Lebanon’s Economic Crises Affect Fertility Rates

 A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)
A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)
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Lebanon’s Economic Crises Affect Fertility Rates

 A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)
A pharmacy employee holds a box of medication in Beirut, Lebanon, May 28, 2021. (Reuters)

Lebanese mother, Hiyam, in her twenties, preferred to undergo an abortion rather than having a second child in a country torn apart by crises, as she told Asharq Al-Awsat.

Despite what she described as a “rational” decision, she expressed her “deep sadness and fear of violating the Sharia.”

But she continued with a series of questions: “How will we secure milk, diapers, and medicines? How will we be able to afford the expenses of two children? And before all that, in which hospital will I deliver the baby and at what cost?”

While no official statistics indicate the number of abortions currently taking place in Lebanon, as such operations are usually kept secret, Hiyam said that the decision was not easy, and she always hoped that her little daughter would have a brother or sister.

“But a crime that's greater than abortion is to bring a helpless child into a country where we do not know from where the strikes will come,” she added.

Stressing that her doctor advised her not to resort to this option, Hiyam said: “We know more about our financial capabilities, and we can hardly secure milk and diapers for my young daughter... We refuse to be unfair with our two children!”

Lebanon has been rocked by a severe economic collapse since 2019, the worst in decades. Its repercussions did not exclude any aspect of the life of the Lebanese citizens, affecting vital needs of food, water, fuel, medicine and hospitalization.

As a result of this collapse, many Lebanese are reluctant to take the step of having children, fearing that this would increase their daily suffering amid the high prices of the needs of newborns on one hand and the severe shortage of medications and vaccines on the other.

The price of a box of infant formula increased from LBP 12,000 to LBP 100,000, while the price of diapers, according to quality, now ranges from LBP 150,000 to LBP 250,000. With the lifting of government subsidies, the prices of medicine and vaccinations for children, if found, have also soared.

Sabine, 36, who has been married for four years, told Asharq Al-Awsat that her dream of motherhood “may have evaporated with all the crises we are witnessing in Lebanon.”

She said that she got married in 2018, and she and her husband chose to postpone the step of having children for two years to be able to pay off the debts of the wedding ceremony and home furniture and also enjoy life before bearing a great responsibility.

Sabine and her husband are looking for a job in an Arab country or for emigration to a European country “to start a better life and a suitable environment for raising children.”

In remarks to Asharq Al-Awsat, Researcher at Information International Mohammad Shamseddine said that 92,957 childbirths were registered in Lebanon in 2018, compared to 86,584 in 2019. The number continued to decline in 2020 and reached 74,049.

Although the numbers for 2021 are not final yet, Shamseddine expects an additional decrease in the number of births in Lebanon, which he said will not exceed 60,000.

Several reasons led to this decline, he explained, including the outbreak of the Covid-19 pandemic and the severe economic crisis.



'We Will Die from Hunger': Gazans Decry Israel's UNRWA Ban

 Itimad Al-Qanou, a displaced Palestinian mother from Jabalia, eats with her children inside a tent, amid Israel-Gaza conflict, in Deir Al-Balah, central Gaza Strip, November 9, 2024. REUTERS/Ramadan Abed
Itimad Al-Qanou, a displaced Palestinian mother from Jabalia, eats with her children inside a tent, amid Israel-Gaza conflict, in Deir Al-Balah, central Gaza Strip, November 9, 2024. REUTERS/Ramadan Abed
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'We Will Die from Hunger': Gazans Decry Israel's UNRWA Ban

 Itimad Al-Qanou, a displaced Palestinian mother from Jabalia, eats with her children inside a tent, amid Israel-Gaza conflict, in Deir Al-Balah, central Gaza Strip, November 9, 2024. REUTERS/Ramadan Abed
Itimad Al-Qanou, a displaced Palestinian mother from Jabalia, eats with her children inside a tent, amid Israel-Gaza conflict, in Deir Al-Balah, central Gaza Strip, November 9, 2024. REUTERS/Ramadan Abed

After surviving more than a year of war in Gaza, Aisha Khaled is now afraid of dying of hunger if vital aid is cut off next year by a new Israeli law banning the UN Palestinian relief agency from operating in its territory.

The law, which has been widely criticised internationally, is due to come into effect in late January and could deny Khaled and thousands of others their main source of aid at a time when everything around them is being destroyed.

"For me and for a million refugees, if the aid stops, we will end. We will die from hunger not from war," the 31-year-old volunteer teacher told the Thomson Reuters Foundation by phone.

"If the school closes, where do we go? All the aspects of our lives are dependent on the agency: flour, food, water ...(medical) treatment, hospitals," Khaled said from an UNRWA school in Nuseirat in central Gaza.

"We depend on them after God," she said.

UNRWA employs 13,000 people in Gaza, running the enclave's schools, healthcare clinics and other social services, as well as distributing aid.

Now, UNRWA-run buildings, including schools, are home to thousands forced to flee their homes after Israeli airstrikes reduced towns across the strip to wastelands of rubble.

UNRWA shelters have been frequently bombed during the year-long war, and at least 220 UNRWA staff have been killed, Reuters reported.

If the Israeli law as passed last month does come into effect, the consequences would be "catastrophic," said Inas Hamdan, UNRWA's Gaza communications officer.

"There are two million people in Gaza who rely on UNRWA for survival, including food assistance and primary healthcare," she said.

The law banning UNRWA applies to the Israeli-occupied West Bank, Gaza and Arab East Jerusalem, areas Israel captured in 1967 during the Six-Day War.

Israeli lawmakers who drafted the ban cited what they described as the involvement of a handful of UNRWA's thousands of staffers in the attack on southern Israel last year that triggered the war and said some staff were members of Hamas and other armed groups.

FRAGILE LIFELINE

The war in Gaza erupted on Oct. 7, 2023, after Hamas attack. Israel's military campaign has levelled much of Gaza and killed around 43,500 Palestinians, Gaza health officials say. Up to 10,000 people are believed to be dead and uncounted under the rubble, according to Gaza's Civil Emergency Service.

Most of the strip's 2.3 million people have been forced to leave their homes because of the fighting and destruction.

The ban ends Israel's decades-long agreement with UNRWA that covered the protection, movement and diplomatic immunity of the agency in Israel, the West Bank and the Gaza Strip.

For many Palestinians, UNRWA aid is their only lifeline, and it is a fragile one.

Last week, a committee of global food security experts warned there was a strong likelihood of imminent famine in northern Gaza, where Israel renewed an offensive last month.

Israel rejected the famine warning, saying it was based on "partial, biased data".

COGAT, the Israeli military agency that deals with Palestinian civilian affairs, said last week that it was continuing to "facilitate the implementation of humanitarian efforts" in Gaza.

But UN data shows the amount of aid entering Gaza has plummeted to its lowest level in a year and the United Nations has accused Israel of hindering and blocking attempts to deliver aid, particularly to the north.

"The daily average of humanitarian trucks the Israeli authorities allowed into Gaza last month is 30 trucks a day," Hamdan said, adding that the figure represents 6% of the supplies that were allowed into Gaza before this war began.

"More aid must be sent to Gaza, and UNRWA work should be facilitated to manage this aid entering Gaza," she said.

'BACKBONE' OF AID SYSTEM

Many other aid organizations rely on UNRWA to help them deliver aid and UN officials say the agency is the backbone of the humanitarian response in Gaza.

"From our perspective, and I am sure from many of the other humanitarian actors, it's an impossible task (to replace UNRWA)," said Oxfam GB's humanitarian lead Magnus Corfixen in a phone interview with the Thomson Reuters Foundation.

"The priority is to ensure that they will remain ... because they are essential for us," he said.

UNRWA supports other agencies with logistics, helping them source the fuel they need to move staff and power desalination plants, he said.

"Without them, we will struggle with access to warehouses, having access to fuel, having access to trucks, being able to move around, being able to coordinate," Corfixen said, describing UNRWA as "essential".

UNRWA schools also offer rare respite for traumatised children who have lost everything.

Twelve-year-old Lamar Younis Abu Zraid fled her home in Maghazi in central Gaza at the beginning of the war last year.

The UNRWA school she used to attend as a student has become a shelter, and she herself has been living in another school-turned-shelter in Nuseirat for a year.

Despite the upheaval, in the UNRWA shelter she can enjoy some of the things she liked doing before war broke out.

She can see friends, attend classes, do arts and crafts and join singing sessions. Other activities are painfully new but necessary, like mental health support sessions to cope with what is happening.

She too is aware of the fragility of the lifeline she has been given. Now she has to share one copybook with a friend because supplies have run out.

"Before they used to give us books and pens, now they are not available," she said.