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 4:41 PM

How COVID-19 helped Netanyahu beat Benny Gantz for Israeli prime ministership

In March 2020, when COVID-19 was causing the near collapse of health systems across the world, Israel had just voted third time in the parliamentary election for the third time in less than a year. This was so because no political party was able to muster the majority in Knesset (Israeli parliament) after earlier elections in April 2019 and Sept 2019. Benjamin Netanyahu has been acting Prime minister since the time when he went for the dissolution of Knesset December 2018 with a hope of securing an extended majority for his right wing coalition. However he failed to secure even the simple majority in three elections on April 19, Sept 19, and March 20. Then came the COVID-19 and he sensed an opportunity to make a comeback from the brink of political disaster to reclaim the prime ministership of Israel.

The COVID-19 pandemic tested the Israeli citizens just like the other countries and  Benjamin Netanyahu kept on telling that unless it is effectively controlled, there will be devastation not seen since the Middle Ages. He also stressed that even the First world countries such as the US and UK are at the brink of losing control. Many Israelis expressed admiration towards Netanyahu’s quick response to the pandemic which helped to contain the pandemic in earlier stages. They flattened their curve by shutting down public places such as parks, schools, educational institutions, and the hotspot areas. He followed two stage strategies — first, to locate and isolate the infected population and then to engage the healthy population in economic activities during the conditions of a semi-lockdown. These steps were taken to save the economy. His plan also carried a huge amount of tests in the hope that it could be established that some people were developing antibodies to resist the virus and could safely be “freed” from isolation. Although the steps being acknowledged, they still raised a lot of questions against Netanyahu. He was supposed to be facing charges for breach of trust and bribery in the month of March. The court shutdown ordered by Israeli Law minister delayed Netanyahu’s charges by two months. Israel also used the cell phone of citizens to monitor their movement to track the spread of pandemic for which he was criticised for breaching the citizen’s privacy. Yohanan Plesner, the president of the Israel Democracy Institute said that Israelis trust the Shin Bet to protect them and not to abuse that trust, and the cellphone monitoring may have serious long-term effects on that trust. Netanyahu, however, defended himself with usual combativeness by stating that the courts were under a temporary shutdown and he has received permission from the General Attorney for cellphone usage data which was valid for 14 days. He also said “If the Shin Bet is to

infringe on our basic privacy, they could have done it many years ago”.

After managing to convince the citizens that he had handled the COVID-19 situation effectively, he quickly approached the rival Benny Gantz with a proposal to form an “emergency unity government”. As part of the deal he offered to share the power with Gantz’s Blue and White party for three years during which Netanyahu was to be prime minister and Benny Gants Dy prime minister for the first 18 months and the role reversal afterwards. He kept on harping the disastrous consequences of the virus and mentioned “It could affect 60-80% of the population” and said “nobody knows” how devastating the virus would ultimately prove. 

It was not easy for Benny Gantz to accept the proposal to align with Netanyahu as his whole campaign was on the issue of never supporting Netanyahu. However Netanyahu, who is acknowledged by friends and foes alike as a shrewd politician willing to go to any extent in safeguarding his own interest, finally won the war of attrition. Benny Gantz accepted the deal offered by Netanyahu and agreed to let him continue to be the prime minister for the first 18 months of the alliance period. The COVID-19 calamity has effectively turned into an opportunity for Netanyahu to hold on to the power and continue to be the prime minister of Israel.

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