Thursday, 29 February 2024

The impact of neo-liberalism on Uganda’s children: Govt officials swindle millions in child adoption: Children deaths to cancer on rise, Mulago doctors say

 

Govt officials swindle millions in child adoption

https://observer.ug/index.php/news/headlines/80680-govt-officials-swindle-millions-in-child-adoption   

Written by GEOFREY SERUGO

 

Corruption and delayed investigations are impeding the adoption process for children from Ugandan children’s homes, according to concerns uncovered by The Observer. Presently, Uganda hosts 109 children’s homes across the country, with a significant concentration in the Central region.

These homes must obtain approval from the minister of Gender, specifically the official responsible for children’s welfare and protection, before operation. Despite an estimated 3.5 million abandoned and impoverished children in Uganda, only 9,700 reside in approved homes.

 

The nation has also recently witnessed a surge in street children, reflecting underlying issues such as extreme poverty, corruption and conflicts. A prevalent practice among prominent children’s homes involves releasing children for adoption to willing individuals. However, corruption, delayed investigations, and report production hinder the adoption process, as reported by foster parents.

Many have encountered challenges within the ministry of Gender, Labour and Social Development. The adoption process in Uganda involves two categories: national and foreign-based. National adoptions follow procedures before the Magistrate’s court, while foreign cases are handled by the High court.

ADOPTION PROCESS

The process of adoption in Uganda commences with fostering, a crucial step governed by clear legal provisions. According to the law, the adoption of a Ugandan child by a non-Ugandan individual must occur under exceptional circumstances. This stipulation implies that adoption is not an automatic process; instead, it is subject to stringent criteria set forth by the courts of law to curb child trafficking.

One such criterion necessitates that the prospective adopter must have resided in Uganda for a minimum of 12 months. This residency requirement underscores the importance of familiarity with the Ugandan culture, encompassing its customs, practices, and all facets relevant to caring for a child.

 

Moreover, the aspiring adopter must engage in fostering the child for a duration of 12 months, during which time supervision by a probation officer is mandatory. This supervision serves to ensure the well-being of the child and assess the prospective adopter’s suitability for parenthood.

Subsequently, the probation officer presents the prospective adopter to an alternative care panel for evaluation of eligibility. Should the panel deem the individual suitable, a recommendation is forwarded to the courts of law for further consideration. Following the recommendation, there is a mandatory waiting period  of one month before the applicant appears before the Family division of the High court.

 

This interlude allows the panel to review its proceedings and reaffirm its decision, thereby upholding principles of transparency and accountability. Upon presentation before the court, the matter is deliberated and adjudicated upon, with the duration of this process remaining undisclosed. If the court is satisfied with the applicant’s intentions and qualifications, the adoption is granted, thereby culminating in the realization of the adopter’s aspirations.

PROSPECTIVE ADOPTIVE PARENTS COMPLAIN

In 2019, a Ugandan couple in the diaspora expressed interest in adopting a girl child from one of Uganda’s orphanages. They embarked on the adoption journey in 2020 from a renowned children’s home in Uganda, facilitated by their sister’s connections within the institution. Their efforts faced obstacles early on when they discovered Uganda lacked an adoption license with their country of residence, necessitating their intervention to pick up the process and deliver it themselves.

Upon identification of a one-year-old malnourished child, they sought a police medical report, for which they paid a fee of Shs 400,000 to an officer who later vanished. Another officer had to be engaged to obtain the report. From 2021 to 2023, the couple encountered further challenges, with a probation officer allegedly extorting close to Shs 6 million under the guise of expediting the process.

This officer eventually left for a more lucrative position, leaving the adoption process in limbo. Subsequently, their lawyer identified another probation officer in 2023, who demanded $5,500 (about Shs 20 million), prompting the couple’s personal intervention by flying into the country to oversee proceedings.

Despite assurances from Shafiq Butanda, the principal probation officer at the ministry of Gender, Labour and Social Development, the adoption process remained stagnant. Frustrated by the lack of progress and apparent demands for additional payments, the couple refused to comply, realizing they had been exploited previously.

The delays in the process meant the girl they sought to adopt, aged two at the outset, had now reached the age of five. The prospective adoptive parent expressed sadness at the child’s prolonged stay in the orphanage and criticized the apparent lack of care for such children.

She highlighted the disparities in adoption processes, noting the ease for Ugandans compared to foreigners, who often face more obstacles. Despite the challenges, the couple remained committed to the adoption process, because after years of association, they had become very attached to the child they were trying to adopt.

In a similar case, another Ugandan-based couple was frustrated by the line ministry at every turn of their adoption process, until they appealed to a higher power than the probation officer.

“We had followed all the procedures and they even gave us the child for fostering, which we did perfectly,” the mother, who requested anonymity to protect her adoptive child, said.

“When we finished fostering, the probation officer asked for Shs 3m to write a favourable report for us, or else she would fail us!”

The couple only concluded the stalled process after a powerful person in government made a call to the ministry.

USA SANCTIONS JUDGE, ATTORNEYS

In August 2020, the United States of America imposed sanctions on two Ugandan judges and two attorneys for their involvement in bribery associated with an adoption scam within the country.

 

US Secretary of State Michael Pompeo announced that financial sanctions and visa restrictions were levied against High court judges Moses Mukiibi and Wilson Masalu Musene, as well as Ugandan lawyers Dorah Mirembe and Patrick Ecobu, for their alleged complicity in a corrupt adoption scheme that victimized children.

Pompeo asserted that Mirembe and Ecobu facilitated bribes to Ugandan judges and other government officials to unlawfully secure adoption cases. As a consequence of the sanctions, the individuals targeted, along with their family members, are barred from entering the USA.

Meanwhile, another couple engaged in the adoption process from one of Uganda’s children’s homes expressed frustration, noting that three years have elapsed with no progress. They highlighted the challenges of navigating the legal system in Uganda, emphasizing the need for constant oversight of lawyers to ensure progress.

The couple lamented instances where fees were paid for legal services that were not rendered, resulting in financial losses. Despite the setbacks, they acknowledged that with sufficient resources and dedication, the adoption process in Uganda could proceed expeditiously. However, they underscored the importance of vigilance and advocacy to overcome obstacles and achieve their goal of adoption.

CHILDREN’S HOMES NOT SPARED

Speaking to The Observer, a source who declined to be named, said probation officers have turned the adoption process into a money-making business to the extent that they delay the process until you pay them.

Whichever office you go to, you have to pay money, yet you have children to look after. The probation officers are corrupt, and when you complain, you become their enemy.

“The process is so stressful. You facilitate every process. When a child is abandoned, the children’s home owner has to advertise the child until it is confirmed that there is no one claiming ownership of the child. You also have to go back to the village where the child was picked, with details of the child and pictures, and all that requires money,” she said.

“When it comes to the process of adoption, you have to carry out your investigation, and in that, you have to pay the local council for the letter, facilitate police officers, and facilitate the production of the medical report about the child; so, it is a long process and it requires money,” she said.

MANY CHILDREN IN UNAPPROVED HOMES

Butanda said the ministry has started the process of identifying and closing unregistered homes.

“We have identified 105 children’s homes operating illegally in the country, and the majority of them are in Wakiso, Kampala, Mukono and Jinja.
“We have support from development partners to prepare these districts to close these unapproved homes, and we are in advanced stages. We have trained the leadership, both political and technical, to enable them to have the necessary skills to ensure that we close these facilities,” he said.

He added, “We have had meet- ings with the directors of some of these unapproved child homes, and in March, we shall assess them and see the numbers of children in these facilities. On closure, we shall send some children to foster parents, trace them, and reintegrate some of them with their relatives, while those who have nowhere to go will be placed in the homes around them.”

CORRUPTION TENDENCIES

According to Butanda, the government is supposed to meet all the facilitation costs for probation officers. However, probation officers sit at the district level, where resources are limited. The probation officer, like any other human being, can now think of asking the applicant whether they can be supported to do their work, and between supporting and facilitation, that is where corruption comes in.

“If maybe someone needs Shs 500,000 to do that process, he might end up asking for Shs 3 million. As a person, I think if an applicant is willing to facilitate, it is okay. But if it is about buying a service, I don’t support it. If that person has evidence against someone, he can report the matter to the anti-corruption agency, the police to investigate, and others,” he said.

He said if you give a government officer Shs 6 million and you sit somewhere and you don’t even follow up, that is an injustice to yourself and the child. Someone who goes to an unapproved home and decides to start a process of fostering and adoption is operating with an illegal entity.

MINISTER OF GENDER SPEAKS OUT

Interviewed for this story, Nyirabashitsi Sarah Mateke, the minister of state for Youth and Children Affairs in the ministry of Gender, Labour and Social Development, said, “There must be a problem somewhere; those complaining should walk into my office for help because the department is dedicated to that”.

“The process of adopting a child is a bit long, which includes going to the field to establish the details about the child, a panel that looks into the gathered information, and then presenting the report to the Family court, which decides on that matter. We said Family court, not any other court, because we had some challenges some time back,” she added.

“We investigated a case some time back where they said the child’s parents died, yet they are alive and well-off. They had cows and a banana plantation; so, they lied to the probation officer, and therefore we don’t rush; there may be something hindering the process,” she said.

She said in November 2023, the ministry started closing unregistered orphanages in the country.

“We started in the Central region, which had so many unregistered homes and orphanages, and we shall soon move out to other parts of the country,” she said.

 

  Children cut cake to celebrate completion of treatment at the Mulago Children with Cancer Unit

Children deaths to cancer on rise, Mulago doctors say

https://observer.ug/index.php/news/headlines/80678-children-deaths-to-cancer-on-rise-mulago-doctors-say 

Written by JOSEPHINE NAMULOKI

 

Two physicians affiliated with the Children with Cancer Unit at Mulago hospital report a concerning trend: an increase in cancer cases among children, resulting in a staggering annual mortality rate of approximately 70 per cent.

Dr Anne Akullo, a pediatric hematologist and Associate director of Clinical Operations at the Global Hope programme, identifies late diagnosis and treatment discontinuation as key factors contributing to the dismal survival rates observed in pediatric cancer patients. The Global Hope programme is a worldwide initiative aimed at combating cancer among minors.

“In Uganda, there’s a prevailing belief that children are not susceptible to cancer; it’s seen as an ailment of adulthood. However, the reality is stark: approximately 7,000 children currently live with cancer, and each year, more than 1,000 children are diagnosed with the disease across all treatment centers in Uganda,” stated Dr Akullo during the International Childhood Cancer day at the Bless a Child Foundation in Makerere-Kikoni and the Mulago Children with Cancer Unit last week.

“Even the 7,000 diagnosed cases represent only about 10 per cent of those who should have been identified. Sadly, many succumb to the illness before reaching the hospital,” Dr. Akullo added.

Her colleague, Dr Annet Nakirulu, emphasized that the primary obstacle in combating childhood cancer is the lack of awareness among healthcare workers, parents and children.

“Some health workers and parents attribute cancers to witchcraft, while others are unaware due to various myths and misconceptions. Without an understanding of childhood cancer, parents may not recognize the symptoms, preventing timely diagnosis and treatment,” Dr Nakirulu explained.

“This lack of awareness often results in either no diagnosis or misdiagnosis. When diagnosed late, the chances of survival diminish significantly. Therefore, increasing awareness is crucial,” Nakirulu emphasized.

Both doctors noted that they have initiated community outreach programs to educate people about childhood cancers.

“If a child in the community exhibits symptoms related to cancer, such as swelling, but the community is unaware of the connection, they may seek healthcare in vain, leading to tragic outcomes,” Dr Akullo noted.

While the exact cause of childhood cancers remains unclear, risk factors such as infections, HIV, and hepatitis B, which compromise children’s immune systems, have been identified by specialists. Hepatitis B is linked to liver cancer, among other conditions.

According to the specialists, common symptoms such as unusual swellings, unexplained pain, persistent headaches, headaches accompanied by vomiting or convulsions, changes in handwriting or academic performance, may indicate an underlying health issue, possibly in the brain.

“When cancer has progressed extensively, it can affect any part of the body. It’s crucial to maintain a high level of suspicion. Childhood cancer is sometimes diagnosed late due to atypical symptoms,” Dr Akullo explained.

“Instead of resorting to attributing symptoms to witchcraft, it’s important to seek logical explanations for unexplained conditions,” she added.

The doctors emphasized that childhood cancer is treatable, with an 80 per cent survival rate in high-income countries. “Early diagnosis, appropriate treatment, and continuous care can make this achievable,” Dr. Nakirulu noted.

They highlighted February and September as months dedicated to raising awareness about childhood cancer, with this year’s theme being ‘closing the gap.’

The specialists stressed that community involvement is essential in bridging this gap, urging recognition, participation, destigmatization, and support for children with cancer.

Uganda currently has four cancer treatment facilities, including the 5th floor of the new Mulago Hospital, the Uganda Cancer Institute, Lacor Hospital in Gulu, and Mbarara regional referral hospital.

Mulago hospital houses the Early Childhood Pediatric Hematology and Oncology Unit, which provides inpatient and outpatient care for pediatric blood and cancer disorders, with a capacity of 48 beds.

Bless a Child Foundation aims to address challenges faced by children with cancer during treatment. Brian Walusimbi, the founder, emphasized that geographical location should not determine the quality of a child’s treatment or chances of survival. The foundation provides palliative care, accommodation, meals, transportation, and other forms of support to children whose parents are unable to regularly transport them for treatment.