| National
South-South Support Structure Workshop
09
June 2009, Addis Ababa, Ethiopia
Statement
by
Mr. Harry S. Jooseery
Executive Director, PPD
Dr.
Kesetebreha Admassu Barhnne, Director
General, Health Promotion and Disease
Prevention General Directorate, Ministry
of Health, Government of Ethiopia
Dr.
Tizita Hailu, Director, Health Promotion
and Disease Prevention General Directorate,
Ministry of Health, Government of
Ethiopia
Mr.
Tedros Tolessa, PCC of PPD
Distinguished
Guests – Ladies and Gentlemen
I
am pleased to welcome you to this
“National South-South Support
Structure Workshop” jointly
organized by the Ministry of Health,
Government of Ethiopia and PPD. This
is a first official event that PPD
and Government of the Ethiopia are
organizing here today.
I
would like in the first instance to
express my gratitude and thanks to
the Government of the Ethiopia, especially,
Director General, Health Promotion
and Disease Prevention General Directorate,
Dr. Kesetebreha Admassu Barhnne for
hosting this event and inviting me
to be part of it.
I
would also like to thank Dr. Tizita
Hailu, Director, Health Promotion
and Disease Prevention General Directorate
and Mr. Tedres Tolossa, PCC of PPD
for the support provided to PPD for
organizing this event.
Distinguished
Guests – Ladies and Gentlemen
- It is my pleasure welcoming
Ethiopia on board PPD whose membership
was ratified at the Thirteenth Annual
Board Meeting of PPD held in Kampala,
Uganda on 26 November 2008. However,
Ethiopia was accepted as a Member
of PPD long ago when the country official
expressed its interest for the membership
of PPD.
I
bring with me the greetings of the
Honorable Chair of PPD, H.E. Mr. Ghulam
Nabi Azad, Minister of Health and
Family Welfare of the Government of
India and all the Board Members of
PPD. Ethiopia’s partnership
with PPD has added value to PPD and
no doubt this partnership will help
greatly to promote more engagement
in promoting South-South cooperation.
Honorable Minister, I am convinced
that your vision and farsightedness
will lead the change and that Ethiopia
will grasp the outside world.
I wish to introduce to you our organization
so that you could better understand
how the South-South initiative could
be a value added and effective strategy
for change.
PPD
is only an intergovernmental organization
in the world that created during the
International Conference on Population
and Development (ICPD) held in Cairo
in 1994 to promote and strengthen
reproductive health, population, women
empowerment and poverty alleviation
through south-south cooperation. It
enjoys a high level reputation and
creditworthiness worldwide, alliances
24 developing countries and accounts
57% of the world population. The Secretariat
of PPD is based in Bangladesh. We
have a Regional Office for Africa
in Kampala, Uganda, a Program Office
in China and another office in New
York, USA, where we are also a Permanent
Observer to the United Nations.
The Governing Board of PPD that constitutes
of Cabinet Ministers from members
countries ensures the highest policy
level commitments of the governments
to the alliance. Its board meeting
offers opportunity for negotiating
bilateral or multilateral cooperation
among member countries on different
areas of common interests. PPD members
can take united stand on issues of
common interest for developing countries
in the international forums. International
forums and conferences of PPD provide
member countries with exposure to
the latest approaches and strategies
for the development.
PPD
enables its members and other developing
countries to share their knowledge,
experiences, expertise, best practices
and technologies to ensure sustainable
development and improve the quality
of life through south-south cooperation.
South-south cooperation is universally
acknowledged as one of the most efficient,
cost effective and result oriented
modalities for attaining sustainable
development of southern nations. It
has unfettered access to the relevant
information, knowledge, experiences,
expertise, best practices and technical
know-how available in different members
countries to facilitate sharing, exchange
and transfer among developing countries.
PPD has also long term and effective
collaborative partnerships with the
world’s premiere training and
research institutions which help capacity
development at individual, institutional
and systems level of the member countries.
Distinguished
Guests – Ladies and gentlemen
- Fifteen Years after ICPD, we cannot
but rejoice at the tremendous achievement
registered in the area of Reproductive
Health, Population and Development.
The quality of life in general has
improved substantially in the world.
We can proudly say that the Cairo
Agenda has not remained a blueprint.
It has ushered important changes in
many parts of the world and ICPD must
indeed be applauded for having been
the turning point that has reshaped
policies and program addressing Women’s
Reproductive Health, Adolescent Sexual
Health and many other culturally sensitive
issues. We note with satisfaction
that for the last 15 years the broad
concept of reproductive health which
was adopted at Cairo has been incorporated
in increasing number of government
policies. Though Reproductive Health
was not included into MDGs in 2000,
we are glad that it has been added
as an additional target in the Millennium
+ 5 document adopted in 2005.
Distinguished
Guests – Ladies and gentlemen
- we are going through a very difficult
period and the ICPD goals, just as
the Millennium Development Goals,
are far from being achieved. Donor
countries have shied away from their
commitment to Official Development
Assistance (ODA). The funding for
the RH programs has fallen by 60%
during the last ten years. There are
many challenges we need to face for
our better living. The growing population
of the world is emerging once again
as a threat especially in the developing
world. Current global economic and
food crisis further jeopardize the
world socio-economic progress. As
the global economic crisis deepens,
hunger and malnutrition are likely
to increase. Reduced incomes and higher
unemployment will greatly impact on
the purchasing power of the poor.
Population of the world has increased
by 114% from 1960 to 2005 and is projected
to increase over 9 billion in 2050.
With the dramatic increase in world
population is the rise in global warming
and environmental degradation. It
is projected that the average surface
temperature will rise by 1.1 to 6.4
degree Celsius over the 21st century
with serious implications not only
on public health but the very survival
of human species on earth. In 1990s
approximately 600,000 deaths occurred
worldwide as a result of weather-related
natural disasters, 95% of which took
place in developing countries. Poor
people are becoming lesser fortunate
and more destitute. The quality of
life of many in the developing world
has either remained stagnant or decreased.
About half of the world’s population
could face food shortages by the next
century due to slash of crop yields
from 20% to 40%.
It
is unfortunate that many developing
countries are still patriarchal with
strong gender discrimination and other
forms of social exclusion adversely
effecting Reproductive Health. The
rise of religious bias and fundamentalism
retards progress and unfortunately
contributes enormously in making girls
and women easy prey to male dominance.
The religious opposition to modern
contraception, abortion and women
empowerment in some parts of the world
are very strong particularly in Africa.
The "Mexico City" global
gag rule policy further supported
to these oppositions groups that greatly
harmed the family planning worldwide.
The ‘global gag rule’
which restricts funding for family
planning is considered to be a major
factor behind the limited access of
women to contraceptives. Worldwide,
unsafe, clandestine abortions are
the cause of an estimated 78,000 maternal
deaths each year and many thousands
more maternal injuries.
In Africa, contraceptive use is lowest
in the world, Total Fertility Rate
is 5-6 births per women and ¾
of women in Sub-Saharan Africa need
but do not have access to Family Planning.
The use of contraceptives is 21% in
Sub-Saharan Africa while the world
average is 59%. In Africa alone, 100
million women and girls have had genital
mutilation. Twenty seven out of the
46 states in Africa still practice
Female Genital Cutting. An estimated
22 million people were living with
HIV at the end of 2007 and approximately
1.9 million additional people were
infected with HIV during that year.
Two third of HIV infections among
15-20 years old occur in Africa.
We are glad to learn that Ethiopia
has made encouraging progress in recent
years to achieve ICPD goals and MDGs.
It is appreciating that 60% of the
women in the country are approving
Family planning method. The government
is addressing the problems of Reproductive
Health, Malaria and HIV/AIDs. The
Government of Ethiopia formulated
a reproductive health task force composes
of representatives from local NGOs,
government ministries, international
organizations and donors, including
USAID to strengthen the Reproductive
Health programs in the country.
There is a lot of experiences and
knowledge that Ethiopia has achieved
in the course of implementation of
reproductive health programs which
can be shared with PPD’s partners
country, for example:
-
Innovative approaches like Community-based
Reproductive Health Agents (CBRHAs)
are performing integrated HIV
and family planning services.
CBRHAs supplement government health
workers’ outreach by providing
primary health services, increasing
community knowledge and offering
immediate access to reproductive
health services, including HIV/AIDS
prevention and care. About 12
840 CBRHAs were working in seven
out of nine administrative regions
in the country. CBRHAs have been
credited with increasing both
contraceptive knowledge and prevalence
in project areas as well as providing
satisfactory reproductive health
services from clients’ perspectives.
- The
Ethiopian Ministry of Health introduced
a new outreach program, called
the health extension package are
intensively trained for 1 year
and then deployed to rural regions
of Ethiopia. As of late 2004 several
thousand HEWs have been deployed
in the country, and are continuously
supervised by the Ethiopian Ministry
of Health.
- Radio
Soap Opera is another innovative
program that encourages Safer
Sexual Behavior to Prevent HIV/AIDS
among Ethiopia’s Young Adults.
THE RADIO SERIAL DRAMA Journey
Through Life is designed to persuade
young Ethiopian adults to practice
safe behaviors to protect themselves
from unwanted pregnancy and HIV/AIDS.
About 90 percent of targeted listeners
changed their health behaviors
in positive ways.
Distinguished
Guests – Ladies and Gentlemen
- we need to reposition Family
Planning and HIV/AIDs program into
the development agenda, integrate
Family Planning for a more concerted
effort and positive result. While
we need to find new champions for
Family Planning and promote greater
resource mobilization for Reproductive
Health programs, we need perhaps more
importantly to reinforce political
commitments and promote good governance.
The South-South cooperation entails
that we have among us the skills,
capabilities and expertise, and if
we can galvanize our efforts together,
we can improve the destiny of our
children and particularly the improvement
of the total population.
PPD
will ensure that developing countries,
despite their low resource base, are
able to fully utilize their comparative
advantage and become leaders in their
respective fields. PPD will continue
to develop and build institutional
and individual capacities, continue
advocacy for better access to Family
Planning Services, and the integration
of RH with HIV/AIDS for a balanced
sharing of resources, and work for
a secured supply of affordable and
quality RH products and services in
our member countries.
In
the context of promoting South-South
cooperation, RH and HIV/AIDS programs
in Ethiopia, PPD commits to facilitate
support and technical assistance.
You will be happy to learn that a
MoU has been signed between China
and PPD to provide technical assistance
to the PPD member countries. China
and other member countries are willing
to provide technical assistance to
PPD’s partners countries. We
are negotiating with these countries,
and PPD will coordinate to strengthen
relevant capabilities in Ethiopia.
I am pleased to inform you that PPD
will provide some fellowships to professionals
and executives of Ethiopia in the
fields of RH, and, Population and
Demography during 2009-10 for a one
year course in Demography at The Cairo
Demographic Centre to the National
Population Council.
Distinguished Guests – Ladies
and gentlemen, PPD has developed a
new Strategic Business Plan (2008-2011)
that was approved by its Board at
its last meeting in November 2008.
As stated in the plan, in the next
four years PPD will focus on:
1.
Advocacy
2. Capacity Building
3. The exchange of experience and
good practice
4. Training and Research
We
wish Ethiopia to be involved in all
these four areas of focus of PPD and
play a more active role in South-South
Cooperation. I have the firm conviction,
that together we will build a better
future for our children. We need to
create a solid foundation of strong
and coherent partnership. Besides
cross-sectoral collaborations between
and within governments, we need also
a strong private and public sector
partnership, participation of NGOs,
academia, professional organizations,
media agencies and all other branches
of the civil-society in a spirit and
movement that acknowledge and respect
the roles and responsibilities of
all and in addition provide necessary
conditions for the growth of each
and every one. This is a new culture
that we wish to instill to enable
government and stakeholders alleviate
the sufferings of millions of people
in the developing world, and especially
in Africa.
PPD wishes to create an effective
National Task Force in Ethiopia or
can strengthen the existing Taskforce
to galvanize efforts to promote South-South
Cooperation, with the involvement
of respective stakeholders. While
the Ethiopia can share its experiences,
it can also learn from the experiences
of other countries. The PPD will provide
technical and other forms of assistance
to the national task force to enable
it achieve its objectives. Let us
we commit to three core actions for
the coming years:
-
Implement comprehensive reproductive
health services, which include
family planning and HIV/AIDs;
skilled care during pregnancy
and delivery and postpartum; access
to safe abortion; prevention,
care, and treatment for sexually
transmitted infections, including
HIV/AIDs.
- Strengthen
health systems to ensure equitable
access to these services and provide
health information and sexuality
education, particularly for the
largest-ever generation of adolescents.
- Invest
in policies, programs and systems
actions that give women and girls
access to economic resources,
skills training, and social support
and that protect their right to
have control over and decide freely
and responsibly on matters related
to their sexuality, including
sexual and reproductive health,
free of coercion, discrimination,
and violence.
Let
us join hand to continue promoting
the partnership with Ethiopia and
share to strive to improve our quality
of life of our brothers and sisters
in Ethiopia and in the developing
world.
Distinguished Guests – Ladies
and Gentlemen, I thank you
for your attention.
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