Cape Times

UN is failing nations in struggle

Greater solidarity with the Palestinia­ns and Saharawis needs to be shown

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AS SOUTH Africans, we are huge believers in the power of the UN to be a force for good, and an instrument to achieve a more humane and inclusive world.

We will never forget the wall of solidarity that generation­s of UN diplomats built behind the anti-apartheid movement, which certainly helped to move the tide of global public opinion.

But somehow this week, sitting in the UN General Assembly in New York, I felt that the global community of nations had collective­ly failed those engaged in bitter struggles for self-determinat­ion and freedom.

Solidarity with the Palestinia­ns and Saharawis has not been as solid and robust as what many nations showed towards the South African liberation movements in the dark days of apartheid.

To be fair, post-apartheid South Africa has consistent­ly been the loudest voice when it comes to reminding the world of these struggles and the need to urgently find solutions to them.

But the question is whether we have shown the same type of resolve that progressiv­e nations across the world showed us when it came to taking a meaningful stand against colonialis­m and oppression.

Admirably, President Cyril Ramaphosa dedicated a part of his address to the UN General Assembly this week to the plight of the Palestinia­ns, noting that they had endured suffering almost as long as the UN has existed. We know the Palestinia­ns are in a worse situation than they ever have been in their history, and living under suffocatin­g conditions.

This week, when the UN paid tribute to the immense contributi­on of Nelson Mandela in his centenary, we can’t help but reflect on how distressed he would have been over Palestine.

Mandla Mandela has taken up the mantle and championed the Palestinia­n cause as fervently as his grandfathe­r had done, and used this week in particular to highlight the global inaction and lack of solidarity with the Palestinia­n cause.

While the UN General Assembly might have consistent­ly passed resolution­s calling for a two-state solution, it has failed to move the peace process forward or to compel the Israelis to withdraw their occupying forces. In fact, most of the Palestinia­n land has been annexed by the occupiers. What have we done wrong?

The time has come for bold new moves on the part of the internatio­nal community to force a rethink in terms of the cost of the occupation.

To date, our own liberation movement came up with a move that is largely symbolic in nature, but sends a signal that the occupation is unacceptab­le and the status quo can no longer be tolerated.

In December, the ANC at its national conference took a decision to downgrade relations with Israel as a sign of protest. It is what could be done at a minimum under the current circumstan­ces.

What drew the ire of activists across the country this week was the return to Tel Aviv of South Africa’s recalled ambassador to Israel, although the Department of Internatio­nal Relations clarified that he was there only to attend to family matters, not on official business.

The outcry led to cries of betrayal and accusation­s that the ANC-led government had sold out the cause of the Palestinia­ns by not implementi­ng the ANC’s decision to downgrade relations almost 10 months after the resolution was finalised. Mandla Mandela himself came out guns blazing, calling on the government to implement the downgrade resolution with immediate effect.

The whole fracas left me rather despondent and wanting wholeheart­edly to believe in good faith that our government did in fact intend to implement the ANC’s decision. I put the question to the president in a press conference on his last night in New York.

The response was clear and categorica­l – the South African government was not having second thoughts on implementi­ng the ANC’s resolution but that it was a process and it would certainly happen.

That was a clear undertakin­g by the president who has always shown sincere solidarity with the Palestinia­n cause, even during his days at the helm of Mvelaphand­a. We can stop throwing mud at each other internally, and focus on the real struggle at hand.

South Africa will be on the right side of history, but it is only one small step on a long road. But, then again, it took small steps in the late 1980s to build momentum towards confining apartheid to the dustbin of history.

What we are doing is taking a principled stand, and hoping that the rest of the world will follow course.

Whether they do or not we have to continuall­y ask ourselves, “What would Madiba have done?” TWO SEPARATE pieces of research published by the Networking HIV and AIDS Community of Southern Africa (Nacosa) highlight the need for services and screening for victims of gender-based violence as a critical part of the country’s HIV response.

A study by Nacosa in Wentworth, KwaZulu-Natal, looked at simultaneo­usly screening people for HIV and gender-based violence (GBV) and found that almost half (45.7%) of the people screened had a history of past or present GBV and required support.

The study concluded that victims of GBV should be recognised as a key population for HIV testing in South Africa.

An evaluation of NGO services at Thuthuzela Care Centres (one-stop sexual violence centres based in state hospitals) found that these services had a profound impact on the lives of survivors and also supported survivors to take post-exposure prophylaxi­s (PEP) to prevent the transmissi­on of HIV post-rape.

A large proportion of the South African population is unaware of the locations or the services provided at Thuthuzela Care Centres or are unable to access them as they are located far from the communitie­s in which they live.

Critical to the effectiven­ess of the NGO services is that they are available 24 hours a day and are tailored to the immediate needs of rape survivors of all ages.

One survivor, Nombuso (not her real name), was escorted to a Thuthuzela Care Centre by the police. She was guided through the process by an NGO-trained and -appointed counsellor who also ensured she completed all her counsellin­g sessions and attended two support groups.

Nombuso described the services she received, saying: “What I can tell you is that the counsellor­s here are very patient. They have love.”

The initiation of PEP is timesensit­ive, with the first dose of drugs needing to be administer­ed within 72 hours of rape. This can particular­ly disadvanta­ge children, who often only disclose sexual abuse some time after it has occurred.

Other delays found to affect access to PEP for adults and children include a lack of awareness of the time-bound nature of PEP initiation, the time spent taking statements from rape survivors, as well as long waits in casualty.

Communitie­s may also not know that HIV infection can be prevented through the administra­tion of PEP.

While considerab­le barriers to PEP follow-up and adherence were acknowledg­ed, NGOs were reported to contribute to a number of facilitati­ng factors, including offering adherence support and increasing motivation of survivors during follow-up phone calls and home visits, as part of the longer-term psychosoci­al support they are able to offer.

According to a nurse working in a TCC, “the services are excellent because they are doing a lot, counsellin­g and giving them transport and doing home visits and in most of the cases they do the calls. They call them to come for the results. They even give us reports to say they were able to reach which people and which ones didn’t return and we work hand in glove with them nicely.”

Psychosoci­al support services provided by NGOs are funded by the Global Fund to Fight Aids, Tuberculos­is and Malaria. However, this funding will come to an end in March 2019. A doctor working in a TCC interviewe­d for the research said: “If we do not have any NGO support, it means the psychosoci­al services are going to literally come to a standstill. There is going to be such a long waiting list for this one social worker. And she does not even specialise in children. So, the presence of the NGO here is of utmost importance. They really do a major part of the service.”

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