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Global Call to Action: Maximize the public health impact of intermittent preventive treatment of malaria in pregnancy in sub-Saharan Africa.
Malaria Journal. 2015; 14:207.Intermittent preventive treatment of malaria in pregnancy is a highly cost-effective intervention which significantly improves maternal and birth outcomes among mothers and their newborns who live in areas of moderate to high malaria transmission. However, coverage in sub-Saharan Africa remains unacceptably low, calling for urgent action to increase uptake dramatically and maximize its public health impact. The ‘Global Call to Action’ outlines priority actions that will pave the way to success in achieving national and international coverage targets. Immediate action is needed from national health institutions in malaria-endemic countries, the donor community, the research community, members of the pharmaceutical industry and private sector, along with technical partners at the global and local levels, to protect pregnant women and their babies from the preventable, adverse effects of malaria in pregnancy © 2015 Chico et al. Open Access.
Contemporary Politics. 2012 Jun; 18(2):186-199.Capacity-building has become a mainstay of many AIDS and public health programmes. This article examines its impact on civil society organisations and claims-making around citizenship, as these have been articulated through heterogeneous policy networks doing HIV prevention work. Drawing on a growing literature on the Foucauldian notions of biopower and governmentality, the genealogy of capacity-building as a globalised technology of governmentality is traced, examining its uses both at the international level and in Brazil. Brazilian civil society organisations have undoubtedly been transformed by their participation in networks carrying out capacity-building projects. While recognising these effects, the conflicts and productive tensions inherent to such networks are highlighted.
Regional report on the implementation of the UNICEF guidelines for the protection of the rights of child victims of trafficking in South Eastern Europe: Assessment of the situation in Albania, Kosovo and the Former Yugoslav Republic of Macedonia.
[Geneva, Switzerland], Terre des Hommes, . 115 p.Trafficking in human beings still remains a major human rights violation affecting South Eastern Europe. Although many efforts have been made and progress achieved in combating trafficking throughout Europe in general, and South Eastern Europe in particular, human beings are still victims of trafficking and children, as a particularly vulnerable group, represent an important proportion of the persons being trafficked.
Integration of the human rights of women and the gender perspective. Violence against women. Report of the Special Rapporteur on violence against women, its causes and consequences, Ms. Radhika Coomaraswamy, submitted in accordance with Commission on Human Rights resolution 2002/52. Addendum 1: International, regional and national developments in the area of violence against women 1994-2003.
[New York, New York], United Nations, Economic and Social Council, 2003 Feb 27. 435 p. (E/CN.4/2003/75/Add.1)The present report contains a detailed review of international, regional and national developments and best practices for ways and means of combating violence against women over the period 1994-2003. The report is not fully comprehensive, some regions or countries may have been reported on in greater detail than others, reflecting the information that was available to the Special Rapporteur. In order to provide a systematic analysis of global developments, the Special Rapporteur requested information on efforts to eliminate violence against women, its causes and consequences, from Governments, specialized agencies, United Nations organs and bodies, and intergovernmental and non-governmental organizations, including women's organizations, and academics. The Special Rapporteur expresses her gratitude to all who kindly provided information, which contributed significantly in the preparation of her report. (excerpt)
International Affairs. 2006 Mar; 82(2):269-284.This article attempts to lay out a set of broad theoretical questions, illustrated with material from two visits to sub-Saharan Africa, including interviews with government officials and international organization representatives in Botswana and Malawi, about 70 interviews with staff from AIDS NGOs across sub-Saharan Africa, and an initial effort at mapping the universe of organizations responding to Africa's AIDS pandemic. The article focuses on four issues: (1) the nature of the organizations responding to AIDS in Africa; (2) the relation of AIDS governance to existing patterns of African governance, including the possibilities of syncretism and, conversely, a stand-off between the organizational models created by AIDS NGOs and existing patterns of authority and cooperation in African societies; (3) the problems and possibilities of 'cultural match' between existing repertoires of 'collective action schemas' and those proffered by NGOs and international organizations;1 and (4) the slippery matter of the play of power, money and identity in a field of power with very unequal players. (excerpt)
New York, New York, Human Rights Watch, 2007 Feb. 111 p. (Human Rights Watch Vol 19, No. 3(A))South Africa's vibrant and diverse economy is a powerful draw for Africans from other countries migrating in search of work. But the chance of earning a wage can come with a price: If undocumented, foreign migrants are liable to be arrested, detained, and deported in circumstances and under conditions that flout South Africa's own laws. And as highlighted by the situation in Limpopo and Mpumalanga provinces, both documented and undocumented foreign farm workers may have their rights under South Africa's basic employment law protections violated by employers in ways ranging from wage exploitation to uncompensated workplace injury, and from appalling housing conditions to workplace violence. Human Rights Watch has conducted research on the situation and experiences of migrant workers around the globe. Its research demonstrates that migrant workers, whether documented or undocumented, are particularly vulnerable to human rights abuses. Such abuses can be the result of many different factors includinginadequate legal protections, illegal actions of unscrupulous employers or state officials, and lack of state capacity or political will to enforce legal protections and to hold abusive employers and officials to account. The focus of this report is principally the situation of Zimbabweans and Mozambicans in South Africa's Limpopo and Mpumalanga provinces. (excerpt)
ARROWs for Change. 2004; 10(2):1-2.The 2004 global and regional roundtables reviewing and monitoring progress of the Cairo Programme of Action (POA) implementation concluded that this document remains a critical comprehensive UN document which outlines an agenda and framework linking human rights principles with population and development, poverty eradication, social justice, gender equality, women's empowerment, sexual and reproductive health and rights (SRHR) and NGO participation. Ten years into the POA, progress in implementation in the Asia-Pacific region remains poor. ARROW's eight-country regional monitoring study revealed that one million women have died unnecessarily in childbirth, pregnancy and unsafe abortion since Cairo. Only China has attained the goal of reducing maternal mortality by 50% by the year 2000. Nationally, the ICPD POA has not yet been clearly institutionalised in national development frameworks like women's development, health, population and in poverty. Although there has been significant progress in theregion in the area of violence against women and the creation of national machineries like ministries and commissions, women are still not able to exercise control over their reproductive and sexual lives due to the following barriers. (excerpt)
Choices. 2004; 7.I left the 1998 International AIDS Conference in Geneva frustrated and angry. The slogan of the conference--'Bridging the Gap'--was right on target, but none of the major players in the conference (the international agencies, governments, the big pharmaceutical companies) offered a vision, let alone a strategy, for making life-saving treatments available to the millions of HIV-positive people in poor and developing countries. As has been true since the beginning of the AIDS epidemic, it was left to HIV-positive people themselves and to advocacy groups to formulate demands, mobilize the political support to challenge the status quo and lead in the development of new policies. Dramatic changes have occurred between 1998's 'Bridging the Gap' and 2004's 'Access for All' conferences. In the intervening six years, an alliance of NGOs from around the world with a bloc of progressive poor and developing countries has won significant victories: It is no longer morally acceptable to do nothing about the death and suffering of millions; The broader global AIDS community has accepted that any effective approach to stopping the epidemic must include treatment as well as prevention and mitigation. (excerpt)
Paris, France, UNESCO, Division of Cultural Policies and Intercultural Dialogue, Culture and Development Section, 2005. 83 p. (CLT/CPD/CAD-05/4B)Evaluating and effectively responding to the global challenge of the HIV epidemic requires an indepth understanding of the strong correlation between health and social, cultural and economic conditions, and how these shape behaviour at both individual and societal levels. While the number of people living with HIV (PLHIV) in Armenia is comparatively low, the rate is growing rapidly. Current prevalence among officially registered cases is 0.02%. The actual rate of prevalence is estimated to be approximately ten times higher, with a greater prevalence among distinct key population groups. Among the factors driving the HIV epidemic in the country - which faces profound socio-economic, political and cultural changes - are: a particular negative and fearful attitude towards the disease; discrimination against people living with HIV; low level of HIV and AIDS awareness among the population; and an increase in injecting drug use and commercial sex work. In Armenia, HIV-positive people are primarily associated with three key populations that are socially marginalized: commercial sex workers (CSWs), injecting drug users (IDUs) and men who have sex with men (MSM). For many years an individual's positive HIV status has been equated with immoral behaviour. As a result, PLHIV face aggression. Moreover, it is taboo to openly discuss HIV and AIDS, resulting in the further isolation of PLHIV. Currently many programmes have been implemented in Armenia to surmount stigmatization. However, this process demands numerous long-term activities and commitments from the state. (excerpt)
The evaluation of UNESCO Brazil's contribution to the Brazilian AIDS Programme: final report. [Evaluación del aporte de UNESCO Brasil al programa brasileño de lucha contra el SIDA: informe final]
Brasilia, Brazil, UNESCO, 2005 Jul.  p. (BR/2005/PI/H/19)This report focuses on the evaluation of the AIDS II programme, as implemented by the UNESCO office in Brazil. The AIDS epidemic has been addressed with particular vigour in Brazil, which is widely recognised as a country that has developed a distinctive and successful model of policy coordination and implementation with regard to HIV/AIDS. In addition to substantial national investment, Brazil has enjoyed co-financing from international sources especially the World Bank. In the course of three programmes - AIDS I (1994-1998), AIDS II (1998-2003) and AIDS III (2003-2007) - the World Bank committed some $365 million, matching a Brazilian Treasury contribution of $325 million. AIDS II with a total resource of $300 million is the largest of these programmes. Since the mid-1990s the UNESCO office in Brazil has grown in terms of funds managed - from some $4.5 million to $108.0 million in 2004, and in staff and activities. The overwhelming proportion of budgetary growth has come from 'extra-budgetary' resources. These are mainly Technical Cooperation agreements with the Brazilian government and with international bodies such as the World Bank. UNESCO was the 'implementing agency' along with UNODC for the AIDS II programme since its launch in 1998. In 2002, the Executive Board of UNESCO accepted a recommendation in an earlier evaluation of UNESCO programmes in Brazil2 that the AIDS II activities of UNESCO be evaluated. This evaluation was subsequently commissioned by the Brasilia office of UNESCO. (excerpt)
New York, New York, UNFPA, 2005.  p.Population dynamics and reproductive health are central to development and must be an integral part of development planning and poverty reduction strategies. Promoting the goals of the United Nations Conferences, including those of the International Conference on Population and Development (ICPD), is vital for laying the foundation to reduce poverty in many of the poorest countries. At the ICPD in 1994, the international community agreed that US $17 billion would be needed in 2000 and $18.5 billion in 2005 to finance programmes in the area of population dynamics, reproductive health, including family planning, maternal health and the prevention of sexually transmitted diseases, as well as programmes that address the collection, analysis and dissemination of population data. Two thirds of the required amount would be mobilized by developing countries themselves and one third, $6.1 billion in 2005, was to come from the international community. (excerpt)
Global Task Team on Improving AIDS Coordination among Multilateral Institutions and International Donors. Final report.
Geneva, Switzerland, Joint United Nations Programme on HIV / AIDS [UNAIDS], 2005 Jun 14. 32 p.The Global Task Team recognizes that the world must do more to effectively tackle AIDS in the years to come. Strengthening coordination, alignment and harmonization, in the context of the “Three Ones” principles, UN reform, the Millennium Development Goals, and the OECD/DAC Paris Declaration on Aid Effectiveness, is essential for rapid scale-up of the AIDS response. National ownership of plans and priorities is the overarching rubric that efforts to harmonize and align must support and under which coordination efforts should occur. Within this rubric, the Global Task Team has focused primarily on ways UN system organizations and the Global Fund to Fight AIDS, Tuberculosis and Malaria can rapidly improve the alignment and quality of their support to national AIDS responses, make money currently available work for people infected and affected by HIV, and ultimately support the scale-up of prevention and treatment programmes. The recommendations are presented under four main headings: 1. Empowering inclusive national leadership and ownership 2. Alignment and harmonization 3. Reform for a more effective multilateral response 4. Accountability and oversight. (excerpt)
Habitat Debate. 2002 Dec; 8(4): p..Initiated by the Huairou Commission, the local-to-local dialogues represent an innovative global strategy which is grounded in local action. It is a method by which organizations engage in an on-going dialogue with local authorities to forge sustainable development. The Huairou Commission publicized the project through its global networks, GROOTS International, HIC Women and Shelter, International Council of Women (ICW), Women and Peace, Women Environment and Development Organization (WEDO), International women and Cities Network. This was the means by which organizations interested in moving in this direction decided to combine their local efforts with this global initiative. (excerpt)
Habitat Debate. 2002 Dec; 8(4): p..Since 1997, the International Union of Local Authorities (IULA) has actively promoted gender equality through its international task force on Women in Local Government. The task force has been addressing the political and professional under representation of women in decision making positions, and has developed both gender mainstreaming, and positive action in local government policy development and service provision. The IULA policy paper and the Worldwide Declaration on Women in Local Government is a result of broad consultations with IULA’s inter governmental and UN partners. In the coming years the Global Programme should result in IULA becoming the worldwide source of key information regarding women in local decision making. The overall programme objective is to promote equal representation of women in local government decision-making and the mainstreaming of gender in local government policy-making and service-provision through awareness raising, training programmes for women officials and production of materials to support the advancement of women. (excerpt)
Forced Migration Review. 2005 May; (23):48-49.The conceptual apparatus in forced migration and population resettlement research is being continuously enriched. One important – but still relatively unknown – development was introduced recently into the resettlement policies of the World Bank, African Development Bank and Asian Development Bank. This new thinking is set out in the revised (January 2002) World Bank Operational Policy (OP) 4.12 on resettlement. This significantly defines the ‘restricting of access’ to indigenous and other people in parks and protected areas as ‘involuntary displacement’ even when physical displacement and relocation are not required. The justifying rationale is that restrictions impose impoverishment risks and these risks lead to severe deprivations. Significantly, this new definition has come from major international agencies themselves involved in instituting ‘restricted access’ regimes. As the definition has been adopted, the world’s major development agencies have moved towards policy consensus that restricted access is a form of displacement. (excerpt)
Africa Renewal. 2005 Apr; 19(1): p..When a reporter first met seven-year-old Bongani in a hardscrabble shantytown near Johannesburg in 2003, it was evident the child was dying. He was too weak for school, stunted and racked by diarrhoea. There was little question that he, like his deceased parents, was infected with the human immunodeficiency virus that causes AIDS. It seemed equally certain that he would soon lie in a tiny grave next to theirs -- joining the 370,000 South Africans who died from the disease that year. But when the journalist, Mr. Martin Plaut of the BBC, returned a year later, he found a healthy, laughing Bongani poring over his lesson book. “The transformation,” Mr. Plaut wrote last December, “was remarkable.” That transformation -- and the difference between life and death for Bongani and a growing number of people living with HIV and AIDS in Africa -- has resulted from access to anti-retroviral drugs (ARVs) that attack the virus and can dramatically reduce AIDS deaths. For years high costs severely limited their use in Africa. The Joint UN Programme on HIV/AIDS (UNAIDS) estimated that only about 50,000 of the 4 million Africans in urgent need of the drugs were able to obtain them in 2002. But with prices dropping in the face of demands for treatment access and competition from generic copies of the patented medications, the politics and economics of AIDS treatment have finally begun to shift. (excerpt)
Population 2005. 2002 Jun-Jul; 4(2):15.Should the United Nations organize an international population conference in 2004, continuing the series of decennial intergovernmental events that began with the World Population Conference in Bucharest in 1974 and continued with the International Conference on Population in Mexico City in 1984 and the International Conference on Population and Development in Cairo in 1994? The three previous events were initiated by the U.N. Population Commission, now called the Commission on Population and Development. But this time around, the commission has not been able to make up its mind on whether a global event in 2004 will be useful or feasible. In addition to the usual arguments about “the conference fatigue” and the high costs of U.N. conferences, another argument is being advanced by those who are not in favor of a global conference in 2004. They fear that a global conference in 2004 may open up the debate on the concepts of reproductive health, reproductive rights and empowerment of women that were clearly defined and accepted at Cairo. (excerpt)
The contemporary response of the Brazilian government, the civil society and UNESCO to the HIV / AIDS epidemic. CCO Meeting, New York, New York, October 2003. [Respuesta contemporánea del gobierno brasileño, la sociedad civil y la UNESCO a la epidemia de VIH/SIDA. Reunión del Comité de Organizaciones Copatrocinadoras, Nueva York, Nueva York, octubre de 2003]
Brasilia, Brazil, UNESCO / Brazil, 2004.  p. (BR/2004/PI/H/1)Brazil has handled HIV/AIDS problems with much innovation and effectiveness, thereby creating good practices that other countries can learn from. As a universal organization, with a mandate encompassing the whole world, UNESCO must seek solutions wherever it can. Today, preventive education to fight HIV/AIDS is at the top of its agenda. Hence we must draw lessons from Brazil's experience so that your example can save lives and help development elsewhere: in Latin America, in Asia, in Africa, in Europe. We must learn from Brazil. We must learn fast. And we must apply what we learn quickly and effectively. (excerpt)
Lancet. 2005 Jan 8; 365:95-96.Introducing a series on complex emergencies in The Lancet less than two months ago, we noted that Jan Egeland, the UN’s emergency relief coordinator on disaster reduction, was frustrated by the lack of attention being given to natural disasters by the international community. Now no longer, one presumes. The devastation wreaked by the south- Asian tsunami that struck on Dec 26, 2004, has kick-started an unprecedented global response. Unqualified human empathy has been translated into unrestrained public acts of giving and helping that have caught more cautious politicians unprepared. There are huge lessons here for all heads of state to learn, not least the need for a massive overhaul in the way nations respond to episodes of humanitarian crisis. In addition to those who have died, the numbers of people at risk of disease defy comprehension. WHO estimates that 5 million people are presently without access to basic services. Over 2 million people have been displaced from their homes. And 15 million children are either orphaned or separated from their families. (excerpt)
Human Rights Quarterly. 2004; 26:873-878.Leonard S. Rubenstein offers a thoughtful response to my article on how international monitoring and advocacy organizations that use a methodology of public shaming can best advance economic, social, and cultural (ESC) rights. His article makes three basic points. First, he notes that such organizations can make useful contributions beyond exposing government misconduct and subjecting it to public opprobrium. Namely, he suggests that they can provide technical assistance to governments on implementing ESC rights and help with capacity building for national or local NGOs that seek such rights. Second, he contends that such international organizations need not be as concerned with advocating tradeoffs among competing ESC rights because fears of limited resources— a “zero-sum game”—are overblown. Third, he disagrees with my perceived preference for condemning “arbitrary” government conduct to the exclusion of violations of particular ESC rights. On the first point, I largely agree with him. On the second, I regretfully suspect he has an overly sanguine view of the problem. And on the third, I fear he has misunderstood me. (excerpt)
Lancet. 2004 Aug 28; 364:742-744.In May, 2004, the 57th World Health Assembly endorsed WHO’s first strategy to accelerate progress toward reproductive health. All countries, except the USA, joined the consensus on the strategy, noting that achieving reproductive health for all is essential to meet the Millennium Development Goals (MDGs). The strategy recommends action in five key areas: strengthening health-system capacity; improving information for setting priorities; mobilising political will; creating supportive legislative and regulatory frameworks; and strengthening monitoring, evaluation, and accountability. Although action on all five fronts is needed, we believe mobilising political will, including organising broad constituencies to support agendas for action and to hold governments accountable, is the prerequisite for success in the other four areas. (excerpt)
Development Bulletin. 2002 Jul; (58):16-19.It is commonly accepted among development agencies that poverty and environmental degradation are intricately linked. All donor or development agencies have recently made that link explicit, and accepted a concept of poverty that is more than simply cash-based or economically defined. Like other development banks and development assistance agencies, the World Bank and AusAID have a policy focus on reducing poverty, which they define in terms of income generation, vulnerability and other aspects of livelihood or well-being. Marjorie Sullivan (2001) undertook a brief analysis of how the links between poverty and environment can be addressed through development assistance. She concluded that it is not possible to undertake an adequate poverty analysis as a basis for identifying project interventions without considering long term (post project) sustainability, nor without fully considering resource use. That analysis must include the explicit links between poverty and environment, and the more contentious issue of ecological sustainability (to address ecosystem services concepts), and how these can be incorporated into the management of development assistance programs. (excerpt)
Population Research and Policy Review. 2004 Feb; 23(1):25-54.Using population assistance data, this study divides donor trends for population assistance into five distinct epochs: until the mid-1960s, the population hysteria of the 1960s and 1970s, Bucharest Conference and beyond, the 1984 Mexico City conference, and the 1990s. A number of decisive events, as well as changing views of the population problem, characterise each period and have affected the sums of population assistance from donor nations. Taking a long-term view of global population assistance, the research shows that four factors account for most of the historical funding trends from primary donors: the association between population assistance and foreign aid, the role of alarmists and doomsayers in the public debate over population issues, individuals in a position of power within donor governments, and decennial international population conferences. (author's)
Lancet. 2004 Jan 17; 363(9404):215.Health ministers from the world’s six remaining polio-endemic countries— Afghanistan, Egypt, India, Niger, Nigeria, and Pakistan —pledged in a declaration signed in Geneva on Jan 15 to boost their polio-eradication activities in a bid to wipe out the disease. The commitment came amid growing fears that the ongoing outbreak in west Africa—centred in Nigeria and Niger—and the importation of cases to neighbouring countries could derail the 15-year global effort to eradicate the disease. (excerpt)
Sport for development and peace: towards achieving the Millennium Development Goals. Report from the United Nations Inter-Agency Task Force on Sport for Development and Peace.
New York, New York, United Nations, 2003. vi, 36 p.This report analyses in detail the potential contribution that sport can make towards achieving the United Nations Millennium Development Goals (MDGs). It provides an overview of the growing role that sports activities are playing in many United Nations programmes and crystallizes the lessons learned. It also includes recommendations aimed at maximizing and mainstreaming the use of sport. (excerpt)