Tuesday, November 18, 2008

Dealing with challenges of HIV

Article: Salome Donkor
THE fact that HIV and AIDS continues to pose a major challenge to the economic development of Africa because its infection rate is about 70 per cent , is well- known by many people.
It is also common knowledgethat HIV continues to pose a developmental challenge to most countries in Sub-saharan Africa where 22.5 million out of the 33.2 million people are infected with the disease.
Furthermore, the fact that in Ghana the national response programme has made significant impact to the extent that the national prevalence rate is now 1.9 per cent and various interventions are working ;leading to a very high level of awareness creation, is also not new. Majority of the infections in the country, nearly 90 per cent are within the age group of 15-49 years ,with 58 per cent of infected people being women and girls.
According to the Ghana AIDS Commission (GAC), currently, awareness creation in the country is almost universal and 110 sites have been established to offer anti- retroviral treatment (ART), while prevention of mother to child transmission centres (PMTCT) have been established in most hospitals to cater for pregnant women.
Condom usage has also increased from 28 to 33.4 per cent in women and from 44 to 52 per cent in men.
Despite these significant achievements, the Director General of the GAC Prof Sakyi Awuku-Amoah, contends that the nation is still confronted with many challenges that call for effective media involvement in the fight against the HIV pandemic.
He mentioned some of these challenges in his opening remarks at a workshop for journalists in Accra as the need to disseminate information to reduce high risk behaviour and personal risk exposures, stigma reduction, increasing ART therapy, since a large number of persons living with HIV (PLWAs) are not going for the anti- retroviral therapy, to help them manage the disease and prolong their life span.
He therefore charged the media to change their ‘sit-and-look attitude’ and assume a proactive role to addressing HIV and AIDS and help to showcase HIV and AIDS prevention interventions at all levels.
The workshop was organised by the GAC to build the capacity of participants in the ethics in order to give accurate reporting on HIV and AIDS, as part of this year’s World AIDS Day celebration, which falls on December 3. This year’s celebration is under the theme “Leadership: Reducing stigma and Discrimination.
Stigma and discrimination have greatly affected the fight against HIV and AIDS. This is because while only 10 per cent of the global population knew their HIV status, in Ghana, it was eight per cent.
This means that a lot of people do not know their status, while a large number of those who know their status and are in need of anti-retroviral treatment have refused to go for the treatment because of the fear of stigmatisation and discrimination. Consequently, only about 17,000 out of 71,000 PLWAs who need ART, go for medication. The question being asked is that why do we continue to stigmatise PLWAs to the extent that they refuse to go for their medication.
The opening remarks by the Prof Awuku-Amoah, and the presentations by Mr Cosmos Ohene-Adjei, a Sub-project Manager at the GAC and Mr Ato Amoaning of the League of HIV reporters set the tone for discussions.
Apart from the issue of PLWAs not accessing treatment as a result of stigmatisation, one of the issues that came up for discussion was whether prostitution should be legalised in view of the risk faced by commercial sex workers as a result of the HIV pandemic. Available reports indicate that a number of commercial sex workers are HIV-positive.
Conceding that prostitution is the oldest profession in the world which involves men, women, adults, children, the rich and the poor some participants indicated that some people engage in the business because of poverty, while other factors also make people to engage in prostitution, or seek the services of prostitutes.
Those who looked at the issue from the moral point of view contended that prostitution is a sin against God, since it involved the use of ones body, which is the temple of the Lord, for commercial sex purposes.
Others also said that the legalisation of prostitution would do more harm than good to the nation since it would encourage the youth to be promiscuous.
Some also debunked the argument that measures would be put in place to conduct a test on licensed prostitutes when it was legalised to ensure they operated without being infected with the virus, because nobody could be forced to undertake the HIV test since the test was voluntary.
In the light of these complexities and insecure formalities, they said legalisation of prostitution, which was a criminal act under the criminal Code 1960 (Act 29), had proved to be incapable of solving the HIV pandemic.
On the contrary, those in favour of the legalisation of prostitution maintained that, that action would provide structures to make sure that men and women or boys and girls who wanted to offer their bodies for sex for payment obtained license from an approved body and these prostitute shall be subjected to periodic HIV tests to make sure that none of them practised prostitution while infected.
T deal with low risk perception especially among the youth due to misconception and lack of adequate in-depth knowledge about HIV.
HIV is adevelopmental and social issue and all must come together to fight stigma and discrimination to deal with the spread of HIV by strengthening counselling services and intensifyig education to address the nagative thought that HIV is contracted through promiscuity.

Thursday, November 13, 2008

Let’s identify exploitative child labour

Article: Salome Donkor
Over the past few years the issue of what constitutes child labour in the cocoa production chain has generated arguments in some quarters.
There is one school of thought that maintains that the issue of child labour does not arise when a child accompanies his or her parents/guardians to the farm, while another asserts that children who do this at the expense of their education or health face some form of exploitative child labour.
There is another group that also questions the stage at which child labour occurs in the 28 steps involved in the cocoa production chain.
To find answers to these questions and in response to concerns and negative reports in the international media on Ghana in respect of the existence of the worst forms of child labour within the cocoa production sector, the National Programme for the Elimination of Worst Forms of Child Labour in Cocoa (NPECLC) was instituted.
The primary goal of the programme is to encourage more organisations to fit their activities into the framework of the programme to ensure that Ghana meets its medium-term target of eliminating the worst forms of child labour in the cocoa sector by 2011.
Since its inception in 2006, the NPECLC has consciously worked towards the attainment of its strategic objectives with the institution of plans and programmes to propel the nation to achieve its goals.
These include promotion of universal basic education, enhancement of the knowledge base of the Worst Form of Child Labour (WFCL) in cocoa production, strengthening of the legal framework for dealing with WFCL and community mobilisation for action against WFCL.
The programme is also geared towards the development and implementation of interventions to eliminate WFCL in cocoa and the development of measures to reduce the need for child labour in cocoa.
The programme was established with initial funds and technical support from the Ministry of Manpower, Youth and Employment in collaboration with the Ghana Cocoa Board (COCOBOD), the Ministry of Finance and Economic Planning and the World Cocoa Foundation. Donor agencies, including the United Nation’s Children’s Fund (UNICEF) and the Danish Embassy, provided assistance.
Ghana has a lot to talk about in relation to the enactment of laws, ratification of international treaties and the establishment of rules and procedures for enforcing rights of the child and parental obligations, care and protection of children.
Chapter 5 of the country’s constitution deals with fundamental human rights and freedoms which conform to the international human rights framework. In addition, to the rights accorded to all persons, various articles deal specifically with children’s rights.
In 1998, Parliament passed the Children's Act (Act 560) which provided a list of enforceable children's rights and the obligations of parents towards their wards.
The Children’s Act is an embodiment of all the various conventions and policies that protect children’s rights in Ghana and to ensure that every child of school-going age enrols in school, the government instituted the Free Compulsory Universal Basic Education (F-CUBE) Programme.
In addition to this, the School Feeding Programme, free bus rides for children to and from school and district-based interventions were also put in place to encourage the education of the Ghanaian child.
Training programmes such as the Skills Training and Employment Programme (STEP), which has been transformed into the National Youth Employment Programme (NYEP), and several other initiatives have been introduced. These are targeted at ensuring a safe future for Ghanaian children.
Some children are, however, not benefiting from many of these interventions because they are busily engaged in the worst forms of child labour in the mining sector, while others are forced to work in the fishing industry at tender ages; engaged in farming activities and do other jobs which are hazardous and exploitative to their welfare.
Even though initially, the Worst Form of Child Labour (WFCL) in Ghana’s cocoa sector was not recognised, the International Labour Organisation (ILO), International Programme on Elimination of Child Labour (IPEC) and the West Africa Cocoa/Commercial Agriculture Project (WACAP) that run from 2003 to 2006 revealed that the phenomenon did exist in the country on a smaller scale.
Speaking at the sixth Partners’ Forum organised by NPECLC for partners to develop a framework for co-ordination of activities towards elimination of worst forms of child labour in the cocoa sector, Mrs Rita Owusu-Amankwah, the National Programme Manager of NPECLC, said this year, the programme undertook the second survey on child labour practices in the cocoa sector.
She said the pilot survey was completed in April 2007 and covered six districts in three cocoa growing regions of the country, while the scale-up survey, which covered 15 districts was completed in June 2008, adding that the two surveys were funded by the World Cocoa Foundation, and supported by COCOBOD.
According to the programme manager, findings of the pilot survey led to a better understanding of the nature and extent of the occurrence of WFCL in the cocoa sector, including the complications of child labour with child socialisation or upbringing by parents.
She said the scale-up survey also led to the discovery of the fact that children generally take part in cocoa farm activities and work alongside their parents or guardians mainly on weekends and holidays and that work is allotted to children, based on their age.
It revealed that majority of children (99 per cent) who were engaged in work within the cocoa sector actually lived with their parents or close relations and 91 per cent were enrolled in school, while 71 per cent attend school regularly and they did not work for wages.
Mrs Owusu-Amankwah stated that the survey report that was made public in June, this year revealed that 29.4 per cent of the respondents were involved in hazardous work, while 20.9 per cent of children work without adequate protective clothing and the majority of injuries happen at home and school, not on the farm.
She said implications of some of the key findings call for intensive efforts to ensure 100 per cent school enrolment of children in cocoa-growing areas, while children of school-going age need more support to participate fully in school. Also, more attention needs to be given to the improvement of the quality of education in cocoa-growing communities.
Ms Patience Dapaah, Programme Communication Officer of the NEPCLC, who briefed the forum on the outcome of a meeting organised by the International Cocoa Initiative hosted by child labour experts in London, in April, this year, called for the co-ordination of activities among partners to ensure that the varied interventions taking place in cocoa-growing areas meet the national goal.
In his contribution, a participant, Mr Tony Dogbe of Participatory Development Associates, said there was the need to clearly define the context within which child labour occurs in the cocoa-growing areas and that must be clearly supported with facts to enhance a better understanding of the issue.
There is the need for us as a nation to gain the understanding and acceptance of partners on the issue, fight the root causes of exploitative child labour, and help children gain access to education and opportunities for development. Denying the extent of the problem means postponing the right to protect vulnerable children.