MP witnesses summoned to PG Office for questioning in vote-buying corruption case

The Prosecutor General’s Office has reportedly summoned MPs involved in bribery allegations concerning Jumhoree Party (JP) MP Gasim Ibrahim to present for questioning.

Police detained Gasim and People’s Alliance (PA) MP Abdulla Yameen in early July 2010 on accusations of bribery and, according to the police charge sheet, “attempting to topple the government illegally.”

President Nasheed’s cabinet had resigned en masse the week prior, in protest against what they claimed were the “scorched earth politics” of the opposition-majority parliament, leaving only President Mohamed Nasheed and Vice President Mohamed Waheed Hassan in charge of the country. The move circumvented regulations blocking the arrest of MPs while no-confidence motions were pending against sitting ministers.

Several days later, audio recordings of conversations between several MPs, including Yameen and Gasim, were leaked to the media. The recordings carried implications of vote-buying within parliament, suggestions of collaboration with the officials in the Anti-Corruption Commission (ACC), and details of a plan to derail the progress of a taxation bill.

Later in July 2010, the President’s Press Secretary Mohamed Zuhair told Minivan News that the government had felt obliged to take action after six MDP MPs came forward with statements alleging Yameen and Gasim had attempted to bribe them to vote against the government.

At the time the opposition PA-DRP coalition had a small voting majority, with the addition of supportive independent MPs. However, certain votes require a two-thirds majority of the 77 member chamber – such as a no-confidence motion to impeach the president.

“These MPs are two individuals of high net worth – tycoons with vested interests,” Zuhair said at the time. “In pursuing their business interests they became enormously rich during the previous regime, and now they are trying to use their ill-gotten gains to bribe members in the Majlis [parliament] and judiciary to keep themselves in power and above the fray. They were up to all sorts of dark and evil schemes. There were plans afoot to topple the government illegally before the interim period was over.”

Local media reported this week that police had reopened the case against Yameen and Gasim, following a response by Police Inspector Mohamed Riyaz to a question from parliament’s Privileges Committee on the status of the investigation.

Riyaz clarified that while both MPs had been arrested over the matter, “we could find no evidence against Yameen. The bribery case only concerns Gasim.”

While bribery was the stipulated offence Riyaz observed that this was “not necessarily only money.”

Police sent the case to the Prosecutor General’s Office on August 2 last year.

Inspector Riyaz told Minivan News that the Prosecutor General had tried to summon the MPs who gave evidence in the case for questioning over the matter.

While it was “not common for witnesses to be taken to the PG’s office”, Riyaz said he hoped the MPs would cooperate with the PG’s office and clarify their statements. In the statements taken by police, the MPs were “quite clear” about what they had been offered, he added.

Zuhair today said that police had submitted “irrefutable evidence” that six members of parliament had been offered bribes, and that the Prosecutor General “should take the matter forward.”

“This is a very serious issue that last year led to the abrupt resignation of cabinet, and transpired to nearly stop the functioning of government,” Zuhair said.

The Prosecutor General was not responding to Minivan News at time of press.

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Civil Court rules airport development charge invalid as GMR opens airline office complex

GMR today opened a new Airline Office Complex beneath the International Terminal in a step towards consolidating check-in and security procedures for passengers.

The Civil Court has meanwhile ruled against GMR in a case filed by the Dhivehi Qaumee Party (DQP), challenging its right to collect a US$25 (Rf385.5) Airport Development Charge (ADC) and US$2 (Rf30.8) Insurance Charge commencing January 2012. The DQP had claimed that a pre-existing Airport Service Charge (ASC) of US$18 (Rf277.56) invalidates the ADC. The legal dispute with DQP could cost GMR Infrastructure US$25 million annually, India’s The Economic Times estimated.

The Civil Court today ruled that the clause in the concession agreement with GMR violated the Airport Service Charges Act of 1978, which was amended in 2009 to raise the charge to US$18 for foreign passengers and US$12 for Maldivians above two years of age.

Judge Ali Rasheed Hussein ruled that the Airport Development Charge and insurance charge were service charges “under other names.”

He noted that the Airport Service Charges Act had been amended seven times to raise the charges since 1978 by the legislature, “based on the economic circumstances of the Maldives and the means of the public,” which showed that the purpose of the law was to ensure that enforcement agencies did not have the authority to raise the charges.

President Mohamed Nasheed’s Press Secretary Mohamed Zuhair said the government would likely appeal the lower court’s ruling given its contractual obligation to GMR.

“The government will do everything it can to adhere to the concession agreement,” he said.

GMR has not yet issued a formal response following the Civil Court ruling. However speaking today prior to the ruling, INIA CEO Andrew Harrison told Minivan News that GMR was “delighted to be subject to scrutiny, and will stand up to it.” He said the company was confident in its concession agreement with the government.

Harrison called the allegations and public criticism of GMR “unfair.”

“A lot has been done here,” he said, pointing to the number of renovations completed in the past six months. “I think you can see that locals and tourists are now getting the upgraded facilities befitting an airport like INIA.”

Harrison added that the next six months will see five new food and beverage facilities in international, domestic and land-side areas; a plaza for tourist arrivals; six new air service buses; and the beginning of a new terminal. “Many of these improvements go well beyond the concessionary agreement we have with the government,” said Harrison.

“It’s important to align the airport with passenger expectations, whether their destination is a resort or the warm welcome of a Maldivian home.”

At an event earlier today the company unveiled 30 new airline offices on the first floor next to Immigration.

“The old offices were small and since they were on the first floor rather than the ground floor, they were harder to access for passengers,” noted Harrison.

Airline personnel now have direct access to check-in counters from “some of the best offices in Male'”, situated along a bright white corridor.

The complex hosts four carriers with approximately five airlines per carrier; a few spaces have been left available for additional airline partners, such as Air France and AlItalia, which are expected to begin service to the Maldives in the next few months.

Harrison pointed out that the real reason for building a new complex was to centralise security check-points. Currently, security check points are located at gates one through three, and four through six. Passengers often face a queue, and are consequently more stressed about making their flights, Harrison explained.

“Now, that space is freed for all security check-point equipment to be located right next to Immigration, making passenger traffic smoother and allowing for more time in the airport terminal rather than in queues,” he said.

Harrison added that situating Immigration and Security offices in close proximity was a standard feature of international airports.

GMR is currently overseeing the renovation of INIA, as per a contract with the Maldivian government. In the past six months it has upgraded two lounges and expanded baggage beltways; it is currently adding eight check-in counters and two security lanes. Tourism Minister Maryam Zulfa previously expressed satisfaction with GMR as “an example for the Maldives as it moves forward.”

A groundbreaking ceremony for the new terminal will be held later this month – the structure is due for completion in 2014.

Maldives Airports Company Limited (MACL) today announced that the lease agreement between GMR and the government allows for a 10-year extension from the initial 25 year time frame, pending the agreement of both parties.

GMR began circulating the Airport Source Quality program survey in October to evaluate INIA’s ranking among 34 airports in the two to five million passenger category. The airport initially ranked 33rd, but Harrison said improvements are visible.

“In December alone it has already moved up three airports. By the time the new airport opens, we are convinced that INIA will be number one in the two to five million [passenger] category,” he said.

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Finance Ministry refutes reports of 40 percent police and armed forces salary increase

Finance Minister Ahmed Inaz has disputed claims by People’s Alliance (PA) MP Abdulla Yameen that police and armed forces MPs will receive a 40 percent salary increase in 2012.

Instead the 2012 budget for police and armed forces will increase 9.51 percent “to cover the salary increment for officers who receive promotion and salaries of those who are to be employed next year,” Inaz told newspaper Haveeru.

The 2012 budget includes the provision for 50 additional police officers, while the Maldives National Defence Force (MNDF) will only recruit to vacant posts, Inaz stated.

Yameen allegedly learned of the proposal from the budget review committee rather than the budget itself, Haveeru reported earlier this week.

The Civil Service Commission (CSC) has meanwhile requested parliament include any unpaid civil servants’ salaries and allowances in the 2012 budget without conditions.

Several independent institutions, including the Maldives National University (MNU), meanwhile raised concerns this week over cuts made by the Finance Ministry to their proposed budgets for 2012.

The program-based budget submitted by some of the institutions was revised by the Finance Ministry to maintain recurrent expenditure in line with projected income.

The Rf 14.6 billion (US$946.8 million) state budget for 2012 was submitted to parliament on November 28 by Finance Minister Ahmed Inaz. It is now being reviewed by parliament’s budget review committee headed by local business tycoon, MP Gasim Ibrahim.

The committee met with senior officials of the Local Government Authority (LGA) and the MNU this week, as well as several other institutions, during which they complained about cuts made by the Finance Ministry during the revision process prior to the submission to parliament.

Finance Minister Inaz was not responding to calls at time of press.

The Constitution requires parliament to finalise the budget before December 28. Previous budget committees have significantly increased the budget submitted by the Finance Ministry.

President Mohamed Nasheed’s Press Secretary Mohamed Zuhair observed that additional subsidies and salary increases allocated by parliament for political reasons made it “very difficult” for the government to adhere to the budget.

” “The budget submitted to parliament is a product of exhaustive consultation. Last year no reference was made as to which sector the Finance Ministry should deduct the extra expenditure, and the Minister is required to use his discretion,” Zuhair said.

The Finance Minister has claimed that the government will cover recurrent expenditure in next year’s budget and reduce the deficit to 9.7 percent. However Yameen has claimed that Rf2.3 billion (US$150 million) has been allocated to repaying loans, and that the country’s debt now amounts to Rf 16,000 (US$1037) per head.

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Maldivian hotelier arrested in India for not passing guests’ details to police

A Maldivian national, identified by Indian authorities as Salim Haji, was arrested in Trivandrum for allegedly running a hostel without informing police of his visitors’ details.

Haji was presented before the Indian court on the charge of violating the Foreigner’s Registration Act (FRA) and has been remanded in judicial custody, Haveeru reports.

Indian police were running a pre-tourism season security check to ensure that guest housing establishments had registered foreign guests with the local station house.

India’s The Hindu today reported that a small section of foreign travelers misuse their visas to run commercial operations, mainly homestays for foreign holiday-makers and Maldivian nationals visiting the city for medical treatment and educational purposes.

The article estimates that 4,000 Maldivians live in Trivandrum.

Maldivians are currently allowed to spend up to 90 days in India without a tourist visa.

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Comment: Speak now, or forever hold your tongues

The Maldivian government’s reaction to the fallout from the UN Human Rights Commissioner’s address to the Majlis is deeply disappointing. It largely confirms what many increasingly allege: the change President Nasheed and MDP promised was limited to regime change and does not include a genuine commitment to democratic reform.

Navi Pillay called on Maldivians to consider putting a moratorium on the practice of flogging. She did not say Maldivians who believe in Islam should abandon their faith. She pointed out that the Maldivian State is one of the few among followers of Islam that still engages in the practice of flogging, imposed disproportionately on women.

Her fundamental proposition was: why not be as compassionate as your faith allows instead of being as cruel as it gives you room to be? Her suggestion was that we discuss and debate among ourselves to find this path to compassion. The official government response to this was, shockingly, ‘You can’t argue with God.’

The Islamic Ministry’s condemnation of Pillay’s speech, and its criticism of MPs for ‘allowing’ Pillay to address the parliament are hardly unexpected. At the helm of the Ministry is Dr Abdul Majid Bari who, while having no qualms about pocketing money earned from his stake in the alcohol-guzzling pork-eating infidel tourism industry, presents himself as an ultra-pious conservative when it comes to affairs of the Maldivian public.

This deep-rooted hypocrisy is what allows a man who holds a doctorate in the interpretation of the Qur’an to mislead the Maldivian public into thinking that multiple interpretations of Shari’a and hadith are unequivocally un-Islamic and that debate is beyond the Islamic pale.

The view of Dr Bari and other ‘Islamic scholars’ such as Dr Afrashim Ali (the ex-singer who treats the subject of his doctoral exegesis as a state secret) is neither new nor uncommon.

Had they taken the time to put it to the public in a coherent manner it would read: in view of the fact that there are specific offences and sanctions prescribed in the primary sources of Islamic jurisprudence, the Qur’an and Sunna, there is no justification for suspending regulation specifically outlined in these divine sources.

This is the view of most conservative proponents of the Shari’a, and is obviously the one held by Dr Bari and others leading the charge of the flogging brigade. It is, however, by no means the only view on the subject within Islamic thought and jurisprudence.

Rather, there are a great variety of ‘Muslim voices’ offering different views—conservative, liberal and pragmatic—about whether and how the idea of human rights and Islamic normative requirements fit together.

Diverse ‘Muslim voices’ on human rights

Even before the modern era, Islamic law was characterised by a broad jurisprudential diversity based on geographic, ethnic and racial as well as philosophical grounds.

This is evident from the fact that it was 400 years after the death of Prophet Mohammed that ijthihad—reasoned interpretation of the sources of Islamic law—was brought to an end with the increased petrification of the Shari’a by medieval jurists.

Many liberal Muslim reformers thus demand the recovery of ijthihad in order to do justice both to modern needs and to the original spirit of the Shari’a. They emphasise the Shari’a’s original meaning as a ‘path’ or a guide, rather than a detailed legal code.

These liberal Muslim voices do not attempt to deny the binding character of Shari’a. What they ask for is active reasoning, ijthihad, which was originally regarded as an independent source of Islamic law.

Their view, as expressed by Lebanese philosopher Subhi Mahmasani is, ‘The door of ijthihad should be thrown wide open for anyone juristically qualified. The error, all the error, lies in blind imitation and restraint of thought.’

Critical approaches of liberal Muslims such as Mahmasani, Egyptian judge Muhammad Said al-Ashmawy and Abdullahi Ahmed An-Nai’m have often highlighted the humane character of the Qur’anic revelation, which is the most important source of the Shari’a.

Tunisian scholar Mohamed Talbi has argued, for example, that ‘Were it possible for us to ensure a life of justice and equality in a different way [to corporal punishment], this would certainly be a way pointing in the same direction as the Qur’an does.’

Although Shari’a had continued to be the predominant legal system in matters pertaining to family law, from the 19th century onwards, Islamic criminal justice had gradually retreated from public law.

The introduction of Islamic criminal law through legislation is thus a relatively recent phenomenon that emerged in the late 1970s and early 1980s. Libya enacted Islamic criminal laws in 1972-1974, Pakistan did so in 1979, Iran in 1982 and Sudan in 1983 and 1991.

And, despite the enactment of such laws, there has been a strong tendency within most Islamic societies to restrict the applicability of hadd punishments as much as possible.

In Pakistan, for instance, the Federal Shari’a Court resisted the reintroduction of stoning in the early 1980s by repeatedly refusing to apply this form of punishment. Prime Minister Zia ul-Haq replaced some of the judges with his own allies to finally have stoning judicially confirmed as being in accordance with Shar’ia.

What these arguments, incidents and discussions suggest is that reconciliatory mediation between tradition and modernity seems conceivable not only among those who are consciously liberal but also among conservative Muslims, as has been argued by many academics.

In light of the rich Islamic jurisprudence referred to above, it is hard to see what the Islamic Ministry’s statement ‘No Muslim has the right to advocate against flogging for fornication’ is intended to do. Except, of course, to shut the Maldivian public off from any other teachings and characteristics of Islam other than those held by Dr Bari and the Islamists who rule Maldivian thought today.

Yellow: the colour of cowardice?

The deafening silence of any opponents of Dr Bari and other Islamists’ extremist views is inexplicable.

Does this mean that among the Muslim scholars that this country now has in such multitudes, there is not one person who disagrees with the extremists’ position? Does it mean, as the recent Religious Unity Regulations suggest, that Maldives will only consider as legitimate Muslim scholars those who purport a particular fundamentalist view of Islam?

Is there not one member of the Maldivian judiciary, the legal community at large, the legislature, or civil society capable of espousing a different position? Does the Human Rights Commission of the Maldives agree that the UN Human Rights Commissioner is wrong? If not, why not say so? Where are you all hiding? What are you afraid of?

Foreign Minister Ahmed Naseem’s statement that there is ‘nothing to debate’ is ‘singularly counter-productive’. It makes President Nasheed’s same-day appeal for gender equality ring hollow, like many of his other statements that emphasise democracy and human dignity.

We may never know details of the Faustian pact President Nasheed and MDP have made with Dr Bari and other proponents of extreme Islamism. What we do know is that it is costing the Maldivian people their democratic, and religious, right to intellectual debate and growth.

No matter how far above rising sea levels it is capable of lifting us, or how much it can lift our colossal debt burden, it is not worth keeping in power a government that lacks the courage to raise Maldivians above the quagmire of ignorance the Islamists are sinking us into at such a rapid pace.

All comment pieces are the sole view of the author and do not reflect the editorial policy of Minivan News. If you would like to write an opinion piece, please send proposals to [email protected]

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“Systemic failure to address corruption”: Transparency Maldives

The Maldives has risen slightly to rank 134 in Transparency International’s Corruption Perception Index (CPI).

The country scored 2.5 on a scale of 0 (highly corrupt) to 10 (very clean), placing it alongside Lebanon, Pakistan and Sierra Leone.

The score however is a mild improvement on 2010, when the Maldives was ranked 143th and below Zimbabwe. The Maldives still rated as having higher perceived corruption than many regional neighbours, including Sri Lanka (86), Bangladesh (120) and India (95).

Project Director of Transparency Maldives, Aiman Rasheed, warned that the ranking could not be compared year-to-year, especially in the Maldives where there were only a three sources used to determine the index (India has six).

“Corruption in the Maldives is grand corruption, unlike neighbouring countries where much of it is petty corruption,” Rasheed said. “In the Maldives there is corruption across the judiciary, parliament and members of the executive, all of it interlinked, and a systemic failure of the systems in place to address this. That why we score so low.”

Faced with such endemic and high-level corruption, it was “up to the people of the Maldives to demand better governance”, he said.

Addressing corruption would have political ramifications for the 2013 presidential election, Rasheed agreed, especially for young voters – 40 percent of the population is aged 15-24, resulting in thousands of new youth voters every year.

“Young people are hugely disillusioned by corruption in the Maldives. They have a vision of the type of country they would like to live in,” he said.

New Zealand, Denmark and Finland ranked as having the least perceived corruption, while North Korea, Somalia, Afghanistan and Burma ranked last.

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“Luxury is overated”: Diva Maldives rebrands

Diva Maldives are rebranding their resorts ‘Lux*’ – Latin for ‘light’ – in what the company claims is a complete overhaul of the Maldivian resort experience.

Speaking at a press conference this morning on the roof of Traders Hotel in Male’, the resort’s General Manager Dominik Ruhl outlined its concerted campaign to differentiate itself.

“The problem is that a lot of hotels here in the Maldives look and feel the same, and development of the industry has been quite slow,” he observed. “Look at any brochure: All resorts have sun, sea, sand and a spa, and a cold towel on arrival. How does a resort set itself apart in a ‘sea of sameness’?”

The five star market in the Maldives was “saturated”, he noted, “and not much is happening.”

“Resorts tended to define themselves in terms of the hardware,, which we all have – villas, pools architecture. They are all fairly similar – but people don’t come to the Maldives to sleep in a 1950s boudoiur. We don’t want to follow the same thoughtless patterns we learned in hotel school 20 years ago.

“We realised that as a resort we are helping people to celebrate life. It might be a honeymoon or a family trips, but visits to the Maldives are usually a celebration.”

In what must have been a highly eclectic planning meeting, Diva’s staff sat down and brainstormed an array of unique and quirky resort features for guests to discover for themselves across the island.

Ice cream carts with homemade low fat ice cream will trundle around the island, fitness instructors will drag guests out of the gym for outdoor exercises, guests will be taught traditional bodu beru drumming, and a red phone box outside reception will let them make free phone calls to anywhere in the world.

Guests will be given a Moleskin journal on arrival to sketch and write down ideas during their stay, “and there will be lots of quirky things for people to find around the island during their stay.”

Air-conditioned spaces will be deemphasised in favour of open areas with hammocks and beanbags, and while heavy “old world” wines will still be sold, the resort will introduce affordable lighter wines under its own label, ‘Scrucap’.

The resort has even imported an entire coffee roasting machine, with the intention of grinding and roasting beans its own beans on the island and serving them from a coffee shop in the lobby complete with newspapers and Kindles.

Ruhl noted that the resort was so proud of its new coffee that it had launched an entire ad campaign around it, instead of blandly continuing to market the sunny beaches.

On the environmental side, the resort will begin desalinating its own water to avoid having to dispose of 170,000 plastic bottles a year.

“I can’t pretend we have zero carbon emissions – we go through 6000-7000 litres of diesel a day,” Ruhl noted. “But we are offsetting this with a company called Carbon Footprint while we look at wind and solar, to improve our energy efficiency.”

Lux* Maldives will join Naiade Resorts’ other properties in the Indian Ocean which are also being rebranded. The company has several hotels in Mauritus and one in the Réunion Islands.

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Human trafficking on the rise, warn police

Police have reported a day-by-day increase in human trafficking in the Maldives, pointing to the rising numbers of illegal expatriate workers as evidence of the practice.

So far this year 308 cases have been reported to police involving expatriates leaving their sponsors, and more than 4000 passports belonging to illegal migrants have been found.

On June 11 “a huge number” of expats were brought to the Maldives illegally using forged documents, police said in a statement.

An ongoing police investigation into labour trafficking this year uncovered an industry worth an estimated US$123 million, eclipsing fishing (US$46 million in 2007) as the second greatest contributor of foreign currency to the Maldivian economy after tourism.

The former Bangladeshi High Commissioner to the Maldives, Dr Selina Muhsin, had told police that many Bangladeshi workers were brought to the Maldives through the promise of high salaries and employment, which was not forthcoming, police said.

In today’s statement, police noted that the Maldives still lacked a specific law against human trafficking, but said that enslavement and forced labor was a violation of the constitution. An Anti-Trafficking Act was now being drafted, police observed, and called for a policy of information sharing between concerning institutions, as well as guideline for treating victims.

This year 35 police officers were trained to combat human trafficking and police took part in a workshop held on ‘Integrated Approach to Combating Trafficking in Persons, organised by the International Organisation for Immigration (IMO), the statement said.

During her visit to the Maldives last week, UN High Commissioner on Human Rights Navi Pillay highlighted the plight of expatriate labourers in the Maldives, who make up a third of the population and in many cases have been lured to the country by unscrupulous employment brokers.

“The Minister of Foreign Affairs [Ahmed Naseem] is very aware of the suffering of foreign workers, and agreed that something needs to be done for these people,” Pillay said.

“You can’t have 60,000 people suffering here while performing work for the benefit of Maldivians and the tourism industry, and pretend this is invisible. The media has a role to give these people a voice so they can explain their problems.

“Many of them are trafficked and the little money they earn is exploited. This is of grave concern to me, because people like this are are protected under the UN Convention on Migrant Workers and their Families. I have urged the Maldives to ratify this, and regularise the presence of 60,000 people

“I also call for an end to the stereotyping of these people as a threat and unwanted.”

In July, members of Male’ City Council proposed solutions to “the nuisance and bother of expatriates [congregating] at the Republic Square”.

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Comment: Intravenous drug use raises AIDS spectre in Maldives

Thirty years since the first reported cases of acquired immunodeficiency syndrome (AIDS) in 1981, the response to the HIV/AIDS epidemic has been unprecedented, especially in terms of global and national initiatives.

Substantial progress has been made, such as a 31 percent reduction in the number of new infections between 2001 and 2009 in South-East Asia. A revolutionary new approach to treatment endorsed by UNAIDS and WHO, which includes improved, lower-cost drugs, simplified HIV diagnostic technologies, improved delivery systems, and innovations  in prevention of HIV infection, give hope for achieving universal access to prevention, care and treatment of HIV/AIDS, even in resource-constrained settings.

Yet, the challenge is far from over. HIV still remains a formidable foe, affecting 33.3 million people globally, including 2.5 million children. Despite years of concerted global efforts and investments, there is still neither a cure nor an effective vaccine for the disease.

However, over time, the profile of the HIV epidemic is evolving from a life threatening to a chronic disease, thanks to availability of more effective drugs and efficacious service delivery models involving communities and people living with HIV/AIDS. With changing realities, it is time, then, to reflect and re-strategize in the long-drawn war against HIV/AIDS. Fundamental to success is acknowledging that HIV/AIDS is a social and developmental issue as much as a health one.

The impact on women and children is devastating. An estimated 1.3 million women aged 15 and above currently live with HIV in the WHO’s South-East Asia Region (Bangladesh, Bhutan, Democratic People’s Republic of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste).

The estimated number of children living with HIV has increased by 46 percent during 2001 – 2009. Of the 448 million cases of sexually transmitted infections that occur globally, 71 million are in South-East Asia. Due to low coverage of the prevention of mother-to-child transmission (PMTCT) programme in the South-East Asia Region, a large number of babies born to HIV-positive mothers acquire HIV infection in the womb.

Despite considerable diversity in the HIV epidemic among the countries of the Region, unsafe sex and injecting drug use are the main drivers. Five countries -India, Indonesia, Myanmar, Nepal and Thailand – account for a majority of the disease burden. Sexual transmission accounts for the majority of cases in Bhutan, India, Myanmar, Sri Lanka, Thailand and Timor-Leste.  The HIV epidemic among people who inject drugs is significant in Indonesia, Myanmar, Nepal, Thailand, and some regions of India.

The Maldives has a growing threat of the HIV epidemic due to injecting drug use.

The evolution of the epidemic from life threatening to a chronic disease, with better drugs and better access to drugs, has resulted in prolonging survival and quality of care for people living with HIV/AIDS. This necessitates evolution of an HIV care model that is in line with chronic disease management, with primary care providers playing an important role.

The spectrum of HIV care needs to evolve into a comprehensive primary care model that has an integrated, patient-centered approach, and is linked to specialist care where and when needed. It also needs to address the various socio-cultural issues that take the response beyond the health sector into the families and communities.

Other key challenges include late diagnosis of HIV, stigma and discrimination faced by people with HIV and most-at-risk population; limited capacity of health systems; high prices of antiretroviral drugs especially the second line drugs, and lack of sustained finances.

The health sector can only overcome these challenges if it collaborates with other sectors in order to tackle the social, economic, cultural and environmental issues that shape the epidemic and access to health services.

WHO’s  Health Sector Strategy on HIV for South-East Asia has been endorsed by all the eleven Member States of the Region. It envisions “Zero new HIV infections, zero AIDS-related deaths and zero discrimination in a world where people living with HIV are able to live long, healthy lives.”

The four strategic directions to achieve the goal include: optimising HIV prevention, care and treatment outcomes; strengthening strategic information systems for HIV and research; strengthening health systems to ensure that the expanded response to HIV will build effective, efficient and comprehensive health systems in which HIV and other essential services are available, accessible and affordable; and fostering supportive environment to ensure equitable access to HIV services.

WHO continues to work with countries to achieve universal access to comprehensive HIV prevention, treatment and care and to contribute to health-related Millennium Development Goals (MDGs), particularly MDG 6 (combat HIV/AIDS, malaria and other diseases). Together, we hope to move closer to a world free of AIDS.

Dr. Samlee Plianbangchang is the Regional Director of the World Health Organisation for the South-East Asia Region.

<em>All comment pieces are the sole view of the author and do not reflect the editorial policy of Minivan News. If you would like to write an opinion piece, please send proposals to [email protected]</em>

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