Catholic Church — Condoms Don’t Stop AIDS

The Roman Catholic Church came in for much-deserved criticism after a BBC documentary, “Sex and the Holy City,” that documented the Church’s ridiculous — and potentially deadly — practice of telling people in countries hit hard by AIDS that condoms don’t prevent the spread of HIV.

In the program, Cardinal Alfonso Lopez Trujillo is shown repeating a ridiculous claim that the AIDS virus can permeate a condom,

The Aids virus is roughly 450 times smaller than the spermatozoon. The spermatozoon can easily pass through the ‘net’ that is formed by the condom.

In fact, as the U.S. Centers for Disease Control notes,

Laboratory studies have demonstrated that latex condoms provide an essentially impermeable barrier to particles the size of STD pathogens.

But Trujillo would have governments regulate condoms in the same way they regulate cigarettes,

These margins of uncertainty…should represent an obligation on the part of the health ministries and all these campaigns to act in the same way as they do with regard to cigarettes, which they state to be a danger.

And this message is filtering down to Catholic officials in developing countries who are passing it on. Nairobi Archbishop Raphael Ndingi Nzeki tells the BBC program that,

Aids…has grown so fast because of the availability of condoms.

A spokesman for the World Health Organization told the BBC that the Church’s anti-condom campaign would only help to further spread AIDS,

Statements like this are quite dangerous. We are facing a global pandemic which has already killed more than 20 million people and currently affects around 42 million. There is so much evidence to show that condoms don’t let sexually transmitted infections like HIV through. Anyone who says otherwise is just wrong.

Condoms are not a magic bullet that makes it impossible to spread HIV, but studies suggest it does reduce the risk of AIDS transmission by up to 90 percent. Spreading misinformation and lies like this is simply unconscionable.

Sources:

Vatican: condoms don’t stop Aids. Steve Bradshaw, The Guardian, October 9, 2003.

Vatican in HIV condom row. The BBC, October 9, 2003.

HIV can ‘slip’ through condom. News24.Com (South Africa), October 9, 2003.

Fact Sheet for Public Health Personnel: Male Latex Condoms and Sexually Transmitted Diseases. U.S. Centers for Disease Control.

How Much Is That Kenyan Judge in the Window?

Kenyan newspaper The Daily Nation published in October a price list for what it costs to bribe judges in that country and claimed that as many as half of the judges in the country were corrupt and could be bought.

According to the report an appeals judge would want US $19,800 for a bribe, whereas a mere magistrate could be had for about $50.

The Daily Nation’s story was based on a report commissioned by Kenya’s Chief Justice Evans Gicheru. Kenyan president Mwai Kibaki promised to crack down on judicial corruption during his successful election bid in December 2002.

The BBC reports that Evans told corrupt judges that they should do themselves a favor and resign now or face prosecution,

Those who are corrupt know themselves. The option is theirs, they can get out quietly without causing ripples but those who want hard-tackling we are prepared. We will wait for them to go, but for those remaining, I’ll advise the president to set up a tribunal.

Source:

‘Price list’ for Kenya’s judges. The BBC, October 3, 2003.

Population Action International: U.S. Abortion Gag Rule Undermines Health Care Around the World

Population Action International released a report in September charging that the U.S.’s global gag rule on abortion is undermining health care efforts in a number of countries. The gag rule bars any monies being given to family planning agencies that performs abortions or offers abortion counseling.

According to a press release from Population Action International announcing its report,

Conducted by a coalition of reproductive health care organizations, the study documents the effects of the Global Gag Rule in Ethiopia, Kenya, Zambia, and Romania. Health services have been scaled back and closings of reproductive health clinics have left some communities with no health care provider. Because of the gag rule, many family planning organizations have been cut off from supplies of USAID contraceptives, including condoms. Public health evidence shows that lack of contraception leads to an increase in unwanted pregnancies and unsafe abortion.

Population Action International cites the case of a clinic in Mathare Valley, Kenya, which had to shut down after the global gag rule was reinstituted. According to the report, this left 300,000 people in the Mathare Valley with no access to health care.

Similarly, the report found that after Lesotho refused to abide by the gag rule provisions, USAID refused to donate any condoms or other contraceptives to that nation. About a quarter of Lesotho’s population is HIV positive and USAID had been sending more than 100,000 condoms annually to the Lesotho Planned Parenthood Association.

Amy Coen, president of Population Action International, said in a press release, “The Global Gag Rule is yet another example of how the Bush Administration is allowing political ideology to trump science. The policy shows no respect for scientific evidence and proven public health practices, and no compassion for the millions of women around the world engaged in a daily struggle for existence.”

The full report is available here.

Sources:

US abortion rule ‘hits Africa women’. The BBC, September 25, 2003.

Bush AdministrationÂ’s Global Gag Rule Jeopardizing Health Care, Weakening HIV/AIDS Prevention and Endangering Lives. Population Action International, September 24, 2003.

Argentina Receives $12.5 Billion IMF Loan

Back in 2001 economic problems in Argentina forced President Fernando de la Rua to flee his presidential palace in helicopter after resigning halfway through his term. Shortly afterward, Argentina set the dubious mark of the largest default on foreign debt ever — $140 billion.

But in September the International Monetary Fund agreed to loan Argentina an additional $12.5 billion over the next three years to bail it out of its economic crisis. Talks were scheduled with Argentina for October to discuss rescheduling $90 billion of its foreign debt.

Argentina asked private creditors to write off as much as 75 percent of its debt (in the form of government bonds).

In order to obtain the loan, Argentina agreed to control government spending and achieve maintain a budget surplus equal to 3 percent of gross domestic product for 2004. The government also agreed to submit a tax reform plan to the Argentine legislature by 2005.

Sources:

Argentina gets huge IMF loan. The BBC, September 21, 2003.

IMF approves US$12.5 billion loan package for Argentina. Associated Press, September 21, 2003.

UN Official Wars AIDS Crisis Could Wreck Africa’s Future

Speaking at a September AIDS conference in Kenya, UN AIDS Program director Michel Sidibe warned that, if left unchecked, the AIDS epidemic threatens to become a catastrophe that will wreck Africa’s future.

Sidibe’s speech reinforced the findings of a UN AIDS report, “Accelerating Action Against AIDS in Africa,” that called for increasing the pace of action against AIDS,

The effects of AIDS in Africa are eroding decades of development efforts. In high-HIV-prevalence countries, families are unraveling, economies are slowing down, and social services are deteriorating. In Southern Africa, where HIV prevalence is higher than anywhere else in the world, AIDS has exacerbated food insecurity, demonstrating how the epidemic and humanitarian crises intertwine.

AIDS has killed an estimated 15 million people in Africa already, and signs are not encouraging to prevent another 15 million deaths. The UN AIDS report notes that infection rates in southern Africa are unbelievably high — in Botswana, for example, 40 percent of the adult population is believed to be HIV positive. A World Health Organization study of pregnant women in southern Africa found 20 percent of those tested were HIV positive.

More money is being committed to fight the AIDS crisis in Africa, but whether aid agencies and governments will be able to translate that money into an effective anti-AIDS strategy remains to be seen. If they fail, Africa’s future is likely to be as bleak as its recent past.

Source:

AIDS ‘threatens African security’. The BBC, September 21, 2003.

U.N.: AIDS Is Major Challenge in Africa. Associated Press, September 21, 2003.

World Bank President Chastises Developed World, But Developing Countries Not Impressed

World Bank President James Wolfensohn gave a speech at the annual meeting of the World Bank and the International Monetary Fund in September that highlighted the problem with the developed world’s continued hypocrisy when it comes to free trade.

Wolfensohn rightly chastised the developed world for spending just $56 billion in foreign aid while devoting $300 billion to farm subsidies. Wolfensohn said,

There is further imbalance between what rich countries spend on development assistance– $56 billion a year– compared with the $300 billion they spend on agricultural subsidies and $600 billion for defense. The poor countries themselves spend $200 billion on defense-more than what they spend on education. Another major imbalance.

. . .

Action on trade is equally important. It is inconsistent to preach the benefits of free trade and then maintain the highest subsidies and barriers for precisely those goods in which poor countries have a comparative advantage. Developing countries also need to help themselves on this point, since they pay substantial tariffs in South-South trade.

Certainly good to hear as far as it goes, but at least one attendee — Demba Moussa Dembele of Senegal — told the BBC that Wolfensohn and the World Bank were also engaged in their own form of hypocrisy,

It was the World Bank which insisted our countries open up to trade and investment from the North and told us to trust in global markets.

Didn’t the Bank know about the market distortions created by subsidies and trade restrictions? It should not just urger the North to change its policies, but take responsibility for misleading us down the path of rigged prices and poverty.

In fact, it is interesting that while Wolfensohn devoted plenty of time to criticizing the developing and developed countries, he couldn’t afford even a single sentence for a little introspection about the World Bank’s failures.

Being from the World Bank apparently means never having to say you’re sorry.

Sources:

A New Global Balance: The Challenge of Leadership. James Wolfensohn, September 23, 2003.

Growing gulf between rich and poor. Rick Rowden, The BBC, September 24, 2003.

Egyptian President Blames Birth Rate for Poor Economic Performance

The BBC reported in September that Egyptian president Hosni Mubarak said that the real problem facing Egypt is its high birth. According to the BBC,

Now, President Mubarak’s remarks have touched on one of the most fundamental problems facing Egypt, and which is often forgotten when discussing the country’s problems – rapid population growth.

The number of Egyptians born every year far outpaces projected growth rates for the economy.

According to official figures, the population increases at the rate of about 2% annually.

At that rate, Mr Mubarak said, Egypt’s 70 million people will have grown to 85 million in 10 years’ time.

According to the International Monetary Fund, economic growth in Egypt is forecast to be about 3% for the next year – way below what is needed to absorb the ever growing number of the unemployed.

Give me a break.

Yes, Egypt still has a relatively high total fertility rate. In 1965, its TFR was 7.0, which fell to 3.4 by 1998. Egypt is currently projected to achieve a TFR of 2.0 sometime between 2020-2025.

Due to the age structure of Egypt’s population, this means that the country will stabilize at a population of around 115 million, compared to its 1995 population of 62.3 million.

But there is nothing inherent in such population growth that would cause unemployment and the other problems afflicting Egypt. Rather, those are due primarily to the general global economic downturn combined with Egyptian policies that deter foreign investment and generally have retarded Egyptian economic growth. There’s only so much economic growth you can squeeze out of low-yield agriculture and tourism.

Source:

Birth rate ‘hurts Egypt’s economy’. The BBC, September 22, 2003.

Is There Really a Link Between Small Arms and Poverty/Political Instability

Small Arms Survey released its 2003 report in July finding, among other things, that there are far fewer small arms circulating in Africa than previously thought.

Previous estimates of the number of small arms — weapons that can be carried by one person — put the total as high as 100 million. According to Small Arms Survey, however, there are only about 30 million small arms in Africa — about 1 gun for every 20 people.

Small Arms Survey blames the proliferation of small arms for causing instability in Africa and other developing regions. In a press release announcing the report, Small Arms Survey quotes United Nations Development Program administrator Mark Malloch Brown as saying,

[Small arms] have an insidious effect on development: by undermining the safety and security of communities, threatening livelihoods, and destroying social networks, they at best hold back and at worst contribute to the reversal of hard-won development gains. This edition of the Small Arms Survey makes an invaluable contribution to global efforts to develop and implement effective projects to limit the use and spread of small arms. It provides an important global point of reference for UND and other international agencies seeking to confront this critical challenge to human society.

Given the alleged inherent destabilizing nature of small arms, then, one would reasonably expect that the country with the highest level of small arms ownership would also be one of the most backward, underdeveloped spots on the planet. But, of course, the country with the highest penetration of small arms is the wealthiest country on the face of the planet — the United States of America.

While Africa has a measly 1 gun for every 20 people, the United States has an astounding 4 guns for every 5 people. Africa’s gun ownership rate, in fact, is just slightly above that of Europe, and Europe is hardly a hotbed of poverty and political instability either.

Sources:

One gun for every 20 Africans. The BBC, September 24, 2003.

Global Arms Survey Finds U.S. Most-Armed Nation. Edith Lederer, Associated Press, July 9, 2003.

Small Arms Survey 2003: Development Denied. Press Release, Small Arms Survey, July 8, 2003.

World Development Report Highlights Failure of Developing World Governments to Provide Basic Services

The World Bank’s World Development Report 2004 concludes that many developing countries fail to provide even the most basic of services to their citizens and the developing world is likely to miss the targets of the Millennium Development Goal. The Millennium Development Goal called for halving poverty and improving meeting basic needs of people in developing countries by 2015.

The problems with services range from lack of improved sanitation to few educational opportunities. For example, 2.5 billion people still lack access to improved sanitation around the world.

The report finds that — surprise — simply throwing money at these problems rarely arrives at solutions. The Middle East, for example, spends more per capita on education than any other developing region, but still has some of the highest illiteracy rates in the world due to unequal access for women and girls.

According to a press release announcing the report,

The productivity of public spending varies enormously across countries. Ethiopia and Malawi spend roughly the same amount per person on primary education – with very different outcomes. Peru and Thailand spend vastly different amounts – with similar outcomes.

The Report concludes that no one size fits all. The type of service delivery mechanism needs to be tailored to characteristics of the service and circumstances of the country. For instance, if the service is easy to monitor, such as immunization, and it is in a country where the politics are pro-poor, such as Norway, then it can be delivered by the central government directly, or contracted out. But if the politics of the country are such that these resources are likely to be diverted to the well-off by way of patronage, and the service is difficult to monitor, such as student learning, then arrangements that strengthen the clientÂ’s power as much as possible are necessary. Means-tested voucher schemes, as in Colombia or Bangladesh, community-managed schools as in El Salvador, or transparent, rule-based programs, such as MexicoÂ’s ‘Progresa”, are more likely to work for poor people.

The report recommends three basic ways to improve basic services to the poor,

1. By increasing poor clientsÂ’ choice and participation in service delivery, so they can monitor and discipline providers. School voucher schemes – such as a program for poor families in Colombia, or a girlsÂ’ scholarship program in Bangladesh (that paid schools based on the number of girls they enrolled) – increase clientsÂ’ power over providers, and substantially increased enrollment rates. Community-managed schools in El Salvador, where parents visited schools regularly, lowered teacher absenteeism and raised student test scores.

2. By raising poor citizensÂ’ voice, through the ballot box and making information widely available. Service delivery surveys in Bangalore, India, that showed poor people the quality of the water, health, education and transport services they were receiving compared to neighboring districts, increased demand for better public services, and forced politicians to act.

3. By rewarding the effective and penalizing the ineffective delivery of services to poor people. In the aftermath of a civil war, Cambodia paid primary health providers in two districts based on the health of the households (as measured by independent surveys) in their district. Health indicators, as well as use by the poor, in those districts improved relative to other districts.

Sources:

Basic services ‘fail world’s poor’. The BBC, September 21, 2003.

World Development Report 2004: Making Services Work For Poor People. World Bank, September 2003.

Nigeria Starts to Take On Fuel Shortages

A couple years ago I wrote about Nigeria’s chronic gasoline shortages — ironic for a country that is one of the world’s leading exporters of oil.

This year the Nigerian government began to address the fuel shortages by moving slowly to eliminating one of the factors responsible for it — subsidies on gasoline that make it profitable to buy gasoline and sell it to neighboring countries or on the black market rather than actually use it for fuel.

After winning re-election, Nigerian President Olusegun Obasanjo raised the price of gasoline by 50 percent. According to the BBC, this immediately brought on a general strike and Obasanjo had to back of the price increase a bit, but in the end the price of gasoline still was up 30 percent.

According to the BBC, the gasoline subsidy cost the Nigerian government about $2 billion a year, so every change helps the government’s budget as well as restoring some much-needed sanity to gasoline prices in Nigeria.

Source:

Nigeria tackles fuel subsidies. Mark Ashurst, BBC, July 18, 2003.