In September, Sonke Gender Justice joined the DOH at a national seminar on men’s reproductive health.
News Category: Sonke News
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Civil Society Outrage Over the Dismissal of the Deputy Minister of Health
The JCSMF which represents and is supported by over 20 civil society, health and research institutions and organisations in South Africa strongly condemn the dismissal of Ms Nozizwe Madlala-Routledge from her position as Deputy Minister of Health.
At the 10th JCSMF meeting held on the eve of the 3rd SA AIDS Conference in June 2007, the former Deputy Minister of Health, agreed to open the meeting and speak about the role of partnerships in keeping the National Strategic Plan (NSP) alive. To date, she has been the only high ranking official in the national department of health to have agreed to attend and address such a meeting of civil society, health and research organisations. She has always been available to support efforts to contain the epidemic. This is characteristic of her tenure at the National Department of Health where often she has been one of very few health officials to act in a transparent, approachable, open and accountable manner.
In her address to the JCSMF, Ms Madlala-Routledge spoke about ensuring that partnerships are created to achieve the important targets that are set out in the NSP. She stated:
“Like you I am encouraged that the NSP sets ambitious prevention, care and treatment targets and that it makes important commitments to processes that include much needed policy, human rights and law reform. But, like you – now that the paper work is done – I want to ensure that the inclusiveness, the commitments and the implementation continues and commences. The NSP itself states that its key guiding principles include supportive leadership and effective partnerships. It specifically states that all sectors of government and all stakeholders of civil society shall be involved in the AIDS response. It therefore opens the way for much needed engagement with all sectors in our society.”
Contrary to the statements from the Presidency, she has been a team player – she has done so by earning the respect of leading health academics, researchers, scientists, doctors, lawyers, health care workers, people living with HIV/AIDS and other users of the public health sector. Unlike other officials in the Department of Health, she has described situations how she perceives them to be and not brush matters of life and death under the carpet of political expediency. Her role was not to score political points. She knew no fear when she listened to protestors or patients in Khayelitsha or elsewhere. Over the years, she has shown respect for the work that civil society and all people living with HIV/AIDS are doing to prevent new infections and to treat existing infections. She has bravely spoken truth to power by challenging HIV/AIDS denialism, supporting evidence based interventions, publicly testing for HIV, engaging fully with civil society, and condemning confusing and ambiguous messaging on HIV/AIDS. She has rightly put the issue of our failing health crisis firmly before the nation, when many other health professionals are afraid of doing the same for the real fear of losing their job too.
We believe that her dismissal, despite the high esteem with which she is held by a wide cross-section of health care workers, community based organisations and other civil society players, is a major setback to the development of a unified national response to HIV/AIDS, so crucial to the effective implementation of the NSP. Instead it will fuel a climate of fear amongst people working in the public health sector and prevent them from speaking up about HIV/AIDS and the health crisis we face as a country. This is not the type of society we want to live in nor is it the one we all fought for.
The JCSMF will therefore support on going international and regional petitions of protest against her dismissal.
The founding members of the JCSMF endorse this statement:
- AIDS Law Project
- Health Systems Trust
- Centre for Health Policy
- Institute for Democracy in South Africa
- Open Democracy Advice Centre
- Treatment Action Campaign
- UCT School of Public Health & Family Medicine
- Public Service Accountability Monitor
- Médecins Sans Frontières.
This statement is also endorsed by:
- The AIDS Consortium
- Wits Pediatric HIV Clinics (WPHC)
- Southern African HIV/AIDS Clinician Society (SAHCS)
- School of Public Health at the University of the Western Cape
- People’s Health Movement
- Positive Women Network
- Sonke Gender Justice
CAPRISA
For more information, please contact:
- Fatima Hassan (2000ALP) 083 279 9962
- Professor Helen Schneider (2000CHP) 083 275 0277
- Professor David Saunders (2000PHM) 082 202 3316
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WHO says world must step up violence prevention
Countries around the world need to scale-up domestic violence prevention and make a concerted effort to measure violence-related deaths, injuries and health conditions, according to the World Health Organisation (WHO). In Third Milestones of a Global Campaign for Violence Prevention Report 2007, the agency reviews progress since the 2002 creation of the Global Campaign for Violence Prevention, assessing how far the world has come and where more work is needed.
“Beyond an increased awareness of the burden of violence-related deaths and physical injuries, the last five years have witnessed a major growth in the understanding of how violence contributes to a wide spectrum of non-injury health consequences and health risk behaviours across the entire lifespan,” it says.
Although much remains to be done, the report notes considerable progress. By 2007, three of the six WHO regional committees had adopted violence prevention resolutions, more than 25 countries had developed reports and/or plans of action on violence and health, and more than 100 officially appointed health ministry focal persons were in place to prevent violence, the report finds.
The report offers a five year agenda to follow-up on key recommendations. WHO recommends that countries:
- Create, implement and monitor national action plans for violence prevention;
- Enhance capacity for collecting data on violence;
- Define properties for, and support research on, the causes, consequences, costs and prevention of violence;
- Promote primary prevention responses;
- Strengthen responses for victims of violence;
- Integrate violence prevention into social and educational policies, and thereby promote gender and social equality;
- Increase collaboration and exchange of information on violence prevention;
- Promote and monitor adherence to international treaties, laws and other mechanisms to promote human rights; and
- Seek practical, internationally agreed to responses to the global drug trade and global arms trade.
In 2003, WHO emphasised collaboration among the diverse violence prevention organisations and individuals. In 2004, it promoted the “need for rigorous methodological guidelines in order to better estimate the economic impacts of violence and monitor the cost-effectiveness of prevention strategies.” In 2005, it stressed the need for systematically designed prevention programs. Its 2006 report reinforced that investing in violence prevention can pay sizeable dividends. This year’s report offers lessons learned throughout the process.
Director-General of the World Health Organisation Margaret Chan notes, “Visible results for violence prevention builds confidence, and in turn, the political commitment and momentum required to intensify and expand the prevention of violence.”
To view the new report, please visit http://whqlibdoc.who.int/publications/2007/9789241595476_eng.pdf.
Taken from the Family Violence Prevention Fund Newsletter, Speaking Up, 13 August 2003
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WHO research
New WHO research shows that programmes targeted at men are helping men to change sexist, risky and violent behaviour.
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Global Coalition on Women and AIDS
Sonke Gender Justice co-Director, Dean Peacock, will be addressing the Global Coalition on Women and AIDS Leadership Council Meeting on 3 July 2007 in Nairobi. The meeting is aimed at imparting new information on strengthening HIV programming for women and girls and energising and seeking inputs from leaders in a range of sectors to enhance HIV programming and advocacy for women and girls.
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Co-Founders Win “Best Man” Award
Co-founders of Sonke Gender Justice, Bafana Khumalo and Dean Peacock, have received top honours in the Public Service Category in the 2007 Men’s Health “Best Man” awards.
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SA Slips
South Africa has failed to protect its women from violent crime and needs to jack up its approach to gender equality.
The Sonke Gender Justice Network, a leading South African-based monitoring group made these scathing findings in a country report tabled at the 51st session of the United Nations Commission on the Status of Women in New York this week. The call comes as South Africa slipped two notches in international ratings, to find itself counted among the worst transgressors of women’s rights in the world.
Even though South Africa had made strides in appointing women to key positions in the public and private sectors, the report said gender violence in the country had reached alarming heights. A staggering 326 620 women and children were victims of crime last year.
Crime statistics in South Africa showed that women and children continued to bear the brunt of crimes in six categories: murder, attempted murder, rape, common assault, indecent assault and assault with intent to do grievous bodily harm.
The report, which was compiled on behalf of the Presidency, said low conviction rates for rape and domestic violence cases suggested that perpetrators continued to commit violence against women with relative impunity.
It said the government needed to increase its budgetary allocation for law enforcement and increase funding for gender work. In the past three years South Africa has gone from 90 to 92 on the gender development index. Norway, Iceland, Australia, Ireland and Sweden led the way, as countries where women enjoyed more equal treatment.
Burkina Faso, Mali, Sierra Leone and Niger were at the bottom of the list. The ranking looked at the adult literacy rate, the combined primary to tertiary education gross enrolments ratio and estimated income.
Norway, Iceland and Australia have 99% adult literacy for both men and women, an equal ratio of enrolments at educational institutions between men and women, and women earn almost the same income as men. But in Mali, Sierra Leone and Niger, there is a gaping difference between the development of men and women.
Mali has only 11% literacy among women compared with 26% for its men. Thirty percent of enrolments at educational institutions were for women compared with 40% for men.
The survey indicates that in Sierra Leone 24% of women are literate compared with 46% of men, and 55% of women enrol at educational institutions compared with 75% men. In Niger 15% of women are literate compared with 42% of men and 18% of women enrol at educational institutions compared with 25% of men.
Although South Africa was ahead of most African countries, it was still far behind other middle-income countries such as Mexico, Thailand and Uruguay. Egypt, Mauritius, Tunisia, Cape Verde and Algeria pipped South Africa to sixth place in the continental ratings.
Sonke’s co-founder Bafana Khumalo said gender transformation in the country would remain elusive until men were recognised as an important part of the process. “Unless we challenge men to be responsible and talk to them about gender issues, it’s going to take a long time to change,” said Khumalo.
Gender activists this week reacted with concern at the country’s drop in international ranking. Lisa Vetten, a researcher for the Tshwaranang Legal Advocacy Centre to End Violence Against Women, said it underscored the weak implementation of good policies and the country’s reliance on the criminal justice system.
“Essentially, this drop suggests that the gap between rhetoric and reality remains unchanged, and that perhaps even a kind of stagnation or paralysis has set in,” she said. “We need more solutions than just the criminal justice system,” added Vetten. Spokesman for the Commission for Gender Equality, Yvonne Mogadime, said that at a recent conference, delegates had identified pervasive and deep-rooted patriarchy as the most serious impediment to the advancement of women and gender equality in South Africa.
Only 10 years for raping a girl
Despite life sentences being mandatory, children’s abusers are getting lesser punishments, writes Khadija Bradlow.
It was a sweltering December afternoon in Alexandra, north of Johannesburg, when Mpho Skosana (not her real name) went looking for her playmate in a neighbouring shack.
Among the misshapen Lego blocks of poverty and deprivation, the four year-old went looking for laughter with her friend.
Instead, she was raped. Her friend wasn’t home, but his 38-year-old father was. “I tried to cried [sic] but he threatened to kill me if I don’t keep quiet,” the little girl testified, according to a social worker’s report.
The child’s sister took her to the Victim Empowerment Centre at the Alexandra Police Station, where a doctor confirmed she was the victim of a sexual attack. The social worker’s report details a pathetic convergence of circumstances that led to the child being raped: “poverty” is listed in the section titled “environmental circumstances”. The child’s mother had died a year earlier, leaving her in the care of an alcoholic father and six siblings, most of them already in their late teens.
Mpho’s rapist went on trial in 2004 and was sentenced to only 10 years in jail – this despite the Criminal Law Amendment Act obliging courts to sentence rapists of children to life imprisonment, unless they find “justified and compelling circumstances” to warrant the imposition of a lesser sentence. The legislation was enacted in 1997 to impose harsh penalties on those found guilty of certain serious crimes including the rape of a minor. The reality, however, is that a wide interpretation of what constitutes “justified and compelling circumstances” has resulted in inconsistency in the sentencing of sexual offenders.
The Act does not outline specifically what qualifies as such circumstances, leading to a variety of seemingly arbitrary factors being taken into account by courts when handing down sentence.
Mpho’s rape and similar others are examples of cases that Elizabeth Mokoena has taken on. Mokoena works for ADAPT, an anti-sexual violence NGO based at the Alexandra Victim Empowerment Centre. She showed the Sunday Times a list of cases involving sexual crimes against minors where the regional courts had failed to impose life sentences and instead issued fines or shorter jail terms.
In one case, the rapist of a 10-year-old was sentenced to 10 years. In another, a perpetrator who raped his two-year-old niece, was given 18 years. Such inconsistency in the sentencing of sexual offenders where the complainant is a minor is contained in a series of reports, released by the Open Society Foundation, on the impact of the minimum-sentencing legislation.
According to the reports, one of the successes of the Criminal Law Amendment Act has been with regard to the application of minimum sentencing in rape cases. The number of prisoners serving sentences for sexual crimes increased from fewer than 10 000 in 1995 to just below 20 000 by 2005. A significant proportion of them are serving life sentences.
Prior to 2000, notes a report, “there were virtually no prisoners serving life sentences for sexual crimes, but by the end of 2002, the number of prisoners serving life sentences overtook the prisoners serving determinate sentences of longer than 20 years for sexual crimes”.
Michelle O’Sullivan, an advocate for the Women’s Legal Centre, argues that despite this increase in convictions, “judges have departed from legislative benchmarks” with regard to sexual offences.
She says the limiting of judicial discretion in respect of certain rape cases has not stopped judges reverting to stereotypical assumptions about women and relying on “rape myths”, such as the complainant’s previous sexual history and a prior relationship with the offender.
An example of this is the case of the State vs Mvamvu before the Supreme Court of Appeal in 2005. The offender had repeatedly abducted and raped his common-law wife, who had also obtained a domestic violence protection order against him. The judges held that the customary-law marriage of the accused and the complainant was a compelling circumstance to justify a lesser sentence.
Gender Development Index
Top 10 Countries
- Norway
- Iceland
- Australia
- Ireland
- Sweden
- Luxembourg
- Canada
- United States
- Netherlands
- Switzerland
Bottom 10 Countries
- Zambia
- Malawi
- Mozambique
- Burundi
- Democratic Republic of Congo
- Chad
- Central African Republic
- Burkina Faso
- Mali
- Sierra Leone
- Niger
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Reproductive Health Survey documenting research into Khayelitsha men’s health
Visit the Reproductive Health Month Survey Blog documenting research into men’s health in Khayelitsha.
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Closing the gap: Gender-Based Violence in South Africa
Read the Irin Plus article “Closing the gap: Gender-Based Violence in South Africa“.
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‘Farmworkers challenged to curb risky behaviour’
Read the Irin Plus article “Farmworkers Challenged to Curb Risky Behaviour“.
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‘Donors call the shots’
Read the Irin Plus article “Donors Call the Shots“.
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Lancet editorial on male circumcision and HIV/AIDS
Read the Lancet editorial “Male circumcision and HIV/AIDS: challenges and opportunities“.
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Research into the Impact of PEPFAR Funding
On behalf of OSISA, Sonke Gender Justice is conducting research into the impact that PEPFAR funding is having on HIV/AIDS organisations in Southern Africa.
Background
In 2003, US President George Bush signed the President’s Emergency Plan for AIDS Relief (PEPFAR).
This plan has made significant amounts of funding available to organisations in 15 countries, including a number of countries in Southern Africa. The funding is predominantly available for HIV/AIDS treatment and care, as well as abstinence-only prevention programmes. PEPFAR openly promotes a particular moral agenda, and many NGOs accepting PEPFAR funding are signing agreements that restrict their ability to work with commercial sex workers and prevent work around termination of pregnancy. PEPFAR also strongly supports an “abstinence only” approach to preventing HIV infection, and has required many NGOs receiving grants to include disclaimers around the effectiveness of condoms.
PEPFAR’s approach is highly controversial, and in the United States the Alliance of Open Society Initiatives (AOSI) along with a range of other US-based organisations, is suing the US Government in relation to a specific policy that emanates from PEPFAR: the prostitution loyalty oath.
OSISA is concerned that requiring organisations to adhere to conditions may infringe on organisations’ rights and may ultimately be harmful to public health. It has thus commissioned this research to gather information about US policy on HIV and AIDS and its impact on Southern African organisations.
Research
Sonke Gender Justice is conducting an informal survey of NGOs and organisations in Southern Africa to gather information on experiences in relation to US policy on HIV and AIDS, particularly in relation to PEPFAR’s influence on activities related to condom use, abstinence and the prostitution loyalty oath.