Category: MIL-OSI

Source: The Conversation – Africa – By Kirsten A Donald, Professor of Paediatric Neurology and Development, University of Cape Town

Children in many countries are growing up surrounded by violence. It may happen at home, in their neighbourhoods, or both. Some children are directly harmed, while others witness violence between caregivers or in their communities. Either way, the impact can be profound.

Evidence shows that the relationship between violence exposure and poor mental health can be seen even before a child is old enough to go to school. Researchers are learning that early adversities can have lifelong consequences.

We are researchers in paediatric neuroscience and psychology who set out to understand how early experiences of violence are shaping young children’s cognitive and emotional health in low- and middle-income countries. Here we discuss our findings from a review of studies from 20 countries and new data from a large cohort of children in South Africa.

We found that violence exposure is extremely common in all the countries we looked at and that its effects on mental health are already visible in childhood.

The response will require action at all levels – families, communities, health systems and governments.

Gaps in the research

Early childhood (birth to 8 years) is a critical period for emotional, social and cognitive development. Mental health or cognitive difficulties that begin in the preschool years can shape children’s relationships, learning and wellbeing well into adolescence and adulthood. Yet, little is known about how violence affects children in the early years in low – and middle-income countries, where violence rates can be high. Most research focuses on school-age children or adolescents, missing the window when prevention may be most effective, in early childhood.

We aimed to fill that gap by collating existing knowledge and generating new evidence from South African children. This formed the basis of co-author Lucinda’s PhD thesis.

First, we reviewed 17 published studies from 20 low- and middle-income countries, examining how violence exposure affects children’s cognitive functioning. Second, we used data from almost 1,000 children in the Drakenstein Child Health Study, a long-running birth cohort in a peri-urban community outside Cape Town. We examined these children’s exposure to different types of violence by age four-and-a-half and assessed their mental health at age five.

What we found

Sadly, our findings revealed that violence exposure is extremely common.

The review found that over 70% of the studies drawing from 27,643 children from 20 countries, aged up to 11, across four continents, reported poor cognitive outcomes associated with experiencing maltreatment, intimate partner violence and war.

In our South African cohort, by age 4.5 years, 83% of children were exposed to some form of violence. This included witnessing community violence (74%), witnessing domestic violence (32%), and being direct victims in the community (13%) or at home (31%). Nearly half (45%) experienced more than one type of violence.

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Read more: Why South Africa’s children are vulnerable to violence and injuries

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In many countries, early exposure to violence is not exceptional. It is a normal part of growing up for many children.

Regarding how violence affects mental health in early childhood, the South African data showed that preschool children exposed to more violence displayed more internalising symptoms, such as anxiety, fear, or sadness, and externalising symptoms, such as aggression, hyperactivity, and rule-breaking. Experiencing violence at home and witnessing violence in the community were particularly linked with these difficulties.

One of the clearest findings was that multiple exposures compounded the risk. Children who experienced both domestic and community violence were at particularly high risk of mental health difficulties, especially experiencing externalising symptoms.

Public health challenge

These results highlight a major public health challenge, which starts early. These patterns appear before school entry, suggesting that violence exposure can alter developmental pathways well before formal education begins.

Since the risks from mental health difficulties linked to violence were visible by age five, waiting to intervene until school-age misses a crucial opportunity.

Impacts to wellbeing in early childhood can cause some children to internalise distress and others to act out, but both can disrupt learning, relationships and future mental health.

It is a stark reality that in some communities, most children are affected by violence. Individual therapy alone cannot fix a problem this widespread. It is a population-level issue. Broader community and policy responses are needed, such as the INSPIRE strategies developed by the World Health Organization.

Where to from here

The reality is grim and calls for quick and informed action at all levels: families, communities, health systems, and governments. A successful response will include:

1. Early identification: Health and community services should routinely ask about violence exposure, including witnessing violence, during early childhood visits.

2. Support for families: Interventions that reduce domestic violence, strengthen parenting skills, and provide mental health and social support can protect both children and adults.

3. Addressing community violence: Safer neighbourhoods, violence prevention efforts and policing reforms should be implemented and also clearly linked with child mental health strategies in policy wording.

4. Policy that prioritises early childhood: Governments and NGOs should embed early violence prevention and child mental health promotion into national health and education strategies.

5. Monitoring and revising strategies: Improving data collection and data quality will help track progress and inform improvements to further interventions.

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Read more: Violence against children carries a huge cost for Africa: governments need to act urgently

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Violence exposure in early childhood is widespread in low- and middle-income countries and has clear impacts on young children’s mental health. These effects emerge early, grow with multiple exposures, and require early intervention at every level. Protection and support are essential to build healthier and safer communities for the future.

There is hope as some organisations in South Africa are working to prevent violence against women and children, and intervening for those affected.

– Violence is a normal part of life for many young children: study traces the mental health impacts
– https://theconversation.com/violence-is-a-normal-part-of-life-for-many-young-children-study-traces-the-mental-health-impacts-268512

Source: The Conversation – Africa – By Danny Bradlow, Professor/Senior Research Fellow, Centre for Advancement of Scholarship, University of Pretoria

The end of South Africa’s G20 presidency does not mean the end of its ability or responsibility to promote the issues it prioritised during 2025. It can still advocate for action on some of these issues through its further participation in the G20 and in other international and regional forums.

In this article, I argue that going forward South Africa should prioritise the financial challenges confronting Africa that it championed in 2025.

South Africa established four overarching priorities for its G20 presidency. Two of them dealt with finance. One sought to “ensure debt sustainability for low-income countries”. The other was to mobilise finance for a just energy transition.

The importance of debt, development finance and climate to Africa’s future is clear. Over half of African countries are either in debt distress or at risk of being in distress. More than half of Africa’s population live in countries that are spending more on servicing their debt than on health and/or education.

In addition, 17 African countries experienced net debt outflows in 2023. This means that they were using more foreign exchange to pay their external creditors than they received in new debts that could be used to finance their development. The continent is also experiencing extreme weather events that are adversely affecting food security and human wellbeing.

In short, African countries are caught in a vicious cycle. The impacts of climate and their struggle to meet their debt obligations are interacting in ways that undermine their ability to meet their sustainable development goals.

South Africa’s priorities

South Africa’s priorities for its G20 presidency were ambitious. Success required meaningful action at three levels:

Awareness. South Africa would need to bring the international community to a better understanding of the nature of the debt and development finance challenges confronting African countries and of the consequences of failing to address them.

Process. South Africa would need to convince the G20 to correct the shortcomings in the Common Framework it had devised to deal with low-income countries seeking debt relief.

The examples of Zambia and Ghana showed that the Common Framework was cumbersome, slow and unduly favourable to creditors. For example the framework requires the debtor to engage separately with each group of its creditors in a sequential process. This means that it should not negotiate with its commercial creditors until it has successfully negotiated with its official creditors.

Commercial creditors can’t give debt relief until the official creditors are satisfied with their deal and are confident that the commercial creditors will not receive more favourable treatment from the debtor than they have received.

Another complication is the IMF’s multiple roles in debt restructurings as an advisor to and a creditor of the debtor countries. In addition, it does the debt sustainability analysis that determines the amount of debt relief that all other creditors are expected to provide to the debtor country in order for it to regain debt sustainability. The more optimistic its assessment, the smaller the contributions the various creditors, including the IMF, are expected to provide. These contributions can either be in the form of new funding or new debt terms.

Substance. The current debt restructuring process treats debt as a technical financial and legal problem rather than as the complex multifaceted problem that is experienced by debtor countries. The former perspective limits the scope of debtor-creditor negotiations to the terms of the financial contracts.

The negotiations focus on the adjustments that must be made to these terms because the debtor cannot comply with its originally accepted obligations. They treat as largely outside the scope of the discussions the adverse impact the debt situation has on the sovereign debtor’s other legal obligations and on the social, political, environmental and cultural situation in the debtor country.

This approach in effect leaves the debtor to deal with these other issues on its own. This artificial distinction between the debtors’ other legal obligations and those it owes to its creditors makes it very difficult for the debtor to escape the vicious debt, development and climate cycle in which it is trapped. It forces it to choose between its commitments to its creditors and its development obligations.

Over the course of 2025, South Africa has been very effective in raising awareness of the African debt crisis and its dire impact on African countries. South Africa persuaded the G20 finance ministers and central bank governors to issue a declaration on debt sustainability at the end of their October meeting.

The declaration is the G20’s eloquent acknowledgement of the problem and of the need for more discussion of how these debt issues are managed by both debtors and creditors. Unfortunately, it does not contain any firm G20 commitments on what it will do to remedy the situation.

There has not been substantial progress at the process and substance levels. This is unlikely to change in the remaining weeks of South Africa’s G20 presidency.

But there are three actions that South Africa can take beyond the end of its term to ensure that the African debt crisis continues receiving attention.

Three actions

First, it should ask a group like the African Expert Panel that it established to advise the president to prepare a technical report that identifies and analyses all the barriers to Africa accessing affordable, sustainable and predictable flows of external development finance.

This report should be submitted to the South African president in the first half of 2026. Next year, South Africa will still be a member of the G20 Troika, which consists of the current, immediate past and the incoming G20 presidents. Consequently, next year, it will still be able to table the report at the G20. South Africa can also use the report to promote action in other appropriate regional and global forums.

Second, South Africa and the African Union should create an African Borrower’s Club that is independent of the G20. This club should be a forum in which African sovereign debtors can share information and lessons learned about negotiating sovereign debt transactions and about responsible debt management. When appropriate, the club can work with regional African financial institutions.

The club, working with regional organisations like the African Legal Support Facility, can also sponsor workshops in which interested African sovereign debtors can share information and more critically assess their financing options. They can also work to improve their bargaining capacity in sovereign debt transactions.

The African Borrower’s Club should also be mandated to establish an African Sovereign Debt Roundtable that is modelled on the Global Sovereign Debt Roundtable. This entity should be an informal forum, based on the Chatham House Rule in which the various categories of stakeholders in African debt can meet to discuss the design of a sovereign debt restructuring process that is effective, efficient and fair and that adopts an holistic approach to a sovereign debt crisis.

Third, South Africa should capitalise on the fact that the impacts of climate, inequality, unemployment and poverty on Africa’s development prospects are now acknowledged to be macro-critical, and so within the IMF’s macro-economic and financial mandate. South Africa should call for a review of the IMF’s operating principles and practices and its governance arrangements.

This call should note that the multilateral development banks have been the object of G20 review for a number of years and that this has resulted in important enhancements in their capital frameworks and operating practices. On the other hand the IMF has not been subject to a similar review despite the fact that its operations have had to undergo possibility even more extensive revisions.

– Africa has a debt crisis: momentum from G20 in South Africa can help find solutions
– https://theconversation.com/africa-has-a-debt-crisis-momentum-from-g20-in-south-africa-can-help-find-solutions-269004