Deputy Secretary-General Calls for Global Transformation from Inside Out, Commitment to Hope, Healing, in Desmund Tutu Peace Lecture Remarks

Following are UN Deputy Secretary-General Amina Mohammed’s remarks at the Twelfth Annual Desmond Tutu International Peace Lecture, in Cape Town, South Africa, today:
It is a pleasure and it is a deep honour to be with you for the Twelfth Annual Desmond Tutu International Peace Lecture. I would like to extend the special greetings of our UN Secretary-General and myself to Mama Leah, to Mpho, Naomi, Theresa and Trevor. And especially to you that I have met this evening. It is such an honour to meet you and to see the vision of your father in you.
It is the first of these lectures since the passing of our beloved Arch, who served throughout his life as a towering global figure, as we have heard so often, for peace and an unwavering voice for the voiceless. We continue to mourn his loss, yet we celebrate his legacy, which has never been more relevant in our world today of great pain.
Our world, our global village, is in deep crisis. We are today in desperate need of hope and of healing. And the Arch stood above all for courageous hope and healing, based on principles rooted in pragmatism. Hope, the Arch famously said, “is being able to see that there is light despite all of the darkness. You see it wonderfully when you fly and the sky is overcast. Sometimes you forget that just beyond the clouds, the sun is shining.”
As a proud African man, the Archbishop leveraged his position in international bodies, from the World Council of Churches to the All Africa Conference of Churches and, later, the Elders, to promote positive change and share his wisdom, not only in his own country and continent, but around our global village.
Inspired and humbled by his legacy, I am here just as a mere servant of the global townhall, to the global village, the United Nations — calling for global transformation from the inside out, shepherded by Arch, his steadfast commitment to hope and healing.
As we say often, our world is in crisis with Africa left behind, yet again. Nearly three years after the start of the COVID-19 pandemic — and I want to say that that was a time that God pressed the pause button so that you need to reflect on which path you want to follow — nations across the world, particularly our African countries, face a multitude of cascading and compounding crises.
More people are poor. More people are hungry. More people are being denied health care and education — basic rights. Gender equality becoming dangerously out of reason, and reach. Gender-based violence, conflict and humanitarian crises are spreading like a virus. The climate crisis is gathering pace, and it is crossing all borders. And social cohesion is fraying, with inequalities increasing and xenophobia, nationalism, hate speech and radicalization on the rise. Yet, it does not have to be this way.
Our incredible world, starting with this incredibly beautiful continent, has abundant riches: immense diversity in our people and cultures, our languages, our food, and most of all, our innovations and our ideas.
Our planet is packed with the resources we need to thrive: plentiful food and water, and boundless renewable energy. These are unique, irreplaceable resources and they must be treasured, protected and handed down from generation to generation. Today we have never been so able, connected by technologies, better educated, living longer and with women in incredible positions of leadership. Our world is more inclusive. It is more sustainable. It is more hopeful.
It is with this reality and vision all countries agreed to come together for the 15-year road map for peace and development that left no one behind. That’s the infamous 2030 Agenda and its 17 Sustainable Development Goals that I and many spent four years having a conversation with the world as we crafted them. It is the world envisioned in the African Union’s Agenda 2063: the Africa that We Want. But it is also a pathway to a world that cherishes human dignity; a world that is free of poverty, of hunger, of violence and injustice.
It’s a world of opportunity; where everyone has access to their basic rights of a quality education, health care, decent jobs and a fair shot at life.
It’s a world of equality, where the rights of every woman and every girl are fully respected and where discrimination in any form is rejected.
It’s a world of sustainability; where we embrace the clean energy revolution and ensure our economies and our lifestyles are compatible with the environmental systems that we depend on.
And of course, it’s a world of peace and of justice — where we cherish and respect diversity; where we ensure public participation and fundamental freedoms; where all forms of violence are rejected.
Sadly, halfway through this visionary road map we are off track. How do we get from a world in crisis, to a world more equal, a world in harmony with nature? How do we realize our common vision for a brighter tomorrow and for the responsibility that we do have for future generations?
From his experience and life, the Arch himself has shown us the way. First, we must begin with our self, believing in our humanity, giving the best of our self so that we reap the best of each other. At the core of our actions, we must cherish and invest in education for its intrinsic value to both the individual and the society.
Arch understood that education is the most powerful tool that a person can receive to ensure their independence, their self-sufficiency, their dignity and equality.
In 1957, two years after taking up his first employment as a teacher, a young Desmond Tutu resigned in protest against the Bantu Act that instrumentalized education for the oppression of Black South Africans. “Inclusive, good-quality education is a foundation for dynamic and equitable societies,” the Arch said.
But today, disparities in access to an education, a quality education, are one of the great challenges facing our world. Instead of being a great equalizer, education is fast becoming a great divider — separating poor children from opportunities almost from birth. Some 7 in 10 children in poorer countries are unable to read a basic text by the age of 10, because they are either out of school or in school but barely learning.
As the world goes through a fourth industrial revolution, with enormous implications for jobs and training, nearly half of all students do not complete secondary school. Seven hundred million adults are illiterate, the majority of whom are women. People with disabilities, living with HIV and AIDS, and children from marginalized groups face the toughest challenges of all. A blind spot to many.
In convening the Transforming Education Summit last month at the United Nations, in response to Our Common Agenda, the Summit helped lift education to the top of the global Agenda and mobilized new commitments to reimagine education that would be fit for the twenty-first century, decolonizing decades of a system designed for others.
In the coming years, if we are to stand a chance of securing a future of peace for all, we must make good on those commitments, in our homes, our communities and our societies, in the hope that we are able to build nations for now and the future generations.
The second lesson from the life of the Arch is that to strive for a prosperous future must also be to build peace, together, in solidarity.
The Arch was a firm believer in social interdependence, a central concept in his philosophy, expressed as ubuntu. Arch called ubuntu “the essence of being human”.
“My humanity is bound up in yours, for we can only be human together,” as the Arch so beautifully said. He understood that peace, in its broader concept, can only be achieved if we approach humanity as a community in which — as in any African village — everyone takes care of each other.
This notion of peace is not only the absence of violence or conflict, but the pursuit of common values. And this concept is often reflected in African thinking and, when we are lucky, in some of our policies today. We just need to implement them.
When African countries adopted the Lusaka road map for Silencing the Guns, they acknowledged that tackling the root causes must deal with social-economic issues including inequalities, injustice, and the exclusion of our youth and women, all of which are indispensable to peace and to sustainable development.
Likewise, the Secretary-General’s proposal for a New Agenda for Peace is a key element of Our Common Agenda, addressing new and emerging threats, while ensuring that human rights, political, civil, social, economic and cultural, are leveraged as a main tool for conflict prevention in the pursuit of sustainable development. This we must do, and we must do it in solidarity.
As the Arch once said — “When we see others as separate, they become a threat.” When we see others as part of us, as connected, as interdependent, then there is no challenge that we cannot face — together.” Ubuntu.
The third of the Arch’s lessons I would like to share is that to build a prosperous future, we must be fully committed to working together, collectively, for the common good.
Arch was a true believer in the power of multilateralism. He was a distinguished member of the United Nations Advisory Committee on Genocide Prevention and took part in a high-level fact-finding mission to Gaza. More broadly, he was engaged in many other global issues, always promoting joint solutions through listening and through dialogue. He knew that no matter the size of the country, no one can do it alone.
The United Nations remains for me the only forum in the world where parties come together to transform common threats into shared solutions. We try to face the reality of the day with the aspirations of humankind, and each day, we try to close the gap. Some days are good days, and some days, not so good.
For over seven decades, the United Nations has offered Member States a platform to address pressing issues, always inspiring hope and a better tomorrow. It has supported major economic and social progress. It has been a cornerstone of international peace, from promoting prevention and resolution of conflict to providing humanitarian relief and saving millions of lives and livelihoods.
This country, and its fight against apartheid, is perhaps one of the best examples of the potential of the United Nations to support and enhance positive transformations.
Today, global challenges are undermining trust in multilateralism at a time when we actually need it most. This calls for a reformed and a strengthened multilateral system with the transformation for being more fit for purpose of the United Nations at the core.
A multilateral system that serves those who are furthest behind, not just those who were first in line 75 years ago.
A multilateral system that responds to the needs and challenges of today, looking into tomorrow.
A multilateral system that looks for common ground even in the areas where there is currently none in sight.
A multilateral system that has a renewed capacity to create hope and healing.
Let me try to be specific — what does a strengthened multilateral system mean for Africa? Our incredible continent, our motherland; this vast, prosperous land and human capacity.
How do we get to where we need to be? I believe that we have to start recognizing first that we are not beginning from nothing, we are not beginning from scratch; we must change the narrative, we are not hopeless nor are we helpless, our potentials are enormous. We are 54 sovereign nations on varying paths of democracy. We have 1.4 billion people, $2.5 trillion market opportunities, and the fasted growing FinTech — connecting people, especially our women, to financial services.
We have the institutions, the United Nations, the African Union, the African Development Bank, Afrexim Bank and we have over 25 stock exchanges, with the largest being in Johannesburg. We have the necessary instruments — there is the 2030 Agenda, there is Agenda 2063 and there is the African Continental Free Trade Agreement.
So, with the potential, with the institutions, and with the instruments, that, I believe, in itself is hope. So, what do we need next to translate that hope into the aspirations of millions? I would start with leadership.
First, political leadership with the will and the courage to act for the people they represent, bearing in mind that our home, the planet, is one of the first responsibilities they will have. Not to the exclusion of the leadership beginning from the home, through all the strata of our societies, of our communities.
The second, I would say, is democracy and human rights. Although today, I would say that perhaps the model for democracy is failing us while the values remain relevant, and perhaps that is some food for thought.
We need to invest in institutions and systems that deliver on basic rights and services. Those that we look to as second, nonetheless health, education, yet they are the first.
Inclusion. We need to begin at the local level, supporting communities from the ground up, especially our women and our youth. That means a level of devolution of resources to build the resilience and the strong foundations for the house of Africa. I have not yet seen a country in the world that builds their houses from the roof down, except when we come to Africa.
Accountability. Ensuring that we have what often is so technical, disaggregated data and statistics. But you know, behind every number, every percentage, are millions and millions of people. Many that are left behind because we don’t see where they are. And we need this so that we can target our investments to ensure that we have transparency and accountability for the resources that we expect results for. It also allows us to communicate the result with credibility, strengthening the trust between the government and its people.
Last, but certainly by no means the least, this includes partnerships. All stakeholders and partners, to build a nation that includes an approach from local to global. The partnerships globally are much in need, but so are those across our borders, without which the African Free Trade Agreement would have no wings to fly. The foundations for these partnerships must be built within nations and across countries in Africa to begin with, so that we may look to our opportunities for a 1.4 billion population.
In turn, maybe we can begin to heal from the inside out, the tensions, the mistrust, the violence, the hate, the xenophobia within our countries and across their borders.
Arch called relentlessly for hope, rooted in the audacity of our convictions. The commodity of hope has never been more precious, as have our faiths, our beliefs in humankind. As the Arch beautifully wrote, “To choose hope is to step firmly forward into the howling wind, baring one’s chest to the elements, knowing that, in time, the storm will pass. Despair turns us inward. Hope sends us into the arms of others.”
Let us step firmly forward into the howling wind, navigating the storm to face the new dawn of hope and healing in a world of crisis. With courage and solidarity, let us move together, as Africans and as a member of this God-given Earth.
Let us honour Arch on his birthday, by living and acting on the inspiration he gave us for hope so that we may find deep within us, the will to be part of the healing of the torn fabric of our societies in a world of crisis, and yet with so much hope for the future. In Madiba’s words, “It always seems impossible until it’s done.”

Source: United Nations

World Mental Health Day 2022: Message of WHO Regional Director for Africa, Dr Matshidiso Moeti

World Mental Health Day, marked on 10 October every year, provides an opportunity to draw attention to Africa’s large and growing burden of mental health conditions, with children and adolescents worst impacted.

This year’s theme, “Make Mental Health and Wellbeing for All a Global Priority”, serves as a reminder that, after nearly three years, the social isolation, fear of disease and death, and strained socio-economic circumstances associated with the COVID-19 pandemic have contributed to an estimated 25% global rise in depression and anxiety.

Across the African Region, more than 116 million people were already estimated to be living with mental health conditions pre-pandemic. Suicide rates remain particularly concerning, as are the exponential rates of alcohol use and abuse among adolescents as young as 13 years of age. We need to urgently strengthen regulatory systems to close the gaps that allow such young people to easily access alcohol, contributing to heavy episodic drinking rates as high as 80% among teens from 15 to 19. The situation poses a serious threat to their education, while setting the stage for a lifetime of alcohol abuse, and the associated risks of noncommunicable and other related diseases.

Inadequate financing for mental health continues to be the biggest limitation, negatively impacting efforts to expand Africa’s mental health workforce. As things stand, there are fewer than two mental health workers for every 100 000 people, the majority of whom are psychiatric nurses and mental health nursing aids. With these scarce resources concentrated at large psychiatric institutions in urban areas, people at community and primary care levels are left critically underserved. For example, while two-thirds of Member States report having guidelines to integrate mental health into primary health care, fewer than 11% are providing pharmacological and/or psychological interventions at this level.

It is however heartening that up to 82% of our Member States are receiving training on how to manage mental health conditions at primary care level, with up to 74% reporting that specialists are involved in providing appropriate training and supervision to primary health care professionals. African governments have also made some progress on mental health spending, which has risen to 46 US cents per person. But that is still well below the recommended US$2 per person, with mental health not featuring in national health insurance schemes.

To address the challenge, it is crucial that Member States follow through on the implementation of commitments they made at the Regional Committee in August 2022, when they endorsed the Framework to Implement the Comprehensive Global Action Plan 2013 to 2023 in the WHO African Region. This key document highlights the severe shortage of mental health services on the continent, and makes recommendations for key actions by Member States.
Among the developments of which Member States can be proud is the launch of Special Initiative for Mental Health frameworks by Ghana and Zimbabwe. Supported by WHO training, the aim is to strengthen relevant services at lower levels of care.

WHO in the African Region is also supporting task-sharing and integration of mental health into multisectoral programmes in Burkina Faso, Ethiopia, Ghana, Niger, Nigeria and Mali. Examples include joint tuberculosis and mental health programming in Ghana and Kenya, and joint Neglected Tropical Diseases and mental health efforts in Nigeria.

Additionally, Kenya, Uganda and Zimbabwe have been supported to complete mental health investment cases. These provide a valuable base from which to make the case for increased investment in this neglected aspect of our health systems.

To advance continental efforts towards equitable access to mental, neurological and substance abuse care, I want to take the opportunity today to urge Member States to prioritise the implementation of the Framework to Implement the Comprehensive Mental Health Action Plan in the WHO African Region. This requires, among other things, increasing government expenditure on relevant services, and mobilising resources from partners.

Countries especially need to strengthen the mental health and psychosocial response in humanitarian emergencies, including COVID-19 and Ebola, which have a significant negative impact on school-age children and our health care workers. Mental health and psychosocial support are integral to any successful response.

On World Mental Health Day today, let us all commit to work together to deepen the value we afford to mental health, to reshape the environments that negatively impact mental health, and to strengthen the care systems to make mental health care accessible to all Africans.

Source: World Health Organization

UNICEF & WHO call for end to historic underfunding of mental health services in Africa

On World Mental Health Day, UNICEF and WHO are calling for an end to historic under-investment in mental health services in Africa where the COVID-19 pandemic has helped shine a light on the gaps that exist in mental health care.

Children and adolescents are particularly vulnerable. Africa has one of the highest number of children and adolescents globally. Up to 60 per cent of the population in Africa are below 24 years of age. The last 12 months have seen families and communities under growing strain under the impact of climate shocks, global inflation and economic hardship. Ethiopia, Kenya and Somalia are facing extreme droughts, while in the Sahel area, armed groups have stepped up exactions on communities, leading to massive displacement.

“The psychological distress in which hundreds of thousands of children and parents live across the continent has a dramatic impact on individuals and by extension on the well-being and development of societies,” said Mohamed M. Fall, UNICEF Regional Director for Eastern and Southern Africa. “The impact of violence or humanitarian crises is not limited to economic impacts: the invisible wounds suffered by communities must also be at the heart of our interventions. Children and their parents demonstrate immeasurable resilience, and we must draw on their experiences to guide our strategies.”

People with psychosocial distress often come up against a lack of understanding of mental health at societal level and also widespread stigma. Nearly 37 million adolescents (aged 10–19 years) live with a mental disorder in Africa, and 1 in 4 children live with a parent with a mental health condition. Most mental health conditions in adulthood start in childhood.

For example, there is growing concern across the continent in the number of young people, 15 to 24 years of age, who consume alcohol, which can be linked to mental health issues. In Angola, Central African Republic, Congo, Democratic Republic of the Congo, Equatorial Guinea, Gabon, over 80% of drinkers aged 15–19 years are heavy episodic drinkers. This is likely to continue into adulthood, with increased risk of alcohol dependency and attributable disease conditions.

The serious gaps that exist in mental health care in the region are a result of historic under investment in mental health promotion, prevention and care. Only 29% of countries in the Region have Child and Adolescent mental health policies; there are only 0.2 child and adolescent mental health workers per 100,000 population, compared to 1.6 per 100,000 population for the adult services.

“Far too many people who need help for mental health conditions do not receive it, yet mental health is integral to wholesome health and well-being,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “The greatest challenge to adequate mental health service provision in Africa is the chronically low investments by governments. It’s time for a radical change.”

In 2020, UNICEF and WHO agreed a ten-year partnership on mental health, which seeks to address some of the main challenges to mental health and limitations in access to support. Already joint initiatives are underway in Nigeria, South Sudan, Ethiopia, Zimbabwe, Mozambique, with both agencies working with governments to scale up mental health and psychosocial support services across sectors.

“There is growing awareness and demand for more holistic and community-based approaches in all aspects of mental health care and psychosocial support (MHPSS), that address attitudes and behaviours in families and communities,” said Marie-Pierre Poirier, UNICEF Regional Director for West and Central Africa. “We are particularly mindful of the mental health risks faced by adolescent girls, who report alarming levels of sexual violence. Research shows that mental health issues in childhood lead to an increased risk of drug or alcohol abuse, anxiety, depression, psychological trauma or self-harm.”

Responses to mental health need to encompass support beyond the area of specialised mental health services, to include child and family services, education, protection, violence prevention, community support, housing and social protection.

The lack of data and solid research on the needs in Africa and importantly understanding on what works hinders the ability of governments to make decisions and costed plans. UNICEF and WHO are supporting activities to gather this evidence by undertaking regional and local studies and situational analyses.

As part of World Mental Health Day activities UNICEF Eastern and Southern Africa Regional Office will be publishing a study into the effects of COVID-19 on the mental health of adolescents later this month. The study reveals the fragmented nature of current mental health services, barriers to accessing MHPSS services among adolescents, a lack of reliable delivery structures for MHPSS, and the enormity of MHPSS needs.

UNICEF is also working with governments in developing innovative digital technologies to reduce the stigma associated with mental health, gather information on the concerns of young people and increase access for support. Later this year UNICEF will trial a pilot of a mental health and psychosocial support chatbot designed with young people, helpline counsellors, mental health professionals and governments in Kenya, Tanzania and Uganda.

The WHO African Region Office has specific action on strengthening mental, neurological and substance use services for children and adolescents, including working with the education sector to increase access to services in the Framework to Implement the Comprehensive Mental Health Action Plan in the WHO African Region, adopted by Member States at the Regional Committee of 2022.

Together UNICEF and WHO urge all countries to take advantage of this WHO/UNICEF Joint Programme of Work to develop or strengthen programming for child and adolescent mental health.

Source: World Health Organization

Climate crisis is intensifying heatwaves UN-backed report warns, ahead of COP27

Greater action is needed now to avert the recurrence of disastrous heatwaves, which are being intensified by the climate crisis, the UN humanitarian affairs agency, OCHA, and the International Federation of the Red Cross (IFRC), said in a report issued on Monday.

Record high temperatures this year – which are fueling catastrophes in countries such as Pakistan and Somalia – foreshadow a future with deadlier, more frequent, and more intense heat-related humanitarian emergencies, they warned.

Vulnerable hardest hit
The world’s lowest-income countries are already experiencing disproportionate increases in extreme heat. Although they are the least to blame for climate change, these nations will see a significant increase in the number of at-risk people in the coming decades.

“As the climate crisis goes unchecked, extreme weather events, such as heatwaves and floods, are hitting the most vulnerable people the hardest,” said Martin Griffiths, UN Humanitarian Affairs and Emergency Relief Coordinator.

“Nowhere is the impact more brutally felt than in countries already reeling from hunger, conflict and poverty,” he added.

Mitigate worst effects
The report, titled Extreme Heat: Preparing for the heatwaves of the future, has been released ahead of the COP27 UN climate change conference in Egypt next month.

It is the first report published jointly by the partners and offers concrete steps to mitigate the worst effects of extreme heat.

This year, communities across various parts of the world – in North Africa, Australia, Europe, South Asia, the Middle East, the western United States and China – have experienced record-high temperatures.

Intensifying humanitarian needs
In the coming decades, heatwaves are predicted to meet and exceed human physiological and social limits in regions such as the Sahel, the Horn of Africa, and south-west Asia, the report said.

Humanitarian needs are already high in these regions, which could lead to large-scale suffering and death, population movements and further entrenched inequality.

Noting that the climate crisis is intensifying humanitarian emergencies worldwide, IFRC Secretary General Jagan Chapagain called for investment in both adaptation and mitigation, particularly in countries most at risk.

“At COP27, we will urge world leaders to ensure that this investment reaches local communities that are on the frontline of the climate crisis. If communities are prepared to anticipate climate risks and equipped to take action, we will prevent extreme weather events from becoming humanitarian disasters,” he said.

Prioritize marginalized communities
The report also reveals how heatwaves contribute to inequality, as isolated and marginalized people suffer the greatest impacts. Therefore, investments that mitigate climate change and support long-term adaption for these populations must be a priority.

Furthermore, although the impacts of extreme heat are global, vulnerable communities – agricultural workers, for example – are being pushed to the frontlines of the crisis. Meanwhile, elderly people, children, and pregnant and breastfeeding women, face higher risk of illness and death.

Early action and preparedness
The report outlines five key steps so that humanitarians can support the most vulnerable people.

It calls for providing early information on heatwaves to help people and authorities take timely action, for example by making forecasts available to all.

Supporting preparedness and expanding anticipatory action, especially by local actors, is also needed as they are often the first responders in emergencies.

At the same time, authorities should find new and more sustainable ways of financing local action.

Humanitarian response will also have to adapt to the “new normal”. Some organizations are already testing out measures such as “green roofs”, cooling centres and more thermally appropriate emergency housing.

Finally, the report stressed that addressing the impact of extreme heat also requires strengthening engagement across the humanitarian, development, and climate spheres.

Source: United Nations