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IAEA Helps Cambodia Set Up its First National Cancer Centre

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Photo: N. Mokhtar/IAEA

Cambodia today opened the doors of its first ever national cancer centre. The new facility was built with the support of the International Atomic Energy Agency (IAEA), and will significantly increase the country’s capacity to fight a growing cancer burden.

The Techo Santepheap Centre, located at the Calmette Hospital in the capital Phnom Penh, is part of a national strategy to increase cancer care coverage. Until today, Cambodia only had one radiotherapy machine.

The Government of Cambodia dedicated € 36 million to ensure the centre’s completion, and the IAEA contributed around € 2 million in expertise related to its design, the commissioning of radiotherapy and nuclear medicine machines, as well as specialized staff training.

“I congratulate you on the opening of the new centre. This is one of the most important projects we have undertaken together since Cambodia rejoined the IAEA in 2009,” IAEA Director General Yukiya Amano said. “The Government and people of Cambodia can take great pride in this achievement, knowing that many thousands of your fellow countrymen and women will benefit from modern cancer treatment and diagnostic services in the coming decades.”

Cambodia’s Samdech Prime Minister Hun Sen, Health Minister Mam Bun Heng, a senior IAEA representative and other high level dignitaries attended the centre’s inauguration event in Phnom Penh.

According to the International Agency for the Research on Cancer, Cambodia faces 15,000 new cancer cases each year. Increased life expectancy and lifestyle changes, such as smoking and fatty diets, together with low screening rates, have made cancer one of the main causes of death in the country.

The new centre has one radiotherapy machine, with two more planned in coming years. Plans also include the installation of a PET-CT scanner and a cyclotron for the production of radiopharmaceuticals to improve medical imaging procedures. Early diagnosis is crucial to increase cancer survival rates. More than 70 per cent of cancer patients in Cambodia are referred to oncologists in the advanced stages of the disease, when treatment options are limited. In developed countries, this ratio is less than one-third.

“Techo Santepheap Centre is a great step towards enhancing medical care in Cambodia,” said Hun Sen. “This achievement has been possible thanks to continuous support from the IAEA in the provision of expertise, medical equipment and in human resources development.”

Cambodia plans to complete two additional cancer centres with radiotherapy and nuclear medicine facilities in the next five years in the north and west of the country.

Cancer is a growing global health and economic challenge, and governments are under increased pressure to meet rising demands for more affordable quality cancer services. The IAEA works to support low- and middle-income countries in responding to this challenge.

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Helping Armenia Thrive

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Despite being a landlocked country with few natural resources, Armenia has come a long way since independence in 1991, with all major socio-economic indicators drastically improved.

The Asian Development Bank now is supporting Armenia in its effort to expand its private sector, diversify its economy, cut red tape, and gain access to new markets, says Shane Rosenthal, Country Director for Armenia at the Asian Development Bank.

What is Armenia’s current state of the economy?

Since independence in 1991, Armenia has come a long way. Gross domestic product per capita has increased ten-fold in the country, in large part because of smart decisions about investment and because of good connections with its main trading partner, Russia.

We now have a country where the electricity is reliable, where most of the population has access to clean water, where business is beginning to thrive, not least because it is possible to register a business in a short amount of time. It’s possible to go to a bank and get a loan.

This economy needs to diversify into new products, into new markets. That may mean Europe, it may mean other Eurasian economic union members, and increasingly, it may mean looking eastward, toward Asia.

What role does ADB play in Armenia’s development?

ADB has focused on what it does best vis-a-vis other development partners in Armenia. And that, for us, means infrastructure.

Infrastructure in terms of connectivity, helping upgrade the national highway system so that cargo and people can reach neighboring countries more quickly, more reliably.

It means making the cities more livable with improved water supply.

How can the private sector support Armenia’s development?

Going forward it’s important to understand that Armenia’s growth can no longer depend on the public sector to play the leading role. The private sector needs to be the one that takes this country forward. And that means diversification. It means ease of doing business, and it means access to new markets.

ADB is going to focus increasingly on a balanced portfolio, between the public and private sectors. It’s clear that Armenia’s future will depend on the role that the private sector plays. And there, Armenia has many advantages: a strong financial system, a strong diaspora, with very good connections around the world, and a very strong educational base.

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Three steps to end discrimination of migrant workers and improve their health

Afsar Syed Mohammad

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Authors: Afsar Syed Mohammad and Margherita Licata

When migrant workers leave their home, many encounter abuse and violence on their journey and discrimination once they arrive. This can be because of their status as migrants but also because of their ethnicity, sex, religion, and HIV status.

They often struggle to find decent work, which means they can end up in poor living and working conditions, which in turn affects their health. Female migrants are more likely to be vulnerable to exploitation and violence, which exposes them to the risk of HIV and other health issues.

Research has shown that migrant workers – particularly those who are in an irregular situation – often fail to access health services because of poverty, language and cultural barriers, lack of health insurance, as well as fear of job loss and deportation. It means that by the time they see a doctor, their illness has become all too serious.

Against this background, a newly launched ILO publication looks at the interplay between migration policies and those relating to broader health goals in countries of origin, transit and destination. Its key recommendation is that HIV and health policies should be integrated into the entire labour migration process.

So what can be done to ensure that migrant workers have better access to decent work, health and HIV services? The report recommends a three-pronged approach.

1) End discriminatory practices

Migrants face obstacles in accessing decent work, health as well as social protection. Whenever migrants are denied their rights, they tend to live and work in the shadows.  They become vulnerable to discrimination, exploitation and marginalization.

Discriminatory practices such as mandatory HIV testing of migrants for employment have proved to be ineffective. On the contrary, it is a violation of their rights. It disrupts access to health care and increases migrants’ vulnerability to HIV infection.

2) Set up an integrated response

It is essential to develop a response that does not just pile up ad-hoc policies one after another. Instead there needs to be an integrated and coordinated response that leads to decent work and health outcomes for migrants, including more effective HIV responses.

Right to entry does not mean the right to work for women in many countries. In such cases, women are left with no option but irregular migration which further exposes them to various forms of abuse, exploitation and risks such as HIV.

Gender-responsive migration policies would help address existing inequalities between men and women migrants, while at the same time improve their health.

3) Focus on migrant workers’ rights

There are no quick-fix solutions but discrimination and inequalities relating to HIV and health can be reduced if we focus on migrants’ rights and if we take a global approach. The report especially insists on the following priorities:

  • There is a need to target different groups of migrant workers for HIV prevention, care and treatment, depending on the specific risks that they face. For example, risks are different depending on whether they are low skilled or high skilled workers.
  • Effective responses to HIV for migrant workers should be integrated into fair recruitment initiatives, encouraging fair business practices to reduce HIV-related stigma and discrimination, and equal access to health services.
  • Health programmes and HIV prevention for migrants must be disassociated from immigration enforcement.
  • Inclusion, participation and freedom of association among migrant workers are essential pillars for effective actions on migration, health and HIV.
  • Migration and health policies and practices, in particular those relating to HIV and AIDS, should address inequalities between women and men. A gender analysis is needed from the start for all policies and practices relevant to migration and health.

*Margherita Licata, Technical Specialist Gender, Equality and Diversity and ILOAIDS Branch

Source: ILO

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Mexico officially joins IEA: First member in Latin America

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Mexico officially became the International Energy Agency’s 30th member country on 17 February 2018, and its first member in Latin America. The membership came after the signed IEA treaty (the IEP Agreement) was deposited with the government of Belgium, which serves as the depository state, following ratification by the Mexican Senate.

Mexico’s accession is a cornerstone of the IEA’s on-going modernization strategy, including “opening the doors” of the IEA to engage more deeply with emerging economies and the key energy players of Latin America, Asia and Africa, towards a secure, sustainable and affordable energy future.

The IEA Family of 30 Member countries and seven Association countries now accounts for more than 70% of global energy consumption, up from less than 40% in 2015.

“With this final step, Mexico enters the most important energy forum in the world,” said Joaquín Coldwell, Mexico’s Secretary of Energy. “We will take our part in setting the world’s energy policies, receive experienced advisory in best international practices, and participate in emergency response exercises.”

“It is a historic day because we welcome our first Latin American member country, with more than 120 million inhabitants, an important oil producer, and a weighty voice in global energy,” said Dr Fatih Birol, the IEA’s Executive Director. “The ambitious and successful energy reforms of recent years have put Mexico firmly on the global energy policy map.”

At the last IEA Ministerial Meeting, held in Paris in November 2017, ministers representing the IEA’s member countries unanimously endorsed the rapid steps Mexico was taking to become the next member of the IEA, providing a major boost for global energy governance.

They recognized that Mexico had taken all necessary steps in record time to meet international membership requirements since its initial expression of interest in November 2015. In December, the Mexican Senate ratified the IEP Agreement paving the way for the deposit of the accession instrument and for membership to take effect.

Mexico is the world’s 15th-largest economy and 12th-largest oil producer, and has some of the world’s best renewable energy resources. The IEA family will benefit greatly from Mexico’s contribution on discussion about the world’s energy challenges. The IEA is delighted to continue supporting implementation of Mexico’s energy reform with technical expertise, and further intensifying the fruitful bilateral dialogue of energy policy best practice exchange.

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