East African Community: Are we running fast yet standing still?

Presidents L-R; Museveni, Kagame, Kikwete,Kibaki and Nkurunziza after the adoption and signing of EAC Customs Union in Arusha in 2009.

By Sheila Naturinda

The just concluded East African Community summit in the Burundian capital Bujumbura, has revealed that the political leadership is more optimistic about the process than its citizens.

The summit also reveals that there is a lot of political will to see that the federation is achieved, come 2015. However, it yet again brought out the underlying challenges that the community is facing, further justifying the call from observers that the step toward forming one state should be greeted with “caution optimism.”

The optimism seems warranted because the EAC leaders have shown a consensus that trade and private sector investments are crucial inputs to sustained growth and development. But some caution regarding what to expect from the EAC is hardly surprising, as the collapse in 1977 of an earlier effort at regional integration, suggests that the road ahead is not straight forward, with numerous barriers left that must be overcome.

The EAC observers argue that factors that led to the collapse of the bloc in the 1970s are playing out differently at the moment and efforts to form a federation are being carried out under very different set of political and economic circumstances.

Catching up
They point out that the fast growth of Uganda and Tanzania in comparison to Kenya over the past 20 years, has not only narrowed the gap between them and their larger neighbour, but it has given these nations confidence in their competitive abilities.

On the political front, all three countries are much closer politically than they were 30 years ago. Changes in the economic structures of these countries and a growing middle class that has increasingly sophisticated product demands, suggest that the benefits from trade may be greater than earlier times when the commodity structures of all these countries were mainly agricultural.

“These three reasons may give us confidence that “This time is different when it comes to the gains that each country can capture from deeper regional integration,” Prof. Ethan Kapsteine, in a paper on the future of the integration, said.

While the observers say the integration this time is different, research shows that the citizens are skeptical and doubt that the changes are significant enough to give greater confidence that the East African integration will promote trade, investment and job creation in the years ahead.

Reports from experts hired to look into integration issues and the recommendations from the council of ministers that provide a road map for the way forward, have been largely adopted by political leaders.

The reports, however, show that citizens have a feeling that democratic deficits and lack of accountability that exists in some countries may be replicated at the regional level.
The fears and concerns registered by the populace were categorised into political, economic, legal and socio- cultural, among others.

From a political perspective, the East Africans are scared of losing their sovereignty. And since the 2015 political federation means creating one single state, it means partner states should prepare to cede some political powers.

On legal grounds, the people insist that there are many disparities in governance, probably the reason why Tanzania, the largest of all the states is taking a slow motion in signing most policies as developed by the states.

“I believe these are very pertinent issues and we should take them very seriously. When Burundi and Rwanda joined the community, there was a special programme for bringing them on board,” Ms Dora Byamukama, a Ugandan representative in East African Legislative Assembly, says.

Land wrangles
There is a fear that with the limited land in some states, some people may lose the little space they have. The fear to lose land therefore continues to be a sensitive issue and as the experts reported, “a potential source of conflict” when the countries finally federate.

Source: Daily Monitor

http://www.monitor.co.ug/SpecialReports/-/688342/688342/-/eduqir/-/index.html

No borders: Hiring the disabled can still get you result

Disabled Children of Katalemwa Cheshire Home entertain guests during the launch of their 40th anniversary in Kampala. Many have been rejected at work places

but they have potential. The common adage goes disability is not inability. Some companies are now recruiting them and the results are worthwhile proving that they can do what a normal person can or even better.

Like any other Ugandans, the skills, experience and educational qualifications of the deaf and dumb are widely varied, but they tend to be an under-utilised talent pool.

If companies look beyond someone’s disability and seize the potential of everyone who wants to work for them, they could benefit immensely.

A recent report from the International Labour Organisation: Disabled persons and employment, indicates that disabled persons comprise of more than 600 million of the seven billion people that make the global population.

“While many disabled persons are successfully employed and fully included in society, as a group, they face disproportionate poverty and severe unemployment,” the report reads in part.

“A lack of global data about their numbers and situation is only one piece of evidence supporting the discrimination and exclusion they often face. National data, when it exists, verifies the fact that people with disabilities, and especially women, are less likely to access education, training and employment of any kind.”
Some companies in Uganda are adopting employment of disabled persons in their policies.

“We strongly adhere to our human resource policy that does not discriminate against job seekers and employees on any grounds. We believe that including people with physical impairment in our workforce increases our pool of talent and skill,” Ms Brenda Kyasiimire, the human resource manager at Rwenzori Bottling Company Limited, says.

Recognised
Ms Barbra Gwosusa and MsFlorence Aguti have not had a fair share of life because both are deaf and dumb.
It is with their current job placements at Rwenzori Bottling that they are starting to realise their worth.

Ms Aguti studied in Arua District but later moved to Jinja District where she studied a tailoring course.

Tailoring was not earning her enough money to buy “beautiful shoes and jewelry” as the 29-year-old says through an interpreter Isaac Lukyamuzi. She later joined the teaching profession at Gayaza School for the Deaf tutoring primary one and two in sign language.

However, she did not give up on the job search. She applied for a vacancy at the company last September and luckily there was a vacancy that she is currently filling.

“My life is better now because of the good working conditions and relations I have with other employees. Everyone loves and cares for us,” Ms Aguti says. “I am more confident now and have realised that I can do anything that a normal person can do or even better.”

For the future, Ms Aguti dreams of meeting a good man who will love her for who she is.

Bitter side
Her colleague Ms Gwosusa has tasted the bitter side of being employed with a disability.

She studied in Ntinda School for the Deaf. However, she did not go beyond Senior Four because of school fees constraints. She was previously working as a caterer in a hotel in Wandegeya but could not stomach the oppression she was facing from some of her workmates and the Shs60,000 per month was so meagre.

“I was reduced to rubbish in that place. No one believed in me not even the managers,” she said, engrossed in deep thought.

Source: Daily Monitor

http://www.monitor.co.ug/Magazines

Adolescents grapple with AIDS stigma

Written by Simon Musasizi

As a young girl in senior one, Zamzam Sakila, out of curiosity, decided to take an HIV test in 2001. A team of HIV/AIDS counsellors had come to Kuru Secondary School in Yumbe district where she was a student.

For a 13-year-old whose dream was to become a nurse, this exercise was not because she doubted herself. First of all, she was a virgin and was confident she was HIV negative. To her surprise, however, the results indicated that she was HIV positive. But this did not mean much to her and she innocently went around telling her colleagues about her status. The news, however, did not get to her father until she was about to sit her O-level examinations when someone told him.

The old man got angry and threatened to throw Sakila out of his home. He swore not to continue paying school fees for someone destined for death, leaving her stranded after senior four.

“Life was hard. Everyone shunned me; they didn’t want to talk to me. I started falling sick and nobody cared to take me for treatment. They gave up on me,” Sakila, now 23, recalls.

“My father would dissuade anyone who wanted to come to my rescue, saying I was HIV positive.”

It is only when the examination results were released that Sakila’s door opened. She had performed well and her uncle agreed to pay her A-level tuition fees. But even then, he always regretted his decision to pay school fees for someone who was always complaining of illness.

“He would beat me to the extent that I had to abandon school in senior five for three months,” Sakila says.

Matters worsened when her uncle’s daughter got pregnant. She was Sakila’s age and they always moved together, raising suspicion that Sakila had a hand in her cousin’s fate. Her uncle battered her, leaving a broken arm. Sakila left the home. She ended up in Kampala, where she stayed with an aunt in Mbuya. It is here that she heard of Reach Out Mbuya Parish HIV/AIDS initiative.

Reach Out enrolled her for a diploma in counselling at YMCA in Wandegeya. Today, Sakila is employed at Reach Out offices in Mbuya as a pharmacy supporter. “Reach Out has made me strong. Without it, I don’t know where I would have ended because I knew the next step was death,” she says.

Dr Stella Alamo Talisuna, Reach Out’s executive director, says Sakila is one of the 1,200 vulnerable children that the organisation looks after. Talisuna says young people need a lot of support to openly talk about their status. Many of such children were born with the virus about 20 years ago. Worse, some of them don’t know their status because their parents hid it from them.

“There have been so many conflicting ideas on how to manage children either born with HIV or infected with HIV early in life,” Talisuna says.

“One of the challenges is when to disclose to the child that they are HIV positive.”

Talisuna cites a child in her care who started treatment at two and became 18 without knowing her status because her parents refused to disclose it to him.

“Now, how do you control the sexual activity of such a child? And, indeed even the existing policies are not clear on when and how you disclose to a child that they are positive.

“So, many of these children are transmitting the virus unknowingly because they are getting into relationships just like anybody else,”  Talisuna notes.

The Reach Out programme has integrated prevention programmes, emphasising abstinence for youth below 18.

“Remember, in the 1980s children had sex at 18; so, we had a big proportion of children born HIV negative protected until they reached adulthood to make their own decisions,” she explained.

Barclays bank has, over the years, supported Reach Out activities. Between 2008 and 2009, the bank contributed Shs 80m to the cause. The money is spent on accommodation, feeding, ARVs and empowerment of affected children.

“We are trying to address those barriers that hinder access to healthcare. We all know that when someone is poor and they don’t have transport to a health centre, they wouldn’t have access to drugs. If someone has no food at home and you provide them with ARVs, then they won’t take those ARVs.

“Yet ARVs require 100% adherence. But also if a mother is HIV positive and the children at home don’t have school fees, the attention is going to be on that and healthcare becomes secondary,” says Talisuna.

Source: The Obsever

http://www.observer.ug

Property Rights Leave Access to Medicine Wanting

By Flavia Lanyero

Experts have decried the sluggish stride Uganda is making to utilise provisions for flexibilities under the Trade Related Aspects of Intellectual Property Agreement (Trips), saying such failures will hamper access to medicine in the near future.

The experts highlighted the need to incorporate the flexibilities under the Patent Law to comply with obligations under the World Trade Organisation on protection and enforcement of intellectual property rights. “Almost 90 per cent of drugs in Uganda are imports, most of which are generic versions which need protection from patent owners, who may want to stop their sale in a bid to sell their expensive brand name drugs instead; Ugandans would not be able to access cheap drugs,” said Mr Moses Mulumba, a lawyer with Centre for Health Human Rights and Development.

The Doha Declaration, a flexibility of Trips, provides an opportunity to place the protection of public health beyond private commercial interests. It affirms the right of countries to use safeguards such as compulsory licences to overcome patents when necessary to promote access to medicines for all.

Today marks 10 years of the Doha Declaration but the Industrial Property Bill, which is supposed to incorporate Trips, has not been passed into law. Technocrats in the Ministry of Trade say the Bill has been delayed in Parliament since 2009.

Mr Mulumba said it will be unfortunate if by 2013 Uganda has not made an effort to pass the industrial property law.

Source: All Africa.com/The Monitor

http://allafrica.com/stories/201111140191.html

HIV afflicted boy rots away as ARVs dry up

By Sadab Kitatta Kaaya

Five-year-old Fred Twinomugisha tested HIV positive about four years ago, after the death of his mother, Jessica Tukamuhaabwa.  Due to his deteriorating condition, he was immediately started on anti-retroviral therapy (ART), which he would access from Lwebitakuli Health Centre III, about 15km from his home in Lwendezi village, Lwebitakuli sub-county, Sembabule district.

Godfrey Ngabirano, Twinomugisha’s maternal uncle and guardian, tried in vain to establish contact with the boy’s father.  “My sister [Tukamuhaabwa] died before she could tell us the father of her child,” Ngabirano says. “All the three men who had previously claimed responsibility rejected the boy when they learnt of his HIV status.”

Of the three men, Ngabirano can only identify one Kisuule of Kirebe village and a Ronald of Kasambya village in Lwebitakuli. After they disowned the boy, Ngabirano could not sit back and watch his nephew waste away. He shouldered the responsibility of regularly taking him to Lwebitakuli health centre for ART.

Unfortunately, for the last five months he has not been able to access ARVs at Lwebitakuli after the health centre ran short of supplies.  “I had taken him on his clinic day, but the nurses referred us to Mateete health centre,” Ngabirano says.

Mateete health centre had no drugs either, and health workers there referred them further, to Masaka regional referral hospital. However, this peasant family could not afford the transport fare to Masaka and chose to wait until the district gets new ARVs supplies.

Besides, they might have failed to get assistance from Masaka hospital too, after its CD4 blood count machine broke down recently, leaving hundreds of AIDS patients stranded. Five months on, there remains little hope that ARVs will be brought to a health facility within Twinomugisha’s proximity, yet the effect of the break in treatment is already evident, as the little boy is growing frail.

He moves with a lot of unease as he watches his contemporaries run about the family compound. His body is developing sores, and some on his feet and fingers are open. As a result, his friends avoid him.

“Even if they wanted to play with him, there is no way he can match their pace. Besides, we fear that others could get infected through direct contact with him,” Ngabirano says.

Gloom in Sembabule

Twinomugisha is certainly not the only AIDS patient in the district suffering this way. According to Strides for Family Health, a health promotion NGO in Sembabule, the number of people testing HIV positive is on the rise in the district.

The NGO’s spokesperson, Thadeus Atuhura, puts the prevalence rates in Sembabule at about 40%, according to information gathered in their voluntary counselling and testing programme that is part of Strides’ outreach programme in the district.

“In Lwebitakuli sub-county alone, we have so far tested about 1,000 people, and about 400 of them have tested HIV positive, mainly women and their children,” Atuhura told The Observer.

Source: The Observer

www.observer.ug/index.php?option=com_content..