Features
Starting work at WHO in Geneva with the Community Based Rehabilitation Project
(Excerpted from Memories that linger: My journey in the world of disability by Padmani Mendis)
All arrangements were made for travel on May 14. In those days the Swiss visa was obtained over the counter. Flights were frequent. Ticketing by Swiss Air was quick and easy. And made easier by an accessible manager. Punctual departure, smooth take off, much napping on the flight, it did not seem long before I awoke to hear our arrival in Geneva being announced.
As I looked out of the window dawn was just breaking. And what an astounding scenic feast awaited my eyes. The glow of the early sunrise bathing over beautiful snow-capped mountain peaks of all shapes and sizes stretching out forever. And the culmination of it – Mont Blanc rising majestically above them in all its glorious purity. So wondrous was the site that the pilot took us round twice over so we could drink in that vista. He took us as close as he could safely take us, so close that one felt one could almost touch the glorious mountain. It was a brief but exceptional experience never to be had again in all my flights over those Swiss mountains.
Thank you, Captain. I can still see Mont Blanc as it was that beautiful morning in May even as I write about it here, 43 years later.
In Geneva, I met Gunnel for the first time and we connected immediately. It was as though we had known each other forever. She and Einar were friends already, having worked together in Gothenburg, she as Head of Occupational Therapy and he as the Internal Medicine Specialist in charge of the Department of Rehabilitation. The three of us spent but little time on pleasantries and sat down together immediately to start our work on developing “Community Oriented Rehabilitation”. In this we were being very Swedish – time is too precious to be wasted.
We spent much time discussing the possible strategy that Einar had conceived and how it could be put on the ground. Then Einar would go off to attend to his other responsibilities in the unit while Gunnel and I actually started putting the ideas we had developed down on paper. Over the next few years we would be together in Geneva like this may be a couple of times a year, sharing our field experiences and our real-life learning. Using that to improve our materials and setting ever higher our goals aimed at a better life for disabled people.
And then to go away again to carry out more evaluation and gain more learning.
Community-Based Rehabilitation or CBR
During one such discussion in the early days we knew we had not got something quite right. “Orienting” rehabilitation to communities does not go quite far enough, we agreed. What we were discussing was something far deeper, penetrating the communities in which disabled people lived, promoting ownership of the rehabilitation process by those community members and disabled people together. For we knew from our own experiences and discussions with others that change would come only with ownership of, and responsibility for, the process of change.
Then Eureka! We got it right. Rehabilitation must be based in the Community we exclaimed almost together. It must be part of the fabric of each community. What we are talking about is Community-Based Rehabilitation. And so the term was born. Einar immediately went further. Ever the innovator, “We can shorten it to CBR,” he said.
And that is how the world came to know it – CBR, at that time as it does today.
The use of the word “based” had also another very important implication. We knew that all rehabilitation tasks could not be carried out at the community level. Support from outside would no doubt be required to assist them to solve those problems that they could not solve by themselves. The term CBR implied that a supporting structure was called for.
Einar
Einar had come to take up his post at WHO some four years earlier. His high level of intellect and intensively scientific mind is combined with an unlimited visionary outlook. All of which makes him a truly unique individual. For disability globally he was the right man at the right time at the right job. His concern was for the poor and the needy, the vulnerable, the marginalised, the neglected.
And that concern knew no bounds. Son of a Swedish Bishop, he grew up when poverty was the norm in Sweden. Before the Swedes discovered the value of the abundance of trees that nature had blessed their land with. He told me how he would see individuals rummaging in garbage bins where he grew up in Stockholm in the same way he saw people now in the poorer countries that he visited.
He was a sensitive individual. It was no surprise that he made it his first priority when he came to WHO to address the issues related to disabled people in developing countries. Issues of discrimination, disregard and destitution.
To understand these issues deeply, he selected a few countries to visit. Important to him was to reach rural areas where those most in need lived, to talk with them and their family members and others who lived in their neighbourhood. This gave him an understanding of how such people dealt with their problems and took steps to overcome them in the here and now. Because these people just had to. Life would have not been possible had they not.
One such country he chose to visit was in the Middle East. A recent disaster was created when poisoned cooking oil had been consumed by a significant section of the population. Many people, including a large number of children, had been paralysed by the poison. Various parts of their body had been affected. As a result, some had been unable to walk, others to move their legs or trunks, still others to use their arms. Einar was struck by the resilience of these people whose lives had been shattered by the cooking oil. The disaster impacted heavily on the severe financial and other difficulties most faced. It impacted on their day to day living and on their quality of life.
And yet these people had, to a large extent, reduced this impact by overcoming the effects the poison had on their bodies. Spending time with these people, Einar saw how mothers had made bars in their garden using branches of trees so that their children could hold onto them, use their legs to make them stronger and be able to walk again. He saw adults using suitably-shaped tree branches as crutches to enable them to walk and attend to farming. He talked with others who had been unable to move about make simple trolleys on which they could get to where they wanted, even involving themselves in trading.
In other countries he visited he met people who were deaf communicating with neighbours and others in their villages using simple signs which they had developed themselves. He saw blind people moving around the neighbourhood with a stick to guide them so that they were not isolated at home.
These visits constituted valuable learning for Einar. The learning converted into a seed from which grew the strategy that the world came to know and practice as Community-Based Rehabilitation or CBR.
Putting Learning into Practice and the Role of SIDA
Now he had to put the ideas he derived from the learning he acquired to WHO and get approval for action. Protocol required that he prepare an analysis of the situation of disabled people in developing countries to justify the recommendations he would make to WHO for a policy change. Preparing the policy document was a long process.
It was ultimately approved by WHO in 1978. The new policy direction was at that time called “Disability Prevention and Rehabilitation”. Later the programme name was changed to “Rehabilitation”.
Once approval was obtained, Einar had to seek extra budgetary funding to set in motion the beginnings of policy implementation. The Swedish International Development Agency or SIDA was particularly partial to the less fortunate in this world. The WHO’s new policy direction was attractive to them and they came to be a partner of the rehabilitation programme for the next decade or so. It is thanks to SIDA that Community-Based Rehabilitation was developed globally benefiting so many disabled people and their families throughout the developing world.
And it is also thanks to SIDA that Einar, Gunnel and I were now together in Geneva working on the CBR strategy and drafting a Manual that would start putting this policy into action. Then having done this, we would evaluate the practice of these in the field. Development of the CBR strategy with the Manual and its evaluation took until 1989. The Manual called “Training in the Community for People with Disabilities” became an official WHO publication that year. It was said by WHO some years ago that this Manual had been translated into over sixty languages and used in over 100 countries.
First Tasks
Carrying out these first tasks in Geneva in 1979 was no easy job. Drafting a Manual was arduous and exhausting. The first step was involving as many people as was practically possible and with them, collecting information. For this the assistance provided by a volunteer was invaluable. She had space in our room, joined us at our desk and sent off letters to as many sources as she could contact in any and every part of the world to seek their views on a possible strategy and its implementation.
Then she collated and tabulated the replies she received. Helen was from Australia. Her husband, a medical specialist was on contract to WHO for two years. Helen, herself a medical specialist but with no formal job had time on her hands, some of which she spent willingly with us.
As for Gunnel and me, one of our earliest tasks was to go round the “House” as the headquarters was often referred to. We met divisional heads and other officials in those departments that were relevant to disability and to what we were doing. These included for example mental health, accident prevention, blindness and deafness prevention, nursing, medical education and so on.
The response of most was seldom a positive or an encouraging one. Many were frankly discouraging. Some indicating that the idea of introducing rehabilitation strategies at community level was sheer madness. Which had Gunnel and I sometimes return to our room, close the door and shed buckets of tears. What were these people telling us? Did they not understand, not care? Where were we going?
Together we shared a strong belief with Einar that this was definitely the way to go and with this shared belief we overcame all obstacles. I recall one outstanding personality who gave us his wholehearted support from the word go. He was Jean Jacques Gilbert or JJ, a specialist in Medical Education and Head of that Department. He had done pioneering work in objectives-based teaching and evaluation of learning and was continuing to develop materials for medical education on these lines.
Einar and he shared a relationship based on mutual respect; each had an independent spirit and confidence in what the other was doing. Gunnel and I believed that what brought them together also was the antipathy to them shown by other professionals in the House. We believed also that the antipathy was a result of some envy of the intellectual and visionary capacity and the pioneering spirit demonstrated by both JJ and Einar.
Gunnel and I also grew a relationship of mutual respect with JJ. Over the next few years on our many stints in Geneva, Gunnel and I often turned to him for advice when we were stuck. The materials we developed were for self-learning, objectives-based and facilitated self-evaluation. So JJ’s advice was invaluable.
For me from Sri Lanka, his manner was sometimes embarrassing. Being a Frenchman and a gallant one at that, he would insist on greeting me by raising my hand to kiss the back of it with a bow, a real old-fashioned French style of greeting. This happened even when we met on a corridor. Strangely enough he never did that with Gunnel and that made me wonder, why not?
Gunnel and I experienced interactions within the House that resulted in both highs and lows for us. Neither of us liked the atmosphere that prevailed within it at that time, perhaps because we were women consultants, a relative rarity. But we loved our work and nothing could keep us away from that House.
Gathering More Information to Complete a Draft
Our initial work of gathering views and recommendations extended beyond the House to other institutions in Geneva. These included ILO, the International Labour Organisation, where we met Mr. Brown, a chubby, pleasant individual from England. He was supportive of our work from the time we told him of it. He cooperated with us to develop the strategy and evaluated those sections that were relevant to work, particularly the module on income generation.
Mr. Brown was responsible for having ILO formally recognised as a co-producer of the draft Manual with the ILO logo alongside that of WHO on the cover. So did UNDP, UNICEF and UNESCO have their logos on the cover.
Gunnel and I also visited UNESCO in Paris to meet Lena Saleh from Jordan. Lena was the single worker in the Special Education Section as it was then called, fighting a lone battle to improve the education of disabled children. The way she fought this battle alone was by producing booklets and other material for distribution and use in developing countries. One person alone in Paris reaching and impacting the right to education of many thousands of children and their teachers who were far away. Einar and Lena were good friends, their common approach to work bringing them together.
The Manual “Training in the Community for People with Disabilities”: Knowledge is Power
The WHO Manual “Training in the Community for People with Disabilities” or TCPD contains knowledge, and Knowledge is Power. This is the overall, the primary purpose of the Manual. That disabled people, their families and their communities will have power; power in their own hands to change their situations. Today we call this empowerment. That word empowerment was not used then, but here was the concept of empowerment in practice.
In the absence of knowledge together with the power to use it and to know how to use it, no change is possible. The overall design and content of the Manual has therefore a dual role: one, how to change their situation which was called the CBR strategy, and two, the CBR technology. The technology was actions made possible with knowledge and skills. The Manual has also built into it a monitoring and evaluation system to check that both are working.
A term that was not used at the time the Manual was first drafted, was community mobilisation. But this process of community mobilisation is the foundation of CBR. It is described in the Manual as including the following: bringing members of a community together, enabling them to talk about any problems within their group related to disability, discussing the resources they themselves had to deal with such problems and what more they may need, making available to them the knowledge and skills they need to do these, providing them with the support they needed and making all this sustainable.
In a nutshell, this is the CBR process. The Manual was not designed for professionals. It was essentially for CBR implementation within rural communities. With some adaptations it was also used in urban communities
Features
The final voyage of the Iranian warship sunk by the US
On 17 February, the Indian Navy posted a cheerful message on X.
“Welcome!” it wrote, greeting the Iranian warship Iris Dena as it steamed into the port of Visakhapatnam to join an international naval gathering.
Photographs showed sailors in crisp whites and a grey frigate gliding in the sea harbour on a clear day. The hashtags spoke of “Bridges of Friendship” and “United Through Oceans”.
Two weeks later the ship, carrying 130 sailors, lay at the bottom of the Indian Ocean. It had been torpedoed by a US submarine off Sri Lanka’s southern coast on 4 March.
Commissioned in 2021, the Dena was a relatively new vessel – a Moudge-class frigate of Iran’s Southern Fleet, which patrols the Strait of Hormuz and the Gulf of Oman.
According to US Defence Secretary Pete Hegseth, the vessel “thought it was safe in international waters” but instead “died a quiet death”. Rescue teams from Sri Lanka have recovered at least 87 bodies. Only 32 sailors survived.
The sinking marks a dramatic widening of the war between America, Israel and Iran. And, though it occurred in international waters of the Indian Ocean and outside India’s jurisdiction, it is an awkward moment for Delhi.
“The war has come to our doorsteps. That is not a good thing,” says retired Vice Admiral Arun Kumar Singh.
For some strategists, the episode carries broader implications for India’s regional standing.
Indian strategic affairs expert Brahma Chellaney wrote on X that the US torpedoing of the Iranian warship in India’s “maritime neighbourhood” was “more than a battlefield episode” – calling it a “strategic embarrassment” for Delhi.
“By sinking a vessel returning from an Indian-hosted multilateral exercise, Washington effectively turned India’s maritime neighbourhood into a war zone, raising uncomfortable questions about India’s authority in its own backyard,” Chellaney wrote.
Just days before its destruction, the Dena had been a diplomatic guest of the Indian Navy.
The ship had travelled to Visakhapatnam, a sun-washed port city on India’s east coast, to participate in the International Fleet Review 2026 and Exercise Milan, a large multilateral naval exercise meant to showcase India’s growing maritime leadership.
Seventy-four countries and 18 warships took part in the events, which Delhi described as a demonstration of its ambition to become the Indian Ocean’s “preferedsecurity partner”.
Visiting ships at such multilateral exercises usually do not carry a full combat load of live munitions, unless scheduled for a live-fire drill, according to Chellaney. Even during the sea phase, when drills and live firing take place, ships carry only tightly controlled ammunition limited to the specific exercises.
Singh, an invitee to the event, recalls seeing the warship and its Iranian sailors in Visakhapatnam just days before its fate changed.
“I saw the boys marching in front of me,” he says of the Iranian naval contingent during the parade along the seafront, just 10m away. “All young people. I feel very sad.”
He says on 21 February, the assembled ships – including the Iranian vessel – sailed out for the sea phase of Exercise Milan, scheduled to run until 25 February.
“What happened next is less clear: the ship may have returned to port or peeled away after exercises. Either way, the waters where it was later sunk – off Galle in Sri Lanka – lie only two to three days’ sailing from India’s east coast,” Singh says. What the ship was doing in the 10-12 days in between is not clear.

Singh, who has commanded submarines, believes the sequence leading up to the attack was probably straightforward.
The US, he notes, tracks vessels across the world’s oceans. “They would have known exactly when the ship left and where it was heading,” he says. A fourth of America’s submarine fleet of 65-70 is at sea at any given time, according to analysts.
According to the Indian Navy, the Iranian warship had been operating about 20 nautical miles west of Galle – roughly 23 miles (37km) – in waters that fall under Sri Lanka’s designated search-and-rescue zone.
The attack, Singh says, appears to have involved a single Mark-48 torpedo, a heavyweight weapon carrying about 650 pounds of high explosive, capable of snapping a ship in two. Video footage suggests the submarine may have fired from 3-4km away, around 05:30 local time.
The aftermath was grim and swift.
The warship reportedly sank within two to three minutes, leaving little time for rescue. “It’s a miracle they managed to send an SOS,” Singh says, which was picked up by the Sri Lanka Maritime Rescue Coordination Centre in Colombo.
According to the Indian Navy, a distress call from the Iranian warship was picked up by Colombo in the early hours of 4 March, triggering a regional search-and-rescue effort.
The navy said in a statement that Sri Lanka’s navy began rescue operations first, while India moved to assist later.
The Indian Navy deployed a long-range maritime patrol aircraft to support the search and kept another aircraft with air-droppable life rafts on standby.
A naval vessel already operating nearby reached the area by late afternoon. Another ship, which sailed from the southern Indian port city of Kochi to join the effort, continues to comb the waters for survivors and debris.

Under the Second Geneva Convention, countries at war are required to take “all possible measures” to rescue wounded or shipwrecked sailors after a naval attack. In practice, however, this duty applies only if a rescue can be attempted without putting the attacking vessel in serious danger.
Singh says submarines are rarely able to help.
“Submarines don’t surface,” he says. “If you surface and give up your position, someone else can sink you.”
Singh suspects the speed of the sinking – and possibly sparse shipping in the area at the time – meant few nearby vessels could respond. “A ship breaking up that fast leaves almost no chance,” he says.
In a shooting war, Singh says, the legal position is blunt.
Fighting between the United States and Iran had been under way since 28 February, with claims that 17 Iranian naval vessels had already been destroyed.
“When a shooting war is on, any ship of a belligerent country becomes fair game,” he says.
Many questions remain. Why was the Iranian warship still in waters near Sri Lanka nearly two weeks after leaving India’s naval exercise? Was it heading home, or on another mission? And how long had the US submarine been tracking it before firing?
For Delhi, the episode is diplomatically awkward.
India has drawn closer to Washington on defence while maintaining long-standing political and economic ties with Tehran – a balancing act the war has made harder.
Indian Prime Minister Narendra Modi has called broadly for “dialogue and diplomacy” to resolve conflicts, but has neither addressed the sinking of the Iranian vessel directly nor criticised the American strike.
Iran’s Foreign Minister Abbas Araghchi described the attack as “an atrocity at sea” and stressed that the frigate had been “a guest of India’s Navy”. Meanwhile Sri Lanka has taken control of another Iranian naval vessel off its coast after an engine failure forced it to seek port, a day after the US attack.
The episode has nonetheless sparked debate within India’s strategic community.
Kanwal Sibal, a veteran diplomat, argued that India’s responsibility may not be legal, but it is moral.

“The Iranian ship would not have been where it was had India not invited it to the Milan exercise,” he wrote on X. “A word of condolence at the loss of lives of those who were our invitees would be in order.”
Others like Chellaney have framed the issue in more strategic terms.
He described the strike as a blow to India’s maritime diplomacy. The torpedoing of the frigate in “India’s maritime backyard”, he argued, punctured Delhi’s carefully cultivated image as a “preferred security partner” in the Indian Ocean.
“In one torpedo strike, American hard power has punctured India’s carefully cultivated soft power,” says Chellaney.
As the debate gathered pace in strategic circles, India’s official response remained cautious.
External Affairs Minister S Jaishankar said on X that he had held a telephone conversation with Araghchi, and also posted a photograph of a meeting with Iran’s Deputy Foreign Minister Saeed Khatibzadeh at a foreign policy summit in Delhi.
For military historian Srinath Raghavan, the legal position is clear: once the Iranian vessel left India’s shores, Delhi had no formal responsibility.
The strategic message, however, is harder to ignore.
“First, the spreading geography of this war. Second, India’s limited ability to manage its fallout,” says Raghavan.
“Indeed, the US Navy has fired a shot across the bow aimed at all regional players, including India.”
[BBC]
Features
End of ‘Western Civilisation’?
“All animals are equal, but some animals are more equal than others” ––George Orwell, Animal Farm
When I wrote in this column an essay on 4th February 2026 titled, the ‘Beginning of Another ‘White Supremacist’ World Order?’, my focus was on the hypocrisy of Canadian Prime Minister Mark Carney’s Davos address on 20 January 2026 to the World Economic Forum. It was embraced like the gospel by liberal types and the naïve international relations ‘experts’ in our country and elsewhere. My suspicion of Carney’s words stemmed from the consistent role played by countries like Canada and others which he called ‘middle powers’ or ‘intermediate powers’ in the world order he critiqued in Davos. He wanted such countries, particularly Canada, “to live the truth?” which meant “naming reality” as it exists; “acting consistently” towards all in the world; “applying the same standards to allies and rivals” and “building what we claim to believe in, rather than waiting for the old order to be restored.” These are some memorable pieces of Carney’s mantra.
Yet unsurprisingly, it only took the Trump-Netanyahu illegal war against Iran to prove the hollowness in Carney’s words. If he placed any premium on his own words, he should have at least voiced his concern against the continuing atrocities in the Middle East unilaterally initiated by the US and Israel. But his concern is only about Iran’s seemingly indiscriminate attacks across the region targeting US and Israeli installations and even civilian locations in countries allied with the Us-Israel coalition.
Issuing a statement on 3 March 2026 from Sydney he noted, “Canada has long seen Iran as the principal source of instability and terror in the Middle East” and “despite more than two decades of negotiations and diplomatic efforts, Iran has not dismantled its nuclear programme, nor halted its enrichment activities.” A sensible observer would note how the same statement would also apply to Israel. In fact, Israel has been the bigger force of instability in the Middle East surpassing Iran. After all, it has exiled an entire population of people — the Palestinians — from their country to absolute statelessness has not halted its genocide of the same people unfortunate enough to find themselves in Gaza after their homeland was taken over to create Israel in 1948 and their properties to build illegal Jewish settlements in more recent times. And then there is the matter of nuclear weapons. Israel has never been hounded to stop its nuclear programme unlike Iran. There is, in the world order Carney criticixed and the one in his fantasy, a fundamental difference between a ‘Jewish bomb’ and a ‘Muslim bomb’ in the ‘clash of civilisations’ as imagined by Samuel P. Huntington and put into practice by the likes of Messers Trump, Netanyahu, and Carney. That is, the Jewish bomb is legitimate, and the Muslim one is not, which to me evokes the commandments in the dystopian novella Animal Farm.
But Carney, in his new rhetoric closely echoing those of the leaders of Germany, UK and France, did not completely forget his Davos words too. He noted, in the same statement, “we take this position with regret, because the current conflict is another example of the failure of the international order.” But in reality, it is not the failure of the current international order, but its reinforcement by the likes of Mr Carney, reiterating why it will not change.
Coming back to the US-Israel attack on Iran, anyone even remotely versatile in the craft of warfare should have known, sooner or later, the rapidly expanding theatre of devastation in the Middle East was likely to happen for two obvious reasons. One, Iran had warned of this outcome if attacked as it considered those countries hosting US and Israeli bases or facilities as enemies. This is military common sense. Two, this was also likely because it is the only option available for a country under attack when faced with superior technology, firepower and the silence of much of the world. I cannot but feel deep shame about the lukewarm and generic statements urging restraint issued by our political leaders notwithstanding the support of Iran to our country in many times of difficulty at the hands of this very same world order.
When I say this, I am not naïvely embracing Iran as a shining example of democracy. I am cognizant of the Iranian regime’s maltreatment of some of its own citizens, stifling of dissent within the country and its proxy support for armed groups in the region. But in real terms, this is no different from similar actions of Israel and the US. The difference is, the actions of these countries, particularly of the US, have been far more devastating for the world than anything Iran has done or could do. US’s misadventures in Vietnam, Iraq, Syria, and Afghanistan come to mind — to take only a handful of examples.
But it is no longer about Carney and the hollowness of his liberal verbal diarrhoea in Davos. What is of concern now is twofold. One is the unravelling fiction of what he called the ‘new world order’ in which he located countries like Canada at the helm. And the second is the reality of continuing to live in the same old world order where countries like Canada and other middle and intermediate powers will continue to do the bidding of powerful aggressors like the US and Israel as they have done since the 20th century.
Yet, one must certainly thank Trump and Mr Natenyahu for one thing. That is, they have effectively exposed the myth of what used to be euphemistically called the ‘western civilisation.’ Despite its euphemism, the notion and its reality were omnipresent and omnipotent, because of the devastating long term and lingering consequences of its tools of operation, which were initially colonialism and later postcolonial and neocolonial forms of control to which all of us continue to be subjected.
One thing that was clearly lacking in the long and devastating history of the ‘western civilisation’ in so far as it affected the lives of people like us is its lack of ‘civilisation’ and civility at all times. Therefore, Trump and Mr Netanyahu must be credited for exposing this reality in no uncertain terms.
But what does illegal and unprovoked military action and the absence so far of accountability mean in real terms? It simply means that rules no longer matter. If Israel and the US can bomb and murder heads of state of a sovereign country, its citizens including children, cause massive destruction claiming a non-existent imminent threat violating both domestic and international law, it opens a wide playing field for the powerful and the greedy. Hypothetically, in this free-for-all, China can invade India through Arunachal Pradesh and occupy that Indian state which it calls Zangnan simply because it has been claiming the territory of itself for a very long time and also simply because it can. India can invade and occupy Sri Lanka, if it so wishes because this can so easily be done and also because it is part of the extended neighbourhood of the Ramayana and India’s ‘Akhand Bharat’ political logic. Sri Lanka can perhaps invade and occupy the Maldives if it wants a free and perennial supply of Maldive Fish. Incidentally, the Sri Lankan Tamil guerrilla group, People’s Liberation Organization of Tamil Eelam nearly succeeded in doing so 1988.
Sarcasm aside, even more dangerous is the very real possibility of this situation opening the doors for small, violent and mobile militant groups to target citizens of these aggressor countries and their allies as we saw in the late 1960s and 1970s. This will occur because in this kind of situation, many people would likely believe this form of asymmetric warfare is the only avenue of resistance open to them. It is precisely under similar conditions that the many Palestinian armed factions and Lebanese militia groups emerged in the first place. If this happens, the victims will not be the fathers and the vociferous supporters of the present aggression but all of us including those who had nothing to do with the atrocities or even opposed it in their weak and inaudible voices.
If I may go back to Carney’s Davos words, what would “to live the truth?”, “naming reality”, “acting consistently” and “applying the same standards to allies and rivals” mean in the emerging situation in the Middle East? Would this kind of hypocrisy, hyperbole, choreographed silence and selective accusations only end if a US invasion of Greenland, an integral part of the ‘White Supremacist’ World Order’ takes place? By then, however, all of us would have been well-trained in the art of feeling numb. By that time, we too would have forgotten yet another important line in Animal Farm: “No animal shall kill any other animal without cause.”
Features
Silence is not protection: Rethinking sexual education in Sri Lanka
Sexual education is a vital component of holistic education, contributing to physical health, emotional well-being, gender equality, and social responsibility. Despite its importance, sexual education remains a sensitive and often controversial subject in many societies, particularly in culturally conservative contexts. In Sri Lanka, discussions around sexuality are frequently avoided in formal and informal settings, leaving young people to rely on peers, social media, or misinformation. This silence creates serious social, health, and psychological consequences. By examining the Sri Lankan context alongside international examples, the importance of comprehensive and age-appropriate sexual education becomes clear.
Understanding Sexual Education
Sexual education goes beyond biological explanations of reproduction. Comprehensive sexual education includes knowledge about human anatomy, puberty, consent, relationships, emotional health, gender identity, sexual orientation, reproductive rights, contraception, prevention of sexually transmitted infections (STIs), and personal safety. Importantly, it also promotes values such as respect, responsibility, dignity, and mutual understanding. When delivered appropriately, sexual education empowers individuals to make informed decisions rather than encouraging early or risky sexual behavior.
The Sri Lankan Context: Silence and Its Consequences
In Sri Lanka, sexual education is included in school curricula mainly through subjects such as Health Science and Life Competencies, however the content is often limited and taught with hesitation. Many teachers feel uncomfortable discussing sexual topics openly due to cultural norms, religious sensitivities, and fear of parental backlash. As a result, lessons are rushed, skipped, or delivered in a purely biological manner without addressing emotional, social, or ethical dimensions.
This lack of open education has led to several social challenges. Teenage pregnancies, although less visible, remain a significant issue, particularly in rural and estate sectors. Young girls who become pregnant often face school dropouts, social stigma, and limited future opportunities. Many of these pregnancies occur due to lack of knowledge about contraception, consent, and bodily autonomy.
Another serious concern in Sri Lanka is child sexual abuse. Numerous reports indicate that many children do not recognize abusive behaviour or lack the confidence and language to report it. Proper sexual education, especially lessons on body boundaries and consent, can help children identify inappropriate behavior and seek help early. In the Sri Lankan context, where respect for elders often discourages questioning authority, this knowledge is especially crucial.
Furthermore, misinformation about menstruation, nocturnal emissions, and bodily changes during puberty causes anxiety and shame among adolescents. Many Sri Lankan girls experience menarche without prior knowledge, leading to fear and confusion. Similarly, boys often receive no guidance about emotional or physical changes, reinforcing unhealthy notions of masculinity and silence around mental health.
Cultural Resistance and Misconceptions
Opposition to sexual education in Sri Lanka often stems from the belief that it promotes immoral behaviour or encourages premarital sex. However, international research consistently shows the opposite: young people who receive comprehensive sexual education tend to delay sexual initiation and engage in safer behaviours. The resistance is therefore rooted more in cultural fear than empirical evidence.
Religious and cultural values are important, but they need not conflict with sexual education. In fact, sexual education can be framed within moral discussions about responsibility, respect, family values, and care for others principles shared across Sri Lanka’s major religious traditions. Ignoring sexuality does not protect cultural values; rather, it leaves young people vulnerable.
International Evidence: Lessons from Other Countries
Several countries demonstrate how effective sexual education contributes to positive social outcomes.
In the Netherlands, sexual education begins at an early age and is age-appropriate, focusing on respect, relationships, and communication rather than explicit sexual activity. As a result, the Netherlands has one of the lowest rates of teenage pregnancy and STIs in the world. Young people are encouraged to discuss feelings, boundaries, and consent openly, both in schools and at home.
Similarly, Sweden introduced compulsory sexual education as early as the 1950s. Swedish programs emphasise gender equality, reproductive rights, and sexual health. This long-term commitment has contributed to high levels of sexual health awareness, low maternal mortality among young mothers, and strong societal acceptance of gender diversity. Sexual education in Sweden is also closely linked to public health services, ensuring access to counseling and contraception.
In many developing contexts, international organisations have supported sexual education as a tool for social development. UNESCO promotes Comprehensive Sexuality Education (CSE) globally, emphasising that it equips young people with knowledge, skills, attitudes, and values that enable them to protect their health and dignity. Studies supported by UNESCO show that CSE reduces risky behaviours, improves academic outcomes, and supports gender equality.
In countries such as Rwanda and South Africa, sexual education has been integrated with HIV/AIDS prevention programs. These initiatives demonstrate that sexual education is not a luxury of developed nations but a necessity for public health and social stability.
Comparing Sri Lanka with International Models
When compared with international examples, Sri Lanka’s challenges are not due to lack of capacity but lack of open dialogue and political will. Sri Lanka has a strong education system, high literacy rates, and an extensive public health network. These strengths provide an excellent foundation for implementing comprehensive sexual education that is culturally sensitive yet scientifically accurate.
Unlike the Netherlands or Sweden, Sri Lanka may not adopt early-age sexuality discussions in the same manner, but age-appropriate education during late primary and secondary school is both feasible and necessary. Topics such as puberty, menstruation, consent, online safety, and respectful relationships can be introduced gradually without violating cultural norms.
Sexual Education in the Digital Era
The urgency of sexual education has increased in the digital age. Sri Lankan adolescents are exposed to sexual content through social media, films, and online platforms, often without guidance. Pornography frequently becomes a primary source of sexual knowledge, leading to unrealistic expectations, objectification, and distorted ideas about consent and relationships.
Sexual education can counter these influences by developing critical thinking, media literacy, and ethical understanding. Teaching young people how to navigate digital relationships, cyber harassment, and online exploitation is now an essential component of sexual education.
Gender Equality and Social Change
Sexual education also plays a crucial role in promoting gender equality. In Sri Lanka, traditional gender roles often limit open discussion about female sexuality while excusing male dominance. Comprehensive sexual education challenges these norms by emphasizing mutual respect, shared responsibility, and equality in relationships.
Educating boys about consent and emotional expression helps reduce gender-based violence, while educating girls about bodily autonomy strengthens empowerment. In the long term, this contributes to healthier families and more equitable social structures.
The Way Forward for Sri Lanka
For sexual education to be effective in Sri Lanka, several steps are necessary. Teachers must receive proper training to handle the subject confidently and sensitively. Parents should be engaged through awareness programs to reduce fear and misconceptions. Curriculum developers must ensure that content is age-appropriate, culturally grounded, and scientifically accurate.
Importantly, sexual education should not be treated as a one-time lesson but as a continuous process integrated into broader life skills education. Collaboration between schools, healthcare providers, religious leaders, and community organisations can help normalise discussions around sexual health while respecting cultural values.
Finally , sexual education is not merely about sex; it is about health, dignity, safety, and responsible citizenship. The Sri Lankan experience demonstrates how silence and taboo can lead to misinformation, vulnerability, and social harm. International examples from the Netherlands, Sweden, and global initiatives supported by UNESCO clearly show that comprehensive sexual education leads to positive individual and societal outcomes.
For Sri Lanka, embracing sexual education does not mean abandoning cultural values. Rather, it means equipping young people with knowledge and ethical understanding to navigate modern social realities responsibly. In an era of rapid social and technological change, sexual education is not optional it is essential for building a healthy, informed, and compassionate society.
by Milinda Mayadunna ✍️
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