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Exploring improved knowledge network on sustainable land management in Africa

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Soil degradation results in a loss of crop production as well as an increase in production costs. As a result, there is a direct link between climate change, soil degradation and food security, especially in many African and developing countries.

AfriOCAT
Participants at the AfriOCAT forum

Scientists strongly believe that the way forward is to invest heavily in more directed research to better understand how other elements such as water quality, forest land quality, rangeland quality, land contamination and pollution tie in with other factors such as land management, economic viability, system resilience, and social equity and acceptability to better determine what practices and technologies need to be adopted in the future.

The NEPAD Agency’s TerrAfrica Partnership during the week brought together 28 African countries, strategic partners and non-governmental organisations (NGOs) to Dar Es Salaam led by Tanzania Government’s Ministry of Agriculture Food Security & Cooperatives for the operationalisation of the Africa Overview of Conservation Approaches and Technologies (AfriOCAT).

AfriOCAT is a network of organisations and individuals committed to sharing information on best practices and approaches for sustainable land and water management across the African continent. It is an affiliate of the World Overview of the Conservation Approaches & Technologies (WOCAT) and was founded primarily to raise the profile of practitioners and scientists in the drive to avert the impacts of land degradation on the lives of the rural communities within African landscapes.

“The idea of establishing AfriOCAT is to internalise World Overview of Conservation Approaches and Technologies (WOCAT) tools and processes within the African context with regard to Sustainable Land and Water Management (SLWM). It’s never meant to replace existing SLWM platforms or networks but to add value in terms of harmonising knowledge generation and sharing at country, sub-regional, regional and continental level,” said Mr. Zwide Jere, Co-Founder/Managing Director and Interim Chair of AfriOCAT.

The three-day meeting sought to improve collaboration, networking, learning and sharing of WOCAT techniques and approaches in the areas of Sustainable Land and Water Management across the African continent while increasing the productivity of natural resources of African landscapes for sustained and improved livelihoods of its inhabitants.

“The role of information and knowledge on technologies, approaches and best practices on SLWM to address the scourge of land degradation cannot be underestimated. It is critical for shifting mind-sets towards behavioural change that will result in commensurate action, not only by practitioners, but by policy makers alike,” said Rudo Makunike, TerrAfrica Partnership Project Manager at NEPAD Agency.

The pillars of sustainable land management are to maintain and enhance production, reduce the level of production risk, and enhance soil capacity to buffer against degradation processes, protect the potential of natural resources and prevent degradation of soil and water quality, ensuring economic viability and social acceptability, and overall assure access to the benefits from improved land management.

TerrAfrica is a NEPAD-led partnership present in 31 countries on the African continent that supports innovative solutions to sustain landscapes, address land and water degradation and adapt to a changing climate.

Significant increases in private capital essential to actualise climate goals

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Global temperatures will very likely exceed the target of a 1.5-degree increase agreed to under the Paris climate accord, and a 3-degree rise is a more likely outcome, said Robert Nasi, Director General of the Centre for International Forestry Research (CIFOR), at the Global Landscapes Forum (GLF) event hosted by the World Bank in Washington. That means the world needs to prepare now to begin adapting to a warmer planet by investing to restore degraded forests, agricultural land and other landscapes.

Robert Nasi
Robert Nasi, Director General of the Centre for International Forestry Research (CIFOR)

“We need to stop talking and thinking and acting like we are going to hit these targets. We will not,” Nasi told the audience of about 200 at the International Finance Corp. in Washington. “We must all begin the work of adapting to a much warmer and more uncertain global climate.”

Making fundamental changes to the way business operates provides the greatest opportunities for holding back the rise of the global temperatures, Nasi said. That includes far-reaching changes to energy use, soil and forest management and involving communities in decision making.

For private capital to be effective, fund managers and businesses need to better understand the opportunities for investing in landscape restoration, said Jennifer Pryce, president and chief executive officer of Calvert Impact Capital. Collaboration among investors and learning to deploy all kinds of capital are critical, she said.

“We need to collaborate effectively and learn how to put capital to work,” Pryce told participants in Washington. “The challenge is to really capitalise on the financial infrastructure.”

In addition, the scale of investment needs to be much larger and restoration projects must become an asset class, speakers said. Technology like digital currencies and innovative management will make an important contribution, but alone will not be enough.

“If we end up with a 4-degree world, we’re going to have a four-letter outcome,” said the World Agroforestry Centre Director General Tony Simons. “It is important to get really serious about it now.”

Robert Nasi of CIFOR said: “We must now play the long game and shift the investment of public and private funds towards preparation for a 3°C-warmer world.”

Laura Tuck, Vice President, Sustainable Development, World Bank: “Natural capital is a critical element of the wealth countries have, especially developing ones. We must preserve it so that it continues to perpetually generate benefits.”

Jennifer Pryce, President and CEO, Calvert Impact Capital: “The big issue [with investing in sustainable landscapes] is how we create an asset class the traditional financial market can invest in, the way we did with renewable energies.

“To move billions we need to start collaborating effectively. To achieve this, each actor needs to understand his role in the financial supply chain.

“I think we have great potential to leverage the existing financial infrastructure we have in place and to accelerate the flow of capital enormously.”

Gustavo Fonseca, Director of Programmes, Global Environment Facility (GEF): “We studied national biodiversity and climate commitments. The top priority for all countries was restoration, with 90% of countries having restoration targets. This helped the GEF decide where to invest.

“The GLF event was supported by the GEF, which is increasingly working on food, land and restoration issues. These and other pressing environmental topics will be on the agenda of the sixth GEF Assembly in Da Nang, Vietnam, next month.”

Paola Agostini, Lead Environmental Economist, Environment and Natural Resources Global Practice, World Bank: “When I started working on the interface between forest and landscape about 20 years ago, only innovative capital like GEF was promoting the linkages between production and conservation. Later we started to have IDA, IBRD, and IFC. But today is a very special day. Having the private sector and the banking sector investing in sustainable landscapes is a revolution.”

Michael Jenkins, Founding President and CEO, Forest Trends: “We must shift away from supporting individual projects (in sustainable landscape finance) towards a much larger scale, so that we are really creating an asset class.”

Tony Simons, Director General, World Agroforestry Centre: “Opportunity costs are always in favour of land-use conversion, so we need to assess the value of ecosystems to make the investment case for landscapes.”

Chris Brett, Lead Agribusiness Specialist, World Bank: “It is key to bring externalities into the balance sheet. If there was an invoice sent by nature, business models would change much faster. The public and private sectors should work closer together to see how these invoices might look like.”

Paula Guimaraes, Head of Forest Certification and Conservation, The Navigator Company: “In Mozambique, we work to replicate the responsible forest management model we already implement in Portugal. To access the land, we must engage with customary land right holders.”

Chris Brown, Vice President Corporate Responsibility and Sustainability, Olam: “We would love to see a global carbon price, and companies that innovate on this distinguishing themselves from others.

“We want to move from implementing (sustainability) activities to measuring impact and how we are maintaining the natural capital. This would offer such a big opportunity for competitive advantage.”

Bas Ruter, Director of Sustainability and Lead on the Forest Protection and Sustainable Agriculture Fund, Rabobank:  “Markets are changing. More and more large (industry) players need (sustainability) certification schemes to protect their brands.”

Vikram Widge, Global Head, Climate Finance & Policy, International Finance Corporation: “By pricing the externality and giving companies a chance to green its supply chain, we can start building an asset class for landscapes.”

Juergen Voegele, Senior Director, Food and Agriculture Global Practice, World Bank: “What matters [for restoration projects] is that there is clarity on land ownership, whether customary or not. Otherwise, there is little you can do.”

Nabil Fawaz, Sector Manager for Agribusiness, Manufacturing and Services, Multilateral Investment Guarantee Agency (MIGA) – World Bank Group: “We assist private sector investors in managing risks in countries with uncertain business climates; for example, as a result of new laws or land tenure issues.”

World No Tobacco Day: Activists demand establishment of Tobacco Control Fund

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The 2018 World No Tobacco Day Commemoration went colourful in Abuja as civil society and student groups marched through the major streets of the federal capital city, demanding that government enforce the ban on smoking in public places, among a host of provisions of the National Tobacco Control Act which was signed into law in 2015.

No to tobacco day
Civil society and student groups members during the rally

Groups that participated in the march convened by the Ministry of Health and the Nigeria Tobacco Control Alliance (NTCA) include Environmental Rights Action, Cedars Foundation, Gatefield, Smoke-free Club UniAbuja and other youth groups.

Before the kick-off of the march, Dr. Malau Toma of the Ministry of Health explained that the thrust of the exercise was to sensitise the public on the dangers of tobacco and solicited their support for the NTC Act.

He also explained that the theme of the 2018 WNTD which was “Tobacco and Heart Disease” made it imperative to also make the public realise the dangers in second hand smoke, which the World Health Organisation (WHO) blamed for 600,000 deaths annually.

At the Garki ultra-modern market where the activists addressed the public in the three major languages, Akinbode Oluwafemi of the ERA/FoEN listed some of the ailments that smokers and non -smokers could become susceptible to.

Chibuike Nwanirrinaya of the NTCA also spoke in Igbo explaining that tobacco was the gateway to other substances abused by the youths such as cannabis, heroine, marijuana and in Nigeria, tramadol, among others.

At a press briefing subsequently, Hilda Ochefu of the Campaign for Tobacco Free Kids (CTFK) and Oluseun Esan of NTCA emphasised the role of government in ensuring that non-smokers are not exposed to tobacco harms.

Oluwafemi also emphasised that, to properly implement the NTC Act, the Nigerian government must establish the Tobacco Control Fund as contained in Part III of the NTC Act and commence the enforcement of the nine provisions of the Act announced by Minister of Health, Prof. Isaac Adewole in 2017. The provisions announced by the minister include ban on smoking in public places, restriction on underage access and ban of sale in single sticks, among others.

GEF calls for aggressive campaigns against plastic pollution

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The Global Environmental Facility (GEF) on Thursday, May 31, 2018 urged the government, civil society organisations (CSOs) and relevant agencies in the environment sector to start aggressive campaigns against plastic pollution in the country.

Plastic pollution
Plastic pollution

Mrs Ibironke Olubamise, the National Coordinator of GEF Small Grant Programme (GEF-SGP), gave the advice in an interview with News Agency of Nigeria (NAN) in Abuja.

NAN reports that the 2018 World Environment Day, which has “Beat Plastic pollution’’ as its theme, will be celebrated on June 5.

Olubamise said that existing plans to tackle plastic pollution would be successful if aggressive awareness creation campaigns were executed.

“The fact remains that the use of plastics has brought much ease to our lives and living but ignorantly with much untold health consequences.

“Only if people are aware of the danger of plastic to humans and the environment will there be any willingness to do something about it.

“Due to the need for concerted efforts, the government, the CSOs and other relevant agencies ought to work together to address plastic pollution, which is one of the most important environmental challenges facing us these days,’’ she said.

She said that GEF-SGP, which is being implemented by the United Nations Development Programme (UNDP) in Nigeria, focuses its attention on the campaign, while supporting pollution-related projects with over $150,000 to support efforts to address pollution, including plastic pollution.

Launched in 2009, GEF-SGP supports non-governmental and community-based organisations in Nigeria in efforts to protect the environment, while generating sustainable livelihoods for poor and marginalised people in developing countries.

GEF-SGP is implemented by UNDP on behalf of GEF and executed by the United Nations Office for Project Services (UNOPS).

With its presence in over 25 states, GEF-SGP has executed more than 110 community-based projects, while supporting projects that would maintain equilibrium between human needs and environmental conditions.

By Deji Abdulwahab

World No Tobacco Day: Smoking linked to 15 different cancers

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The Youth Action on Tobacco Control and Health (YATCH) says tobacco smoking has been linked to 15 different kinds of known cancers.

Isaac Adewole
Minister of Health, Isaac Adewole

Mr Seye Omiyefa, the Executive Director of YATCH, made the disclosure on Thursday, May 31 at an awareness campaign and walk to mark the 2018 World No Tobacco Day.

This year’s campaign focuses on the important link between tobacco and heart disease with the theme:  “Tobacco Breaks Heart: Choose Health Not Tobacco.’’

Omiyefa said: “Tobacco use has been linked to over seven million deaths worldwide and causes a lot of deaths related to non-communicable diseases including cancers, cardiovascular diseases and stroke every year.

“Today’s  marking of  the World No Tobacco Day  is to inform the public about the dangers of tobacco use, the abusive practices of tobacco corporations and what  people can do to claim their right to health and healthy living and  to protect future generations.”

According to him, there is low level of awareness on the risks that tobacco smoking constitute to the human heart.

He called on the Federal Government to expedite actions that would ensure the immediate implementation of the National Tobacco Control Act.

“More than 19,000 people die from tobacco use or second hand smoke exposure every day.

“Unfortunately, most tobacco-related deaths occur in low and middle income countries where the population is  target  of intensive tobacco industry marketing.

“The tobacco industry continues to aggressively promote the use of tobacco products and to conceal the dangers of tobacco use; but, we are fighting back to help prevent this ongoing devastation,” he said.

“It is shocking that with just a puff of cigarette, a smoker breathes more than 4,000 chemicals including arsenic which is used in rat poison and formaldehyde used to embark dead bodies.

“Other harmful substances found in tobacco include hydrogen cyanide used as a poison gas, ammonia used in household cleaning and phenol used in disinfectants.

“These are just a few among others and most are cancerous,” he said.

Omiyefa said that every year, Nigeria loses all cadres of manpower and all categories of statesmen to tobacco-related deaths.

“Nigeria is at risk of losing its workforce if steps are not taken to sign the Global Tobacco Control Treaty into law.

“We are also calling on government to raise taxes on tobacco products to make them less affordable.
“Cigarette is so cheap in the country, you even see minors buying it.

“To feed their insatiable hunger for profit, tobacco making companies are preying on young people in the country and they seek to lure them to a lifetime of addiction to their toxic products.

“Good business for them translates to a colossal and ever growing global public health disaster that our government must urgently act to contain,” Omiyefa said.

NAN reports that the walk started from the University of Ibadan and terminated at Ojoo.

The campaigners carried placards bearing inscriptions including “The Effects of Tobacco not only Affects you, It takes a Turn on your Friends, Family and Life” and “Smoking Affects Every Part of the Body.”

By Oluwabukola Akanni

UN launches coalition on health, environment, climate change

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The United Nations has launched a new global coalition on health, environment and climate change to reduce the annual 12.6 million deaths caused by environmental risks, and especially air pollution. The heads of the World Health Organisation (WHO), UN Environment and World Meteorological Organisation (WMO) came together for the initiative.

WHO Director-General, Tedros Adhanom Ghebreyesus (second left); UN Environment Executive Director, Erik Solheim (second right); and WMO chief, Petteri Taalas (left)

At the launch of the coalition last week in Geneva, WMO chief, Petteri Taalas, urged for greater urgency in implementing the Paris Agreement on climate change to keep the global temperature increase to well under 2°C by the end of this century.

Mr Taalas stressed that the world has a “30 year window of opportunity” to reduce the carbon footprint, reign in greenhouse gas emissions and to switch to clean and renewable energy in pursuit of the “win-win solution” of tackling both climate change and pollution.

He said the top challenge was in cutting emissions of carbon dioxide, the main gas driving climate change. This remains in the atmosphere and oceans for thousands of years.

Global average concentrations of CO2 in 2017 exceeded 400 ppm, and average temperatures were 1.1°Celsius above pre-industrial levels. Climate change is adversely affecting economies in developing countries, and the cost of natural disasters, in particular tropical cyclones, hit a new record last year, said Mr Taalas.

WHO Director-General, Tedros Adhanom Ghebreyesus; UN Environment Executive Director, Erik Solheim; and Taalas briefed delegates at the annual World Health Assembly on the priorities, opportunities and challenges in the months and years ahead.

“If we want to achieve Health For All, we will need to keep health costs down and that means three things: prevention, prevention, prevention,” said Dr Tedros. “We must ensure people can breathe clean air, drink clean water, and eat nutritious food.”

According to WHO figures, an estimated seven million people die prematurely every year from air pollution related diseases, including strokes and heart disease, respiratory illness and cancer. Air pollution in most major cities exceeds WHO air quality standards.

Many pollutants which damage health also harm the environment and contribute to climate change. These include black carbon from diesel engines, cooking stoves and waste incineration, and ground level ozone, which are harmful but are short lived in the atmosphere. It is estimated that reductions in short-lived climate pollutant emissions from sources like traffic, cookstoves, agriculture and industry could help trim the rate of global warming by about 0.5°C by 2050.

The urgency of combating pollution in countries including China has provided new incentives to cut greenhouse gas emissions and tackle long term climate change, said Mr Solheim.

“If we speed up on renewable energy solutions, fewer people will die from air pollution. Let’s create a pollution free environment,” he said.

WMO already closely collaborates with both the WHO and UNEP, but within the new coalition called for at COP22 in Marrakesh, WMO (through national meteorological services) will strengthen action specifically targeting health protection from environment and climate change related risks.

This will be through better provision of climate services such as seasonal outlooks and can improve management of climate-sensitive diseases like cholera and malaria, heat-health warnings against the growing problem of heatwaves, and multi-hazard early warning services against high-impact events like tropical cyclones.

The coalition begins with a joint focus on Air Quality outlining five areas of joint work. WMO’s observing network, its Sand and Dust Storm Warning, Advisory and Assessment System (SDS-WAS) and its Global Atmosphere Watch stations, which monitor the atmosphere, will be underpinning to the global drive to improve air quality mapping and monitoring.

The SDS-WAS can play an important role in knowing when and where dust storms may occur, to allow health partners to plan more effectively and benefit from WMO global atmospheric monitoring and forecasting capacity on acute episodes of hazardous air quality – such as dust storms.

The new global coalition on health, environment and climate change will seek to pool expertise and achieve greater coordination. One of the most immediate outcomes of the coalition will be a Global Conference on Air Pollution and Health, which will take place in Geneva October 30 to November 1.

Post-COP23 forum clamours poverty reduction, sustainable development strategies

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The National Coordinator, Climate and Sustainable Development Network of Nigeria (CSDevNet), Mr Atayi Babs, has called for collective global poverty reduction and sustainable development strategies and actions for safe environment.

Post COP23
Mithika Mwenda, PACJA Secretary General (left), explaining a point while Hajiya Asmau of the Department of Climate Change in the Federal Ministry of Environment looks on

Babs made the call at the National Conference of Parties to the UN Framework Convention on Climate Change (post-COP23) Consultative workshop on Thursday, May 31, 2018 in Abuja.

COP23 is the 23rd session of the Conference of the Parties (COP) to the UN framework Convention on Climate (UNFCCC) that held last November in Bonn, Germany.

He described the workshop, with the theme: “Deepening Civil Society Engagement in the Implementation of the Paris Agreement and SDGs in Nigeria’’, as a dialogue aimed at discussing what took place at the last COP, with a view to ascertaining the gains and losses for Nigeria, as well as the roles that the civil societies played to influence better outcome in subsequent COPs.

“The outcome of the 2017 COP is to reduce the world temperature below two degrees Celsius.

“CSDevNet aspires to unify and coordinate isolated civil society efforts on climate change advocacy in Nigeria to ensure that people-centred response mechanisms are accorded desirable attention.

“As relevance as climate change is increasingly mainstreamed into national and global poverty reduction and sustainable development strategies and actions.

“We bring together with different organisations, grassroots community practitioners, federations of slum dwellers, etc to commonly promote and advocate pro-poor, climate-friendly and equity-based responses to climate change.”

Babs said the network strived to have an effective platform for Nigerian civil society organisations to share information and strategise jointly with Nigerian government and other stakeholders on climate change and sustainable development issues.

“We empower and strengthen the capacity and capability of members and other similar institutions in Nigeria by offering technical support in order to enhance the effectiveness of engagement in climate and sustainable development issues.

“To collaborate with experts in the area of research and documentation in the field of climate change and sustainable development as it affects and relates to communities in Nigeria.

“To advocate and campaign for a positive policy and legislative framework that puts into account the effects of climate change and issues related to sustainable development.

“To reduce climate change vulnerability of poor communities in Nigeria through awareness and strengthening the capacity of Nigeria’s local communities and civil society to implement community based adaptation and mitigation projects.”

Dr Peter Tarfa, Director of Climate Change, Federal Ministry of Environment, represented by Hajia Asmau of the ministry, said Nigeria would promote environmental sustainability through sustainable management of natural resources.

He said the ministry would support and initiate actions at all levels and other international conventions that Nigeria is a signatory.

By Ebere Agozie

Hamburg pioneers diesel vehicles ban in Germany

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Hamburg on Thursday, May 31, 2018 became the first German city to impose a partial ban on diesel vehicles as part of the country’s much-debated move to improve air quality.

Hamburg
A Hamburg road sign indicates a ban for older diesel cars and trucks

The port city blocked a 600-metre stretch of the Max Brauer Allee and a 1.6-km stretch of Stresemannstrasse in the Altona-Nord district for older diesel cars and trucks from midnight (2200 GMT Wednesday).

Meanwhile, signs marking the restrictions and diversions have been put in the place over recent weeks in the Altona-Nord district.

All diesel vehicles that do not meet the Euro-6 emissions standards are affected by the Hamburg ban.

“Less than a third of the diesel vehicles registered in the city at the beginning of the year meet the standard,’’ the Federal Motor Transport Authority said.

They are exceptions to the ban however: in one of the streets affected, emergency vehicles, residents and visitors, bin lorries, delivery vans and taxis can all use the road.

The extremely limited nature of the ban has drawn criticism from environmental groups such as Greenpeace, which say it is merely window-dressing.

Pressure has been building on major German cities to improve their air quality and diesel vehicles have been a key target of the authorities due to their nitrogen oxide emissions.

The long-expected diesel bans have been closely-watched in Germany as they could carry consequences for the country’s large car-making industry, which has relied greatly on diesel-powered vehicles.

After a long-running legal battle, cities were given the green-light to impose diesel bans by a Constitutional Court decision in February.

World No Tobacco Day: Don cautions parents on dangers of smoking close to children

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Associate Professor, Faculty of Medicine, University of Maiduguri Teaching Hospital (UMTH), Ahmed Gabdo, has cautioned parents against smoking cigarettes close to their children to safeguard their health and future development.

tobacco smoking
Smoking close to children and wards expose them to many risks and varieties of health challenges in future

Gabdo, who spoke to the News Agency of Nigeria (NAN) in Maiduguri on Thursday, May 31, 2018 as the world celebrates “No Tobacco Day”, said the warning aims at safeguarding the health of children.

Gabdo said that parents that smoke near their children and wards expose them to many risks and varieties of health challenges in future.

He said that children whose parents smoked were more prone to coughing, wheezing and asthma attacks than children whose parents do not smoke.

“They also tend to have higher rates of pneumonia and bronchitis; smoking not only impacts your cardiovascular health, but also the health of those around you, who do not smoke.

“Exposure to second hand smoke carries the same risk to a non-smoker as someone who does smoke. Other risks include stroke, heart attack and cancer, among other diseases.

“Cigarettes contain about 600 ingredients and when these ingredients burn, they generate more than 7,000 chemicals, many of which are poisonous and at least 69 of them are linked to cancer,” he said.

A smoker, Musa Bashir, who claimed he had been in the business of puffing cigarette for about 17 year, said doing so removed pain, anger and anxiety.

“I was introduced to smoking by my friend and sincerely speaking, cigarette is my closest companion.

“I enjoy smoking; especially when I eat and when I am worried, it cools off my temper.

“Doctors say there are side effects, but for all these years, it has been an immune-booster to me.

“I am thinking of quitting, but I needed a job. I need to engage myself in positive activities that will keep me away from my friends who are also smokers. That way, I can stop,” Bashir said.

By Hamza Suleiman

1.2b children face poverty, conflict, discrimination – Report

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No fewer than 1.2 billion children are threatened by poverty, conflict, or discrimination against girls, Save the Children, a non-governmental organisation (NGO), said in a report.

Displaced children
Displaced children in a camp in Nigeria. Photo credit: Yahoo News

In its second annual “End of Childhood Index,” published recently, the London-based charity said more than 153 million children lived in countries where they faced all three threats.

The situation for children in 95 of 175 countries had improved since 2017, it added, but “conditions appear considerably worse” in about 40 countries.

The index looks at events that “rob children of their childhoods,” including malnutrition, early pregnancy, exclusion from education, child labour, child marriage and extreme violence.

Singapore and Slovenia came top in the ranking, with Norway, Finland and Sweden following. Eight of the ten last countries were in West and Central Africa, with Niger at the bottom.

The report identified 10 major trends it said required urgent action, including current levels of displacement which it said were the highest on record, and predicted rises in the number of child marriages and adolescent pregnancies.

It also said that 240 million children lived in countries affected by conflict and fragility and that 30 per cent of the countries included in the index were characterised by discrimination against girls.

“This means staggering numbers of girls worldwide face exclusion on many fronts,” it wrote, noting that complications during pregnancy and childbirth were the number one killer of girls aged between 15 and 19 worldwide.