Showing posts with label Cambodia. Show all posts
Showing posts with label Cambodia. Show all posts

Friday, 3 February 2012

POVERTY: Cambodia: Orphanage tourism: help or hindrance?

 03 Feb 2012 : Monica Pitrelli investigates the impact of tourists visiting orphanages in Cambodia
Children studying at an orphanage near Siem Reap, Cambodia
Children studying at an orphanage near Siem Reap, Cambodia Photo: Rachael Bowes / Alamy

Cooking classes, cultural performances, massages, orphanage visits, adventure, festivals – this is the complete list of things to “Do” in Siem Reap, per the city’s Wikitravel page. Over the years, orphanage visits have seemingly become part of the Cambodian travel experience. As the popularity of visiting and volunteering at orphanages continues to rise, so does the controversy surrounding it. Some say it is an excellent way to make a positive contribution to the country. Others fear that well meaning voluntourists may be doing more harm than good.

THE ORPHANAGE BOOM
Earlier this year, the United Nations Children’s Fund (UNICEF) reported that while the number of Cambodian orphans has decreased, the number of orphanages has rapidly increased. UNICEF says that the number of orphanages jumped from 153 to 269 in the past five years. Only 21 of those are run by the state; the rest areprivately operated.
Perhaps even more troubling, UNICEF says that of the nearly 12,000 children living in Cambodian orphanages today, only 28 percent have lost both parents. If nearly three out of four of these “orphans” have at least one surviving parent, why are they living in orphanages?
While parental illness, disability, abuse and desertion account for a portion of these situations, the International Organisation for Adolescents (IOFA) and Friends International say that extreme poverty is behind most of these cases. Friends International says that parents are sending their children to orphanages believing they will have better access to food, shelter and an education. The decision, which may initially be temporary, then slowly morphs into a permanent solution.
Days after these findings were announced, the Cambodian government launched an investigation into the country’s orphanage system. Some fear that the orphanage boom is a product of Cambodia’s increasing tourism trade and the influx of tourist dollars that comes with it.

MIGHT THE CHILDREN BE BETTER OFF?
When poverty is this severe, the question is often asked – might the children be better off living in institutional care rather than with parents who are unable to financially support them?
International studies have shown that children are better off in a family or community setting than in an institution. Many countries worldwide have moved to de-institutionalise childcare in favour of foster care programmes and community- based support. Orphanages, says UNICEF says, should be the last resort.
Tessa Boudrie, a qualified social worker who has spent the past ten years helping street children and sex workers in south-east Asia and Hong Kong, agrees that the family unit is the best environment for a child. She says that research shows it’s cheaper to care for children in a family unit rather than in an orphanage.
“A development dollar is better spent on helping families to create a sustainable livelihood. If that means you actually have to look beyond the family and into the community, because the whole community is facing the same difficulties, then that is where the development dollar should go,” says Tessa.
Research recently conducted by IOFA found that young adults who left orphanages experienced a variety of problems, including damaged or severed family connections, homelessness, exploitation, trafficking and drug abuse. Its findings, IOFA says, challenge the widespread belief that institutional care is better for children from poor families.
Tessa says it is naïve to believe that removing a child from the family unit will solve the underlying problems. “It is short-term thinking and definitively not in the best interests of the child and family.”

THE RISE OF ORPHANAGE TOURISM
Volunteer placement organisations, universities and hotels promote orphanage tourism to travellers as a way that they can “make a difference” while having experiences that are “rewarding” and “life-changing”. Volunteers are told that they can sing songs, draw pictures, paint, play, teach English and wash the kids, while being a “role model” who can “build [the children’s] confidence and hope in life”.
UNICEF says that the trend in orphanage tourism is born from the best of intentions. Whether travellers spend an afternoon or a few weeks at orphanages, these short-term volunteers donate time and money with the aim of helping the children of Cambodia. The desire to lend a helping hand is gaining traction in everyone from backpackers and gap-year students to luxury travellers.
Majella Skansebakken, a Singapore expat and entrepreneur who has been involved in charitable work for Cambodia orphanages for over 10 years, says that the enthusiasm to volunteer is a positive thing. “Cambodia is still a country very much in need of help. In fact, most orphanages are crying out for help,” say Majella. “I do, however, oppose people seeing an orphanage as a tourist destination where they pat a child on the head, take a photograph, then walk away.”

CONCERNS ABOUT SHORT-TERM ORPHANAGE TOURISM
While some orphanages have stringent child protection policies and structured volunteer programmes in place, NGOs worry that those with open door policies may not have the best interests of the children in mind. Concerns include:
Ineffective volunteer work
Reading, playing with and hugging the children may make a tremendous impact on the volunteer, but does little to support the needs of the children. Aid workers report situations where volunteers perform work that is unnecessary, such as teaching Heads, Shoulders, Knees and Toes to children that have recited it hundreds of times before.
Though the goal is to help, volunteers sometimes confuse the impact that they are feeling with that which they are making. Emphasis is placed on the volunteer’s emotional response, rather than the effectiveness of the help itself. One volunteer summed up his experience by saying: “The kids at the orphanage changed my life completely. I can honestly say I am a different person. The 14 days I was at the orphanage taught me so much…Just having been able to make a difference by working at the orphanage and to share my time with [the children] was so incredibly rewarding. It was one of the most genuine experiences of my life.”
Tessa noted the difficulty in attracting tourists towards responsible volunteer projects when the feel-good factor of working with children is so strong.

Emotional loss from revolving door of volunteers
UNICEF is concerned about the emotional loss that the children may feel from exposure to a revolving door of volunteers. Donor educator Saundra Schimmelpfennig writes about the trend of “hug-an-orphan vacations” on her blog Good Intentions are Not Enough. She says that that although volunteers feel that interacting with orphans is a great way to give back, it can have harmful effects.
“While at the orphanage most volunteers seek to build emotional bonds with the children so they can feel they made a difference. Though well intended, this leads to a never-ending round of abandonment,” says Saundra.
Tessa agrees, noting that most short-term volunteers lack experience in dealing with institutionalised children. “No child benefits from spending intimate time with a total stranger, especially those who are uneducated in social work and education.”
She says that the effect of a continuous stream of foreign volunteers is usually traumatising in the long run. “When I arrived in Asia ten years ago, I vowed never to work with a target group directly. I didn’t want to take a job away from a local, I don’t know the local culture and language, and my work is temporary. Instead, I offer my knowledge and skills to other social workers, which affects not just one child, but a much larger group of children in the end.”

Exposure to child predators
Earlier this year, the British owner of the Cambodian Orphan Fund, Nicholas Griffin, was sent to prison in Cambodia for sexually abusing several minor boys in his care. According to the UK's Child Exploitation and Online Protection Centre, he ran “a number of orphanages in a tourist hotspot” in Siem Reap. Unfortunately, there have been a number of cases involving sexual abuse by directors of private orphanages.
Orphanages with open door volunteer policies may unwittingly expose children to predators. In a recent interview, Scott Neeson, a former Hollywood executive who gave up his career to start the Cambodian Children’s Fund, cited safety as one reason why his organisation requires at least a one-month commitment from all volunteers. “We have to protect the children both emotionally and physically…We require police reports in advance and references. It’s not worth the time for the volunteer or CCF to go through that for a couple of days.”
As the children’s home, an orphanage must also protect their privacy rights. Voluntourists often take photos of themselves with the children, some of which turn up on Facebook and personal blogs. “Most orphanages have adopted a policy whereby the children’s privacy is paramount. I have never taken photos of children on holidays in London, so I am definitely confused by people doing this in Cambodia,” says Majella.

Exploitation by unscrupulous orphanages
NGOs in Cambodia report that some orphanages’ primary focus is to take advantage of Cambodia’s voluntourism boom.
“Volunteers come with money. In some cases, you have to pay to volunteer; in other cases, people donate after their time is up. Volunteering can be a lucrative, income-generating activity for orphanages,” says Tessa.
Friends International has discovered cases where unethical orphanages have recruited and even paid parents to give their children away. In other cases, children are rented for a short stay. The children are used to tug at the heartstrings of tourists and volunteers, who are compelled to open up their hearts and wallets to help.
"Orphanages that keep kids in squalor can attract far more funding,” says Daniela Papi, a long-time resident of Siem Reap and founder of an organisation focusing on youth education in rural Cambodia.
Saundra agrees. “The best way to keep [foreign] donations rolling in is to keep the children at a substandard level, so that any volunteer or donor showing up will see with their own eyes how critical it is to donate to the orphanage,” she says. “A portion of these funds may be put into caring for the children, while large percentages could easily be pocketed for personal profit with few the wiser.”
Daniela describes watching children being paraded around Siem Reap’s bar areas late at night. “They play music, hand out fliers and ask people to visit their orphanage. Countless travellers clap for the little performers, handing $20 bills to their ‘caretakers’ and promising to visit their orphanage during the week.”
“Sometimes doing good can cause harm, and the practice of visiting orphanages which you have not properly vetted, and which have not properly vetted you, can be a harmful practice,” she says.

WHAT YOU CAN DO
With an estimated one-third of Cambodian children living below the poverty line, there is no doubt that help is needed. Before you visit or volunteer at an orphanage, consider the following:
DO: your research. Ask local educators and NGOS about reputable organisations that are helping orphaned Cambodian children. Look for one that is legally registered and employs an active family reunification programme.
DON’T: go to any orphanage that actively solicits tourists.
DON’T: work with the children directly. Instead, assist the permanent staff; this keeps the locals in charge and minimises attachment issues.
DO: sign on for a long-term project. Choose a placement where you aresupervised and working within a long-term curriculum.
DO: bring special skills. Medical specialists, teachers and human rights educators are often needed.
DON’T: volunteer at any organisation that doesn’t ask for a CV, references and police reports in advance. The more that is demanded, the greater chance that the children are being protected.
DO: ask to speak to a volunteer who came before you.
DON’T: post photos of children online. The orphanage is the children’s home, and their privacy should be respected.
DON’T: hand over large volunteer placement fees (which can top US$1,000) without ensuring that a portion is passed directly to the organisation.
DO: donate goods in kind. Ask the organisation, rather than a tuk tuk or taxi driver, about their needs. A common scam involves exorbitant charges for rice on the advice of a profiteering driver.
DO: consider helping community-based programmes, which support families and enable the children to live at home.

For more information, visit: http://www.lessonsilearned.org/ ; http://www.goodintents.org/ ; http://www.friends-international.org/
http://www.thinkchildsafe.org/ ; http://www.childsafe-international.org/

This article was originally published by Expat Living, www.expatliving.sg

http://www.telegraph.co.uk/expat/expatlife/9055213/Orphanage-tourism-help-or-hindrance.html

Thursday, 24 November 2011

POVERTY: CAMBODIA: Schools and students struggle post-floods

PHNOM PENH, 24 November 2011 (IRIN)

 Photo: Vincent Macisaac/IRIN
Soy Chet- orphaned and now out of school also

 Schools damaged in Cambodia's worst monsoons in more than a decade may take up to a year to recover after flooding delayed the start of school for thousands of students nationwide, say aid workers and officials.
As of late October, 323 schools out of 1,400 damaged ones were closed; some have since reopened. Though flood waters have receded, how well those schools are functioning and how many remain closed is still unknown, as the government continues its damage assessments in a dozen flood-hit provinces.
At least 77 schools are beyond repair, while students and teachers were still pumping water out of dozens more, said the director of the education ministry's construction department on 21 November, Song Yen.
"We have not yet completely assessed the damage," he added.
Sam Sereyrath, general director of education at the Ministry of Education, estimated some 20,000 children remained out of school, based on the number of schools destroyed.
Meanwhile, teachers warned that flooding had exacerbated the chronic shortage of books and other study materials. Purchases of 47,000 textbooks for 12 grades are under way while some schools simply opened their doors in October with no teaching materials, said the president of the Cambodian Independent Teachers' Association, Rong Chhun.
It will still take months for the school system to recover, he added.
Disruption from the flooding will have a "huge impact" on drop-out rates, absenteeism and enrolment, said Keo Sarath, education programme manager at Save the Children Cambodia.

MDG progress
The country's progress on the Millennium Development Goal for primary school education is mixed: 94 percent of primary school-age children were enrolled for the 2009-2010 school year; 83 percent of students enrolled in primary school completed the 2008-2009 year; and there was virtually no gender disparity in enrolment. Lower secondary education goals cannot be achieved by 2015 at the current pace, according to a preliminary UN analysis from September 2010.
To mitigate the risk that the floods may derail progress on primary education, existing guidelines to make up lost school hours must be enforced, said Denise Shepherd-Johnson, head of communications for the UN Children's Fund (UNICEF) in Cambodia.
A downward trend in government spending on education - 19.2 percent of the budget in 2007 to 15.9 percent in 2012 - limits the Education Ministry's ability to respond to the flooding, she added.
Almost 10 percent of the country's population, about 1.6 million people, was directly hit by the flooding, about one-quarter of a million people fled to higher ground and about 250 people died, according to the National Committee for Disaster Management's most recent data from 28 October.
The flooding began in mid-July in the upper Mekong River, and then spread to 18 of the country's 24 provinces as Cambodia's largest lake, the Tonle Sap, more than doubled its monsoon-season size.
Almost 20 million people have been affected since June in Thailand, Cambodia, Philippines, Vietnam and Laos.

 Photo: Vincent Macisaac/ IRIN
Students outside a temporary school set up after flooding in Anlong Chrey village

Stop-gap schooling
Save the Children and the Education Ministry have set up more than 400 temporary schools in four of Cambodia's worst-hit provinces, reaching more than 12,000 primary-school students.
"Every day a child is not in school increases the risk they drop out permanently in a disaster like this. If we can quickly get them back in school-like settings, the chances of this happening are reduced," Jasmine Whitbread, CEO of Save the Children International, told IRIN.
In recent visits to the flood-hit provinces, Battambang and Kampong Cham, residents of villages who lost their annual rice crop, or remain isolated by flooding, told IRIN they were struggling to feed themselves and keep their livestock alive.
Flooding destroyed some 265,000 hectares of rice, about 10 percent of the total 2.5 million hectares planted, according to the government.
A rice-growing village, Anlong Chrey, in Kampong Cham Province, has become an islet reachable only by an hour's boat ride.
It had been entirely submerged for about one month, after the Mekong River, 8km west, and the Tonle Sap River, 35km east, overflowed their banks and converged in mid-September, said residents.
The village has two temporary primary schools - attended by about 140 children - but older students are among the hundreds who have been forced to leave the village of about 380 families in search of work.
Some children have gone as far as Thailand and Malaysia, residents said. A recent assessment by Save the Children Cambodia in 20 villages raised concerns of increased child labour and migration as adolescent girls search for work.
Soy Chet, 16, lives alone in Anlong Chrey village in a hut surrounded by knee-deep water. Orphaned three years ago, she managed to remain in school and support herself before the floods.
She said she hoped to finish primary school, but did not know what she would do afterwards as her neighbours had told her they could no longer support her.
"Maybe I will go to look for work in a sewing factory," she said, adding that if she did, it would be the first time she had ever left her district.
http://www.irinnews.org/report.aspx?reportID=94298

Tuesday, 5 April 2011

POVERTY: Cambodia's Disabled Fight Poverty, Inequality

Catherine Wilson : 28 March 2011


Landmine explosions/casualties still affect thousands

Cambodia remains littered with millions of unexploded devices left over from 30 years of civil war, the brutality of the Khmer Rouge and conflict with Vietnam.
The government itself believes that as many as 2 percent of the country's 14.7 million people are disabled with landmine casualties a significant proportion.
Poung Mai, who lost both legs when he stepped on a landmine, is one of those victims. He and Chhum Sopheap, who has suffered from polio, are seated on the ground in the midday sun next to the ticket kiosk inside the entrance gates to the National Museum in Phnom Penh with a basket of books to sell, each one carefully wrapped in plastic to lessen the inevitable damage from perpetual sun and dust.
They are among more than 60,000 physically disabled in Cambodia who struggle against poverty, discrimination, unequal access to education and employment and an under-funded and under-resourced state support system.
Cambodia is one of the poorest and most landmine contaminated countries in the world and the challenge of achieving economic inclusion, education and rehabilitation of the disabled is considerable. Numerous demining organisations, such as the Cambodian Mine Action Center, are steadily working to clear the country of millions of unexploded bombs and ordnances in rural regions, especially in the northwest close to the border with Thailand.
With 80 percent of the population residing in rural provinces, the prevalence of landmines has significantly reduced access to agricultural land, forests and water resources, and led to one of the highest rates of disability in the world as people in farming communities are maimed and killed as they go about their daily lives.
According to the Cambodia Mine Victim Information System (CMVIS), there were 286 landmine casualties in 2010, an increase on the 244 reported in 2009 and 271 in 2008, with 15 new casualties in January this year. It estimates that since 1979 there have been 63,821 mine casualties, which corresponds to 39 landmine deaths and injuries every week for 31 years, with about 44,000 survivors.
Poung Mai is from Prey Khmoa village in Prey Veng province where his family were rice farmers.
"During the civil war in Cambodia, the government [Khmer Rouge] arrested me and I was made to work in forestry, woodcutting," he said, "and then I stepped on a landmine." He was 28 years of age when both legs were amputated.
"After I stepped on the landmine, it was difficult," he continued, "I went around begging everywhere, at the market, to feed my family."
Poung has seven children. In 1990 he was removed by authorities to a center that provided food and shelter, but no prospect of livelihood. He subsequently left and found his way to Phnom Penh, where he continued to beg until he joined the Angkor Association for the Disabled in 2009, an organization of people with disabilities founded by Sem Sovantha, who suffered double amputation by a landmine, to provide shelter and training to members and campaign against discrimination.
Chhum Sopheap, also from Prey Veng province, came to Phnom Penh in 1997, sleeping on the streets until he started selling books at the National Museum in 2007.
Both say that the very small income they earn from selling books, on average $4.00 per day, enables them to rent a room and leave behind homelessness, which is often accompanied by alcoholism, mental ill-health, hunger and disease. Belonging to a disabled organization has also marginally improved their experience with the public, they say.
"When they are not with an association," Sem Sovantha explained, "there is a problem with the authorities. When they have an association, people will accept them and talk to them."
However, negative social attitudes and discrimination toward the disabled, such as physical harassment, social ostracism and economic exclusion, remain widespread.
Chhum claims that he mostly receives a positive response from visitors and tourists at the National Museum, "but the official in the area is not so happy about us, because he thinks it is not appropriate for us to be selling to tourists."
Local tour guides also attempt to dissuade visitors from being patrons.
"The customer would like to buy," Chhum explains, "but the customer believes the tour guide when he says ‘no, no', because at another shop the tour guide will get a commission."
According to a 2009 ILO report, "People with disabilities are among the most vulnerable groups in Cambodian society. They lack equal access to education, training and employment. While many workers with disabilities have considerable skills, many have not had the opportunity to develop their potential."
The Cambodian government introduced a Law on the Protection and Promotion of the Rights of People with Disabilities in 2009 to support the right to employment without discrimination, and in the same year adopted a National Plan of Action for Persons with Disabilities, including landmine survivors, in order to better address needs and provide services. The stated priorities of the Ministry of Social Affairs, Veterans and Youth Rehabilitation include strengthening and expanding welfare and rehabilitation services for the disabled, but, according to the Cambodian Disabled Peoples Organization, lack of human and financial resources has hindered real progress toward these goals, although the work of NGOs has resulted in the provision of more vocational training courses.
"Social acceptance and social attitudes toward disabled people and landmine amputees can be improved step by step through the Royal Government having a Disability Law and National Plan for persons with disability," a CDPO spokesperson said, "The problem in Cambodia is that we have the laws, but no budget to implement them."
In the meantime, Chhum Sopheap and Poung Mai strive to sell their books, many of which are biographies and stories of Cambodians, like themselves, who have struggled through the tragedy of the Khmer Rouge era and are determined to not only survive, but live to see a better future.
http://khmernz.blogspot.com/2011/03/cambodias-disabled-fight-poverty.html

Saturday, 2 April 2011

POVERTY: CAMBODIA: Rural poor most at risk from rabies

 Photo: Contributor/IRIN:
Hundreds of people die of rabies in rural Cambodia

KAMPOT, 1 April 2011 (IRIN) - Yinn Siet, 65, recalls in horror when a snarling dog bit her husband four years ago. Before he died, the farmer hallucinated and convulsed. “He barked like a dog,” she said. “We put a chain on him and locked him up.”
He had contracted rabies, a virus that kills nearly all victims who develop symptoms.
Yinn could not afford to bring her husband to the capital Phnom Penh, the only city in Cambodia that has a centre offering free treatment.
Even if she had, it would have been too late.
He left behind his family of seven, who are struggling to make ends meet through farming.
Cambodians in the countryside have little access to treatment for rabies, a preventable disease that disproportionately affects the rural young and poor.
If dog-bite victims do not seek immediate treatment, they are likely to die. The virus is untreatable after symptoms appear, which can be anything from 10 days to a year after being bitten.
“The loss of a family member to rabies has a profound psychological impact on the family,” said Deborah Briggs, head of the Global Alliance for Rabies Control, a US-based NGO. “The disease is frightening and it is devastating to watch a loved one die.” In 2007, the most recent year data are available, 810 human rabies deaths may have occurred in Cambodia, says a study in Neglected Tropical Diseases, a science journal.
The number is only an estimate. Hundreds of cases in the countryside go unreported, because patients are rarely hospitalized and tend to die at home.
The estimated rabies mortality for 2007 exceeded that of malaria (240 deaths) and dengue fever (400 deaths), the study said.
The report concluded that free post-exposure prophylaxis, an injection after a bite that prevents infection, is really only relevant for residents of Phnom Penh. Injections must be administered promptly, usually within 10 days of an infection.
The Pasteur Institute, a non-profit medical research and treatment centre in Phnom Penh, is the only institution in Cambodia offering free post-exposure treatments.
The rural poor often cannot afford lengthy and expensive visits to the capital and therefore miss out on the free treatment.
“We see maybe five patients per year who arrive with symptoms,” says Philippe Buchy, head of the virology unit at the Pasteur Institute, “and the only thing we can do is to send them to Calmette Hospital where they will die after few days.”
The fact that poor people are most susceptible to rabies means campaigns against the virus tend to be given lower priority, said François-Xavier Meslin, the Geneva-based team leader for neglected zoonotic diseases at the World Health Organization (WHO).

Epidemiology
Warm-blooded mammals, mostly dogs, spread the virus through bites, scratches, and licks on open wounds.
Typically between 10 days and a year after exposure, patients experience insomnia, headaches, a fever, and twitching around their wound.
Two to 10 days after those first signs appear, they hallucinate, have seizures, become fearful at the sight of water and experience paralysis. Most rabies patients die from respiratory failure.
Each year, about 55,000 people around the world die from rabies. More than 80 percent of cases are in Asia, according to WHO, which says half of all human rabies deaths occur in children under 15.
“Every one of those deaths could have been prevented as we have the vaccines… available to save their lives before clinical signs begin,” Briggs told IRIN.
In Bali, Indonesia, authorities culled 100,000 dogs to prevent the spread of rabies by shooting poison blow darts at them, but the authorities halted this policy last September in favour of a mass inoculation programme of 400,000 dogs (70 percent of the island’s dog population).

WHO’s Meslin does not advocate killing dogs because it is “inhumane,” he told IRIN.

In Cambodia, the Pasteur Institute recommends setting up a national rabies control programme to improve disease surveillance and access to treatment. It also recommends starting vaccination campaigns for dogs.
http://www.irinnews.org/report.aspx?reportID=92334

Monday, 28 March 2011

TUBERCULOSIS: CRS Battling Tuberculosis in Asia

“When I first arrived here, I couldn’t walk. I couldn’t stand. I couldn’t eat.” Maria Sabina Tai, a 40-year-old mother of 7 living in East Timor, sits in the yard of a treatment center for people with tuberculosis. Maria had felt sick for two years, but wasn’t sure what the sickness was. “Then a TB volunteer found me,” she says. She went to the center mainly because of her children: “I was worried about my kids.”
The volunteer who found Maria is part of a CRS-supported program run by Klibur Domin, a local organization in this small, impoverished country near Australia. Though East Timor’s population is only one million, over 470 people die from TB each year here; many more are infected. Klibur Domin runs the 50-bed treatment home, where patients stay and receive a course of antibiotics and good food. Klibur Domin also seeks out sick people in their villages, and raises awareness of the disease.
Tuberculosis festers and spreads easily “where people are crowded together in a small space, and where there is poor ventilation,” says CRS’ Michelle Lang-Alli, who is Asia Regional Technical Advisor for Health. Malnourishment and overwork add to the problem.
TB attacks people who are already weak. One vulnerable group are refugees. In southern India, refugees from Sri Lanka live in cramped warehouses where cooking smoke fills the air. There, residents who contract TB pass it on to other family members, including their children.
CRS programs help TB patients recover and prevent TB from spreading. In East Timor, CRS funds health groups that care for TB patients. In Cambodia, CRS partners do home visits, making sure TB patients are taking their medication properly. In southern India, CRS and its diocesan partners are building new houses for Sri Lankan refugees so they can leave their crowded, unhealthy quarters.
In Timor, Catholic sisters play an important role in running rest houses where patients can take medicine and recover. “In the past, families just thought it was a regular disease,” says Sister Carmelita Martines at the TB home she and her fellow Carmelite nuns run in Timor. If people aren’t in a controlled environment like a rest home, they often make mistakes and don’t take the medicine properly.
The sisters follow up when patients are strong enough to leave the rest house but are still taking the antibiotics. “We call them the champions of TB in East Timor,” says Lang-Alli. “They’re very active. They’ll chase patients up if they don’t finish their treatment.”
Throughout Asia, CRS and its partners are helping the poor breathe easy. “I feel happy and grateful when I see patients return home well,” says Sister Carmelita. “You’re like a bridge that God’s love can flow over to reach them.”
http://crs-blog.org/battling-tuberculosis-in-asia/

Saturday, 19 March 2011

POVERT: CAMBODIA: Botched World Bank Project Leads to Thousands of Evictions

Irwin Loy
Tile floors are all that remain of homes that once stood on the eastern shore of Boeung Kak lake. / Credit:Irwin Loy/IPS Credit:Irwin Loy/IPS

Tile floors are all that remain of homes that once stood on the eastern shore of Boeung Kak lake.

PHNOM PENH, Mar 17, 2011 (IPS) - The World Bank botched the handling of an ambitious multi-million-dollar land- titling project in Cambodia and has done little to protect thousands of people in a lakeside slum from eviction.
That is the finding of the World Bank’s inspection panel, the financial institution’s main accountability mechanism. Unfortunately the judgement came after local authorities issued final eviction notices to many of the Boeung Kak’s remaining residents.
"The claims of the Boeung Kak lake community are serious," Roberto Lenton, the chair of the panel, said in a statement. "The issues raised involve fundamental questions of their land rights and tenure security… the panel found that the evictions took place in violation of the bank policy on involuntary resettlement and resulted in grave harm to the affected families and community."
In a series of reports and statements the inspection panel ruled that a controversial bank-funded land-titling project failed to protect some 4,000 families living around Phnom Penh’s Boeung Kak lake - a low-income community that had grown in the centre of the capital following the collapse of the brutal Khmer Rouge regime.
In doing so, the bank broke many of its own regulations meant to ensure its programmes would not cause inadvertent harm to local populations.
Many people in this Southeast Asian country still lack basic legal titles to their land, a legacy of the Khmer Rouge, who outlawed private ownership. The bank funded the Land Management and Administration Project, or LMAP, as part of a plan to address Cambodia’s lingering land problems.
LMAP has courted controversy by following the government’s policy to not issue land titles to some 4,000 families around Boeung Kak lake. The government declared the land to be owned by the state, even though many of the residents had lived there for years.
The government later leased the land to a developer. The Chinese-backed developer and local authorities have since told the residents that they must move to make way for a series of office towers and villas on the 133-hectare site.
The World Bank inspection panel ruled that the bank should have followed its safeguards - agreed to by the bank, donor governments and Cambodian authorities at the inception of the project - which would have allowed the residents to argue their cases for land titles. Instead bank management ignored the residents’ claims until it was too late.
"The harm the people have suffered as a result of the evictions and the following displacement… was evident to the panel team," the panel stated in its investigation report. "The panel found no record that bank management raised this issue with the government or project staff until 2009, when the situation had already deteriorated beyond repair."
LMAP managed to issue more than one million land titles to mostly rural residents throughout the country before the government abruptly cancelled the programme in 2009, complaining the World Bank had demanded "too many conditions".
But the situation for the families in Boeung Kak shows how the project struggled with its primary goal: to help the government establish an "efficient and transparent" land administration system.
"The Boeung Kak case highlights the failure of LMAP to establish an equitable, transparent and rule-based process for titling decisions," said David Pred, executive director of the advocacy group Bridges Across Borders Cambodia. "In the end, like elsewhere in Cambodia, titling decisions have been made based on the interests and direction of the powerful rather than the rule of law."
In response to the panel report, World Bank management has accepted that LMAP failed to protect the Boeung Kak lake residents, but it says the project itself wasn’t responsible for their evictions. For its part, the government has continued to insist that the lake residents are living illegally on state land, and that LMAP should never have covered the community.
It’s estimated 1,600 families have already moved from the area, accepting a compensation package totalling 8,500 dollars which requires giving up any right to the land - far less, critics say, than the land is worth and not enough to start rebuilding their lives.
The remaining residents may soon follow. Earlier this month, authorities issued eviction letters to many of the households that stayed behind.
Along the dusty lanes that trace the edges of the lake, the signs of change are everywhere.
Many of the homes have been torn to the ground, leaving stark patches of floor tiles where buildings once stood.
"I’ve seen many families taking down their homes and moving," said Simoni Mao, who runs a shop a few lanes back from the eastern shore of the lake.
Mao says he came here in 1992 as his country was beginning to look past two decades of war. He says he bought the land from a local official at the time, long before the government had any major development plans for the area. "If I had known they were going to do this," he said, "I would never have bought land here."
In the meantime, the World Bank has acknowledged that there may be thousands more families facing eviction in areas where LMAP was supposed to be helping. As part of a review of its actions, bank management discovered more than 8,400 other households who could be at risk of eviction.
http://ipsnews.net/newsTVE.asp?idnews=54888

Monday, 7 March 2011

POVERTY: UK aid budget refocuses 'on areas of greatest need'


 Nicholas Watt, chief political correspondent guardian.co.uk,  27 February 2011
UK aid budget refocuses 'on areas of greatest need', including YemenEnd of aid to Russia, Serbia, China, Cambodia, Vietnam and Moldova, as poorer or failing nations prioritised

Britain is to stop sending aid to a series of relatively affluent developing countries as the government focuses resources on countries with the highest levels of poverty, and failing states that have become havens for Islamist fundamentalists.
A review of Britain's £8.4bn international development budget will herald the end of aid to Russia, Serbia, China, Cambodia, Vietnam and Moldova.
Aid to Yemen, regarded by Britain as a failing state whose lack of economic development provides a fertile recruiting ground for al-Qaida, will instead be doubled from £46.7m this year to £90m by 2015.
The changes will be announced by Andrew Mitchell, the international development secretary, who established separate reviews into Britain's bilateral and multilateral aid budgets after the general election.
The UN Educational, Scientific and Cultural Organisation (Unesco) could be a victim of the review of Britain's support for multilateral organisations. Unesco, which was boycotted by Britain for 12 years between 1985 and 1997 on the grounds that it was "pro-Soviet", will have to meet a series of targets to justify its aid after the review found that it wasted the £12m it receives from Britain each year.
Mitchell told the BBC Politics Show that the reviews would lead to Britain's aid budget being "much better focused" on areas of greatest need. "People who live in conflict states are very much part of that," he said.
The reviews are designed to answer opponents on the right and left who have criticised the government's approach to aid from different angles.
A focus on developing countries in greatest need, with a hard-headed payments by results system, is meant to show sceptical Tories that the aid budget is being spent in a sensible way. Many Tories believe it was wrong of David Cameron to ringfence the aid budget, after the prime minister pledged to maintain Britain's commitment to meet the UN target of spending 0.7% of gross national income on aid by 2013.
Targeting resources at a country such as Yemen, some of whose territory is used by al-Qaida as a training ground, is also designed to show that concerns on the left about the securitisation of Britain's aid budget are unfounded.
Charities have warned that aligning aid priorities with Britain's overall foreign and trade policy could lead to a return to the 1990s when the Pergau dam in Indonesia was funded with British aid money. Harriet Harman, the shadow international development secretary, voiced these fears when she warned of "subsuming aid activities into military activities".
Mitchell said it was in Britain's interests to help countries which present a threat. "It's very much in our national interest to tackle these effects of dysfunctionality and poverty, such as piracy, migration, terrorism and disease in Somalia," he told the Sunday Times. "Tackling the causes of poverty upstream is much less expensive than sending in troops."
Mitchell also tackled one of the main criticisms from the right, that it is wrong to provide aid to India, whose economy is growing at such a fast pace that Delhi can afford a space programme. "The fact is that if you want to reach these [UN] millennium development goals, which we are also keen to do by 2015, you have to operate where poverty is greatest," he told the Politics Show. "In India there are more poor people in three states than there are in the whole of sub-Saharan Africa. Operating there in the way that we do is extremely effective in poverty alleviation."

The reviews, which have been subject to independent peer review, will have four main themes:
• A complete overhaul of the way in which Britain distributes aid. Mitchell believes that Gordon Brown announced an overall figure for a grant to a particular country without working out what exactly that would deliver. "Now it is going to be payment by results, so money will only be granted if it is clear how many more children will be educated in a given country and how much clean water will be supplied, for example," one source said.
• Independent evaluation. A four-strong independent panel, including the Kenyan anti-corruption expert John Githongo, will monitor aid spending. The panel will report to parliament.
• Britain has a moral duty to help those in need in line with its values. Mitchell frequently quotes the anti-slavery campaigner William Wilberforce to support the aid cause. "You may choose to look the other way but you can never say again you did not know," Wilberforce said.
• It is in Britain's own national interests to help countries which present a threat, however indirectly.
http://www.guardian.co.uk/global-development/2011/feb/27/uk-aid-budget-andrew-mitchell

Friday, 4 March 2011

POVERTY: LAOS: Decision expected on controversial Mekong dam

25 February 2011 (IRIN)

 Photo: Tharum Bun/IRIN : Experts and activists predict tough times ahead for Mekong River communities

BANGKOK, - The proposed Xayabury Dam on the lower Mekong River promises to supply much-needed energy to the region, but at a "devastating" environmental and personal cost to surrounding communities, say activists and environmental experts.
"Millions more people in the region are likely to be adversely [affected] through changes to the river's biodiversity, fisheries and sediment flows," said Ame Trandem with International Rivers, a US-based environmental NGO.
The dam's main developer is Thai construction company Ch Karnchang.
Sixty-five million people depend on the Mekong River - the largest inland fishery in the world - for survival and its biodiversity is second only to the Amazon in South America, according to Jeremy Bird, director of the Laos-based Mekong River Commission (MRC), a regional intergovernmental advisory body on any mainstream development conducted on the river.
More than 200,000 fishermen and farmers - most of the lower riverside community - will suffer displacement and reduced earnings if the Xayabury Dam is built in Laos, states International Rivers.
Based on the 2010 Strategic Environmental Assessment (SEA) commissioned by MRC, "dam construction will result in irreversible environmental impacts", said MRC spokeswoman Tiffany Hacker.
Damage to fisheries "cannot be mitigated by fish passes and reservoirs", said Alan Brooks, director of the Phnom Penh-based NGO, World Fish Center.
The dam is the first of 11 hydropower dams proposed along the lower Mekong River. Though a regional agreement requires prior consultation with MRC before a project can move forward, there is no way to enforce this recommendation.
The Mekong Agreement, which recognizes the shared impacts of river development projects on neighbouring countries, stipulates that Thailand, Cambodia, Laos, and Vietnam must all approve major projects on the lower Mekong River.
The four governments may announce their positions on the dam by as early as March 2011, according to International Rivers.
"What happens with the Xayaburi Dam will essentially set the precedent for whether more mainstream dams are built or not, many of which will [have] devastating impacts on the region's people in terms of lost income, livelihood and food security," said Trandem.
http://www.irinnews.org/report.aspx?ReportID=92037

Saturday, 12 February 2011

POVERTY: CAMBODIA: Diabetes - the silent killer

 Photo: David Swanson/IRIN
Many adult Cambodians have diabetes

PHNOM PENH, 7 February 2011 (IRIN) - When 46-year-old Cambodian motorbike taxi driver Gao Savvy broke his leg, he did not realize he would have to have it amputated, but he has had diabetes for five years and recently developed a condition called stenosis, a narrowing of the blood vessels, meaning doctors had no option but to amputate the injured leg.
“Now I only have my wife to take care of me. I don’t know what we’ll do next,” said Gao, who earned just US$50 a month.
Rapid lifestyle changes over the past two decades combined with poverty in Cambodia (according to government statistics, a third of the population lives below the national poverty line of 75 US cents a day) mean diabetes has become a major health problem.
The number of people with the disease is rising: Of the country’s 14.5 million inhabitants, about 352,000 adults live with diabetes, according to the 2009 Diabetes Atlas published by the Belgium-based International Diabetes Federation.
In 2005, about 255,000 people suffered from diabetes, according to an article published that year in the Lancet, a UK-based medical journal. Two-thirds of all cases went undiagnosed before the survey.
In 2010, Cambodia had about 8,000 diabetes-related deaths, according to the International Diabetes Federation. By contrast, the government records more than 200 malaria deaths per year, and has calculated over 1,000 HIV/AIDS-related deaths each year since the most recent prevalence data were collected in 2006.
“It’s a silent killer,” said Lim Keuky, an author of the 2005 study and head of the Cambodian Diabetes Association. “You don’t know about it until the symptoms appear, and then it might already be too late.”
Keuky’s study found a surprisingly high prevalence (5 percent) in Siem Reap, a province in the northwest, and 11 percent in Kampong Cham Province in eastern-central Cambodia.

 Photo: Contributor/IRIN :
Gao Savvy lost his leg because of diabetes

The relatively high rates of diabetes in Cambodia were surprising, the study said, given that the country is poor, and lifestyles are still fairly traditional.

Lifestyle changes
However, economic growth and urbanization mean many of Cambodia’s poor are eating processed food and not exercising enough, according to Denmark-based NGO the World Diabetes Foundation (WDF).
These lifestyle changes have taken place on top of the hunger and desolation of the 1980s, the group said.
“Most processed and unhealthy food is the cheapest option while healthy foods have become increasingly costly and beyond the reach of the poor, so the poor have no control over the risk factors,” said WDF head Anil Kapur.
Meanwhile, campaigners say diabetes is not getting enough attention from international donors.
“Foremost is the misconception among donor agencies that these [non-communicable] diseases are diseases related to affluence, and do not affect the poor, which is completely untrue,” Kapur told IRIN.
About 80 percent of all diabetes cases are in low- and middle-income countries, affecting mostly people aged 45-64, says the World Health Organization (WHO).
Globally, about four million deaths are attributed to diabetes every year, compared to three million for AIDS-related illnesses and one million for malaria. Diabetes is responsible for about 5 percent of all deaths globally each year and the figure could rise by more than 50 percent in the next 10 years if urgent action is not taken, says WHO.
According to new research published by the Lancet, chronic diseases such as diabetes could kill up to 4.2 million people annually in Southeast Asia by the year 2030.
http://www.irinnews.org/report.aspx?ReportID=91852

Friday, 28 January 2011

POVERTY: Where does the poverty line truly lie?

 andrew Posted by Andrew Chambers 19 January 2011: guardian.co.uk

Where does the poverty line truly lie? Defining deprivation isn't a mere academic exercise – it informs and creates policy. Middle-income countries such as Thailand illustrate the dangers of a simplistic approach

thailand child beggars Photograph: Barbara Walton/EPA: Thailand has achieved many of its millennium development goal targets, but pockets of poverty still exist.


Thailand is a development success story. The country is on target to meet or exceed all its millennium development goals (MDGs), and absolute poverty ($1 a day) is now less than 2%.
However, do these statistics accurately measure what poverty is, and what is the next step in poverty reduction for middle-income countries like Thailand?
How to define and measure poverty, therefore, is not just a dry academic debate, as these decisions greatly affect what policies are pursued.
Only a few minutes from the five-star hotels of downtown Pattaya, Soon Ton lives in a small urban slum built on dusty wasteland. She is one of the increasing numbers of Thais who have left their rural villages to seek work in the cities. Her house, which she shares with her elderly mother, is a ramshackle mix of scavenged corrugated iron and plywood. There's no running water and she only recently got electricity in her home. However, by sifting through rubbish bins she is able to collect enough recyclable material to make more than 200 baht (£4) a day. This puts her well above the MDG and national poverty lines. So, in terms of absolute measures of poverty, Soon Ton is a success story and she is not counted among Thailand's poor.
Absolute measures of poverty based on income or consumption are attractive, as they are easily understood by policymakers and the wider population. They also provide a relatively easy way to gauge poverty levels and to measure success in poverty alleviation.
However reducing poverty to income alone is too simplistic, and fails to recognise wider human and social aspects of poverty. As Soon Ton's case also shows, it risks ignoring the needs of those who are poor, but not poor enough to be below a set income line.
Thailand, as a result of its own successful anti-poverty measures, actually imports regional poverty from bordering Laos, Burma and Cambodia. It is estimated that there are between 1.8 million and 3 million documented and undocumented workers and their families in the country. Therefore it is necessary to measure poverty in wider terms than just national borders – otherwise the failure of one country's anti-poverty measures could, through encouraging migration, result in an apparent fall in poverty rates and praise for their policies.
A recent Human Rights Watch report (pdf) details that many of these migrants "escape from the tiger only to meet the crocodile" – in searching for a better life in Thailand, they unwittingly enter an even more dangerous scenario.

Exploitation and abuse
These workers are wary of official and police harassment, and so without a voice in society are extremely vulnerable to both exploitation and abuse. The report explains that many workers receive less than the Thai minimum wage, others endure dangerous working conditions and sometimes suffer physical abuse. In this case, it could be argued that the best measure of poverty is a human rights-based one – as this is a poverty caused by a violation of basic rights.
However, governments frequently show limited concern for migrant rights – especially those who are in the country illegally.
The worst poverty in the country remains concentrated in the northern area of Thailand among the indigenous hill tribe villagers. With a number of local languages, more than 3,500 villages and upwards of 750,000 people living in remote highland areas, there are significant challenges for poverty reduction. Poverty in such rural areas is often measured in terms of composite indices of access to basic services and materials, such as electricity, transport links, school access and healthcare.
However, one problem with wider composite measures of poverty is that they may involve social value judgments that could be opposed by members of the community. As some have pointed out, such composites are based on the desire to provide a "good life" – but this is a socially and culturally loaded term. Who decides what this constitutes?
This conflict of opinion frequently manifests itself as a generational split within the community itself – where the younger villagers welcome the increased opportunities to move away from their villages, while the older members worry that their cultural identity and language are being lost.
Ultimately, however, poverty reduction needs to be about more than just statistics, indicators or measures. They are all useful, but no person or group can be reduced simply to a number on a chart.
Soon Ton may be above an arbitrary poverty line, but that doesn't mean she doesn't need support. As a result, top-down targets based on MDG or other statistical measures may not always be the best approach to alleviate poverty.
Focusing on a bottom-up approach, which measures poverty through a participatory approach of dialogue with the community, has a greater potential to ensure that the poor themselves are given a voice in society and are engaged in their own development policies. That should be the ultimate yardstick to measure poverty policies in Thailand, and is the necessary next step for middle-income countries to continue with their progress in poverty alleviation.

http://www.guardian.co.uk/global-development/poverty-matters/2011/jan/19/millennium-development-goals-poverty-definitions-thailand

Tuesday, 4 January 2011

MALARIA: Stepping up to tackle drug-resistant malaria at the source

from: The Lancet 22 December 2010

 Flickr/DFID – UK Department for International Development
50 years ago, chloroquine-resistant malaria spread to Africa and killed millions of children.

Gains to control and eliminate malaria will be jeopardised by growing drug resistance in western Cambodia unless the global health community initiates a speedy, scientifically sound and coordinated response, says Nicholas J. White.
The emergence of resistance to artemisinin — a drug used to combat infections with the malaria parasite Plasmodium falciparum — mirrors the emergence of resistance to a different drug, chloroquine, which arose in the same part of Cambodia 50 years ago. It then spread quickly to Africa killing millions of children.
The only way to ensure that artemisinin-resistant malaria does not reach the rest of the tropical world might be to eliminate P. falciparum malaria at its source, at least temporarily, argues White. The affected part of Cambodia is geographically separated from other malarial areas, so this should prove possible, he says.
White pinpoints three questions to consider in deciding a course of action. Is enough being done to counter the threat, has artemisinin-resistant malaria spread already and is a truly radical approach to disease control justified?
If artemisinin resistance spreads widely, current strategies against malaria will be made redundant, he says.
The world has shown a limited ability to respond rapidly and effectively to global threats from infectious diseases. A 'passive model' of response — where individual countries make funding proposals to the Global Fund to Fight Aids, Tuberculosis and Malaria, for example — seems too "hit-and-miss", says White. He suggests that affected countries are involved in finding a solution, that the WHO takes a strong lead to tackle the problem and that high-level political backing for this effort is essential.
http://www.scidev.net/en/opinions/stepping-up-to-tackle-drug-resistant-malaria-at-the-source-1.html

Tuesday, 21 December 2010

POVERTY: The cost of trauma

  Photo: Contributor/IRIN: Cambodian traffic can be downright dangerous

KANDAL, 20 December 2010 (IRIN) - Cheng Heng’s wound was minor, but the impact on his family severe. The 31-year-old garment factory worker was riding his motorbike to work, when he collided with a bicycle 30km west of the capital, Phnom Penh. His broken clavicle required surgery, costing US$250, leaving him out of work for almost a month and forcing him into debt.
As the primary breadwinner for his family of 10, contributing half the total income of $300 a month, it will take at least three months to pay off his debts.
Cheng hopes they will manage by working at nearby factories. “I didn't get any help either from NGOs or my factory,” he said.
Traffic crash “crisis”
In Cambodia, economic growth and urbanization have prompted people to migrate to the crowded capital, where a surfeit of automobiles, lax enforcement of traffic laws, and scant understanding of road safety take their toll. On average, 4.7 people die in accidents each day, according to a report by the Cambodian government and Handicap International Belgium, an NGO in Phnom Penh. Over the past five years, the number of accidents increased by more than 200 percent, and the number of fatalities nearly doubled to 1,717 last year. “We’re seeing more road crashes in outskirt areas, where there’s more speeding,” Socheata Sann, road safety programme manager at Handicap International Belgium, said.
The numbers are part of a troubling trend in Southeast Asia countries. In Vietnam, more than 11,000 people die in traffic accidents each year, 2,100 died in Myanmar last year.
In 2009, 1.4 million motor vehicles were registered in Cambodia, more than double the half million registered five years earlier. Traffic accidents tend to affect vulnerable Cambodians, many of whom are poor. About 90 percent of crash victims ride vehicles motorbikes and bicycles, or are pedestrians, according to the report.
Last year, road accidents cost Cambodia $248 million, according to a study by Handicap International Belgium and Hasselt University in Belgium, against $116 million in 2003.
Men who are family breadwinners are often injured or killed, taking a toll on families and communities. About 80 percent of accident casualties are in the “economically active” portion of the population, and the peak age group is 20-29 years old, states a government report.
Families “can be tipped into poverty by costs of medical care, the loss of the family breadwinner’s income, funeral costs”, and can suffer social and psychological problems, Ryan Duly, Mekong regional programme manager at the Global Road Safety Partnership, a Geneva-based network of road safety groups, told IRIN from Bangkok. “It is often the poorest households that are most affected as they do not have a safety net to absorb this loss of income,” he said.
Children also face high risks; in the 5-14 age group, road accidents are the most common cause of injury-related mortality and morbidity.

Cutting accident rate
In the next 10 years, the Cambodian government hopes to reduce the number of road fatalities by 30 percent to 2,240 deaths from the 3,200 deaths that authorities predict.
The government passed a law in 2006 requiring motorcycle drivers to wear helmets. No legislation, however, requires passengers to wear helmets. Inconsistent enforcement also hampered the law’s effectiveness, Sann told IRIN.
When police began enforcing the law in early 2009, about 90 percent of drivers in Phnom Penh wore helmets, whereas around 12 percent of passengers did so, according to Handicap. Fewer than half of drivers wore helmets at night, when they were not as visible and police officers less likely to be present.

Malaysian model
Some specialists say Cambodian officials should look to Malaysia for its traffic safety model, which combines tough enforcement, education and transport planning.
That country used to have a “serious problem” with motorcycles, Law Teik Hua, a civil engineering lecturer at the Putra University Malaysia in Selangor, Malaysia, told IRIN in Phnom Penh.
In the past three decades, the country has reduced traffic fatalities by about 30 percent, although the number of fatalities last year nudged up by 3.3 percent from 2008.
But he concedes changes in Cambodia, like in any country, will be difficult. “It takes a generation to change peoples’ perceptions.”
According to the World Health Organization, about 1.3 million people die in road accidents each year. More than 90 percent of those deaths are in low- and middle-income countries, taking a particularly high toll on the young and poor.
http://www.irinnews.org/report.aspx?ReportID=91410

Wednesday, 15 December 2010

POVERTY: CAMBODIA: When elephants and humans clash

  Photo: Contributor/IRIN:  Living peacefully with elephants is possible, says Sereivathana Tuy

KOH KONG, 15 December 2010 (IRIN) - Sokha Seang, a 33-year-old rice farmer, recalls the night last spring when a herd of elephants trampled over his property.
"They were hungry. I was angry, but I understand why they did it," he said. The pachyderms ate most of his food stock.
In Cambodia, poor farmers like Seang cannot afford to lose crops; a third of the population lives below the national poverty line of US$0.75 a day, according to government statistics.
They kill marauding elephants with guns, sharp bamboo sticks, or by leaving out poisoned food. Sometimes, the elephants retaliate by running over people.
This time, Seang set aside his instinct to fight back, with the help of NGOs. "We need to live with them peacefully," said Seang, whose remote village of Prey Proseth lies in the southwest province of Koh Kong.

Protecting livelihoods, preserving wildlife
Conflicts between elephants and farmers are common across Asia, one factor that has caused the animal population to dwindle and farmers to lose their livelihoods.
Experts such as Sereivathana Tuy, 40, are encouraging farmers to find ways to live peacefully with the elephants. Tuy is a Cambodia-based elephant specialist at Flora and Fauna International, a wildlife non-profit organization based in Cambridge, UK.
He teaches farmers to alternate crops such as cucumbers and white radishes, which can be harvested several times a year. This gives elephants fewer chances to eat them.
Villagers have also learned to ward off elephants by planting chilli peppers around their land, rather than maiming them with weapons, as elephants dislike the smell, Tuy said.
For Tuy, both sides can preserve their ways of life. The villagers keep their harvest while the elephant population can also be conserved, he told IRIN in Koh Kong.
In Cambodia, fewer than 500 elephants are thought to roam in the wild today. In 1995, there were an estimated 2,000 wild elephants.
Building trust
The clash between elephants and humans became a problem after the communist Khmer Rouge regime was ousted in 1979. In the next two decades, under-regulated development caused deforestation, forcing elephants to search for food and water on farmlands outside their traditional forests.
Some Cambodians sought expensive elephant tails, tusks and the tips of their trunks - body parts that were believed to bring power - and displayed them in their houses to show their status.
These practices led to widespread poaching, says Tuy.
As a park ranger in Cambodia in the 1990s, Tuy developed a community-based model for ending human-elephant conflicts that revolves around building trust with farmers.
Tuy's method begins with hiring teachers who teach children about elephants in four schools in remote areas. The children then pass the knowledge on to their parents, who are supposed to discuss it with the other villagers.
Before 2005, elephant killings were often reported to the police, who would arrest the perpetrators, then jail or fine them more than $2,000. Under Cambodian laws, poachers or elephant killers may also be jailed for 10 years.
Angry villagers said they knew of no other option to protect their land.
The situation might be improving, however. Tuy estimates there have been between five and 10 elephant attacks on humans since 2003, and only one death since 2005 - a sign that farmers are using safer methods to drive away the elephants.
Many methods are backed by empirical evidence. One study last year found that "community-based crop-guarding methods" - the sort of collective guarding using traditional tools that Tuy teaches to villagers - warded off elephants in about 90 percent of attempted raids around Way Kambas National Park, on the island of Sumatra, Indonesia.
"It ties in with a growing realization that a lot of the top-down methods haven't worked especially well," Simon Hedges, Asian elephant coordinator at the New York-based Wildlife Conservation Society (WCS), told IRIN from London.
"It's not really realistic for all communities across... Africa and Asia to expect that the government is going to deal with elephants for them," he added.
http://www.irinnews.org/report.aspx?ReportID=91373

MALARIA: Large-Scale Malaria Treatment in the Private Sector:

EXECUTIVE SUMMARY
Population Services International/Cambodia (PSI/Cambodia) was established in 1993 to address child survival (safe water and diarrhea treatment), HIV/AIDS, malaria, and reproductive health needs among women of child-bearing age, caretakers of children under five, and high-risk groups including commercial sex workers and men who have sex with men. Following a successful pilot in 2002, in 2003 PSI/ Cambodia established an initiative to provide branded malaria treatment through private clinics, pharmacies, and shops across most of rural Cambodia. By 2009 this program provided half of all malaria treatment in the country and 75% of all artesunate and mefloquine (AS/MQ) distributed.1 Cambodia was the first country to pilot and then scale-up the provision of subsidized ACTs in the private sector.

The PSI/Cambodia malaria program sells a branded version of the same ACT supported by Cambodia’s National Malaria Control Program, known as “CNM.” PSI/Cambodia imports the ACTs directly into its Phnom Penh warehouse before distributing them to three regional PSI depots. PSI-employed sales representatives make monthly sales calls to 1,737 private outlets. 500 of these are clinicianor pharmacy-operated facilities that are also visited once per month by PSIemployed medical detailers who provide training, counseling, and support on the appropriate use of ACTs, malaria test kits, and other medicines.

Stock outs have been a major problem for the program since inception. The primary causes of stock outs have been changes in the approval status of manufacturers, and long procurement timelines often associated with donor delays which have hindered the arrival of ACTs into Cambodia. Because of PSI/Cambodia’s
in-house management of the in-country supply chain, no stock outs have been reported resulting from breakdowns of the supply chain within Cambodia; breaks have all been the result of delays in the procurement of Malarine into Cambodia and affect both the public and private sector’s ability to deliver.

ACTs sold through the PSI/Cambodia program are highly subsidized, and are sold to private outlets at an average price of $0.29,2 with a recommended average price to-patients of $0.45.3 In practice, the price of Malarine to patients has been documented to vary considerably, ranging between $0.82 and $1.18.4 This price volatility and overcharging appears to be due primarily to fluctuations in the supply of ACTs.
http://www.globalhealthsciences.ucsf.edu/pdf/GHG-Cambodia-Case-Study.pdf

Sunday, 5 December 2010

POVERTY: Poverty impacts women more severely than men

2010-12-03
Poverty has impacted women more severely than men, the representatives of women's leadership from 22 countries have said in a joint statement.
The statement was released following a special workshop on women politicians held in Cambodia on Thursday, at which they said lack of access to and control over resources, lack of opportunities and lack of mobility were serious issues which impacted women more severely.
The "Workshop on women as politicians" which was held during the Sixth General Assembly of International Conference of Asian Political Parties (ICAPP), focused on the roles of women as politicians and young politicians in the areas of economy, energy and environment, Xinhua reports.
Cambodia's Minister of Women's Affairs Ing Kantha Phavi said that women were severely impacted because of lack of decision making power and that women in the formal sector such as services, manufacturing and lower rung positions were often subjected to "last to be hired and first to be fired".
The general theme adopted by most speakers was for the Asian countries' dire need to address the key issues to construct a road map for accelerating growth for a better tomorrow. (ANI)
http://sify.com/news/poverty-impacts-women-more-severely-than-men-news-national-kmdrOpchfdc.html

Wednesday, 24 November 2010

MALARIA: Drug-resistant malaria feared in Southeast Asia

By Stephanie Nebehay

11/18/2010
A form of malaria resistant to the most powerful drugs available may have emerged along the Thai-Myanmar border as well as Vietnam, and containment measures are planned, the World Health Organization said.
Clinical trials are due to begin soon in Myanmar and if they confirm artemisinin-resistant malaria in some patients, it means millions living in the border area could be potentially exposed to the longer-to-treat form, a WHO official told Reuters.
Artemisinin-resistant malaria first broke out in the Mekong region along the Thai-Cambodian border by early 2007, raising fears that a dangerous new form of the mosquito-borne disease could be spreading across the globe.
"We have some early warning signals that apart from the border of Thailand and Cambodia, we could have some problems emerging at the border between Myanmar and Thailand and also in one province of Vietnam," Dr. Pascal Ringwald of the WHO's global malaria program told a news briefing.
Malaria infects about 243 million people a year and causes an estimated 863,000 deaths, making it a major killer, especially among African children.
http://www.msnbc.msn.com/id/40261549/ns/health-infectious_diseases/

Friday, 1 October 2010

POVERTY: Siem Reap still one of Cambodia's poorest parts

Ben Doherty in Siem Reap
guardian.co.uk, Monday 27 September 2010
Children in Siem Reap hunt for butterflies to sell. More than half of all families in the province live below the poverty line, on less than 80p a day.
Photograph: Ben Doherty for the Guardian


Children in Siem Reap hunt for butterflies


Boa is 19, the sixth of 11 children. With all of his family, he lives in a small thatched two-room house on the outskirts of Siem Reap.
Three mornings a week, he and his siblings, along with a gaggle of children from his ramshackle suburb, walk the two kilometres to the neighbouring forest carrying makeshift nets fashioned from long branches, wire and plastic bags. They go to catch butterflies.
"We have to catch butterflies to sell because we are a poor family. We have no money. The money we make is to help the family, for food and to go to school. Without this, we cannot go to school," Boa said through an interpreter.
The butterflies they catch – usually between 60 and 100 between them – they bring to the Butterflies Garden Restaurant in Siem Reap town. They are released inside the restaurant's massive net, to flutter around the diners sitting in the garden café. For their toil, the children are paid about 5,000 riel (80p) each.
"But still, we don't all go to school," Boa says. "Some have to stay home to help the family. But everyone has to help catch butterflies."Despite the annual flood of international tourists to the Angkor temples and the estimated £380m they are predicted to bring this year, Siem Reap remains one of the poorest parts of Cambodia.
More than half of all families live below the poverty line, surviving on less than 80p a day. Four villages in 10 have no access to safe drinking water and 53% of all children are malnourished. Literacy rates are some of the lowest in the country, at 64%, and just 10% of children finish high school. "Siem Reap is one of the poorest provinces of Cambodia, which is a bit weird seeing the number of tourists going there," said Philippe Delanghe, the head of the UN's culture unit in Cambodia. "I only hope that in the future we might be able to help people living around Angkor Wat to improve their livelihoods, which hasn't really been the case until now."
The majority of tourists' money is spent with foreign-owned hotels, tour companies and restaurants. Many package tourists spend a week in Siem Reap without visiting a local business.
Ticket sales from the Angkor temples, worth about £19m a year, are split between government coffers in Phnom Penh (some of which is redirected back to the Angkor management authority) and a petrol company called Sokimex.
The anomaly of such out-of-town wealth surrounded by so much local poverty grows more stark every tourist season.
Suko Om, the manager of the Butterflies Garden Restaurant, says it spends between £250 and £315 a month buying butterflies from about 25 local children.
The business also offers jobs to older children, as well as access to a local school, food and even a place to sleep. But he still feels the restaurant is working at the edges of a larger, systemic problem.
"There is revenue coming into Siem Reap because of the tourists, but most of the businesses are foreign-owned. Almost all of the money just goes straight back out."
http://www.guardian.co.uk/world/2010/sep/27/ankor-butterfly-hunters-cambodia-poverty

TUBERCULOSIS: TB, HIV warning for Cambodia?s prisons

PHNOM PENH, 1 October 2010 (IRIN) - Tuberculosis and HIV rates in Cambodia?s largest prison are roughly six and four times the respective national averages, according to M?decins Sans Fronti?res (MSF).
MSF screened 1,783 inmates at the Prey Sar prison in Phnom Penh and found 4 percent had TB, and 3 percent were HIV-positive. The World Health Organization and government report Cambodia's general population has rates of 0.68 and 0.7 percent, respectively.
Overcrowding in Cambodia's prisons has exacerbated this global problem, Heng Hak, head of the prison system, told IRIN. The country?s 25 prisons have an official capacity of 8,000 inmates but hold nearly 14,000 people, attended to by 96 health workers, he added. Since the beginning of this year, seven prisons have gained healthcare facilities, but they are not yet fully staffed.
Emmanuel Lavieuville, head of MSF in Cambodia, said the screening was ?part of a longer process that will take at least a couple of years? to significantly improve healthcare services in Cambodia?s prisons.

Monday, 13 September 2010

POVERTY: CAMBODIA: Communities fight back against land grabbing

13 September 2010 (IRIN) -
Forced evictions and land grabbing are nothing new in Cambodia, according to the UN Office of the High Commissioner for Human Rights (OHCHR) [ http://www.ohchr.org/EN/NewsEvents/Pages/Protectingtherighttoland.aspx ], but it is new for communities to fight back. "If we don't have our land, we cannot live," Yi Kunthear said. In August, she was reportedly beaten unconscious by sugar plantation workers while trying to defend her land. "We will block our land if the company tries to take it again." Kunthear, 25, grew up on her family's small farm growing rice, cassava and cashew nuts in the rural district of Sre Ambel, Koh Kong Province. But in 2009, the Supreme Court ruled that her family's land, along with that of her 34 neighbours, belonged to Heng Huy, a local businessman. On 27 August, Sre Ambel villagers blocked the road as Huy's bulldozers rolled in, joined by Kompong Speu provincial farmers also made landless by Senator Ly Yong Phat's giant sugar company purchase. According to Cambodia's revised 2001 land law, if farmers prove they have worked their land for five years, they are entitled to own it; nevertheless, about 90 percent of the country's 14.5 million inhabitants do not hold title deeds to the land they live and work on, the OHCHR reports. Village documents show Sre Ambel's farmers have worked the land since the 1980s. However, Huy says he bought the title for the 779ha land concession in 1993. And while national organizations such as the Community Legal Education Center (CLEC) [ http://www.clec.org.kh ] have defended the landless in court, Sre Ambel's farmers have stepped up their resistance by registering a lawsuit in Koh Kong's provincial court against the Heng Huy Company, along with its UK buyer, Tate & Lyle. Challenging the EU Community representatives from sugar-growing provinces - an industry dominated by ruling party member Phat - have challenged the European Union's "Everything But Arms" tax-free policy [ http://ec.europa.eu/trade/wider-agenda/development/generalised-system-of-preferences/everything-but-arms/ ] for Cambodian sugar exports. They are supported by national human rights watchdog, Licahdo [ http://www.licadho-cambodia.org ], the grassroots activist Community Peacebuilding Network and land-rights INGO, Bridges Across Borders Cambodia (BABC) [ http://www.babcambodia.org ]. "The EU is effectively subsidizing land grabbing in Cambodia by giving preferential treatment to companies that have produced goods on stolen land," David Pred, BABC executive director, told IRIN. "Large-scale land concessions for sugar production have displaced and impoverished thousands of Cambodian families in three provinces." Earlier this month, the EU Charge d'Affaires in Cambodia, Rafael Dochao-Moreno, said the EU was gathering information to better understand the policy's impact, although it was not investigating possible human rights violations. Forced evictions Recent executive sub-decrees in Cambodia have seen fertile, forested public land reclassified as private state property, explained Chum Narin, CLEC's land and natural resource programme head, who is involved with the Sre Ambel case. Thousands of families around Phnom Pehn's Boeng Kak Lake [ http://www.irinnews.org/Report.aspx?ReportId=79863 ] will be uprooted to make way for developers, according to the Cambodian Human Rights Action Committee (CHRAC) [ www.chrac.org/ ], a coalition of over 20 organizations working on this issue. Some 133,000 people - 10 percent of Phnom Penh's inhabitants - are believed to have been affected by such evictions since 1990, according to a 2009 Licahdo report. [ http://www.licadho-cambodia.org/reports/files/134LICADHOREportMythofDevelopment2009Eng.pdf ] And more than 250,000 people in the 13 provinces where CHRAC works have been hit hard by land grabbing and forced evictions since 2003, it says. Numerous protesters and petitions have targeted the Prime Minister Hun Sen but to little effect. However, grassroots community networks - from the Koh Kong farmers to the indigenous in Ratanakiri - are beginning to grow. Dam Chanthy is a local activist from the remote, mineral-rich province of Ratanakiri. She became outraged at the exploitation of the region's indigenous people, especially after she witnessed one company trade a litre of wine for a hectare of land. Now Chanthy, who has escaped attempts on her life, travels around the province to raise awareness about land law, land prices, and promote health and indigenous culture, mainly through the Highlander Association. "We believe the best way to effect human rights change here is to support and nurture the development of grassroots Cambodian civil society," says Pred. "The people's organizations and networks that have emerged in recent years are demanding justice and accountability in increasing numbers. They are going to be a force to be reckoned with."

Monday, 30 August 2010

MALNUTRITION: CAMBODIA: Record low water levels threaten livelihoods

26 August 2010 (IRIN) - Late rains and record low water levels in Cambodia's two main fresh water systems will affect food security and the livelihoods of millions, government officials and NGOs warn. "We expect the impact to be very strong," said Nao Thuok, director of the Fisheries Administration, adding that low water levels along the Mekong and Tonle Sap rivers were already limiting fish production and migration. Crucial spawning grounds in floodplains along the rivers remained dry. "The places where the fish usually lay their eggs do not have much water so the fish population will decrease a lot," he warned. Approximately six million Cambodians or 45 percent of the population depend on fishing in the Mekong and Tonle Sap basins, the government's Inland Fisheries Research and Development Institute, reports. The annual "flood" season of daily rain usually starts in July but began a month late, local agricultural surveyors say. According to the Mekong River Commission [http://www.mrcmekong.org/] , which monitors the river at throughout its member states - Cambodia, Thailand, Laos and Vietnam - this month's levels are among the lowest ever for August. At the port of Phnom Penh, the Mekong plunged to 5.36m on 23 August, against more than 7.5m the same time last year and more than 8.5m in 2000. Low rice productivity Not only the fisheries sector is suffering, however. Rice farmer Meas Chan Thorn in western Pursat Province was only able to plant last week, a month behind schedule, because of the late rains, and predicted yields would be halved. "It's so difficult for us farmers in Cambodia because we depend entirely on the weather," the 67-year-old said. According to the UN Food and Agriculture Organization (FAO), Cambodia could experience a 22 percent drop in rice output this year - from 7.6 million MT in 2009 to 5.9 million MT in 2010. Rice is Cambodia's main crop and its harvesting requires more water than other crops. According to the UN World Food Programme, more than 85 percent of the country's rice production is rain-fed. Prom Tola, a consultant for Phnom Penh-based Agricultural Development International [http://www.agdevi.com/] , who is surveying farmers in Siem Reap Province, said there had been a rise in the number of rural people from Siem Reap leaving for Thailand in search of seasonal labour. Upstream dams Som Sitha, who monitors marine life for the NGO Conservation International [http://www.conservation.org], said Mekong residents were finding the river levels increasingly unpredictable. "They complain that it's getting lower every year, especially the last few years, and they say it's preventing them from getting enough fish." But while observers attribute low river water levels to atypical rainfall patterns this year, others cite upriver dams as the real cause. [http://www.irinnews.org/Report.aspx?ReportId=85381] Environmentalists blame an increasingly shallow Mekong on China, accusing Cambodia's powerful northern neighbour of hoarding water in its upriver dams. To date, four dams have been built along the Chinese stretch of the Mekong, with nine more under way or awaiting construction downstream in Laos and Cambodia. However, according to the Mekong River Commission, the upstream dams have yet to influence downstream water levels. "There is no doubt that upstream dams, when they do come fully on-line, will have an impact on the water levels, as well as generate other environmental and social concerns," Damian Kean, a spokesman for the Mekong River Commission, said. "However, at present there is no evidence that Chinese upstream dams are operating at a sufficient intensity to cause these low water levels in Cambodia," he added. More than 60 million people in the lower Mekong basin rely on the river for food, commerce and transportation, according to the Mekong River Commission. The group says 80 percent of protein consumed by Mekong residents comes from the river.