save the children

Millions of children die before their fifth birthday because developing countries skew public health spending to the rich rather than the poor, a leading charity says today.

Save the Children says that 4 million child deaths could be averted over a 10-year period if the 42 developing countries which account for 90% of all under-five mortality took an "egalitarian approach". Although UN nations agreed to reduce child mortality by two-thirds from its 1990 level by 2015, progress has been steady and slow – and exacerbated by the rising inequalities within poor nations. In Kenya, where there was an increase of nearly 150,000 under-fives' deaths between 1993 and 2003, an "egalitarian approach", says the charity, would have actually prevented 214,000 deaths.

Save the Children says that in developing nations it is the children of the wealthiest fifth of the population who have disproportionately benefited from the focus on infant mortality to the extent that in some cases the poorest fifth of the population are no better or even worse off. In Burkina Faso, where a reduction in child mortality rates masks an actual increase in child mortality among the poorest 20% of the population.

Sub-Saharan Africa, where close to one child in seven still dies before their fifth birthday, faces the greatest challenge. Although the mortality rate in the region has fallen, high fertility levels mean the absolute number of child deaths has increased since 1990, from 4.2 to 4.6 million.

Nigeria's child labour

In the past, children worked with their families, learning skills they would need as adults. But today, children are forced to work for their own and their family’s survival. Child labour is so widespread in Nigeria that it has been accepted by many as part of normal life. The end of the oil boom in the 70s, coupled with mounting poverty, has driven millions of children into labour.

Recent studies and reports, especially from the International Labour Organization show that child labour has been made worse in recent times because some of these children have no solid background, no education and no parental care. In the circumstances, they become street hawkers. They work in the streets during the day, and work even at night in some cases. Such lifestyles become very dangerous and nomadic types of life. There is little wonder therefore, that the future of these children is very dark and bleak. There are many children in Nigeria who work under inhumane conditions hidden from public view. The conditions of some of these children are compounded by the fact that they do not receive any kind of formal education. Because of the ramifications and consequences of child labour, it is no wonder that it is actually illegal in Nigeria, although the sheer scale of the activity gives the impression that it is legal.

In Nigeria quality education is no longer free. The ‘free education’ available in many local and state governments across the country does not provide the desirable tools for future freedom from ignorance or even preparation for work after education. Child rights activists also submit that lack of access to education is a major reason for the child labour quagmire. Statistics shows that these working children lose out on education because they have no time, money or energy to go to school. It also shows that about six million children, comprising of boys and girls, do not attend school at all, while one million children are forced to drop out of school due to poverty or because their parents demand for them to contribute to the family’s income. Over eight million children manage to stay in school and work at their spare time to pay school fees. But due to high demand at work, these children normally skip classes.Rabiu Musa, UNICEF Communications Officer stated 10 million children were not in school in the country. Missing out on education makes it impossible to break the cycle of poverty and exploitation.

Pervasive Poverty in Swaziland

With a population of about 1.1 million, Swaziland has over 759 000 people living below the poverty line.48 per cent of the population lived on less than US $ 1 per day which translates to about E7.50 in local currency while 78 per cent lived below US $ 2 per day. The United Nations Complementary Country Analysis which was published in April this year blames this problem to the inequalities in the distribution of wealth in the country and the HIV/AIDS scourge where the country remains with the highest HIV prevalence in the world.

Income distribution remains skewed, with 56 per cent of wealth held by the richest 20 per cent of the population, while the poorest 20 per cent of the population owns less than 4.3 per cent.

HIV /AIDS translates to an estimated loss of 20 years of life expectancy in the country.

20-25 per cent of Swazi households are food insecure.

29 per cent of children under the age of five are showing signs of stunting which is an indication of malnutrition over an extended period.

The mortality rate has risen dramatically, with maternal mortality increasing from 229 deaths per 100 000 births in 1996 to 589 per 100 000 in 2006.

In Swaziland there is limited access to and control of productive assets such as land and water for sustainable livelihoods for the poor, and inadequate capacity to participate in policy making and decisions.The UN noted that physiological and social deprivation which includes risk, vulnerability, lack of autonomy, powerlessness and lack of respect was prevalent in the country.

the world crisis

Chief Economist of the World Bank, Africa region, Dr Shanta Devarajan in regard to the Millennium development goals said “The crisis has put us further off track...the estimated poverty rate in Africa would have been 36 per cent by 2015 but now we re-estimated it to be about 38 per cent.”

Two percentage points is 20 million people. So there is 20 million additional people who will be in poverty as a result of the crisis.

Another 30,000 to 50,000 African babies will die before their first birthday.

ivory coast misery

We read that Ivory Coast , once called the "economic miracle" of Africa, with rapid growth in the first two decades after independence from France in 1960, is one of Africa's major agricultural exporters - around 40% of the world's cocoa, and more rubber and cashew nuts than any other country on the continent. But despite these cash crops, Ivory Coast has large regions suffering from malnutrition.

A third of children nationally suffer from chronic malnutrition. A recent survey showed that malnutrition was now at emergency levels among children under two years old in two regions in the north-west, Bafing and Worodougou. Children with malnutrition do not always get the help they need because of the cost of modern medicine, the lack of the health facilities close by. According to the International Monetary Fund, the poverty rate rose from 38% to 49% between 2002 and 2008.

This is not a country facing a famine, but a series of factors has left large numbers of the population struggling to grow and buy enough food.

"The reason why people are malnourished is mainly not due to a lack of food, but mainly due to accessibility issues due to poverty," says Mr Gerard ,country director for the health charity, Merlin. "The food on the market is expensive..."

Once more its a matter of capitalism's principle law "Can't pay - can't have"

water crisis in Africa

UNICEF noted that more than 155 million people, or 39 percent of the population in West and Central Africa, do not have access to potable water, with only eight of 24 countries in the region on track to meet key poverty-reduction targets by 2015.Six countries have less than 50 percent drinking water coverage: Chad, Democratic Republic of the Congo, Equatorial Guinea, Niger, Mauritania and Sierra Leone. Many countries have suffered drops in food production due to erratic rains.

UNICEF said the water situation in West and Central Africa "remains a major concern," with the region home to the lowest coverage of potable water worldwide.

Also of concern is the fact that 291 million people have absolutely no access to sanitation in West and Central Africa, the region with the highest under-five mortality rate of all developing regions at 169 child deaths per 1,000 live births.

Child poverty alongside "Youth" riches

A new OECD working paper on trends in poverty and income inequality in South Africa has found that more than half of all South Africans (54%) are poor but, among children below 10, as many as two out of three are poor. "This implies that among all poor South Africans, one in three is a child," said the OECD.


The national poverty line of 515 rand a month, or about US$4 a day, which is used for national policy making. International comparisons of lower-income countries often use the World Bank poverty line which is US$2 a day. Under this lower line, the aggregate poverty rate in South Africa is 30% but if the standard OECD poverty line, which is below half the average income, the poverty rate is 26%.

The report, based on the most recent information on incomes available, for the year 2008, indicated that South Africa's levels of income inequality and income poverty did not decrease between 1993 and 2008. According to some estimates, aggregate inequality even slightly increased. Inequality between racial groups decreased, especially during the 1990s. This did, however, not lead to a decrease in the aggregate because inequality within population groups increased, especially among Africans.Rising inequality within the labour market - higher unemployment and greater wage inequality - lies behind the increased levels of inequality.

"Poverty has increased, especially in urban areas...Race-based redistribution may therefore become less effective over time relative to policies addressing increasing inequality within each racial group and especially within the African group."

While at the same time we read that Julius Malema , head of South Africa's ANC youth league , has been accused of making 130m rand (£11m or $17m) from state contracts since 2008.He reportedly used some of his earnings to buy two lavish homes and three luxury cars, including an Aston Martin.
Malema has always presented himself as someone who understands poverty, because his mother was a single parent who worked as a cleaning lady in rural Limpopo.

malnutrition and health

Liberia has 5,000 full-time or part-time health workers and 51 Liberian doctors to cater to a population of 3.8 million, according to the 2006 health survey. 44 percent of child deaths are associated with malnutrition. Chronic malnutrition - also known as stunting - affects 39 percent of under-fives, and 6.2 percent are acutely malnourished or "wasted". A "severe acute malnourished child" is more than nine times more likely to die than a well-nourished one .

With 45 percent of Liberian children under age five chronically or acutely malnourished, experts say nutrition is a burning health problem, but NGOs feel the Ministry of Health is not as worried as it should be

Children of the Tobacco Fields

From November's Socialist Standard

We all know that tobacco harms those who smoke it. Few are aware of the damage it does to those who pick and process it.

The “children’s organisation” Plan International recently issued a report about children in Malawi, some as young as five, who toil up to twelve hours in the tobacco fields for an average daily wage of 11p. (Hard Work, long hours and little pay).

The finding that has attracted most attention is that these children are being poisoned by the nicotine “juice” they absorb through the skin – and also ingest, as they have no chance to wash hands before eating. Many of the ailments that plague them -- headaches, abdominal and chest pain, nausea, breathlessness, dizziness – are symptoms of Green Tobacco Sickness.

But much of their suffering has nothing to do with nicotine. All have blisters on their hands. All have pains – in the shoulders, neck, back, knees – caused by overexertion of their immature muscles. About a third of the children are coughing blood, which suggests TB.

Many of the children examined had been beaten, kicked or otherwise physically abused by estate owners or supervisors. Many of the girls had been raped by them. One boy had deep knee wounds as a result of being made to walk across a stony field on his knees as punishment for “laziness”.

Who owns the estates?
Who are these estate owners?
Commercial tobacco farming in Malawi began late in the 19th century, when it was the British colony of Nyasaland. White settlers seized much of the best arable land for plantations of tea, coffee, tung trees (for their oil, used as a wood finisher) and – mostly -- tobacco. Even today the majority of owners of large estates are descendants of the colonial settlers, although now there are also black owners.
In 1948 some tung and tobacco plantations (estates) were taken over by the Colonial Development Corporation, funded mainly by the British Treasury. After Malawi gained formal independence in 1964, these came under state ownership. Later they were reprivatised. Another recent change is the direct acquisition of some estates by international tobacco companies.

The estates were established on land stolen from traditional peasant communities. The process began in colonial times but continued even after independence, under the Banda regime. Land theft impoverishes local communities and compels those worst affected to offer themselves – or their children! – to the estate owners as wage slaves.
Tobacco is also grown on many small family farms. Here too, children work and suck in nicotine juice, alongside their parents.

The tobacco cartel
Malawi’s tobacco market is dominated – through subsidiaries -- by two international corporations, Universal Corporation and Alliance One International. These corporations operate a cartel, refusing to compete and colluding to keep tobacco purchase prices low. This in turn intensifies the pressure on farm owners to minimise costs by exploiting cheap or free child labour – a practice that the corporations hypocritically claim to oppose.

Representatives of the corporations sit on several committees that advise the government of Malawi on economic policy. By this means they ensure that their interests are served and block any initiatives to diversify the economy and reduce the country’s dependence on tobacco.

The main reason why child labour is so prevalent in Malawian agriculture is the poverty – in particular, land hunger -- of most of the rural population. This reflects not any absolute shortage of land but rather the highly skewed pattern of land ownership. Large tracts of land lie fallow on the big estates.

A pathetic contrast
How does Plan International propose to help the children on the tobacco farms?
Well, it will “educate farm owners and supervisors” and persuade them to provide the children with protective clothing. Taking the tobacco companies’ PR at face value, it will urge them to “scrutinise their suppliers more closely”. It will not, however, support a ban on children picking tobacco because that is “unrealistic” – as indeed it is if you refuse to challenge underlying social conditions.

But what a pathetic contrast such “realism” makes with Plan International’s “vision” of “a world in which all children realise their full potential in societies that respect people’s rights and dignity”!

Environmental degradation
Besides ruining people’s health, tobacco degrades the environment. The tobacco monoculture that dominates much of Malawi depletes the soil of nutrients. It also causes extensive deforestation, as trees are felled to provide firewood for curing the tobacco leaves, and this in turn further erodes the soil. Water sources are contaminated. After over a century of tobacco cultivation, all these processes are already far advanced. (For fuller analysis, see the chapter by Geist, Otanez and Kapito in Andrew Millington and Wendy Jepson, eds. Land Change Science in the Tropics: Changing Agricultural Landscapes, Springer 2008.)

Tobacco in socialist society?
Will tobacco be grown in socialist society? On a small scale, possibly, by addicts for their own use. But it’s hard to imagine socialist society making planned provision, within the framework of democratic decision-making, for tobacco production. People aware of all the harm caused by tobacco will surely prefer to halt cultivation of this noxious weed. They will seek to restore soil fertility, reverse deforestation and enhance local food supply.

Even if, for the sake of argument, we suppose that the decision is made to continue producing tobacco, will it be implemented? Will the free people of socialist society, no longer spurred on by economic necessity, voluntarily poison themselves just to feed others’ addictions?

STEFAN

poisoning children for capitalism

Children picking tobacco in the fields of Malawi for consumers far beyond the African country's borders are being poisoned as they absorb up to two cigarette packs' worth of nicotine each day, a children's rights organization said.

The "extremely high levels of nicotine poisoning" produces not only nausea, headaches, dizziness, difficulty in breathing and other symptoms but "long-lasting changes in brain structure and function," London-based Plan International said in a report.

More than 78,000 children, some as young as 5, work on tobacco estates across the southern African country, some up to 12 hours a day for less than 1.7 cents an hour and without protective clothing.Large-tobacco production has shifted from the United States to developing countries like Malawi, where "children are being exposed to exploitative and hazardous working conditions." Malawians are so poor that many families send their children to work in the fields.Tobacco is an important cash crop in Malawi, generating 75 percent of foreign exchange income. More than 80 percent of Malawians are directly or indirectly employed by the tobacco industry, which contributes up to 30 percent of the country's Gross Domestic Product.

poverty and NGOs

On the day that G20 leaders meet in London, millions of poor children in countries like Kenya are facing hunger and malnutrition. Save the Children estimates that there are up to 100,000 more malnourished children in Kenya today as a result of last year's rise in food prices.

Save the Children's Director of Policy said: "Poor people in the poorest countries were hit hard by the rise in food and fuel prices last year. The financial crisis will hurt them even more, and children are most at risk...What poor people want and deserve is that these promises are delivered on. G20 leaders have said that they will do what is necessary to revive their own economies. With equal urgency they should do whatever it takes to protect the world's poor, including poor children, from a financial crisis that was not of their making"

An estimated 4 million people in Kenya face acute food shortages for the next year as they live in areas hit hardest by the drought and food prices.

Save The Children can appeal as often as they wish to the good will of the world's capitalist class . Viewed from a socialist aspect, such appeals bestows its beneficence upon the capitalist class in addition to the favours that it patronisingly grants to the deprived and destitute. Even if NGOs such as Save The Children were groups genuinely seeking, on humanitarian grounds, to reach out to the needy (as some may honestly do , we readily admit ) they would still not escape being branded blind groups groping in the dark.
The work and assistance programmes of NGOs cannot be anything but a red herring. Having been brought into existence by the exploitative money-oriented system and being completely dependent on the same underhand methods of this unfeeling system for their survival what else can the activities of NGOs be if not messing about in trivialities? The main problem confronting humanity revolves around ownership of the means and instruments for producing and distributing social wealth. How many NGOs mount platforms to explain this simple truth to their target groups? How many NGOs ever distribute press releases about working people replacing this profit-oriented system with a higher social system based on collective and democratic ownership of the means and instruments of production?

Poverty and want are necessary offshoots of the capitalist socio-economic formation. Trying to get rid of the former whilst leaving the latter intact amounts to putting the cart before the horse. The only genuine assistance the NGO community could lead to the suffering people of this capitalist world is to stop collaborating with the owners of capital and instead, join forces with socialists to get rid of this system based on money. NGOs could use their resources to help usher in a system where production is not for profits' sake but for the satisfaction of needs. Under such a system nobody will have to run around begging for funds in order to help the needy—in fact there wouldn't be any more needy people.

world capitalism 2 - babies die

In studying economic, health and governance data for 45 sub-Saharan African countries from 1975-2005, World Bank senior economist Jorge Arbache found that during multi-year economic collapses, infant deaths increased on average by almost three percent, from 86 deaths per 1,000 live births to 114.
The World Bank calculates that some 28 million children are born in Africa every year, which would mean up to 700,000 more deaths because of the recession, which is caused in part by risky US mortgage lending, said Arbache. But even by conservative estimates, “Some 200,000 more babies may die in sub-Saharan Africa this year because of the economic fallout,” the economist said.
“I know these days it seems economists are blaming everything on the recession,” said Arbache. “But there is historical proof that sustained periods of deceleration [economic slump] have a direct impact on governance, small conflicts, life spans and, also, mortality.”

“Economic growth collapse in sub-Saharan Africa may mean more than a financial downturn – it can be deadly,” Arbache said.

The Trade in Children

Under capitalism everything - and everybody - is a commodity to buy and sell .

In recent years, inter-country adoption has been governed by stringent international guidelines like the Hague Convention - designed to prevent trafficking and ensure adoption is in the best interest of the child. Liberia has not signed up to the Convention. Liberia's adoption laws were written in the 1950s and deal only with domestic cases. They make no mention of inter-country adoptions.

That loophole opens the door for anyone to set themselves up as a private adoption business and to operate with near impunity. Orphanage owners receive a state subsidy for each child they take. And some of those children can then be adopted internationally for fees as high as $15,000. The BBC reports .

"...Posing as a couple seeking to adopt to Canada, we went undercover to meet self-styled Bishop Ed Kofi - who runs one of the largest private children's homes in Monrovia from which around 100 children have been adopted in recent years. Mr Kofi bragged that the adoption business is in "full swing", and promised that for $5,000 he could arrange an adoption. Having met us just twice, he also offered to deliver a child to us - something which flouts all international guidelines on child protection. He shrugged off concerns about child welfare as "rumours"..."

Most of the children in orphanages like the one Mr Kofi runs are not actually orphans. Most have at least one living parent, many were placed there by desperately poor parents. Unscrupulous agents go into shanty towns and slum villages, convincing parents to give up their children on the promise of free room and board and a good education - something few families can afford. Most of the orphanages where the children are housed fall well below minimum standards. A UN report published in 2007 documented rampant abuse and neglect and "inhuman and degrading treatment of children".

Vabah Gayflor, government minister, and one of the most influential women in cabinet, said : "Many of these institutions have been established by people who are exploiting. People are getting scores of money out of this and they want to make sure that they stay in business. If you have Liberian children being marketed like this it's a shame. It is a shame."

It's a shame but it's Capitalism . Everything and everybody has a price

Child Mortality Rates

Promised reforms by Capitalism have a history of failing and it appears the progress in cutting the number of deaths among children under five is still "grossly insufficient" in some parts of the world, Unicef has warned.

The UN children's agency warns many poorer countries will not meet the 2015 Millennium Development Goal of cutting that figure by two thirds. The situation is worst in sub-Saharan Africa and south Asia, it said .

Last year, 9.2 million children aged under five died across the world. It warns that malnutrition is now a contributing cause in around a third of deaths

Central and eastern Europe, Latin America and the Caribbean and East Asia and the Pacific countries have cut deaths among under-fives by over 50% since 1990. But over the same period, deaths in western and central Africa have fallen by just 18%; in sub-Saharan Africa the figure was 21%, while in eastern and southern Africa it was 26%.

In Sierra Leone, the country with the worst under-five mortality rate in the world, 262 out of every 1,000 children die before their fifth birthday.The rate for industrialised nations is just six deaths per 1,000 live births.

your child's health report

The report, "The State of Africa's Children 2008," was launched on May 28 at the Fourth Tokyo International Conference on African Development in Japan.

The facts are shocking.

Although Africa accounts for only 22 percent of births globally, half of the 10 million child deaths annually occur on the continent. Africa is the only continent that has seen rising numbers of deaths among children under five since the 1970s.

Many of these children die of preventable and curable diseases.

UNICEF's report says malaria is the cause of 18 percent of under-five deaths in Africa. Diarrheal diseases and pneumonia -- both illnesses that thrive in poor communities where sanitation is severely compromised, and where residents are often undernourished and exposed to pollution -- account for a further 40 percent of child deaths. Another major killer is AIDS.

sub-Saharan Africa is unlikely to achieve any of the health-related Millenium Development Goals by 2015; the continent lags behind on progress towards eradicating extreme poverty and hunger, improving maternal health, and halting and reversing the spread of HIV. One in every six children in sub-Saharan Africa will still die before his or her fifth birthday. The region is described by UNICEF as the most difficult place in the world for a child to survive.

In South Africa, 250,000 children under 15 are HIV-positive -- a huge proportion of the estimated 400,000 children under 15 who have been infected with HIV in Africa. Despite the expanded provision of anti-retroviral drugs, 64,000 more children contract the virus in South Africa each year. Across the southern African region, under-five deaths have risen by 17 percent between 1990 and 2006; these deaths are mostly attributed to HIV/AIDS.
In West and Central Africa, there were more people without access to clean drinking water in 2004 than in 1990. Unsafe drinking water can cause diarrhea, dysentery, and other water-borne diseases.

It needn't be like that !

There can be expanded immunization programs, the increased use of insecticide-treated bed nets, and the provision of vitamin A supplements to children.
Other interventions in Africa include exclusive breast-feeding practices up to six months and the prescription of anti-retroviral medication to prevent mother to child transmission of HIV.
In Ghana, all pregnant women are now covered by an intervention program that includes iron and folic acid supplementation and preventative treatment for malaria. All children between six months and five years of age are vaccinated against childhood diseases like measles and polio.
In Malawi, the government has rolled out immunization programs as well as micronutrient supplementation -- small amounts of vital minerals like iron, cobalt, chromium, and copper. The government is also building wells to improve access to clean water for people living in remote towns and villages.
Rethinking the supply and management of water systems is also crucial. In Ghana, a water reform program introduced in the 1990s has met with huge success. Responsibility for water supplies was transferred to local governments and rural communities and by 2004 access to clean water sources had increased to 75 percent from a low 55 percent.

Just imagine if there were no financial budgets acting as restraints on peoples needs and that the labour hours spent on wars and State oppression were re-directed to constructive and not destructive purposes.

Poor Health in South Africa

The deaths of up to 40,200 South African babies and children could be prevented every single year if gaps in the healthcare system, including poor patient care and lack of interventions to address HIV/AIDS, were addressed. Every year at least 20,000 babies are stillborn, another 22,000 die within the first month of their lives and 1,600 mothers die from complications of pregnancy and childbirth. Some 75,000 children die before their fifth birthday, according to a report.

"We are talking about a lot of deaths. Under five mortality appears to be increasing. Maternal mortality appears to be increasing. HIV infection amongst pregnant women appears to be increasing," says Dr Mark Patrick, a paediatrician at Grey's Hospital in Pietermaritzburg and one of the report's authors."The fact that 260 mothers, babies and children die every day in South Africa should make people stop and think and ask why this is happening."

Angolan Shame

Economic growth does not necessarily translate into improvements in child mortality, major new research suggests.
Ten million children still die every year before their fifth birthday, 99% of them in the developing world, according to Save the Children. A study comparing economic performance with child mortality reveals that some countries have not translated wealth into improvements across society.

Angola comes at the bottom of a new "Wealth and Survival" league table drawn up by the UN Development Programme . There are few countries in the world where there are such stark wealth contrasts as there are between the wealth of oil-rich coastal strip around the Angolan capital Luanda, and the war-ravaged interior.

UNDP statisticians calculate that more than half of the babies who die in Angola could be saved were the country to spread its wealth more fairly.

Not so healthy Africa

Poverty and war are harming advances in infant mortality, particularly in sub-Saharan Africa, a new Unicef report on global child health has said. Sub-Saharan Africa is home to 28 of the 30 countries with the highest mortality rates.

Sierra Leone was the worst performer, with 270 deaths before the age of five per 1,000 live births, in 2006 figures. In Sierra Leone one in four children will die before their fifth birthday. In Sweden it is one in 350. In Sierra Leone one in eight mothers will die in childbirth. In Sweden 0ne in 17,400 mothers die in childbirth and one in 8,200 in the UK. Sweden has one of the best staffed health services in the world. It has 320 doctors per 100,000 people compared to two doctors per 100,000 people in Sierra Leone.

In Sub-Saharan Africa the annual average rate of reduction in the child mortality rate between 1990 and 2006 was only 1% per year - meaning the rate will have to increase to 10.5% per year between 2007 and 2015 if the region is to meet the fourth MDG.

26,000 infants under five die every day around the world. They mostly die from preventable causes such as diarrhoea, malaria, malnutrition, mother-to-child transmission of HIV, unsafe water, poor hygiene and neonatal problems.
The solutions to child deaths are well-known, says the report - "simple, reliable and affordable interventions with the potential to save two-thirds of the children currently at risk are readily available". Such interventions that have already been shown to be effective include promoting breast-feeding, immunisation, vitamin A supplementation and the use of mosquito nets.

BOTTOM FIVE COUNTRIES/ DEATHS PER 1,000 LIVE BIRTHS
Sierra Leone: 270
Angola: 260
Afghanistan: 257
Niger: 253
Liberia: 235

A Remarkable Doctor

Samuel Kargbo stayed in Sierra Leone throughout the horrendous civil war. He brought basic health services and vaccines to children who lived in the rebel areas. He had to negotiate his way across checkpoints and his life was frequently at risk. Now he is one of just two doctors in a region of nearly 300,000 people. Having trained in Russia, Germany and the UK, Dr Kargbo could easily get a job overseas. But he refuses to leave.
"A lot of doctors who qualify in Freetown, go abroad", he said. "Some forget that the greatest need is here".
He earns around $200 - £100 - a month.

UNICEF Goodwill Ambassador , the England international football player , David Beckham said: “We can’t turn a blind eye to the tens of thousands of young children who die every day in the developing world mostly from causes that are preventable...Saving these children’s lives is a top priority for UNICEF and as an Ambassador I hope I can help to draw attention to this issue across the world.”

Socialist Banner , however , knows it takes more than well-meaning words from a millionaire sports star to change things . It is socialist revolution , not press releases , that will change how people will live or die .

"Ball and Chains"

The BBC carries a report of a documentary called "Ball and Chains" on African football players in Europe and their particular exploitation .

Every year hundreds of young African players come to Europe in the hope of striking it rich, following in the footsteps of stars such as Chelsea's Didier Drogba or Barcelona's Samuel Eto'o. But for the handful who make it, far more fail. And yet they keep coming. The few successful examples are skewing the perceptions of young Africans, and in many cases encouraging them to abandon their education.

Raffaele Poli, a Swiss academic, has studied the career paths of African footballers in Europe.
He looked at 600 players who played in the top European leagues in 2002.
Four years later, only 13% had progressed upwards. A third had simply disappeared from professional football.

Many clubs have made a business out of importing cheap African talent and then selling it on to wealthier European clubs. In the global football business, though, the talent is at the mercy of unscrupulous agents and clubs. Dirk de Vos of the Belgian football players' union showed us a contract between a club and an African player.
Or rather, two contracts.
One, properly printed, gave the player the correct minimum wage and benefits, and was lodged with the football federation. The other, hand-written, showed the true salary - less than a quarter of the official figure.
"They have no choice but to sign the second contract," says de Vos.

Other players we met had simply been abandoned on the streets by their agents when they failed a trial, or had their contract terminated.

Scams and false paperwork are common. In Ghent a young Nigerian player was recruited at the age of 15. Too young to play officially, his agent had taken his passport to the Nigerian embassy in Brussels, where he had paid to have it "amended" to make him appear older.
A Cameroonian player for Bayern Munich turned out to be travelling on a passport that actually belonged to a French woman.
"You can bribe anyone," says Jean-Claude Mbvoumin a former Cameroonian international player, who now runs a support group for abandoned footballers in Paris.

"It's important to dream," says Jean-Claude Mbvoumin, "but the dreams about football now are not realistic."

The Guardian also reports soccers exploitaion of African football talent . In the slums of Jamestown, outside the Ghanaian capital, Accra , a weather-beaten billboard poster shows Michael Essien holding out a ball dotted with black stars, his country's national symbol, the Ghana and Chelsea midfielder beckons fans to 'Be Proud' . There are an estimated 500 illegal football academies operating in Accra alone. Thousands more are spread across Ghana. Many are run by the roadside; most have no proper training facilities . According to the Confederation of African Football, the sport's governing body in the continent, all such institutions must be registered with the local government or football association. The reality in Ghana and neighbouring Ivory Coast is that the greater the success of West African players in Europe, the more unaccredited academies spring up. Most demand fees from the children's parents and extended families, who often take them out of normal schooling to allow them to concentrate on football full-time. Since having a professional footballer in the family would be the financial equivalent of a lottery win, many reckon the risk to their child's education worth taking.

Coaches, as well as European and Arab middlemen, haggle over the best players, signing some as young as seven on tightly binding pre-contracts - effectively buying them from their families - with the hope of making thousands of dollars selling the boys on to clubs in Europe. In other cases, they extort the cost of passage from their families. Many take the deeds on houses and even family jewellery in return for their services. This process of exploitation is raising alarm among West Africa-based NGOs including Save the Children and Caritas.

Tony Baffoe, the former Ghana captain, now an ambassador for this year's African Nations Cup, admits that 'the trafficking of children to play football is a reality we must all face'

In West Africa serious money is being invested by European giants such as the Dutch clubs Ajax and Feyenoord, who both operate academies in Ghana. Just one top-class player every five years would cover the running costs of these accredited academies . French clubs such as Paris Saint-Germain and Monaco also maintain scouting networks in the region. Manchester United have bought a controlling interest in Fortune FC, a South African second-division side.

The exploitation of young footballers has even been called a new 'slave trade' and is leaving a tragic legacy of homeless young footballing hopefuls across Europe.

'This football-related trafficking and the widespread creation of so-called schools of excellence is an area of huge growing concern for Save The Children,' says Heather Kerr, the charity's Ivory Coast country manager.

Sepp Blatter, president of Fifa, football's world governing body, accused Europe's richest clubs of 'despicable' behaviour and engaging in 'social and economic rape' as they scour the developing world for talent.

Marie-George Buffet, a former French Sports Minister, recently claimed that many French-run academies, both in France and in Africa, were corrupt and run by unlicensed agents who needed controlling.

Professor Pierre Lanfranchi, an expert in the development of football worldwide and a consultant to Fifa. He says corruption in Africa, with poorly run national governing bodies, makes it easy for European clubs to cherry-pick the best young players and that there are no foundations to the professional game in Africa

Culture Foot Solidaire is a charity set up to help African teenagers trafficked or sent to Europe for football trials, then abandoned. Jean-Claude Mbvoumin, the president of the charity said:-
"One-month visas are easy to get with bribes in Africa, but after they fail their trials they stay on. They have nothing to go back to. These kids are as young as 14, they end up on the streets, worse off and in more danger than they could ever be at home." There is now a huge business to be made from football, says Mbvoumin, and it feeds on people's dreams of a better life for their family. "...vulnerable people are lured into a kind of debt slavery in the expectation of a better life. These brokers are getting $3,000 per child and offering to smuggle them out on the promise that they will sign for a big club. So many boys have gone missing in this way... "

Nigerian Poverty in the midst of wealth

Over 70 million Nigerians are living below poverty level disclosed Dr Otive Igbuzor, Country Director of ActionAid .

Nigeria, he added, remains one of the 20 countries with the widest disparity between the rich and the poor, stressing that most of the nation's wealth is in the hands of a few powerful individuals while the majority wallow in abject poverty.

Also reported is that about 529,000 women die annually globally, while Nigeria contributes 1.7 percent of the global population yet it accounts for 10 percent of maternal deaths annually. Nigeria is said to be the second highest, next to India, with an unimaginable rate of maternal and infant death in the whole world.

About 396 infants out of every 1000 live births in the north eastern Nigeria die by the age of five in the region comprising Borno, Adamawa, Taraba, Bauchi, Gombe and Yobe States, a study has shown.

More than US$400 billion was stolen from the treasury by Nigeria's leaders between 1970 and 1999, according to the country's financial crimes agency. With reserves of 35 billion barrels, Nigeria accounts for 60 percent of proven oil reserves in the Gulf of Guinea . Nigeria is one of the top five suppliers of U.S. oil imports and is emerging as an important liquefied natural gas supplier for Europe and North America. Rising Asian economies such as China and India are now seeking an interest in the region.

But strapped for cash to meet its joint venture obligations for deep water exploration in the Gulf of Guinea in the 1990s, Nigeria entered into special contracts that allowed the oil majors to invest their capital and recoup their own costs before sharing profits with the government.There has been massive finds such as Shell's Bonga field, Chevron's Agbami and Total's Amenan — each with the potential to yield more than 1 billion barrels.The Nigerian government has yet to see revenue from these offshore oil fields, and wants to review the agreements.

Will Nigeria end the paradox of the energy-rich country wracked by fuel and power shortages ?

Will Nigeria tackle the poverty of its citizens ?

Socialist Banner thinks not .