Values, Policies and Rights

Risk factors associated with sexual violence towards girls in Swaziland
Breiding MJ, Reza A, Gulaid J, Blanton C, Mercy JA, Dahlberg LL, Dlamini N and Bamrah S: Bulletin of the World Health Organisation 89(3): 203–210, March 2011

The primary objective of this study was to explore risk factors for sexual violence in childhood in a nationally representative sample of females aged 13 to 24 years in Swaziland. During a household survey respondents were asked to report any experiences of sexual violence before the age of 18 years. A total of 1,244 respondents were included in the study. Using the survey data, the researchers then analysed the association between childhood sexual violence and several potential demographic and social risk factors. They found that, compared with respondents who had been close to their biological mothers as children, those who had not been close to her had higher odds of having experienced sexual violence, likewise with those who had had no relationship with her at all. In addition, greater odds of childhood sexual violence were noted among respondents who were not attending school at the time of the survey, who were emotionally abused as children, and who knew of another child who had been sexually assaulted or was having sex with a teacher. Childhood sexual violence was positively associated with the number of people the respondent had lived with at any one time. Inadequate supervision or guidance and an unstable environment put girls at risk of sexual violence, the authors conclude, calling for greater educational opportunities and improved mother-daughter relationships.

Unfairly dismissed HIV-positive man gets justice
Mkhwanazi A: Health-e News, 17 February 2011

A HIV-positive South African man has won a case of discrimination and unfair dismissal against his former employers in the Labour Court, and he says he hopes the ruling will encourage other HIV-positive people who are being discriminated against by their employers to come forward. The court ruling stated that he was unfairly dismissed by his employer because of his HIV status. The man was dismissed two years ago immediately after his former employer discovered that he was HIV-positive. Human rights organisation Section 27 has hailed the ruling, saying it sends a clear message that HIV-positive people cannot be discriminated against. According to Section 27, people with HIV should come forward and seek the protection of the law because if they go to court and their case is clear, they will win in court and the employer will be forced to pay compensation or legal costs. Advocates identified two major barriers to seeking legal redress in cases of discrimination against HIV-positive people – most people are not aware of their rights, and lawyers are inaccessible because the cost of their services is beyond the means of ordinary South Africans. Without proper legal services, they warn, it’s unlikely that claims will succeed.

What factors are associated with recent intimate partner violence? Findings from the WHO multi-country study on women's health and domestic violence
Abramsky T, Watts CH, Garcia-Moreno C, Devries K, Kiss L, Ellsberg M et al: BMC Public Health 11(109), 16 February 2011

Despite a growing body of research into risk factors for intimate partner violence (IPV), methodological differences limit the extent to which comparisons can be made between studies. The authors of this study used data from ten countries (including Namibia and Tanzania) from the World Health Organisation’s Multi-country Study on Women's Health and Domestic Violence to identify factors that are consistently associated with abuse across sites. Standardised population-based household surveys were conducted between 2000 and 2003, with one woman aged 15-49 years randomly selected from each sampled household. Those who had ever had a male partner were asked about their experiences of physically and sexually violent acts. The researchers found that, despite wide variations in the prevalence of IPV, many factors affected risk similarly across sites. Secondary education, high socio-economic status and formal marriage offered protection, while the risk of IPV increased with alcohol abuse, cohabitation, young age, attitudes supportive of wife beating, having outside sexual partners, experiencing childhood abuse, growing up with domestic violence, and experiencing or perpetrating other forms of violence in adulthood. The strength of the association was greatest when both the woman and her partner had the risk factor. The authors conclude that current IPV prevention programmes should pay greater attention to transforming gender norms and attitudes, addressing childhood abuse and reducing harmful drinking. Development initiatives to improve access to education for girls and boys may also have an important role in violence prevention.

AIDS activists outraged by Kenyan minister’s proposal to 'lock up' HIV-positive people
Plus News: 31 January 2011

Kenyan AIDS activists are demanding a full apology from a Kenyan cabinet minister who recently suggested that isolating HIV-positive people may be the way to eradicate the pandemic. At a 28 January 2011 meeting with members of parliament on HIV and AIDS, Esther Murugi, Minister for Special Programmes, put forward the option of permanently ‘locking up’ positive people to keep them out of general society. Kenya's National AIDS Control Council falls under the Ministry of Special Programmes. Nelson Otwoma, coordinator of the Network of People living with HIV/AIDS in Kenya, said her comments were highly irresponsible and only contributed to stigma surrounding the disease. She believed that the minister’s comments could prompt a wave of hatred against HIV positive people among ‘people who might hold a view like hers and who were simply waiting for a trigger’. Jacqueline Sewe, a member of local NGO, Women Fighting AIDS in Kenya (WOFAK), has called on the minister to either publicly apologise to people living with HIV or resign, highlighting the fact that HIV is not a contagious disease.

Because I am a girl: The state of the world's girls 2010
Plan: 2010

This report is the fourth in a series of annual reports published by Plan examining the rights of girls around the world throughout their childhood, adolescence and as young women. The short section regarding the health of girls is based on Plan’s cohort studies in Togo, Benin and Uganda. Their research find that nutritional deficiencies in early childhood are linked to learning difficulties and lower educational attainment. Girls not only faced a daily challenge of poor nutrition, but were more vulnerable to illness and disease. Despite immunisation coverage rates of above 90% of girls, many still face persistent illness. Malaria, for example, continues to affect many girls in Uganda, with the children treated at various times over the year either at the local health centre or the nearest hospital. Plan calls for governments to increase their investment in prevention and treatment of the range ofillnesses that affect girls, like malaria.

Dakar 2011: the 11th edition of the World Social Forum is developing an “African Consensus”
Afrique Avenir from Development February 17th, 2011

As part of the 11th edition of the World Social Forum (WSF) in Dakar, African civil society presented the draft of an African Consensus, to spur endogenous development of the continent. The WSF is an initiative of civil society and a democratic meeting place that aims to stimulate debate and deepen the collective thinking. This is a space where all types of social movements come to discuss world problems in a democratic way. Members of the International Committee of the Forum discussed the prospects for social movements to make proposals and alternatives to "a neoliberal system that is currently going through deep crisis". Inspired by that of the Himalayas, an innovative approach to development, the "African Consensus" refers to the implementation of economic platforms and autonomous enterprises programmes based on local realities, through skills transfer that give a sense of responsibility. Unlike the "Washington Consensus", which enhances the immediate liberalization of markets, privatization of enterprises, the elimination of subsidies, the "African Consensus" is based on the fact that Africa is not poor, but that it enjoys great wealth and the mosaic of cultures and ethnicity.

Faith-based organisations and service delivery: Some gender conundrums
Tadros M: UNRISD Programme on Gender and Development Paper 11, October 2010

This paper deals specifically with the gender issues that arise in the role of faith-based organisations (FBOs) in service delivery. The author analysed secondary sources on FBOs affiliated to organised religion and other faith movements. The FBO services reviewed were in Africa, Asia, Europe, Latin America, the Middle East and the United States. The author presents no generic conclusions about this diverse group of actors but raises questions about the implications of FBOs as service providers for the advancement of gender equality. She raises questions on the nature of an FBO’s gender agenda, especially because a single organisation often takes different standpoints on various gender issues. Secondly, she questions the way the spiritual and social activities often provided relate to the way FBOs often delineate how women are expected to exercise their agency. She observes that while many FBOs work successfully at grassroots level, this does not necessarily mean that they all emerge from within the community or that they are necessarily ‘indigenous’. She notes the dilemma women face when the extension of services and assistance is conditional on their conforming to the FBOs’ interpretation of religiously appropriate gender roles and behaviour. Referring to ethnographic studies, she suggests that services may sometimes be used overtly or more subtly to inculcate religious values and ideologies. The complexity and variation in FBOs means that one needs to be cautious about drawing policy conclusions that re applicable to all faith-based actors engaged in service delivery. She rather argues for measures to engage with faith leaders on their gender agendas and the manner in which services take into account embedded partriarchal and other power relations.

Gay activist beaten to death in Uganda
Human Rights Watch: 27 January 2011

Human Rights Watch has urged the Uganda Police Force to urgently investigate the murder of David Kato, a prominent gay activist who opposed the Anti-Homosexuality Bill submitted to parliament in 2009. ‘The government should ensure that members of Uganda's LGBT [lesbian, gay, bisexual and transgender] community have adequate protection from violence and take prompt action against all threats or hate speech likely to incite violence, discrimination, or hostility toward them,’ the group said in its statement. Police are investigating the matter and called for gay people who are being harassed to come forward and report these incidents - otherwise the police are not in a position to protect them. However, homosexuality is a criminal offence in Uganda, and reporting harassment to the police is a risk few are willing to take. Only a handful of gay Ugandans are ‘out of the closet’, with most preferring to live anonymously in a society where homosexuality is taboo. The criminalisation of homosexuality is predicted to have a negative effect on the transmission of HIV in the country, as gay men are unlikely to use health facilities for fear of discrimination and possible legal prosecution.

Imprisoned and imperiled: Access to HIV and TB prevention and treatment, and denial of human rights, in Zambian prisons
Todrys KW, Amon JJ, Malembeka G, Clayton M: Journal of the International AIDS Society 14(8), 11 February 2011

Although HIV and tuberculosis (TB) prevalence are high in prisons throughout sub-Saharan Africa, little research has been conducted on factors related to prevention, testing and treatment services. To better understand the relationship between prison conditions, the criminal justice system, and HIV and TB in Zambian prisons, the authors of this study conducted facility assessments and in-depth interviews with 246 prisoners and 30 prison officers at six Zambian prisons, as well as 46 key informant interviews with government and non-governmental organisation officials and representatives of international agencies and external funders. A review of Zambian legislation and policy governing prisons and the criminal justice system was also conducted. The findings indicated serious barriers to HIV and TB prevention and treatment, and extended pre-trial detention that contributed to overcrowded conditions. Disparities both between prisons and among different categories of prisoners within prisons were noted, with juveniles, women, pre-trial detainees and immigration detainees significantly less likely to access health services. The authors call on the government to make immediate improvements to the situation and they recommend that external funders to co-operate with the Zambian government to ensure that funding in such areas as health services respect human rights standards.

Maternity at work: A review of national legislation
International Labour Organization : 2010

Maternity protection for women workers is essential for ensuring women's access to equality of opportunity and treatment in the workplace, the International Labour Organization (ILO) argues in this review. Maternity protection also contributes to the health and well-being of mothers and their babies, and may thereby be linked to the achievement of Millennium Development Goal 3 (promoting gender equality and women's empowerment) and Goals 4 and 5 on the reduction of child mortality and improvement of the health of mothers. This updated review of national legislative provisions for maternity protection in 167 ILO member states assesses how well countries’ provisions conform to the ILO Maternity Protection Convention of 2000 and its accompanying recommendation no. 191. The review shows that, over the last 15 years, there have been noticeable improvements in maternity protection legislation around the world, with a shift towards longer rest periods at the time of childbirth, and movement away from employer liability systems of financing maternity leaves. The report focuses on the key aspects of maternity leave provisions: the duration, the benefit paid and the source of the funding, as well as other kinds of leave provision, safeguards on employment, health and safety, and breastfeeding. There are also annexes containing information on maternity provisions by region and country.

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