Tuesday, 25 September 2012

One year anniversary of the Occupy movement: A view from the Global South


The Occupy Movement celebrated its first year anniversary on 17 September this year.  The Movement is believed to stem from the Arab springspreading through Spain and Greece to the US. The Arab spring was relatively successful in Tunisia, Egypt and Libya but some other countries in the region such as Syria are still a mess, unfortunately. In the 2011-2012 Spanish protests, also known as 15-M (15 May movement), so called ‘Indignados’ held a series of demonstrations in more than 58 cities demanding radical change in Spanish politics as politicians systematically seem to condone mass unemployment, welfare cuts, brutal neoliberal policy measures and the dominant influence of financial institutions.
The Occupy movement aims at addressing the enormous social economic inequalities that exist in the world today. The initiators of the movement used the slogan “We are the 99%” (i.e. the ‘have nots’). They blame the 1% (the ‘haves’) who control the economy. In New York City, they demonstrated by occupying Wall Street (OWS) pointing out the greed, corrupt deals and excessive influence of corporations on the government, particularly in the financial sector.
Aiming at turning the pyramid upside down, the Occupy movement questions our modern capitalistic societies that in the name of liberalism, democracy (what if democracy is turns out to be an illusion?) and other fancy political economy models ( such as conditional aid and poverty reduction programs by the World Bank) perpetuate socio-economic systems that are fundamentally unjust and in fact often even worsen inequalities in the society. These ‘clever’ models have more in common with plutocracy (whereby an oligarchy of extremely wealthy individuals control the country) rather than with democracy (all people have a say in decisions affecting their lives). Labels as ‘state corporate capitalism’ or a fusion of big capital and the government describe the governance system better than the more politically correct word ‘democracy’, it seems. Nevertheless, although the Occupy movement has spread to many cities across the western world, it is fairly unpopular in the global south.
The unpopularity of this movement in the developing world, especially in Sub-Saharan African countries (SSA), might be attributed to several reasons. The access to social networks (via the internet) that has been a key ingredient of success stories in other parts of the world is still limited in SSA. Moreover, (local) civil society organisations have limited capacities when it comes to mobilising people so as to address social concerns. As for international organisations and agencies, they tend to have their own agenda and might prefer to distance themselves from movements that might trigger uprisings. Furthermore, most of the African governments intimidate people involved in demonstrations; by now these governments are even more alert because of the ugly Arab spring “aftermath” in a number of countries in the Middle East. Also, due to the fact that the majority of the people in these countries are in rural areas, it is easier for governments to limit access to the (at least sometimes) enlightening mainstream media. In addition, history has formed another barrier to these movements, as many countries gained their independence by war. Therefore any group that emerges to initiate such movement might be perceived as a rebel group, rightly or wrongly. There exists no record of successful people’s based movements that managed to change political and economic systems in the past 50 years of independence of most SSA countries.
Admittedly, there have been some Occupy Movements in South Africa. I believe this might be due to the fact that this country’s political economy and background differs from most of the African countries. Countries like Nigeria and Senegal also witnessed Occupy-like movements after fuel subsidy removal and the denouncing of incumbent President Abdoulaye Wade and his decision to run for a third term respectively. Hopefully, with increased globalisation these movements might spread to more countries. Today we witness harsh neoliberal policies in many SSA countries, coupled with the enormous influence of multinational corporations and rampant corruption in African governments. Consequently, the gap between the rich and the poor will probably increase further, which might inspire new Occupy branches. It is also evident that the recent growth figures in African countries have not benefited the majority so far. Combine this with the enlightenment  and rising expectations that tend to come with globalisation, and we might soon see more Occupy (style) movements pop up in many countries .The austerity measures taken in compliance to neoliberal ‘dictates’  ( meant to perpetuate capitalism?) that create  unemployment, open market economies and inflation while cutting government spending  on essential services such as education, health, transport and other essential services that empower and upgrade the living standards of the people, might justify the cause.
Since the Occupy movements are taking different shapes in different settings – from the Arab spring to a diversity of Occupy movements and actions in many cities in the world -, you could also ponder what an Occupy movement means in a country like Tanzania. What I consider an Occupy movement in Tanzania, for example, are the daily strikes among public sector employees (doctors, teachers and other civil servants) and the pro-activeness and courage of many citizens in supporting opposition political parties. In neighbouring countries similar animosities have led to tribal skirmishes, even in the struggle (for example, by Kenyan doctors) for the limited portion which has spilled over to them from the “Big Fish” (the 1%). Little by little, humiliated enlightened youths are developing a rebellious spirit as they are not very pleased with the ‘happy few’ who are unashamedly enriching themselves.
Due to the fact that the right to demonstration and petition is not explicit in the most of the African countries (including Tanzania), in many instances human rights of individuals who support or who are in the frontline of such movements were violated. The recent kidnapping of the coordinator of the doctors’ strike and killing of a journalist by the police on political grounds in Tanzania, point to the fact that many people are in fact supporting the Occupy Movement, but in a different way, a hard way so to speak, as the government is working hard to suppress them by intimidation and often violating their human rights using the police –  in many African countries, the police is like a private organisation that works for the 1%. The use of the police as a silencing tool of late is not only igniting the rage of more potential Occupy Movement members but to some extent even worsening the situation. However, the SSA Occupy movements are not going all the way like the Arab spring movements (who ran similar risks of intimidation, torture and all types of violation of human rights) due to the fact that there is some practice of democracy in most SSA countries. Therefore people might be pleaded to wait for elections where they might elect a leader they like (although this is always tricky due to often massive vote rigging).
In cities where the movement has spread, people have taken to the streets. However, different proponents of the movement have been using different names (that they feel comfortable with) such as Occupy money, Occupy economy and many more. It casts some doubt on whether the proponents have similar demands as the original Occupy Wall Street movement. One year later, in order to gain momentum again, some Germans even suggest a global Occupy brand or NGO that would work to address these issues worldwide. Critics, however, view Occupy Wall Street as just another unorganised ‘feel good’ movement where people demonstrate, discuss their concerns and attract attention… and that’s it. I think that is being oversimplistic, though. Let the supporters cherish the success of the Occupy Movements so far!
The movement might mean different things to different people, but the Occupy movements do have one thing in common: they all point out the vast inequalities that exist in our 21st century world and are perpetuated by financial institutions. The movement emphasizes it’s urgent to do something to liberate the majority of the people who are left without reliable social services, while the happy few (the financial elites) are enjoying their lives big time. In principle, doing away with capitalism (individualism?) calls for a form of collectivism or socialism, but these ideologies seem to have failed as well in the past. Will the Occupy movement come up with another idea? I do not know. However, there is hope that the movements might form a catalyst to other movements that advocate for social justice such as the People’s Health movement, and will help propel Universal health coverage, as without them, UHC could very well remain elusive in our übercapitalist world.
This article is also available at International health policies (IHP) blog as a guest editorial 

Monday, 3 September 2012

African Traditional medicine day: What Impact?

 31st August 21012 was the African traditional medicine day.The theme for this day was"A decade of Traditional Medicine development.What are the impact?
The significance of this day is to rise awareness  of the critical role that traditional medicine plays to improve peoples lives.It is estimated that almost 80% of the African population use traditional medicine.
Tanzania has in particular promoted traditional medicine use and at the Ministry of Health and Social Welfare there is a special unit that coordinates traditional medicine use in the country. More over there is a Traditional medicine Institute  at Muhimbili University of Health and Allied Sciences that has done allot of  research in traditional medicine.
The National Institute for Medical research has for more than a decade researched on traditional medicine. The research has resulted in a range of modernized traditional medicines all based on indigenous Tanzanian herbs available in various formulations. For instance, Perscan for control of diabetes and Cholesterol, Warbugistat for opportunistic infections for HIV/AIDS and TMS2001 for Malaria and fever ( Trade marks can change). The availability of these medicines provides an opportunity for people to choose between Western and traditional medicine.
Therefore, there is a need of deliberate efforts to sustain these developments and  encourage local industrial production of traditional medicines so that quality is ensured.
However, there is a need of coordinating the provision of traditional medicine  so that people get optimal benefits than being cheated  and hence being  impoverished by catastrophic expenditures from unregistered traditional healers who are not faithful.Also there is a need to keep an eye open to the mushrooming of spiritual healers. The recent Loliondo miracle cure saga has left several scars in the Tanzania alternative medicine practice.

Friday, 24 August 2012

Sierra Leone: Cholera epidemic worsens


The number of people dying due to Cholera outbreak in Sierra Leone is increasing. According to WHO Global Alert and response (GAR), there have been 11653 cases with 216 deaths since the begging of the year. The rate of new cases has accelerated rapidly since the beginning of August: since then, 5 706 cases have been recorded, and two new districts, Bonthe and Kono, have been affected by the epidemic. Ten of the country’s 13 districts are now registering cases and this spread emphasizes the need to rapidly scale up the response.
The government in partnership with Médecins sans Frontières (MSF), UNICEF, WHO, Red Cross and other partners, is implementing the following prevention and control activities: epidemiological investigation, surveillance, case management at established cholera treatment centres, water and sanitation control measures, social mobilization and community education.
There has been a concern that somecommunities are not reached by the interventions, raising the suspicion that the number of people affected might increase significantly in the next month.
Cholera is an infection of the small intestine that causes a large amount of watery diarrhea.It is caused by a bacterium vibrio Cholera that releases a toxin that causes increased release of water from cells in the intestines, which produces severe diarrhoea.  Cholera occurs in places with poor sanitation, crowding, war, and famine

Journalists needed for 2nd Global symposium on Health systems research in Beijing

An announcement for the journalists among you (or if you happen to know a journalist from a low or middle-income country, please forward): the 2nd Global Symposium on Health Systems Research invites journalists from LMICs to apply for travel support, expenses and registration to attend the upcoming Health Systems Research Symposium in Beijing ( scheduled from October 31 to November 3). The event will focus on ‘Inclusion and Innovation towards Universal Health Coverageand will showcase research on the way health systems do and don’t work. August 31, 2012 is the deadline for applications. Application forms and information are available on the Symposium website in the media section.

Tuesday, 31 July 2012

Ebola sickens more than 20 in Uganda , 14 dead


On Saturday, Ugandan Ministry of Health officials and the World Health Organization (WHO) announced that 14 people had died from the Ebola virus. A spokesperson for the WHO told NPR that thirty-six people are confirmed to have recently had the disease.
More information is found here

Friday, 27 July 2012

Reflections from AIDS2012

The 19th International AIDS conference has just ended today. We have witnessed enriching discussion on the advances on HIV/AIDS science and community actions in response to the pandemic.The key issues have been on the state of the HIV/AIDS science towards cure with vast research looking at a range of different approaches to a possible cure, including:

·         Flushing out and destroying HIV lying dormant in ‘reservoirs’ in the body.
·         stem cell treatment (like that which cured the ‘Berlin Patient’)
·         Starting HIV treatment very soon after infection – an approach that would only work for a small proportion of people with HIV.
Financing HIV/AIDS initiatives and community actions on HIV/AIDS were altogether discussed. Both domestic investments in HIV/AIDS have been increasing in all countries,especially in Sub-Saharan Africa. Therefore the new era of fighting HIV/AIDS calls for sharing responsibilities, road map  and global solidarity. 

“Turning the Tide Together”, as a conference key theme was translated in several sub-themes for discussion such as:
  •  Collaboration between the community, the researchers and providers,
  •   Zero New HIV infection, Zero HIV related death and Zero HIV related stigma
  •    Providing care to children orphaned by HIV/AIDS
  • Helping women to help themselves
  •  Respecting the community as part of the solution
  •   Governments keeping their promises
  • Believing that the end of AIDS is within our reach
  • Fully funding the Global Fund
  •   Working in partnership to find an AIDS Vaccine
  • Working as a united front to end AIDS

We saw a lot of optimism in the fight for HIV/AIDS; Debora Messing  message that the AIDS free generation is actually near the reach, is an example of the optimistic messages.
However, there are some issues that needed more discussion and concrete decisions but were not addressed. In his editorial in IHP, Gorki Ooms mentions that Universal Health Coverage was rarely mentioned in AIDS 2012 and casts a doubt whether Universal health coverage can be a uniting force for all health movements due to its ambiguity.
In a view from the cave: AIDS: Turning the Tide or riding the Wave: Tom Murphy sees  AIDS conference as just another show game than a real changer. He indicates that despite the lack of money behind the problem, no financial commitment has been made during the conference.
Some optimism of Global Fund collaborating with PEPFAR to improve aids effectiveness might be one of the promising messages, although critics would wait to see whether it works effectively. 
Mobilizing finances was a hot topic in the AIDS 2012. For more information  visit Show Me the Money: Political commitment , Resources and Pricing session .


Wednesday, 18 July 2012

AIDS 2012 IS AROUND THE CORNER


The 19th International AIDS conference (AIDS2012) will take place from 22-27 July this year in Washington DC in United States of America. This is the premier gathering for people working in HIV/AIDS as well as political, socio-economic and people living with HIV/AIDS. The conference aims at discussing various success and challenges and how to roll out the success stories from around the globe. It is a time to reflect on the achievement s and challenges on the fight of HIV/AIDS. Acknowledging that HIV/AIDS is not only health but a social, economic and political problem, people from all walks of life will convene in Washington DC for that purpose. The conference will cover five major tracks: Basic Science, Clinical Science, Epidemiology and Prevention Science, Social Science, Human Rights and Political Science and Implementation Science, Health Systems and Economics.
 The selection of Washington, D.C. as the site for the XIX International AIDS Conference (AIDS 2012) is the result of years of dedicated advocacy to end the nation’s misguided entry restrictions on people living with HIV – restrictions that were based on fear, rather than science. 
The conference is taking place amidst reduction of funding in HIV/AIDS by the Global fund partners. It is expected that more than discussing issues that focus on the science of the disease, major issues in mobilising funds will be discussed.
However, something to note for the countries with high burden of HIV/AIDs is that they should find ways to make efforts to increase funding various HIV/AIDS programs rather that depending on foreign AID that seems not to work effectively but creates dependence to the donor countries.
More details on the conference can be found here