… to be the only legitimate religion of the Roman Empire. In … we rule shall practice that religion that Peter the Apostle transmitted … condemned Apollonarian and Macedonian heresies.
RELIGION CALENDAR
March 17: St. Patrick …
RELIGION BULLETIN
Jews in Iran freely observe their religion, communal leader says
Contrary to a commonly held belief, Jews living in Iran find it easier to practice their religion today than they did prior to the Islamic Revolution of 1979, according to a longtime leader of the Jewish community in Tehran.
Speaking live via Zoom on Sunday — Shushan Purim — from the land of Queen Esther and the Megillah, Arash Abaie, a civil engineer and prominent Jewish educator, cantor, Torah reader and scholar, explained why he believes Jews living in the country have intensified their religious observance over the past four decades.
Abaie said the Islamic Republic, with its deep commitment to religious law, interacts best with citizens, including Christians and Jews, who are themselves observant. He said Muslims respect Jews who pray regularly, fast, abstain from certain foods and believe in the Messiah.
“They look for commonalities” with Islam, he said, “and this leads to peaceful existence.”
The rare interview, conducted by Rabbi Jacob J. Schacter, was sponsored by Yeshiva University’s Center for the Jewish Future, where Schacter is senior scholar. He is also university professor of Jewish history and thought at Y.U.
The rabbi explained at the outset that he met Abaie at an international conference 18 years ago in Sweden sponsored by the U.S.-based Memorial Foundation for Jewish Culture. Schacter was impressed with Abaie’s deep knowledge of Jewish texts, saying that “in a class I was giving on Talmud, his knowledge of even the most obscure references I made was outstanding.”
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This led to conversations between the two men during the conference and to their staying in touch over the years.
The 50-minute program on Sunday focused on what Jewish life is like today in the former Persia. The unspoken context for the discussion was that the largest Jewish community in the Muslim world is able to live in peace as long as its members steer clear of political involvement or showing support for Israel.
Shortly after the ’79 revolution, several Iranian Jews were accused of spying for Israel and executed. In an effort to stabilize relations with the Jewish community, the supreme leader of Iran, Ayatollah Khomeini, proclaimed: “We recognize our Jews as separate from those godless Zionists.” Nevertheless, 30,000 Jews left within months of the revolution.
Khomeini’s statement has not been forgotten, and Iran’s Jewish population has largely managed to navigate the complexities of a situation that allows them official minority status, a permanent seat in parliament and freedom to practice their religion in return for eschewing Zionism.
Abaie noted that historically, Jews were protected in Persia, though they were treated as inferior to the Muslim majority. He described a kind of uneasy peace, but acknowledged that over the centuries there were “periods of conflict.”
He did not elaborate on any current tensions, though Iran considers Israel its enemy.
Abaie explained that observant Jews are respected in the Muslim society as the People of the Book. (The Jewish and Christian Bibles are considered holy books and are part of Islam’s doctrine of progressive revelation; the narratives of Moses and Jesus lead to the story of Muhammad, the ultimate divine prophet, according to the Quran.)
Like nearly all the remaining Jews in the country, Abaie was born in Iran, as were his parents, grandparents and ancestors going back to “the time of Mordechai and Esther.”
Iranian Jews believe that the remains of the heroes of the Purim story rest side by side in a small, immaculately maintained prayer site in Hamadan, about a six-hour drive from Tehran. Declared a World Heritage Site by the Iranian government in 2008, the tombs are visited each year at Purim by many Jews.
Due to COVID, the site is closed temporarily.
According to Abaie, about 10,000 Jews live in Iran today, down from 100,000 before the revolution. It is believed that most are either too poor to consider leaving or believe they would be less financially secure if they left the country.
Abaie, who edited a Persian-Hebrew dictionary and puts out a weekly Torah portion flyer in the synagogue, spoke with pride of how the members of the Jewish community are permitted to maintain an active and robust religious life, with synagogues, youth organizations, kosher facilities and four Jewish schools.
In addition, Jewish students who attend public school are required by the government to spend two to four hours a week on religious studies administered by the Jewish community.
Following the interview, Schacter told The Jewish Week that he was grateful for “the extraordinary opportunity to hear Arash describe firsthand how, though the Jewish community is shrinking, its religious life seems quite robust.”
There were a few anxious moments during the live broadcast when, just after being introduced to the audience, Abaie disappeared from the screen. But he was soon back, indicating that the problem was only technical.
EU Threatens Retaliations, Tariffs in Northern Ireland Dispute with Britain
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On Thursday, EU officials threatened to impose trade … minister, told reporters the EU would have no option … of the dispute, the European Parliament this week announced it … , speaks to journalists at European Union headquarters in Brussels, April …
Dr. Seuss books shoot to the top of Amazon’s bestseller list
Books by Dr. Seuss have flooded Amazon’s U.S. bestseller list after it was announced that six of the author’s publications were being pulled over racist imagery.
“The Cat in the Hat” is currently the bestselling book on Amazon’s U.S. store, closely followed by “One Fish Two Fish Red Fish Blue Fish” and “Green Eggs and Ham,” along with several other titles by the late Theodor Seuss Geisel. In total, 15 Dr. Seuss publications were in Amazon’s top 20 list on Friday morning.
“Green Eggs and Ham” and “The Cat in the Hat” also appeared in Amazon Canada’s top 10 bestselling books list.
This comes after Dr. Seuss Enterprises, the business running the late author’s estate, said Tuesday it made the decision last year to cease publication and licensing of six of his books: ″And to Think That I Saw It on Mulberry Street,” “If I Ran the Zoo,” “McElligot’s Pool,” “On Beyond Zebra!,” “Scrambled Eggs Super!” and “The Cat’s Quizzer.”
“These books portray people in ways that are hurtful and wrong,” Dr. Seuss Enterprises said in the statement, with some of the author’s books having faced criticism in recent years over racist imagery.
The announcement came on Read Across America Day on Tuesday, which would have been Geisel’s 117th birthday and has been associated with the author.
President Joe Biden left any mention of Dr. Seuss out of his Read Across America Day proclamation on Monday. Former Presidents Donald Trump and Barack Obama mentioned Dr. Seuss in their previous speeches.
After rumors of a ban on Dr. Seuss books, the school district of Loudoun County, Virginia, issued a statement last weekend to clarify that it hadn’t done so but had provided “guidance to schools during the past couple of years to not connect Read Across America Day exclusively with Dr. Seuss’ birthday.”
“Research in recent years has revealed strong racial undertones in many books written/illustrated by Dr. Seuss,” the statement said.
Pope Francis in Iraq for ‘difficult journey’ to bolster Christians and peace
Pope Francis has arrived in Iraq “for the most difficult and most important journey of his pontificate” according to Vatican News as he seeks to strengthen severely emasculated Christian, while preaching a reonciliatory message in the overwhelmingly Muslim country.
In one of his first messages the Pope met with bishops, clergy and religious in the Cathedral of Our Lady of Salvation in Baghdad.
There he stressed the importance of sowing seeds of reconciliation and fraternal coexistence that can lead to a rebirth of hope for everyone.
In that cathedral a little more than a decade ago, attackers in suicide vests attacked poeple in the church with grenades and bullets.
At least 58 people were killed in the assault, which was carried out by an affiliate of the Al Qaeda which commits acts of terrorism in the name of Islam.
“What must never be locked down or reduced, however, is our apostolic zeal, drawn in your case from ancient roots, from the unbroken presence of the Church in these lands since earliest times,” said Francis.
EXTREME PRICE
“Let us remember our brothers and sisters who have paid the extreme price for their fidelity to the Lord. May their sacrifice inspire us to renew our trust in the strength of the Cross and its saving message of forgiveness, reconciliation and rebirth.
“Only if we succeed in regarding each other, with our differences, as members of the same human family, can we begin an effective process of reconstruction and leave a better, more just and more human world to the future generations.”
Once a rich tapestry of faiths, Iraq has been hollowed out as orthodoxies hardened. Its Jews are almost completely gone, and its Christian community grows smaller every year.
“About one million have fled since the 2003 United States-led invasion. An estimated 500,000 remain,” The New York Times reported.
The Pope’s arrival in Iraq for his historic weekend visit carries both symbolism and risk as he imparts a message of inter-faith tolerance, Sky News reported.
“I am happy to start trips again and this is a symbolic trip. It’s a duty,” the Pope told journalists traveling with him on the papal plane, CNN reported. “It has been a martyred land for too long.
Pope Francis and his entourage have all been vaccinated against COVID-19.
On the agenda: Expressing his closeness to Christians, support for the reconstruction of a nation devastated by war and terrorism, and reaching out to Muslims.
“Iraqi Christians had been waiting for the Pope for 20 years. It was in 1999 when St. John Paul II planned a short but significant pilgrimage to Ur of the Chaldees, the first stage of the Jubilee journey to the places of salvation.
ABRHAM THE COMMON FATHER
“He wanted to start with Abraham, the common father recognized by Jews, Christians and Muslims.”
Francis is the first head of the Roman Catholic Church to visit Iraq. Brushing aside coronavirus concerns, he sought to rally the country’s fading Christian community, calling for the protection of minorities, The New York Times reported.
The pontiff will spend four days in Iraq in what is his first foreign trip in more than a year and the first-ever papal pilgrimage to the war-hit nation.
Francis wore a facemask during the flight and took it off before descending the stairs to the tarmac and was greeted by two masked children in traditional dress, according to Sky News.
After descending along a red carpet at Baghdad International Airport the Pope was greeted by prime minister Mustafa al-Kadhimi while a largely unmasked choir sang songs.
“I come as a pilgrim of peace,” Francis said.
Francis’s four-day visit is his first international trip since the start of the pandemic and marks a return to his “globe-trotting diplomacy” — especially to minority-Christian countries — that had been his hallmark, The Washington Post reported.
Some have questioned why he is choosing to make the trip now, given the multitude of threats.
Militias are competing for power and launching rocket attacks. Althought beaten, the Islamic State is not fully eliminated. And COVID-19 cases have leapt over the past month, triggering the imposition of a curfew and other restrictions, including on religious gatherings by the Iraq government.
“But in choosing to travel in the face of the risks, to a country known foremost for its war scars and suffering, Francis has reassembled some of the ingredients that years earlier made his papacy feel so novel,” the Washington Post commented.
“He is traveling at a time when other global figures are staying put, aiming to play a hand in the reconstruction of a country where decades of efforts have failed. His trip amounts to a show of encouragement for a nation trying to recover from the chaos of a U.S.-led invasion and the brutality of the Islamic State, a group that once vowed to ‘conquer Rome.'”
Pope Francis Recalls Iraqi Martyrs, Saying Violence Incompatible With Religion
By Inés San Martín
BAGHDAD, Iraq (Crux) — Flanked by the pictures of 48 Iraqi martyrs, Pope Francis defined them as a reminder that inciting war and violence is incompatible with authentic religious teaching.
The deaths of those martyred in the Syro-Catholic Cathedral of Our Lady of Salvation on Oct. 31, 2010, the pope said during a meeting with the bishops, religious, and catechists in Baghdad on Friday, “are a powerful reminder that inciting war, hateful attitudes, violence or the shedding of blood are incompatible with authentic religious teachings.”
Cardinal Louis Sako, head of the Chaldean Catholic Church, urged the pope to hurry their sainthood cause, meaning to publicly acknowledge that the 48 Catholics murdered by five terrorists during Mass were killed in odium fidei — in hatred of their faith.
Two of those murdered were young priests, along with several children and a pregnant woman.
“Regardless of what has happened to us and our pain, we have persevered in the faith, our spiritual serenity, and our fraternal solidarity, with all the churches doing a great job in being close to those wounded, to help them and ease their pain,” Cardinal Sako said.
Pope Francis also said he wanted to remember all the victims of violence and persecution, regardless of the religious group to which they belong, which he will do on Saturday when he heads to the city of Ur, the birthplace of Abraham, father of believers. There, the pope will meet with the leaders of the religious traditions present in Iraq, to proclaim “our conviction that religion must serve the cause of peace and unity among all God’s children.”
“This evening I want to thank you for your efforts to be peacemakers, within your communities and with believers of other religious traditions, sowing seeds of reconciliation and fraternal coexistence that can lead to a rebirth of hope for everyone,” the pope said.
The 2010 attack lasted over four hours until the police raided the church. At this point, the terrorists blew themselves up. They were never officially identified.
Fathers Thaer Saadulla Abdal, 32, and Waseem Sabih Kas Boutros, 27, had been ordained in 2006 and 2007, respectively, in the same cathedral where they were martyred.
Behind the altar on top of an image of the Virgin with Jesus was a picture of the martyrs, around a red cross, signifying the blood they shed. On the roof and the floor, squares of metal and granite mark the places where their bodies were found.
At a diocesan level in Baghdad, the cause for their martyrdom was closed in 2019 when it was sent to Rome. During his flight from Italy to Iraq on Friday, the pope received a book compiling the story of the martyrs.
The cathedral, Pope Francis said, is “hallowed by the blood of our brothers and sisters who here paid the ultimate price of their fidelity to the Lord and his Church.”
“May the memory of their sacrifice inspire us to renew our own trust in the power of the cross and its saving message of forgiveness, reconciliation, and rebirth,” he said. “For Christians are called to bear witness to the love of Christ in every time and place.”
The pontiff was welcomed into a semi-filled church to guarantee social distancing, but the ululating of the women who were present gave the sense that the cathedral was packed. Before going in, he spent several minutes greeting disabled people at the door.
Hardships, he said, are part of the daily experience of the Iraqi faithful, noting that in recent years they have had to deal with the effects of war and persecution, as well as the fragility of basic infrastructures and economic struggle “that has frequently led to internal displacements and the migration of many people, including Christians, to other parts of the world.”
Pope Francis also invited those present not to be “infected by the virus of discouragement,” that can spread “all around us,” because God has given the faithful an “effective vaccine” against it: the hope born of persevering prayer and fidelity to the apostolates.
“With this vaccine, we can go forth with renewed strength, to share the joy of the Gospel as missionary disciples and living signs of the presence of God’s kingdom of holiness, justice, and peace,” he said.
Addressing bishops, he called on them to be close to their priests, so that they won’t see them as administrators or managers but “true fathers” worried for the welfare of the priests entrusted to their care, ready to offer support and to encourage them.
Talking to priests, women and men religious, catechists, and seminarians, he called on them to have courage and zeal in announcing the Gospel, without being consumed by the “administrative” element of their tasks, meaning, without spending all their time in meetings or behind a desk, to instead accompany the faithful.
“Be pastors, servants of the people, not civil servants,” he said.
Putting together the martyrdom cause of the 48 people killed in the terrorist attack took over nine months of research. The information on each varied, and there are two victims for whom the cause only has a name and their presence.
The fact that Baghdad lost two-thirds of its Catholic population in the past two decades, either because they were killed or forced to flee, made the investigation all the more complicated. Many of the family members of those killed, who are usually interviewed for a sainthood cause, are living as refugees and either not wanting or not being able to be identified.
The witnesses hail from all over: Lebanon, France, Canada, Australia, and also Baghdad. Most have since fled their country, one of the cradles of Christianity. Many of them said that the terrorists, when pulling the trigger or before activating the explosive belts they carried, shouted “Allahu Akbar,” which translates to “God is great.”
When he decided to open the martyrdom cause, Archbishop Yousif Abba, the Syriac Catholic Archbishop of Baghdad, had contemplated only pursuing the sainthood cause for the two priests, as the Church had the information on them. But in the end, they were all included because they all died for the same reason: They were at Mass.
All of those who lost their lives did so in the church. Many were seriously wounded and hospitalized but survived. An estimated 50 people hid in the sacristy with an elderly priest and the pregnant woman who had been mortally wounded before she reached the safety of the hiding place. A group of around 20 had found refuge in the baptistery. They too were saved.
In Iraq, Pope Francis Condemns ‘Murder, Exile, Terrorism, and Oppression’ in the Name of Religion
By Inés San Martín
BAGHDAD, Iraq (Crux) — During his first remarks in Iraq, Pope Francis said that the name of God can never be used “to justify acts of murder, exile, terrorism, and oppression” and that minorities cannot be treated as second class citizens.
“Religion, by its very nature, must be at the service of peace and fraternity,” the pontiff said while speaking to civil authorities and diplomats.
[Click here to read “Pope Francis’ Full Speech to the Authorities of Iraq” }
The pontiff noted that over the past several decades, Iraq had been affected by the scourge of terrorism and sectarian violence grounded in a “fundamentalism” incapable of accepting the “peaceful coexistence of different ethnic and religious groups, different ideas and cultures.”
This violence brought in its wake death, destruction, and ruin, and not only of material things, he argued: “The damage is so much deeper if we think of the heartbreak endured by so many individuals and communities, and wounds that will take years to heal.”
The number of those killed since the 2003 U.S.-led invasion of Iraq is virtually impossible to calculate. In addition to the thousands killed during the war, there are those killed in the jihadi violence afterward.
During ISIS’s 2013-2017 reign of terror, there were cases of Yazidi women put in cages, naked and burned alive in the public square by ISIS for refusing to submit to sexual demands, and Christians crucified and beheaded for refusing to convert to Islam.
Today, though arguably less grueling, the violence against minorities continues, perpetrated by militias, formed in many cases by former ISIS combatants, who are terrorizing civilians.
In his remarks, Pope Francis noted that God created all human beings equal in dignity and rights.
“In Iraq too, the Catholic Church desires to be a friend to all and, through interreligious dialogue, to cooperate constructively with other religions in serving the cause of peace,” he said, making a case for the place of Christianity in Iraq, saying that the age-old presence of Christians in the land of Abraham, and the contributions they have made to the life of the nation, constitute a rich heritage that they want to continue to put at the service of all.
“Their participation in public life, as citizens with full rights, freedoms, and responsibilities, will testify that a healthy pluralism of religious beliefs, ethnicities, and cultures can contribute to the nation’s prosperity and harmony,” the pope said.
The Argentine pontiff, who will be in Iraq until Monday, highlighted that his apostolic visit is taking place as the world tries to emerge from the COVID-19 pandemic, which has affected people’s health and contributed to making social and economic conditions all the more fragile and unstable.
The coronavirus crisis requires “concerted efforts,” including in the equitable distribution of COVID-19 vaccines. Yet, Pope Francis said, this by itself is not enough.
“This crisis is above all a summons to ‘rethink our styles of life… and the meaning of our existence,’ ” he said, quoting his encyclical Fratelli Tutti.
Speaking about the suffering endured by many in Iraq, the pontiff singled out the Yazidis as “innocent victims of senseless and brutal atrocities, persecuted and killed for their religion, and whose very identity and survival was put at risk.”
In a span of a few hours in August 2014, some 5,000 Yazidi men were brutally murdered by ISIS, and some 7,000 women and children were kidnapped. The whereabouts of close to 2,500 of them are still unknown.
More than half a million Yazidis were then forced to leave their homeland in the Sinjar region of Iraq.
The pope said the only way to begin an “effective process of rebuilding” and leave a better and more humane world to future generations is by looking beyond differences to instead see each other as members of the same human family.
“In this regard, the religious, cultural, and ethnic diversity that has been a hallmark of Iraqi society for millennia is a precious resource on which to draw, not an obstacle to be eliminated,” Pope Francis said. “Iraq today is called to show everyone, especially in the Middle East, that diversity, instead of giving rise to conflict, should lead to harmonious cooperation in the life of society.”
He applauded the efforts being made by authorities to grant all religious communities recognition, with their rights respected and lives protected.
Speaking about a society’s need to bear the imprint of fraternal unity to live in solidarity, the pontiff remembered all those who have lost family members and loved ones, as well as their homes or livelihood “due to violence, persecution or terrorism.”
“I think too of those who continue to struggle for security and the means of personal and economic survival at a time of growing unemployment and poverty,” he said.
The fact that “we are responsible for the fragility of others,” the pope added, should be an inspiration to create opportunities of progress, not only economically but also in terms of education and care for the environment.
“Following a crisis, it is not enough simply to rebuild; we need to rebuild well so that all can enjoy a dignified life,” he said, insisting “we never emerge from a crisis the same as we were; we emerge from it either better or worse.”
In a country that has seen thousands protest against endemic corruption in recent days, Pope Francis told politicians and diplomats that it’s not enough to simply combat the “scourge of corruption, misuse of power and disregard for law,” it is also necessary to promote justice and foster honesty, transparency and a strengthening of institutions.
The pontiff also noted that through the years, many had continuously prayed for Iraq, including St. John Paul II, who “spared no initiatives and above all offered his prayers and sufferings” for peace in this country.
God, he said, “always listens,” but it’s up to humanity to listen to him and walk his path.
“May the clash of arms be silenced!” Pope Francis urged. “May their spread be curbed, here and everywhere! May partisan interests cease, those outside interests uninterested in the local population. May the voice of builders and peacemakers find a hearing! The voice of the humble, the poor, the ordinary men and women who want to live, work and pray in peace.”
“May there be an end to acts of violence and extremism, factions and intolerance!”
He noted the international community also has a role in promoting peace both in Iraq and in the Middle East as a whole.
“As we have seen during the lengthy conflict in neighboring Syria — which began 10 years ago these very days — the challenges facing our world today engage the entire human family,” he said.
After addressing civil authorities, Pope Francis was set to encounter Iraq’s religious community before calling it a day. On Saturday, he’ll have two encounters aimed at fostering religious dialogue, and on Sunday, visit Kurdistan and the Nineveh Plain.
In his remarks, Iraq President Barham Salih said the people of the country “are proud of having protected churches from terrorist attacks” and noted that “Muslim soldiers carried crosses on their shoulders to liberate Christian churches” after the ISIS occupation.
The president said that if Christians disappear from the Middle East, it will have “disastrous consequences. The Middle East is unimaginable without its Christians.”
Salih called on an interreligious dialogue initiative involving the Vatican, the Shia Islam heartland of Najaf, and the Sunni Al-Azhar University in Egypt and other religious groups.
“Iraq deserves better,” the president said: It deserves a “future of collaboration.”
European Union warns China against Hong Kong election rules change
The European Union warned China on Friday that it may take “additional steps” in response to Beijing’s move to grant itself a veto over the selection of Hong Kong lawmakers.
<div class="paywall" readability="29.374870466321"> <p>Earlier Friday, China introduced legislation to allow the communist government to vet all election candidates in Hong Kong, the latest move to eliminate dissent and ensure a "patriotic" government in the city, which has had a degree of autonomy since reverting from British rule in 1997.</p> <p>"The EU calls on the authorities in Beijing to carefully consider the political and economic implications of any decision to reform the electoral system of Hong Kong that would undermine fundamental freedoms, political pluralism and democratic principles," an EU spokesperson said.</p> <p>Brussels has previously decided to limit exports of equipment that could be used for surveillance in Hong Kong and EU foreign ministers have discussed the possibility of broader sanctions if the situation worsens.</p> <p>"As agreed by EU foreign ministers, the EU stands ready to take additional steps in response to any further serious deterioration of political freedoms and human rights in Hong Kong, which would be against China's domestic and international obligations," the spokesperson said.</p> <p>"If enacted, such reform would have potentially far-reaching negative consequences for democratic principles and democratically elected-representatives in Hong Kong," the EU statement said.</p> <input type="hidden" id="iframecount" value="0"/> <div class="newslettersub_outsidesso_11614944897073" readability="6"> <div class="outsideSso clearfix" id="outsideSso_11614944897073" readability="8"> <p>Subscribe to <strong>Mint Newsletters</strong></p> <div class="inputSecArea clearfix" id="inputSec_11614944897073" readability="7"> <p><span>*</span> Enter a valid email</p> <p><span>*</span> Thank you for subscribing to our newsletter.</p> </div> </div> </div> </div>
Press briefing on plenary session on Monday, 8 March, at 15.30 | News | European Parliament
, https://www.europarl.europa.eu/news/en/press-room/20210304IPR99209/
WHO/Europe launches caregiver skills training in Kazakhstan
WHO/Europe launches caregiver skills training in Kazakhstan to support children with neurodevelopmental delays
Physical isolation has negatively affected the mental health of many people worldwide during the COVID-19 pandemic. For children with neurodevelopmental delays and disorders (NDD), as well as their parents who already lived in isolated circumstances, the pandemic has exacerbated their social exclusion and impacted their mental and physical well-being. The need to address the treatment access gap for children with NDD existed long before the pandemic, which let WHO develop a fully-fledged programme, which kicked off when it was needed most.
Training for parents
WHO developed the Caregiver Skills Training (CST) programme to empower parents of children with NDD and promote their children’s development. The training was created for parents and other primary caregivers, who usually have no specialized training to address their children’s special needs and promote their development.
Another goal in supporting parent caregivers is to help them build better mental health. Their caregiving responsibilities are often accompanied by stigma and social exclusion, and they can be highly dependent on social assistance because their caregiving responsibilities do not allow them to have a fulltime job. They are also more likely to use their savings on expensive therapy or equipment for their children. Parent caregivers are therefore more at risk from poor mental and physical health.
Hearing the concerns of parent caregivers
Upon adapting the programme to local contexts, WHO’s CST team, led by Medical Officer Chiara Servili, found that the parent caregivers can hold all kinds of beliefs to explain why their children have difficulties in their development. While some may believe that it is a lack of love from their side, others blame the involvement of dark magic.
Self-blame or not, Erica Salamone, a WHO CST programme team member, explained that it is important to address these beliefs. “I have provided guidance around how to elicit these kinds of beliefs and make sure that they are discussed. So that parents feel heard when they talk about these things. Then we can provide them with more factual information, which actually helps their children’s development,” said Erica.
About the CST programme
The CST programme has been adapted and tested in more than 30 countries worldwide, and on 15 February 2021, WHO/Europe and the Kazakh National Centre for Mental Health launched the programme in Kazakhstan. Erica is currently training a team of Kazakh master trainers, who then will work with parent caregivers. The programme will continue for 2 months, with practical training included.
The brilliance of the programme is in its adaptability for use in low resource settings, availability to each family and effectiveness. The training breaks down processes as seemingly simple as feeding, playing and other activities. The children can communicate using an array of different signals. What is essential is to identify them and respond.
“There is a strong emphasis on using everyday activities – meal times, getting dressed, laundry activities, playing with toys and other materials, activities with books – as opportunities to create routines that promote a child’s development,” said Erica. “This has a major effect on parents because they realize that they can use interactions in their everyday life to support their child and help them fulfil their potential. We are beginning to see the evidence that there is an effect on families.”
The programme was informed by an evidence review utilizing a common elements approach and was developed through extensive stakeholder consultation with academic partners and lay reviewers, and an iterative revision process.
New techniques welcomed by trainers
A week after the training began, following webinars introducing the basic CST concepts, prospective trainers were impressed. Lev Kutsenko, a participant and psychologist at the Regional Centre for Mental Health in Karaganda, highlighted the need for and relevance of trainers for parent caregivers.
“For me, as a psychologist in the rehabilitation department, it is of great importance that the CST programme provides an opportunity to train parents raising children with NDD to identify a child’s communication signals, understand their needs and cope with the stress that comes along with their conditions,” Kutsenko said.
Gulchekhra Atazhanova, a paediatric psychiatrist of the Mental Health Centre in Shymkent, stressed that this is the first webinar of its kind for the participants. She expressed her enthusiasm to facilitate the parent–child relationships that have long needed this support.
CST as a public health solution
Despite living in an upper-middle-income country, Kazakh children with NDD still have limited access to treatment. According to Erica, even high-income countries have the same problem because they do not consider treatment can also be a public health matter. The CST programme has the potential to be part of a public health solution to reduce the treatment gap for children with NDD.
“As Kazakhstan strives towards more inclusive education, more person-centred health services and greater social protection for families, I very much welcome the enthusiastic interest of national partners in this innovative WHO programme and I look forward to seeing its uptake and scale-up following this initial training of trainers workshop,” said Dr Caroline Clarinval, WHO Representative and Head of Country Office in Kazakhstan, during her opening speech of the CST programme in Kazakhstan.
This training programme rolled out in Kazakhstan is a good example of the European Programme of Work in action, with WHO working closely with national authorities and experts to ensure that people have access to the health services and support they need to improve their health and well-being.