aspx?ReportID=88906 ] 
 [ http://www.irinnews.org/Report.aspx?ReportID=89242 ] 
 
 Some looming security threats are regional, such as organized crime or the presence of organizations like al-Qaeda in the Islamic Maghreb; analysts say more coordination is needed. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=90703 ] 
 
 np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91494</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201011181906140831t.jpg"/></td><td valign="top">DAKAR 30 December 2010 (IRIN) - This year in West Africa natural and man-made disasters - from floods to fighting - brought anguish and emergency assistance, and left communities, aid workers and analysts mulling the long-term causes.</td></tr></table>]]></content:encoded></item><item><title>HIV/AIDS: MSM groups hail pill to prevent HIV</title><pubDate>Wed, 24 Nov 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201011241354350201t.jpg" />]]>NAIROBI 24 November 2010 (IRIN) - Gay rights groups have hailed the results of the first study to show that an antiretroviral (ARV) drug can prevent HIV as an important step in the fight against HIV, but say that in countries that criminalize homosexuality, the breakthrough is unlikely to have a significant impact.</description><body><![CDATA[NAIROBI 24 November 2010 (IRIN) - Gay rights groups have hailed the results of the first study to show that an antiretroviral (ARV) drug can prevent HIV as an important step in the fight against HIV, but say that in countries that criminalize homosexuality, the breakthrough is unlikely to have a significant impact. 
 
 The Iniciativa Profilaxis Preexposicion or Prexposure Prophylaxis Initiative (iPrEx) study [ http://www.iprexnews.com/english.html ] found that daily oral pre-exposure prophylaxis (PrEP) - the use of ARVs to prevent HIV in high-risk groups - reduced HIV infection risk among participants who took the ARV Truvada by an average 43.8 percent. The clinical trial of 2,499 men who have sex with men (MSM) and transgender people was conducted at 11 sites in Brazil, Ecuador, Peru, South Africa, Thailand and the United States. 
 
 "We are as happy as anyone out there about the findings from this study, but fear that unless our countries reconsider their laws, many MSM will not benefit from its results," said David Kuria, chairman of the Gay and Lesbian Coalition of Kenya [ http://galck.org ]. 
 
 He noted that the frequent arrests of gay men in countries like Kenya already made it difficult for those who were HIV-positive to strictly adhere to their ARV regimen and would certainly create challenges in rolling out any pre-exposure prophylaxis policy. 
 
 The study found that PrEP was more effective in people at higher risk for HIV - based on reports of unprotected receptive anal intercourse - and among those who took the pill more consistently; for instance, those who reported using PrEP on 90 percent or more of the days saw 72.8 percent efficacy. 
 
 Implementation challenges 
 
 "Implementation of PrEP is highly unlikely in countries where access to ARVs is already seriously limited. Even in places where access to ARVs is more stable, PrEP will likely be targeted to groups most at risk for HIV, including MSM," said a statement from the Global Forum on MSM and HIV [ http://www.msmgf.org ]. "This would in turn require disclosure of same-sex behaviour, which could prove difficult or even dangerous in countries where violence, stigma and discrimination against MSM persists." 
 
 According to the AIDS Vaccine Advocacy Coalition [ http://www.eurekalert.org/pub_releases/2010-11/avac-faq112310.php ], the UN World Health Organization (WHO) and UNAIDS must "move without delay to issue a statement clarifying the implications of the results” for MSM. 
 
 Globally, around 80 countries criminalize same-sex relationships, creating obstacles to HIV prevention. 
 
 Right to health services 
 
 A senior government official in Kenya says while homosexual activity remains illegal in the country, government HIV agencies are working to understand and better serve the MSM community with health services. 
 
 "Access to health is a right enshrined in the constitution, and this right does not discriminate between gay and straight," said Nicholas Muraguri, head of the National AIDS and Sexually transmitted infections Control Programme, NASCOP. 
 
 "We know gay people have a hard time accessing health services; many health workers are ignorant or stigmatize MSM - we are starting to train them on these issues," he added. "We are also conducting a study on the health needs of MSM, and will use their own networks to ensure they have access to services." 
 
 The study's authors urged WHO, UNAIDS and other global and national HIV policymaking bodies to develop clear recommendations for next steps in the study of PrEP. 
 
 According to the Gay Men's Health Crisis (GMHC) [ http://www.gmhc.org ], an NGO providing HIV services in New York, while the study's results are welcome, it is important to keep using other prevention methods. 
 
 "We know that by far the most effective prevention technologies remain condoms and lubricant, and clean needles," said Marjorie J Hill, chief executive officer of GMHC. "We support further research to develop effective biomedical prevention interventions, even as we spread the word about what works best now." 
 
 kr/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91180</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201011241354350201t.jpg"/></td><td valign="top">NAIROBI 24 November 2010 (IRIN) - Gay rights groups have hailed the results of the first study to show that an antiretroviral (ARV) drug can prevent HIV as an important step in the fight against HIV, but say that in countries that criminalize homosexuality, the breakthrough is unlikely to have a significant impact.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Going rural and green</title><pubDate>Fri, 15 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201006301631390484t.jpg" />]]>ADDIS ABABA 15 October 2010 (IRIN) - As rural Africa experiences an increasingly moody climate which will erode resilience, drive up hunger and threaten economic growth, it is time countries got serious about development, participants at the seventh African Development Forum in Addis Ababa were told.</description><body><![CDATA[ADDIS ABABA 15 October 2010 (IRIN) - Rural Africa needs to wake up to climate change, which is threatening food security, people’s resilience to cope with natural disasters, and economic growth, participants were told at the Seventh African Development Forum which ends in Addis Ababa today. 
 
 Africa’s Rural Futures (RF) programme, an initiative of the African Union’s New Partnership for Development (NEPAD) and the World Wide Fund for Nature (WWF), sets out plans to boost rural development, and is an attempt to adapt to the impact of climate change. 
 
 At the same time, organizations such as the UN Environment Programme (UNEP) and the World Bank are backing the UN’s Green Economy Initiative, [ http://www.unep.org/greeneconomy ] which is more focused on mitigation. 
 
 In his address, Ibrahim Assane Mayaki, NEPAD’s chief executive officer, called RF a “new way of thinking about development”. 
 
 But is it new? At a policy level, Lindiwe Sibanda, head of the Food Agriculture and Natural Resources Policy Analysis Network, a think-tank [ http://www.fanrpan.org/ ] explained: “Well, what they are talking about is integrated rural development with agriculture as the driver. It will get all the ministries to look at their sectors with a rural lens. It moves beyond the sectoral approach.” 
 
 This would do agriculture in Africa some good, she hoped. “Development of agriculture has suffered because of the sectoral approach.” Departments of transport, infrastructure and agriculture have not worked in consort in many countries, affecting food production and supply. 
 
 In a bid to revive their failing rural economies, some developed  countries have been running RF programmes for some years. WWF, which has been involved in some of these programmes, had been looking at an initiative to improve rural livelihoods with a link to improving biodiversity in Africa, when they found NEPAD. 
 
 Urbanization 
 
 The RF programme is guided by the fact that 60 percent of the population in Africa is rural, though UN projections indicate that the number of urban dwellers is likely to treble over the next four decades. 
 
 “Urbanization is a part of the natural evolution of a society, but what conditions will these new urban dwellers live in - slums?” asked Estherine Lesinge-Fotabong, NEPAD’s programme implantation head. 
 
 By providing new impetus to agriculture, the RF programme also hopes to create jobs, absorb the growing population, and tackle food security and gender empowerment. Most subsistence farmers in Africa are women. 
 
 Fine-tuning 
 
 RF was launched at the Forum, but is still being fine-tuned and currently at a “strategic document stage”. It envisages a two-year period of consultation with countries and civil society across Africa. 
 
 RF talks about developing linkages between local and regional markets, but stops short of any connections to industry. “That is its shortcoming, but the programme is still evolving,” said Mersie Ejigu, head of the Partnership for African Environmental Sustainability, an international NGO. [ http://www.paes.org/about/mstatement.htm ] 
 
 Ejigu, a development economist and former minister of development and planning in the Ethiopian cabinet, added: “I am not saying we need to have big investments in massive agro-based industries. It could be small-scale, home-based industries but when you are looking beyond agriculture and adding value, you have to look at processing the primary product.” 
 
 Donor-dependent 
 
 But money, and especially donors, decide the future of any programme in Africa, said Mamadou Cissokho, honorary president of the Network of West African Farmer and Producer Organizations. “African countries need to bring their own money to the table - then only will they be able in a position to decide what development path or programmes they want to implement.” 
 
 This concern was also voiced by WWF’s Gabriella Richardson-Temm: “We are happy with the way this is shaping up and that Africa wants to design their own programme - but then donors, who bring in the funds, come with their own sets of conditions.” 
 
 RF could also be one of the components of the UN’s Green Economy Initiative, which is assisting governments to “green” their economies by reshaping policies to ensure growth on the basis of non-fossil fuel-based energy, backed by sustainable agriculture (with the help of investments in clean technology and public transport that runs on renewable energy). It also focuses on greening other sectors such as waste management and water services. 
 
 “You don’t want us to grow,” said a participant when UNEP’s Achim Steiner spelt out the initiative. Coal is still the cheapest source of energy in developing countries. Another said: “But Africa is already green - most of our people use biomass to produce energy.” 
 
 But you need money to access these alternative green technologies, pointed out Moussa Ould Hwedna, a technical adviser to Mauritania’s Ministry of Water and Sanitation. “Ours is a dry country and we need solar power to pump water from underground and the cost of solar energy is prohibitive.” 
 
 “We would like to adopt these technologies but developed countries should look at making it cheaper for us,” he added. 
 
 This is one of the issues at the UN climate change talks, the next round of which will take place in Mexico later this year. 
 
 jk/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90786</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201006301631390484t.jpg"/></td><td valign="top">ADDIS ABABA 15 October 2010 (IRIN) - As rural Africa experiences an increasingly moody climate which will erode resilience, drive up hunger and threaten economic growth, it is time countries got serious about development, participants at the seventh African Development Forum in Addis Ababa were told.</td></tr></table>]]></content:encoded></item><item><title>HIV/AIDS: Global Fund looks to private sector to fill funding gap</title><pubDate>Thu, 14 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2007/2007082136t.jpg" />]]>JOHANNESBURG 14 October 2010 (IRIN) - With its coffers running at least US$1 billion short, the Global Fund to Fight AIDS, Tuberculosis and Malaria is looking to the private sector to fill the funding gap. </description><body><![CDATA[JOHANNESBURG 14 October 2010 (IRIN) - With its coffers running at least US$1 billion short, the Global Fund to Fight AIDS, Tuberculosis and Malaria is looking to the private sector to fill the funding gap. 
 
 At a 12 October conference [www.gbcimpact.org/itcs_node/2/0/event/2323] on the role of buisness in health in Johannesburg, South Africa, members of the Fund’s board and secretariat said private sector contributions had become increasingly important as its historic donors – governments – were shying away from fully funding the global health financing mechanism. 
 
 “In the new context that we’re in, where we’ve gotten [funding] increases from governments but we know that these governments are under pressure, this is exactly where the private sector has to step up,” said the Global Fund’s private sector team manager, David Hayward Evans. ”We need more funds... and we believe, we hope, that the private sector can contribute.” 
 
 At the 5 October replenishment meeting in New York, donors pledged $11.7 billion to the Global Fund over the next three years, but the Fund projected it would need at least $13 billion over the same period to maintain current programming. [http://www.plusnews.org/Report.aspx?ReportId=90689] Private sector contributions, led by petroleum producer, Chevron, only accounted for about 3 percent of all pledged contributions at the meeting. 
 
 Brian Brink, chief medical officer for international mining corporation Anglo American, who represents the private sector on the Fund’s board, told IRIN/PlusNews he would like to see business become one of the Global Fund’s top 10 donors. He plans to push the idea at a special business summit ahead of this year’s G20 meeting in South Korea on 11 November. 
 
 Uneasy bedfellows 
 
 At present, business can support the Global Fund in several ways, including through in-kind donations, such as the provision of country support staff; by supporting the implementation of Global Fund financed programmes through skills training; or by acting as a service provider. [http://www.theglobalfund.org/documents/replenishment/2010/Partnering%20for%20Global%20Health_The%20Global%20Fun%20and%20The%20Private%20Sector.pdf]
 
 Brink highlighted successful examples of such partnerships, including the training in financial management of Global Fund grantees by Standard Bank and the distribution of bed nets by South African-based fast-food chain, Nando’s, but there are indications that the private sector is less keen to make financial contributions. 
 
 The Global Business Coalition on HIV/AIDS, Tuberculosis and Malaria (GBC), an independent NGO that serves as a focal point for public-private partnership within the Fund, conducted a survey of 30 of the companies invited to take part in the Johannesburg conference. The survey found companies were most interested in contributing to the Fund through in-kind donations.
 
 Among the companies’ main concerns in partnering with the Global Fund were that they would be seen as money pots, the potential for conflicts of interest, and that the Global Fund did not align with their corporate social responsibility strategies. 
 
 According to Evans, some businesses also remained wary of joining forces with the Fund's governmental partners, regarded as overly bureaucratic compared with the corporate world. 
 
 llg/ks/mw]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90765</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2007/2007082136t.jpg"/></td><td valign="top">JOHANNESBURG 14 October 2010 (IRIN) - With its coffers running at least US$1 billion short, the Global Fund to Fight AIDS, Tuberculosis and Malaria is looking to the private sector to fill the funding gap. </td></tr></table>]]></content:encoded></item><item><title>HEALTH: New global plan aims to wipe out TB</title><pubDate>Thu, 14 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201010111231470645t.jpg" />]]>JOHANNESBURG 14 October 2010 (IRIN) - A new roadmap for curbing the global epidemic of tuberculosis aims to save five million lives between 2011 and 2015 and eliminate TB as a public health problem by 2050 but comes with a price tag of US$47 billion, nearly half of which must still be found.</description><body><![CDATA[JOHANNESBURG 14 October 2010 (IRIN) - A new roadmap for curbing the global epidemic of tuberculosis aims to save five million lives between 2011 and 2015 and eliminate TB as a public health problem by 2050 but comes with a price tag of US$47 billion, nearly half of which must still be found. 
 
 The Global Plan to Stop TB 2011-2015 developed by the World Health Organization’s (WHO) Stop TB Partnership builds on progress towards goals laid out in a 2006 plan to halve TB prevalence and death rates by 2015 and scale up TB diagnosis, treatment and care, but adds essential research targets including the development of faster methods to test and treat TB and to prevent it through an effective vaccine. 
 
 After peaking in 2004, the global incidence of TB is declining, but “far too slowly”, noted Mario Raviglione, director of WHO’s Stop TB Department, at the launch of the plan in Alexandra, a Johannesburg township. The curable disease still affects some nine million people a year and claims nearly two million lives annually. 
 
 In southern Africa the death toll from TB is particularly severe, largely as a result of a twin epidemic in HIV - people infected with HIV are between 20 and 37 times more likely to develop TB. 
 
 The choice of a primary school in an impoverished South African township to host the launch was significant: South Africa has the world’s third highest burden of TB, a disease that spreads easily in overcrowded, poorly ventilated dwellings like the ones that cram the streets of Alexandra. 
 
 The South African government’s Kick TB Campaign, which started in June 2010 during the country’s hosting of the FIFA World Cup, targets school children in high TB-burden areas like Alexandra with information about TB that it is hoped they will pass on to their families and communities. At the launch on 13 October, hundreds of children gathered in a playing field attached to Pholosho primary school to kick around soccer balls emblazoned with illustrations of TB symptoms. 
 
 One of the learners pleaded with the international experts, activists and journalists gathered for the event to “stop TB in my lifetime”. Rifat Atun, chair of the Stop TB Partnership Board, responded that this is exactly what the plan aims to do and that, providing funding is made available, it is a realistic goal. 
 
 Guidance on TB control 
 
 Specifically, the plan provides countries with guidance on how to improve TB control through scaling up existing interventions for its diagnosis and treatment and by making use of new diagnostic tests and drugs that will become available over the next five years. A new test that uses molecular line probe assays to detect multi-drug resistant (MDR-)TB in a few days instead of the weeks needed using older testing methods has already been introduced in some countries. Other tests that will soon be available can detect TB in a matter of hours. 
 
 Current TB drug regimens take six months to be effective for drug-susceptible TB and much longer for drug-resistant strains, during which time many patients are lost to follow-up. The pipeline of new TB drugs promises shorter treatment times. Meanwhile, nine TB vaccine candidates are in clinical trials and a new generation of TB vaccines is expected to be available by 2020. 
 
 Other major elements of the plan focus on efforts to combat drug-resistant TB and TB in people living with HIV. It calls for a scale-up in access to tests that can detect resistance to first- and second-line TB drugs, identifying limited laboratory capacity as the main reason why only 5 percent of the estimated 440,000 people who had MDR-TB in 2008 were diagnosed. It also recommends testing all TB patients for HIV (by 2008, only about 22 percent of TB patients knew their HIV status) and providing antiretroviral treatment to all those who test positive. 
 
 The plan estimates that $10 billion alone is needed to fund further research and development over the next five years, about $7 billion of which still needs to be raised. Out of the estimated $37 billion needed to implement the Global Plan’s TB diagnosis, treatment and care targets, a funding gap of about $14 billion remains. 
 
 Atun of the Stop TB campaign said he was encouraged by the record levels of support for the Global Fund to Fight AIDS, Tuberculosis and Malaria at the Fund’s replenishment meeting in New York last week at which donors pledged a total of $11.7 billion over the next three years. He added, however, that part of the shortfall for funding TB programmes and research will need to come from domestic budgets. 
 
 ks/cb 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90767</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201010111231470645t.jpg"/></td><td valign="top">JOHANNESBURG 14 October 2010 (IRIN) - A new roadmap for curbing the global epidemic of tuberculosis aims to save five million lives between 2011 and 2015 and eliminate TB as a public health problem by 2050 but comes with a price tag of US$47 billion, nearly half of which must still be found.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: New meningitis vaccine a &quot;revolution&quot;</title><pubDate>Thu, 14 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2009/200904201848030218t.jpg" />]]>DAKAR 14 October 2010 (IRIN) - The emergence of an effective new meningitis vaccine, rather than a large-scale outbreak of the disease, has prompted the current vaccination drive across West Africa. Health officials say the vaccine marks a “revolution” in preventing the highly contagious and fatal disease.</description><body><![CDATA[DAKAR 14 October 2010 (IRIN) - The emergence of a new meningitis vaccine, rather than a large-scale outbreak of the disease, has prompted the current vaccination drive across West Africa. Health officials say the vaccine marks a “revolution” in preventing the highly contagious and fatal disease. 
 
 Health workers in Burkina Faso, Mali and Niger - the three countries selected for introduction of the vaccine - are preparing for country-wide campaigns set for December, having just completed a limited pilot phase. 
 
 “This vaccine, which targets the bacterium [meningococcus A] most frequently causing epidemics, is about preventing epidemics, not waiting, then reacting,” Mamoudou Harouna Djingarey of the Meningitis Vaccine Project (MVP) in Burkina Faso told IRIN. Up to now countries in the region vaccinated communities only once an outbreak had started. [ http://www.meningvax.org/index.php ] 
 
 Routine vaccinations with polysaccharide vaccine - used hitherto in the region - were not viable because the vaccine protects for only two to three years, and is not effective in children under two. 
 
 The just-launched meningococcal A conjugate vaccine - developed by Serum Institute of India under a partnership by the World Health Organization (WHO) and the international NGO PATH - provides protection for 10 years. [ http://www.path.org/ ] [ http://www.who.int/topics/meningitis/en/ ] 
 
 “To achieve a vaccine four times stronger than existing ones, at 200 CFA francs per dose, [40 US cents, compared to about US$1 for past vaccines] and which will protect for 10 years, is truly a revolution for public health,” Djingarey said. 
 
 “This will allow countries to avoid huge meningitis A epidemics and save their resources for other public health needs.” Health experts note that the infection will circulate less with the new vaccine, thereby protecting even non-vaccinated populations from the disease, one of the region’s greatest public health burdens. 
 
 The so-called “meningitis belt” of sub-Saharan Africa, from Senegal to Ethiopia, has the world’s highest rates of meningitis, with epidemics generally coming in the dry season from December to June. In 2009, 14 African countries reported 88,199 suspected cases with at least 4,050 deaths, according to WHO. 
 
 This year the region to date is seeing lower numbers but more patients are dying, according to MVP. 
 
 Different strains 
 
 While meningitis A is the most common cause of epidemics, other strains emerge some years as well, such as W135 in Chad and strain X in Burkina Faso last year. [ http://www.irinnews.org/report.aspx?ReportId=88915 ] [ http://www.irinnews.org/report.aspx?ReportID=83964 ]
 
 Countries still must be ready to react with vaccination campaigns for other strains of meningitis and in this sense preparedness remains a challenge, health experts say. 
 
 But meningitis A has by far been the biggest problem, said Marie-Pierre Preziosi, medical officer with the product research and development team in WHO’s immunization, vaccines and biologicals department. 
 
 “Meningitis A is responsible for nearly all of the epidemics in the past century - so while there are other strains that emerge… there has never been another strain that has been so prominent,” she told IRIN. 
 
 Funding gaps 
 
 Funding constraints have threatened meningitis vaccine supplies in the past and money is needed to fully roll out the new vaccine, Preziosi said. “There are sufficient doses available of the meningococcal A conjugate vaccine to start the nationwide campaigns in Burkina Faso, Mali and Niger, but there is a funding gap of $475 million to complete these drives and for a full rollout in the other meningitis belt countries."
 
 Burkina Faso, Mali and Niger were selected as the first countries to introduce the vaccine due primarily to their high prevalence of meningitis as well as their capacity to carry out mass vaccination campaigns. 
 
 np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90773</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2009/200904201848030218t.jpg"/></td><td valign="top">DAKAR 14 October 2010 (IRIN) - The emergence of an effective new meningitis vaccine, rather than a large-scale outbreak of the disease, has prompted the current vaccination drive across West Africa. Health officials say the vaccine marks a “revolution” in preventing the highly contagious and fatal disease.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Thinking big on climate change modelling</title><pubDate>Wed, 13 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2008/2008080613t.jpg" />]]>ADDIS ABABA 13 October 2010 (IRIN) - If African countries had had the capacity to do climate change projections, their data could have been fed into the Intergovernmental Panel on Climate Change’s (IPCC) assessments for the continent, said Richard Odingo, former vice-chair of the IPCC at one of the discussions ahead of the Seventh African Development Forum.</description><body><![CDATA[ADDIS ABABA 13 October 2010 (IRIN) - If African countries had had the capacity to do climate change projections, their data could have been fed into the Intergovernmental Panel on Climate Change’s (IPCC) assessments for the continent, said Richard Odingo, former vice-chair of the IPCC at one of the discussions ahead of the Seventh African Development Forum. [ http://www.uneca.org/adfvii/about.asp ] 

The IPCC is still recovering from its controversial warning about the impact of climate change on food production in Africa, cited in its synthesis report. The warning turned out to have been based on a non-peer reviewed academic paper for three North African countries. [ http://www.irinnews.org/Report.aspx?ReportId=88400 ]

The warning said that since most agriculture in Africa is rain-fed, climate change, which is affecting vital rainfall patterns and pushing up temperatures, could halve crop yields in some countries by 2020.

“Africa should think big and do their own climate change modelling to forecast projections,” said Odingo, as climatologists and meteorologists brainstormed on measuring climate change at the Forum being organized by the UN Economic Commission for Africa (UNECA).

Better climate data will help countries prepare for soaring temperatures and natural events such as droughts, floods and storms set to become more intense and frequent as the impact of climate change unfolds. "There are gaps in our information collection," he said.

Climate modelling initiatives launched in Africa in collaboration with universities in the West were not "good enough", Odingo told IRIN.

To assess the impact of climate change, climatological data spanning at least 60 years is required. But countries in Africa have often had to shut down weather stations because of a lack of funds or political strife.

Amadou Gaye, head of the Laboratory of Atmospheric and Ocean Physics at Dakar’s University Cheikh Anta Diop agreed. Gaye, who was one of the authors of the IPCC’s last assessment, said it would be easier for Africa to do projections on a large scale than prepare country-specific models. “We could start with that.”

Obstacles

Some experts at the meeting said they lacked money to build capacity to collect and analyse climate data.

Sound climate data was the starting point in developing a climate change model, said Mxolisi Shongwe, Swaziland’s national climate change coordinator. “And the quality of data varied across the continent.”

But there were other stumbling blocks. “And when you have data, often departments within government are unwilling to share the information,” he told IRIN.

Any modelling also needs to be validated by an authoritative body to make improvements. “But again few government agencies involved in data collection open themselves up for scrutiny.” Shongwe added that South Africa was an exception in the continent. “All the government sectors [in South Africa] not only share their data but also open themselves up for scrutiny by the academics [climate change experts] at the University of Cape Town.”

ClimDev Africa

Gaye added that the continent perhaps needed to look towards the Climate Information for Development Needs: An Action Plan for Africa' (ClimDev Africa), a programme aimed at improving weather data analysis, which was started in 2005.  

Recognizing the need to bring Africa on board, the action plan was put together for the continent with the help of the Global Climate Observing System, which in turn is a combined initiative of several UN agencies and the International Council for Science (ICSU). The other sponsors of the Africa plan were UNECA and the African Union Commission. [ http://www.irinnews.org/Report.aspx?ReportId=72380 ]

The programme is officially being launched at the Seventh African Development Forum on 13 October. “It is a massive programme. We have had to develop strategy and terms of reference for the staff and then do the recruitment itself,” said Josué Dioné of UNECA, explaining the delayed launch. Dioné, who heads the Food Security and Sustainable Development section at UNECA, was one of the prime movers for ClimDev. “It is not that we are not working - we have already put US$30 million into the regional climate forecasting centres in Africa.”

CimDev also helped Africa develop its position at the UN climate change talks.

In a programme spread over 10 years, ClimDev Africa will support efforts to establish or upgrade weather observing systems to fill data gaps, expand capacity for analysing and interpreting data, and strengthen existing African climate institutions. 

The programme also includes a climate policy centre, which will help governments draw up strategies to mitigate and adapt to the impact of climate change. 

The Forum, which is focusing on dealing with climate change for sustainable development, will end on 15 October. 

jk/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90751</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2008/2008080613t.jpg"/></td><td valign="top">ADDIS ABABA 13 October 2010 (IRIN) - If African countries had had the capacity to do climate change projections, their data could have been fed into the Intergovernmental Panel on Climate Change’s (IPCC) assessments for the continent, said Richard Odingo, former vice-chair of the IPCC at one of the discussions ahead of the Seventh African Development Forum.</td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Growing food for nutrition </title><pubDate>Mon, 27 Sep 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201009271734160875t.jpg" />]]>GRAND BASSAM 27 September 2010 (IRIN) - “Animal production – that is nutrition.” The statement by Victoria Tsepko of Ghana’s Food and Agriculture Ministry summed up one of the themes of a nutrition forum of the Economic Community of West African States – helping nutrition find its place in the agriculture sector.</description><body><![CDATA[GRAND BASSAM 27 September 2010 (IRIN) - “Animal production – that is nutrition.” The statement by Victoria Tsekpo of Ghana’s Food and Agriculture Ministry summed up one of the themes that emerged at a nutrition forum of the Economic Community of West African States – helping nutrition find its place in the agriculture sector.

Health, nutrition and agriculture experts from the 15 ECOWAS countries said nutrition usually gains attention only in the context of crisis and emergency response, but it should be integral to agricultural and development programmes if countries are to pre-empt child malnutrition. [ http://www.comm.ecowas.int/sec/index.php?id=member&lang=en ]
 
"Today everyone agrees that the health, nutrition and agriculture sectors must work together, but ... they do not understand one another," said Ismael Thiam, nutrition officer of the ECOWAS West African Health Organization. "Their policies are developed separately, their data collection efforts are separate."

"What the agriculture sector collects is not what is needed to know the nutritional implications; availability of food has nothing to do with [the biological composition and benefits]."

The agriculture and health sectors know what needs to be done, but in most cases the mechanisms are not in place for countries to ensure sound nutrition for their populations and prevent crises, Thiam told IRIN.

"We have to stop taking malnutrition as a problem that calls for an emergency response - it must be integrated into development," said Mamady Daffe, head of the nutrition unit in Guinea's Health Ministry.

"In all food security programmes there must be a nutrition component; agricultural production must be about quality as well as quantity. If we're focused only on quantity, we'll always fall into problems of malnutrition – either obesity or under-nutrition."

Participants said the agriculture sector focused on maximum production without adequate attention to the nutritive quality of what farmers were producing. [ http://www.irinnews.org/PrintReport.aspx?ReportID=89970 ]

"The first step is for agriculture technicians to have a clear understanding of nutrition," said Narcisse Litaaba-Akila of Togo's Agriculture, Livestock and Fisheries Ministry.

He told IRIN the ministry worked with a government nutrition expert in developing its food security programme. "But still, in a document of more than 100 pages, only about one and a half pages cover nutrition. Why this imbalance? It points to a remaining problem of understanding the role of nutrition."

In many government ministries nutrition is not given due attention because policy-makers are not aware of its importance, said Victoria Lebbie, who heads the women in agriculture and nutrition unit in Sierra Leone's Agriculture, Forestry and Food Security Ministry.

"To them it's just cooking," she told IRIN. "But nutrition is not only cooking - it goes beyond that. It's agriculture; it's all about production, processing, preservation, utilisation."

Use what's already in place 
 
Health experts at the forum said agricultural cooperatives offered an effective vehicle for infusing nutrition information into crop production as well as household eating habits – a low-cost education method with huge potential returns.

"If we want nutrition messages to be imbibed we have to use groups at the local level," said a representative of Nigeria's national food security programme in the Agriculture Ministry.

"In most countries, as in Nigeria for instance, we have a lot of [agriculture] groups – livestock groups, poultry groups, fisheries groups, and women's groups - that are well-formed, and they are involved in a lot of agricultural activities," she told IRIN.

"Women do most of the agricultural production, processing, storage and utilization. So if ... [they] are taught about nutrition ... we will be able to combat malnutrition."

np/he

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90601</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201009271734160875t.jpg"/></td><td valign="top">GRAND BASSAM 27 September 2010 (IRIN) - “Animal production – that is nutrition.” The statement by Victoria Tsepko of Ghana’s Food and Agriculture Ministry summed up one of the themes of a nutrition forum of the Economic Community of West African States – helping nutrition find its place in the agriculture sector.</td></tr></table>]]></content:encoded></item><item><title>HEALTH: &quot;Encouraging&quot; drop in maternal deaths</title><pubDate>Thu, 16 Sep 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/20038203t.jpg" />]]>NAIROBI 16 September 2010 (IRIN) - The proportion of women in sub-Saharan Africa who died because of pregnancy fell by more than a quarter between 1990 and 2008, according to estimates released on 15 September. </description><body><![CDATA[NAIROBI 16 September 2010 (IRIN) - The proportion of women in sub-Saharan Africa who died because of pregnancy fell by more than a quarter between 1990 and 2008, according to estimates released on 15 September. 
 
 In 1990, the maternal mortality ratio (MMR - expressed in deaths per 100,000 live births) was 870 in sub-Saharan Africa, the worst rate of any region in the world. In 2008, it was 640, according to data published jointly by the World Health Organization (WHO), UN Children’s Fund (UNICEF), the UN Population Fund (UNFPA) and the World Bank. 
 
 Globally, the ratio fell by 34 percent, from 400 to 260, states the report, Trends in Maternal Mortality, noting that this represented an annual decline of 2.3 percent. This is less than half the reduction needed to achieve the fifth Millennium Development Goal (MDG), which concerns maternal health. 
 
 “There was a 26 percent reduction in maternal death rates in sub-Saharan Africa and this data is encouraging," Thoraya Ahmed Obaid, executive director of UNFPA, told IRIN. 
 
 "We welcome and are thrilled by the decline, which shows that interventions are working. There are increasing efforts in countries to train more midwives, provide family planning, and strengthen hospitals and health centres to provide care to pregnant women. But we need to do more and increase community engagement. There are still 1,000 women [across the world] who die every day in childbirth, and more than 200 million women with an unmet need for family planning," Obaid said. 
 
 Data were collected in 172 countries, but only 63 provided complete information from civil registration systems and good attribution of causes of death for the estimates. 
 
 “Maternal deaths are more often misclassified than other [deaths], not only because they are easily confused with deaths due to other causes, but also because health institutions may prefer to attribute them to other causes, due to the stigma of inadequate treatment associated with maternal death,” Lale Say, monitoring and evaluation officer with the Department of Reproductive Health and Research at the WHO, told IRIN. 
 
 “Even in the best civil registration systems in the world, it has been found that maternal death can be substantially under-reported,” Say added. 
 
 cp/am/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90490</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/20038203t.jpg"/></td><td valign="top">NAIROBI 16 September 2010 (IRIN) - The proportion of women in sub-Saharan Africa who died because of pregnancy fell by more than a quarter between 1990 and 2008, according to estimates released on 15 September. </td></tr></table>]]></content:encoded></item><item><title>TOGO: Manya Andrews, &quot;The condoms had the thickness and sensitivity of a tyre&quot;</title><pubDate>Thu, 19 Aug 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201008191157340328t.jpg" />]]>JOHANNESBURG 19 August 2010 (IRIN) - Manya Andrews is a health communications consultant and former head of the international reproductive health organization, Populations Services International, in Togo. At a recent conference on HIV and couples, she spoke to IRIN/PlusNews about how she and her team had to rethink what they knew about sex to kick-start Togo&apos;s male condom distribution campaign.</description><body><![CDATA[JOHANNESBURG 19 August 2010 (IRIN) - Manya Andrews is a health communications consultant and former head of the international reproductive health organization, Populations Services International, in Togo. At a recent conference on HIV and couples, she spoke to IRIN/PlusNews about how she and her team had to rethink what they knew about sex to kick-start Togo's male condom distribution campaign. 
 
 "We'd reached a plateau in condom distribution and we went back and looked at the product. We were transitioning from one donor to another, so there was an opportunity to change [condom] suppliers ... we decided it was a real opportunity to find out what people liked and what they didn't like. 
 
 "The top three complaints were the smell, which was pretty strong, the fact that they broke all the time, and the fact that they were not lubricated enough. 
 
 "Basically, the condoms we'd been ... [distributing] had the thickness and sensitivity of a tyre, the ... [lubricant] was, like, this corn-starchy stuff that smelled awful, [and women said] they were painful. They were just all wrong, so we started testing other [condoms]. After we switched we had a spike in uptake. 
 
 "We were also surprised that people wanted to use condoms. Even our own staff ... [had] this misconception that people didn't want to use condoms, and sometimes we were basing decisions on this. 
 
 "We had this funny experience where we had auditors from the Global Fund [to Fight AIDS, Tuberculosis and Malaria] come in while we were testing these new condoms. 
 
 "We had condoms all over the tables in our board room and were smelling them, touching them, tasting them ... and these guys from PricewaterhouseCoopers [the auditing firm] walked in. 
 
 "We [also] had people being coached on [how to use a condom] but what we found was that they still needed to get it into their hands and to work on it and try it themselves. 
 
 "It was another huge lesson learned for us and so we suddenly said, 'We need to totally change the way we are doing this.' We needed to get off the podium and get into the crowd. 
 
 "No wonder people will tell you it takes too long to use a condom – by the time we were done explaining the 15 steps to using a condom [it was] 15 minutes later; people must assume it takes that long to actually use one. 
 
 "We said, 'Let's simplify this thing down to two steps – 'pinch' and 'unroll' - that's it ... If I can do it, you can do it, and before we all leave, we're all going to learn how to do it, and we're all going to be 'condom certified.' 
 
 "All the outreach now around condoms literally focuses on getting every person to master the skill before they leave the session." 
 
 llg/ks/he 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90223</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201008191157340328t.jpg"/></td><td valign="top">JOHANNESBURG 19 August 2010 (IRIN) - Manya Andrews is a health communications consultant and former head of the international reproductive health organization, Populations Services International, in Togo. At a recent conference on HIV and couples, she spoke to IRIN/PlusNews about how she and her team had to rethink what they knew about sex to kick-start Togo&apos;s male condom distribution campaign.</td></tr></table>]]></content:encoded></item></channel></rss>
