Tag: Society

  • COVID-19: Media Group Calls For Increased Welfare For Journalists

    COVID-19: Media Group Calls For Increased Welfare For Journalists

    Journalists
    Journalists

    Media/civil society groups have demanded increased welfare of journalists during the outbreak of COVID-19.

    The groups also called for special protection and support for journalists covering the outbreak of the virus in Nigeria.

    The groups made the demand following a survey to assess the support available to journalists for their safety in covering the COVID-19 pandemic. 

    COVID-19: Media Group Calls For Increased Welfare For Journalists 1Journalists


    The Wole Soyinka Centre for Investigative Journalism, Enough is Enough, International Press Centre, the International Centre for Investigative Reporting, and Premium Times Centre for Investigative Journalism, commissioned the survey following perceptions that journalists were being exposed to danger in the course of covering the pandemic.

    The survey, filed by 463 journalists — correspondents, reporters, editors, freelancers and presenters from 73 print, broadcast and online media across 33 states and the Federal Capital Territory – revealed that there has been a poor attention to the needs, safety and welfare of journalists covering the pandemic.

    Drawing from responses from the survey, the media/civil society groups have urged media proprietors to ensure that reporters on the field are adequately insured and financially empowered as they urged media outfits owing salaries to immediately pay their journalists.

    They also demanded that media organisations should, “Establish workplace policy and follow the same to equip their journalists with specialised and personal protective equipment including for observation of social distancing while on the field.

    “Provide training to journalists on how to crowd source information for their stories without having to necessarily go to the field; and explore technological options for interviews while in-house infrastructure should be put in place to ensure the safety of employees and guests (particularly for broadcast media) in line with the safety advisory of the government and health authorities.”

    They also enjoined freelance journalists to take advantage of reporting grants and other opportunities to procure personal protective equipment while covering the pandemic.

    Following the outbreak, media outfits are beginning to introduce reduction in salaries, with organisations citing economic importance as reason for the deduction.

     

    Journalism

    MEDIA

    News

    AddThis

    : 

    Original Author

    : 

    SaharaReporters, New York

    Disable advertisements

    : 
    COVID-19: Media Group Calls For Increased Welfare For Journalists
    Read More
    http://saharareporters.com/2020/05/08/covid-19-media-group-calls-increased-welfare-journalists

    Views: 0

  • Amcham supports gov’t plan to enforce S17A of the MACC Act 2009

    Amcham supports gov’t plan to enforce S17A of the MACC Act 2009

    Amcham supports gov’t plan to enforce S17A of the MACC Act 2009 2

    KUALA LUMPUR: The American Malaysian Chamber of Commerce (Amcham) supports the Malaysian Government plan to enforce S17A from June 2020 to bring the level of compliance by Malaysian companies on par with that of the United States and the rest of the developed world.

    It said, the Malaysian Government introduced corporate liability for companies committing acts of bribery through Section 17A of the Malaysian Anti Corruption Commission Act 2009, which was in line with the requirements of Article 26 of the United Nations Convention Against Corruption (UNCAC).

    “As a reflection of Malaysia’s commitment to the UNCAC, Section 17A is to come into effect next month, given the concern about the seriousness of problems and threats posed by corruption to the stability and security of society, the undermining of institutions and values of democracy, and the jeopardizing of sustainable development of the economy.

    “These prohibitions reflect the provisions of the US Foreign Corrupt Practices Act 1977 and are the terms on which all US companies conduct business,“ said Amcham in a statement.

    It pointed out that there should not be any delay or suspension in the implementation of such key legislation, especially in these times of economic turmoil when businesses and consumers need certainty, especially to ensure that prices are not inflated due to corrupt acts or lax enforcement of the law. — Bernama

    Amcham supports gov’t plan to enforce S17A of the MACC Act 2009
    Read More
    https://www.thesundaily.my/local/amcham-supports-gov-t-plan-to-enforce-s17a-of-the-macc-act-2009-FL2386430

    Views: 0

  • Commitment and call to action: Global collaboration to accelerate new COVID-19 health technologies

    Commitment and call to action: Global collaboration to accelerate new COVID-19 health technologies

    Our Vision and Mission

    Grounded in a vision of a planet protected from human suffering
    and the devastating social and economic consequences of
    COVID-19, we, an initial group of global health actors (BMGF,
    CEPI, Gavi, Global Fund, UNITAID, Wellcome Trust, WHO) and
    private sector partners and other stakeholders, are launching
    a landmark, global and time-limited collaboration to accelerate the
    development, production and equitable global access to new COVID-19 essential health technologies.

    We know that as long as anyone is at risk from this virus, the entire
    world is at risk – every single person on the planet needs to be
    protected from this disease.

    We agree that alongside evidence-based public health measures,
    innovative COVID-19 diagnostics, therapeutics and vaccines are
    needed – in record time and at record scale and access – to save
    millions of lives and countless trillions of dollars, and to return
    the world to a sense of ‘normalcy’.

    We recognize the significant amount of critical work, investment
    and initiatives already ongoing around the world to expedite
    the development and deployment of innovative COVID-19 related
    products and interventions.

    We appreciate that while development and deployment of
    innovative products is essential, it will not be enough. We must
    simultaneously and urgently accelerate the strengthening of
    sustainable health systems and capacities to enable delivery of
    the new COVID-19 tools to those who need them and to mitigate
    the knock-on impact on other diseases.

    We remember lessons from the past, which have shown that even
    when effective tools are available to the world, too often some
    are protected, while others are not. This inequity is unacceptable –
    all tools to address COVID-19 must be available to all. In the fight
    against COVID-19, no one should be left behind.

    We understand we cannot do this alone, and that we need to
    work together in unprecedented and inclusive partnership with all
    stakeholders – political leaders, public and private sector partners,
    civil society, academia, and all other stakeholders across society
    – jointly leveraging our comparative strengths and respective
    voices to drive towards collective solutions, an accelerated path,
    and access for all. We are stronger, faster and more effective
    working together.

    Our Mission is not only accelerated development and availability
    of new COVID-19 tools – it is to accelerate equitable global access
    to safe, quality, effective, and affordable COVID-19 diagnostics,
    therapeutics and vaccines, and thus to ensure that in the fight
    against COVID-19, no one is left behind.

    Our Commitment

    1. We commit to the shared aim of equitable global
      access to innovative tools for COVID-19 for all.
    2. We commit to an unprecedented level of partnership
      – proactively engaging stakeholders, aligning and
      coordinating efforts, building on existing collaborations, collectively devising solutions, and grounding
      our partnership in transparency, and science.
    3. We commit to create a strong unified voice to
      maximize impact, recognizing this is not about
      singular decision-making authority, but rather
      collective problem-solving, interconnectedness and
      inclusivity, where all stakeholders can connect and
      benefit from the expertise, knowledge and activities
      of this shared action-oriented platform.
    4. We commit to build on past experiences towards
      achieving this objective, including ensuring that
      every activity we undertake is executed through the
      lens of equitable global access, and that the voices
      of the communities most affected are heard.
    5. We commit to be accountable to the world, to
      communities, and to one another. We are coming
      together in the spirit of solidarity, and in the service
      of humanity, to achieve our mission and vision.

    Our Call

    We ask the global community and political leaders to
    support this landmark collaboration, and for donors to
    provide the necessary resources to accelerate achievement
    of the objectives of this global collaboration, capitalizing
    on the opportunity provided by the rolling pledging
    campaign that will start on 4 May 2020.

    Commitment and call to action: Global collaboration to accelerate new COVID-19 health technologies
    Read More
    https://www.who.int/news-room/detail/24-04-2020-commitment-and-call-to-action-global-collaboration-to-accelerate-new-covid-19-health-technologies

    Views: 0

  • THE FATHER’S RELATION TO THE HOME

    The father is the head of the home.—The character of the home determines the character of the church, society and the nation. The home is the most important of all earthly institutions. The problems of society, the church and the nation, if ever solved, must be largely solved in the home. The home is both a civil and divine institution. Civil and divine law place the husband and father at the head of the home. No teacher sustains a more vital relation toeacher sustains a more vital relation to society, no minister to his congregation, no king to his empire, or president to his republic, than does the conscientious father, who does his best to build an ideal home. He is truly serving God and his country, in the highest sense. In the work of building a home, he is serving society and the church in a higher sense than he would be, were he neglecting his family, by writing books, teaching school, delivering lectures or preaching sermons.

    His relation to his wife.—The relation of husband and wife is a partnership affair. In every sense they are equal partners. Their rights and privileges are equal. Their part in building a home is not, in all respects, the same. The service of one is as important as the other. Neither can build a home without the other. Their service is incomparable.

    He is to furnish financial support.—Nature has fitted man mentally and physically for devising means of earning a support for his family. Whatever occupation, calling or profession he may engage in, he should put forth the best effort of which he is capable to produce an income that will support his family decently.

    The amount of money he can furnish his wife, will depend upon his earnings. They should talk over this matter as partners. One has as much right to the income as the other. They should not spend more than is produced. If the income is small, both should economize. They should endeavor to save something each year, even if the income is small. Money is stored-up human energy. If the income is large, they should be more liberal in the use of it, but it is always a sin to waste money. The husband has no right to cause his wife to beg him for money, to meet her personal expenses or the expenses of the children. The money is not exclusively his own. Home building is a partnership in which every member of the home is interested in every dollar produced. Legally the father may spend his money on his selfish indulgences. Morally{ he has no right to spend the home company money in a way that will not benefit each member of the home. For a father to annually spend fifty or more dollars on tobacco or drink and refuse corresponding amounts to his wife and children to be spent needlessly by them, is as dishonest, as for a member of a firm, or the president of a bank to misappropriate the funds of a partner or a depositor.

    He is to furnish moral support.—For a man to build a reputation for honesty, truthfulness, sobriety and virtue and to possess a good character are of more value to his wife and children, as a home builder, than to be able to produce large earnings and to be free with the same. When a man assumes the responsibility of building a home, his family have a right to demand of him honesty, integrity, sobriety and virtue. He has no more right to rob them of one than the other.

    He is to love his wife.—While the romance of courtship and the honeymoon cannot be continued for life, yet he should always show her a deep respect, a manly courtesy, a true love and absolute loyalty to his marriage vow.

    The relation of the father to his children.—Each child born into the home is a new member added to the partnership. The children have financial, social and moral rights that should be respected by the parents. While civil law and God place the father at the head of the home, this does not give him special rights and privileges, or constitute him a boss or ruler, but he should so conduct himself that the family will regard him as their protector, supporter and adviser. He should not swear, tell vulgar stories, use tobacco or indulge in strong drink unless he is willing for each member of his family to follow his example. As partners in the home, they have the same moral rights as himself. He should be to his children a chum, a friend, a companion. He should constantly endeavor to make the children happy. There are times, in the home, when the father’s decision must be law. He must support his family. The law holds him responsible for their support and for their deportment as citizens. As long as they are under age, if they contract a debt or damage property, the law holds the father responsible. This responsibility makes it necessary for him to decide some things, in a way that a child may not wish to coincide. This should be done in a dignified and pleasant way.

    The father should never allow himself to become angry or to use hasty and abusive language in correcting a child. If he does, he demonstrates his own weakness and inability to be a real father. Punishment of some natural kind is sometimes necessary, but corporal punishment, as a rule, is brutal.

    The father should so conduct himself as to command the respect, reverence and love of his children. He should be sociable and gentle, as well as dignified and strong. He should have their complete confidence, so they will come to him with their problems and troubles. The sacred service of a true father in the home, can only be equaled by the service of the mother. The fathers who toil long and late, study and strive to support, educate and train a family of children to become good citizens and devoted Christians, will receive a rich reward here and a royal welcome yonder.

    Extract from EBook of Self Knowledge and Guide to Sex Instruction, by T. W. Shannon

    Views: 0

  • Personas Positioning and the Message Box

    When lead generation programs fail, they do so mainly because the messages communicated are irrelevant or ill-timed for the target audience. Our target customers are bombarded with thousands of messages every day. Unfortunately, we (as a society) have become so used to information overload it?s become the white noise of the marketplace. As a result, the knee-jerk reaction from companies is the ?ready, fire? execution of promotional offers. It?s easy for marketers to fall into the trap of believing that volume replaces…

    Read More
    http://www.associationofmarketing.org/whitepapers/view.php?whitepaper_id=75

    Views: 0

  • THE ARGUMENT AGAINST BIRTH CONTROL

    THE ARGUMENT AGAINST BIRTH CONTROL

    The argument against Birth Control, urged by those who are opposed to the dissemination of scientific information on the subject, may be reduced to a few general points. These points of objection I shall now state, together with the rejoinder to each as given by the advocates of the proposition. I think that these points cover the main argument advanced against Birth Control, and I shall endeavor to state them as fully and as fairly as possible.

    Opposed to Religious Teachings. One of the most common arguments advanced against Birth Control is the one which holds that the idea is opposed to religious teachings. The statement, however, is usually made in a vague general way, the charge of “irreligious” being hurled without explanation, and usually without any attempt to show any proof of the accusation.

    As a matter of fact, as the advocates of Birth Control have pointed out, there is nothing whatsoever in the New Testament which in fairness may be construed as indicating Birth Control as sinful; in fact, it has been frequently asserted by authorities on the subject that there is nothing to be found in either the Old Testament or the New Testament which directly or indirectly prohibits the limitation of offspring, or which encourages the production of an unlimited number of children regardless of all other conditions.

    Nor do the majority of the various religious denominations seem to have in their statements of doctrine and living anything in the nature of prohibition along the lines indicated above. It is true, however, that the Roman Catholic Church does quite positively, and vigorously, condemn and prohibit the use of contraceptive methods among its members; and I have been informed that its priests place such methods in the category of methods producing abortion, both being regarded as practically identical with infanticide. I have been informed, however, that in this Church the restriction of marital relations to certain periods of the month in which conception is held to be not so likely to be effected, with abstinence at other periods, is a method of limiting offspring that does not come under the ban, particularly if there be a reasonable excuse offered for the desire to limit the size of the family; though, as a rule, even such method is frowned upon unless the reasonable excuse be forthcoming.

    In the case of members of the Catholic Church—and these only—there may seem to be warrant for the objection to Birth Control as “contrary to religion,” it being assumed that the teachings and rules of the Church constitute the true measure of “religion.” To such there is, of course, only one answer, and that is that if the teaching or practice of Birth Control methods be held by them to be “contrary to religion” (according to their definition of “religion”) then they have merely to adhere to the said religious teachings, and to refuse to learn anything about Birth Control. The matter undoubtedly is one entirely for the exercise of their own judgment and conscience. There is no desire on the part of the advocates of Birth Control to insist that such people must limit the size of their families—or for that matter that there is any “must” about it for anyone whatsoever.

    But we must not lose sight of the fact that the laws and customs of society in general are not based upon, or bound up with, the teachings and rules of this particular Church. On the contrary, particularly in the instance of Marriage and Divorce, many of our customs sanctioned by our laws permit and sanction things which are not countenanced or approved of by the Church in question. But just as persons outside of that Church are in no way bound by the teachings or rules thereof in the matter of Marriage and Divorce, so are they in no way bound by the teachings and rules of the said Church concerning the limitation of the size of families. The Church in question does not regard “civil marriages” as true marriages at all—yet our laws, and general public opinion, countenance such marriages; and it is extremely probable that within a comparatively short time the status of Birth Control will likewise manifest the same conflict between State and Church. But just as no Catholic is compelled to accept or practice civil marriage, so no Catholic will be compelled to accept or practice Birth Control.

    Religion is entirely a matter of individual belief and faith, and binds no one not agreeing with its precepts. There is no union of Church and State in this country, or in most other modern civilized countries; and we are not under the jurisdiction of the Church in matters of conscience or conduct, unless we voluntarily so place ourselves under such jurisdiction and control. The argument that Birth Control which is based upon the assertion that it is opposed to the edicts or dogmas of some particular Church organization, is found to be no true argument for the reasons given above; and such argument must be dismissed as fallacious by those who base their judgments and conduct upon the dictates of science, reason, and common-sense, rather than upon the dogmas or decrees of any Church organization. The answer to those who urge that “Birth Control is contrary to the teachings of the Catholic Church” is: “Well, what of it? if you are not a Catholic!”

    The force of the above objection to Birth Control becomes important when we find that those who are opposed to Birth Control merely because their Church condemns it do not content themselves with letting alone the subject, but would also endeavor to fasten the rule of their Church upon the rest of society. While such persons are undoubtedly acting in good faith, and inspired by motives which seem good to them, they should stop to remember that general society refuses to accept the rules of their Church in the matter of Marriage and Divorce, and is likely to refuse a like attempt to fasten upon it the rules of the Church in the case of Birth Control. The general public, here and in the first mentioned cases, will insist upon entering a plea of “lack of jurisdiction.”

    In the cases of persons outside of the Church in question who may consider Birth Control to be contrary to their religious convictions and teachings, there is to be made the same answer given above, namely, that the advocates of Birth Control are not trying to force anything upon those who entertain such religious or conscientious scruples—they would leave such persons free to follow the dictates of their own conscience or the religious teachings favored by them. But at the same time they would demand the legal and moral right to follow the dictates of their own conscience and reason, and would insist upon their right to receive legal protection for the dissemination of their scientific teachings. All that the advocates of Birth Control are claiming is the right of free speech and free knowledge concerning this subject which they deem concerned with the future progress and well-being of the race.

    The argument against Birth Control which is based upon the claim that it is “irreligious,” arises from the general tradition based upon the Hebrew conception of a Deity who bade the legendary first families of the race to “increase and multiply.” According to the scriptural narrative this authoritative command was addressed to a world inhabited by eight people. From such a point of view a world’s population of a few thousand persons would have seemed inconceivably great. But the old legendary command has become a tradition which has survived amid conditions totally unlike those under which it arose.

    Under this old traditionary conception reproduction was regarded as a process in which men’s minds and wills had no part. To those holding it, knowledge of Nature was still too imperfect for the recognition of the fact that the whole course of the world’s natural history has been an erection of barrier against wholesale and indiscriminate reproduction. Thus it came about that under the old dispensation, which is now forever passing away, to have as many children as possible and to have them as often as possible—providing that certain ritual prescriptions were fulfilled—seemed to be a religious duty.

    Today the conditions have altogether altered, and even our own feelings have altered. We no longer feel with the ancient Hebrew who bequeathed his ideals, though not his practices, to Christendom, that to have as many wives and concubines and as large a family as possible is both natural and virtuous and in the best interests of religion. We realize, moreover, that such claimed Divine Commands were the expression of the prophets and rulers of the people to whom they were addressed, and in accordance with the ideals concerning race-betterment which were held by these self-constituted authorities.

    To the educated men and women of today, it is seen that these ideals of human-betterment (no longer imposed upon the people under the guise of Divine Commands, but rather by an appeal to their reason and judgment) are no longer based upon the sanctification of the impulse of the moment, but rather involve restraint of the impulse of the moment as taught by the lessons of foresight and regard for the future which the race has received. We no longer believe that we are divinely ordered to be reckless, or that God commands us to have children who, as we ourselves know, are fatally condemned to disease or premature death. Matters which we formerly believed to be regulated only by Providence, are now seen to be properly regulated by the providence, prudence, foresight, and self-restraint of men themselves. These characteristics are those of moral men, and those persons who lack these characteristics are condemned by our social order to be reckoned among the dregs of mankind. Our social order is one in which the sphere of procreation could not be reached or maintained by the systematic control of offspring.

    More and more is Religion perceived to be more than a mere matter of the observance of certain ritual and ceremonies, or the belief in certain dogmas. More and more is true religion seen to be vitally concerned and bound up with the relations of man to man, and the welfare of society in general. More and more is it being perceived that anything which is decidedly anti-social, or opposed to the best interests of human-betterment, is not truly “religious,” no matter how sanctified by tradition, or bound up with ritual and ceremonies it may be.

    The spirit of modern Christianity is seen to consist of two fundamental principles, viz.: (1) the love of God; and (2) the Golden Rule. The conscientious Christian who uses head and heart in harmony and unison, cannot avoid the conclusion that the avoidance of the bringing into the world of offspring destined by social and economic conditions to misery, poverty, and sin, is more in accordance with the true spirit of Christianity than opposed to it—the ancient dogmas and traditions of the Church to the contrary notwithstanding. Modern religion is based upon Reason as well as upon Faith, and it is safe to predict the time when Birth Control will not only be sanctioned by “religion,” but also encouraged by it.

    Is It Immoral? Akin to the objection urged against Birth Control on the score of conflict with religious teachings, we find the one which states that “it is immoral.” Morality means “quality of an action which renders it right or good; right conduct.” Right conduct or “good” action depends upon the effect of the conduct or action upon the individual, other individuals, or society in general. The standards of morality, right conduct, and good actions have changed from time to time in the history of the race, and are not fixed. Reason teaches that that which is for the benefit of the individual and the race is and must be “moral,” and that which is harmful to the individual and the race is and must be “immoral.”

    As to whether Birth Control is helpful or harmful to the individual and the race—moral or immoral—the individual student of the question must decide for himself after having given the subject careful and unprejudiced consideration. The advocates of Birth Control hold that every fair argument and consideration of the question must bring the unprejudiced person to the conviction that the ideals advanced by them are in the direction of the betterment of the race, and the increased happiness of the individuals composing the race. If such be the case, then Birth Control must be regarded as positively “moral” in character and principles, and its teachings directly in the interests of “morality.”

    So true is the above statement that every argument of the advocates of Birth Control is based upon the assumption of its “morality,” in the sense of making for human betterment. If it be shown that the teachings are in anywise “immoral,” in the sense indicated, then no one would be quicker to condemn them than the intelligent and conscientious advocate of Birth Control, for the reason that his whole case is based upon the inherent “morality” of his ideals.

    Any one who has made a careful and unprejudiced study of the subject of Birth Control will discard the idea that a tendency so deeply rooted in Nature as is Birth Control can ever be in opposition to morality. It can only be so held as contrary to morality when men confuse the eternal principles of morality, whatever they may be, with their temporary applications, which are always becoming modified in adaptation to changing circumstances.

    The old ideals of morality placed the whole question of procreation under the authority (after God) of men. Women were in subjection to men, and had no right of freedom, no right to responsibility, no right to knowledge, for, it was believed, if they were entrusted with any of these they would abuse them at once. This view prevails even today in some civilized countries, and middle-aged Italian parents, for instance, will not allow their daughters to be conducted by a man even to Mass, for they believe that as soon as they are out of their sight they will be unchaste. That is their morality.

    Our morality today is different. It is inspired by different ideas, and aims at a different practice. We are by no means disposed to rate highly the morality of a girl who is only chaste so long as she is under her parents’ eyes; for us, indeed, that is much more like immorality than morality. We, today, wish women to be reasonably free; we wish them to be trained in a sense of responsibility for their own actions; we wish them to possess knowledge, more especially in the sphere of sex, once theoretically opposed to them, which we now recognize as peculiarly their own domain.

    Our ideal woman today is not she who is deprived of freedom and knowledge in the cloister, even though only the cloister of her own home; but rather the woman who being instructed from early life in the facts of sexual physiology and sexual hygiene, is also trained to exercise judgment, will, self-restraint, and self-responsibility, and able and worthy to be trusted to follow the path which is right according to the highest ideals of the society of which she is a part. That is the only kind of morality which now seems to us to be worth while.

    And, as any unprejudiced intelligent person is forced to admit, there is nothing in the policy of scientific Birth Control to run contrary to such an ideal of moral womanhood.

    But the relation of Birth Control to morality is, however, by no means a question which concerns women alone. It equally concerns men. Here we have to recognize, not only that the exercise of control over procreation enables a man to form a marriage of faithful devotion with the woman of his choice at an earlier age than would otherwise be possible, but it further enables him, throughout the whole of his married life, to continue such relationship under circumstances which might otherwise render them injurious or else undesirable to his wife.

    That the influence exerted by a general knowledge of scientific methods of Birth Control would suffice to entirely abolish prostitution it is foolish to maintain, although it would undoubtedly tend to decrease the social evil. And even the partial elimination of prostitution would be in the interests of general morality, not only in thedirection of lessening the brutal demand of women to serve in the ranks of prostitution, but also in many other ways of importance to society as a whole. The decrease of venereal disease would follow a decrease in prostitution caused by a general knowledge and practice of scientific methods of Birth Control on the part of married people; and it must be remembered that venereal disease spreads far beyond the patrons of prostitution and is a perpetual menace to others who may become innocent victims. And any influence that serves to decrease prostitution and the spread of venereal disease, must be placed in the category of “moral,” and certainly not in the opposite one.

    The objection is frequently heard that the general knowledge of scientific methods of contraception would lead to increased illicit relations among unmarried persons, particularly among the young people. This argument is apparently based upon the belief, or fear, that the fear of conception is the only thing which prevents many persons from indulging in illicit relations. It assumes that a large portion of our womankind are chaste simply because of fear of pregnancy; and that this fear once removed these women would at once plunge into such relations. In other words, it assumes that mentally and in spirit these women are already unchaste, but are restrained from physical unchastity by reason of the fear of conception.

    The answer of the advocates of Birth Control takes direct issue with the above contention. On the contrary, it asserts that the chastity of our women is the result of their general training, education, heredity, observance of the accepted customs and standards of their community, religious and moral training, etc. The woman who is chaste simply through fear, usually manages to allay that fear in one way or another, often by mistaken methods which work great harm to the woman and the community in general. The general knowledge of scientific contraceptive methods might result in such women manifesting their inclinations and desires in a “safer” manner, but this “safety” would not consist of protection against conception (for that they already think they have) but rather of a protection against the dangers of abortion and similar evil practices.

    Some of the writers go further in this matter, as for instance Dr. Robinson, who says: “If some women are bound to have illicit relations, is it not better that they should know the use of scientific preventives than that they should become pregnant, disgracing and ostracising themselves, and their families; or that they should subject themselves to the degradation and risks of an abortion; or failing this, take carbolic acid or bichloride, jump into the river, or throw themselves under the wheels of a running train?”

    The objection to Birth Control on the ground that it would increase illicit relations among men and women by means of removing the fear of physical consequences, seems to many careful thinkers to be akin to the old objection (now happily passing away) to the dissemination of the knowledge of the treatment of venereal diseases, and to the public cure of such diseases, on the ground that by so doing a part of the fear concerning illicit relations was removed, and thereby illicit relations actually encouraged. The result of this fallacious argument was the enormous spread of venereal diseases, to the great hurt of the race; and the encouragement of quacks and charlatans who fattened on the gains received from the sufferers from this class of complaints. The argument against Birth Control on similar grounds will be seen to be equally fallacious, and capable of equally evil consequences, if the matter be fairly and carefully considered.

    Illicit relations, if prevented or regulated at all by society, must be so regulated or prevented by other means than fear of conception. Such fear, though it may deter for a short time, will usually be overcome in time if the desire and temptation remain sufficiently strong. It is doubtful whether any considerable number of women remain chaste for any length of time simply by reason of fear of conception. If such fear be the only remaining deterring factor, it will usually be swept away in time under continued temptation, opportunity, and desire. Chastity and virtue must have a far more solid foundation than such fear; and experience repeatedly shows that such fear is but as shifting sand sought to be employed as a foundation for the structure of chastity.

    There is no reason whatsoever for believing that the scientific knowledge of contraceptive methods, if generally possessed by married people under the sanction of the law and society, would result in any more cases of illicit relations than exist at the present time. It might, it is true, result in less evil consequences of such relations in some cases, as Dr. Robinson has so clearly pointed out in the above quotation; but the relations in such cases would exist in either event. Fear of conception, like fear of infection, has never, and will never entirely prevent illicit relations between men and women; and to oppose scientific information in the one case on these grounds, is as futile as to oppose scientific treatment in the other case on the same grounds. And when it is considered how society in general is injured by the withholding of such information or treatment, respectively, the argument in favor of such suppression of scientific truth and method is seen to be actually dangerous to society and sub-service of the public good.

    I would like to add a few words concerning the question of morality in the matter of practicing scientific Birth Control. To me what I shall say in the succeeding paragraphs of this chapter have a vital bearing on the whole subject, and should be taken into serious consideration by the fair-minded and conscientious student of the subject. Here follows my thought in the matter:

    In my consideration of the arguments against scientific Birth Control I am impressed with one particular thought which refuses to be silenced, but which insists upon persistently presenting itself to my consciousness. This particular thought may be expressed as follows: It is admitted by unprejudiced students of the subject that the educated and cultured portions of the civilized countries of modern times do actually practice, to some extent, in some form, manner, or degree, the limitation of offspring—no honest observer will dispute this statement. This being so, does it not seem that the race should fairly and squarely, honestly and frankly, face this question and decide whether or not such rules of conduct are “right” or “wrong”—”moral” or “immoral”—and to what extent, if any, they should be permitted or encouraged to be practiced toward the ends of individual and race happiness and betterment.

    If the decision is totally against this rule of conduct, then it should be vigorously denounced, and all honest people should refrain from it. If, on the contrary, the decision should be that this mode of conduct, or some phases of it, are justified, then, in the name of Honesty and Truth, let us turn on the full light of general information, knowledge, and instruction on the subject, under the full protection of the laws and public opinion. Why should we not throw aside the mask of cowardly hypocrisy, and stand before the world showing ourselves as just what we really are?

    My thought, in essence, is that the chief “wrong,” and “immorality” about the whole matter consists in our present practice of doing one thing in private, and condemning the same thing in public. There can be no excuse, to the intellectually honest person at least, for the course of tacitly holding that a certain thing is “all right for us,” while “all wrong for the other folks.”

    Is It Injurious to Health? It is sometimes urged against Birth Control that the use of contraceptive methods is injurious to the health of women, in some cases a long list of physical and mental ills being given as possible of being caused by such methods. Opposed to this is the contention of the members of the medical profession who have arrayed themselves on the side of scientific Birth Control. The latter authorities positively contradict the assertion that women’s health is injured by the practice of rational and scientific methods of Birth Control; although these authorities freely admit, in fact they claim, that certain unscientific methods and practices popular among certain persons—such as the use of certain chemicals and mechanical appliances—undoubtedly have resulted in physical harm, and they strongly advise against the use of such bunglesome methods.

    One of the leading medical advocates of scientific Birth Control in the United States throws down the gauntlet squarely before those of his profession, and others, who urge this objection to scientific Birth Control, in the following challenging words: “I challenge any physician, any gynecologist, to bring forth a single authenticated case in which disease or injury resulted from the use of modern methods of prevention. I know they cannot do it.” And others in the ranks of the medical profession have made similar assertions and claims. The unprejudiced person who will consult the best medical authorities on the subject will unquestionably agree that the best medical opinion of the day holds that scientific Birth Control is not in fairness to be open to this objection.

    Is Birth Control Unnatural? Another favorite argument of the opponents of scientific Birth Control is the broad statement and claim that “all voluntary attempts to limit procreation are unnatural,” and therefore wrong. This objection, while usually offered without any particular argument, explanation, or proof, must be carefully and honestly met and answered by the fair-minded advocate of Birth Control.

    In the first place, it may as well be admitted that regulation, restriction, or control of the procreative functions by application of the intellect or reasoning processes isunnatural, in the sense of not being indicated by Nature and enforced through the instinctive actions of the race. The only instinct which primitive man seems to have had in this case (and these he held in common with the lower animals) was that of free and unlimited sexual intercourse, in response to his instinctive desires, with this exception (and this exception should be carefully noted), i. e.: that the male respected the instinctive disinclination to cohabit during the period in which the woman was pregnant, and often also during the period in which she nursed her infant. This instinct, unhappily for the race, the “civilized” man has overridden until it has practically ceased to manifest its voice.

    The lower animals, obeying this primitive instinct, do not manifest violation of this law of Nature. On the contrary, the female will not allow the male to approach her at such times, and will fight savagely at any attempt to violate this instinctive law of her nature. The male usually recognizes the existence of this law, and makes no attempt to violate it, but should he attempt the same he is defeated by the female as above stated. It has remained for Man alone to override and violate, and to eventually render nul and void this wise instinctive provision of Nature.

    But beyond this there is no “natural,” instinctive regulation of the sexual activities of animal or man, other than the desires of the male and female. If civilized man adhered wholly to the “natural” in this respect, he would obey the voice of instinct alone, and would show reason and intellect the door in such matters, and would also bid defiance to all legal or ecclesiastical authority when it sought to “control” his activities along these lines. But, it is needless to say, such is not the case. Not only has the Law of the Church insisted upon certain “control” of these matters—as witness the laws against adultery, illicit relations, incest, bastardy, etc.—but man, himself, has asserted a greater and still greater voluntary control over the reproductive functions as he has risen in the scale of civilization and culture.

    Today it is only the lowest and least cultured classes of society who (to use the expressive but somewhat inelegant term) persist in “breeding like pigs.” All other classes exercise a greater or less degree of “control” of some kind in the matter of limitation of offspring. In making this broad assertion I, of course, have in mind not only the modern methods urged by the advocates of scientific contraception, but also the “control” and regulation observed by married persons in either total abstinence from the marital relations for a stated time, or else the abstinence from such relations during certain portions of the lunar month, the latter method (somewhat uncertain, however, in its efficacy in some cases) being apparently favored by certain ecclesiastical authorities as the “only moral” method.

    In view of the above facts, which might be enlarged and extended if necessary, it is seen that as soon as man rises above the level of the beast or savage—as soon as he begins to manifest culture and civilization—he begins to exercise a certain “control” over the procreative function, and in the direction of the limitation of the size of his family of offspring. The contention of the modern advocates of scientific Birth Control is that the “new ideas” on the subject are simply a natural and inevitable evolution from the degrees of “control” which man has exercised since the time he emerged from savagery. The later developments are no more “unnatural” than the earlier—nor the accepted methods and forms any more “natural” than those which are now opposed by the more conservative elements of society.

    When anyone begins to talk about things being “natural” or “unnatural,” respectively, he should tread softly and watch his steps carefully. For at every step he treads upon instances of “unnatural” modes and methods of living. Strictly speaking, it is “unnatural” to wear clothes, or to cook food, or to live in houses, or to ride in conveyances or on horseback. All of these things have been evolved by the use of intellect and reason, and are not instinctive or “natural” to man. Birds build nests, wasps build shelter, hornets build homes, bees build honey-combs, worms build cocoons, snails build shells—all by instinct and “naturally”—and the young of such species do not have to be taught how to do these things. But the young of the human race requires to be taught such things as above mentioned as having been evolved by man in the course of his rise from savagery—instinct will not do it for them. And all of these things outside the plane of instinct, and within the plane of intellect, cannot be called “natural” in the strict sense of the term.

    You think that I am exaggerating the matter, perhaps. Well, then, I ask you to consider the meaning of the two terms which I have employed so freely in the foregoing paragraphs: First, let us consider the term, “Natural“; we find it defined as “fixed or determined by nature, and, therefore, according to nature, and not artificial, assumed, or acquired.” Next, let us consider the term, “Instinct“; we find it defined as “natural impulse, or unconscious, involuntary, or unreasoning prompting to any action.” It will be seen, accordingly, that merely the most elemental and primitive activities of man are “natural” in this sense; and that all his acquired activities and methods are “not natural.”

    The activities of man which are in the “not natural” class may be either desirable for the individual and the race, or else undesirable for both. Therefore, it will be seen, all such activities must be subjected to the test of reason and experience in order to determine whether they are in the best interests of the individual and the race, or else opposed to these. This is the only sane method of testing the validity and desirability of such things—Birth Control among the others. The claim of “not natural,” if applied at all, must be extended to all things which are not strictly “natural” or instinctive—it is casuistical to apply the term in reproach to certain things and to withhold it from others in the same general class.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

    Views: 0

  • THE ARGUMENT FOR BIRTH CONTROL

    THE ARGUMENT FOR BIRTH CONTROL

    Let us now consider the general and special arguments advanced in favor of rational and scientific Birth Control, as stated by the advocates thereof.

    General Argument. The general argument in favor of Birth Control may well be begun by the statement that rational and scientific Birth Control is not the fixing upon the race of a new and unfamiliar practice or policy, but is rather the scientific correction of a practice and policy which is now followed by the majority of married persons in civilized countries, though in a bungling, unscientific, and frequently a harmful manner. The modern advocates of scientific methods of Birth Control seek to replace these bungling, unscientific, and frequently harmful methods by sane, scientific, harmless methods, approved of by capable physicians and other experienced and capable authorities, and under the sanction of the law rather than contrary to it.

    The advocates of Birth Control seek to place upon a scientific basis, under cover and protection of the law, a subject which heretofore has been but imperfectly known, and more imperfectly practiced in some form by the majority of married couples, and which has heretofore been under condemnation of the law so far as concerned the actual dissemination of information concerning methods of contraception. They hold that it is the veriest hypocrisy to pretend ignorance of the fact that the great majority of married couples in civilized communities know and practice to some extent contraceptive methods—usually imperfectly and bunglingly, it must be added.

    One has but to consider the families of married couples, and to count their children, to become aware that at least some form of contraception has been known and practiced in many cases. This is particularly true of the more intelligent and cultured members of civilized society, among whom we find large families of children to be the exception, and small families to be the general rule. Among the less intelligent and uncultured classes the reverse of this condition is found.

    It is hypocritical folly to assert that these small families to be found among the more intelligent classes of society are due to the fact that the husbands and wives are physically incapable of procreating off-spring—the mere suggestion produces an incredulous smile from the reader. No one who is acquainted with the habits and customs of married people would in good faith offer such an explanation. Rather is it tacitly acknowledged by all thinking persons that such married couples practice some form of Birth Control, or else commit the crime of abortion. All physicians, particularly those who practice in the large cities, are fully informed as to the appalling facts concerning the prevalence of abortion among the women of the “respectable” classes, and are likewise fully informed as to the terrible consequences so frequently arising from this criminal course.

    The question, then, to many intelligent persons is not so much that of “Should contraception be employed in order to avoid excessively large families?” as that of “Should not contraception be employed to obviate the crime of abortion with its terrible train of consequences?” And the Birth Control propaganda which is so vigorously underway in all civilized countries may be stated to be designed for the following purposes: (1) to replace abortion, and other harmful methods of restricting the size of families, with rational and scientific methods of contraception; and (2) to supply to married persons the best scientific knowledge concerning the regulation of the size of families, and the methods of producing the best kind of children, under the best conditions, and at the times best adapted for their proper care and well-being. These advocates of the Betterment of the Race face the facts of human nature and married life fearlessly, instead of trying to cover them over with pretty words and sentimental generalities. They take “things as they are,” and not as certain persons insist that “they should be”—they live in a world of facts and try to better things as they find them, instead of trying to live in a fool’s paradise and contenting themselves with denying the existence of the facts which they consider “ugly.”

    Dr. William J. Robinson, one of the leading American workers in the field of Birth Control, ably presents the main contention of the Birth Control advocates as follows:

    “We believe that under any conditions, and particularly under our present economic conditions, human beings should be able to control the number of our offspring.They should be able to decide how many children they want to have, and when they want to have them. And to accomplish this result we demand that the knowledge of controlling the number of offspring, in other and plainer words, the knowledge of preventing undesirable conception, should not be considered criminal knowledge, that its dissemination should not be considered a criminal offense punishable by hard labor in Federal prisons, but that it should be considered knowledge useful and necessary to the welfare of the race and of the individual; and that its dissemination should be permissible and as respectable as is the dissemination of any hygienic, sanitary or eugenic knowledge.

    “There is no element of force in our teachings; that is, we would not force any family to limit the number of children against their will, though we would endeavor to create a public opinion which would consider it a disgrace for any family to have more children than they can bring up and educate properly. We would consider it a disgrace, an anti-social act, for any family to bring children into the world which they must send out at an early age into the mills, shops, and streets to earn a living, or must fall back upon public charity to save them from starvation.

    “Public opinion is stronger than any laws, and in time people would be as much ashamed of having children whom they could not bring up properly in every sense of the word, as they are now ashamed of having their children turn out criminals. Now, no disgrace can attach to any poor family, no matter how many children they have, because they have not got the knowledge, because society prevents them from having the knowledge of how to limit the number of children. But if that knowledge became easily accessible, and people still refused to avail themselves of it, then they would properly be considered as anti-social, as criminal members of society. As far as couples are concerned who are well-to-do, who love children, and who are well capable of taking care of a large number, we, that is, we American limitationists, would put no limit. On the contrary, we would say: ‘God bless you, have as many children as you want to; there is plenty of room yet for all of you.’”

    Another writer, a celebrated English thinker along these lines, has said of the general argument in favor of Birth Control:

    “It used to be thought that small families were immoral. We now begin to see that it was the large families of old which were immoral. The excessive birth-rate of the early industrial period was directly stimulated by selfishness. There were no laws against child-labor; children were produced that they might be sent out, when little more than babies, to the factories and the mines to increase their parents’ incomes. The diminished birth-rate has accomplished higher moral transformation. It has introduced a finer economy into life, diminished death, disease, and misery. It is indirectly, and even directly, improving the quality of the race. The very fact that children are born at longer intervals is not only beneficial to the mother’s health, and therefore to the children’s general welfare, but it has been proved to have a marked and prolonged influence on the physical development of children.

    “Social progress, and a higher civilization, we thus see, involve a reduced birth-rate and a reduced death-rate. The fewer the children born, the fewer the risks of death, disease, and misery to the children that are born. The fact that civilization involves small families is clearly shown by the tendency of the educated and upper social classes to have small families. As the proletariat class becomes educated and elevated, disciplined to refinement and to foresight—as it were aristocratised—it also has small families. Civilizational progress is here on a line with biological progress. The lower organisms spawn their progeny in thousands, the higher mammals produce but one or two at a time. The higher the race, the fewer the offspring.

    “Thus diminution in quantity is throughout associated with augmentation in quality. Quality rather than quantity is the racial ideal now set before us, and it is an ideal which, as we are beginning to learn, it is possible to cultivate, both individually and socially. That is why the new science of eugenics or racial hygiene is acquiring so immense an importance. In the past, racial selection has been carried out crudely by the destructive, wasteful, and expensive method of elimination, through death. In the future, it will be carried out far more effectively by conscious and deliberate selection, exercised not merely before birth, but before conception and even before mating. Galton, who recognized the futility of mere legislation to elevate the race, believed that the hope of the future lay in eugenics becoming a part of religion. The good of the race lies, not in the production of a super-man, but of a super-humanity. This can only be attained through personal individual development, the increase of knowledge, the sense of responsibility toward the race, enabling men to act in accordance with responsibility. The leadership in civilization belongs not to the nation with the highest birth-rate, but to the nation which has thus learnt to produce the finest men and women.”

    Let us now proceed to a consideration of the special arguments in favor of rational and scientific Birth Control as advanced by its leading advocates.

    The advocates of rational and scientific Birth Control have presented the strongest points of their case in their replies to those opposing the general idea, and without positively taking the stand that the burden of the proof in the argument concerning Birth Control rested upon those opposing the idea, have practically assumed that position. They claim that the right to Birth Control is so self-evident, and its application so generally recognized (though usually sought to be smothered with silence) that the case in favor of Birth Control is really quite apparent to anyone seriously considering the same without prejudice. The opposing side of the question is held by them to be represented principally by statements based on prejudice and disingenuous statements, which are capable of being turned against those advancing them.

    And, the present writer, likewise is of the opinion that the strongest possible case for Birth Control is presented in the answer to the arguments advanced by the opponents thereof. But, before proceeding to the latter phase of the argument, it may be well to examine briefly the several leading points of argument advanced by the advocates of rational and scientific Birth Control, in order to clear the way for the answers to the opposite side of the question. The reader is, therefore, invited to consider the said points, briefly presented in the following paragraphs:

    Birth Control Encourages Marriage. The advocates of Birth Control hold that a scientific knowledge of contraception would speedily result in a large increase of marriages, particularly among persons of limited incomes. Persons who have not been able to accumulate the “little nest egg” which prudent persons consider a requisite on the part of those contemplating marriage and the responsibilities of rearing a family of children, are in many cases caused to hesitate about contracting marriage, and often relinquish the idea altogether. Many of these persons are well adapted for marriage, being of the domestic temperament and having the home ideal prominent in their mental makeup.

    The increasing number of bachelors and unmarried women past thirty years of age, who are in evidence in all large centers of population at the present time, is undoubtedly due to a great extent to the fear on the part of these men and women regarding the proper support of a family of children. Many men and women feel that the man is able to earn enough to support himself and wife comfortably, by the exercise of economy, but that the said earnings are not sufficient to provide properly for a family of children. Some would be willing to have one or two children, born after the couple have well established themselves, but are appalled at the thought of bringing into the world a practically unlimited number of little children for whom they would not be able to provide properly.

    These people shrink at the idea of abortion, and doubt the efficacy of the popular so-called contraceptive methods of which their friends tell them, and they either defer the marriage until later in life, or else give up the idea altogether as being impossible for them under the existing circumstances. A scientific knowledge of the subject would give to such persons—and there are many thousands of such—an assurance of their ability to safely and properly control and regulate the size of their families, and would lead to many a marriage which would otherwise be out of the question.

    If it is agreed that the marriage state is the one normal to the average man and woman, and that marriages are in the interests of society—and few would seek to dispute this—then it would seem that anything that would tend to encourage marriage among the right kind of persons should receive the encouragement of society and be fully protected by the laws of society; and that the old prejudice against the subject, and the laws which discourage the same, and place a penalty upon the dissemination of scientific methods leading to the said result, are unworthy of civilized society and modern thought.

    Earlier Marriages and Curb on Prostitution. It is generally conceded by students of sociology that earlier marriages tend to decrease the causes of the evil of prostitution, illicit sexual relations, and general sexual morality; and the consequent spread and existence of the venereal diseases which have followed in the trail of such relations. And it is likewise conceded that prostitution is an evil, and a cancer spot upon modern social life, and that venereal diseases constitute a frightful menace to the health and physical welfare of the race. Therefore, it would seem that anything which would promote early marriages among healthy, intelligent young men and women would be a blessing to the race and to society. And as these earlier marriages are unquestionably prevented in a great number of cases by reasons of the fear of inadequate financial support for large families of children, it would seem to follow that the best interests of society would be served by the encouragement by public opinion, under the protection of the law, of the teaching by competent authorities upon the subject of rational and scientific methods of Birth Control.

    Health of Wives. The advocates of Birth Control lay considerable stress upon the fact that a scientific knowledge of Birth Control would practically obviate the state of broken-down health so common among married women, particularly among those who have been compelled to bear large numbers of children during the first few years of married life. Many a young married woman is in bad health—often reaching the state of chronic invalidism—as the result of having had to bear too many children, and in too close succession.

    Not only is the above the case, but there is to be found on all sides many cases of invalidism and shattered health caused by the horrible practice of criminal abortion. It is doubted whether anyone outside of medical circles can even faintly begin to realize the frequency of this practice of abortion among the well-to-do, and those in “comfortable circumstances”—not to speak of the countless deaths which arise from the prevalence of this curse. Were a physician to even faintly indicate the number of cases coming under his personal professional attention, in which the patient is suffering from the effects of one or more abortions, he would be accused of gross exaggeration, and would be condemned as a sensationalist.

    Without going into detail concerning these things, the writer states that it is a matter of common knowledge among physicians that in every large city there are thousands of unscrupulous (including those who call themselves physicians) who are kept busy every week in the year performing criminal operations designed to produce abortions. Some of these practitioners have many regular patients—women who visit them regularly for the purpose of having abortions produced by criminal operations. It seems almost incredible, but it is a veritable fact, that there are to be found many women in the large cities who actually boast to their friends of the number of operations of this kind they have had performed on them.

    Surely, any instruction which would prevent the physical breakdown of so many women by reason of excessive child-bearing on the one hand, and abortion on the other hand, would seem to be worthy of the hearty support of society, and the encouragement of its laws, rather than the reverse. So true does this seem, that it is difficult to realize that there are any intelligent persons who would condemn such instruction as evil and harmful to society. That such persons do exist is a striking proof of the persistence of ancient superstitions and the survival and tenacity of old prejudices.

    Morality of Married Men. It is a matter of common knowledge among physicians, and students of sociology, that many married men, particularly those living in the large cities, indulge in extra-marital or illicit sexual relations, with prostitutes and other women of loose morals, and this not because these men are naturally vicious, depraved or licentious, but rather because they fear causing their wives to bear them more children—the wives either being in delicate or broken-down health, or else the family already too large to be reared properly in justice to the children.

    Many persons who would see only what “ought to be,” and who refuse to see “things as they are” in modern society, will be disposed to pooh-pooh the above statement, and to accuse those making it to be sensational or even morbid on the subject. But those who are brought in close contact with men and women, as are family physicians and specialists, as well as honest students of sociology, know only too well that the above is not an over-statement, but is rather a very conservative recital of certain unpleasant, but true, facts of human society.

    Justice to the Children. The advocates of scientific Birth Control hold that a scientific knowledge along the lines favored by them would prevent the gross injustice to children which is now only too obvious to anyone who candidly considers the matter without prejudice. The child brought into the world, unwanted, undesired, unprepared for, and unprovided for before and after birth, is handicapped from the very start of its existence upon earth. The present state of affairs works a terrible injustice upon countless children brought into the world in such conditions. Nothing that the present writer could put into words would state this fact more concisely and clearly than the following statement made by Dr. Wm. J. Robinson, a leading authority along these lines, who has said:

    “The responsibility of bringing a child into the world under our present social and economic conditions is a very great one. The primitive savage or the coarse ignorant man does not care. It does not bother him what becomes of his offspring; if they get an education, if they have enough to eat, if they learn a trade or a profession, well—if they don’t, also well; if they achieve a competence or a decent social position, he is satisfied—if not, he can’t help it. God willed it so. But, on the other hand, the cultured, refined man and woman look at the matter differently. The thought of bringing into the world a human being which may be physically handicapped, which may be mentally inferior, which may have a hard struggle through life, which may have to go through endless misery and suffering, fills them with anguish. * * * * *

    “We see about us millions of working men and women who go through life, from cradle to grave, without a ray of joy, without anything that makes life worth living. In the higher classes we see a constant, hard, infuriated struggle to make a living, to make a career, and the spectre of poverty is almost as unremittingly before the eyes of the middle and professional classes as it is before the eyes of the laborer. And all over we see ignorance, superstition, beliefs bordering on insanity, hardness, coarseness, rowdyism, brutality, crime and prostitution; prostitution of the body, and what is worse, prostitution of the mind, the hiding or selling of one’s convictions for a mess of pottage. And our prisons, asylums, and hospitals are not decreasing, but increasing in number and inmates.

    “It is my sincerest and deepest conviction that we could accomplish incomparably more if only a small part of the energy and money now spent on philanthropic efforts were expended in teaching the women, the married women of the poor, how to limit the number of their children; in other words, how to prevent conception. It would work a wonderful reform in the lives of the poor, and our slums would be metamorphosed in ten years. * * * It is we who are to blame now for the large families of the poor, and for this reason we are morally obligated to give them the financial and medical aid that they demand. But when effectual means are put into their hands for limiting the number of their offspring, then they, and not we, will be to blame if they do not make use of them. * * * *

    “The rich and the upper-middle classes, those to whom several children would be the least burden, are quite familiar with the various means of prevention. The poorer middle classes use preventives recommended by their friends; these preventives sometimes succeed, sometimes fail, and sometimes ruin the woman’s health. While the very poor, the wage-earners, those who can least afford to have unlimited progeny, knowing no means of prevention, go on breeding to their own and to the community’s detriment. The result, as you can plainly see, is a general lowering of the physical and mental stamina of the race. For if the cultured and the well-to-do do not breed, or have only a few children, while the poor and the ignorant go on having a numerous progeny for which they cannot well provide, and which they cannot afford to educate properly, it stands to reason that the percentage of the uneducated, the unfit and the criminal, must go on constantly increasing. And this is something that no lover of humanity can look upon with equanimity.”

    Surely the above recited special points of argument in favor of Birth Control seem to be statements of self-evident facts to the unprejudiced mind, do they not? And the person of this kind who considers them carefully for the first time usually finds himself wondering what rational argument can be fairly urged on the other side of this important question. And, when he acquaints himself with the arguments of “the other side” he usually finds himself even more established in the belief that scientific Birth Control is advisable, sane, and along the lines of the mental evolution of the race. At any rate, it is difficult to escape the conviction that the burden of proof needed to controvert a proposition so nearly self-evident as intelligent and scientific Birth Control, must be placed squarely upon the shoulders of those opposing the proposition.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

    Views: 0

  • THE SCIENCE OF EUGENICS

    THE SCIENCE OF EUGENICS

    No one who keeps in even only fair touch with the affairs of the world of today can have failed to notice the frequent mention of the term “Eugenics” in the newspapers, magazine, and books of the hour. And yet, many persons seem to be in doubt as to the meaning and use of the term; some thinking that it refers to some new “ism” or “ology,” or perhaps to some new and strange doctrine concerning the relations of the sexes. In view of this fact, the writer has thought it well to give the readers of this book a brief, though somewhat comprehensive, view of the general subject of Eugenics.

    Eugenics, sometimes known as the Science of Parenthood, has well been styled “the New Science,” for it has forced itself into public notice within the past ten or fifteen years, whereas before that time it was practically unknown to the general public. At the present time some of the world’s greatest thinkers have spoken or written on the subject, and many regard it as one of the most vital branches of human research, endeavor, and study, for the future of the race is involved in the solution of its problems. In its general phase of race-betterment, Eugenics is receiving the attention of statesmen, sociologists and patriots; in its particular phases, the earnest attention, interest and study of men and women who wish offspring of the best quality obtainable.

    The spirit of Eugenics may be expressed in the words of Dr. G. Stanley Hall, president of Clark University, who has said: “Our duty of all duties is to transmit the sacred torch of life undiminished, and, if possible, a little brightened, to our children.{66} This is the chief end of men and women. All posterity slumbers in our bodies, as we did in our ancestors. The basis of the new biological ethics of today, and of the future, is that everything is right that makes for the welfare of the yet unborn, and all is wrong that injures them, and to do so is the unpardonable sin—the only one nature knows.”

    That phase of Eugenics which has brought the new science more prominently before the public mind, and which has enrolled on its roster the names of some of the world’s most eminent scientists, sociologists, and writers—the phase of race-betterment from the standpoint of sociology—has led many to believe that Eugenics is confined to that phase, and is but a movement toward “the successful breeding of the human race” on a universal scale. To many, such a movement while deemed commendable and desirable nevertheless lacks the appeal of the heart and affections—it seems to be of the head alone. But when such persons are brought to their realization that Eugenics is also a movement to promote the bearing of children—to enable each mated couple to bring forth perfect offspring—then the heart is enlisted as a co-worker with the head.

    The sociological phase of Eugenics—the phase of Race Culture in general—is being vigorously advanced by societies and organizations in various parts of the world, the parent organization being the Eugenics Education Society, of London, England. Dr. C. W. Saleeby, one of those prominent in the work of the said Society, has the following to say concerning the work of that organization:

    “The Eugenics Education Society exists to uphold the ideal of Parenthood as the highest and most responsible of human powers; to proclaim that the racial instinct is therefore supremely sacred, and its exercise{67} through marriage, for the service of the future, the loftiest of all privileges. It stands for a transfigured sentiment of parenthood which regards with solicitude not child and grandchild only, but the generations to come hereafter—fathers of the future creating and providing for the remote children. That which too many schools of thought and practice have derided or defiled, it seeks to elevate and ennoble. Parenthood on the part of the diseased, the insane, the alcoholic—where these conditions promise to be transmitted—must be denounced as a crime against the future. In these directions the Society stands for active legislation, and for the formation of that public opinion which legislation, if it is to be effective, must express. Parenthood on the part of the worthy must be buttressed, guided, and extolled. The Society stands for the education of the young regarding the responsibility and holiness of the racial function of parenthood.”

    The Eugenists hold that in the near future our children, looking back upon the present and the past state of indifference and neglect concerning the important subject of bearing and rearing of children, will experience the same horror that we now feel when we look back upon the indifference to the horrors of human slavery, imprisonment for debt, cruelty toward prisoners, treatment of the insane, executions for trivial offences, etc., on the part of our ancestors. Our descendants will deem it almost inconceivable that we, their ancestors, could have been so blind and criminally negligent.

    But, as leading Eugenists have pointed out, the new science does not confine its attention to the subject of preventive measures, important as they are—it also directs its attention to the constructive phase of the subject, i. e., the production of better children. While Eugenics strives to prevent the unfit from flooding the race with unfit progeny, it at the same time strives to{68} educate the race so that the fit may bear and rear better offsprings. It is not sufficient merely to eliminate the unfit—we must also improve, and still further render fit, the fit members of the race. The fit must not be allowed to remain merely the fit—we must evolve a fitter—and ever move onward toward the realization of the ideal of the fittest. We must not only strive to eliminate the beast in the race of men—we must also aid the race to unfold in the direction of the super-man.

    The Eugenists know that much of the talk concerning Race Suicide is not only futile and uncalled for, but is also in a sense misleading and actually dangerous. The real danger of Race Suicide comes not from the decreasing birth-rate, but from the excessive, ignorant, and unscientific bearing and rearing of children by unfit parents. It is not so much a matter of how many children are born, as of how they are born, what kind of children they are, and how they are reared physically, mentally and morally, and how many survive. It is not so much that the lower death-rate be avoided, says the Eugenist, as it is that the higher death-rate be overcome. The intelligent stockbreeder grasps this scientific law of the Eugenists when he endeavors to produce the best young, and then to take care of them that they survive and reach a healthy maturity. To the Eugenist, it is not so much a question of “more,” but of “better”—not so much a question of quantity as of quality—not so much a question of production, but of conservation and preservation.

    Dr. Saleeby refers to the death-rate of London, which is but 16 to the 1000, as compared to that of Bombay, which is 79 to the 1000. He adds: “It is asserted that in many large Indian cities the infant mortality approaches one-half of all the children born. What it amounts to in such cities as Canton and Pekin we can only surmise with{69} horror. * * * * Unless it be supposed by bishops and others, then, that a peculiar value attaches to the production of a baby shortly to be buried, the suggestion evidently is the same as that to which every humanitarian and social and patriotic impulse guides us, namely, the reduction of the death-rate, and especially of infant mortality. * * * * Hence the Eugenists and the Episcopal Bench may join hands so far as the reduction of the death-rate is concerned, and the only persons with whom a practical quarrel remains are those who applaud the mother who boasts that she has buried twelve.”

    The Eugenists urge that if the principles applied to plant-life by that master of his science, Luther Burbank, were applied to the production and rearing of young human life, in a few generations we should have a race so far advanced beyond the present average as to be almost god-like by comparison. But this means a far different thing from the ideal of merely “more children”—it requires the manifestation of the ideal of “better children,” well born, carefully reared, well nourished, and scientifically educated. And this rearing, nourishing, and education must not be confined to the physical part of the child’s nature—it must proceed along the three-fold line of physical, mental, and moral culture.

    The Eugenists have been actively concerned with the question of the prevention of the transmission of undesirable qualities to offspring. They have held that while crime is more frequently rather the result of evil environment than of criminal heredity, nevertheless there is a large class of children who are “born criminals”—that is, born with such a decided tendency toward criminal acts that the slightest influence of environment may, and often does, serve to kindle into a blaze the undesirable and criminal characteristics.

    Dr. Saleeby says of this: “In the face of the work of{70} Lombroso and his school, exaggerated though some of their conclusions may be, we cannot dispute the existence of born criminals and the criminal type. There are undoubtedly many such persons in modern society. There is an abundance of crime which no education, practiced or imaginable, would eliminate. Present day psychology and medicine and, for the matter of that, ordinary common-sense, can readily distinguish cases at both extremes—the mattoid or semi-insane criminal at one end, and the decent citizen who yields to exceptional temptation at the other end.”

    The Eugenists quote as an instance of the above contention the celebrated case of Max Jukes, a notorious criminal and drunkard, who as the records show us was the ancestor of a foul brood of descendants which cost the State of New York over a million dollars in seventy-five years. Among these descendants were 200 thieves and murderers; 285 subject to idiocy, blindness or deafness; 90 prostitutes; and 300 children born prematurely. It is possible that a portion of this evil result was caused not alone by bad heredity but, at least in part, by the suggestion of the environment, and the influence of example of the parents; but even so, the primal cause was that Max Jukes, the notoriously unfit ancestor, was allowed to propagate this evil brood, destined to be born and reared under the most adverse conditions and environment.

    The Eugenists also place great importance upon the prevention of insane persons becoming parents. To those who consider that this is but an exceptional and rare occurrence, the Eugenists reply that a large percentage of insane patients in asylums have a family history showing insanity in one or both parents; that reports show that there are thousands of feeble-minded women in every large city allowed to (yes, often actually compelled to) bear children to their husbands or male companions.

    Ribot says: “Every work on insanity is a plea for heredity.” Maudsley says: “More than one-fourth and less than one-half of all insanity is heredity.” Riddell says: “Of the great causes of insanity, alcoholism is perhaps the greatest, while morbid heredity ranks next. Insanity is largely the result of degeneracy. Most persons who become mentally deranged are the offspring of neurotic, drunken, insane or feeble-minded parents.” While it by no means follows that one must manifest traits of insanity or mental disturbance simply because one of his parents suffered from a like trouble—and we believe that many a one has frightened himself into those conditions by pure auto-suggestion inspired by a one-sided belief in heredity—still it is unquestionably true that a fair mind must concede that wisdom and a proper sense of right and justice would require that parents of unsound mental tendencies should not be permitted to bring into the world children who might inherit a tendency toward a like, or worse, condition.

    The Eugenists also have called the attention of the thinking public to the danger of deaf-and-dumb persons transmitting their condition to their offspring. Of this Dr. Saleeby says: “The condition known as deaf-mutism is congenital or due to innate defect in about one-half of all the cases in Great Britain.” Dr. Love says: “In every institution, examples may be found of deaf-mute children who have had one or two deaf parents or grandparents, and of two or more deaf-mute children belonging to one family.” A case is noted in England where a deaf-and-dumb man having been killed by an accident, his relatives could not identify the body, as the wife and sister were blind, deaf-and-dumb, and the four children were deaf-and-dumb. The man and his wife were both deaf-and-dumb when they were married, the wife being also blind.

    Perhaps no subject has aroused the active Eugenists{72} to a greater pitch of indignation than the ascertained results of the effect upon offspring of parents addicted to the over-indulgence in alcohol. It is known by the records that a large number of cases of feeble-mindedness and actual insanity are due to inebriety of parents, and often of grandparents, or ancestors for several generations. Epilepsy, idiocy, and criminality are also traceable in many cases to drunkenness of parents. Dr. Saleeby, moved by indignation by the ascertained results of the investigations of the Eugenists, has said: “Parenthood must be forbidden to the dipsomaniac, the chronic inebriate, or the drunkard, whether male or female.”

    Professor Grenier, writing on the subject of alcoholic degeneration, has said: “Alcohol is one of the most active agents in the degeneracy of the race. The indelible effects produced by heredity are not to be remedied. Alcoholic descendants are often inferior beings, a notable proportion coming under the categories of idiots, imbeciles, and the debilitated. The morbid influence of parents is maximum when conception has taken place at the time of drunkenness of one or both parties. Those with hereditary alcoholism show a tendency to excess; half of them become alcoholics; a large number of cases of neurosis have their principal cause in alcoholic antecedents. The larger portion of the sons of alcoholics have convulsions in early infancy. Epilepsy is almost characteristic of the alcoholism of parents, when it is not an index of a nervous disposition of the whole family. The alcoholic delirium is more frequent in the descendants of alcoholics than in their parents, which indicates their intellectual degeneration.”

    What has been said of alcoholism of course applies to the use of narcotics and other drugs. Galton cites a case in which “a man who had had two healthy children acquired the cocaine habit, and while suffering from the{73} symptoms of chronic poisoning engendered two idiots.” And yet had anyone publicly instructed the wife of this man regarding the use of contraceptives, such person would have been liable to imprisonment!

    Another subject engaging the active attention of the Eugenists, and which is discussed to considerable extent in the privacy of their meetings, but which must be voiced only very carefully in the public prints owing to the “murderous silence” which society prefers to maintain on the subject, is of the influence of venereal diseases as racial poisons transmissible to offspring. Dr. Saleeby has well said: “No other disease can rival syphilis in its hideous influence upon parenthood and the future. But it is no crime for a man to marry, infect his innocent bride and their children; no crime against the laws of our lawgivers, but a heinous outrage against nature’s decrees. When at last our laws are based on nature’s laws, criminal marriages of this kind may be put an end to.”

    The above stated facts are not pleasant reading for most persons, and many pass over them hurriedly, thereby hoping to escape the mental discomfort which the hearing and learning of unpleasant truths so often produce. But the subject will not down—it is forcing itself to the attention of the thinking members of society today in a manner which will admit of no escape. These facts must be faced, and steps must be taken by society to protect the race from degeneration and actual Race Suicide. And the Science of Eugenics is pointing the way.

    Dr. Saleeby says of this phase of Eugenics: “Negative Eugenics will seek to define the diseases and defects which are really hereditary; to name those the transmission of which is already known to occur, and to raise the average of the race by interfering as far as may be with the parenthood of persons suffering from these{74} transmissible disorders. Only thus can certain of the gravest evils of society, as, for instance, feeble-mindedness, insanity, and crime due to inherited degeneracy, be suppressed; and if Race-Culture were absolutely incapable of effecting anything whatever in the way of increasing the fertility of the worthiest classes and individuals, its services in the negative direction here briefly outlined would be of incalculable value. To this policy we shall most certainly come; but here, as in other cases, I trust far more to the influence of an educated public opinion than in legislation; though there are certain forms of transmissible disease, interfering in no way with the responsibility of the individual, the transmission of which should be visited with the utmost rigor of the law, and regarded as utterly criminal, no less than sheer murder.”

    But the Science of Eugenics is concerned not only with telling society what “not to do”—it is equally concerned with telling it “what to do.” It has its Positive as well as its Negative side. After pointing out the evils of procreation on the part of the unfit, it then proceeds to tell the fit how to best serve the interests of the unborn. Eugenics is not satisfied with merely plucking out the foul weeds which have encumbered the fair garden of life—it seeks also to furnish to the real flowers better soil, and improved conditions, and to give them the benefit of the best selection, breeding and conditions, that they may evolve and improve into still more glorious products of nature’s power.

    The Eugenists earnestly advocate laws and public opinion tending to protect mothers and expectant mothers. They recognize the supremacy of motherhood, and aim to encourage and protect it. They decry the common indifference toward this function which is all important in the preservation and evolution of the race, and which neglect is well expressed in the complaint of{75} Bouchacourt, who said: “The dregs of the human species—the blind, the deaf-mute, the degenerate, the imbecile, the epileptic—are better protected than are pregnant women.”

    The Eugenists believe in educating women for motherhood, and in protecting them from conditions which interfere with that important function of their life. They are not fully agreed upon the methods to be pursued in cases of expectant mothers whose lack of proper support prevents them from obtaining the proper nourishment, etc., but in a general way it may be said that they agree in holding that the expectant mother should be looked upon as the honored ward of the State, and should be properly provided for from the public funds.

    The Eugenists also believe in educating the father, or prospective father. They hold that every man should be made acquainted with the duties and responsibilities of fatherhood, and should so conduct and order his life that the production and rearing of a family should result as a consummation of a long cherished ideal. The man should be taught to prepare himself, physically, mentally, and morally, for his coming responsibility to the race. He should also be taught to respect and regard motherhood, and to make it his business to secure and preserve the best possible conditions for the mother of his own children, and the mothers of other men’s children, not as an act of mere sentiment, but as a public duty, a patriotic service, a racial obligation.

    The Eugenists believe in teaching young men and young women on the subject of sexual physiology and psychology. They hold that the race is now criminally negligent in such matters, and that young men and women, by the thousands, enter into the state of marriage and parenthood with no knowledge regarding the sacred functions which they are to bring into activity. They{76} believe that the first requisite of scientific parenthood is and must be a sane knowledge of the physiology of sex, and the psychology of sex. There must be sane education concerning the sexual organism, its laws, its functions, its normal and healthy condition, its anatomy, physiology and hygiene.

    The average physician of several years’ experience can tell tales of almost incredible ignorance on the part of persons who have recently entered into the relationship of marriage. In some cases the ignorance is more than a mere absence of knowledge, for it consists of an array of false-knowledge, untruthful ideas, of often serious importance. It is sad enough to think how the ignorance and false-knowledge may work results hurtful to the young couple themselves, but it is even sadder to realize that these same ignorant or wrongly-informed young persons must gain their real knowledge through sad experience which is to be paid for not only by themselves but also by their children. It is a hard saying, but true that “the knowledge of the majority of young parents is gained by experience paid for by their unborn children.”

    The Eugenists look forward to the coming of the day when it will be regarded as reprehensible to allow young persons to enter into the relationship of marriage without a sane, practical knowledge of their own reproductive organism and functions, and of their physiological duties to themselves, their companions in marriage, and to their children born or to be born. We may, in due time, see a practical realization of the ideal set forth by Dr. Newell Dwight Hillis, who said: “The State that makes a man study two years before a license as druggist is given; that makes a young lawyer or doctor study three years before being permitted to practice, ought to ask the young man or young woman to pass an equally rigid examination {77}before license is given to found an American home, and set up an American family.”

    This idea of the scientific preparation for parenthood is a new one for many, but the coming generations will recognize its importance to the individual and to the race. Many who recognize the influence of pre-natal culture in so far as is concerned the physical, mental, and moral condition of the mother during pregnancy, have failed to perceive that an equally important influence is exerted by the physical, mental and moral condition of both parents before the conception of the child. These conditions are reflected, often very markedly, in the child, and an avoidance of consideration in this respect is often almost criminal negligence.

    Eugenists deplore the haphazard way in which children are so often conceived. More care is often bestowed upon the conditions precedent to the conception of the domestic animals than is given by their owners to the conditions preceding the conception of their own offspring. Too often, while in the case of the domestic animals the utmost care is exercised regarding the arrangement for the breeding of valuable stock, the human offspring are mere “accidents,” conceived without intention, forethought, or preparation; and too often is such conception undesired, regretted and unwelcome.

    This state of affairs is utterly unworthy of civilized man with the knowledge of science at his command, and the intellect and will with which to carry out the plain dictates of reason and duty. Nature does her part unhindered in the case of the lower animals, and man should use her principles as a foundation upon which to build a structure which reason and intelligence should supply the materials. Instead of this, man too often discards Nature’s plain rules entirely, and also refuses to use his reason, and, instead, allows himself to be ruled by selfish{78} inclinations and desires, and ignoble motives.

    To those who may ask: “But why should we give all this time, care and trouble to the young of the race—what is their claim upon us that demands so much of us in return for so little on their part?” the answer is plain. We should do this not alone because of the natural feeling of love for our own offspring which is innate in all normal human beings, but we should also do this because we owe a duty to the race in and which we are units—a duty which demands that we supply to the race the best material, and only the best, for its preservation, continuance, and betterment.

    The spirit of the age is pointing out the direction indicated by Eugenics and scientific Birth Control. And it is a spirit in which the best mental and spiritual powers of man are called into action. A new consciousness—the “race consciousness”—is awakening within the best of the race, and accompanying it is a new conscience—a “race conscience”—is manifesting within us, and is giving the individual a sense of right and wrong toward future generations, just as his earlier-awakened social conscience has opened his eyes to his duties toward his neighbors.

    Man is beginning to feel that all men are his brothers, and that the future generations of men are in a sense his children. The new ideal of “Let us build posterity worthily” has begun to supplant the old narrow idea humorously expressed in the famous bull of Sir Boyce Roche, who said, “Why should we do anything for posterity—what has posterity ever done for us?”

    As Dr. Saleeby has well said: “If the struggle toward individual perfection be religious, so assuredly is the struggle, less egoistic indeed, toward racial perfection. * * * And they that shall be of us shall build up the old waste places; for we shall raise up the foundations of many generations.”

    And in all this, also, we find ever present the distinctive note of modern thought, viz., “Not more children, but better ones; not more births, but less deaths and more survivals; not numerical birth values, but qualitative birth values and numerical survival values.”

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

    Views: 0

  • A meeting on digital innovations, TB and implementation research organised by WHO and the European Respiratory Society

    A meeting on digital innovations, TB and implementation research organised by WHO and the European Respiratory Society

    Group of people posing after a meeting on TB, in Geneva

    WHO’s Global Tuberculosis Programme (WHO/GTB) and the European Respiratory Society convened a technical meeting on digital innovations, TB and implementation research, in Geneva on 7 February 2020. This meeting brought together funders,
    partners, representatives of national TB programmes, civil society and scientists to discuss the challenges and opportunities when evaluating, integrating and scaling up digital technologies under programmatic settings.  Specifically, this meeting
    sought to receive input on the elements of a toolkit on implementation research that is currently being developed by WHO/GTB and the Special Programme for Research and Training in Tropical Diseases (TDR) to support evidence-informed use of
    digital technologies under programmatic settings. Th etoolkit will be launched in mid-2020. Considering that several countries are updating their national TB strategic plans and preparing funding proposals for submission to the Global Fund, this meeting
    also sought to create mutual understanding on the importance of resourcing implementation science to bridge the divide between research and practice.

    This present meeting, is the latest in a series of efforts by WHO/GTB to facilitate the meaningful use of digital technologies for TB prevention and care. It
    was preceded by a one-day workshop on 6 February held at the same venue for partner agencies of the ASCENT project. ASCENT is a UNITAID-funded project that started in 2019 with the aim of increasing demand and adoption of affordable digital technologies for TB medication adherence. The project is led by KNCV in partnership with Aurum Institute for Health
    Research, PATH and the London School of Hygiene and Tropical Medicine. Activities are running in Ethiopia, the Philippines, South Africa, Ukraine and Tanzania UR. This was the first in a series of annual meetings that will be coordinated by the WHO/GTB
    to assess progress in implementation of country activities and results from the interventions.

    A meeting on digital innovations, TB and implementation research organised by WHO and the European Respiratory Society
    Read More
    https://www.who.int/news-room/detail/26-04-2020-a-meeting-on-digital-innovations-tb-and-implementation-research-organised-by-who-and-the-european-respiratory-society

    Views: 0

  • Strengthening accountability to end TB

    WHO today released a Checklist to enable Member States and their partners to assess the status of work at the national level to strengthen accountability to End TB, principally: national commitments made, actions taken on those commitments, monitoring & reporting approaches, and the nature of any high-level review mechanisms. The Checklist has been developed in response to requests from Member States, regions, civil society and partners as a tool to support the adaptation and implementation of the WHO Multisectoral Accountability Framework (MAF-TB) released in 2019. It responds also to the UN General Assembly request to WHO to ensure implementation of the Framework.

    There are four components of the MAF-TB that form a cycle for strengthening accountability: Commitments, Actions, Monitoring and Reporting, and Review, that were released during the World Health Assembly in May, 2019. In the political declaration of the first UN high-level meeting on TB, world leaders called for WHO to finalize the framework and ensure its implementation in 2019.

    After its publication in May, 2019, WHO began work with pathfinding country counterparts who were seeking to move ahead on key elements including, among others: formal adoption of country-specific targets for 2022 for increased TB case detection and treatment in line with the global targets in the political declaration; updating or development of new national TB strategic plans based on 2022 and 2030 targets and other new commitments; coordination platforms across sectors and stakeholders; formalizing engagement with civil society across End TB efforts;  producing robust performance reports; and, using those reports to inform high-level review bodies that will assess and drive faster progress.  Based on the MAF-TB document, relevant country experiences, and specific requests from countries and partners, WHO developed the MAF-TB Checklist. The Checklist is especially relevant for high TB burden countries, but has content relevant to all countries.  The appropriateness of different approaches may vary, according to national constitutional, legal and/or regulatory frameworks or other relevant factors.

    The MAF-TB Checklist has three annexes on:

    1. engagement across government ministries and bodies;
    2. engagement of civil society and affected communities; and,
    3. adoption  and implementation of WHO TB guidance.

    In releasing this MAF-TB Checklist today, Dr Tereza Kasaeva, Director of the WHO Global TB Programme noted,  “At this enormously difficult time, all countries and partners are focused on the COVID-19 pandemic.  Lessons learnt from ongoing TB programmes are helping the response. Likewise, TB efforts will benefit from learning underway on collaboration, innovation and accountability in confronting the virus.”

    WHO will be helping Ministries of Health and partners to use the Checklist, hold related consultations and move forward with more effective collaboration and review mechanisms.  The WHO Civil Society Task Force on TB also will support countries and civil society partners, using the Checklist. Progress in strengthening accountability will be assessed in the 2020 Report of the UN Secretary-General on progress since the 2018 TB UN high-level meeting, as well as in the WHO Global TB Report 2020.

    The WHO TB Civil Society Task Force, National TB  Programme Managers and other country officials, WHO staff at all levels, consultants working with WHO and The Global Fund, and staff of partner agencies, contributed content to, and/or provided feedback on, the MAF-TB Checklist during its development.   Access the Checklist and 3 annexes.  

    An online form of the checklist will be available shortly here, along with additional information.  

    Translations of the Checklist and annexes, as soon as available in Arabic, Chinese, French, Russian and Spanish, will be posted at the above link as well.   Kindly contact gtbprogramme@who.int if you have questions regarding the MAF-TB Checklist or to request versions in MS Word format if needed.

     

    Read More
    https://www.who.int/news-room/detail/08-04-2020-strengthening-accountability-to-end-tb

    Views: 0