The Unjust Candidacy of Dr. Tedros A. Ghebreyesus for WHO ...€¦ · A. Ghebreyesus for WHO...

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TheUnjustCandidacyofDr.TedrosA.GhebreyesusforWHODirectorGeneralPosition

APUResearchDepartment,April2017

Introduction

• Since1991,EthiopiahasbeenruledbyTigrayPeople’sLiberationFront(TPLF)thatpracticesethnicapartheidtostayinpower

• TheAmhara,30-40%ofEthiopia’spopulation,aresingledoutinthisatrocity

• TPLFcontrolsallaspectsofEthiopia– ThemilitaryisrunalmostexclusivelybyTPLFGenerals

– TPLFanditsaffiliatesownmajoreconomicsectorsofthecountry

Introductioncont’d…

• 2003- Dr.GhebreyesuswhowasalreadyamemberofTPLFbecamedeputyMinisterofFederalMinisterofHealth(FMOH).

• 2005-2012– hewasMinsteroftheFMOH.• 2012-2016– hewasMinisterofForeignAffairs.

• May24,2016- heannouncedhiscandidacyforWHODirectorGeneralposition.

Methods

• SecondarydatapublishedbytheFMOHofEthiopiawerereviewedincluding– DemographicandHealthSurvey(DHS1-5)– HealthSectorDevelopmentPlan(HSDPII-IV)– HealthSectorTransformationPlan(HSTP),and– HealthandHealthRelatedindicators(HHRI)

• Otherpublishedarticlesrelatedtothetopicwerealsoreviewed.

•ResultsoftheReview

1.Discrimination/Marginalization

• AmongregionsofEthiopia,itiseasytoobserve– Unequalimmunizationcoverage– Unequalpercapitaexpenditure– Unequaliodizedsaltdistribution– TigrayRegionhashighestAntenatalCareService(ANC)utilizationandhighestSkilledBirthAttendance

– “Khat”,astimulantdrug,isbannedin“Tigrayregion”butpromotedinotherregions

UnequalImmunizationCoverage

Figure1:Fullimmunizationcoverage2016Source:DemographicandHeathSurvey(DHS)2016

“Amhararegion”haslowestiodizedsaltdistribution

Figure2:IodizedsaltdistributionbyregionsandRural/Urban>25ppmfor2000and>15PPMin2005and2011Sources:DemographicandHeathSurvey(DHS)(2000,2005and2011)

“TigrayRegion”hashighestANCandskilledbirthattendance

0

10

20

30

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50

60

70

80

90

100

2000 2005 2011 2014 2016 2010 2014 2016

ANCcarebyskilledprovider Deliverybyskilledattendant

%ANCcare,D

elivered

byskilled

atten

dant

Amhara

Tigray

National

Figure3:ANCandDeliverybySkilledBirthAttendantfor“AmharaandTigrayregions”intheyear2000,2005&2011comparedwithNationalRatesSources:DemographicandHeathSurvey(DHS)(2000,2005&2011)

CorrelationofPercapitaexpenditureandIMR

Figure4:Demographic,percapitaexpenditureandInfantMortalityRate(IMR)(2009)Source:ReviewingEthiopia’sHealthSystemDevelopmentbyRichardG.2009

2.HealthPolicyutilizedasstrategytocontrolAmhara’spopulationgrowth

• “Amhararegion”hasthehighestContraceptivesAcceptanceRateandInjectableContraceptivesUseresultingintheleastfertilityrateinthecountry

• “AmharaRegion”lackslifesavingprogramslikeAntenatalcare,immunization,skilledbirthattendanceandiodizedsaltdistribution

• “Amhararegion”hasthehighestperinatal,neonatal,infant,andunderfivemortalityrate

• Intotal,2.5millionAmharahadvanishedfromthe2007census

Amharas havethehighestratesofcontraceptionuse

Figure5:Femalesuseofanycontraceptivesmethods(2000,2005,2011,2014and2016)Sources:DemographicandHeathSurvey(DHS)(2000,2005,2011,2014and2016)

Amharas havethehighestratesofInjectableContraceptivesuse

Figure6:Injectablecontraceptivesmethodsuse(2000,2005,2011,2014and2016)Sources:DemographicandHeathSurvey(DHS)(2000,2005,2011,2014and2016)

Amharas fertilityrateistheleastamongEthiopians

Figure7:Totalfertilityrate(TFR)(2000,2005,2011&2014)Sources:DemographicandHeathSurvey(DHS)(2000,2005,2011&2014)

“Amhararegion”hasthehighestPMR

Figure8:Perinatalmortalityrate(PMR)(2000,2005&2011)Sources:DemographicandHeathSurvey(DHS)(2000,2005&2011)

“Amhararegion”hasthehighestNMR

Figure9:Neonatalmortalityrate(NMR)(2000,2005&2011)Sources:DemographicandHeathSurvey(DHS)(2000,2005&2011)

“Amhararegion”hasthehighestIMR

Figure10:Infantmortalityrate(IMR)(2000,2005&2011)Sources:DemographicandHeathSurvey(DHS)(2000,2005&2011)

“Amhararegion”hasalsothehighestinU5MR

Figure11:Under5mortalityrate(U5MR)(2000,2005&2011)Sources:DemographicandHeathSurvey(DHS)(2000,2005&2011)

Observedversusexpectedpopulationbasedonpredictionfrompreviouscensusandestimatedpopulationgrowthrate

Ethnicgroupandnationalpopulationcensus

Actual1984* 1994basedon1984estimates

Actual1994

2007basedon1984estimates

2007basedon1994estimates

Actual2007

Amhara 12,055,250(28.288%)

16,170,175

16,007,933(30.1%)

22,126,832

23,687,258 19,867,817(26.9%)

Tigre** 2,415,871 3,240,502 3,284,568(6.2%)

4,746,924 4,540,067 4,483,776(6.1%)

Oromo 12,387,664(29.068%)

16,616,055

17,080,318(32.1%)

24,340,415

23,609,128 25,488,344(34.5%)

Nationalpopulation*

39,868,572 53,477,265

53,477,265

78,337,417

73,918,505 73,918,505

Table1:NationalandAmharapopulationdifferencesfromestimatesbasedon1984,1994and2007CSASources:EthiopianCentralStatisticsAuthority(CSA),EthiopiaFMOHHealthandhealthrelatedindicators(HHRI’s)2015andMoresh AmharaOrganizationstudyondepopulationofAmharas 2014

DecliningproportionoftheAmhara

Figure12:Percentage“regional”populationcomparedtocountrytotal.Source:EthiopianCentralStatisticsAuthority(CSA)

TheeffectofdecadesofAmharas depopulationbyTPLF

Figure13:Ethiopiaannualpopulationgrowthrateby“Region”2015Source:EthiopiaFMOHHealthandHealthRelatedIndicators(HHRI’s)2015

3.Biasedpolicies,inactionandimpartiality

• Amharas,comparedtootherethnicgroupswerelesslikelytoengageinriskysexualbehavior

• Ironically,Amharas arethemostaffectedbyHIV/AIDSbutaretheleastlikelytogettreatment

Sexualbehaviorinvariousregions

Figure14:Percentage15-49yearsoldwhohad2+sexualpartnersinthepast12monthsexcludingspouseorcohabitingsexualpartnerFemales(F),Males(M)(2000,2005,2011&2016)Sources:EthiopiaDemographicandHeathSurvey(DHS)(2000,2005,2011&2016)

Sexualbehaviorinvariousregions

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0.6

1.1

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1.6

0.8

1.1

0

0.5

1

1.5

2

%M

enMenwhoPayedforSex

Figure15:Percentageofmenage15-49reportingpaymentforsexualintercourseinthepast12monthsby“Regions”2005Source:EthiopiaDemographicandHeathSurvey(DHS)2005

RuralAmharadevastatedbyHIV

Figure16:EstimatedandProjectedHIVPrevalence,AdultPopulation15- 49,RuralEthiopiaandRegions,1982– 2010Source:AIDSinEthiopia:Sixthreport2010

HAARTuseinvariousregions

Figure17:PeoplelivingwithHIV(PLHIV)onHAARTacross“Regions”2009/2010Source:HealthSectorStrategicPlan(HSDP)IV2010

4.CorruptionandmisuseofbudgetØ TheGlobalFundtoFightAIDSTuberculosisandMalaria

grantedEthiopia$1,306,035,989overtheyears.Ø However,accordingtothe2012auditreportoftheGlobal

Fund’sOfficeoftheInspectorGeneral,theofficeofDr.Ghebreyesusinappropriatelyusedthemoney.TheinappropriateactionsincludeØ MisappropriationoffundsØ UseofdonorfundsforunsoundprogramsandpoliticalpurposesandØ Constructionofsubstandardhealthfacilities

Ø TheEthiopiangovernmenthasbeenaskedtorefund$7,026,929.00.

5.Disregardforhumanlife

Ø TPLF/EPRDFledgovernmentabusesforeignaidsandusesitasaweapontorepressitscitizens

Ø AccordingtoHumanRightsWatchReporttitled“DevelopmentwithoutFreedom:HowAidUnderwritesRepressioninEthiopia",theTPLFledEthiopiangovernmentwasusingaidtosuppresspoliticaldissentbyconditioningaccesstoessentialgovernmentprogramsonsupportfortherulingpartywheremanyfamiliesofoppositionmemberswerebarredfromparticipationinthefood-for-workor"safetynet"program,whichsupports7millionofEthiopia'smostvulnerablecitizens.

6.Incompetency/Inaction

ØEthiopiawasaffectedbyCholeraepidemicalmosteveryyearduringDr.Ghebreyesus’stenureandhisrefusaltodeclaretheepidemicresultedinthedisseminationofthediseasethroughoutthecountry

ØDr.Ghebreyesusalsodidn’ttakeappropriateandtimelyactionwhenhewasMinisterofForeignAffairsofEthiopia.ØThousandsofimmigrantEthiopianswerekilledinSaudiArabia,SouthAfrica,LibyaandYemenasaresultofxenophobiaandhisfailuretoprotecthiscitizens.

7.LackofTransparency

ØDr.GhebreyesusintentionallycoveredupCholeraoutbreakstoprotecthisgovernment’simageinsteadofprioritizingpublicsafetytowhichhewasprimarilyaccountable

ØDr.Ghebreyesus’sgovernmentneverallowedinternationalorganizationstoinvestigatehumanitariancrisisinEthiopia

8.Maleficenceandriskingpublicsafety

ØMillionsofEthiopianchildrenareaffectedbyiodinedeficiencybecauseofDr.Ghebreyesus’sunjustdistributionofiodizedsalt

ØDr.Ghebreyesusfailedtosavethelivesofpeopleandtheenvironmentaffectedbytannerywastedisposal

9.Accountability

ØDr.Ghebreyesus,asthememberofTPLF’sExecutive,isresponsibleforalloftheatrocitiescommittedbyTPLFonEthiopians,especiallythesystematicethniccleansingandgenocideofAmharas.

ØSadly,WHOisunaffectedbythecriminalrecordsofDr.Ghebreyesus

10.Violationofbasichumanright

Ø “Healthisastateofcompletephysical,mentalandsocialwell-beingandnotmerelytheabsenceofdiseaseorinfirmity”

ØDr.Ghebreyesus’sgovernmentrestrictedfreedom,violatedHumanrightsandstifleddemocracy

ØDr.Ghebreyesus’sactionsareagainstWHOprinciplesthatareprofoundlyembeddedinadvancinghumanitybyvigorouslyaddressingcomplexhealthissuesandabidingbyinternationalhumanrightlaws

11.LackofIntegrity/Truthfulness/Honesty

ØDr.Ghebreyesuspromisestoaddresshealthinequalities,howeverhisrecordasMOHEspeaksloudlyagainsthimØHeusedfamilyplanningmethodstocontrolthepopulationgrowthoftheAmharas,whichhispartylabelsasnumberoneenemy.

ØThereisrampantinequalityofhealthandwealthbetweenthedifferentregionsofEthiopia.

ØDr.Ghebreyesusdiscriminatedagainsthisowncitizensbasedontheirethnicbackgrounds

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NoTedros4WHO!!!

APUResearchDepartment,April2017

The Unjust Candidacy of Dr. Tedros A. Ghebreyesus for WHO ...€¦ · A. Ghebreyesus for WHO...

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