Saturday, August 8, 2020

Yemen's Multilayered War: The Failing Healthcare Infrastructure

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Anant Jani

Article Title

Yemen's Multilayered War: The Failing Healthcare Infrastructure

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Global Views 360

Publication Date

August 8, 2020

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Air strike Al-Thawra hospital, Hodeida on August 2, 2018

Air strike Al-Thawra hospital, Hodeida on August 2, 2018 | Photo credit: ABDO HYDER/AFP/Getty Images | Source: Felton Davis via Flickr

This is the 6th and last part of a short explainer article series on the current crisis in Yemen. To read the earlier parts of the series click on the link.

To read the 1st part of the series click on the link.

To read the 2nd part of the series click on the link.

To read the 3rd part of the series click on the link.

To read the 4th part of the series click on the link.

To read the 5th part of the series click on the link.

The civil war in Yemen, more so after 2015 has taken a toll on the civic infrastructure of the already fragile and poor country. Among these, the healthcare infrastructure of the country was one of the worst affected.

Apart from the physical damage to the hospitals and clinics due to the aerial bombings by the Saudi Arabia led coalition, the naval blockades exacerbated the dire situation. In June 2015 itself, aid agencies warned of the humanitarian risks brought by the US and UK-backed Saudi blockades.

The humanitarian situation aggravated further as there was a consistent famine since 2016 and Yemen was dependent on foreign aid for feeding almost 80% of its population.  According to UNICEF reports, over 3.3 million children and pregnant or lactating women suffer from acute malnutrition.

In 2017, the World Food Programme estimated that an additional 3.2 million people would be pushed into hunger. If left untreated, 150,000 malnourished children could die within the coming months.

Save the Children, the international charity and aid agency, estimated that 85,000 children under the age of five have starved to death in between 2015 to 2018.

Major healthcare operatives are dying due to the active bombing and conflict in Yemen, including personnel from MSF and United Nations Office for Coordination of Humanitarian Affairs (OCHO).

The MSF (or Doctors Without Borders), who have been in Yemen since 2007, have reported that fears of stigmatization are causing people to stay away from hospitals, with misinformation and lack of medical services only compounding the healthcare issue during the pandemic.

As of 24th July, the country reports 1640 confirmed infections and 458 related deaths.  Al Jazeera reported that “Cemeteries in Aden are overflowing with graves, suggesting that the number of people killed by the new coronavirus is higher than the official count.” Yemen and its related aid agencies also suffer from lack of PPEs and adequate information about the pandemic.

As of April 2020, there are 800,000 internally displaced persons in just one province of Yemen Marib. The number of verified civilian deaths stands at 7,700.

The United Nations has been continually asking for donations, but has failed to collect as much as it requires. While it collected $4 billion last year, it has only received $700 million, halfway into 2020.

The UN urged for $2.4 billion this year to fight the humanitarian crises and the Coronavirus. As of 2nd June, 29 countries and the European Commission pledged a total of $1.35 billion to support humanitarian efforts in Yemen, just over half of the amount needed to sustain programs through the end of this year.

In April 2020, the Saudi deputy defence minister, Prince Khalid bin Salman, said Saudi Arabia “will contribute $500m to the UN humanitarian relief program for Yemen in 2020, and an additional $25m to help combat the pandemic. It is up to Houthis to put the health and safety of the Yemeni people above all else.”

There are 41 major UN programmes in Yemen, and it is estimated that more than 30 of them will close due to lack of funds. The UN stated, “Due to the COVID-19 suppression measures, all integrated outreach activities, which include the Expanded Programme on Immunization, Integrated Management of Childhood Illness, Maternal and Newborn Health,and nutrition activities, were suspended.”

Most of Yemen's 3,500 medical facilities have been damaged or destroyed in air strikes, and only half are thought to be fully functioning. Officials warn that monetary relief may not be enough to assist in the war against the pandemic alongside the Civil War. A solution to the war must be found soon, before the pandemic eviscerates more of the healthcare infrastructure.

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February 4, 2021 5:10 PM

How is Nigeria fighting Boko Haram

It was in the 2000s that Nigeria first faced the threat of Boko Haram, the affiliate of Islamic State in Africa. As President Muhammadu Buhari completes five years of being in power, which he got primarily for his plank of defeating Boko Haram, the battle still continues.

Buhari won the presidential election in 2015 against then President Goodluck Jonathan by touting his military background as an asset in defeating Boko Haram, which his predecessor was not able to do. While in his first few months as President he did show results by pushing Boko Haram out of some territories, the Nigerian military was unable to maintain the momentum as Boko Haram struck back with new tactics.

General Muhammadu Buhari, President, Nigeria | Source: Chatham House via Wikimedia

There is widespread distrust towards government officials and Buhari’s popularity has also eroded massively. The citizens are making their dissatisfaction known through anti government demonstrations. Meanwhile the administration seems busy playing blame games and guessing at where things are going wrong in the military’s efforts to contain the violence.

In June 2020, Nigeria saw one of its deadliest attacks in recent times, a hard turn from claims by the military in April that a Boko Haram leader appeared ready to surrender “based on body language.”

Boko Haram which means "Western education is prohibited" in the local Hausa dialect, first began in 2002 under Muhammad Yusuf. They called shunning the western influence in the social sphere and called  for the enforcement of sharia even among non-Muslims. Its leader Mohammad Yusuf was killed in police custody in 2009. However the government authorities failed to utilise this opportunity and showed slackness in rehabilitating the group members, who moved underground, regrouped under new leadership, and continuing to terrorise even larger areas.

Image of Boko Haram terrorists | AK Rockefeller via Flickr

Many factors have been considered in piecing together what led to the creation of Boko Haram and how its existence has been sustained, ranging from support from ISIS, ability to internationalize as a group, and possible assistance from Libya.

The US and Europe have been seen as reluctant to extend any real aid, perhaps due to Nigeria’s oil reserves and a desire to keep African countries destabilised to maintain their neo-colonial stronghold in the region. Internally, corruption and laxity in action of troops has often been cited as big hurdles in controlling the situation.

Two Boko Haram vehicles destroyed. | Source: M. Kindzeka via Wikimedia

As for solutions, many have turned their focus towards rebuilding communities in the aftermath of thousands of people being murdered and displaced due to the ongoing violence. Not just civilian casualties, but a disastrous lack of necessities such as food, water and electricity is leading to a humanitarian crisis in the area falling in the conflict zone between Boko Haram and the military.

President Buhari currently seems slow to admit that Boko Haram cannot be “defeated on the battlefield alone.” Apart from improving the military’s response he must also take measures for alleviating poverty, destroying corruption and ‘de-radicalisation’ of those recruited into Boko Haram.

Some localised efforts are being taken to stabilise the situation by empowering communities to resolve conflicts, improving civil infrastructure, and reintegrating reformed militants.

However, localised efforts are short-term in nature, and their stability and success is greatly determined by the government which understands that more than killing the attackers, trust and active participation of its citizens is needed to resolve this conflict

The impact of Boko Haram on the people of Nigeria has been multifold, and the arsenal to ‘defeat’ Boko Haram must be expanded and redefined.

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