Kenya hospital imprisons new mothers with no money


NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.


Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.


Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.


"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."


"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."


The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.


Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.


"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.


She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.


A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.


"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.


Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.


One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.


Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.


___


Associated Press reporter Tom Odula contributed to this report.


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Woman Charged With Murder in NYC Subway Push













A woman who allegedly told New York City police she pushed a man onto the subway tracks because she hated Hindus and Muslims has been charged with murder as a hate crime.


Erica Menendez, 31, allegedly told police that she "pushed a Muslim off the train tracks because I hate Hindus and Muslims ever since 2001 when they put down the twin towers I've been beating them up."


Menendez was taken into custody this morning after a two-day search, and when detectives were interviewing her she allegedly made the statements implicating herself in Thursday night's subway-platform death.


"The defendant is accused of committing what is every subway commuter's worst nightmare -- being suddenly and senselessly pushed into the path of an oncoming train," Queen District Attorney Richard A. Brown said. "The victim was allegedly shoved from behind and had no chance to defend himself. Beyond that, the hateful remarks allegedly made by the defendant and which precipitated the defendant's actions can never be tolerated by a civilized society."


Menendez was due to be arraigned this evening. She could face 25 years to life in prison if convicted of the second degree murder charge.


On Thursday night, a woman shoved a man from a subway platform at Queens Boulevard, and the man was crushed beneath an oncoming train. Police had searched the area for her after the incident.










New York City Subway Pusher Charged With Murder Watch Video







The victim was Sunando Sen, identified by several media outlets as a graphic designer and Indian immigrant who opened a print shop, Amsterdam Copy, on Manhattan's Upper West Side. Sen was struck by the No. 7 train after the unidentified woman allegedly pushed him from the northbound platform at 40th Street and Queens Boulevard at 8:04 p.m. on Thursday.


Witnesses told police they had seen the woman mubling to herself, pacing along the platform. She gave Sen little time to react, witnesses said.


"Witnesses said she was walking back and forth on the platform, talking to herself, before taking a seat alone on a wooden bench near the north end of the platform. When the train pulled into the station, the suspect rose from the bench and pushed the man, who was standing with his back to her, onto the tracks into the path of the train," NYPD Deputy Commissioner Paul J. Browne said earlier today. "The victim appeared not to notice her, according to witnesses."


READ: What to Do If You Fall on the Subway Tracks


Police released brief surveillance video of the woman fleeing the subway station, and described the suspect as a woman in her 20s, "heavy set, approximately 5'5" with brown or blond hair."


It was New York's second death of this kind in less than a month. On Dec. 3, 58-year-old Ki-Suck Han of Queens was shoved onto the tracks at New York's Times Square subway station. Two days later, police took 30-year-old Naeem Davis into custody.


On Friday, New York City Mayor Michael Bloomberg was asked whether the attack might be related to the increase of mentally ill people on the streets following closures of institutions over the past four decades.


"The courts or the law have changed and said, no, you can't do that unless they're a danger to society. Our laws protect you," Bloomberg said on his weekly radio show.



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Indian gang rape victim dies; New Delhi braces for protests


NEW DELHI/SINGAPORE (Reuters) - A woman whose gang rape sparked protests and a national debate about violence against women in India died of her injuries on Saturday, prompting a security lockdown in New Delhi and an acknowledgement from India's prime minister that social change is needed.


Bracing for a new wave of protests, Indian authorities deployed thousands of policemen, closed 10 metro stations and banned vehicles from some main roads in the heart of New Delhi, where demonstrators have converged since the attack to demand improved women's rights. Hundreds of people staged peaceful protests at two locations on Saturday morning.


The 23-year-old medical student, severely beaten, raped and thrown out of a moving bus in New Delhi two weeks ago, had been flown to Singapore in a critical condition by the Indian government on Thursday for specialist treatment.


The intense media coverage of the attack and the use of social media to galvanize the protests, mostly by young middle-class students, has forced political leaders to confront some uncomfortable truths about the treatment of women in the world's largest democracy.


Most sex crimes in India go unreported, many offenders go unpunished, and the wheels of justice turn slowly, according to social activists who say that successive governments have done too little to ensure the safety of women.


"The need of the hour is a dispassionate debate and inquiry into the critical changes that are required in societal attitudes," Prime Minister Manmohan Singh said in a statement.


"I hope that the entire political class and civil society will set aside narrow sectional interests and agenda to help us all reach the end that we all desire - making India a demonstrably better and safer place for women to live in."


T.C.A. Raghavan, the Indian high commissioner to Singapore, told reporters hours after the woman's death in a Singapore hospital that a chartered aircraft would fly her body back to India on Saturday, along with members of her family.


The body was taken to a Hindu casket firm in Singapore for embalming. Indian diplomats selected a gold and yellow coffin to transport her home, staff at the firm told reporters.


"We are very sad to report that the patient passed away peacefully at 4:45 a.m. on Dec 29, 2012 (2045 GMT Friday). Her family and officials from the High Commission (embassy) of India were by her side," Mount Elizabeth Hospital Chief Executive Officer Kelvin Loh said earlier in a statement.


Delhi's chief minister, Sheila Dikshit, said the woman's death was a "shameful moment for me not just as a chief minister but also as a citizen of this country".


The woman, who has not been identified, and a male friend were returning home from the cinema by bus on the evening of December 16 when, media reports say, six men on the bus beat them with metal rods and repeatedly raped the woman. Media said a rod was used in the rape, causing internal injuries. Both were thrown from the bus. The male friend survived.


The attack has put gender issues center stage in Indian politics arguably for the first time. Issues such as rape, dowry-related deaths and female infanticide have rarely entered mainstream political discourse.


Analysts say the death of the woman dubbed "Amanat", an Urdu word meaning "treasure," by some media could change that, although it is too early to say whether the protesters calling for government action to better safeguard women can sustain their momentum through to national elections due in 2014.


WORST PLACE


The public outcry over the attack caught the government off-guard. It took a week for Singh to make a public statement on the attack, infuriating many protesters who saw it as a sign of a government insensitive to the plight of women.


The prime minister, a stiff 80-year-old technocrat who speaks in a low monotone, has struggled to channel the popular outrage in his public statements and convince critics that his eight-year-old government will now take concrete steps to improve the safety of women.


"The Congress mangers were ham-handed in their handling of the situation that arose after the brutal assault on the girl. The crowd management was poor," a lawmaker from Singh's ruling Congress party said on condition of anonymity.


Protesters fought pitched battles with police around the capital last weekend. Police used batons, water cannon and teargas to quell the protests.


Commentators and sociologists say the rape has tapped into a deep well of frustration many Indians feel over what they see as weak governance and poor leadership on social issues.


A global poll by the Thomson Reuters Foundation in June found that India was the worst place to be a woman because of high rates of infanticide, child marriage and slavery.


New Delhi has the highest number of sex crimes among India's major cities, with a rape reported on average every 18 hours, according to police figures. Government data show the number of reported rape cases in the country rose by nearly 17 percent between 2007 and 2011.


Indian media had accused the government of sending the woman to Singapore to minimize any backlash in the event of her death but Raghavan said it had been a medical decision intended to ensure she got the best treatment.


The suspects in the rape - five men, including two brothers, aged between 20 and 40, and a 15-year-old - were arrested within hours of the attack and are in custody. The suspects, all from a slum in south Delhi, will be formally charged with murder, New Delhi Deputy Commissioner of Police Chhaya Sharma told Reuters.


Home Minister Sushilkumar Shinde told Times Now television the government was committed to ensuring "the severest possible punishment to all the accused at the earliest".


"It will not go in vain. We will give maximum punishment to the culprits. Not only to this, but in future also. This one incident has given a greater lesson" Shinde said.


He said earlier the government was considering hanging for rape in rare cases. Murder already carries the death penalty.


(Additional reporting by Ross Colvin and Diksha Madhok in New Delhi; Kevin Lim, Saeed Azhar, Edgar Su and Sanjeev Miglani in Singapore; Editing by Mark Bendeich and Robert Birsel and Ross Colvin)



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Pakistan expected to unblock YouTube






ISLAMABAD: Pakistan is expected to unblock access to the popular video sharing website YouTube Saturday after taking measures to filter blasphemous material and pornography, a cabinet minister said.

Pakistani Prime Minister Raja Pervez Ashraf in September ordered the blocking of YouTube after the US-based website refused to heed the government's call to remove a controversial anti-Islam video.

Weeks of protests in Pakistan over the crudely made "Innocence of Muslims" film saw more than 20 people killed and caused serious damage in major cities.

Pakistan Interior Minister Rehman Malik said on Twitter the decision to allow access was due to huge public demand, and that the telecom regulator would install a firewall to maintain a block on unseemly content.

"There was a great demand to unblock YouTube from all sections of society... expect the notification today," Malik said.

"PTA (Pakistan Telecommunication Authority) is finalising negotiations for acquiring a powerful firewall software to totally block pornographic and blasphemous material," he added.

Internet Service Providers Association of Pakistan (ISPAK) said they have not yet received the notification, but welcomed the minister's announcement.

ISPAK Convener Wahajus Siraj told AFP that when the ban first came into force, Internet video traffic in Pakistan plummeted by up to 30 per cent.

"It is a good development because many people, especially students and institutions, were using YouTube for education, and were facing difficulties as alternate websites were not as good," he said.

According to PTA there are 2.1 million Internet subscribers in Pakistan.

- AFP/ck



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Japan's PM seeks security ties with India, Australia: Report

TOKYO: Japan's new Prime Minister Shinzo Abe has sought to expand the Japan-US security partnership to India and Australia as it faces a bitter territorial row with China.

"The Japan-US alliance is the cornerstone," Abe, sworn in as Prime Minister on Wednesday, said in an interview with the mass-circulation Yomiuri Shimbun published on Saturday.

"It's good to expand it to security cooperation among Japan, the United States and India. (Co-operation) among Japan, the United States and Australia will also contribute to stability in the region," Abe said.

"It is important to regain the region's power balance," he added without elaborating.

Abe won conservative support in national polls earlier this month with forthright pronouncements on the Senkaku islands in the East China Sea, vowing not to budge on Japan's claim to them.

China also lays claim to the island chain, which it calls the Diaoyu.

Beijing has sent ships into the islands' waters many times since Tokyo nationalised the chain in September, with analysts saying China intends to prove it can come and go as it pleases.

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Kenya hospital imprisons new mothers with no money


NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.


Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.


Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.


"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."


"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."


The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.


Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.


"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.


She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.


A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.


"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.


Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.


One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.


Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.


___


Associated Press reporter Tom Odula contributed to this report.


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CAR appeals for French help against rebels, Paris balks


BANGUI (Reuters) - The president of the Central African Republic appealed on Thursday for France and the United States to help push back rebels threatening his government and the capital, but Paris said its troops were only ready to protect French nationals.


The exchanges came as regional African leaders tried to broker a ceasefire deal and as rebels said they had temporarily halted their advance on Bangui, the capital, to allow talks to take place.


Insurgents on motorbikes and in pickup trucks have driven to within 75 km (47 miles) of Bangui after weeks of fighting, threatening to end President Francois Bozize's nearly 10-year-stint in charge of the turbulent, resource-rich country.


French nuclear energy group Areva mines the Bakouma uranium deposit in the CAR's south - France's biggest commercial interest in its former colony.


The rebel advance has highlighted the instability of a country that has remained poor since independence from Paris in 1960 despite rich deposits of uranium, gold and diamonds. Average income is barely over $2 a day.


Bozize on Thursday appealed for French and U.S. military support to stop the SELEKA rebel coalition, which has promised to overthrow him unless he implements a previous peace deal in full.


He told a crowd of anti-rebel protesters in the riverside capital that he had asked Paris and Washington to help move the rebels away from the capital to clear the way for peace talks which regional leaders say could be held soon in Libreville, Gabon.


"We are asking our cousins the French and the United States, which are major powers, to help us push back the rebels to their initial positions in a way that will permit talks in Libreville to resolve this crisis," Bozize said.


France has 250 soldiers in its landlocked former colony as part of a peacekeeping mission and Paris in the past has ousted or propped up governments - including by using air strikes to defend Bozize against rebels in 2006.


But French President Francois Hollande poured cold water on the latest request for help.


"If we have a presence, it's not to protect a regime, it's to protect our nationals and our interests and in no way to intervene in the internal business of a country, in this case the Central African Republic," Hollande said on the sidelines of a visit to a wholesale food market outside Paris.


"Those days are over," he said.


Some 1,200 French nationals live in the CAR, mostly in the capital, according to the French Foreign Ministry, where they typically work for mining firms or aid groups.


CEASEFIRE TALKS


The U.N. Security Council issued a statement saying its members "condemn the continued attacks on several towns perpetrated by the 'SELEKA' coalition of armed groups which gravely undermine the Libreville Comprehensive Peace Agreement and threaten the civilian population."


U.S. State Department spokesman Patrick Ventrell said the U.S. embassy had temporarily suspended operations and the U.S. ambassador and other embassy personnel had left the country.


Officials from around central Africa are due to meet in Bangui later on Thursday to open initial talks with the government and rebels.


A rebel spokesman said fighters had temporarily halted their advance to allow dialogue.


"We will not enter Bangui," Colonel Djouma Narkoyo, the rebel spokesman, told Reuters by telephone.


Previous rebel promises to stop advancing have been broken, and a diplomatic source said rebels had taken up positions around Bangui on Thursday, effectively surrounding it.


The atmosphere remained tense in the city the day after anti-rebel protests broke out, and residents were stocking up on food and water.


Government soldiers deployed at strategic sites and French troops reinforced security at the French embassy after protesters threw rocks at the building on Wednesday.


In Paris, the French Foreign Ministry said protecting foreigners and embassies was the responsibility of the CAR authorities.


"This message will once again be stressed to the CAR's charge d'affaires in Paris, who has been summoned this afternoon," a ministry spokesman said.


He also said France condemned the rebels for pursuing hostilities and urged all sides to commit to talks.


Bozize came to power in a 2003 rebellion that overthrew President Ange-Felix Patasse.


However, France is increasingly reluctant to directly intervene in conflicts in its former colonies. Since coming to power in May, Hollande has promised to end its shadowy relations with former colonies and put ties on a healthier footing.


A military source and an aid worker said the rebels had got as far as Damara, 75 km (47 miles) from Bangui, by late afternoon on Wednesday, having skirted Sibut, where some 150 Chadian soldiers had earlier been deployed to try and block a push south by a rebel coalition.


With a government that holds little sway outside the capital, some parts of the country have long endured the consequences of conflicts in troubled neighbors Chad, Sudan and the Democratic Republic of Congo spilling over.


The Central African Republic is one of a number of nations in the region where U.S. Special Forces are helping local forces try to track down the Lords Resistance Army, a rebel group responsible for killing thousands of civilians across four African nations.


(Additional reporting by Leigh Thomas and Louis Charbonneau; Writing by Richard Valdmanis; Editing by Andrew Osborn and Paul Simao)



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Corporate spending on festive dining mixed: industry players






SINGAPORE: It is the time of the year when year-end office parties and corporate functions are in full swing, but players in the food and beverage (F&B) industry are reporting mixed demand from corporate customers this festive season as companies keep an eye on their budgets.

F&B players also had to cope with manpower shortage and rising costs.

Uncertainty in the world of business and economics has spilled over to hospitality service providers.

"Be it the festive month or the regular months, the bookings are actually quite about the same," said Patsy Lim, sales and marketing manager at Morton's The Steakhouse restaurant.

"But of course during the festive month, we have more of the corporate businesses that are celebrating over dinner in the private room, as well as cocktail events."

There were also dining outlets which reported a surge in bookings.

"We've definitely seen an increase of bookings - I would say about 20% upwards compared to last year," said Leslie Pereira, general manager at Hotel Fort Canning.

Companies could have become more conservative due to woeful headline growth numbers. Singapore's economy is expected to grow only 1.5 per cent this year.

Still, hospitality players say companies do want to celebrate, but more are demanding greater value for money.

Mr Pereira said: "It is very important during this time to be able to tailor make packages towards their budgets, be flexible with prices, be flexible with tailor making menus. Gone are the days where you just have a set menu and say, take it or leave it. The competition out there is so much."

For Fine Palate Catering, it has been a good year, especially with product launch events.

"Banks haven't quite come back yet and their expenditure is really on hold. They're only doing events where its absolutely necessary and there's definitely no mega budgets," said Heather Barrie, founder and director of Fine Palate Catering & Cafe.

"So that is definitely felt, but it has been that way for a while with banks anyway, so it hasn't really made that much difference - other areas of business have picked up to cover for it."

The caterer also has a cafe, but it is in no hurry to expand that part of its business.

This year, the Singapore government imposed restrictions on the hiring of foreign workers in a bid to improve labour productivity.

The move has impacted small and medium enterprises the most, particularly those in domestically-oriented sectors like services and retail.

- CNA/xq



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Shinde says decision on Telangana in one month; 'unhappy' TRS chief calls for shutdown on Saturday

NEW DELHI: Union home minister Sushil Kumar Shinde, who chaired a meeting of Andhra political parties on the Telangana issue on Friday, has said a decision on formation of the separate state will be taken in a month.

"I have said earlier that this will be the last all-party meeting on this issue. I have complete faith in the people of Andhra Pradesh and that some solution will be found," Shinde told reporters after the nearly 90-minute meeting.

The all-party meeting, attended by two representatives each of eight Andhra parties - Congress, Telangana Rashtriya Samiti (TRS), TDP, Jaganmohan Reddy's YSR Congress, BJP, CPI, CPM and AIMIM -- predictably saw the Congress articulating a divided stand. While pro-Telangana representative Suresh Reddy opened the discussion by rooting for separate statehood, G Venkat Reddy, who was the last to speak, insisted on keeping Andhra united.

The TRS, BJP and CPI supported creation of Telangana, in line with their declared positions. Not to be outdone, the TDP too seemed to have shed its ambivalence with its representatives seeking to reiterate the stand taken in a 2008 letter to the then President, favouring a separate state. While CPM backed a united Andhra Pradesh, YSR Congress adopted a safe line, with party leader M V Mysura Reddy saying that the party will go by the Centre's decision.

Importantly, TRS declared its "disappointment" with the all-party meeting, with party chief K Chandrasekhara Rao slamming the "continued ambivalence of Congress, TDP and YSR Congress" on the issue. "I am totally disappointed...the government is not serious about creating Telangana. I feel this assurance of a decision in a month is just humbug," Rao told the TOI after emerging from the meeting.

TRS has decided to protest against the refusal of Congress, YSR Congress and TDP to spell out its stand on Telangana as well as the government's indecision by calling for a Telangana bandh on Saturday. The party will announce its future course of action after consulting its representatives in a day or two.

AIMIM favoured a united Andhra Pradesh, but said that if a state has to be created, Hyderabad should be its capital and the new state should comprise Rayal-Telangana region.

Read More..

Kenya hospital imprisons new mothers with no money


NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.


Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.


Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.


"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."


"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."


The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.


Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.


"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.


She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.


A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.


"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.


Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.


One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.


Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.


___


Associated Press reporter Tom Odula contributed to this report.


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