Monday, February 9, 2009

Zimbabwe Government's Millenium Development Goals

Publicizing and Scrutinizing Social Welfare Policy in Zimbabwe

Zimbabwe Millennium Development Goals 2015

By 2015 Zimbabwe has pledged to:

GOAL 1.

Eradicate extreme poverty and hunger

Target 1:

* Halve, between 2002 and 2015, the proportion of people whose income is less than the Total Consumption Poverty Line (TCPL).

* Halve, between 2000 and 2015, the proportion of people in Human Poverty, as measured by the Human Poverty Index (HPI).

Target 2:

i Halve, between 2002 and 2015, the proportion of people who suffer from hunger.

ii Reduce by two-thirds, between 2002 and 2015, the proportion of under-five children who are malnourished.

GOAL 2.

Achieve universal primary education

Target 3:

. Ensure that, between 2000 and 2015, all Zimbabwean children, boys and girls alike, will be able to complete a full programme of primary education.

GOAL 3.
Promote gender equality and empower women

Target 4 (A):

Eliminate gender disparity in primary and secondary education, preferably, by 2005 and at ail levels ot education no later than 2015.

Target 4 (B):

. Increase the participation of women in decision-making in all sectors and at all levels (to 40% for women in senior civil service positions and to 30% for women in Parliament) by 2005 and to 50:50 balance by 2015.

GOAL 4,

Reduce child mortality

Target 5:

.Reduce bv two-thirds, between 2000 and 2015, the under-five mortality rate.

GOAL 5.

Improve maternal health

Target 6:

. Reduce by three-quarters, between 2000 and 2015, the maternal mortality ratio.

GOAL 6.

Combat HIV and AIDS, malaria and other diseases

Target 7:

. Have halted, by 2015, and begun to reverse the spread of HIV and AIDS.

Target 8:

.Have halted, by 2015, and began to reverse the increasing incidence of Malaria, TB and Diarrhoeal diseases.

GOAL 7.

Ensure environmental sustainability

Target 9:

Integrate the principles of sustainable development into country policies and programmes and reverse the loss of environmental resources.

Target 10:

Halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation.

Target 11:

By 2020, achieve a significant improvement in the housing condition of at least 1,000,000 slum dwellers, peri-urban and high density lodgers.

GOAL 8.

Develop a global partnership for development

Target 12:

Develop further an open, rule-based, predictable, non-discriminatory trading and financial system.

Target 13:

Not Applicable

Target 14:

Address the special needs of the countrv's landlocked status.

Target 15:

Deal comprehensively with debt problems.

Target 16:

In co-operation with strategic partners, develop and implement strategies for decent and productive work for everyone.

Target 17:

In co-operation with pharmaceutical companies, provide access to affordable essential drugs.

Target 18:

In co-operation with the private sector, make available the benefits of new technologies, especially information and communications.

Thursday, February 5, 2009

Average Zimbabwean now living in extreme poverty

There are four categories of poverty, namely, absolute poverty, relative poverty, extreme poverty, and moderate poverty (Viggiani, 2007). Of these four, the average Zimbabwean(majority) aptly falls into the third category which has been defined by Viggiani as referring to chronic hunger and no access to health care, safe drinking water, sanitation, education, and housing. The World Bank uses a standard of income of U.S. $1 per day per person or less of purchasing power.

Recently, the estimate for cholera case was put at around 60 000 people and 3000 deaths due to this easily curable disease.The country's major hospitals such as Parirenyatwa, Harare, Mpilo, and Bulawayo Hospital have been closed living thousands to resort to rural hospitals and financially inaccessable private hospitals such as St. Annes, Baines, and Avenues Hospitals.

Zimbabwe has 80% unemployment and 7 out of 10 people eat one meal a day in a country whose inflation is a staggering 231 million percent.According to the Combined Harare Residence Association (19-24 January 2009 Report) a family of six requires US$86 per week to survive, that is, purchasing a 10kg bag of mealie meal, 2 litres cooking oil,6 kgs economy beef, transportation, bread, 2kgs of sugar, and 6 litres of drink. Meanwhile, lecturers in universities are earning US$50 per month.

The main cause of this extreme poverty has been structural, meaning, it is a result of a system presided over by the government of Robert Mugabe. There has been no policy intervention to create a safety net for the low-income population and the unemployed. Apparently, societal structures have been favoring the ruling elite over the rest of the impoverished population.

Thursday, January 15, 2009

Zimbabwe health crisis 'a crime'

The health crisis in Zimbabwe should be the subject of an investigation by the International Criminal Court, campaign group Physicians for Human Rights says.

President Robert Mugabe's government is responsible for the collapse of the health, water and sanitation systems - violating human rights, it says.

With no functioning public hospitals, the cholera epidemic has killed far more than 2,000 people, it added.

The US-based group called for the UN to take control of the health service.

Physicians for Human Rights says the "shocking" findings in its report - Health in Ruins, a man-made disaster in Zimbabwe - should compel the international community to act.

"They wanted only US dollars in cash. $3,000 for the surgeon, $140 for the nurse and $700 for the doctor who puts you to sleep"-

Woman wanting a caesarean


PHR's report Health in Ruins

"These findings add to the growing evidence that Robert Mugabe and his regime may well be guilty of crimes against humanity," it says in the report's preface, which is signed by South African Archbishop Desmond Tutu, former UN High Commissioner for Human Rights Mary Robinson and Richard Goldstone, a former chief prosecutor at the International Criminal Tribunal for Rwanda.

New figures from the UN World Health Organization on Tuesday put the death toll from the cholera epidemic which broke out in August at 2,024.

The British Red Cross has warned that with the onset of the rainy season, flooding could seriously exacerbate the rate of infection as sewage may contaminate water sources further.

Health sector politicised

President Mugabe has been facing intensified criticism over the dire economic and humanitarian situation in Zimbabwe.


Robert Mugabe has blamed Zimbabwe's problems on the West
He signed a power-sharing deal with his rival, Morgan Tsvangirai, in September, intended to rescue the collapsing economy but progress has since stalled over who should control key ministries.

Mr Tsvangirai has threatened to pull out of power-sharing talks unless abductions of his supporters stop.

Among its recommendations, the report says the UN Security Council and Southern African Development Community (SADC) should call on Mr Mugabe to accept the first round of last year's presidential election, which was won by Mr Tsvangirai.

The opposition leader withdrew from a run-off in June citing state-sponsored violence.

The report's findings are based on a visit to the country by four human rights investigators and two doctors in December 2008.

It says the scale and scope of the health sector's collapse last year was "unprecedented" and the government deliberately tried to downplay the cholera outbreak at first.

"The Mugabe regime has used any means at its disposal, including the politicisation of the health sector, to maintain its hold on power," the preface says.

The government had ignored warnings from civic organisations in 2006 about the possibility of a cholera outbreak because of a failure to maintain water purification systems, it said.

Mr Mugabe's allies have accused western countries of trying to use the cholera outbreak as an excuse to topple him.

They blame Zimbabwe's problems on Western sanctions.

Dollarization

Physicians for Human Rights says the root of the crisis is the economic collapse - citing in particular the land seizures of 2000 and failure to control hyperinflation.

HEALTH CRISIS
Cholera: 2,204 died since August
Anthrax: Eight deaths since November
HIV/Aids: Estimated 400 deaths a day
TB: Brain-drain has practically closed the national testing laboratory which now has only one staff member
Maternal mortality: Risen from 168 per 100,000 in 1990 to 1,100 in 2005

As a result, there is more than 80% unemployment in the country and those with jobs find their salary is worthless unless they are paid in foreign currency.

A government doctor showed the PHR her payslip for November 2008; she was paid the equivalent of 32 US cents (22 pence) for the whole month.

The dollarization of the economy has meant that only a small elite now have access to healthcare.

There is now enormous pressure on mission hospitals which are having to treat patients from urban areas.

A mother who had her baby at a mission hospital told PHR investigators that she had tried to have a caesarean at the main government hospital in Harare, but it had been closed.

A private clinic would do the operation in November for "US dollars, in cash".

"$3,000 for the surgeon, $140 for the nurse and $700 for the doctor who puts you to sleep," she said.

The report also focussed on other health issues such as an anthrax outbreak, the HIV/Aids crisis, tuberculosis and maternal mortality.

It noted that life expectancy had fallen from 62 years for both sexes in 1990 to 34 years for men and 37 years for women in 2006, the world's lowest.

Health system problems aggravate cholera outbreak in Zimbabwe

WHO setting up a cholera control centre, seeking US$ 6 million in support
10 December 2008 | HARARE -- A widespread cholera outbreak, under-resourced and under-staffed health system, and inadequate access to safe drinking water and hygiene are threatening the wellbeing of thousands of Zimbabweans. As of 9 December, 16 141 suspected cases of cholera and 775 resultant deaths (case fatality rate of 4.8%) had been recorded since August in two-thirds of the country's 62 districts.



WHO is establishing a cholera control and command centre, in conjunction with the Ministry of Health and Child Welfare (MoHCW) and other health partners, to respond in a coordinated manner to Zimbabwe's health challenges. WHO is seeking donor support for a US$ 6 million proposal for its cholera response plan.

Approximately half of cholera cases have been recorded in Budiriro, a heavily populated suburb on the western outskirts of the capital, Harare. Other major concentrations of reported cases include Beitbridge, on the South African border, and Mudzi, on the border with Mozambique.

The outbreak could surpass 60 000 cases, according to an estimate by the Zimbabwe Health Cluster, which is a group coordinated by WHO and comprising health providers, nongovernmental organizations and the MoHCW. The estimate is based on six million people, or half of Zimbabwe's 12 million population, potentially being at risk of contracting cholera, with an estimated 1% of those at risk of actually suffering from cholera. With the rainy season commencing and increased transit of people likely due to the Christmas season, there are risks for further spread of cholera if strong measures are not taken.

There are also serious regional implications, with cholera cases crossing into South Africa and Botswana. On 2 December, South African health authorities said the country had recorded 460 cholera cases and nine related deaths, mostly in border areas near Zimbabwe.

"This outbreak can be contained, but it will depend on many factors, in particular a coordinated approach between all health providers to make sure we are providing the right interventions where they are needed most," said Dr Custodia Mandhlate, WHO Representative to Zimbabwe. "Such interventions include prevention, quick case detection and control, and improved treatment."

The major cause of the cholera outbreak is the inadequate supply of clean drinking water and poor levels of hygiene. Shortages of medicines, equipment and staff at health facilities throughout the country are compounding the health challenges. WHO is advocating for improved access to oral rehydration salts for treating moderate dehydration, which is a symptom of cholera. This could help quickly reduce sickness and deaths.

To help Zimbabwean authorities and partners respond to the health emergency, WHO has sent medical supplies to treat 50 000 people for common conditions for three months, as well as 3200 moderate cases of cholera. WHO has also sent epidemiologists, a water and sanitation expert and a logistician to Harare to strengthen response efforts on the ground.

For more information please contact:
Paul Garwood
Communications Officer
WHO, Geneva
Health Action in Crises (HAC)
Mobile (Geneva): +41 79 475 5546
Mobile (Harare): +263 912 433128
E-mail: garwoodp@who.int

Wendy Julias
Communications officer
WHO Zimbabwe
Telephone: +263 425 3724/30
Mobile: +263 91 243 1408
E-mail: JuliasW@zw.afro.who.int

Gregory Hartl
Team Leader, Information Management and Communications
Department of Epidemic and Pandemic Alert and Response (EPR)
WHO, Geneva
Telephone: +41 22 791 4458
Mobile: +41 79 203 6715
E-mail: hartlg@who.int

UN 'should take over control of Zimbabwe's health system'

Control of Zimbabwe's shattered health system should be handed over to the United Nations, an independent doctors group has demanded.


As the official death toll from the country's cholera epidemic yesterday topped 2,000, Physicians for Human Rights said government corruption was killing innocent people. The international doctors' group also called for President Robert Mugabe to be investigated by the International Criminal Court at the launch of a report titled Health in Ruins – A Man-made Disaster in Zimbabwe.

The World Health Organisation confirmed that at least 40,000 people have contracted cholera, a preventable disease, and 2,024 had died. Doctors and nurses working in Zimbabwe, as well as senior officials at the health ministry, have privately said that the real death toll is likely to be much higher. The report says: "These findings add to the growing evidence that Robert Mugabe and his regime may well be guilty of crimes against humanity."

The findings of the US-based group were signed by the South African Nobel peace laureate Desmond Tutu and the former UN High Commissioner for Human Rights Mary Robinson among others.

The ongoing international outcry has had little impact on President Mugabe. Power-sharing talks with the opposition MDC have been deadlocked since last September, with the government refusing to dilute its control over the security services. "The Mugabe regime has used any means at its disposal, including the politicisation of the health sector, to maintain its hold on power," the report says.

The cholera crisis has brought renewed attention to the collapse of infrastructure in what was among Africa's wealthiest countries only 15 years ago. The doctors also accuse the government of deliberately using food shortages to political advantage, with supplies being denied to people who do not support Mr Mugabe and his party

"There is a lot of evidence that it [food] is being used as a political weapon," said David Sanders, a Zimbabwean doctor.

Malnutrition which has reached epic proportions, with five million people requiring food aid this year, has compounded existing health problems such as HIV and made curable diseases such as cholera fatal.

Zimbabwe is suffering the worst cholera outbreak in Africa since 1999 when 2,085 people died in Nigeria, according to UN data. The waterborne disease, which causes severe diarrhoea and dehydration, has spread to all 10 provinces of Zimbabwe.

The British Red Cross yesterday expressed concern that the continuing rains are making things worse, while the custom of returning the dead to their rural areas for burial was helping to spread the disease.

While Zimbabwe's government belatedly admitted the existence of the epidemic and called for international assistance, the economic meltdown in the country has destroyed its health system and left ordinary people without medical assistance. A government doctor's pay slip seen by Physicians for Human Rights showed she had been paid a monthly salary equivalent to 22p in sterling.

By Daniel Howden, Africa Correspondent
Wednesday, 14 January 2009

Cholera Watch- In Zimbabwe

The cholera epidemic in Zimbabwe has now killed more than 2,000 people, it was confirmed today.

Almost 40,000 have also now contracted the normally preventable disease as the crisis resulting from a collapsed health service threatens the entire region.

The World Health Organisation (WHO) said the outbreak in Robert Mugabe’s shattered nation now represented the worst in Africa in nearly a decade.

Meanwhile, the respected campaign group Physicians for Human Rights (PHR) said the death toll from the disease was much higher than official data showed and accused Mr Mugabe’s government of responsibility for the crisis. It called for an official investigation by the International Criminal Court and said the United Nations should take control of health in the country.

Its report, entitled “Health in Ruins, a man-made disaster in Zimbabwe”, followed a visit by a team of six specialists, four human rights experts and two doctors to the country last month. PHR, which won the Nobel Peace Prize for its work lobbying against land mines, said the team was shocked by what they found.

The analysis found that the scale of the health sector's collapse was "unprecedented" and that government had deliberately tried to downplay the cholera outbreak.

"These findings add to the growing evidence that Robert Mugabe and his regime may well be guilty of crimes against humanity," states the report's preface, which is signed by South African Archbishop Desmond Tutu, former UN High Commissioner for Human Rights Mary Robinson and Richard Goldstone, a former chief prosecutor at the International Criminal Tribunal for Rwanda.

The government had ignored warnings from civic organisations in 2006 about the possibility of a cholera outbreak because of a failure to maintain water purification systems, it said.

Mr Mugabe's allies have accused western countries of trying to use the cholera outbreak as an excuse to topple him. They blame Zimbabwe's problems on Western sanctions – an assertion dismissed by the team which said the root of the crisis was economic collapse, citing in particular the land seizures of 2000 and failure to control hyperinflation.

The WHO update showed 2,024 people had been killed by cholera from 39,806 cases. It is the worst outbreak of the disease in Africa since 1999. In normal cholera outbreaks the death toll is around one in every 100. In Zimbabwe, it is between four and five in every 100.

The waterborne disease has also spread to Zimbabwe’s neighbours with at least 13 deaths and 1,419 cases in South Africa. Botswana, Mozambique and Zambia have also reported cholera cases.

Thursday, January 1, 2009

Social Welfare background information for African Immigrants living in the U.S.

Federally funded and governed US welfare began in the 1930’s during the Great Depression. The US government responded to the overwhelming number of families and individuals in need of aid by creating a welfare program that would give assistance to those who had little or no income.

The US welfare system stayed in the hands of the federal government for the next sixty-one years. Many Americans were unhappy with the welfare system, claiming that individuals were abusing the welfare program by not applying for jobs, having more children just to get more aid, and staying unmarried so as to qualify for greater benefits. Welfare system reform became a hot topic in the1990’s. Bill Clinton was elected as President with the intention of reforming the federally run US Welfare program. In 1996 the Republican Congress passed a reform law signed by President Clinton that gave the control of the welfare system back to the states.

Eligibility Requirements for State Welfare Program

Eligibility for a Welfare program depends on numerous factors. Eligibility is determined using gross and net income, size of the family, and any crisis situation such as medical emergencies, pregnancy, homelessness or unemployment. A case worker is assigned to those applying for aid. They will gather all the necessary information to determine the amount and type of benefits that an individual is eligible for.

The Federal government provides assistance through TANF (Temporary Assistance for Needy Families). TANF is a grant given to each state to run their own welfare program. To help overcome the former problem of unemployment due to reliance on the welfare system, the TANF grant requires that all recipients of welfare aid must find work within two years of receiving aid, including single parents who are required to work at least 30 hours per week opposed to 35 or 55 required by two parent families. Failure to comply with work requirements could result in loss of benefits.


Types of Welfare Available

The type and amount of aid available to individuals and dependent children varies from state to state. When the Federal Government gave control back to the states there was no longer one source and one set of requirements. Most states offer basic aid such as health care, food stamps, child care assistance, unemployment, cash aid, and housing assistance.


How to Apply for a Welfare Program

To apply for a welfare program one must contact the local Human Service Department located in the government pages of the phone book. It may be listed as Human Services, Family Services or Adult and Family Services. An appointment is made with a case worker. The case worker will give a list of required documents needed at the appointment. Common documents asked for are proof of income, ID, and utility bills or other proof of residency.

Once an appointment is completed a case worker will review all required documents, applications and information provided at the meeting. They will use this information to determine eligibility and the amount of assistance.

http://www.welfareinfo.org/