NEWS
Pregnant women struggle to find care after Pakistan’s floods
Published
2 years agoon
RAJANPUR, Pakistan (AP) — The first five months of Shakeela Bibi’s pregnancy were smooth. She picked out a name, Uthman, made him clothes and furniture. She had regular checkups at home and access to medicine. Then an ultrasound revealed the baby was upside down. The doctor told Bibi to take extra care and rest.
And then came this summer’s massive floods. Bibi’s home in the southern Pakistani city of Rajanpur was inundated.
When she spoke to The Associated Press last month, she was living in a camp for displaced families. With her due date approaching, she was afraid over the possibility of a breech birth with almost no health care accessible.
“What happens if my health deteriorates suddenly?” Shakeela said. She has a blood deficiency and sometimes low blood pressure, but she said she can’t have a proper diet in the camp. “I’ve been in a camp for two months, sleeping on the ground, and this is making my situation worse.”
Pregnant women are struggling to get care after Pakistan’s unprecedented flooding, which inundated a third of the country at its height and drove millions from their homes. There are at least at least 610,000 pregnant women in flood-affected areas, according to the Population Council, a U.S.-based reproductive health organization.
Many live in tent camps for the displaced, or try to make it on their own with their families in flood-wrecked villages and towns. Women have lost access to health services after more than 1,500 health facilities and large stretches of roads were destroyed. More than 130,000 pregnant women need urgent care, with some 2,000 a day giving birth mostly in unsafe conditions, according to the United Nations.
Experts fear an increase in infant mortality or health complications for mothers or children in a country that already has one of the highest maternal mortality rates in Asia. They also warn of dangerous, long-term repercussions for women, such as an increase in child marriage and unwanted pregnancies because of the disruptions in the lives and livelihoods of families.
Rasheed Ahmed, a humanitarian analyst at the U.N. Population Fund, said the health system was already poor before, and he warned now of “death, disability, and disease” if the health of pregnant women is ignored.
“The biggest shortage is female health care workers, medical supplies and medicine,” he said. “Resources are another challenge. What are the government’s priorities? Are they willing to spend the money?”
At camps in the flood-hit towns of Fazilpur and Rajanpur, pregnant women told the AP they had received no treatment or services for their pregnancies since arriving at the camps nearly two months ago. Clinics handed out medicines for minor ailments, but nothing for mothers-to-be. The next day, after the AP visited a local medical center to alert their plight, female health workers went to check on the women and distribute calcium sachets and iron supplements.
Shakeela Bibi and her family eventually left the camp, taking their tent with them and setting it up close to their wrecked home. Authorities gave them a month’s worth of flour, ghee, and lentils. She is now past her due date, but doctors have assured her that her baby is fine and don’t think she will need a Caesarian.
Perveen Bibi, an 18-year-old who is five months pregnant and not related to Shakeela, said the lack of health facilities in the camp forced her to travel to a private clinic and pay for an ultrasound and check-up. But she was prescribed medicine she can’t afford to buy.
“I used to have a good diet, with dairy products from our livestock,” she said. The family had to sell their livestock after the floods because they had no place to keep them and no way to feed them.
“We need female doctors, female nurses, gynecologists,” said Bibi, who has one daughter and is expecting a boy. She had a son around a year ago, but he died a few days after his birth. “We can’t afford ultrasound or IV. We’re just getting by.”
In the camps, families of five, seven or more eat, sleep, and spend their days and nights in one tent, sometimes with just one bed between them. Most sleep on floor mats. Some survivors only have the clothes they fled in and rely on donations.
Outdoor taps are used for washing clothes, washing dishes, and bathing. The pregnant women said there were shortages of clean water and soap. They were scared of infections because of open defecation at the camps. A bathroom was set up, but it has no roof and tents surround it.
Amid the devastation, organizations and individuals are doing what they can — the UNFPA is delivering supplies for new-born babies and safe delivery kits across four flood-hit provinces.
A Karachi-based NGO, the Mama Baby Fund, has provided 9,000 safe delivery kits, which include items for new-borns, across Sindh and Baluchistan provinces, as well as antenatal and postnatal check-ups for 1,000 women. The Association for Mothers and Newborns, also based in Karachi, has provided more than 1,500 safe delivery kits, mostly in Sindh.
Ahmed from the UNFPA says pregnant women have different needs to the rest of the displaced population, needs that aren’t being met by state efforts.
“The government’s response is very general, it’s for the masses. It’s about shelter, relocation,” Ahmed said. “I’ve heard about women miscarrying because of mental stress, the physical stress of displacement and relocation,”
The health crisis triggered by the flooding will reverberate among women because it will take long to rebuild health facilities and restore family planning, according to Saima Bashir from the Pakistan Institute of Development Economics.
“Women and young girls are very vulnerable in this situation,” said Bashir. She pointed to increasing reports of child marriage.
Even before the floods, 21% of Pakistani girls were married before the age of 18, and 4% before the age of 15, according to U.N. figures.
The rate is increasing for several reasons. Some parents marry off their daughters as a way to obtain financial support from the boy’s family so they can rebuild their homes. Others fear for the safety of their girls in displaced camps and believe marrying them off will protect them from abuse or secure their future. Also, the destruction of schools in the floods closes off other options; some girls who would have gotten an education or possibly gone on to work will stay at home instead.
In the next few years, those girls will get pregnant, Bashir said, especially given limited access to contraception.
“There will be more unwanted pregnancies,” she said. “This is … compounding this crisis, and it’s adding to the population.”
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NEWS
China is raising its retirement age, now among the youngest in the world’s major economies
Published
3 months agoon
September 14, 2024Starting next year, China will raise its retirement age for workers, which is now among the youngest in the world’s major economies, in an effort to address its shrinking population and aging work force.
The Standing Committee of the National People’s Congress, the country’s legislature, passed the new policy Friday after a sudden announcement earlier in the week that it was reviewing the measure, state broadcaster CCTV announced.
The policy change will be carried out over 15 years, with the retirement age for men raised to 63 years, and for women to 55 or 58 years depending on their jobs. The current retirement age is 60 for men and 50 for women in blue-collar jobs and 55 for women doing white-collar work.
“We have more people coming into the retirement age, and so the pension fund is (facing) high pressure. That’s why I think it’s now time to act seriously,” said Xiujian Peng, a senior research fellow at Victoria University in Australia who studies China’s population and its ties to the economy.
The previous retirement ages were set in the 1950’s, when life expectancy was only around 40 years, Peng said.
The policy will be implemented starting in January, according to the announcement from China’s legislature. The change will take effect progressively based on people’s birthdates.
For example, a man born in January 1971 could retire at the age of 61 years and 7 months in August 2032, according to a chart released along with the policy. A man born in May 1971 could retire at the age of 61 years and 8 months in January 2033.
Demographic pressures made the move long overdue, experts say. By the end of 2023, China counted nearly 300 million people over the age of 60. By 2035, that figure is projected to be 400 million, larger than the population of the U.S. The Chinese Academy of Social Sciences had previously projected that the public pension fund will run out of money by that year.
Pressure on social benefits such as pensions and social security is hardly a China-specific problem. The U.S. also faces the issue as analysis shows that currently, the Social Security fund won’t be able to pay out full benefits to people by 2033.
“This is happening everywhere,” said Yanzhong Huang, senior fellow for global health at the Council on Foreign Relations. “But in China with its large elderly population, the challenge is much larger.”
That is on top of fewer births, as younger people opt out of having children, citing high costs. In 2022, China’s National Bureau of Statistics reported that for the first time the country had 850,000 fewer people at the end of the year than the previous year , a turning point from population growth to decline. In 2023, the population shrank further, by 2 million people.
What that means is that the burden of funding elderly people’s pensions will be divided among a smaller group of younger workers, as pension payments are largely funded by deductions from people who are currently working.
Researchers measure that pressure by looking at a number called the dependency ratio, which counts the number of people over the age of 65 compared to the number of workers under 65. That number was 21.8% in 2022, according to government statistics, meaning that roughly five workers would support one retiree. The percentage is expected to rise, meaning fewer workers will be shouldering the burden of one retiree.
The necessary course correction will cause short-term pain, experts say, coming at a time of already high youth unemployment and a soft economy.
A 52-year-old Beijing resident, who gave his family name as Lu and will now retire at age 61 instead of 60, was positive about the change. “I view this as a good thing, because our society’s getting older, and in developed countries, the retirement age is higher,” he said.
Li Bin, 35, who works in the event planning industry, said she was a bit sad.
“It’s three years less of play time. I had originally planned to travel around after retirement,” she said. But she said it was better than expected because the retirement age was only raised three years for women in white-collar jobs.
Some of the comments on social media when the policy review was announced earlier in the week reflected anxiety.
But of the 13,000 comments on the Xinhua news post announcing the news, only a few dozen were visible, suggesting that many others had been censored.
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Moscow will treat any such attack as coming from the US and its allies directly, Russian President Vladimir Putin said on Thursday, explaining that long-range weapons rely on Western intelligence and targeting solutions, neither of which Ukraine is capable of.
NATO countries would “start an open war” with Russia if they allow Ukraine to use long-range weapons, Nebenzia told the UN Security Council on Friday.
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“Our Western colleagues will not be able to dodge responsibility and blame Kiev for everything,” Nebenzia added. “Only NATO troops can program the flight solutions for those missile systems. Ukraine doesn’t have that capability. This is not about allowing Kiev to strike Russia with long-range weapons, but about the West making the targeting decisions.”
Russia considers it irrelevant that Ukrainian nationalists would technically be the ones pulling the trigger, Nebenzia explained. “NATO would become directly involved in military action against a nuclear power. I don’t think I have to explain what consequences that would have,” he said.
The US and its allies placed some restrictions on the use of their weapons, so they could claim not to be directly involved in the conflict with Russia, while arming Ukraine to the tune of $200 billion.
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‼️🇷🇺🏴☠️ President's Response on the Potential Use of NATO Long-Range Weapons Against Russia
"This would mean that NATO countries, the United States, and European nations are at war with Russia. And if that is the case, considering the fundamental shift in the nature of this… pic.twitter.com/UO03dRUl44
— Zlatti71 (@Zlatti_71) September 12, 2024
NEWS
China makes its move in Africa. Should the West be worried?
Published
3 months agoon
September 11, 2024Beijing maintains a conservative economic agenda in its relations with the continent, while finding it increasingly difficult to avoid a political confrontation with the West
The ninth forum on China-Africa Cooperation (FOCAC) and the FOCAC summit held in Beijing on September 4-6 marked a significant phase in Africa’s relations with its global partners in the post-Covid era. China is the last major partner to hold a summit with African nations following the end of the pandemic; Africa summits were held by the EU and the US in 2022, and by Russia in 2023. The pandemic, coupled with rising global tensions, macroeconomic shifts, and a series of crises, underlined Africa’s growing role in the global economy and politics – something that China, which has undergone major changes (both internal and external) as a result of the pandemic, is well aware of.
It is clear that the relationship between China and Africa is entering a new phase. China is no longer just a preferential economic partner for Africa, as it had been in the first two decades of the 21st century. It has become a key political and military ally for many African countries. This is evident from China’s increasing role in training African civil servants and sharing expertise with them, as well as from several initiatives announced at the summit, including military-technical cooperation: officer training programs, mine clearing efforts, and over $100 million which China will provide to support the armed forces of African nations.
In the political arena, however, Beijing is proceeding very cautiously and the above-mentioned initiatives should be seen as the first tentative attempts rather than a systematic strategy.
While China strives to avoid political confrontation with the West in Africa and even closely cooperates with it on certain issues, it is becoming increasingly difficult to do so. Washington is determined to pursue a policy of confrontation with Beijing in Africa – this is evident both from US rhetoric and its strategic documents.
Dirty tactics: How the US tries to break China’s soft power in Africa
A “divorce” between China and the West is almost inevitable. This means that Chinese companies may lose contracts with Western corporations and won’t have access to transportation and logistics infrastructure. Consequently, China will need to develop its own comprehensive approach to Africa, either independently or in collaboration with other global power centers.
An important sign of the growing confrontation between the US and China in Africa was the signing of a trilateral memorandum of understanding between China, Tanzania, and Zambia regarding the reconstruction of the Tanzania-Zambia Railway (TAZARA), which was originally built by China in the 1970s. If it is expanded, electrified, and modernized, TAZARA has the potential to become a viable alternative to one of the key US investment projects in the region: the Lobito Corridor, which aims to enhance logistics infrastructure for exporting minerals (copper and cobalt) from the Democratic Republic of the Congo and Zambia by modernizing the railway from the DR Congo to the Angolan port of Lobito.
In inland regions such as Eastern Congo, transportation infrastructure plays a crucial role in the process of mineral extraction. Considering the region’s shortage of rail and road networks, even a single non-electrified railway line leading to a port in the Atlantic or Indian Ocean can significantly boost the operation of the mining sector and permanently tie the extraction and processing regions to specific markets.
It appears that China’s initiative holds greater promise compared to the US one, particularly because Chinese companies control major mines both in the Democratic Republic of the Congo and Zambia. This gives them a clear advantage in working with Chinese operators and equipment, facilitating the export of minerals through East African ports. Overall, this indicates that East Africa will maintain its role as the economic leader on the continent and one of the most integrated and rapidly developing regions for imports.
A former colonial European power returns to Africa. What is it after now?
The highlight of the summit was China’s pledge to provide $50 billion to African countries over the next three years (by 2027). This figure echoes the $55 billion commitment to China made by the US (for 3 years) at the 2022 US-Africa Summit and the $170 billion that the EU promised to provide over seven years back in 2021. Consequently, leading global players allocate approximately $15-20 billion annually to Africa.
In recent years, there has been noticeable growth in such promises. Nearly every nation is eager to promise Africa something – for example, Italy has pledged $1 billion annually. However, these large packages of so-called “financial aid” often have little in common with actual assistance, since they are typically commercial loans or corporate investments. Moreover, a significant portion of these funds is spent in the donor countries (e.g. on the procurement and production of goods), which means that they contribute to the economic growth of African nations in a minimal way.
As for China, it will provide about $11 billion in genuine aid. This is a substantial amount which will be used for developing healthcare and agriculture in Africa. Another $30 billion will come in the form of loans (roughly $10 billion per year) and a further $10 billion as investments.
The overall financial framework allows us to make certain conclusions, though it’s important to note that the methodology for calculating these figures is unclear, and the line between loans, humanitarian aid, and investments remains blurred. In terms of investments (averaging around $3 billion per year), Beijing plans to maintain its previous levels of activity – in recent years, China’s foreign direct investments (FDI) have ranged from $2 billion to $5 billion annually. Financial and humanitarian aid could nearly double (from the current $1.5 billion-$2 billion per year) while lending is expected to return to pre-pandemic levels (which would still be below the peak years of 2012-2018).
Can Africa seize control of its own energy?
China’s economic plan for Africa seems to be quite conservative. It’s no surprise that debt issues took center stage during the summit. During the Covid-19 pandemic, macroeconomic stability in African countries deteriorated, which led to challenges in debt repayments and forced Africa to initiate debt restructuring processes assisted by the IMF and the G20. Starting in 2020, a combination of internal and external factors led China to significantly cut its lending to African countries – from about $10-15 billion down to $2-3 billion. This reduction in funding has triggered economic reforms in several African countries (e.g. Ghana, Kenya, and Nigeria), which have shifted toward stricter tax and monetary policies. While promises to increase lending may seem like good news for African nations, it’s likely that much of this funding will go toward interest payments on existing obligations and debt restructuring, since China wants to ensure that its loans are repaid.
Despite China’s cautious approach to Africa, its interaction with the continent will develop as a result of external and internal changes affecting both Africa and China. Africa will gradually become more industrialized and will reduce imports while the demand for investments and local production will increase. China will face demographic challenges, and its workforce will decrease. This may encourage bilateral cooperation as some production facilities may move from China to Africa. This will most likely concern East African countries such as Ethiopia and Tanzania, considering China’s current investments in their energy and transportation infrastructure. Additionally, with Africa’s population on the rise and China’s population declining, Beijing is expected to attract more African migrant workers to help address labor shortages.
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