Venomous COVID-19: Ripping the Country of its Valuable Young Generation

This blog draws attention to the devastating effects of COVID-19 pandemic to the lives of the young generation in Uganda. Due to lockdowns, many children have been forced to join the labor force to support their parents with income making continuity of their academic journey very challenging. School closures have also left the girls in a precarious position without support systems of the school staff and in some cases parents. As a result, they have spent more times with boys and men resulting into exploitation and engagement in risky behavior

By Gertrude Masembe

Executive Director at CINTA Foundation

Kampala, Uganda 

Venomous COVID-19

Ripping the Country of its Valuable Young Generation

 

COVID-19 is without a doubt one of the devastating pandemics of the 21st century with 4,067,517 deaths recorded globally according to the world Health Organizations (WHO)statistics.[1]  Despite a number of interventions and massive funding into the health sector especially in the third world countries like Uganda, nations are failing to contain the new variants that come with a mutating virus. The pandemic has had devastating effects on all sectors and human lives but in this blog, I wish to draw attention to the devastating effects of this pandemic to the lives of the young generation.

In Uganda, the second wave has claimed more lives than the first despite readiness of health workers and initial equipping of health facilities. This left the government with no option but to impose a second 42 [i]day lockdown to minimize the spread. Unfortunately, these lockdown counter measures have left a fragile economy with escalating domestic violence, uncountable teenage pregnancies and loss of education years for the young generation.

Uganda has a very young population, with approximately 75% of the population being below the age of 30[2] and out of these 15million are still in school. The instituted lockdown will therefore have long term effects to the country since education is the main driver for moving people out of poverty with each year of schooling anticipated to raise average earnings by 11.3% for males and 14.5% for females (World Bank study, 2020).

So far almost two academic years have been lost, save for those students already found attending candidate classes. Due to lockdowns, many children have been forced to join the labor force to support their parents with income making continuity of their academic journey very challenging. School closures have also left the girls in a precarious position without support systems of the school staff and in some cases parents. As a result, they have spent more times with boys and men resulting into exploitation and engagement in risky behavior.

The impact of lockdowns to girls is visible through escalating number of teenage pregnancies, the highest in the past five years in the country. UNESCO report of June 2021 states that, in Uganda, between March 2020 and June 2021, there was a 22.5 per cent increase in pregnancy among girls aged 10-24 seeking first antenatal care from 80,653 to 98,810[3]. In Kitgum district alone 1,519 girls below 19 years attended their first antenatal visit and this number doesn’t cater for the many that opted to stay home.

The government made effort in trying to ensure continuity of education for learners by providing home schooling packages though exercise seemed ineffective. Many learners missed out and even some of those who received the materials had lots of difficulties in conceptualizing the content. The best option would have been online classes but this is far from being achieved, given minimal internet coverage with only 17% of the population covered by LTE/4G in the country, [4] high cost of internet packages and lack of access to technology gadgets like smart phones necessary for the learning process. This leaves the country in a gloomy picture unless robust systems are put in place to counter these effects.

It is therefore critical, that government balances the benefits of school closures against effects to the children’s future.  There is an urgent need by the Ministry of Education to come up with a sustainable and immediate plan to ensure education access to children because information available so far seems to suggest that COVID is here to stay.

 


Endnotes

[1] covid19.who.int

[2] Deanna Fanelli et al, 2020;Effect of COVID 19 on the education sector in Uganda

[3] Dr. Munir Safieldein, “Priotise re-opening of schools to secure children’s wellbeing” UNICEF Report, July (2021), OpEd

[4] Alison et al (2019);The state of ICT in Uganda.

 

News Flash 439: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 439

Weekly Snapshot of Public Health Challenges

 

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2020 Annual MPP Report: A Decade of Making Medicines Accessible

Risk Factors, Mental Health and Psychosocial Needs, and Coping Among the Children Under the Care of Female Sex Workers and Adolescent Girls Surviving in Sex Work Settings: a Rapid Assessment by AWAC-Alliance of Women Advocating for Change

Decriminalizing Sex Work and Enhancing Equitable Access to Health, Justice and Social Protection by Female Sex Workers in Uganda by AWAC-Alliance of Women Advocating for Change

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Risk Factors, Mental Health and Psychosocial Needs, and Coping Among the Children Under the Care of Female Sex Workers and Adolescent Girls Surviving in Sex Work Settings: a Rapid Assessment

Find here the second of a couple of not yet anywhere published documents by the Alliance of Women Advocating for Change (AWAC) partner organization. AWAC is an umbrella network of grass root female sex worker led organizations in cutting across the 6 regions of Uganda. It was established in 2015 by female sex workers (FSWs) to advance health rights, human rights, socio-economic rights and social protection for FSWs and other marginalized women and girls including their children in Uganda. Geographical focus areas encompass: slum areas, islands, landing sites, transit routes, mining, quarrying, plantations, road construction sites and border areas in Uganda

AWAC.jpg (342×457)

Risk Factors, Mental Health and Psychosocial Needs, and Coping Among the Children Under the Care of Female Sex Workers and Adolescent Girls Surviving in Sex Work Settings: a Rapid Assessment

 

Download the study here

http://www.peah.it/wp-content/uploads/2021/07/AWAC-Rapid-Assessment-ReportSubmitted-Children-under-the-care-of-female-sex-workers-and-adolescent-girls-surviving-in-sex-work-settings.pdf

 

PEAH is pleased to publish a study titled “Risk Factors, Mental Health and Psychosocial Needs, and Coping Among the Children Under the Care of Female Sex Workers and Adolescent Girls Surviving in Sex Work Settings: a Rapid Assessment” as a work by AWAC-Uganda not published anywhere before.

The study is grounded on reality that …children of female sex workers and adolescent girls surviving in sex work settings face unique risks including stigma and discrimination, exposure to sexual abuse and gender based violence. Numerous studies have documented the health problems of female sex workers; however, there has been no or limited research documenting the well-being of children of female sex workers and adolescent girls surviving in sex work settings. Most programs focus on supporting the female sex workers without special attention to their children who could be secondary targets. Another major gap identified is that these children and adolescents’ category are not documented among the classification of special needs of children.

On this background the study aimed at …identifying the risk factors, mental health, psychosocial needs and mechanisms of coping by children under the care of FSWs and adolescent girls surviving in sex work settings of Kampala, Gulu, Mbarara, Wakiso and Busia in Uganda.

 

—————————————————————————–

Brief History about AWAC

The Alliance of Women Advocating for Change (AWAC) is an umbrella network of grass-root female sex worker led-organizations in Uganda. Established in 2015 by the champions of the female sex worker movement to promote meaningful involvement and collective organizing of rural & peri-urban Female Sex Workers (FSWs) – including FSWs living with HIV/AIDS, using/injecting drugs, chidren of sex workers and adolescent girls & young women (AGYWs) operating in high risk areas. Such areas are; slum areas, landing sites, transit routes, mining, quarrying and boarder areas to strengthen a unified, vibrant, national, and sustainable FSW led movement Uganda.

AWAC is registered with the NGO Board under Reg. No. INDR140811523NB and was also granted her permit to operate countrywide as an NGO under File No. MIA/NB/2018/10/1523.

AWAC areas of implementation include; Kampala, Wakiso, Mukono, Busia, Tororo, Kabale, Isingiro, Kyotera, Masaka, Rakai, Lyantonde, Mbarara, Kasese, Kabarole, Kyegegwa, Kamwenge, Kyegegwa, Bundibugyo, Mbale, Jinja, Arua, Yumbe, Hoima, Gulu, Nakasongola, Kiryandongo, Masindi, of Kiryandongo, Lira, Arua, Kitgum, Pader, Amuria, Kaberamaido, Moroto, Soroti, Kotido, Nepak, Luwero, Kabongo, Napiripiti, Mityana, Buikwe, Iganga, Bugiri, Namayingo and Kalangala.

AWAC’s Vision statement: “A supportive policy and social environment that enables rural & peri-urban based grassroots FSWs to live free from human rights abuse in order to live healthy and productive lives in Uganda.”

AWAC’s Mission statement: “To strengthen a unified, vibrant, national, and sustainable female sex workers (FSWs) movement to advocate for an enabling environment and access to comprehensive sexual health rights, social and economic services for rural & peri-urban based grassroots FSWs in Uganda.”

AWAC’s Objectives: 1. To strengthen advocacy for improving access to universal health care services among female sex workers in Uganda 2. To expand advocacy and social mobilization for sex workers’ human rights and acceleration of sustainable development goals in Uganda 3. To strengthen the economic empowerment and resilience of female sex workers in Uganda 4. To strengthen feminist movement building of female sex workers to confront their own challenges in Uganda 5. To strengthen the institutional capacity of AWAC to effectively deliver her strategic plan and mandate in Uganda.

 

Decriminalizing Sex Work and Enhancing Equitable Access to Health, Justice and Social Protection by Female Sex Workers in Uganda

Find here the first of a couple of not yet anywhere published documents by the Alliance of Women Advocating for Change (AWAC) partner organization. AWAC is an umbrella network of grass root female sex worker led organizations in cutting across the 6 regions of Uganda. It was established in 2015 by female sex workers (FSWs) to advance health rights, human rights, socio-economic rights and social protection for FSWs and other marginalized women and girls including their children in Uganda. Geographical focus areas encompass: slum areas, islands, landing sites, transit routes, mining, quarrying, plantations, road construction sites and border areas in Uganda

Decriminalizing Sex Work and Enhancing Equitable Access to Health, Justice and Social Protection by Female Sex Workers in Uganda

 

Download the document here

http://www.peah.it/wp-content/uploads/2021/07/Advocacy-brief-on-Decriminalization-of-Sex-work-in-Uganda.pdf

 

PEAH is pleased to publish the Advocacy brief “Decriminalizing Sex Work and Enhancing Equitable Access to Health, Justice and Social Protection by Female Sex Workers in Uganda” as a work by AWAC-Uganda not published anywhere before.

An estimated 130,359 Female Sex workers (FSWs) in Uganda operate in a criminalized environment. This environment has not only compromised FSWs’ access to Health, Justice and Social Protection but also exposed them to a disproportionate burden of gender inequalities, HIV infection, stigma, discrimination and systemic exclusion, GBV, mental health problems and other life threatening challenges.

The advocacy brief presents how the laws which criminalize sex work push FSWs into the grip of abuse, systemic marginalization and compounding vulnerabilities and as such compromise equitable access to Health, Justice and Social Protection by FSWs by pushing in Uganda. This brief also highlights strategic asks in a call to decriminalize sex work and enhance equitable access to Health, Justice and Social Protection by Female sex workers in Uganda.

This advocacy brief seeks to amplify the call to decriminalize sex work and to enhance equitable access to health, justice and Social Protection by Female Sex workers in Uganda.

 

————————————————————————–

Brief History about AWAC

The Alliance of Women Advocating for Change (AWAC) is an umbrella network of grass-root female sex worker led-organizations in Uganda. Established in 2015 by the champions of the female sex worker movement to promote meaningful involvement and collective organizing of rural & peri-urban Female Sex Workers (FSWs) – including FSWs living with HIV/AIDS, using/injecting drugs, chidren of sex workers and adolescent girls & young women (AGYWs) operating in high risk areas. Such areas are; slum areas, landing sites, transit routes, mining, quarrying and boarder areas to strengthen a unified, vibrant, national, and sustainable FSW led movement Uganda.

AWAC is registered with the NGO Board under Reg. No. INDR140811523NB and was also granted her permit to operate countrywide as an NGO under File No. MIA/NB/2018/10/1523.

AWAC areas of implementation include; Kampala, Wakiso, Mukono, Busia, Tororo, Kabale, Isingiro, Kyotera, Masaka, Rakai, Lyantonde, Mbarara, Kasese, Kabarole, Kyegegwa, Kamwenge, Kyegegwa, Bundibugyo, Mbale, Jinja, Arua, Yumbe, Hoima, Gulu, Nakasongola, Kiryandongo, Masindi, of Kiryandongo, Lira, Arua, Kitgum, Pader, Amuria, Kaberamaido, Moroto, Soroti, Kotido, Nepak, Luwero, Kabongo, Napiripiti, Mityana, Buikwe, Iganga, Bugiri, Namayingo and Kalangala.

AWAC’s Vision statement: “A supportive policy and social environment that enables rural & peri-urban based grassroots FSWs to live free from human rights abuse in order to live healthy and productive lives in Uganda.”

AWAC’s Mission statement: “To strengthen a unified, vibrant, national, and sustainable female sex workers (FSWs) movement to advocate for an enabling environment and access to comprehensive sexual health rights, social and economic services for rural & peri-urban based grassroots FSWs in Uganda.”

AWAC’s Objectives: 1. To strengthen advocacy for improving access to universal health care services among female sex workers in Uganda 2. To expand advocacy and social mobilization for sex workers’ human rights and acceleration of sustainable development goals in Uganda 3. To strengthen the economic empowerment and resilience of female sex workers in Uganda 4. To strengthen feminist movement building of female sex workers to confront their own challenges in Uganda 5. To strengthen the institutional capacity of AWAC to effectively deliver her strategic plan and mandate in Uganda.

 

News Flash 438: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 438

Weekly Snapshot of Public Health Challenges

 

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Apropos of COVID-19: Shall We Question Ourselves?

...It seems to be that many ministries and secretariats of health forget about preparedness. We have seen, time and again, that every time there is a regional epidemiological problem, a health issue of significant proportions in some country, things must start from scratch to face it and control it. Preparedness plans -if any- are not quickly implemented, laboratory equipment or reagents, not ready, personal protection equipment not available, or too old to be used...

By Francisco Becerra

Public Health Policy

Washington, USA

Shall We Question Ourselves?

Apropos of COVID-19

 

The world has been hearing about the COVID-19 outbreak; then epidemic turned pandemic for over one year and a half. It is now a common topic in everyday conversation with friends, family, and acquaintances. Questions go from did you get sick to have you got your vaccine or which vaccine did you choose (when you have the option) or, which one did you get (when there is no choice but the one the government did get and is available). Large portions of the global population, on the other hand, will have to wait months to be vaccinated.

These questions, primarily by laypeople, will be part of our conversation. But one wonders what the questions politicians, health systems administrators, health officials are making themselves after the pandemic demonstrated most of the countries’ health systems to be fragile and collapse due to the overdemand of health care and the complexity to treat the SARS-CoV-2 infection. There was not only a fragility of health care, but the fragility of epidemiological systems and surveillance plans, a fragility of laboratory testing and sequencing capacity, and fragile, very fragile risk communication of local health officials and politicians around the state and impact of the pandemic in many countries.

It seems to be that many ministries and secretariats of health forget about preparedness. We have seen, time and again, that every time there is a regional epidemiological problem, a health issue of significant proportions in some country, things must start from scratch to face it and control it. Preparedness plans -if any- are not quickly implemented, laboratory equipment or reagents, not ready, personal protection equipment not available, or too old to be used. Thankfully, there are not many epidemiological outbreaks constantly, but when there is one to be dealt with, many LMIC are not ready.

Coming back to what politicians and health officials must do after such a long COVID-19 period is a much-needed exercise. Are these people ready for it? Have they the clarity of mind, the courage to face the much-needed naked truth to be revealed, confronted, and dealt with? We must remember that many, thousands of lost lives, that many people who got sick have been living with long term post-COVID symptoms, that whatever decision made by them had a consequence, good or bad, but a result they are responsible for.

How many fact-based evaluations will the world see after one year and a half of pandemic? How many changes and adjustments in strategies will we see after such evaluations -if any- are performed? Will politically appointed health officials be courageous enough to accept failures and submit resignations along with evaluation results?

Approaches must change. COVID-19 medical treatment was changing in the world after reviews of different analyses and clinical trials. The medical community obtained a better knowledge of the disease and systemic damages caused by the virus after evidence obtained in post-mortem studies. Physicians adjusted treatments to support patients and save many lives once that evidence was available.

The final questions are: will evidence help change course in strengthening health systems and epidemiological and laboratory surveillance? Will a better communication strategy be implemented? Will preparedness plans be written, updated, and shared with interested parties to use if needed? I’m sure there are many more questions. However, the real one is if they will ever do such an exercise.

Barriers To Exclusive Breastfeeding In Western Kenya

At a time when governments are urged to take on their duties and tackle the health threat posed by poor quality, insufficient or unbalanced baby feeding, PEAH is pleased to publish a reflection, just a thought, by a field engaged Kenyan professional

BARRIERS TO EXCLUSIVE BREASTFEEDING IN WESTERN KENYA

By Charity M’mbaga

Clinical Nutritionist at Kenyatta National Hospital

 

 

The importance of breastfeeding cannot be overemphasized. The majority of children who end up having low intelligent quotient, diabetes and obesity are those who were not exclusively breastfed. It is recommended that infants should be breastfed exclusively for six months with exclusion of solid foods and water.

Western Kenya is one of former Kenya’s administrative provinces outside Nairobi.

Despite being the bread basket of the Country* there are several barriers that hinder breastfeeding in this region. We take a look at some of these hindrances

  • Cultural Factors-This region comprises of the Abaluhya community who are diverse and with different cultural beliefs. Some tend to believe that the mother’s milk cannot fully satisfy the baby hence the baby needs other feeds to so as to be strong. This leads to the introduction of mixed feeding as early as three months to the baby
  • Teenage pregnancy-With the introduction of free primary school in Kenya, school going children who give birth are encouraged to go back to school. With these comes the challenge of choosing before exclusive breastfeeding and school and the later takes preeminence
  • Lack of proper knowledge-Even though we are in the internet where knowledge and skills can be easily accessed, we still have a percentage of the population who cannot access this. Some breastfeeding mothers in this region lack the proper guidance on the period required to exclusively breastfeed their babies
  • Social customs-Because of social inclinations and customs, some breastfeeding mothers tend to believe that the mother’s milk is not enough for the baby and therefore start mixed feeding as early as two months

Nutrition education should be given to expectant mothers attending the antenatal clinic so as to enlighten them on the importance of exclusive breastfeeding.

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*The main economic activity in western Kenya is farming, majorly subsistence farming of food crops such as maize, bananas, beans, wheat and sweet potatoes. The main staple food is maize, which is further processed to maize flour to make bread and baby foods such as Weetabix among other products.

News Flash 437: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 437

Weekly Snapshot of Public Health Challenges

 

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News Flash 436: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 436

Weekly Snapshot of Public Health Challenges

 

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News Flash 435: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

News Flash 435

Weekly Snapshot of Public Health Challenges

 

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Don’t Be Fooled: The European Green Deal Isn’t All It’s Cracked Up to Be

Time to End Generational Injustice with a ‘Global Blue New Deal’ to Protect Oceans

The Ocean’s Silent Killer: Breaking Down Overfishing

Black Sea facing ecological disaster due to overfishing