PHR Student Program West Regional Hub

Physicians for Human Rights (PHR) today released an emergency report which documents and decries systematic human rights abuses in Bahrain. For the first time, the report, “Do No Harm: A Call for Bahrain to End Systematic Attacks on Doctors and Patients,” provides forensic evidence of attacks on physicians, medical staff, patients and unarmed civilians with the use of bird shot, physical beatings, rubber bullets, tear gas and unidentified chemical agents. The report was featured on several major news outlets including the Associated Press, AFP, BBC, CNN, the Independent, New York Times, and Washington Post.

The report details systematic and coordinated attacks against medical personnel, as a result of their efforts to provide unbiased care for wounded protestors. These attacks violate the principle of “medical neutrality” and are grave breaches of international law which dictates noninterference with medical services in times of civil unrest. Included in the violations were targeted kidnappings, beatings, and threats of rape and killing by security officials. These attacks extended to the patients of medical personnel created an atmosphere of fear which dissuaded patients from seeking care.

The report concludes with policy recommendations for Bahrain, the Unites States and the international community. Among other calls for action, PHR demands for Bahrain to immediately cease and desist all attacks on medical personnel and facilities. PHR also calls on the Obama Administration to lead an international effort to appoint a Special Rapporteur on Violations of Medical Neutrality through the United Nations Human Rights Council.

Last Friday, the PHR team delivered to Secretary of State Hillary Clinton a joint advocacy letter, urging that sexual and gender-based violence (SGV) programming be recognized as an urgent need in Sudan. Forty advocacy and human rights groups called on Hillary Rodham Clinton and Sudan Envoy Scott Gration to recognize the absence of vital SGV programming following the March 2009 expulsion of international humanitarian organizations and key Sudanese NGOs.  The number of supporting organizations has since grown to more than 60.

The team from PHR met with General Gration’s office, and with the office of the Ambassador for Global Women’s Issues on Friday, to present the letter and advocate for the inclusion of SGV programs in the Sudan Policy benchmarks.

The elimination of SGV services in Sudan is a perfect storm of collateral damage: when the 16 international humanitarian organizations and NGOs were expelled, these programs — and equally importantly, the network of SGV-focused personnel and leadership — disappeared. In a climate where remaining staff and organizations were afraid to rebuild or renegotiate their contracts for fear of Government of Sudan retribution, services for survivors of sexual violence in Darfur collapsed.

Despite this, and despite the fine work of the State department on a number of gender-based violence issues, the issue of sexual violence was not explicitly recognized in the administration’s Sudan Policy review, nor was it included in the details of US strategic objective #1, which deals with the humanitarian situation in Darfur. It was, however, recognized by the UN panel of experts in the recent report released on the humanitarian situation in Darfur, and has been a key sticking point for activists in the US at the recent Pledge to Protect conference.

Today — just in time for the International Day to Eliminate Violence Against Women on November 25 — PHR has launched  a congressional action for advocates and activists to urge Senators and Representatives to join us in our call to the State department on this issue. Partnering with our co-signatories, Human Rights Watch, Amnesty International USA, the Arab Coalition for Darfur, the Enough Project, Save Darfur Coalition and others, we continue to advocate for the restoration of services as basic as emergency assistance for injuries, documentation of injuries sustained during these brutal attacks, access to HIV/AIDS prophylaxis treatment, pregnancy testing and psychological and social support. We ask Hillary Rodham Clinton and General Gration not only to include SGV programs as a benchmark in the Sudan policy, but also:

• To ensure that renegotiation of technical agreements between humanitarian organizations and the Government of Sudan takes place, so that international humanitarian organizations and NGOs can incorporate or SGV programs into their authorized operations in Sudan.
• To monitor Government of Sudan obstruction of SGV services in Khartoum and on the ground: SGV services must be restored and made available to all IDP populations, including West and South Darfur, where humanitarian operations have historically functioned at a lower level than in North Darfur state.
• To support and facilitate coordination between aid agencies, camp residents and UNAMID gender desk officers. The recruitment of gender desk officers must involve camp residents, and the work of gender experts should fully utilize the expertise and resources of aid agencies as well as camp residents, to ensure the establishment of culturally competent services.

We need action to protect the rights of survivors in Darfur: please let your US Senators and Representative know.

(Cross-posted on DarfuriWomen.org)

Between World AIDS Day (December 1) and International Human Rights Day (December 10), PHR is launching the 10,000 in 10 Campaign. We’re mobilizing 10,000 Americans, including students nationwide, to ask their US Senators to support US ratification of the Convention to Eliminate All Forms of Discrimination Against Women (CEDAW) in 2010.

We need your help to meet our goal. It will take 2 minutes:

• The petition is online now. Help us reach 10,000 signatures today!
• Get More Involved: Join our “10,000 in 10 Leadership Team” and make a pledge to collect 50 signatures from family, friends and colleagues. Email me at skalloch[at]phrusa[dot]org to join the team.

Why CEDAW?
Women all over the world are facing discrimination, abuse and systematic inequities that make them especially vulnerable to some of the most severe global health challenges. Until we promote and protect women’s rights, the most severe diseases and health complications will continue to disproportionately affect women world wide.

Why Now?
The US remains one of only 7 countries in the world who have yet to ratify this critical treaty, along with Sudan and Somalia.

Since the treaty was adopted by United Nations in 1979, efforts for US ratification have come up repeatedly in the Senate but faced significant obstacles by CEDAW opponents, crushing potential for ratification. Now, CEDAW has strong support within the Foreign Relations Committee and is listed by the Obama administration as one of the top three treaties to ratify.

Things are looking a lot brighter: Let’s make the most of this new opportunity to protect women’s rights and support women’s health worldwide by finally ratifying CEDAW!

Let your Senator know that it’s time for the United States to ratify CEDAW and get serious about women’s rights worldwide.

The World Health Organization’s representative to Sudan, Mohammad Abdur Rab, told reporters yesterday that 10 percent of children in Darfur and in South Sudan die before their first birthday, and that 15 percent of children in western Darfur were malnourished. This immense figure provides a quantitative background to PHR’s work on food security issues, as well as sanitation and health needs of displaced Darfuris living in UNHCR camps for the past five years.

In meetings held with members of Congress in Washington, DC last week, PHR doctors briefed co-Chairs from the House Commission on Human Rights, Congressional Women’s Caucus and Congressional Caucus on Sudan on the urgent health, food and security needs in Camp Farchana. The camp was the site of PHR’s 2008 investigation into the impact of sexual violence on survivors of the Darfur conflict (see the report here), which found high levels of malnourishment, lack of healthcare, insufficient sanitation and lack of protection for women and girls in the face of daily risk of attack.

The food security issues and the health needs are closely linked — and an integrated strategy between UN agencies and aid organizations on the ground is desperately needed — on both sides of the Sudan/Chad border. Although the World Food Program (WFP) target caloric intake of 2,100 kilocalories is formally being provided to the refugees by WFP rations, the type and quantities of food apparently are seriously inadequate.

WFP rations consist of only five items (sorghum, oil, salt, sugar, corn-soy blend) and the sorghum rations are distributed in an un-ground form, which means that the refugees themselves have to pay the cost of grinding the grain.

The lack of milk, meat or vegetables has consequences for the health needs of refugees, particularly vulnerable groups like children and pregnant women. Even where fortunate refugees receive the target caloric intake, they don’t receive sufficient nutrients because of the limited diet.

We must commit to reducing child malnutrition by providing milk and meat to pregnant women and children. PHR has been working to encouraging UN agencies to coordinate sufficiently so that refugees themselves can be involved in the solution to this issue.

Currently, women are forced to sell their meager sorghum rations for milk or meat, travelling to a local market where they receive a vastly reduced price for their sorghum due to market saturation. However, if UN peacekeepers would provide protection for women and girls outside the camps, they could collect the necessary hay and water and raise livestock around the camp. This would give them a supply of milk and meat to add to their diet, and also provide them with the opportunity to provide for their family’s livelihood.

In his briefing yesterday, Abdur Rab also mentioned that international donors need to increase their support for fragile health services in Sudan, with special attention to secondary and tertiary care centres. Next week PHR will be doing more work on the issue of Sexual and Gender-based Violence (SGV) programming, and the need to provide emergency assistance for injuries, documentation of injuries, access to HIV/AIDS prophylactic treatment, pregnancy testing, psychological and social support — none of which are currently being provided to women and girls in Darfur.

The World Health Organization’s representative to Sudan, Mohammad Abdur Rab, told reporters yesterday that 10 percent of children in Darfur and in South Sudan die before their first birthday, and that 15 percent of children in western Darfur were malnourished. This immense figure provides a quantitative background to PHR’s work on food security issues, as well as sanitation and health needs of displaced Darfuris living in UNHCR camps for the past five years.

In meetings held with members of Congress in Washington, DC last week, PHR doctors briefed co-Chairs from the House Commission on Human Rights, Congressional Women’s Caucus and Congressional Caucus on Sudan on the urgent health, food and security needs in Camp Farchana. The camp was the site of PHR’s 2008 investigation into the impact of sexual violence on survivors of the Darfur conflict (see the report here), which found high levels of malnourishment, lack of healthcare, insufficient sanitation and lack of protection for women and girls in the face of daily risk of attack.

The food security issues and the health needs are closely linked — and an integrated strategy between UN agencies and aid organizations on the ground is desperately needed — on both sides of the Sudan/Chad border. Although the World Food Program (WFP) target caloric intake of 2,100 kilocalories is formally being provided to the refugees by WFP rations, the type and quantities of food apparently are seriously inadequate.

WFP rations consist of only five items (sorghum, oil, salt, sugar, corn-soy blend) and the sorghum rations are distributed in an un-ground form, which means that the refugees themselves have to pay the cost of grinding the grain.

The lack of milk, meat or vegetables has consequences for the health needs of refugees, particularly vulnerable groups like children and pregnant women. Even where fortunate refugees receive the target caloric intake, they don’t receive sufficient nutrients because of the limited diet.

We must commit to reducing child malnutrition by providing milk and meat to pregnant women and children. PHR has been working to encouraging UN agencies to coordinate sufficiently so that refugees themselves can be involved in the solution to this issue.

Currently, women are forced to sell their meager sorghum rations for milk or meat, travelling to a local market where they receive a vastly reduced price for their sorghum due to market saturation. However, if UN peacekeepers would provide protection for women and girls outside the camps, they could collect the necessary hay and water and raise livestock around the camp. This would give them a supply of milk and meat to add to their diet, and also provide them with the opportunity to provide for their family’s livelihood.

In his briefing yesterday, Abdur Rab also mentioned that international donors need to increase their support for fragile health services in Sudan, with special attention to secondary and tertiary care centres. Next week PHR will be doing more work on the issue of Sexual and Gender-based Violence (SGV) programming, and the need to provide emergency assistance for injuries, documentation of injuries, access to HIV/AIDS prophylactic treatment, pregnancy testing, psychological and social support — none of which are currently being provided to women and girls in Darfur.

You may have seen the news last week that the Obama Administration unveiled its long-awaited Sudan policy.

PHR welcomed the renewed sense of urgency in the policy but took a skeptical position on the Khartoum genocidal regime’s ability to fulfill the role of trusted partner envisioned in the new policy.

The new policy relies heavily on offering incentives to the Bashir regime to improve the situation on the ground. PHR urged the Administration and international community to build strong multilateral pressure on the regime and give a higher priority to the accountability for genocide and atrocities.

As an independent medical organization which has documented, from 2004 to 2009, the Sudan government’s mass killing and rape, pillage, forced displacement and destruction of all means of survival for hundreds of thousands of Darfuri civilians, PHR has repeatedly called for an end to impunity for this genocidal campaign.

An immediate goal for US policy which is not explicitly addressed in the new comprehensive approach is an end to the gender-based violence occurring inside and outside camps in Chad and Darfur and an end to impunity for the crime of rape.

In line with US Strategic Objective #1, “a definitive end to conflict, gross human rights abuses and genocide in Darfur,” UNAMID and all UN agencies must be tasked with specific reporting on the problem of gender-based violence and must be free to report without obstruction by local authorities. The current system, which discourages women from reporting rape and seeking justice, must be reformed and existing rape laws must be strengthened.

The US and UN must also immediately demand a commitment from the Government of Sudan to cease impeding support programs for victims of gender-based violence and remove any obstacles to gender-based violence programming in technical agreements between the government and humanitarian NGOs. It is essential that the US monitor the ongoing situation on the ground in Darfur and not allow Omar al-Bashir’s government the opportunity to further deceive the international community over human rights abuses. The Government of Sudan must accept an independent fact-finding mission to assess the human rights situation in Darfur, and the State Department should immediately encourage a high-level congressional delegation to perform this role.

As the US engages with the Government of Sudan and international partners to attempt to reinvigorate the peace process, US policy must remain committed to safely return refugees in Chad and displaced in Darfur to their homes and rebuilding of their villages and livelihoods. This goal should not be lost in efforts to achieve short-term forward progress in the peace process and immediate improvements in humanitarian assistance to the millions of displaced Darfuris.

The renewed commitment by the Obama Administration to end the conflict in Darfur and move forward with implementation of the North-South Comprehensive Peace Agreement must not deter the US from supporting the UN Security Council and the ICC in pursuit of justice by enforcing the arrest warrant for President Bashir.

More soon: PHR briefing on rape and sexual violence in Sudan/Chad in DC this Wednesday (Oct 28)!