Category Archives: Social Issues

Spirit of Sisterhood

91-03-10-1995-B

By Zubeida Mustafa

THE  FOURTH WORLD Conference on Women held in Beijing in September was like the proverbial elephant and the blind men. The reactions it evoked were conditioned by the perception of each observer. It was billed as the “largest gathering ever for a UN conference on women” by Newsweek and a gathering of women who “suddenly loom as a great force” by Betty Friedan, the author of Feminine Mystique and the founder of the American feminist movement in the sixties. Continue reading Spirit of Sisterhood

Population planning and the social realities

By Zubeida Mustafa

Population-10-03-1995THE IMPLEMENTATION OF FAMILY PLANNING PROGRAMME IN PAKISTAN: SUCCESS OR FAILURE
By Dr Nadir Ali Agha.
Published by author from Justice Lodge, 95-B, Gulshan-e- Faisal, 15th Street, Bath Island, Karachi.
64 pp.

One of the most crucial issues which has had a profound impact on Pakistan’s economy, politics and sociocultural development is the high population growth rate. With its population having more than quadrupled from 32 million to 128 million in 47 years, the country can ill-afford to neglect the demographic sector. Seen against this backdrop, any attempt to analyse elucidate the family planning programme in Pakistan is a welcome endeavour. Dr Nadir Ali Agha, the author of the book under review, presumably prepared this manuscript as his dissertation for his master’s course in health management from the University of Birmingham. He has managed to compress a lot of information about Pakistan’s population programme in this little book.

In a nutshell the reader is provided the relevant and important demographic data, a history of the official strategy (from the target oriented approach of the sixties to the continuous motivation system and the contraceptive inundation policy of the seventies and the mutli-sectoral approach of the eighties) and an analysis of the factors which have proved to be obstacles in the successful implementation of the programme (illiteracy, lack of motivation, improper contraceptive use and counselling, inefficient programme structure and inadequate financial resources).

Dr Agha’s efforts notwithstanding, it is plain that he has no practical experience of working in the field in the population sector. The knowledge he has acquired through books and documents (obviously official publications) is of a theoretical nature and divorced from reality. Thus it is strange that the author has found no link at all between the population problem and the status of women in Pakistan. It is now widely recognized that a major factor for women having a large number of children is their lack of empowerment. In any society where women lack esteem and are excluded from the decision-making process, be it at the family level or in the national structure, they tend to have many children.

Male offspring provide them the social and economic security which they otherwise lack. This fact is not disputed and if Dr Agha had followed the proceedings of the Cairo conference on population and development closely he would have detected this link. The author’s inadequate grasp of the sociological dimension of the family planning programme in Pakistan would explain why his recommendations are so of the mark. He focusses on the information and education component of the programme giving suggestions as to how birth control should be popularised. But surveys indicate that most couples already know about the importance of small families and many of them (28 per cent) want to restrict the size of their families but have no means available to them to do so. There are others who opt for many children to ensure that they have a number of surviving sons. Yet others are under social and family pressure to have big families. A population programme which does not take into account the gender factor cannot hope to succeed. Dr Agha should also take note of it.

Finally, one can add that a good editor would have given the book the professional treatment which goes into the making of a well-produced book. Why our writers are neglecting this aspect of publishing is difficult to understand.

Source: Dawn

An unemotional look at Edhi

 By Zubeida Mustafa

85-13-01-1995ABDUS SATTAR EDHI has been in the news ever since television brought him into the limelight with a programme on him in 1988. Pictures of him standing on the roadside to collect alms (bheek, to use his own word) are quite familiar to newspaper readers. Unfortunately, the maulana (as he is fondly called because of his shaggy beard) was forced to leave the country recently when he felt threatened. His statements accusing unnamed agencies of trying to eliminate him politicised him, which is not something good for his work. One only hopes the row will blow over.

The fact is no one has ever questioned this old man’s love for thpoor. His work for the destitute has not only brought him recognition and laurels (including the coveted Ramon Magsaysay award). It has also won for him the confidence of the people. The faith the public has reposed in him is central to his work. For Edhi’s huge network of welfare organisations depends entirely on voluntary donations worth over Rs two billion.  According to the same calculation, the maulana needs another 210 million to invest and bring returns to meet his day-to-day expenses. But he has other ambitions too. He wants to set up a chain of welfare centres 25 kilometres apart all over the country.

For a semi-literate person with hardly any political or social clout to mobilise massive amounts through voluntary donations, at times by simply standing on the roadside collection box in hand, is so remarkable. More so, because the donations come from a society so notorious as ours for tax evasion. It is difficult to believe that people who go to all extremes to cheat the government can be so generous when it comes to giving donations for a charitable cause.But the army of beggars which subsists on public philanthropy, the langars set up outside mazaars and other congregation spots to feed the poor, and the scores of appeals for assistance (which are presumably answered) from organisations is working for public welfare are testimony to the generosity of the Pakistanis. Continue reading An unemotional look at Edhi

At SIUT the dead help the living

Shehnaz: A gift of life from the Netherlands
Shehnaz: A gift of life from the Netherlands

By Zubeida Mustafa

The story begins five thousand miles away in the Dutch city of Maastricht. In mid-January a 14-year old girl slips into a coma and dies due to a ruptured cerebral aneurysm. Her grief-stricken parents decide to gift her organs to the dying. Thus they would have the satisfaction of knowing that a part of their child has not died.

That is how the central registry of the Eurotransplant Foundation in Lieden gets an AB+ blood group donor.

It is noon in Karachi. At the Sindh Institute of Urology and Transplantation (SIUT) in the Civil Hospital there is a call for the director, Dr Adibul Hasan Rizvi, from Dr Ganke Kootstra of the University of Maastricht. There is a cadaveric kidney available. Does Karachi have an endstage renal failure patient who needs the organ and has the matching tissue type?

Thus begins the miracle for Shehnaz, a young woman of 24 and a resident of New Karachi. She has been haunted by the spectre of death for the last four months since her kidneys stopped working. She has survived with the help of dialysis — a procedure in which the function of cleansing the impurities in the blood is performed by a machine to which the patient’s artery is hooked. But life has been robbed of all joy. Since October Shehnaz has had to come to the Institute thrice a week for a four-hour dialysis session. Then too, she feels fit for only a day, after which the nausea returns. She also gets breathless. Continue reading At SIUT the dead help the living

The price of neglecting social sectors

By Zubeida Mustafa

The state of the social sector in a country is an accurate measure of the value it attaches to human life. For howsoever strong a state might be in terms of military power and rich in economic resources, its institutional greatness will be judged by the quality of life it ovides its citizens.

This is basically determined by the social policy of the government, that is, the priority it gives to providing education, health care, housing and family planning facilities to the people. Pakistan’s performance in this context has not been one of which one can be overly proud. Of course, it depends on how one defines progress. If it is simply a matter of moving forward in terms of absolute numbers from a given baseline — a very low one at that — the country’s achievements over the decades since 1947 might appear to be very impressive. Continue reading The price of neglecting social sectors