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BMJ Global Health blog

Priscilla Claeys: Ensuring the right to food for rural working people

10 Feb, 17 | by BMJ

On 18 January 2017, the issue of the human rights of agricultural workers with no land of their own and other people working in rural areas was placed on the agenda of the European Council Working Party on Human Rights (COHOM) for the first time. As a researcher studying how the human rights regime is responding to contemporary challenges, I attended this meeting with great interest.

The fact that 80% of people living in poverty worldwide predominantly live in rural areas and are mostly employed in the agricultural sector is well established. What is less recognized, is the systematic discrimination against rural working people in the Global North. “It is about time the EU acknowledges there are ‘peasants’ in Europe, and recognize the need to protect their rights”, said representatives of La Via Campesina, a transnational agrarian movement, at the COHOM.  This systematic discrimination has led the EU to lose as much as a third of all its small farms in the last decade. Land concentration is massive (3 % of farmers now own 52 % of total farm land) and access to land for young farmers is an emerging problem. While more than half of European farmers will retire within 10 years, there is no framework in place to organize farm succession.

At COHOM, La Via Campesina and FIAN International, an international human rights organization dedicated to the right to food, made their case for a UN Declaration on the Rights of Peasants and other people working in rural areas, which would recognize the rights of these groups to : a) access, manage, use, govern and control the land and other natural resources (forests, pastures, fisheries) they depend on for their livelihood, b) conserve, use, maintain and develop their own seeds, crops and genetic resources, and, c) a decent income and livelihood. Too often farmers have to sell products at prices that barely cover their production costs, as a result of unfair trade rules and corporate control over the food supply chain.

Though EU member states acknowledged the issue, they plainly rejected the need for a new international legal instrument. Denying the existence of normative gaps, EU delegates expressed the view that efforts should focus on fostering the—indeed lacking—implementation of existing human rights standards, such as the right to food. In my opinion, this position fails to recognize that, from the point of view of people living in rural areas, the right to food is really about the right to produce food.

For about half of the world’s population, the right to food is tied to the right to the means of production (land, seeds, water but also tools, credits, infrastructure) and to the right to public policies ensuring that one can make a living off the land. The draft UN Declaration explicitly recognizes the individual and collective right to land and natural resources, and the corresponding obligations of states to recognize and respect customary rights and the commons, protect rural communities from land grabbing, and conduct agrarian reforms where land concentration is too high. In addition, to ensure that peasants can sell their crops at fair prices, states would need to tackle abuses of corporate power and establish fair trade rules. These far-reaching implications make states reluctant to recognize these rights.

Fortunately, the UN Human Rights Council did not wait for the EU’s support to start negotiating the text of this Declaration. At its fourth session, in May 2017, an Intergovernmental Working Group will discuss a revised draft.. The EU has a few months to make it a priority to start addressing what the Secretary General of FIAN called an “urban bias”: the fact that the international human rights regime developed with no participation of rural people, in a way that only reflects the interests of urban populations, at the expense of food producers and the environment.  Will the EU stand for the rights of the rural poor, not only in the South but in the North as well? 

Priscilla Claeys is a Senior Research Fellow in Food Sovereignty, Human Rights and Resilience at the Centre for Agroecology, Water and Resilience (CAWR), Coventry University (UK). 

Competing Interest: PC is a member of the board of FIAN Belgium. I am committed to the global struggle for the right to food and food sovereignty and have no other relevant conflict of interest to declare.

R N Karuga: “Building a resilient and responsive health system needs strong community support”

27 Jan, 17 | by BMJ

“Forget about these people in the national office,” said Maria (not her real name). “They are not in touch with reality!” Maria is a district health manager in Kenya. This was her response when I asked how closely she works with the national Ministry of Health in delivering community health services.

In 2013, the governance system in Kenya changed from a centralized system to one in which decision making and the delivery of services such as healthcare was transferred to county governments. The national Ministry of Health however retains responsibility for policy formulation, development of standards and guidelines, and technical support to the counties. more…

What can we learn from the European Union’s first right to food law?

20 Jan, 17 | by BMJ

By Tomaso Ferrando and Roberto Sensi.

In this second article on the #RightToFood, part of a BMJ Global Health series, we discuss our experience of the conception and enactment of a right to food law in Lombardia, Italy. The “Recognition, Protection and Promotion of the Right to Food,” was approved by the Lombardia Regional Council in November 2015. The law was the first to recognise this right within the European Union and was the result of a desire to have a policy in place after EXPO Milano 2015, in line with the Milan Charter and its recognition of the right to food as fundamental right. In our opinion, the law rightly approached the problem holistically and recognised the importance of locally based food systems and democratic participation in order to fully guarantee the right to nutritious food. However, its implementation is still lagging behind expectations. more…

Jose Luis Vivero-Pol and Tomaso Ferrando: Let’s talk about the right to food

10 Jan, 17 | by BMJ

Legal recognition of the right to food and nutrition can create the grounds for effective and systemic solutions for hunger and malnutrition. Recently, the media was abuzz with news of plans by the Scottish Equalities Secretary to legislate the right to food within Scottish law. This would be a step towards tackling food poverty in Scotland. This potential legislation will be historic, as Scotland will be the first country in the European Union (EU) to expressly recognize the right to food.

Despite rising numbers of food insecure households and a rise in the use of food banks all over Europe (see here and here), the right to food is completely absent from the fundamental EU treaties, the European Convention on Human Rights, and from the jurisprudence of national and regional courts. In other words, the right to food does not exist in the European laws, except for the recent regional law in Lombardia, Italy and the yet-to-be approved draft bill on the right to food in Belgium. more…

Adesoji Ademuyiwa: Improving child survival following emergency surgery

14 Dec, 16 | by BMJ

adesoji_ademuyiwAs a paediatric surgeon in Nigeria, my experience is that child survival following emergency surgery is lower compared to children in more developed countries. This is especially the case in the neonatal period. Studies in countries with a low to middle Human Development Index (HDI) have documented several challenges associated with this issue—delays in presentation to health facilities and in surgical intervention after patients present to the hospital, sepsis, and a lack of availability of parenteral nutrition and neonatal intensive care units. However, although globally many agree that effective provision of emergency essential surgery is a key priority for the global child health agenda, in practice nothing has been done. more…

Aderemi Oyedeji and Anja Choon: Stigmatization of mental health problems in Nigeria

2 Sep, 16 | by BMJ

The BMJ Global Health blog

Mental health is neglected and stigmatized globally and across societies, in spite of its high burden. Moreover, in Nigeria, mental health is not just neglected but remains completely absent from key health sector documents. There is a glimmer of hope though, in the form of a revised mental health policy from 2013, which mentions that mental health and wellbeing is an “inalienable right of every Nigerian” and talks about the government’s general plans to tackle stigmatization of mental health. more…

Soumyadeep Bhaumik: Social media in global health

2 Sep, 16 | by BMJ

soumyadeep bhaumikThe BMJ Global Health blog

The connectivity made possible by social media is one of the most important revolutionary changes in the last decade. And The BMJ has always encouraged openness, transparency, and multi-stakeholder involvement, through blogs and other social media. The BMJ now has an extensive blog portfolio. At BMJ Global Health, we have decided to join The BMJ‘s bandwagon. BMJ Global Health now has a blog section, along with our social media presence on Twitter and Facebook. The blog complements the journal’s effort to address the information problem in global health. more…

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