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 4:40 PM

Black Lives Matter: Will it lead to reform of Police Forces in the USA?

The spontaneous eruption of the “Black Lives Matter” protest after the unfortunate death of George Floyd at the hands of Minneapolis police has once again put the spotlight on the operational methodology of the police department at different cities around the USA. There is a chorus across the country, more so in the Democratic Party strongholds to do fundamental reorganization of the police force by focussing on community policing. Some of the extreme and radical activists have gone so far to demand “defund the police” and re-distribute its budget to marginalized communities, municipal corporations and necessity institutions.

“There is no magic switch to turn off and boom there’s no police department,” said Alex Vitale, a sociology professor at Brooklyn College. She released a book named ‘The End of Policing’. The book has become a manifesto for protests and police-reform advocates. The defund development calls for diminishing networks' dependence on police for various administrative problems like, observing the homeless, settling household quarrels, restraining understudies, reacting to upheavals by individuals with mental illness, paring down violence in neighbourhoods, and proportional reaction to minor inconveniences like somebody attempting to pass a fake $20, the allegation that set off the police call that resulted in Floyd's demise. The funds saved by reducing the workload of police could be utilised by social and community workers to resolve street feuds. “When we talk about de-funding the police, what we're saying is invest in the resources that our communities need,” Black Lives Matter co-founder Alicia Garza told NBC News.

There are cities which have approached this reform in a positive manner. New York Mayor Bill de Blasio has decided to shift the money from NYPD budget to youth recreational programs. A whopping $150 million is being pulled out of the LAPD by Los Angeles Mayor Eric Garcetti. This money is proposed to be invested in healthcare systems and build peace centres. Similarly Portland and Oregon have consented to pull police from state funded schools. A few Minneapolis organizations, including the government funded school region, the University of Minnesota and the Park and Recreation Board, have moved to diminish or end their agreements with city police.

Dallas has earlier experienced the positive results of diverting emergency mental health calls, not only on hospitals but also police to non-police establishment when in 2018 RIGHT Care  was provided $3 million funding to look after these issues. Since the program started, ambulances and emergency vehicle calls for individuals encountering emotional wellness inconveniences have declined in the south-local region of Dallas where the program works, which has opened up officials to manage different calls, authorities said. This transition was also done after the outcry over the shooting of a schizophrenic man holding a screwdriver in 2014 and subsequent defence of police personnel by the police boss David Brown.

Law enforcement officials and conservative activists believe that de-funding police would lead to an upsurge in criminal activities. President Donald Trump has started making this as a key plank of his re-election campaign while the Former Vice President Joe Biden, who is running against Trump, also came out against de-funding police.

It is therefore too early to predict whether the current phase of “Black Lives Movement” after the death of George Floyd will be successful in bringing some substantial reform in the working of police forces across the cities of the US or the momentum will be lost with some incremental tweaking here and there.  

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