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16 Days: Making Schools Safe Everywhere For Students Anywhere

In 2013, this 11-year-old girl from the Democratic Republic of Congo was raped by a family friend. In the aftermath she faced social stigma, isolation and teasing in school. USAID-supported interventions like counseling and medical care helped her regain her voice and her dignity. / Morgana Wingard, USAID.

In 2013, this 11-year-old girl from the Democratic Republic of Congo was raped by a family friend. In the aftermath she faced social stigma, isolation and teasing in school. USAID-supported interventions like counseling and medical care helped her regain her voice and her dignity. / Morgana Wingard, USAID.

“He told me I couldn’t tell anyone.”

Angelina was only 14 years old when she was sexually abused by her teacher. Born into a poor family in rural Mozambique, she sold eggs on the side of the road to help cover the cost of her education and dreamed of becoming a nurse.

Teachers wield incredible power to positively influence young lives. However, they are also able to abuse that power. In this case, Angelina’s teacher promised financial support in exchange for her silence.

Scared and struggling to afford school fees, Angelina continued to suffer abuse for an entire year. It wasn’t until she participated in a school health program run by USAID partner ANDA that Angelina realized what was happening to her was wrong.

Worldwide, 246 million children experience gender-based violence at or on their way to school every year. A report released by the United Nations Human Rights Council noted that attacks on schools occurred in at least 70 countries between 2009 and 2014, and that about 3,600 attacks against schools, teachers and students were recorded in 2012 alone.

A student at the Saffa Girls School in the West Bank raises her hand in class. The school is one of 57 in the area that USAID provided teacher training to. The school now also has 28 rehabilitated classrooms, a computer and science lab, a library, resource center, and a protected playground. / Bobby Neptune for USAID.

A student at the Saffa Girls School in the West Bank raises her hand in class. The school is one of 57 in the area that USAID provided teacher training to. The school now also has 28 rehabilitated classrooms, a computer and science lab, a library, resource center, and a protected playground. / Bobby Neptune for USAID.

And those are the numbers we know. The truth is that gender-based violence in schools is happening in every country around the world right now. It is a global phenomenon depriving children, especially girls, of their right to a safe, quality education.

From kidnappings to shootings, from acid attacks to poisoning, and from discrimination to intimidation, girls are being threatened, harassed, attacked and killed while trying to learn.

With the help of her school health program, Angelina was finally able to recognize her abuse, prosecute her abuser, and pursue an education free from fear and harassment.

In Mozambique and around the world, going from the classroom to the courtroom can be incredibly challenging. It requires survivors, communities, teachers, law enforcement and governments to work together for justice. But Angelina’s counselor hopes other girls will have the courage to say no and speak out.

We at USAID believe that schools free from abuse and violence are possible. It is exhausting and difficult work. Changing mindsets, fighting stigma, and speaking up for those who’ve been silenced can sometimes feel futile.

But behind every statistic and every story is a hero like Angelina and the brave men and women who worked tirelessly to support her. We must continue to fight alongside them until schools everywhere are safe so students anywhere can reach their potential.

The 16 Days of Activism Against Gender Violence campaign begins today. The 2015 global theme is From Peace in the Home to Peace in the World: Make Education Safe for All. This year, USAID will spotlight 16 teachers, students, leaders and activists worldwide who have triumphed over gender-based violence and/or are helping students learn and thrive.

Whether it’s creating safe spaces for students to grow and play, strengthening laws to protect the most vulnerable, or training teachers to give support when it’s needed, these individuals are working to ensure that girls and boys, and women and men, can realize their universal human right to education. Starting today and throughout the campaign, follow their stories on Instagram and Medium.

ABOUT THE AUTHOR

Susan Markham is USAID’s Senior Coordinator for Gender Equality and Women’s Empowerment. Follow her @msmarkham.

Back in the Classroom: Displaced Students in Nigeria Find Education & Hope

Ikilima Shuib Chiroma teaches a class of adolescent girls on Sept. 21 in a non-formal education facility in Yola, capital of the state of Adamawa in Nigeria. Creative is implementing USAID’s Education Crisis Response program here through partner agency International Rescue Committee to assist youth displaced by Boko Haram. / David Snyder for USAID

Ikilima Shuib Chiroma teaches a class of adolescent girls on Sept. 21 in a non-formal education facility in Yola, capital of the state of Adamawa in Nigeria. Creative is implementing USAID’s Education Crisis Response program here through partner agency International Rescue Committee to assist youth displaced by Boko Haram. / David Snyder for USAID

Like most 10-year-old students, Dinah solves her math problems in the old-fashioned way—with her fingers. She counts to six and jots down the number.

For Dinah’s extended family, they are counting something entirely different—the months since the girl lost her mother during a raid by Boko Haram insurgents on her village in northern Nigeria.

After the vicious attack, the young girl eventually made it to a center for internally displaced persons. Dinah’s uncle drove from the city of Bauchi to bring her to his home.

Today, some seven months after the incident, Dinah is adjusting to a new school and a new future.

An insurgency has wreaked havoc on parts of Nigeria, forcing some 2.2 million people from their homes—one of the largest concentrations of internally displaced persons in Africa. Hundreds of thousands of school-aged children have been set adrift inside the country, ripped from their communities and their schools.

With the magnitude of the situation, USAID, state officials and NGOs stepped in with the Education Crisis Response program.

Launched in 2014, the goal of the program is to expand access to quality and protective non-formal education and alternative education opportunities for out-of-school children, ages 6 to 17, in three Nigerian states and reduce the burden on local schools already stretched thin by limited resources. It is implemented by Creative Associates International and the International Rescue Committee, along with local NGOs.

The project has established 294 non-formal learning centers that provide education, in-class meals and psycho-social services to the displaced children, says Ayo Oladini, director of the Education Crisis Response program.

Local facilitators identified and trained by the program use a government-approved curriculum to teach basic literacy, numeracy and life skills. The learning centers are housed in existing structures like schools or meeting houses that are made available by the local community.

The students attend class three days a week for at least two hours each day and are provided basic school materials.

Adolescent girls in a non-formal education class on Sept. 21 at a school in Yola, capital of the state of Adamawa in Nigeria. Creative is implementing USAID’s Education Crisis Response program here through partner agency International Rescue Committee to assist youth displaced by Boko Haram. / David Snyder for USAID

Adolescent girls in a non-formal education class on Sept. 21 at a school in Yola, capital of the state of Adamawa in Nigeria. Creative is implementing USAID’s Education Crisis Response program here through partner agency International Rescue Committee to assist youth displaced by Boko Haram. / David Snyder for USAID

Paving the way for mainstream education

State officials evaluating the non-formal learning centers say they are working.

“The type of education they do receive is a good one,” says Halilu Usman Rishi of Bauchi’s State Education Secretariat. “That is going to [pave the] way for them to mainstream to a formal system of education.”

The opportunity to return to class is life changing, especially for the many who have been displaced and out of school for years.

“For the kids who had forgotten most of what they have learned [and are] now coming back to a classroom — to say it is therapeutic is an understatement,” Oladini said. “It’s a thing of joy.”

Youth displaced by Boko Haram take part in a non-formal learning class in Gombe, Nigeria on Sept. 26 as part of USAID’s Education Crisis Response program. / David Snyder for USAID

Youth displaced by Boko Haram take part in a non-formal learning class in Gombe, Nigeria on Sept. 26 as part of USAID’s Education Crisis Response program. / David Snyder for USAID

Addressing psychosocial needs

And while education is the foundation of the program, children traumatized by conflict and upheaval can only learn when their fears are also addressed.

USAID responded to the psychological needs of the displaced children by incorporating a psychosocial approach to teaching. Facilitators are trained to teach in a student-friendly manner by incorporating group exercises and encouraging positive, interactive student-teacher relations. Working through local partner agencies, the program also encourages the local community to spread messages of peace.

“We make sure that we don’t create any more trauma, either for these children or within the community where they live,” Oladini explained. “We tell them ‘Look, the future is still there for you. You [may] have lost this, you [may] have lost that…but there is still hope for you.’”

Officials in Bauchi are embracing this strategy to help students deal with what has happened to them and their families.

“The program is, in fact, doing as much as possible to ensure that the children are associating with their friends in the learning centers,” says Bauchi’s Rishi. “Some of them used to tell us as we go around to discuss with them, that initially, they found it very difficult to associate with the other children. But as they interact so much with their friends in the learning centers, they forget thinking about such ugly happenings.”

Preparing for sustained success

Scheduled to phase out in 2017, the Education Crisis Response program is supported by Nigeria’s state and federal governments, which, Oladini said, will help ensure the long-term sustainability of the program.

From the outset, government education officials have been involved in every detail of program planning and worked with the program to identify communities, develop a teacher training manual and sit in on classes.

For every learning center, Education Crisis Response has also trained two local government education officials to serve as mentor teachers whose job is to work with the facilitators and provide feedback to teachers.

“From day one, we made sure [the government understood] that this is your program, it’s not our program,” Oladini said. “So from year one before the end of year two, they’ll be able to plan within their budget to see how they can scale up all these programs.”

And while government’s support of the Education Crisis Response program is essential, it is one part of an overall effort that also depends largely on the communities themselves.

“We’re letting them know that with or without parents, there is what we call ‘your own mindset’ – your own ability to move forward and persevere in a state of difficulty,” Oladini said. “This is what we are teaching them.”


Produced for USAID by Creative Associates International, with reporting by Michael J. Zamba and Ernest Akoma in Nigeria.

ABOUT THE AUTHOR

Michael J. Zamba is senior director of communications at Creative Associates International and David Snyder is a photographer and writer. Creative Associates International is implementing USAID’s Education Crisis Response program in northern Nigeria. Follow Creative @1977Creative.

Advocating for Sign Language Education as a Human Right

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Georgine Auma in Washington, D.C. for the Young African Leaders Initiative. / Georgine Auma

As children growing up in Kenya, Georgine Auma and Natha Yare were excluded from their right to education.

Why? Because they are deaf. Access to education in sign language is still denied to millions of deaf and hard of hearing children, and even those who are lucky to receive an education — like Georgine and Natha — often lack teachers or specialists adequately trained in sign language, causing children to miss early language acquisition milestones that assistive devices like cochlear implants or hearing aids cannot provide.

For Natha, being deaf meant she couldn’t go to a local school, and instead attended a school for the deaf 15 hours away by bus. Even there, though, Natha was denied her right to a quality education.

“The government decided to introduce new teachers that knew no Kenyan Sign Language; these teachers filled blackboards with words and gestured for us to copy,” Natha said. “When we finished, we felt like we accomplished something. Afterwards, we went outside to run and play, not understanding what was copied.”

In many countries like Kenya, social stigma causes parents and community members alike to perceive deaf and hard of hearing children as impaired or altogether unable to learn.

NathaYare

Natha Yare (far right) with the deaf football team she helped organize at the Dadaab Refugee Camp in Kenya. / UNHCR

When Georgine became deaf at the age of 9, her parents didn’t know what to do with her. Although she already had a strong language foundation, her parents kept her from school for a full year before deciding to re-enroll her equipped with what they believed was a solution: hearing aids.

“I returned to the same school I was in before — needless to say, I never understood a thing taught in class,” Georgine said. “As a coping mechanism, I developed a love for books and literally read everything I could. Reading helped me stay within the top three of my class.”

Georgine recounted struggling with isolation and an identity crisis while growing up. “I thought I was the only deaf person in the world until I discovered Kenyan Sign Language at Maseno School for the Deaf,” she said. “There, I finally found my identity and felt a sense of belonging.”

USAID’s Commitment to Access and Inclusion

When I hear stories like Georgine and Natha’s, it takes me back to Kenya, where I worked at two schools for the deaf as a Peace Corps volunteer. The challenges faced by deaf and hard of hearing people are still prevalent, though; I recently attended the quadrennial World Federation of the Deaf conference, where over 100 deaf youth representatives echoed the same themes of barriers to sign language and education.

USAID is working to change this, providing access to education and sign language around the world. Education projects promoting sign language have been implemented in countries including Ecuador, Georgia and Morocco.

USAID partnered to produce Ecuador’s first-ever sign language dictionary, and with the current All Children Reading Grand Challenge initiative, the Agency is developing revolutionary software to support bilingual education in Morocco and Georgia. In Morocco, with early grade reading software using both Moroccan Sign Language and Arabic, deaf students have been shown to develop better literacy skills, learn better, and thinking more outside of the box than they did before.

Inclusive education is becoming an important theme on the global stage. It is important to ensure that students like Georgine or Natha aren’t left behind. Quality education for deaf and hard of hearing students means equipping teachers with fluency in sign language, thus creating truly inclusive spaces for all learners — because every child has a right to be educated.

ABOUT THE AUTHOR

Josh Josa is a Program Analyst working in USAID’s Office of Education. Follow him @JoshJosa.

To Fight Extremism, The World Needs To Learn How To Talk To Women

This blog is a condensed version of an article published in Foreign Policy. Read the full article here.


When I was in Pakistan about three years ago, a prominent female civil society activist told me how some women in northwest Pakistan were supporting militants by donating their most precious gold and jewelry and endorsing their sons’ radicalization.

We had been talking about engaging Pakistani women to de-radicalize youth, and she warned me that extremists were speaking more effectively than moderates to women, leveraging their influence in the home, family and the community. Women could help combat violent extremism, but it would require a concerted effort to reach out to, counter-message, and actively engage them.

Her message was clear: As violent extremist movements have strengthened, the international community needs to engage more intentionally with women in countering violent extremism.

Members of the Bring Back Our Girls group campaigning for the release of the Chibok schoolgirls kidnapped by Boko Haram Islamists march to meet with the Nigerian president in Abuja, on July 8. / Philip Ojisua, AFP

Members of the Bring Back Our Girls group campaigning for the release of the Chibok schoolgirls kidnapped by Boko Haram Islamists march to meet with the Nigerian president in Abuja, on July 8. / Philip Ojisua, AFP

Tools are already in place. The international community has passed several United Nations Security Council resolutions providing a foundation to better engage women in promoting peace and conflict resolution. U.S. policy has emphasized that women’s empowerment, protection and participation are vital to any effort to fight violent extremism.

Today, women and girls are facing unimaginable brutality at the hands of extremists. Since 2014, Amnesty International estimates 2,000 women and girls have been kidnapped, raped or forced into marriage by Boko Haram in Nigeria. And, according to the United Nations, approximately 2,500 women and children are being held captive in Syria and northern Iraq by the Islamic State; some 1,500 civilians may have been forced into sexual slavery.

During a panel discussion at the U.S. Institute of Peace in July, Zainab Bangura, special representative of the U.N. secretary-general on sexual violence in conflict, eloquently described the interconnections in the work of the Islamic State. She spoke of a “battle that is being waged on the bodies of women and girls” in which sexual violence has become a “tool of terror.”

Women and girls also suffer when violent extremism results in displaced communities. Since the onset of violence in Syria, early marriage has risen dramatically. The U.N. estimates that while about 13 percent of Syrians under 18 were married before the war, rates skyrocketed to 32 percent by early 2014.

Save the Children and Amnesty International have both pointed to economic drivers of increased early and forced marriage; desperate families receive a dowry for marrying off a girl while also reducing the number of mouths they have to feed. Reports of domestic violence have also risen.

Victimization only tells one piece of the story. Women have long been members of extremist groups. Media attention often focuses on female fighters and suicide bombers, though relatively few perpetrate attacks. That said, Syria experts estimate over 20 percent of the Islamic State’s recruits are female, and some 550 of the 3,000 foreign fighters from Western countries are thought to be women.

A Kurdish female fighter of the Women’s Protection Units looks on at a training camp in al-Qahtaniyah, near the Syrian-Turkish border on Feb. 13. Syrian Kurdish forces have been fighting advances by the Islamic State jihadist group. / Delil Souleiman, AFP

A Kurdish female fighter of the Women’s Protection Units looks on at a training camp in al-Qahtaniyah, near the Syrian-Turkish border on Feb. 13. Syrian Kurdish forces have been fighting advances by the Islamic State jihadist group. / Delil Souleiman, AFP

The group has developed messaging that romanticizes the need for devout women to help create a new society. As Islamic State members, these women are recruiting, teaching and building communities, and they are married to male recruits as an incentive for men to join and remain with the movement. They are also encouraged to reproduce to advance the creation of a state committed to the cause.

Perhaps most under-appreciated is the role of women as partners to counter violent extremism. Around the world, women often have influence within the family, giving them enormous potential to stem recruitment and radicalization. As community members frequently left behind in conflict zones to maintain the home and care for children, women and girls often have information that can provide early warning of conflict or the potential for violence.

Examples from around the world illustrate how women can stem violence and extremism. In Sudan, Hakamat singers — women whose songs can foster conflict by belittling other ethnic groups, decrying cowardice, and urging retribution — are promoting tolerance, coexistence and peace. In Somalia, the cross-clan linkages women gain through marriage are used to help mediate. In Central America, women can be key voices in discouraging young people from joining criminal gangs and committing crime.

Along the Tajik and Afghan border, Sisters Against Violent Extremism is establishing schools to teach mothers about preventing the radicalization of their sons. Over 150 mothers have reported reconnecting with distant sons and daughters, persuading them not to attend illegal meetings or read radical material. Two groups of mothers have organized meetings with local police to increase understanding of the role women can play.

Building on this knowledge, USAID is engaging women and girls to counter the rise of violent extremism. In Kenya, USAID is  teaching women about peacebuilding and de-escalating conflict. In Niger, Chad and Burkina Faso, USAID funds the use of radio, social media and civic education to elevate voices of non-extremist women and men. And in many parts of the world, we seek to strengthen the role of women and youth in political and peace processes.

But, we know the international community needs to do more to effectively engage women in countering violent extremism. A critical first step is incorporating gender equality and women’s rights in every facet of society. But that is just a starting point.

In July, experts came together to identify how international development stakeholders could elevate the role of women in countering extremism at a forum organized by the U.S. Institute of Peace, USAID and the State Department. Among their conclusions was the need for the United States to broaden its support for networks of women and youth in communities challenged by violent extremists.

For the international community, the remainder of 2015 is full of opportunities to strengthen these efforts. It is a moment that the world can’t afford to miss.

ABOUT THE AUTHOR

Carla Koppell is USAID’s chief strategy officer. Follow her @CarlaKoppell.

Overcoming the Stigma of Disability Across the Globe

USAID Senior International Education Advisor Christie Vilsack greets young women in an English class at the Lao Disabled Women’s Development Centre in July 2015. / David Lienemann, Official White House Photographer

USAID Senior International Education Advisor Christie Vilsack greets young women in an English class at the Lao Disabled Women’s Development Centre in July 2015. / David Lienemann, Official White House Photographer

Growing up in Laos, Chanhpheng Sivila contracted polio at the age of 3, which affected her leg and spine and made walking difficult. When it came time to go to school, her parents wouldn’t let her attend, telling her they couldn’t afford a school uniform for all 12 of their children.

But Chanhpheng was determined to get an education. Defying her family’s reservations, Chanhpheng decided one day to steal her big sister’s old school uniform and then secretly followed her to school. Her boldness paid off. The teachers at school saw Chanhpheng’s determination and convinced her parents to let her attend.

The 4-foot-7 Chanhpheng battled her way through school and eventually went on to earn a bachelor’s degree from the National Academy of Politics and Public Administration in Vietnam and a bachelor’s degree in business administration from Rattana College in Laos. She refused to let the stigma of having a disability get in her way.

In 1990, Madam Chanhpheng founded an organization that became the Lao Disabled Women’s Development Centre. She is now a tireless and inspiring advocate for the rights of women and girls with disabilities.

25 Years of Empowerment

As Madam Chanhpheng’s center celebrates 25 years of empowering women and girls with disabilities in Laos, the United States is celebrating the 25th anniversary of the Americans with Disabilities Act. This landmark legislation guarantees rights of individuals with disabilities in the United States.

It also serves as model legislation informing disability rights internationally, including in many of the countries where USAID works today. The law’s principles of access, inclusion and non-discrimination are woven into USAID’s own Disability Policy, which promotes the inclusion of persons with disabilities across all of our programs.

Dr. Jill Biden and USAID Senior International Education Advisor Christie Vilsack pose with students from Hanoi College of Information Technology in July 2015. / David Lienemann, Official White House Photographer

Dr. Jill Biden and USAID Senior International Education Advisor Christie Vilsack pose with students from Hanoi College of Information Technology in July 2015. / David Lienemann, Official White House Photographer

I recently accompanied Second Lady of the United States Dr. Jill Biden on a trip to Laos and Vietnam. On the trip we saw some of USAID’s efforts to give children and youth with disabilities access to education as well as workforce development training.

Dr. Biden recognized the Lao Disabled Women’s Development Centre for its work educating and empowering young women in Laos over the last two and a half decades. Each year, the center provides basic education, life skills and job-related training for 35 young women. Since 2002, over 500 young women with disabilities have graduated from the center.

Our delegation visited a reading class and a papermaking demonstration, and then we bought scarves woven by the women in the program. The center benefitted from a USAID grant given to World Education Laos through the Senator Patrick Leahy War Victims Fund; the fund primarily helps individuals with disabilities in conflict-affected countries.

While in Asia, Dr. Biden and I also visited students from the Hanoi College of Information Technology in Vietnam, where USAID has collaborated with Catholic Relief Services since 2007 to provide advanced computer skills training to over 700 youth with disabilities. About 70 percent of the program’s graduates have found jobs; a few have even found their life partners in the class and have plans to marry.

The U.S. Government has supported inclusive development programs in Vietnam for the last 25 years, even before normalization of diplomatic relations in 1995.

The Road Ahead

Madam Chanhpheng Sivila shows off a scarf made by young women at the Lao Disabled Women’s Development Centre. / David Lienemann, Official White House Photographer

Madam Chanhpheng Sivila shows off a scarf made by young women at the Lao Disabled Women’s Development Centre. / David Lienemann, Official White House Photographer

According to UNESCO, most children with disabilities in developing countries are out of school. The problem isn’t that they don’t want to be in school or that they can’t afford it. The reason is often negative and discriminatory attitudes, like those faced by Madam Chanhpheng, combined with physical barriers.

USAID is committed to finding new strategies to reach people with disabilities. Earlier this year, our All Children Reading Grand Challenge for Development awarded funding to five organizations for their low-cost, technology-based solutions to promote literacy for children with disabilities. They are developing and implementing these reading technologies over the next two years in Georgia, India, Lesotho, Morocco and the Philippines.

Another major obstacle to addressing the out-of-school issue is the lack of data on children and youth with disabilities. A great first step would be to gather data on the numbers of children with disabilities in and out of school, disaggregated by type of disability. This would help us to know who is being left out of the education system and allow us to study the barriers in order to plan effective interventions.

The data would undoubtedly be telling, but we will also need to open our minds to what is happening behind the numbers. By learning from people like Madam Chanhpheng, we will be better positioned to steer the agenda for educating children and youth with disabilities.

ABOUT THE AUTHOR

Christie Vilsack is the Senior International Education Advisor at USAID. Follow her @ChristieVilsack.

Around the World in Videos: How USAID is Helping Curb Child and Maternal Deaths

Mom and baby are doing fine because mom was taught how to perform Kangaroo Mother Care to keep her premature newborn warm. / Molly Ronan, Embrace Global

Mom and baby are doing fine because mom was taught how to perform Kangaroo Mother Care to keep her premature newborn warm. / Molly Ronan, Embrace Global

In 1990, more than 12 million children under the age of 5 died every year because of preventable conditions and diseases. Today, we face a situation considerably less bleak.

But still, far too many children today are being robbed of the chance to lead full, healthy lives. They are being robbed by illnesses we can prevent and treat. And far too many mothers won’t get to hold their newborn in their arms. These women won’t have the chance to raise their families or contribute to their communities.

Over the past six years, the Obama administration has strategically focused our maternal and child health programs in the 24 countries that account for more than 70 percent of child and maternal deaths globally.

By providing expectant mothers with high-quality and respectful care during delivery, resuscitation for newborns, vaccinations, diarrhea treatment and education about the importance of breastfeeding and handwashing, it is estimated we have helped save the lives of nearly 2.5 million children and nearly 200,000 mothers since 2008.

Acting USAID Administrator Alfonso Lenhardt joins Indian Prime Minister Shri Narendra Modi and heads of delegations from around the world at the Call to Action Summit on Aug. 27 in New Delhi, India. / Clay Doherty, USAID

Acting USAID Administrator Alfonso Lenhardt joins Indian Prime Minister Shri Narendra Modi and heads of delegations from around the world at the Call to Action Summit on Aug. 27 in New Delhi, India. / Clay Doherty, USAID

This week in New Delhi, I join health ministers from those priority countries and experts from across the globe for The Call to Action Summit to take stock of progress, share best practices and forge alliances.

Here are snapshots of some of USAID’s efforts around the world.

India

Like all mothers, Satyawati wants the best for her children, including for her newborn son. In a world where motherhood is still a risky endeavour, her story reflects the Indian Government’s new approach to maternal and child survival. With help from her local health worker, Satyawati knows how to best care for her children. She has had them vaccinated, and she practices proper hygiene at home.

Millions more have benefited from India’s recent efforts to reduce maternal and child deaths. In fact, under-5 mortality has dropped from 126 per thousand live births in 1990 to 53 per thousand live births in 2013. The government is using a scorecard to track its progress, providing transparency and accountability.

Malawi

“It’s heartbreaking to not have the equipment you can use on a baby to survive,” said Indira Chikomoni, a nurse at Zomba Central Hospital in Malawi. But with USAID’s support, 27 hospitals throughout Malawi now have access to a device called the Pumani bCPAP, which helps newborn babies breathe until their lungs have fully developed. The device has tripled the survival rate for babies treated for respiratory distress syndrome.

Gloria Mtawila’s son Joshua, who was struggling to breathe at birth, stayed on the machine for a month until eventually he could breathe on his own, and now he is a healthy baby boy.

Ethiopia

Adanech Belay is a proud mother of three, one of millions of rural families that used to live beyond the reach of the health system in Ethiopia. With USAID’s help, the Ethiopian Government has trained more than 38,000 health workers and deployed them around the country. Now, Belay can give birth in a clinic. She knows about vaccines, hygiene and family planning. Health extension workers now form the backbone of Ethiopia’s health care system, empowering families like hers to take charge of their own health. And the efforts are working.

In September 2013, Ethiopia announced it had achieved Millennium Development Goal 4—reducing child mortality by two-thirds by 2015—a full two years ahead of schedule. In 1990, Ethiopia’s under-5 mortality rate was one of the highest in the world at 204 for every 1,000 live births; by 2013, this rate had been slashed to 64 for every 1,000 live births.

Nepal

Until recently, three in 100 Nepali babies died before they were 1 month old, often from infections introduced into the body through the umbilical cord stump. In Nepal, where home delivery is common, a newborn’s umbilical cord has traditionally been cut with dirty household tools, and substances like oil, turmeric or even cow dung were rubbed on the stump to encourage “healing.”

All that is changing now with the support of USAID. With our partner JSI, we’ve helped develop a low-cost antiseptic gel we’re providing to pregnant women free of charge. A network of 50,000 female volunteer health workers are teaching communities how this little tube and new healthy practices can save their babies’ lives.


When a child dies, and when a mother dies giving birth, it is a tragedy for all of us. Because we miss out on everything they might have offered, and because it continues the cycle of extreme poverty that holds the entire world back. Together, we can break that cycle.

The goal of ending preventable child and maternal deaths is within our reach. We will continue Acting on the Call until every mother and child has the chance to lead a full, healthy life.

Leadership at USAID Q&A: Susan Markham Shares Why Gender Equality Matters

Susan Markham, pictured in her office. / Ellie Van Houtte, USAID

Susan Markham, pictured in her office. / Ellie Van Houtte, USAID

Susan Markham, USAID’s senior coordinator for gender equality and women’s empowerment, recently celebrated her one-year anniversary with the Agency. I sat down to talk with her about her work and how it relates to the Agency’s mission of ending extreme poverty. Follow her @msmarkham.

An Ohio native, Susan went to The Ohio State University, majoring in political science and international relations, and later studied public policy and women’s studies at George Washington University in D.C.

After graduation she became involved in domestic politics. She worked at EMILY’s List recruiting and training state and local women candidates to run in 35 U.S. states. Later, through the National Democratic Institute, she traveled overseas to work with women voters, advocates, candidates and officeholders.

Could you briefly describe what your work involves here?

Little known fact, my position was actually created through a Presidential Memorandum. It recognized that gender equality is both a goal in itself and critical to achieving our country’s global goals. My job is to provide strategic guidance to the USAID Administrator and the agency to ensure that gender equality and women’s empowerment is integrated throughout our programming–that it’s woven into the very DNA of the agency.  

How is gender equality and women’s empowerment related to USAID’s mission of ending extreme poverty?

We cannot end extreme poverty without addressing gender. Period. Women are key drivers of economic growth. In order to eradicate extreme poverty and build vibrant economies, women and girls must gain access to and control of capital, land, markets, education, and leadership opportunities.

This isn’t just lip service. Women account for one-half of the potential human capital in any economy. More than half a billion women have joined the world’s work force over the past 30 years, and they make up 40% of the agriculture labor force. These are big numbers showing that women are a powerful force for change that shouldn’t be ignored.

As USAID’s senior coordinator for gender equality and women’s empowerment, Susan advocates for the inclusion of issues affecting women and families into development work. A women and her children prepare food for dinner in the Aldoosh Village in Yemen with food provided through a USAID program. / Mercy Corps

As USAID’s senior coordinator for gender equality and women’s empowerment, Susan advocates for the inclusion of issues affecting women and families into development work. A women and her children prepare food for dinner in the Aldoosh Village in Yemen with food provided through a USAID program. / Mercy Corps

How is gender equality and women’s empowerment connected to other sectors such as education, economic development, health, etc.?  Do you have much interaction with them?

Of course! Development cannot be delivered in a vacuum. From education to health, there is no program or intervention that wouldn’t be more effective if it included gender at its foundation. Women are not only impacted by these issues, they have invaluable insight in how we can best address them.

When women are empowered, they often lead the way in managing the impacts of climate change and disasters. When they play an active role in civil society and politics, governments tend to be more responsive, transparent and democratic. When women are engaged at the negotiating table, peace agreements are more durable. And countries that invest in girls’ education have lower maternal and infant deaths, lower rates of HIV and AIDS, and better child nutrition.

That’s why I work closely with colleagues tackling water, energy, climate change, infrastructure and agriculture. Gender equality is not only in our job descriptions and policy goals, it’s in our best interest as development professionals.

The White House’s Let Girls Learn initiative has been getting a lot of buzz lately–could you touch on USAID’s involvement with that?

Let Girls Learn is really exciting and timely. It’s a United States Government effort to help adolescent girls stay in school. We know it’s not enough to build schools and equip classrooms. Girls in developing countries face complex and sometimes dangerous barriers while trying to get an education. Because USAID works on a range of issues from reproductive health to child marriage, we’re in a unique position to approach the challenge holistically by addressing the whole girl. All girls should have the opportunity to gain the skills, knowledge and self-confidence to chart their own course.

Susan takes a photo with  participants of a youth council roundtable in West Bank, Gaza. /  Global Communities

Susan takes a photo with participants of a youth council roundtable in West Bank, Gaza. / Global Communities

What are you working on right now that you’re most excited about?

Ha, everything. This is a great gig. That said, I’ve noticed real momentum in two interesting areas. First, countering violent extremism. For too long, women have been seen only as victims. Yet recently a movement began  that recognizes women as potential recruiters and perpetrators, as well as influencers and leaders who can help prevent the growth of terrorist groups and provide critical information on how to counter them. Thanks to this perception shift, USAID is re-examining counterterrorism issues and possible solutions.

Second, USAID’s Global Development Lab. It both confounds and fascinates me, but I know that if we can harness technology, we can close gender gaps more quickly. Women in developing countries are 25 percent less likely to be online than men. 200 million fewer women have access to mobile phones. And a woman is 20 percent less likely than a man to own a bank account. Technology has the power to create connections, foster learning, increase economic growth, and provide life-saving information. It can also help change social norms and stereotypes, and reduce inequality. At USAID, we’re doubling down to make sure women and girls can take full advantage.

ABOUT THE AUTHORS

Clara Wagner was an intern for USAID’s Bureau of Legislative and Public Affairs working on content and public engagement.

Slam Dunk: Empowering African Women Through Sports

 Astou Ndiaye shows off her ball-handling skills at last year’s launch of Live, Learn, and Play, a partnership between USAID and the National Basketball Association. / Zack Taylor, USAID

Astou Ndiaye shows off her ball-handling skills at last year’s launch of Live, Learn, and Play, a partnership between USAID and the National Basketball Association. / Zack Taylor, USAID

In Senegal, where I grew up, I guess you could say girls look up to me. After all, I’m 6-foot-3. I also won a professional basketball championship, worked my way through graduate school, and now manage a successful career while raising three kids.

Sure, I was a natural fit for basketball. But there was more to it than just the rebounds and my jump shot. The skills I learned playing the sport have led to my success off the court as much as on it.

I was back in Senegal last year to share this idea with hundreds of my compatriots at the launch of a new partnership that brings together the development expertise of USAID and the global cachet of the National Basketball Association.

The project — called Live, Learn and Play — provides opportunities few of us had when I was growing up. As an alumna of the WNBA, the women’s counterpart to the NBA, I was happy to support this new project, which uses basketball to train youth ages 13-18 in leadership, gender awareness and equality, and community participation.

Basketball changed my life. During the course of my career it opened doors, exposed me to new experiences, and taught me a lot about the world and myself.

But in any capacity–professional or not–getting involved in a sport means mastering skills, having the discipline to stay in school, keeping out of trouble, and leading a healthy lifestyle. These little things give young people the inspiration and ability to become leaders in any field. What you learn on the court can apply to any aspect of life.

Growing up in Dakar, I was fortunate to not lack the basics. However, with 20 siblings you can bet I learned to fight for my share. My mother always emphasized the importance of a good education–when I had to find a creative way to pay for schooling, those lessons in “fighting” paid off.

From the age of 13, I focused all of my strength and toughness on basketball. I practiced all the time: in the rain, and even through Ramadan, when I couldn’t get a drink of water until sunset. Luckily, some great coaches showed me that basketball was something positive that could lead to better things down the road. Mentoring is critical.

A few years later, I made Senegal’s national team. When I figured out that my game could open academic as well as professional doors, I took advantage of an athletic scholarship to go to university, where I graduated cum laude. After being drafted into the WNBA in 2003, I not only had the joy of having triplets, but also of being a part of the Detroit Shock championship team.

Girls learn basic basketball skills under the Live, Learn, and Play partnership with the NBA.“What you learn on the court can apply to any aspect of life,” former WNBA star Astou Ndiaye says. / Zack Taylor, USAID

Girls learn basic basketball skills under the Live, Learn, and Play partnership with the NBA.“What you learn on the court can apply to any aspect of life,” former WNBA star Astou Ndiaye says. / Zack Taylor, USAID

Basketball careers can’t last forever, so in 2008 I retired, became a coach and pursued a graduate degree in human resources. I’ve settled down now, and work with the state Health Care Authority in Oklahoma.

I know that my natural athletic gifts and supportive upbringing gave me better chances than many girls in Senegal. Still, I am convinced the principles I learned on the court led me to where I am today. If you understand early that hard work will pay off, everything else “comes around at the boards,” as they say in basketball. That means stay healthy, pay your dues, and know nothing will be handed to you.

Back in Dakar for the Live, Learn and Play launch, I had a chance to speak to the kids in the program. I told them that the odds of making it to the big leagues are tough, but that’s okay.  Dedication to basketball–at any level–teaches the toughness and resilience you need to find a pathway to a bright and successful future.

What’s great about Live, Learn and Play is the development of a network of skilled coaches, mentors and role models who will help thousands of kids become solid, productive citizens and active community members, whether they continue with sports or not.

This program can help empower girls in Africa, an issue close to my heart. Senegal is among the more forward-thinking countries in West Africa, but women there still face significant hurdles because of their gender.

Wherever I go, I encourage women and girls to push themselves to the forefront in whatever they do. Get out there and own it. Because when women get that, they are the real champions.

ABOUT THE AUTHOR

Astou Ndiaye, a former star in the WNBA, is a human resources specialist at the Oklahoma Health Care Authority and motivational speaker.

Breaking Invisible Barriers in the West Bank and Gaza

USAID supports girls’ education in the West Bank. The Agency built the new Nahalin Secondary Girls' School in the Bethlehem Governorate  / Credit Alaa Badarneh

USAID supports girls’ education in the West Bank. The Agency built the new Nahalin Secondary Girls’ School in the Bethlehem Governorate / Alaa Badarneh

It’s nearly impossible to watch the news or read a newspaper without hearing about the West Bank and Gaza. It seems every week there’s a breaking story of violence and destruction. And yet when I visited USAID’s West Bank and Gaza Mission in November, the message I consistently heard was one of hope.

I went to see first-hand how USAID’s diverse programs are helping to ensure women and girls have the tools and capacity to realize their rights. From the justice system to small business, it was inspiring to witness the positive impact of USAID’s work.

The trip was also a powerful reminder that gender relations in the West Bank and Gaza are unique and complex but also obscured by the ongoing conflict. The main challenge Palestinians face is occupation, being both physically and socially restricted in everyday life that we take for granted.

Susan Markham meets with USAID staff, beneficiaries, and partners to promote the importance of gender equitable structures, institutions, and infrastructure in Palestinian society. USAID/West Bank/Gaza

Susan Markham meets with USAID staff, beneficiaries, and partners to promote the importance of gender equitable structures, institutions, and infrastructure in Palestinian society. / USAID/West Bank/Gaza

While the physical roadblocks inhibit movement, there are also invisible barriers that Palestinian women face. Despite a commitment to girl’s education, and a long tradition of women’s engagement in political life, separate social structures and a male dominated culture endure. However, instead of being demoralized, what really shone through was the enthusiasm and determination of both women and men to fully engage on equal terms.

I was energized to meet Maysa, a 26-year-old entrepreneur breaking ground within the tourism industry. By organizing photography tours throughout the West Bank, running her own YouTube channel, and designing original souvenirs, she is staying at the forefront of tourism and opening doors to women who wish to work in the industry.

I spoke with inspiring women entrepreneurs who are breaking barriers within their communities and launching successful businesses in information and communication technology (ICT), marketing, tourism and international training and certification. Thanks to assistance from USAID, many of these women are already planning to start a second business.

Through USAID’s Local Government and Infrastructure Program, I was able to hear from young women participating in and leading Youth Local Councils across the West Bank where women and men work together to advance community driven ideas around education, health, infrastructure and governance.

Perhaps nowhere was progress in gender equality so evident than at the Youth Development and Resource Center in Hebron. There I met Omar whose parents forbid him to go to the center as a boy because there would be girls there. Today, he runs the center, providing skills training, work experience, and a dynamic example of what’s possible when men and women work together.

From the teachers fighting for improved training for their students to the women working in cutting edge technology fields, there was optimism for a brighter future and a fierce resolve to get there.Vera Baboun, the mayor of Bethlehem, summed up the experience best when she quoted poet Mohja Kahf to me:

All women speak two languages:
the language of men
and the language of silent suffering.
Some women speak a third,
the language of queens.
They are marvelous
and they are my friends.

 

ABOUT THE AUTHOR

Susan Markham is the USAID Senior Coordinator for Gender Equality & Women’s Empowerment. Follow her @msmarkham

The Intersection of HIV/AIDS and Gender-Based Violence: A Critical Connection

A mother plays with her child while waiting for services at Jose Maria Cabral y Baez Hospital in Santiago, Dominican Republic. Health workers and supervisors from this hospital participated in a workshop and supportive site supervision system designed and delivered by the Directorate of STI/HIV/AIDS (DIGECITSS), the health services network (REDES), and CapacityPlus to improve the quality of services to eliminate mother-to-child transmission of HIV and congenital syphilis. / Wendy Tactuk, courtesy of CapacityPlus and IntraHealth International

A mother plays with her child while waiting for services at Jose Maria Cabral y Baez Hospital in Santiago, Dominican Republic. Health workers and supervisors from this hospital participated in a workshop to improve the quality of services to eliminate mother-to-child transmission of HIV. / Wendy Tactuk, courtesy of CapacityPlus and IntraHealth International

This week we mark World AIDS Day. Appropriately, it occurs during the Sixteen Days of Activism Against Gender-Based Violence. Why so appropriate? Because we know that gender-based violence (GBV) prevention and response are critical to effectively treating and reducing the spread of HIV. Though not always self-evident, the connection is clear.

For me, the linkages were driven home during recent conversations I had with health experts in Ghana. While discussing our health programs, I casually asked how important attention to GBV was within efforts to treat and stem the spread of the HIV.  As soon as I asked the question, the room’s atmosphere changed palpably. Everyone sat up and leaned in. People began speaking all at once, tripping over one another to respond. The passion was tangible and the analysis compelling. It was all the more persuasive because it is backed up by research.

In Ghana, the HIV rate is low and declining, though the rate is 15 – 20 times higher for key populations at risk of contracting HIV, which include female sex workers (FSWs) and men who have sex with men.

GBV is particularly common among female sex workers (FSWs), 24 – 37 percent of whom are HIV-positive. How do GBV and HIV rates correlate and relate, and how do we bear that in mind in our work to prevent and treat the infected?

A traditional leader discusses multiple concurrent partnerships, a key driver of HIV in Zambia, during a November 2013 training on HIV/AIDS leadership messaging in Kanyembo Chiefdom in Luapula Province / JSI/SHARe II

A traditional leader discusses multiple concurrent partnerships, a key driver of HIV in Zambia, during a November 2013 training on HIV/AIDS leadership messaging in Kanyembo Chiefdom, Luapula Province. / JSI/SHARe II

Many of my conversations in Accra focused on how to help people change behavior to decrease the risk of transmitting the virus and to increase the likelihood of seeking testing and treatment. The experts discussed how much more difficult it is for a woman or a man to negotiate condom use with an abusive partner.

The victim is less likely to try to persuade the abuser to use protection. The perpetrator is less likely to listen. The practitioners also talked about how victims of gender-based violence have less self-esteem and a lowered sense of self-worth. As a result, victims of abuse don’t believe they have the “right” to receive health services. It is much harder to coax people who face GBV or who fear violence or abandonment to seek services, test for HIV, or to successfully access or adhere to treatment.

A 2010 study of FSWs in Karnataka state, south India, confirmed what the Ghanaians explained to me; fear of partner violence prevented women and girls from seeking health services and from asking their partners to use condoms. The study found that condom use was some 20 percent lower those who had been beaten or raped within the last year compared with those who had not faced such violence.

The experts I spoke with also mentioned how gender-based violence cements relationships in which one partner is clearly dominant; they discussed how that feeling of dominance can give the abusive partner a sense of invincibility, reducing his or her willingness to practice prevention.

If you don’t believe you are vulnerable to harm or disease, there is no need to protect yourself. A 2014 study in South Africa supported this contention. The study, which considered women and girls attending four health centers in Soweto, found that abusive relationships with high levels of male control were “associated with HIV seropositivity.” In relationships where men had a great deal of power or where violence was frequent, researchers found that females were less likely to request condom use and had about a 12 percent greater likelihood of being HIV-positive.

Sometimes, the statistics were actually pretty astonishing.  A 2012 study in Moscow, Russia found that FSWs were more than 20 percent more likely to be HIV-positive or to carry a sexually transmitted infection (STI) if they experienced client violence. In addition, over forty percent of FSWs who were coerced into sex with the police were STI/HIV infected. Researchers concluded that reducing the risk of infection would require decreasing client, pimp and police abuse and coercive behavior.

A 2013 WHO systematic global review and analysis of studies across different HIV epidemic settings underscored the association between GBV and HIV, finding that intimate partner violence increases the risk for HIV infection among women and girls by more than 50 percent, and in some instances up to four-fold.

There are two bottom lines to the research and experiential data. First, reducing and responding to gender-based violence should be a key tool in efforts to prevent the spread of HIV. Second, additional research is needed to understand those violence-reducing interventions that best reinforce HIV prevention and treatment.

USAID has seen important dividends from integrating GBV prevention and response into HIV and AIDS programs in collaboration with the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). In Tanzania, USAID has supported development of National Management Guidelines for Health Response and Prevention to GBV, which provide a framework to guide comprehensive management of GBV survivors.

The Guidelines have led to training of health care providers and roll-out of a GBV register at health facilities across the country. In Zambia, USAID with PEPFAR funding, is collaborating with the British Department for International Development (DFID) and six government ministries to strengthen the response to GBV; this includes doubling the number of one-stop centers in several provinces, reaching 5 million adults and children with preventive messages, assisting 47,000 survivors, and training 200 police and justice sector personnel through 2018.

All told, USAID has contributed significantly to important results under PEPFAR; in FY2013, 2.5 million people in 12 countries were reached by efforts to address GBV and coercion, and an additional 800 health facilities began offering GBV screening, assessment and/or referrals to service providers.

The connection between gender-based violence and HIV infection is unambiguous. The data combined with the experience and perspectives of field experts make it clear. As we renew our commitments this week both to combat the spread of AIDS and to prevent GBV, let’s recognize and ensure that programs address the intersection. It could make the difference between the success and failure of efforts around the world.

ABOUT THE AUTHOR

Carla Koppell is USAID’s Chief Strategy Officer. She was formerly the Agency’s Senior Coordinator for Gender Equality and Women’s Empowerment. You can follow her @CarlaKoppell

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