Showing posts with label WHA. Show all posts
Showing posts with label WHA. Show all posts

Monday, 25 June 2012

MC and Global Health—4

World Health Assembly, Post Conference:
Protection from Sexual Exploitation and Abuse (PSEA)
13 June 2012, after the IASC event on PSEA at the UN in Geneva.
“It was powerful, relevant, disturbing, and sicko.”
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The only thing needed for evil to prosper is for good people to do nothing...
or to do some ‘thing’ and then to move on.
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Life continues after the many conferences that we all attend. The post-conference challenge is to get back into ones usual work and to implement all of the commitments and plans that one makes while gathered together. This post-conference challenge is true for us after having attended parts of the remarkable 65th World Health Assembly (WHA) held at the UN in Geneva.
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Not surprisingly, we were back at the UN in early June. We attended a three-hour event sponsored by the Inter-Agency Standing Committee (IASC, a major coordinator for humanitarian assistance). The topic was the Protection from Sexual Exploitation and Abuse (PSEA), emphasizing the IASC member organizations’ efforts to deal with this reality (SEA) in their operations. Many thanks to the ISAC for all their hard work to organize this event! We were warned that it would likely be disturbing, and judging by the looks on our faces after the event (as in the photo above--hard to really smile), the warning was accurate!
The event featured the screening of the movie, The Whistleblower. This movie is “based on the experiences of Kathryn Bolkovac, a Nebraska cop who served as a peacekeeper in post-war Bosnia and outed the U.N. for covering up a sex scandal.” Bolkovac, played by Rachel Weisz, “finds herself confronting a 'dangerous reality of corruption, cover-up and intrigue amid a world of private contractors and multinational diplomatic double-talk'. A fictionalised account inspired by actual events, the movie deals with issues both real and abhorrent: human trafficking, violence against women and cross-border organised crime. United Nations peacekeepers and staff are portrayed as turning a blindeye to, or worse, actually being complicit in these crimes.”  The Whistleblower premiered in September 2010 at the Toronto International Film Festival. Click here for the movie trailer.
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What Happened?
The IASC event was moderated by Arafat Jamal, Chief, IASC Secretariat, with some very sobering and informative opening remarks by Mr. William Lacey Swing, the Director General of the International Organisation for Migration (who oversaw the UN peacekeeping effort in the Democratic Republic of the Congo from 2003-2007 when major sexual scandals were surfacing that nearly crippled the UN’s operations there).
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Four panelists actively involved in the humanitarian sector responded to the movie. In addition, Madeleine Rees contributed many helpful insights, the former human rights lawyer in Bosnia who was played in the movie by Vanessa Redgrave.  They all poignantly discussed issues raised in the film as well as current initiatives to strengthen PSEA, especially organizational, leadership and individual responsibility. Participants also contributed through the engaging time of discussion. The panelists:
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Ms. Beris Gwynne, Director World Vision Geneva, Leader for Global Accountability 
Ms. Marie Elseroad, International Medical Corps, Co-Chair of the IASC Task Force on PSEA
Mr. Ngonlardje-Kabra Mbaidjol, UNHCR Director Ethics
Ms. Lauren Landis, Director WFP Geneva, WFP Senior Focal Point on PSEA
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Some key comments and some take-aways (from movie and presenters):
If we don’t do PSEA well then it will negatively affect all that we do.
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 In addition to the negative impact on victims, SEA seriously demoralizes staff, undermines our humanitarian strategies, and dishonors our organizations.
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 PSEA in differnt forms exists in places where there are peacekeepers (e.g., food for sex and human traafficking).   It  is not just in the more publicized places (West Africa, DRC, Bosia). The protectors become the predators.
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We need to mobilize more courageous leadership on this issue.
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We need role models who are beyond reproach.
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A major challenge is confronting the organizational architecture of impunity.
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We need safe places for honest conversations.
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Our organization is dealing with this issue---top-down, bottom-up, and end to end.
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 There are no exceptions, no excuses, and high behavioral expectations for our staff.
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 Staff need to understand that it is “cool” to be “good.”
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 We need sustained commitment for PSEA and to maintain momentum in the face of so many other humanitarian and organizational demands.
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Unless you go public, the darkness will never see the light of day.
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To date, there has been no prosecutions of the people involved in the events depicted in this movie.
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 End of movie comment by Kathryn Bolkovac:
I would do it again [whistleblow to protect vulnerable people in spite of grave risks/consequences]. Yes, without a doubt.
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Updates on PSEA in the UN and Related Personnel
1. The Senior IASC Focal Points.
At their December 2011 IASC Principals meeting, IOM agreed to facilitate an initiative to provide new momentum to addressing the issue of PSEA within IASC organizations. Under the leadership of the IOM Director-General, each IASC organization has nominated senior PSEA Focal Points which met to discuss progress in addressing PSEA within their respective organizations.
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2. The IASC Task Force on PSEA
The IASC Task Force is the venue for collaboration among all IASC members (UN, NGO, IOM and International Federation of the Red Cross/Red Crescent) with objectives to strengthen leadership, support field offices and assist agencies in incorporating PSEA based strategies.  The objectives of the IASC Task Force are:
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 Some Applications for Mission/Aid and Member Care
1. Don’t think that this stuff cannot happen in mission/aid —that is, having to deal with all types of corruption such as SEA, and including confronting leaders, organizational culture, and unethical and illegal practices, as well as whistleblowers (leaders, staff ,and external folks) committed to the core values of an organization experiencing the consequences of such confrontation.
2. One example, similar to this movie, more on the extreme end of the corruption and confrontation continuum, is the movie All God’s Children (2008). "Through the eyes of three families, All God’s Children tells the personal story of the first boarding school for children of missionaries to be investigated for abuse at the hands of the parents’ missionary colleagues [in Mamou, Guinea, run by the Christian and Missionary Alliance]. The survivors and parents share their journey of seeking justice, redemption and healing. Through the eyes of three families…Cut off from their families for 9 months out of the year and without any reliable means of communication, the children quietly suffered emotional, spiritual, physical and/or sexual abuse at the hands of the all-missionary staff. It took the children decades to acknowledge the effects the abuses had on their lives. When they finally dared to break the silence and speak out, the Church denied all allegations and refused to help. But through years of persistent activism the survivors and their parents finally compelled the Christian and Missionary Alliance to conduct an investigation and acknowledge the abuses. The healing could begin. The investigation of the Mamou Alliance Academy was the first of its kind but has since inspired investigations at other schools of many different denominations” (description from the website). Click here to watch the movie trailer; Click here to watch the movie (free online).
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3. We cannot help but think of the current and protracted case regarding the international NCI fraud, characterized by the abuse of trust, stealing millions of dollars, cover ups and wrongful dismissals by major organizations, attempted impunity, and large scale apathy to do anything about it in the international church and mission community (CMC), primarily the Evangelical CMC. Sadly, these types of experiences are more prevalent than acknowledged and are NOT simply on the extreme end of the corruption and confrontation continuum. For more information visit the PETRA People website, the PETRA People weblog, and the PETRA People petition site (Shine the Light—Together).
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More Info and Resources
2. Keeping Children Safe Coalition provides free online resources and training materials (Toolkit) for organizations working with children as well as the children of staff (the video enactments in the Toolkit are especially helpful).
3. MCA Resource Update on Member Character (July 2012) including the link to quotes related to character and organizational health from the book Transparency: How Leaders Create a Culture of Candor.
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Reflection and Discussion
**Describe a few applications for MC as a field, for your organization, and for yourself, based on the items/commentary above.


Tuesday, 12 June 2012

MC and Global Health—3

World Health Assembly—Health Governance
WHO World Health Assembly, United Nations Geneva
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How does global health governance work?
How can it apply to good governance
in mission/aid and member care? 
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Last month we were at the 65th World Health Assembly (WHA), the large annual event organized by the World Health Organization (WHO). One of the many highlights was the side-event on 23 May on Democratising Global Health Governance. Attended by nearly 100 people, this event primarily brought NGOs together to discuss the major structural and managerial reform process being undertaken by WHO. Many issues were raised by the panel of six speakers—three from NGOs, two from national health ministries (Kenya and Germany) and one from the WHO Secretariat. Some of the concerns raised by the NGO reps included not being informed about the overall philosophy that were guiding the reforms; the possibility of business, industry, and other special interests inappropriately influencing WHO priorities, primarily through their financial contributions (only 20% of the budget comes from member states); and the need for an increasing role for civil society in giving input, supporting, and monitoring  the work of the WHO Secretariat and member states (countries).
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One of the main groups organizing this side-event was a new coalition of organizations called Democratising Global Health (DGH). For more information about this organization, click here. To review some of the affirmations and concerns about WHO governance by one of the organizations that is part of DGH, Peoples Health Movement (PHM), click here. See also PHMs 2009 The Peoples Charter for Health. For even more information, see the Global Health Watch site including their alternative global health reports.
The presentations and exchanges by these high-level representatives were amicable and engaging, There is just so much to learn as we cross sectors for mutual learning and resources and as we try to understand how our work fits into the bigger issues of our globalizing world. Two crucial take aways for me from this WHA event in relation to good governance for mission/aid and member care are:
1)      who in the mission/aid community, or external to it, functions as  the equivalent of the DHG,  with the skills and conviction along with a  recognized platform for giving input, supporting, and monitoring the Evangelical mission/aid community, including the Evangelical member care community, for accountability and effectiveness in relationship to its values, practices, and priorities?
2)      what happens to movements, umbrella organizations, and networks when their leaders and members become out of touch with dissenting opinions and concerns—internal and external—and a thinly veiled authoritarian structure and inordinate sense of importance slowly takes the place of a more open, consensual, democratic ethos, ultimately with leaders becoming a law unto themselves, serving for over-extended periods with impunity and sadly supporting such aberrant practices by manipulative spiritual rationales and self-vindicating assertions of acting virtuously?
Note: The above organizations are in many ways very pro WHO and are committed to see its core values and crucial role in global health realized. The same is true for us regarding the mission/aid and member care community—we too are very pro in our commitment to its health, core values, and crucial roles. .
Reflection and Discussion
**Describe a few applications for MC based on the items/commentary above.

Monday, 28 May 2012

MC and Global Health—2

World Health Assembly—Mental Health
 
Last week we were at the 65th World Health Assembly (WHA), the large annual event organized by the World Health Organization (WHO). The highlight on 22 May was listening to the interventions (statements) about the Resolution on mental health (EB130.Rb): The Global Burden of Mental Disorders and the Need for a Comprehensive, Coordinated Response from Health and Social Sectors at the Country Level.  
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Over 30 member states (countries) made statements about this four-page Resolution over a two-hour period, overwhelmingly supporting it. In the process many also described improvements they are making in their own national MH policies and programs. One noteworthy intervention was Thailand standing firm on its request to include the terms “family” and “community” in the Resolution.  This request was accepted.  Five civil society organizations also made statements including the World Federation for Mental Health. The Resolution unanimously passed.
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For some perspective, this Resolution was a long time coming. Three member states initiated this Resolution in December last year (Switzerland, USA, India).  To see the Mental Health Report (six pages) that the Resolution was based on, click here.
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Civil society in general supported it but did not initiate it. And now so many member states themselves collectively have moved forward with it. It was a breath of fresh air after so many people/organizations/WHO Mental Health's long hard work over the years to see mental health mainstreamed and integrated more into the global health agenda.
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The next step is the action plan and implementation, no small matter of course. Resolutions are never enough. They are like a summons to point member states, WHO, civil society, and industry towards accountable action. This Resolution thus also applies to the mission/aid community. It gives a further recognized platform—and mandate--for pursuing “mental health as mission” as a core part of the work of mission/aid. Will we pursue it? For more thoughts, see the entries towards the end of 2011 on Global Integration.
Reflection and Discussion
**Describe a few applications for MC based on the items/commentary above.

Wednesday, 23 May 2012

MC and Global Health--1

World Health Assembly--Global Statistics

This week we are at the 65th World Health Assembly (WHA), the large annual event organized by the World Health Organization (WHO). It meets here in Geneva at the United Nations. This gathering brings together thousands of health practitioner, advocates, researchers, ministries of health etc. in order to discuss, debate, plan,  etc. on a range of health issues around the world, from river blindness, to infant mortality, to health equity and rights, to the Millennium  Development Goals (MDGs). It is an intense, packed time, with multiple options beckoning you for your attention and attendance at any given time.
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Global health (GH) involvement is relevant for member care (MC) in at least important ways:
1. GH is a major concern of many people and organizations in mission/aid.
2. GH promotes mutual learning and can provide many new resources to support MC.
3. GH can open doors for additional roles and contributions as MC workers.
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To the above three items we would add that connecting with global issues in general, such as those in GH, is part of our responsibility as Christ-followers to help fellow-humans. It is also part of our responsibility as "citizens of heaven" (Phil. 3:20) who also understand that we are global citizens during our sojourn on earth. So from a Christian perspective, both desire and duty impel us to do all that we can to promote health and healing in this world. Yet ultimately we look to Christ as the ultimate Healer of humanity's woes--the One who will "transform the body of our humble state into conformity with the body of His glory" (Phil. 3:21). 
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We begin these entries with three links to helpful statistics on global health. 
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World Health Statistics 2012
WHO’s annual compilation of health-related data for its 194 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets.This year, it also includes highlight summaries on the topics of noncommunicable diseases, universal health coverage and civil registration coverage. Progress on the health-related Millennium Development Goals (MDGs)
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Summary Brochure for World Health Statistics
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Full Report: World Health Statistics
Table of Contents
Part I. Health-related Millennium Development Goals
Summary of status and trends
Regional and country charts
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Part II. Highlighted topics
Noncommunicable diseases: a major health challenge of the 21st century
Health expenditures and universal coverage
Civil registration and vital statistics systems
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Part III. Global health indicators
1. Life expectancy and mortality
2. Cause-specific mortality and morbidity
3. Selected infectious diseases
4. Health service coverage
5. Risk factors
6. Health workforce, infrastructure and essential medicines
7. Health expenditure
8. Health inequities
9. Demographic and socioeconomic statistics
10. Health information systems and data availability
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Reflection and Discussion
**Describe a few applications for MC based on the items/commentary above.