Midwifery and Misconceptions

Living in a city with some of the most well-ranked hospitals in the nation, we sometimes take our access to healthcare for granted. The wail of an ambulance is a frequent annoyance to UAB students, but it’s a noise that many people are grateful to hear – especially those who live in rural areas with limited access to healthcare.

Midwife Lorina Karway is one of those people. Karway is responsible for helping thousands of Liberian women give birth safely. She often uses the light of her cell phone, held in her mouth, to deliver babies in a facility without electricity (UN Women). It’s not an easy feat to accomplish, but courage, intuition, and years of experience guide Karway to success. Childbirth is a common, natural process that veteran midwives handle skillfully, but complications do happen. When they do happen, it can be incredibly dangerous. The nearest hospital is over sixty miles away, and emergencies without swift action can have fatal outcomes. Midwives have successfully operated for centuries without hospitals, but medical equipment and clean facilities with electricity are immensely helpful in high-risk situations.

A smiling midwife holds a newborn baby bundled in a blanket.
“Cmdr. Protegenie Reed, a Navy midwife from Miami, Florida holds a newborn baby during Pacific Partnership 2015.” Source: Sgt. Valerie Epple, Creative Commons.

Midwifery still has a reputation for being illegitimate or unsafe relative to hospital deliveries, but midwives aren’t just second-rate doctors for communities without hospital access. “Skilled, knowledgeable and compassionate care for childbearing women, newborn infants and families across the continuum from pre-pregnancy, pregnancy, birth, postpartum and the early weeks of life,” is how the World Health Organization defines the holistic practice. Part of the negative reputation is because midwives tend to practice in areas where adequate services and equipment are lacking, creating the dangerous situations that Karway faces. Communities without access to healthcare still require some sort of healthcare, and midwives across the world bravely fill that gap.

Two midwives stand next to a curtain in a dim room with photos of babies on the walls.
“Midwives Hasina and Aya Begum wait inside the birthing centre in Koral slum, Dhaka, Bangladesh.” Source: Conor Ashleigh for AusAID.

The danger is not created by practicing midwives, but rather from the community’s lack of access to adequate local healthcare services that extend beyond a midwife’s capacities. A solution to this gap in service would enable midwives to deliver better standards of care, and to ensure midwives can collaborate with hospital assistance when required. Additionally, there is evidence that midwife-assisted births result in better care than births guided by obstetricians (Walters et al). The study by Walter investigates variation within hospitalized care, but similar conclusions were found in regards to remote midwifery. Cost analyses of prenatal and postnatal care from seven different remote aboriginal communities found that “midwife group care (MGP) was likely to be cost effective, and women received better care resulting in equivalent birth outcomes compared with the baseline maternity care” (Gao et al).

Policy solutions have not been aimed at uplifting midwives, but rather to create barriers and even criminalize. Midwifery was essentially outlawed in Alabama for the past forty years, along with a dozen other states. Even where legal, barriers were constructed make it difficult for up-and-coming midwives to obtain training, licensing, equipment, facilities, and adequate pay. This is bad for midwives, and detrimental to women in need of accessible maternal healthcare.

A woman in hijab stands in the middle of a classroom with six pupils in hijab.
“Community Midwifery Education Program.” Source: Aga Khan Foundation/Sandra Calligaro, Creative Commons.

According to the United Nations Population Fund (UNFPA)

  • Over 300,000 women and 2.7 million babies died in childbirth in 2015 alone.
  • Most of these deaths were preventable and caused by a lack of sufficient antenatal, delivery and post-natal care.
  • Almost ⅔ of all maternal and newborn deaths could be prevented by well-trained midwives.
  • Midwifery includes comprehensive reproductive health and community health practices.

Barriers faced by midwives include:

  • Social isolation / poor living conditions; 37% of midwives face harassment at work
  • Lack of professional development opportunities or support through regulation/accreditation
  • “Unequal power relations and gender inequality within the health system and within communities” (WHO).
  • “Private sector markets and medical hierarchy leading to medicalized births, which constrains opportunities for quality midwifery care” (WHO).

 

“International Day of the Midwife.” Source: Lindsay Mgbor/Department for International Development, Creative Commons.

Human Rights Impact

 

Here are some reasons why it’s important to embrace midwifery as an alternative or addition to formal medical care:

  1. Overlooking midwifery increases stigma. This makes it harder for women to access midwives – especially rural and/or low-income families cannot afford or cannot travel to medical centers.
  2. Midwifery is a critical role in some indigenous traditions. Native women have the right to practice traditional knowledge and engage in their own culture. Legislation that stigmatizes or creates barriers for midwives will likely harm indigenous practitioners.
  3. Women have the right to choose what kind of healthcare is best for them. Healthcare is never one-size-fits-all, and it’s important to invest in a variety of options for a variety of patient needs.
  4. Midwifery needs to be an accessible and viable career path. Medicalization of birth and barriers to midwife accreditation essentially act as gatekeepers, forcing aspiring practitioners to attend costly medical school or, for those who can’t afford it, to abandon their dreams.

 

Midwifery is a quality alternative to hospitalized childbirth, but many don’t have the luxury to choose. When distance makes choosing hospitals impossible, midwives fulfill their communities’ needs for reproductive/maternal healthcare. Midwives should be empowered to provide adequate services whether in urban hospitals or rural facilities, with unhindered access to training, education, and opportunity. Per CEDAW, states have the obligation to provide “appropriate services in connection with pregnancy, confinement and the post-natal period.” Let us support midwives as they courageously provide services that no one else will. Let us encourage midwives across the globe to continue their work despite disdain, mistrust, and criminalization. Let us uplift and support midwifery to make the world a better, safer, more accessible place.

 

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Craven, Christa, and Mara Glatzel. “Downplaying Difference: Historical Accounts of African American Midwives and Contemporary Struggles for Midwifery.” Feminist Studies, vol. 36, no. 2, 2010, pp. 330–358. JSTOR, www.jstor.org/stable/27919104.

Parry, D. C. 2008. “We wanted a birth experience, not a medical experience”: Exploring Canadian women’s use of midwifery. Health Care for Women International, 29: 784–806.

Thomas, Samuel S. “EARLY MODERN MIDWIFERY: SPLITTING THE PROFESSION, CONNECTING THE HISTORY.” Journal of Social History, vol. 43, no. 1, 2009, pp. 115–138. JSTOR, www.jstor.org/stable/20685350.

Shaw, Jessica. “ The Medicalization of Birth and Midwifery as Resistance.” 20 Mar 2013.
Health Care for Women International. Volume 34, 2013 – Issue 6. www.tandfonline.com/doi/abs/10.1080/07399332.2012.736569?tab=permissions&scroll=top

Disability Rights, Employment, and Housing in a Cross-Cultural Perspective

three men unpacking soda for distribution
“Men at Work” by Andreas Wulff, Creative Commons

The ability to be rewarded for making meaningful contributions to society and to choose our own private residence are two facets of life many of us often take for granted.  However, many individuals with a form of disability often encounter barriers during their journey locating work and housing.  These barriers can arise from social isolation, discriminatory and / or inadequate governmental policies, economic hardship, or simply a lack of awareness of resources designed to aid persons with disabilities to find employment and housing.  These material and immaterial barriers fall under the broad umbrella of ableism, defined here as “the intentional or unintentional discrimination or oppression of individuals with disabilities”.  The following post explores four case studies surrounding the themes of housing and employment and how various cultures have either failed to address these needs or offered innovative solutions to persons with disabilities.  Finally, for the purpose of this blog, disability is defined, in accordance with the Washington Group (2018), as “problems, such as impairment, activity limitation or participation restrictions that include the negative aspects of functioning” in the following six domains: (a) walking; (b) seeing; (c) hearing; (d) cognition; (e) self-care; and (f) communication.  This blog post offers an anthropologically-informed context for to upcoming panel ‘Disability Rights, Employment, and Housing in a Cross-Cultural Perspective’ at the Institute for Human Right’s Symposium on Disability Rights.

Disability Rights & Employment: South Africa

South Africa’s government of apartheid came to power in 1948 and institutionalized a cultural and political zeitgeist of xenophobia, discrimination, and violence towards the Other.  Throughout apartheid’s hold on South Africa, systems of cultural and structural violence were erected both within social life and in bureaucratic policy.  Apartheid is most infamous for its impact on racially-motivated violence; however, other forms of discrimination were enabled by apartheid policy and philosophy as well.  Engelbrecht (2006) notes that education systems institutionalized apartheid policies in curricula development and inclusivity within schools.  This specifically barred children with disabilities from actively participating in the education system, from primary through tertiary levels.  Englebrecht (2006) contends children with disabilities were actively excluded from South African governmentally-controlled education systems.  This means children with disabilities during the apartheid regime did not receive adequate preparation for entering into the workforce, thus placing these individuals at a low ‘tract’ and preventing them from seeking or acquiring meaningful employment.  Englebrecht (2006) emphasizes that discriminatory and / or prejudicial national policies focused on one marginalized population (e.g. apartheid) often seep into the experiences of other marginalized populations as well.  In short, government-sanctioned racist policies immobilized the disability community.  To repress one group is to repress all groups.

The South African Human Rights Commission (SAHRC) was inaugurated in October of 1995, as mandated by the South African Constitution’s Human Rights Commission of 1994.  The SAHRC is charged with monitoring, preventing violations of, and educating the public about human rights within the South African context.  A specific function of the SAHRC is to examine how apartheid-era policies impacted South African civil society and how to eliminate the vestiges of structural violence still propagated by the former apartheid regime.  The SAHRC provides further evidence supporting Engelbrecht’s (2006) theory that the repression of children with disabilities would negatively impact South African workforce.  The SAHRC (2017) summarizes trends of disability employment, demonstrating that workforce equity (equally considering and making efforts to hire marginalized populations, such as the disability community) is nowhere near the South African Department of Labor’s goal of 7% by the year 2030.  In 2017, workplace equity was still under 2%, with 8 in 10 persons with disabilities unable to find employment (SAHRC, 2017).  A variety of reasons are given for this abysmally low number, including: lack of reasonable accommodation, inequality and discrimination, and a persistent inability to obtain a quality education.  The ghost of apartheid, it seems, haunts the disability community within South Africa, preventing a vast majority of persons with disabilities from obtaining education, training, and gainful employment.

The Liffey River, Dublin, Ireland
“Dublin – The Big Snow of 2010 – Along the Liffey” by William Murphy, Creative Commons

Disability Rights & Employment: Ireland

In 2017, the British Conservative government announced plans to cut the Employment and Support Allowance for persons with disabilities who were deemed ‘capable of preparing to return to work’ by 30£ / week (~$40 / week).  The British government implemented this policy as a ‘motivational tool’ for persons with disabilities and as an austerity measure, despite the fact that previous disability allowances (akin to welfare or social security measures in the United States) left 1/3 of allowance recipients struggling to afford food.  However, the ministers of Ireland, taking cue from their outraged constituents, have chosen a different path to empower persons with disabilities to find employment.  Instead of the ‘pull yourself up by the bootstraps’ strategy of British Conservative MPs, Irish Minister for Social Protection Regina Doherty and Minister of State for People with Disabilities Finian McGrath have chosen to listen to persons with disabilities themselves to assess the best way to promote gainful employment within the disability community.  In response to a 2017 policy brief Make Work Pay, Doherty, McGrath, and other policy-makers are distributing questionnaires to adults with disabilities and parents of young children with disabilities to assess the employment needs of the disability community (Clougherty, 2017).  This approach to governance, one defined by inclusivity and direct participation of the disability community, shows promise in exploring the complicated relationship between disability and employment.

Of particular importance in the employment-disability nexus is accounting for an individual’s preference for work and her or his form of disability.  The Irish ministers understand that low-functioning persons with disabilities will, for the entirety of their life, be simply unable to work.  These individuals require assistance from the government thereby ensuring these persons are included in society and are able to participate in decisions regarding their lives and livelihoods.  On the other hand, some individuals are temporarily disabled and do not require the same social security from governments.  By asking for input from persons with disabilities themselves, the Irish policy-makers are better equipped to make educated, inclusive, and effective policies and programs aimed at insuring equitable and equal employment within the disability community.

The Al-Saraya al-Hamra Fortress in Tripoli, Libya
“Al-Saraya al-Hamra Fortress, Tripoli” by David Stanley, Creative Commons

Disability Rights & Housing: Libya

The State of Libya, located at the Northern-most tip of Africa and bordered by the Mediterranean Sea, is in the midst of rebuilding civil society following the catastrophic Libyan Civil War of 2011.  For over forty years, Muammar Gaddafi ruled over Libya, attempting to introduce a socialist regime and command economy to the Libyan State.  During his reign, Gaddafi allegedly sought to implement a political philosophy of jamahiriya (جماهيرية‎), meaning “state of the masses” in Arabic – akin to ‘direct democracy’.  Through this system, Gaddafi created the national General People’s Congress, whose directives (including any form of a Libyan Constitution) could be superseded by the Basic People’s Congress, municipally-led executive and legislative bodies.  Hypothetically, this system placed most political power at the local level; however, Gaddafi’s actual dictatorial rule inverted the political equation.  In the past half century, this political system (again, on paper) aimed to enshrine the rights of persons with disabilities through the passage of the 1981 “Law on Disabled People”, arranging for “government provision of housing, home care, education, prosthetic limbs and rehabilitation for people with disability in Libya” (Hamed el-Sahly & Cusick, 2016, p. 12).  In political practice, Libyan persons with disabilities suffered major human rights violations, including lack of housing and home care, due to insufficient mechanisms of care and cultural taboos.

Although political and economic recovery may well be on the horizon for post-conflict Libya, cultural barriers prevent many Libyans with disabilities from securing independent and safe housing.  In a comparative study, many Libyans express unfavorable attitudes towards persons with disabilities along three dimensions: (1) lower ratings of willingness to empower the disability community; (2) higher ratings of exclusion; and (3) lower ratings of similarity between disabled and non-disabled people (Benomir, Nicholson & Beail, 2016).  Most pertinent to issues related to housing, Libyan participants scored high on the ‘need to shelter’ persons with disabilities – meaning intentionally secluding these individuals from broader society for fear of communal judgement and the social stigma attached to disability.  Furthermore, efforts to facilitate the transition from being ‘sheltered’ (living with a family member) to an autonomous home life is seen as a problem ‘for and by’ the disability community – i.e., it is the responsibility of the disability community alone to solve social issues related to their situation in life (Cusick & Hamed el-Sahly, 2018).  This demonstrates that governmental policies intending to enshrine disability rights are insufficient – societies themselves must be willing to tackle these issues head on.

A Hopi House
“Grand Canyon Hopi House 0073” by Grand Canyon National Park, Creative Commons

Disability Rights & Housing: Native Americans

Persons with disabilities with another form of marginalized identity (e.g. members of an indigenous group) are placed at a heightened risk for social isolation / exclusion, for physical and mental health concerns, and having disability-related needs go unmet (US Department of Health & Human Services, 2017).  Within American Indian / Alaska Native (AIAN) communities, this translates specifically into housing issues, as AIAN reservations already suffer from a lack of resources and infrastructural investment to provide for non-disabled AIAN individuals (US Department of Health & Human Services, 2017).  An estimated 21 – 69% of homes on reservations are overcrowded and have serious physical deficiencies compared with 5.9% of non-reservation US homes nationally (US National Council on Disability, 2003).  To address these intersecting concerns, the AIAN community, in tandem with the US government, have prepared and started implementing policy prescriptions to provide affordable, safe, and dignified housing to AIAN with disabilities.

Of primary concern in planning homes for persons with disabilities is utilizing principles of universal design – “guidelines for housing construction that would create a livable, marketable environment for everyone regardless of ability, age, or size” (US National Council on Disability, 2003, p. 94).  Currently, the American Indian Disability Technical Assistance Center provides assessments of universal design within reservations and makes design prescriptions if the home in question is not fully accessible.  Implementation of these prescriptions may fall to the American Indian Disability Legislation Project (AIDLP), a culturally-informed taskforce mandated to draft and pass legislation standardizing disability-related care (including autonomous and accessible housing) on Indian reservations (US Department of Health & Human Services, 2017).  The AIDLP, in addition to ensuring reservations adhere to the Americans with Disabilities Act, acts as a cultural liaison between the disability community and AIAN community to ensure disability concerns are handled in a culturally-appropriate manner.  Finally, the AIDLP and other AIAN-affiliated, disability-related advocacy groups ground their research and implementation efforts by tackling both material (e.g. physical accessibility) and immaterial (e.g. cultural stigma) barriers (US Department of Health & Human Services, 2017).

Towards a Global Culture of Disability Empowerment

The preceding case studies illustrate that disability rights, especially related to employment and housing, are high complicated issues.  Historical events, such as apartheid and civil war, interact with governmental policies, such as austerity measures and indigenous sovereignty.  Underlying each of these examples is the ‘culture’ surrounding disability – how peoples across the world value or stigmatize the experiences and perspectives of the disability community.  In some cases, such as South Africa, systems of discrimination have erected structural barriers holding back people with disabilities, even though disability-related stigma may have lost its potency.  In other cases, such as American Indian / Alaska Native communities, an additional marginalized identity may facilitate an even greater emphasis on seeking justice and equity for persons with disabilities.  As local, national, and global disability movements aim to eliminate social exclusion and promote equality in life and livelihood, the myriad cultures of disability must be unpacked and explained.  This post argues that moving towards a global cultural of disability empowerment is indeed possible.  Once this culture of empowerment has been adopted, disability-related concerns, such as employment and housing, will be addressed and rectified across the globe.

Keep up with the latest announcements related to the upcoming Symposium on Disability Rights by following the IHR on Facebook, Twitter, and Instagram.  And don’t forget to tag your Symposium-related posts with our event hashtag: #DisabilityRightsBHM

References

Benomis, A. M., Nicolson, R. I. & Beail, N. (2016). Attitudes towards people with intellectual disability in the UK and Libya: A cross-cultural comparison. Research in Developmental Disabilities, 2016, 1-9.

Clougherty, T. (2017). Make Work Pay: A New Agenda for Fairer Taxes. Cork, Ireland: Center for Policy Studies.

Cusick, A. & Hamed el-Sahly, R. M. (2018). People with disability are a medicalized minority: Findings of a scoping review. Scandinavian Journal of Disability Research, 20(1), 182-196.

Engelbrecht, P. (2006). The implementation of inclusive education in South Africa after ten years of democracy. European Journal of Psychology of Education, 21(3), 253-264.

Hamed el-Sahly, R. M. & Cusick, A. (2016). Rehabilitation services in Benghazi, Libya: An organizational case study. Middle East Journal of Family Medicine, 14(9), 11-18.

South African Human Rights Commission (2017). Research Brief of Disability and Equality in South Africa. Braamfontein, South Africa: South African Human Rights Commission.

US Department of Health & Human Services (2017). Emerging LTSS Issues in Indian Country: Disability and Housing. Spokane, WA: Kauffman & Associates, Incorporated.

US National Council on Disability (2003). Understanding Disabilities in American Indian & Alaska Native Communities. Washington, DC: National Council on Disability.

Washington Group (2018, December 4). Statement of rationale for the Washington Group general measure on disability. Retrieved from http://www.washingtongroup-disability.com/wp-content/uploads/2016/01/Rationale_WG_Short-1.pdf

Book Review: Barracoon by Zora Neale Hurston

February is Black History Month. For the next few posts, I will review books by Black women who provide insight into the Black experience.

a photo of the book Barracoon by Zora Neale Hurston
Source: Ajanet Rountree

Zora Neale Hurston (ZNH) was a cultural anthropologist. With her very being, Hurston occupied a space of protest of the normative within the field of anthropology as she traversed through society and academia as a Black woman from the South. The intersectionality of her life may remain lost on some; however, it is essential to understanding her as an ethnographer, folklorist, and local colorist. She studied under Franz Boas alongside Ruth Benedict and Margaret Mead, but there is often an exclusion of her work. When listing the cohort of the generations of anthropologists or ethnographers, ZNH is often not among those listed, as the categories for her work are The Harlem Renaissance, folklore, or African American literature. To Boas, ZNH was an anthropologist who, through the application of anthropological methods and techniques, gave insight into Black life in a way no White person could do. In this way, she achieves “racial vindication” and qualitative results through the application of anthropological methods like observation and participation, unstructured interviews, and ethnographic data collection.

Barracoon is the oral history of Cudjo Lewis—or Oluale Kossola–the only living African “cargo” of the slave ship, Clotilda. Kossola was not born into enslavement. He was sold and captured from Dahomey (presently Benin) and brought to Mobile Bay in Alabama. His testimony offers a completely new perspective and firsthand account of colonization. Hurston first reveals insight into her reflexive research on Kossola’s life and story in her autobiography, Dust Tracks on a Road. “One thing impressed me strongly…The white people had held my people in slavery here in America. But the inescapable fact that stuck in my craw, was: my people had sold me and the white people bought me. That did away with the folklore I had been brought up on. It was a sobering thought” (164-8). Employing her trademark of writing phonetically, ZNH allows Kossola to tell his story in his language and style, rarely interrupting his stream of consciousness. This methodology would later become known as emic ethnography. Spending three months in one-on-one interviews solely with Kossola, a Yoruba by birth and a resident of Affriky town, she learns about his life in Africa, his survival of the Middle Passage and enslavement, and his life as a ‘free’ man.

Oluale Kossola was a man to many, but to others, he was an exploit of their contrabanded flesh: “’the black ivory,’ ‘the coin of Africa,’ had no market value.” He and the other enslaved were “Africa’s ambassadors to the New World,” sold as “brisk trade” by the King of Dahomey (5-9). Although she refers to him by his American name, Cudjo, throughout the book, ZNH makes a point to state that upon her initial reunification with him, “I hailed him by his African name as I walked up to the steps of his porch.” As his eyes filled with joyful tears, he exclaimed,

Oh Lor’, I know it you call my name. Nobody don’t callee me my name from cross de water but you. You always callee me Kossula, jus’ lak I in de Affica soil” (17).

By the time ZNH sits down with Cudjo, he is the only one left and finds himself surprised and moved that someone would want to learn about his life. Hurston writes that she told him that she wanted to know all about him, to which he responded:

“Thankee Jesus! Somebody come ast about Cudjo! I want tellee somebody who I is, so maybe dey go in the Afficky soil some day and callee my name and somebody dere say, ‘Yeah, I know Kossula.’ I want you everywhere you go to tell everybody whut Cudjo say, and how come I in Americky soil since de 1859 and never see my people no mo’. I can’t talkee plain, you unnerstand me, but I calls it word by word for you so it won’t be too crooked for you. My name, is not Cudjo Lewis. It Kossula. When I gittee in Americky soil, Mr. Jim Meaher he try callee my name, but it too long, you unnerstand me, so I say, ‘Well, I yo’ property?’ He say, ‘Yeah.’ Den I say, ‘You callee me Cudjo. Dat do.’ But in Affricky soil my mama she name me Kossula” (19-20).

a photo of a barracoon
barracoon. Source: Creative Commons

Kossola’s narrative differs from the account of Olaudah Equiano and the former slave narratives of Frederick Douglass, Harriet Jacobs, and Booker T. Washington. Additionally, it is unlike the ethnographic work of Eatonville, Florida as written about in Mules and Men and her most famous novel, Their Eyes Were Watching God. Scholars Natalie S. Robertson and Sylviane A. Diouf provide extensive supportive evidence about the 1927-28 anthropological research of ZNH, the Clotilda and the establishment of Africa town in Alabama in their respective books, The Slave Ship Clotilda and the Making of AfricaTown, USA and Dreams of Africa in Alabama. Although both books preceded Barracoon’s 2018 publication, they build upon the foundation laid and the way paved for by ZNH, even mentioning current residents of Africatown who met her during the visit. Robertson accurately identifies Kossula as a griot or native African storyteller, trusted to keep and share the stories of tribes over generations. There is “genius that is contained in oral tradition as chroniclers of phenomena and as vehicles for education in Africa…without dependency on written records. Because Cudjo hailed from West Africans who are masters of the spoken word, it was not difficult for him, even as a nonagenarian, to recall the circumstances that led to his capture and forced migration to Alabama” (9). As Diouf points out, slave and former slave narratives reveal what life was like during and after enslavement but the narrative of Clotilda survivors like Kossola “represents a unique group of people who grew up free, spent the majority of their years in bondage during the Civil War, and soon became free again.” Their perspectives also reveal the parts of African culture that adapted, sustained them and continued to unify them (4).

In her signature way, ZNH accomplishes several things with this book. First, she continually restores the humanity that enslavement and separation from Africa stripped away. With the one action of calling him by his African name, she imparted both his personal and cultural identity. By transcribing his narrative in his dialect, she maintains his character and dignity. Second, she allows Kossula to tell his story. Oral history and narrations are cultural and personal heritage. Kossula was the last survivor of the Clotilda; therefore, if ZNH had not traveled to Africatown when she did, this one-of-a-kind perspective might not have been told. Third, she does not gloss over or shy away from the brutality of colonization and the dehumanization that comes with the financial trading of human beings and comes to identify with him. As echoed in Dust Tracks, “Truth is a letter from courage” (31). Regardless of her role as an anthropologist and observer, she finds herself drawn in and experiencing his pain, tragedy, and joy. It is for these reasons that Boas concluded that the work of ZNH contributed to the “knowledge of the true inner life of the Negro” because she was not only a student of history but could “enter into the homely life of the southern Negro as one of them and was fully accepted” (xiii-xiv).

Hurston could have selected any group of people to study, anywhere in the U.S. or world, yet, she chose to return home and study the people she knew and the town she loved. In doing this, ZNH gave value and voice to the “inferior”—people who shared the same skin color and occupied the same category of within the social construction. She reflexively offers a distinct perspective on Blackness because she was Black and studied Black people to know herself more and to debunk the myths and stereotypes about who Black people were, how they arrived here, how they live and continue to live.

 

Additional resources include African American Pioneers in Anthropology and The History of White People

Africa – Not a Country but a Continent

One of the most famous blunders made by former U.S. President George W. Bush was, “Africa is a nation that suffers from terrible disease.” President Bush, like many others, misconstrued the fact that Africa is not a country, but a continent.

Africa consists of 54 different countries with a vast array of cultures, languages, religions, politics, agriculture, and cuisine. Many people assume that in Africa, people speak “African” or do not understand other languages; however, this is quite incorrect. In Africa, there are over 2,000 languages such as Arabic, English, French, Portuguese, and Swahili. Surprisingly the most spoken language is Arabic, with over 170 million speakers. Furthermore, English is the official language in 24 of the nations. “About 25 percent of the languages spoken in African countries aren’t recognized anywhere else in the world, which is a testament to its diversity and fullness.

There are approximately 200 independent countries in the world and a quarter of them are in Africa. In fact, Africa has a population of over one billion people and is the second largest continent in the world. To demonstrate the immensity of Africa, the USA, China, India, Europe, and Japan could all fit inside its geographic border.

Size of Africa. Source: Karl Krause, Creative Commons

People often view the countries in Africa as poor. While 218 million individuals live in extreme poverty, 1 in 3 Africans are considered middle class. Additionally, not all people in Africa live in “huts”. About 43% of individuals in Africa live in urban areas. In fact, there are more than 50 cities with a population of over a million people. Also, approximately 70% of Africa’s population is under the age of 30. So, when you combine this young demographic with diversified urban centers, you generate the possibility of innovation throughout the continent. Furthermore, their economy is expanding – out of the 10 fastest growing economies, 6 are in Africa. It is not possible to apply one concept to the entirety of Africa. Yes, some countries are poor, especially in sub-Saharan Africa; however, there are countries such as Nigeria, South Africa, and Egypt that are fairly wealthy. Nigeria exports the majority of the world’s oil, has a GDP of over $594 billion, and is projected to be one of the world’s largest economies in just a couple of years. While South Africa is a well-known tourist location, it also has the 18th largest stock exchange in the world. Egypt is one of the wealthiest countries in Africa.

In terms of landscape, Africa is quite diversified. While the Saharan desert covers one-third of the continent, there are also rainforests, mountains, and lakes. Africa’s largest vegetation zones do not comprise of deserts or rainforests, but, in fact, savannas which are tropical grasslands. There is a myriad of ecosystems in Africa. For example, the Sahara desert is the world’s largest hot desert and has over 300 species of wildlife such as the cheetah, ostrich, and hyrax. On the flip side, the Congo and the Nile are the world’s deepest and longest rivers, respectively. Africa is also home to numerous wetlands, specifically in the Botswana which includes saline lakes, freshwater forests, and massive floodplains. There are also tropical forests in Central and West Africa such as the Congo rainforest.

 

River Clouds Landscape Sky South Africa Scenic

Western media tends to only portray the negative aspects of Africa – violence, revolution, and wars. However, there is so much more to Africa than the negatives because it is not all danger and violence. For example, Zambia is quite peaceful and has had six presidents since becoming independent in 1964. Furthermore, it has never had a civil war. In Liberia, the former President was named by Time as “one of the top 10 female leaders in the world”. Additionally, she earned a Nobel Peace Prize for her work in women’s rights. Western countries tend to show Africans as powerless and reliant on Western aid to survive. In fact, many ads in the West embody this stereotype by depicting Africans as sad, lonely, and dirty children that need money. However, this is nothing further from the truth. It is thought that Western countries are the ones who help out Africans and are responsible for their well-being. But the truth is that African people who live outside of Africa send more money to their families than all of the aid combined from the Western countries. That is not to say that Western countries should not offer assistance when it is needed, but they must change their minds about what it means to live in Africa. Africa is not helpless, there are many projects created by African people. A Somalian woman, Hawa Abdi, implemented a health clinic, which has now developed into a “school, refugee camp, and hospital for over 90,000 women and children made homeless in the war”. Another example would be the Akon Lighting Africa project, which provides electricity the usage of solar energy to those in Africa.

There are also many assumptions about Africa being a place that is technologically backward. They see it as a place without phones, social media, internet, etc. However, Africa is quite the contrary by becoming “the world’s second most connected region by mobile subscriptions with over 754 million connections”. Interestingly enough, people in Kenya are 4 times more likely to have a cell phone than have access to a toilet. Moreover, at least 80% of African people have access to a mobile device. There are also many innovative advances for renewable energy such as hydroelectric power and solar panels. A lot of African countries are ahead of Western countries when it comes to sustainable energy. Kenya alone gets 50% of their energy from hydroelectricity, while in the UK and US, only 11% of their energy comes from renewable sources. In terms of creativity, Africa has numerous resourceful inventions such as traffic-regulating robots, a biomedical smart jacket that can diagnose pneumonia, and a device that fuses live neurons into a silicon chip.

There is no way to identify Africa as simply one thing. Africa is diverse in areas such as people, language, economy, landscape, technology, and innovations.

George Kimble captivated these sentiments best when he said, “The darkest thing about Africa has always been our ignorance of it.

Assisting the Non-Assisted

On Monday, October 1, the Institute for Human Rights co-sponsored an event with local education, faith-based and law organizations, titled Addressing the Global Refugee Crisis – Part 1: Focus on Europe. Following, Dr. Tina Kempin Reuter, Director of UAB Institute for Human Rights, and April Jackson-MacLennan, J.D., from the Law Office of John Charles Bell, L.L.C., covered the legal challenges of this phenomenon from an international and national perspective, respectively.

Dr. Reuter Presenting Refugee Statistics. Source: UAB Institute for Human Rights

The event began with a viewing of the documentary Non Assistance, sponsored by the Consulate General of Switzerland in Atlanta, which illustrates how sociopolitical crises in the Middle East and North Africa have galvanized thousands of people to flee their home countries, permeating the Mediterranean Sea with frail boats past occupancy, holding limited supplies. Just like its title, the film focused on the lack of assistance refugee boats receive during their treacherous journey, highlighting the tragedy on March 27, 2011 that lead to 63 Tripolitanian refugee fatalities.

Despite endearment from many Europeans citizens, like the vigilantes that aim to rescue whoever they can with their personal boats, many ships in the Mediterranean to do not strive to assist the refugees. However, in 2015 alone, Doctors Without Borders rescued over 23,000 people in the Mediterranean with a just three boats, demonstrating how non-governmental parties can be instrumental in addressing this crisis. One theory for this disparity is, since the first country of contact is responsible for reporting asylum, governments do not want to carry the burden of assisting refugees. Such an outcome begs us to ask: What steps are the European Union (EU) taking to address this issue? How would you feel being lost and abandoned at sea with just the shirt on your back? Where is the humanity?

After the film, Dr. Reuter and Mrs. Jackson-MacLennan fielded questions from the aghast, yet spirited, audience. People wanted to know what can be done; answers centered on policy change and contacting elected officials. Others asked why rescue ships are being held at the ports, leading to discussion about the legal entanglements that now restrict these boats from aiding refugees. Despite there being less rescue boats navigating the Mediterranean and a drop in migration via this route, often attributed to slowing of violence in the Syrian Civil War, there is still a need to assist refugees.

Mrs. Jackson-MacLennan Engaging with a Student. Source: UAB Institute for Human Rights

On November 12, the sequel to this three-part series, titled Addressing the Global Refugee Crisis – Part II: Focus on the United States will be held at Birmingham-Southern College and followed by the third event in early 2019, at Samford University, where action planning around this global issue will take place. Please join us for the following events whereas every voice and helping hand counts.

The United Nations and Psychosocial Disabilities

Recently, members from UAB’s Institute for Human Rights (IHR), including myself, had the opportunity to visit the United Nations (UN) in New York City for the 11th Conference of States Parties (COSP) on the Convention on the Rights of Persons with Disabilities (CRPD). The CRPD is an agreement that details the rights of persons with disabilities (PWD) with a list of codes for implementation, where both states and disabled people’s organizations (DPOs) are suggested to coordinate to fulfill such rights. Currently, the CRPD has 177 ratifying parties, with the United States being one of the last to have not ratified it, although it was modeled after the Americans with Disabilities Act (ADA), the cornerstone for disability rights in the U.S.

I had the opportunity the serve as rapporteur for Round 3 of the General Debate, witnessing representatives address issues such as education and employment barriers for PWD in rural Afghanistan, India’s concern about the treatment of women and girls with disabilities, Malta’s 20 million Euro dedication to programs and organizations for PWD and Peace 3 Foundation describing how climate change disproportionately endangers PWD. Additionally, I attended many side events that covered topics such as the Voice of Specially Abled People (VOSAP) phone app, barriers to political participation in the Middle East and North Africa, and the first Regional Report of the Americas. The side events were less formal and engaging because the audience was welcomed to participate by sharing their thoughts and expertise, allowing coalition building to take place.

IHR at the 11th COSP to the CRPD. Source: UAB Institute for Human Rights

 

Amid this experience, there were a few important lessons learned. First, there is an enormous push for inclusive education, as opposed to special education, which values PWD’s contributions, equips them with essential skills and validates their societal presence. This approach would allow PWD, namely children, to learn and grow with their peers. Secondly, many nations are not responsibly addressing psychosocial disabilities which are clinical conditions/illnesses that affect one’s thoughts, judgments or emotions. Many countries have legislation that prevent people with an “unsound mind” from full participation in society, which doesn’t relate to one’s acts, but only their character. This stigmatizing approach effectively criminalizes their disability status, possibly resulting in forced institutionalization that separates them from loved ones and their community. Finally, there are countless people worldwide addressing disability rights. In the U.S., it seems disability rights are in the background, while other justice causes get most of the attention; however, I am confident that persistent coalition-building between justice organizations, especially in our impassioned political climate, will change this narrative, much like the collaborations built through the CRPD.

I want to use this blog as an opportunity to address an issue that has personal sentiments and speaks to my second point, stigma toward people with psychosocial disabilities (PWPD). Given my experience working in homeless shelters and having someone close to me who was institutionalized for their schizophrenia diagnosis, I believe there is a cultural disparity in how we talk about psychosocial disabilities because, on many occasions, they are addressed from a criminal and/or deviant lens, often devaluing the person(s) being addressed. According to the Mental Health and Human Rights Resolution of the Office of the United Nations High Commissioner for Human Rights, PWPD are defined as those, “…regardless of self-identification or diagnosis of a mental health condition, face restrictions in the exercise of their rights and barriers to participation on the basis of an actual or perceived impairment.” Psychosocial disabilities differ, meaning they are capable of being episodic, invisible and/or not clearly defined (e.g. depression, post-traumatic stress disorder and schizophrenia). Also, psychosocial disabilities are subjected to a medical narrative that arguably benefits mental health industries more than consumers.

Two years ago, during the 9th COSOP to the CRPD, Paul Deany (Disability Rights Fund Program Officer) claimed psychosocial disabilities are addressed in many countries through Western-influenced legislation that is separate from other disabilities, streamlining the establishment of psychiatric institutions that undermine fundamental issues for PWPD such as workforce participation, health care and political/rights. Therefore, we cannot view this concern as being exclusive to poor, underdeveloped nations because psychosocial disability stigma in rich, developed nations have fed this narrative and still have a prominent effect on PWPD. Although, to achieve collaborative global efforts that empower PWPD, supportive mental health policy must, first, be endorsed on the homefront. For example, political turmoil in the U.S. has contributed to recent events geared to strip health coverage from millions of vulnerable Americans. These efforts clearly demonstrate political incompetence of the mental health discussion at-large and confess to a larger narrative that admits power doesn’t always equate to knowledge and global leadership must be justified, not assumed.

Although many countries have enacted and enforced rights for PWPD, other countries are falling behind. For example, in Indonesia, roughly 18,000 people are forced into pasung, the practice of shackling or locking one in a confined space. Although pasung was banned by Indonesian authorities in 1977, families and healers continue to exercise this inhumane practice because they believe evil spirits or immoral behavior induce such disabilities. A similar practice in Ghana, at Nyakumasi Prayer Camp, was scrutinized last year, followed by the release of 16 people and the country’s Mental Health Authority claiming they would begin properly enforcing the shackling ban put into law in 2012. Such treatment of PWPD clearly impinges the Universal Declaration for Human Rights (UDHR), a watershed document for global peace, by violating commitments to end “cruel, inhuman or degrading treatment or punishment” (Article 5) and equal protection before the law without discrimination (Article 7).

To someone living in the modern U.S., such treatment seems unimaginable. However, past images of PWPD experiencing isolation and inhumane treatment inside the asylum walls are now echoed from a different, yet similar, perspective. During the mid-20th century, the U.S. underwent a period of deinstitutionalization which saw the closing of large state institutions that harbored PWPD. Largely due to the advent of the antipsychotic drug Thorazine, thousands of people were discharged from state mental hospitals and the shutting of such doors soon followed. However, the following decades have seen an influx of criminalizing PWPD, leading to their incarceration, where jails and prisons now serve as some of the nation’s largest de facto mental hospitals. This series of events, which moves PWPD from one total institution to another, undermines the liberation narrative of deinstitutionalization by continuing to segregate PWPD from their families and communities. As a result, this misfortune contributes to the current crisis that has seen the U.S. prison population increase by 408% between 1978 and 2014.

These appalling scenarios underscore a comment made by the representative of Kenya, during my visit to the UN, who insisted that policy cannot solely enforce human rights because programming must also be present to guide that path. Since 2007, Users and Survivors of Psychiatry in Kenya, a DPO, has not only influenced legislation that expands the rights of PWPD, but also organizes participatory public education programs through various media outlets, challenging stigma and misconceptions. On the other side of the Atlantic, in Connecticut, the Center for Prisoner Health and Human Rights works with local governments, universities and health systems to ensure recently incarcerated people access health care and insurance. Many of the individuals receiving such care access health-related goods and services to treat psychosocial disabilities that could’ve influenced or been a byproduct of their incarceration. Looking forward, this is the type of advocacy and programming that needs to be highlighted so it can be shown that good governance, particularly through the CRPD and ADA, is possible.

Conceal and Reveal

Egungun masks in Abomey, Benin. Source: Davide Comelli, Creative Commons

On Thursday, April 5, UAB hosted Dr. John Thabiti Willis, Associate Professor of African History at Carleton College, to discuss the relationship between masquerading traditions of the Yoruba people in Nigeria and hip hop. The Yoruba people are a West African ethnic group of 30 million worldwide; nearly 25 million live in Nigeria.

Dr. Willis’ 19-month long archival and ethnographic investigation was to understand how such traditions arrived in Otta, an ancient Yoruba town that represents some of those most elaborate masquerades. Dr. Willis discovered that a religious leader James White arrived at Lagos in 1852, becoming the first person to preach the gospel in the region. To appeal the local Yoruba people to Christianity, White recruited musicians to perform local melodies which become early influence for Christian music in the region. Today, masquerades in Otta are notable spectacles that celebrate social rites and acknowledge political causes.

Willis’ lecture primarily focused on the masquerade tradition of Egungun, an honoring of ancestors and their living descendants, which originated in Old Oyo. The Egungun masquerades are performed by men masked and veiled in lavish fabric, to conceal the carrier and reveal unseen forces/spirits, while women participate in the harmonics. Performance garments include Burial Shrouds (death), Resurrection (of the deceased) and New Clothes (new life).

Another masquerade tradition, Gelede, originating in Ketu, honors women as mothers. Masked performance symbolism includes: Women (productive and reproductive labor), Foreign Men (productive labor: economic, political and religious) and Mother Nature (nature as the primordial mother). As opposed to Western traditions that prioritize male dominance and the individual, the masquerades center on African indigenous sentiments which champion men and women as leaders, coalitions and support of the people.

Reflecting on these findings, Dr. Willis identified five main elements of masquerading that carry striking similarities with elements of hip hop performance:

Masquerading Hip Hop
Drumming (rhythm masking) DJing
Verbal Arts (praise-singing and poetic performances MCing
Masked Dancing (choreographed and improvised) B-Boying/Break-Dancing
Visual Art (mural paintings) Graffiti
Biological and Ritual Kinship (community, identity & purpose) Knowledge

Though Dr. Willis originally journeyed to Nigeria to understand the masquerading origins of Otta, he discovered this how masquerading and hip hop convey similar narratives with different cultural contexts. Much like masquerading, hip hop, too, can reveal the power of metaphor, as demonstrated in Soul Sonic Force’s 1983 classic “Renegades of Funk”, allowing viewers to reflect on social and political power dynamics as well as enable discourse expression through performance of power.

Angélique Kidjo Brings Batonga to Birmingham

On Thursday, March 22, Grammy Award-winning Beninise performer and human rights activist, Angélique Kidjo, offered a lecture at UAB’s Alys Stephens Performing Arts Center titled, Give Her Wings – Teach Girls and Empower Women. After bestowing the audience with an opening melody, Kidjo spoke of her diverse musical influences, such as R&B, funk and jazz, then shared stories about her childhood, personal growth and activism for girls — periodically breaking out in song whilst incorporating the crowd.

Angélique Incorporates the Crowd. Source: UAB Institute for Human Rights

Born into a music family, Kidjo was not shy about her childhood, confessing she had “cool parents” shared with nine other siblings. Claiming to have never lived with fear, she was pressured into her first stage performance at the age of six, gracefully under spotlight, displaying her young talent which led to a standing ovation. However, during her adolescence, her singing become an issue for some boys in her community in which she became the victim of sexist ridicule and physical confrontation. Being discouraged by this incident, she told her mother she no longer wanted to sing, but was uplifted when told, “If you let people define who you are, you will never have a life”. Her father also claimed that once you engage in a physical fight, you have lost the battle – the most powerful tool is your brain. This encouraged Kidjo to coin the term Batonga which confidently means, “Get the heck out of my life. I’ll be whoever I want to be”.

In secondary school, Kidjo started noticing children not attending class, which confused her, then realized keeping girls in secondary school limits helping mothers in the home. This gave her conviction that without secondary education, girls are limited to being mothers and wives, influencing her activism for children’s education and girl’s empowerment. Kidjo’s Batonga Foundation addresses the gender disparity in secondary and higher education throughout Africa, offering scholarships, books, tutoring, mentoring and meals.

Kidjo believes educating girls will engender world peace and influence them to not raise macho men who hijack women in the name of fear. She asked the crowd, “How do you view your kids, if your wife is viewed as inferior? Man up!”. She then briefly touched on her experiences as an African woman living in 1980s Paris, being shocked by blatant racism but standing her ground, and declared the brain and soul have no color, the world is yours and don’t be afraid to challenge people – a mindset inherited from the empowered women who raised and supported her.

Kidjo ended her lecture with one final number that included the crowd. With her grace and leadership, the crowd joined her and steadily chanted, “Chez mama, chez mama Africa”, a precursor to the following night’s concert.

Kidjo and the IHR Gang. Source: UAB Institute for Human Rights

Soon after, young girls and boys rushed to the microphone and asked Kidjo how they could be leaders just like her. She expressed to many of these young, impressionable minds how the liberating power of music gives one the confidence and strength in the face of adversity – Batonga.

Orphan Fever: The Dark Side of International Adoption 

Adopting a child from a country foreign different from your own is a complicated and controversial practice. If done correctly, you have saved a parentless child from a life of probable poverty and despair. If done incorrectly, you have either aided organizations who coerce parents into giving their children up or even facilitated child abuse, if the individual institution is unethically managed. Even if the adoption is conducted using appropriate channels and oversight, the adopting families are not always well intentioned.

International adoption peaked in 2004 and has been declining ever since, in part because of increasing restrictions fueled by incidents of violence. The problems that surround international adoption are complex and deeply intertwined with a variety of factors. Race, gender, religion, culture, sexuality, and global inequality together form the sticky, problematic web of international adoption.

Two children stand in a circular entrance to a tunnel holding hands.
“Tomorrow and the Next Day and the Day After That.” Source: Thomas Hawk, Creative Commons. 

“Orphan Fever”

At the peak of international adoption in the United States nearly fifteen years ago, much of the hype was driven by religious organizations. Adoption became a primary social welfare issue in the early 2000s after American Evangelicals began to champion the issue. This is not to be taken as an explicitly negative phenomenon; some religious organizations are instrumental in protecting human rights violations for international orphans. Many individuals who adopted in the name of their religion have vibrant, happily integrated families. However, religiosity does provides a cover of moral legitimacy that often discourages scrutiny of organizations or individuals.

Adoption agencies are not legally required to be accredited, and many faith-based agencies are not. Only 303 organizations are accredited per international standards of the roughly 3,000 agencies that perform adoption services in the United States. Central to this issue is the white-savior industrial complex, a term coined by notable author and activist Teju Cole. Cole explains that white people (often Americans) tend to view less developed regions but most specifically Africa as “a backdrop for white fantasies of conquest and heroism.” Families sometimes adopt international children with perverse motivations of piety and applause. Children are stripped of their culture and forced to adapt to Western norms overnight, and face dire consequences when they cannot conform. Individuals have relayed being severely disciplined for hesitating to eat unfamiliar foods, not adapting to American norms for eye contact quickly enough, and for speaking their own languages. This is a direct violation of the human right to culture. Internationally adopted children have the right to fully experience their birth culture for the sake of human dignity and the preservation of that child’s identity.

Adoption Facts and Flaws

The majority of international adoptees (71%) in the United States from the last twenty years have come from one of five countries: China, Russia, Guatemala, South Korea, or Ethiopia. All five of these countries have increased restrictions on foreign adoption, accounting for 88% of the decline since 2004 (Source: Pew Research Center). The restrictions come on the heels of majorly publicized cases of abuse and/or deaths of international adoptees.

Abuse and deaths in intercountry adoptive families are common. Numerous appalling incidents involving the misfortune of adopted children have circulated in the media in the past few years. International adoption is a tricky subject. Exploitation can occur on a number of levels, as the adoption process includes a variety of actors. The adopting families, the adoption agency, and the source institution can all be separately complicit in unethical behavior. To amplify corruption, there is little to no legislation to identify or prosecute exploitation on any level. “Sending countries” or the countries which children are most frequently adopted from, have had to become increasingly strict on foreign adoption policies. This is one of the most critical issues – the sending countries, who are most often relatively disadvantaged compared to receiving countries, carry the burden to make major policy reform in order to protect their children from exploitation. International policy on intercountry adoption is scarce, vague, and often unenforced.

Policy Issues

While the international adoption system contains many flaws, the most identifiable fundamental issue is lack of oversight and policy. Adoptions are most often conducted through private, individual agencies who each have different standards of what the adoption process should look like. These private agencies operate without much restriction placed on their activity. It seems unacceptable to permit adoption to occur through non-accredited agencies, yet that is the current norm. Lack of accreditation creates a wider pathway for unethical behavior. The market for adopting children is huge and incredibly lucrative, as it is full of wealthy potential adoptive families. The desperation for many families to find and adopt a child can often generate more demand than the current supply of available children can sustain; this eventually leads to gaps in supply being filled by non-orphaned children who were either stolen, coerced through misinformation, or otherwise manipulated into leaving their families.

Three boys stare up at the camera, smiling.
“Curious Children at an Orphanage, Mumbai.” Source: Tobias Leeger, Creative Commons.

Internationally-Adopted Victims of Child Abuse

One of the most recent and infamous cases was that of Sherin Mathews, a three year old girl from India who had developmental disabilities. Sherin died in October of last year from allegedly choking on milk that she was being forced to drink, though her adoptive father has made various claims about the circumstances of her death. The three year old was missing for a period of time but was found in a culvert. The international community was in an uproar after this crime came to light, and India quickly adopted legislation to reduce foreign adoption.

Ethiopia made similar measures last month following similar stories of abuse, though this act still surprised many, as the country has been well known for their high frequency of international adoption. Ethiopian adoptee Hana Williams died at age thirteen from exposure after being forced to stay outside for hours as punishment. Hana was adopted by Carri and Larry Williams in 2008, but was quickly subjected to torturous conditions after Carri became dissatisfied with Hana’s maturity. Carri reportedly said, “I expected to adopt a little girl, not a half-grown woman,” as Hana began to menstruate shortly after arriving in the United States. The Williamses forced Hana to stay in a closet for upwards of ten hours at a time and required Hana to use an outdoor portable toilet, while the Williamses’ biological children were never subject to such misery. The night that Hana died, the entire Williams family spectavted and allegedly laughed as she staggered around naked for several hours in the cold, rainy backyard.

Two victims who survived their abuse are Guatemalan adoptee Carolina and Russian-born Leonid, who together endured years of physical and psychological torture from Kathleen and Martin O’Brian. The O’Brians were originally charged in 2012 of abusing their adopted children, including allegations of “locking them in a room with no bathroom, forcing them to kneel naked on sharp rocks and stand in a feces covered dog pen, and withholding food from them.” Both Carolina and Leonid have been happily adopted by different families after both Kathleen and Martin were found guilty, but will likely always retain the emotional and physical scars from the hellish O’Brian family. Russia banned foreign adoption the same year that the O’Brians were charged, as nineteen Russian children have died at the hands of foreign adoptive parents in the past twenty years. Stories of child abuse inflicted upon international adoptees are depressingly frequent. It is imperative to identify which flaws in the system are to blame for these horrible crimes, and how change can be enacted to prevent future suffering.

A man, face turned away from the camera, holds a sleeping baby.
“Air Force family adopts child from Ukraine.” Source: Dvidshub, Creative Commons.

Re-Homing

Despite the seemingly endless desperation to adopt, it is surprisingly easy to exchange children online with no legal intervention or monetary exchange. Re-homing communities exist in niches of the Internet, where families with adopted children post advertisements to give their “troublesome” children away. Reuters gave a detailed investigation of this practice in 2013, recounting several personal narratives of individuals who have either taken part in rehoming children, been re-homed themselves, or otherwise interacted with the re-homing community. Laws vary by state and have become more common since Reuter’s report incited brief public interest, but many states still only require the signature of a legal guardian to transfer custody to another adult. The exchange can occur privately without notifying any government officials, which creates a dangerous avenue for predators to easily obtain vulnerable children from desperate parents. Within Reuter’s report, multiple detailed accounts were given of children who were re-homed with individuals with documented pasts of abusing children physically, sexually, and emotionally. This occurred because the original adoptive parents did not thoroughly vet the family who was taking their child, a common experience among re-homing communities. One mother stated of her twelve year old adopted daughter, “I would have given her away to a serial killer, I was so desperate.”

Re-homing perseveres despite ethical quandaries due to the imminent need for post-adoption support for adoptive parents. Most agencies provide little to no support after the adoption process has been finalized, despite the difficulties that many families have in acclimating to the change. Reuters found that 70% of the children being re-homed were of international origin, and many of those children had behavioral problems indicative of some form of trauma or disability.

Several young orphans in matching uniforms stand in a grassy area, holding some types of tools.
“Orphanage.” Source: Clay Junell, Creative Commons.

The Path Ahead: Hope and Reform

The dark side of international adoption is one shrouded in mystery and corruption. Vulnerable children all over the world are being victimized on all levels within the process of adoption. Abuse can occur at the hands of adoptive parents, in re-homing families, by private non-accredited agencies, and within local orphanages. Considering that these children are already incredibly vulnerable (as many are already impacted by compound discrimination of race, disability, and class), this systematic abuse is particularly heinous. The United Nations’ Convention on the Rights of the Child fully secures and protects all human rights of children, and specifically requires that “the system of adoption shall ensure that the best interests of the child shall be the paramount consideration.” Shockingly, the United States is the only UN member nation who has not yet ratified the CRC. This is a blatant failure to protect the most vulnerable members of our population. America cannot remain complicit in such an exploitative system; it is truly reprehensible that our country is so heavily engaged in the adoption of vulnerable foreign children yet refuses to protect them. This is a failure for the global community as well — international community has accepted a flawed adoption system for far too long. Both domestic and international policy reform are essential to preserving and promoting the human rights and dignity of children.

Angélique Kidjo and the Importance of Education

On March 22, 2018, Grammy-award winning singer and human rights activist Angélique Kidjo will be speaking at the University of Alabama at Birmingham about the importance of education for girls and boys. Angélique is from Benin, a small country in West Africa; the IHR has previously published on challenges facing Benin on our blog, which may be found here. One pressing human rights concern facing the Beninese people is access to education. The Batonga Foundation, Angélique Kidjo’s non-profit organization states, in Benin, 3 out of 4 girls do not make it do middle school, and 1 in 3 girls get married before the age of 18. Per UNESCO, in 2015, only 48.93% of students enrolled in secondary education were female compared to 68.52% of enrolled male students in Benin. Lastly, in 2012, the female literacy rate for female population aged 15 – 24 in Benin was only 40.94%.

Grammy Award winner Singer / Songwriter and Unicef Goodwill Ambassador Angelique Kidjo visits Kazanchis Health Center in Addis Ababa, Ethiopia 11 November 2013. Photo by Jiro Ose

As Angélique explained to CNN, unlike the majority of girls in Benin, she grew up in a household that emphasized the critical necessity of education. Growing up with ten siblings and one paycheck, Angélique used to sing for extra money for her family. She eventually wanted to drop out of school and work as a full-time singer, however, her father insisted females should be educated and made dropping out of school non-negotiable.

“My education has empowered me so much: it gave me the confidence not only to sing but also to speak on CNN or BBC and to meet world leaders to lobby on the behalf of the women of Africa.”

– Angélique Kidjo, ONE

Primary and secondary education for all children is now accepted as a universal basic need and human right. Data from the World Bank highlights the sobering relationship between education and development. The poorest countries in the world have national secondary education enrollment rates of less than 35%, along with low levels of tertiary enrollment of less than 15% (Sachs 254). Higher education institutions are necessary “to ensure that there are qualified teachers, sufficient numbers of technical workers, and a generation of young people trained in public policy and sustainable development (Sachs 255).”

In many communities, cultural roles and expectations create substantial gender gaps in the division of household responsibilities, economic opportunities such as employment, access to job-training skills, and education levels. The burden of gender inequality has detrimental and disproportionate impacts on the economic security, poverty levels, health, nutrition and environmental safety of women worldwide. These can also be prevented. Education provides mothers and children the opportunity to break the cycle of poverty and fuel social mobility, which here refers to the change in social class and socioeconomic status of individuals or families.

The Ripple Effect of Education on Social Mobility

  • Educating women equates to higher economic productivity. Studies determine lower female enrollment rates in school is associated with lower GDP per capita. Specifically, UNICEF states in 2011 that one percentage point increase in female education increases the average level of GDP by 0.37 percentage points. As a result of basic education and skills, women are able to work and contribute to the economic growth and productivity of their country. Likewise, education plays a key role in endogenous growth – economic growth based on new technological breakthroughs, such as the internet and advancements in computer science using research and development (Sachs 271). The current revolution of new information and communication technology (ICT) is exceedingly dependent on trained individuals with advanced degrees in their fields of study. Research and development is deeply concentrated in high income countries due the complex interplay of successful management systems ranging from universities to high tech business companies, and even national laboratories (Sachs 273). The fundamental anchor for the success of these institutions is strong systems of higher education in sciences, public policy and engineering.

At the local level, educated women are able to work and provide for their families. UNICEF states every added year of primary school enhances girls’ ensuing wages by 10 – 20% and another 15-25% for every additional year of secondary school. Employment opportunities provides financial stability, and thus averts families from falling into poverty due to the parents’ ability to invest in their children’s human capital. Human capital is here defined as the “collective skills, knowledge, or other intangible assets of individuals that can be used to create economic value for the individuals, their employers, or their community.”

  • Educating women translates to reduced child mortality. The number one indicator for the survival of a child under the age of five is the mother’s education level. Education establishes health behaviors and customs that have a constructive impact on an individual’s health. Specifically,“Educated mothers have a greater ability to identify healthcare services for treating their child’s illnesses; higher receptivity to new health-related information; familiarity with modern medical culture; access to financial resources and health insurance; better decision-making power; and increased self-worth and self-confidence.” (Bado 2016)

Reduced child mortality breaks the intergenerational cycle of poverty of the future generation. First, healthy children and less likely to miss school and more likely to complete their education. Higher levels of education are associated with better socio-economic status. Second, healthy children grow up to be active members of society, and contribute to the productivity of their national economy. Third, families with healthy children can invest money into other areas of development and human capital such as education rather than health services.

  • Parental educational level is an important predictor of children’s educational outcomes. Educating women translates to increased chances of education for the next generation regardless of one’s social environment or income. Educated parents understand the critical relationship between education and social mobility, increasing the likelihood of putting their children through school. Likewise, educated parents have the financial means to help put their children through school. Lastly, parent education levels are associated with the parents providing children a more stimulating cognitive, emotional physical environment in the household. Motivating home environments have a positive influence on a child’s achievements and aspirations (Gunn 518-540).

“The association of  family income and parent’s education with children’s academic achievement was mediated by the home environment. The mediation effect was stronger for maternal education than for family income.”

Educating girls and women is the most cost-effective way to reduce poverty and improve quality of life. Education enables both national and local social return that continue to affect quality of life years after formal education is completed.

Female education is an imperative stakeholder in the development of women all over the world. Angélique Kidjo uses her voice and social influence to advocate for female education all over Africa. In 2002, Angélique Kidjo’s advocacy journey flourished as she became a UNICEF Goodwill Ambassador for education. As a Goodwill Ambassador, Angélique has campaigned for education on behalf of UNICEF by attending high level meetings, speaking and performing at public events, and granting media interviews. Her advocacy work continues to bring attention to these issues. Along with her work with UNICEF, Angélique founded a non-profit, the Batonga Foundation. Angélique created the word batonga which means “get off my back, I can be whoever I want to be.” According to Angélique, she created the word during her Junior year of high school to protect herself against male bullies at her school. The word confused the boys, who eventually left her alone. The Batonga foundation focuses on the education of women and girls throughout Africa. Their services focus on providing scholarships, book materials, latrines across schools, shoes for walking to schools, and access to girls clubs.

The IHR is proud to host Angélique Kidjo. On Thursday, March 22nd at 6:00 p.m., Angélique will present an educational lecture at the UAB Alys Stephens Center. This event is free and open to the public.

Additionally, on Friday, March 23rd at 8:00 p.m.,  Angélique Kidjo give a musical performance at the UAB Alys Stephens Center. Registration for her performance can be found at the UAB Institute for Human Rights website.

References:

Sachs, Jeffery. (2015). Enviornmental Sustainability and Peace. New York: Colombia University Press

Greg, D., Brooks-Gunn, J. (1997). The Consequences of Growing Up Poor. New York: Russell Sage Foundation