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Pallisa mothers deliver under trees due to collapse of health centre

by williams moi

Pregnant women in Pallisa district in Eastern Uganda are reported to be delivering under trees due to the collapse of a building at the local health facility.

Due to inadequate space in Ngwere Health Centre III in Petete Sub County, health workers have created a makeshift shelter under trees near the centre for women to deliver in.

Reports indicate that Ngwere Health Centre III, which serves the entire sub county of more than 15,000 people plus its neighbors, has only two rooms after one of the centre’s buildings collapsed due to strong wind and heavy rain last year.

The facility, which is located about 15km from Pallisa town, is over crowded meaning patients are at risk of contracting infectious diseases during labor.

A health worker at the government aided facility described as “inhuman” the situation in which staff are forced to handle labors in the makeshift shelter due to a lack of space, adding that a quick intervention is required to rectify the situation.

“We have no alternative but to perform our duty in order to save the lives of these mothers as we wait for government response so as to rehabilitate the facility fully,” another medical worker said on condition of anonymity.

In Uganda it’s only the chief administrative officer or the medical superintendant who has the mandate to speak to the press about health matters but they are not always available. However, one nursing officers Ahmed Mpande agreed to be named as he said  the collapsed building had become a major problem facing maternal health in Pallisa district. He added that the building’s collapse had been reported to the authorities but they had declined to respond.

Mpande says that other services including antenatal care, deliveries, laboratory and drug storage are all handled in the two rooms. Mpande also notes that, due to the poor working environment, the health facility is due to temporarily close until it is renovated.

Community resource person, Kulu Nalongo, says the centre serves a radius of 6km but regardless of its sorry state, the community still has hope over it though it’s not renovated.

When contacted, CAO Pallisa district Mbooge Isa confirms receipt of a letter sent in July last year (2011) drawing attention to the fact that the health unit requires immediate renovation.

Mbooge said Pallisa district has received funds from the poverty reduction program (PRDP) and expects to use part of the money to rehabilitate the health unit this financial year (2012/2013). But he did not mention when the work would begin.

However, Chairman of LC 5 Pallisa says that the district has no capacity to renovate the structure because it has no emergency funds.

“It is true this health unit is damaged but we have to budget for it next financial year since the district is in a planning cycle,” he added.

Nagwere health centre was run by NGO the Christian Children Fund in 1980 before the government took over in 2009.

Source: http://www.keycorrespondents.org/2012/02/22/pallisa-mothers-deliver-under-trees-due-to-collapse-of-health-centre/

US, WIPO Training Programme On IP Rights In Africa Comes Under Fire

By , Intellectual Property Watch

For years, some developing countries have insisted that developed countries – which own the vast majority of intellectual property rights – take a singular focus when it comes to offering technical assistance on IP rights: the protection of “northern” property. In recent years, negotiations in venues like the World Intellectual Property Organization have sought to ensure that such assistance also highlights the creation of local IP rights as well as the availability of flexibilities developing countries have under international rules for IP.

Now a three-day conference on IP enforcement being planned for April in Cape Town, South Africa by mostly northern interests has stirred old tensions and seemingly confirmed past fears of developing countries.

“It’s as if the last five years didn’t happen – no WIPO Development Agenda, no discussion on copyright limitations and exceptions, no proposals in favour of libraries and archives, education, blind and visually impaired people,” said Teresa Hackett, Electronic Information for Libraries (EIFL). “But they did happen, and we will work to ensure that delegates attending the African IP Forum hear a diversity of opinion and perspective, and have the opportunity to debate these issues that are critically important to libraries in Africa and around the world.”

The 3-5 April conference entitled, Africa Intellectual Property Forum: Intellectual Property, Regional Integration and Economic Growth in Africa, is being organised by the US Department of Commerce Office of General Counsel Commercial Law Development Program. It is touted as the first Africa-wide ministerial-level event of its kind. The office could not be reached for comment on this story.

The official website is here. An apparently later draft programme of the summit posted by Knowledge Ecology International is here.

The conference might have been better received if billed as an outright enforcement and anti-counterfeiting event. There are some panels and speakers whose focus is local innovation, local brand development, and locally appropriate practices. But the majority of the panels have a focus on enforcement and protection, and are studded with speakers from developed country governments and industry whose focus is the same.

This came as a slap in the face for non-governmental organisations who work on helping the global South grow their domestic economies by localising tools such as intellectual property rights. Many have viewed with hope and a little doubt the 2007 World Intellectual Property Organization Development Agenda, which consisted of 45 agreed recommendations intended to more fully incorporate the development dimension into WIPO activities – particularly technical assistance. The South Africa agenda may appear to many as a throw-back to the days before the Development Agenda existed, and may contain the underlying motive of encouraging strong IP legislation in those countries.

Developing countries readily admit the urgent need for help in fighting a preponderance of counterfeit products flooding across their borders. And developed countries have a legitimate interest in trying to address the problem, which usually involves knock-offs of their goods.

But the debates of the past few years at WIPO, the World Health Organization and the World Trade Organization have demonstrated the strong desire of developing countries to tailor actions to their local situations, and not have them be top-down. Among the tools available to developing countries is to not apply IP rights in certain cases, for instance. Among other effects, this can allow the production of cheaper versions of products, and cheaper legitimate versions can squeeze the market for counterfeits.

Swell of Opposition

A 7 February letter [pdf] to WIPO Director General Francis Gurry, signed by a least 100 NGOs from around the world, calls for the summit to be scrapped altogether over conflicts of interest and the lack of a development and public interest dimension.

A particular concern of NGOs is that the conference will advance anti-counterfeiting legislation across Africa that will lead to damaging restrictions to the local populations and economies. They also raised alarm that the conference does not appear to include discussion on how to use the hard-won flexibilities that developing countries are allowed to employ so as not to apply IP rights if not in their national interest.

“It is worrying to see that a major event such as an Africa-wide forum is being co-organised in partnership with US, France and Japan,” the letter said. “These governments are known for advocating their TRIPS plus agendas in developing countries in the interests of their own industries and priorities.”

“WIPO being an intergovernmental and a specialized agency of the UN must take immediate measures to ensure that all its activities are evidence based, free of conflicts of interest and undue influence of actors that are known to promote an unbalanced IP agenda.”

A key point is that concern over substandard, poor quality medicines is separate from counterfeit medicines and is not in the responsibility of WIPO, but rather the WHO. There have been accusations from some countries in recent years that the counterfeit drug problem is being used to interfere with the market for legitimate generic medicines.

The NGOs also demanded more transparency and inclusiveness in the process of developing a conference. The event is being organised by the US government, but WIPO is named as a co-coordinator and there are proposals in the agenda for many WIPO officials to be on the panels. It appears that even the officials from Africa are being selected by the northern organisers, and the criteria for acceptance to participate in the conference are not posted on the website.

Event sponsor the International Chamber of Commerce (ICC)-Business Action to Stop Counterfeiting and Piracy (BASCAP) by contrast holds separate industry-focussed events at other times and while they are critiqued, there is little question about their purpose or message. There have been questions about WIPO’s involvement in those meetings, however.

This week, several NGOs, such as KEI, Oxfam and Public Citizen, wrote to Cameron Forbes Kerry, the General Counsel for the U.S. Department of Commerce, requesting a review of the South Africa conference “to see if the sponsorship of the event violates Executive Order 13155, on Access to HIV/AIDS Pharmaceuticals and Medical Technologies,” which they said “was issued by President Clinton on May 10, 2000 after an extensive review of U.S. trade policy as it related to access to patented medicines in sub-Saharan Africa.”

That executive order says that “the United States shall not seek, through negotiation or otherwise, the revocation or revision of any intellectual property law or policy” that undermines “access to HIV/AIDS pharmaceuticals or medical technologies,” as long as the countries are within the norms of the TRIPS agreement, according to the groups.

Executive Order 13155 “was designed to protect African consumers from trade pressures on intellectual property and medicine,” KEI President James Love said in a statement. “The 2012 high level meeting shows no recognition of the policy set out in EO 13155, and would extend anti-consumer trade pressures to other sensitive areas for development, such as agriculture, climate change and access to knowledge and culture. Secretary John Bryson and other Obama Administration officials need to take a step back and change the format of the meeting, or cancel the event.”

NGO Reactions

A host of NGO comments were circulated this week.

“The proposed agenda for the Africa WIPO Summit clearly shows that the summit is being used as a vehicle to drive the agenda of the US, the EU and the pharmaceutical industry to ramp up protection and enforcement of intellectual property,” said Catherine Tomlinson of the Treatment Action Campaign in South Africa. “We urge ours and other African governments to reject the proposed agenda.”

Moses Mulumba of the Center for Health, Human Rights and Development in Uganda said: “It’s a shame that the Africa IP Forum is putting emphasis on IP enforcement agenda. One would expect the continent to be discussing the Development Agenda in light of its social economic challenges in the areas of health, education and agriculture. Over emphasis on IP enforcement is iniquitous of the continent’s population that still badly needs to utilise the policy space provided for by the TRIPS Agreement.”

Andrew Rens, a South African IP specialist and a researcher at Duke University (US), said: “In the years since TRIPS the single most important issue involving intellectual property for Africans has been gaining access to medicines. There is no track nor even a single session on access to medicines.” There also is no session on copyright exceptions for education, despite the South African government being a proponent of these in international negotiations, he said.

Jeremy Malcolm of Consumers International said: “Such a forum will be seen by all not as a bona fide attempt at open discussion on the pros and cons of robust intellectual property protection in the African context, but rather as a cynical effort by foreign governments and multinational corporations to control the framing of these issues for African policy-makers.”

KEI’s James Love said: “The world community should be supportive to the development concerns of persons living in Africa whose population is largely comprised of poor persons and avoid unfair exploitation. By organizing a high level meeting on intellectual property that is dominated by big corporate right holder interests, the US government is taking a step backwards, to exploit consumers rather than to promote development.”

Sangeeta Shashikant, legal advisor at the Third World Network, said: “The US is well known for pressuring developing countries to adopt TRIPS plus standards. The Africa IP Summit is another attempt by the US to advance its aggressive agenda on IP protection and enforcement such as Anti-Counterfeit Agreement (ACTA), that favours the interests of certain powerful multinational companies. The US concept paper and programme totally disregards the numerous developmental and socio-economic challenges facing Africa. Issues of access to affordable medicines, access to knowledge, misappropriation of genetic resources and associated traditional knowledge, farmers’ rights are totally disregarded. Equally absent is a discussion on the value of public interest flexibilities in the IP system to achieve developmental objectives and address social needs. The US agenda is clear. It is about not about development. It is about protecting the interests of its companies, many of which are sponsoring the meeting, proliferating IP propaganda and misinformation. Unless steps are taken to fully reflect development and public interest considerations, and to eliminate actors only interested in an anti-development agenda, the event should not go ahead.”

Prof. Brook Baker of Northeastern University law school and Health GAP, said: It is deeply problematic that the Obama administration continues to pursue efforts to strengthen, widen, and lengthen patent, data, and copyright monopolies in African countries that desperately need expanded access to medicines, educational materials, and climate control technologies and that it simultaneously seeks even stronger enforcement of IP protections than what is currently required under international law. Carrying the policy portfolio of Big Pharma and other IP-based multinationals under the guise of addressing Africa’s needs, the proposed African IP Summit is a chilling example of US duplicity and conflict of interest at its worst. However, it is equally problematic if Africa leaders and policy makers, some of whom are already complicit with the US agenda, continue to drink the IP KoolAid as they’ve done with proposed anti-counterfeiting legislation and with their long-lasting lethargy in amending their IP laws to take full advantage of TRIPS flexibilities and thereafter to use those flexibilities to access medicines and other essential technologies.”

The Open Society Foundation blogged about the event, cautioning developing countries about “US propaganda”, here. Global Health Watch also posted about the event, here.

Top 10 Foods for a Healthy Pregnancy

By Cathy Norton

Eating a healthy, balanced diet is important for both the mother and baby during pregnancy. Here are ten foods that pregnant mothers should eat to ensure that they get all the nutrients necessary for a healthy pregnancy.

1. Eggs – Eggs contain a lot of protein, which help the baby’s cells develop. They also contain twelve vitamins and minerals, including choline, which helps with the baby’s brain development.

2. Salmon – Salmon is another food that contains quality proteins that are good for fetal development. This food also has a significant amount of omega-3 fatty acids, which are good for the baby’s brain and vision. While it’s not good to eat other types of fish during pregnancy due to their high mercury content, salmon has lower amounts that are safe for pregnant mothers. Still, they should only eat salmon once a week at the most.

3. Beans – Beans are one of the healthiest foods, since they are full of vitamins and minerals, but also protein and fiber. Fiber is important for pregnant women because it helps with digestion, which can slow down during pregnancy and cause constipation or hemorrhoids.

4. Sweet potatoes – The orange color in sweet potatoes comes from carotenoids, which convert to vitamin A once eaten. Vitamin A is essential for vision development in a baby. Sweet potatoes also have vitamin C, for the immune system, folate, which helps form DNA and RNA, and fiber for the digestive system.

5. Whole grains – Whole grains are high in fiber, vitamin E, and selenium, which helps the immune system function and will help your baby stay healthy in the womb. Whole grains come from a variety of sources, such as whole wheat flour and bread, but also brown rice, oats, barley, rye, and quinoa.

6. Nuts – Nuts are another great source of omega-3 fatty acids and other healthy fats, which help with brain development. Walnuts have the highest amount of omega-3s, but beechnuts, hickory nuts, pecans, pine nuts, and almonds are also good for pregnancy.

7. Green leafy vegetables – Leafy vegetables such as spinach, kale, and Swiss chard have lots of nutrients. These include vitamin A, for vision, vitamin C, for the immune system, and vitamin K, for blood clotting.

8. Lean Meats – Lean meats with lower fat contentsare a great source of protein for both mother and baby. Whether poultry, pork, or red meat, it’s best to eat meat that has most of the fat cut off.

9. Yogurt – In addition to the protein found in yogurt, it also has a high calcium content. This will help your baby’s bones grow as well as keep yours strong and healthy.

10. Berries – Berries are a sweet treat that are easy to eat when a pregnant mom is suffering from nausea. They are also loaded with antioxidants and vitamin C, which helps the body absorb iron and assists in cell formation.

Cathy Norton is an experienced Registerd Nurse who has worked in the U.S. for over 20 years. She is the owner of Becoming a CNA, which is a site for students who are interested in becoming Certified Nursing Assistants.

GOVERNMENT DRAGED TO COURT OVER LAWS THAT CALL PEOPLE WITH MENTAL DISABILITY AS IDIOTS AND IMBICILES

On 22nd December 2011, the Centre for Health, Human Rights and Development         (CEHURD) together with one of the survivors of mental disability dragged the Ugandan government to court over referring to persons with mental disabilities as idiots and imbeciles which according to them is derogatory inhuman and degrading.

 

The two petitioners in Constitutional Petition No. 64 are challenging the constitutionality of the Trial on indictments Act and penal code Act as they violate the rights of persons with mental disabilities. They argue that the two legislations are archaic and do not conform with the1995 Constitution of the Republic of Uganda and the United Nations Convention on the Rights of Persons with Disabilities to which Uganda is a signatory.

 

“The constitution is the supreme law of the land and any law that is inconsistent with it is null and void to the extent of its inconsistency. Persons with mental disabilities equally have and should enjoy the same rights contained in the constitution; there is no reason as to why they should be discriminated by the two legislations which are colonial and inconsistent with the needs and requirements of Ugandan and international law” Says Mr. Mulumba Moses the Executive Director for CEHURD.

 

In addition to challenging the archaic colonial laws, the petitioners are also aggrieved with the laws that adjudge persons with mental disabilities who are not proven guilty as criminals by referring to them as criminal lunatics. They contend that the practice of detaining them in prisons for years awaiting a minister’s order on whether they are able or unable to stand trial violates their rights guaranteed under the constitution

 

Mr. Yiga Daniel one of the petitioners says “mental illness is not a permanent medical condition and by referring to persons with mental illness as idiots and imbeciles and as criminal lunatics before they are adjudged so, the law itself is being abusive.”

 

CEHURD is a not for profit company limited by guarantee registered in 2009 working towards an effective, equitable, people centered public health system that ensures the full realization of the right to health and promotes respect for human rights.

 

Uganda’s Coalition on Access to medicines meets EU Delegation to Uganda

The meeting was convened to discuss concerns over the Free Trade Agreement being negotiated between India and the European Union. There has been intense activity on this FTA in the past few months and there are concerns world over on the significant pressure being placed on the Indian government to announce “trade-offs” at this Summit.

Coalition on access to medicines meets EU Delegation to Uganda

It was against this background that as a coalition working on access to medicines in Uganda, we requested for a meeting with the EU DELEGATION to Uganda to relay our concerns on the effect of this free trade agreement on the lives of many Ugandans depending on generic medicines imported from India.

The Head of Delegation had a busy schedule but were were able to meet Alex Nakajjo, the Operations Officer Trade and Regional Intergration, European Union Delegation to the Republic of Uganda and the first secretary, Mr. Jose Soler, who is the Head of Cooperation.

Discussions
Jane introduced the purpose for our meeting and also pointed out that we appreciate the good work that the EU is doing in Uganda and in developing countries as a whole. However, we had concerns over the Free Trade Agreement being negotiated between India and the European Union. That the India-EU FTA as currently drafted may have drastic consequences for the accessibility and affordability of medicines in Uganda because the EU is unyielding on the inclusion of provisions on intellectual property that exceed India’s obligations under the Agreement on Trade Related Aspects of Intellectual Property Rights (TRIPS) and that, if not corrected, will endanger access to generic medicines—in India as well as in importing countries such as Uganda, where our lives depend on access to Indian generic medicines.

We further explained that if such provisions on intellectual property are introduced in India, the ability of Indian generic companies to produce affordable medicines required not only in India but in Uganda as well would be severely compromised.

We the expressed our demands as being primarily that the EU ensures ELIMINATION OF THE FOLLOWING PROVISIONS IN THE EU-INDIA FTA:
• Investment Rules, as they enable foreign companies to take the Indian government to private courts over domestic health policies like measures to reduce prices of medicines.
• Border Measures, as they will deny medicines to patients in other developing countries with custom officials seizing generic medicines in transit.
• Injunctions, as they undermine the independence of the Indian judiciary to protect right to health of patients over the profits of drug companies.
• Other Intellectual Property Enforcement Measures, as they put third parties like treatment providers at risk of police actions and court cases.

AND DO NOT BRING BACK:
• Data Exclusivity, as it delays the registration of generic medicines and will not permit the placing of affordable versions of pediatric doses and combinations of “off-patent” medicines on the market.
• Patent Term Extension, as it will extend patent life beyond 20 years.

It was at this point that Mr. Jose informed us that the Patent term extension and Data Exclusivity had not been eliminated from the Negotiations!

EU Response (Mr. Jose Soler)
Mr. Soler explained that what the EU is trying to do is negotiate and set conditions for how the EU should relate with India. While the process is ongoing, they are doing their best to reach a conclusion that is favourable to both parties. Drugs to developing countries pass through Europe, if while they are transiting through Europe they are found to be counterfeits, substandard or infringing Patents, then they will be ceased. This applies to all products, not just medicines. This is a trade war that will bring conclusions that will bring a win win situation for both sides, i. e India and the EU.

However, it should be noted that the EU Negotiators are taking into account all of the flexibilities and specifics of what Indian law and system accommodates. The intention is not to stop the manufacture but to facilitate the agreement and provide a context in which generics can be manufactured. He re assured us that the EU will not deter production of generic medicines and as such will forward our Letter and concerns to Headquarters so that while they make decisions they are fully aware of what affects Ugandans.

CSO response to above remarks
Much as the EU has legal rights over drug patents and data exclusivity, reality shows that all trade agreements are profit oriented. What we are asking for is a balance between access rights for persons in developing countries like Uganda and commercial profit initiatives of the EU. India has been termed the pharmacy of Africa, if this trade agreement does not uphold the spirit of TRIPS by taking maximum advantage of the flexibilities detailed under the TRIPS Agreement as affirmed by the Doha Declaration and August 30th decision on Public Health, then the lives of Ugandans and many other people from Africa will be more or less traded away.

Mr. Soler Josey Responds
As an institution we also look to seeing that there is a balance between commercial interests and medicinal needs for the developing countries. We will report to the Headquarters and make sure that we convey your information to the commission in charge of these negotiations.

We will be getting back to you with elaborate details of what is taking place in these negotiations, we will attach this letter to the report of our meeting to headquarters, but since there is just a few hours to finalizing this FTA, (It is tomorrow 10th, February, 2012 in principle), please bear with the conditions if no action is actually taken concerning the demands. I assure you that this information will be provided to the Headquarters and the concerns will be taken into consideration during the Negotiations.

Further you can follow up with Alex the Operations Officer Trade and Regional Intergration, European Union Delegation to the Republic of Uganda for future updates.

Side meeting with coalition on a way forward
After meeting the delegation, members were of the view that we set on a mission to advocate for promotion of local innovation in the pharmaceutical industries, we need government to secure a policy on investing in the local pharmaceutical industries so that we can get the ability to make use of compulsory licenses. Dependence on India is not sustainable, we can’t be crying every time India is being pushed to the wall.