Monthly archive for March 2010. Show all posts
-
Guest Contributor:
On the Air With Arab Demographics
›By Richard Cincotta // Wednesday, March 31, 2010A recent radio interview on the “Demographics of the Arab World” should be a must listen for those in the World Bank, where discussions of the Arab youth bulge are largely off the table.
The interview with Magda Abu-Fadil of the American University of Beirut and Bernard Haykel of Princeton University suggests that scholars of the Arab world are not so timid, as also evidenced by UNDP’s 2009 Arab Human Development Report.MORE
However, during the interview with Abu-Fadil and Haykel, Worldfocus’ Martin Savidge falls victim to two significant misconceptions that are worth mentioning for their pervasiveness among political science and economics communities:- Savidge believes that countries tend to risk political violence when their percentage of young adults is above 35 percent. This is close, but not quite correct. It’s the proportion of young adults in the adult population – i.e., the working-age population, as opposed to the population in general – that indicates a risk of fractious politics. Children (those below the age of 14) should not be counted in this indicator, yet in much of the literature they mistakenly are.
- Savidge believes that large numbers of youth are an economic “good deal.” Here, Abu-Fadil and Haykel set him straight, noting that a bulge among the young adult population produces a demographic bonus only when fertility has significantly declined; the childhood cohorts are small and the subject of increased investment; and the youth moving into adulthood are educated.
Big changes could occur along the edges of the Arab world in the coming decade. Fertility decline, more recently, has made its way to the Gulf Cooperation Council (GCC) states, although they still need a champion for women’s rights. Turkey had Ataturk, Iran had Reza Shah, and Tunisia had Habib Bourguiba. It’s no accident that these countries were the first to experience fertility decline and age structural changes—their leaders laid the groundwork decades ago.
Can a leader, however, with that amount of political guts and conviction emerge from the Saudi royal family? I’m doubtful.
Richard Cincotta is demographer-in-residence at the H.L. Stimson Center in Washington, DC.
Photo: Yemeni children courtesy Flickr user kebnekaise. -
Guest Contributor:
Guerrillas vs. Gorillas in the Congo Basin
›By Tara Innes // Wednesday, March 31, 2010Gorillas could disappear from the Congo basin in the next 10-15 years, according to a new report issued by the United Nations and Interpol. The Last Stand of the Gorilla – Environmental Crime and Conflict in the Congo Basin places responsibility for the decline of gorilla populations in the Democratic Republic of the Congo and its surrounding region squarely on the shoulders of resource-hungry militants, who poach gorilla bushmeat to feed hungry soldiers and mine workers and sell in local markets. Militants extract timber, charcoal, diamonds, and other resources to raise funds for arms, reducing gorilla territory.
Yet another rationale is retaliation against park rangers who attempt to limit their illegal activities within national parks. In the process, park rangers have found themselves, their parks, and their endangered charges targets of militant groups seeking to plunder and traffic goods through protected areas. “In Virunga Park alone, 190 park rangers have been killed in the last 15 years,” notes the report, which is also available in an interactive e-book edition.
Conflict with local communities also frequently leads to the slaughter of the gorillas and loss of their habitats. Displaced people and refugees also compete with gorillas for land. In several cases, gorillas facing shrinking natural domains have satisfied their appetites in banana plantations, and local farmers have struck back.Strengthening Law Enforcement
Not all, however, is dire. The report finds several success stories stemming out of transboundary law enforcement collaboration and recommends increased training and support for local and international law enforcement groups. “The gorillas are yet another victim of the contempt shown by organized criminal gangs for national and international laws aimed at defending wildlife,” said David Higgins, Interpol’s Environmental Crime Programme Manager. “The law enforcement response must be internationally coordinated, strong, and united, and Interpol is uniquely placed to facilitate this.”
Law enforcement in the Congo Basin faces an uphill battle, in part due to conditions present in peace agreements between guerillas and the Congolese government. Removing vehicle checkpoints from important border crossings was key to the insurgents agreeing to peace. While these agreements reduced violence, they have created a highway for illegal exports. This trade props up the militant groups and undercuts the chances for peace on a regional scale. It is an example of how large remaining quantities of automatic weapons and turns to poaching by ex-militants can render post-conflict environments even more damaging to local wildlife than war itself.
Toward Coexistence
In some locations, conflicts between gorillas and local farmers are disappearing with the construction of natural barriers and as local populations realize the potential of ecotourism to generate greater revenue from thriving gorilla populations than collapsing ones. Greater international coordination and local commitment, however, are necessary. Turning threatening competition into beneficial cooperation is possible.
Tara Innes is a PhD student at the University of Maryland, studying conflict-environment linkages.
Photos: Gorilla, courtesy Flickr user mrflip; Gorilla Territory Affected by War, Mining, and Logging courtesy UNEP/GRID-Arendal. MORE -
Eye On:
The Plight of Urban Refugees in Nairobi
›By Julien Katchinoff // Tuesday, March 30, 2010“The Traditional image of life in tented sprawling camps no longer tells the full refugee story.”– Hidden and Exposed: Urban Refugees in Nairobi, Kenya
Coinciding with the end of UN-HABITAT’s 5th World Urban Forum, a new report and associated video, Hidden and Exposed: Urban Refugees in Nairobi, Kenya, have been released by the Humanitarian Policy Group (HPG) at the Overseas Development Institute (ODI) and the International Rescue Committee (IRC).MORE
Hidden and Exposed removes the cloak of migration stereotypes and provides an unfiltered look at urban migrants’ struggle for daily survival. Focusing on seven neighborhoods with high refugee concentrations in Nairobi, the authors — through qualitative interviews and secondary data — found a unique, challenging urban environment for thousands of refugees. Aid and development groups often overlook these urban refugees, instead favoring work with traditional established camps on the urban periphery.
The HPG found that Nairobi’s 46,000 registered refugees represent a diverse mix of ethnic groups and nationalities, all trying to secure economic independence and security. While much research has been devoted to the traditional concept of displaced migrants in centralized ex-urban camps, such as Dadaab in Eastern Kenya, urban dwellers are just as vulnerable to insecurity, poverty, and harassment. With nebulous legal rights, facing discrimination and protected by only fragile support systems, the refugee community in Nairobi finds itself in a precarious situation.
In light of the challenges, the research team at HPG offered three basic recommendations as initial steps:
1. Protection:
2. Livelihoods:- Address confusion over legal rights to prevent issues of police harassment and community violence.
- Target a subset of donor funds for training local police forces and government agencies.
- Establish partnerships between the UNHCR and the Kenyan government to improve the latter’s Refugee Status Determination System.
- Funnel humanitarian and development aid toward legal aid services while also using innovative strategies to increase dialogue between urban refugees and the surrounding Kenyan communities.
3. Service Delivery:- Carry out surveys to better understand the Nairobi urban economy, including the informal sector.
- Support the government of Kenya in their efforts to help urban refugees to become self-reliant.
- Recognize the transition of refugees from sequestered camps to urban areas and develop an effective response.
- Secure Kenyan government permission for the issuance of work permits for refugees.
Fleeing conflict and attracted by the possibility of better jobs, services, or security, thousands of refugees have sought new lives in Nairobi. Yet the reality for many urban migrants is an existence burdened with inadequate assistance, a precarious legal status, and economic and physical insecurity. Through the implementation of these recommendations, HPG hopes to draw attention to these hidden refugees, and offer them the hope of improved livelihoods and effective security.- Design aid models to address the unique challenges faced by urban refugees in Nairobi.
- Ensure coordinated and comprehensive services, in conjunction with the Kenyan government and international organizations, to address the needs of the urban refugees and the surrounding communities, with particular attention granted to refugee women and girls.
-
Climate Change and Energy in Defense Doctrine: The QDR and UK Defence Green Paper
›By Dan Asin // Tuesday, March 30, 2010“The Department of Defense is not the U.S. government lead for climate change, but we certainly can show leadership in this area,” Deputy Assistant Secretary of Defense for Strategy Amanda Dory recently told an audience at the Woodrow Wilson Center. “That’s true of energy as well.”
In the panel discussion “Climate Change and Energy in Defense Doctrine: The QDR and UK Defence Green Paper,” Dory was joined by Rear Admiral Neil Morisetti RN, the climate and energy security envoy for the U.K. Ministry of Defence and Foreign & Commonwealth Office, and DoD energy and environmental analysts Commander Esther J. McClure USN and Lt. Colonel Paul Schimpf USMC for a dialogue on climate change and energy, and their implications for U.K. and U.S. security analyses.MORE
National Security and Climate Change
“We see climate change as a condition that has second-order effects that can contribute to conflict and instability,” Dory said. Quoting the 2010 Quadrennial Defense Review (QDR), she called climate change an “instability accelerant”—it does not spark conflict itself, but climate-related resource scarcity, shifts in agricultural productivity, and migration pressures can.
The threat of conflict is particularly strong in weak countries, where severe climate impacts could overwhelm limited state capacities. Morisetti, speaking about the UK Defence Green Paper and the country’s most recent Global Strategic Trends report, noted that many at-risk states already lie in current hotspots and along vital trade routes.
The panelists also raised concerns over the potential impacts of:
National Security and Energy- Sea-level rise and extreme weather events on coastal infrastructure, including military and economic assets;
- Receding Arctic sea ice on trade, resource extraction, and sovereignty claims;
- Melting permafrost on energy infrastructure;
- New patterns of disease; and
- More intense, and perhaps more frequent, extreme weather events and demands for humanitarian and disaster relief missions.
As nations advance their efforts to mitigate climate change, defense forces will have to reduce emissions and pay more for traditional fuels, said Morisetti. In a carbon-constrained world, there will be competition for traditional fuels.
Beyond climate change, Dory said energy has the potential to be either an “asymmetric vulnerability” or a “force multiplier.” Energy-guzzling platforms are costly to operate, difficult to transport, and have long supply lines. As Amory Lovins said in his presentation at the Woodrow Wilson Center last fall, cutting down the number of costly and vulnerable fuel convoys, freeing troops for alternative missions, and procuring equipment with larger operational ranges can greatly enhance strategic courses of action.
On the home front, the integration of cyber-control systems and renewable energy supplies into the U.S. power grid is creating new vulnerabilities for military bases and headquarters in the United States. “We’re seeing variable renewable energy resources integrated into a brittle grid at the same time as we see people moving toward variable demand,” McClure said. “As a former chief engineer, I tell you that that equation doesn’t work out real well for very long.” Figuring out how to make energy supplies for domestic facilities more robust—either by improving the national energy grid, developing efficient off-grid generation capabilities at bases, or a combination of both—is a major concern identified in the QDR.
Looking Forward
Each panelist detailed ways to integrate climate change and energy in current and future planning, strategies, and operations:
Military-to-Military Cooperation: Cooperation around climate change and energy issues can build communication channels while helping both developed and developing country militaries learn to adapt. In many developing countries the military is “the only [organization] that [has] the infrastructure to do the necessary disaster planning and response,” said Schimpf. U.S. military experiences abroad can help inform both the DoD and civilians about best practices at home. Such initiatives to advance military-to-military environmental cooperation will build on previous DoD efforts over at least the past 20 years.
Force Planning & Acquisitions: The planning and acquisition process should incorporate energy performance, efficiency, and effectiveness, said Dory. In addition, Morisetti said, fuel forecasts must be properly priced. For example, under standard pricing methods, fossil fuels consume 2.5 percent of the UK military budget, but the figure jumps to 15 percent when using the fully burdened cost of fuel. Reducing the vulnerabilities of energy supply will be a key task of the Director of Operational Energy Plans and Programs, a new position mandated by Congress but yet to be confirmed.
Inter-agency Cooperation: “Climate change doesn’t recognize departmental boundaries, the same way it doesn’t recognize international boundaries,” Morisetti said. The DoD has been cooperating on climate change and energy issues with partners at the Department of State, Department of Energy, and elsewhere. Stovepiping within departments is also a problem. During their extensive consultations, the QDR team found that “there are a huge amount of practitioners within the DoD who are working on climate change issues,” said Schmipf. “However, it seems that everybody is in their own little foxhole, so to speak; there’s not a whole lot of coordination.”
R&D;: The security community can be a key contributor to energy research and development, either directly developing technologies itself, funding research elsewhere, or acting as a testing ground/early adopter for new products, said Schimpf.
Installation Vulnerability Assessments: Initial surveys of DoD installations were performed in the lead-up to the QDR, said McClure. More detailed efforts will identify which installations are vulnerable to what types of climate change, and what are the best ways to adapt. -
Megatrends: Embracing Complexity in Today’s Population and Migration Challenges
›By Geoff Dabelko // Monday, March 29, 2010Foreign Policy’s Elizabeth Dickinson recently sat down with UN High Commissioner for Refugees António Guterres for a wide-ranging interview on the global refugee crisis. Yet a strong theme emerges across the continents: The complexity of today’s conflicts belies either easy or quick solutions.
In her very last question, Dickinson asks Guterres to name the biggest difference between 2005, when he started as High Commissioner, and 2010, the end of his term. In his final reflection, he speaks directly to the importance of interactions among “mega-trends,” which are commonly lumped together as “global issues:”
But what we’re witnessing now more and more is a certain number of mega-trends interacting with one another: population growth, urbanization, food insecurity, water scarcity, climate change, and conflict. More and more people are on the move for reasons that are sometimes difficult to differentiate. If a Somali crosses the Gulf of Aden, is it because of the conflict or because [there are no] jobs? Probably both.
Climate change [also] enhances conflict. If resources become scarce, people tend to fight for them. This is increasing the number of people on the move and the number of people forced to move. They’re not refugees, according to the legal definition, but they represent a major humanitarian and human rights challenge, as well as a major challenge for world politics.
Guterres points out the difficulty in differentiating among the diverse drivers of modern migration. The precise impacts of climate change on migration (and whether those movements will be a force for peace or conflict) are critical yet vexing topics for the emerging climate-security field. Simplifying the complex causal connections into bumper sticker-friendly advocacy messages has led to the unhelpful (and legally inaccurate) use of the term “climate refugees.”
Guterres highlights the complexity of migration rather than ignoring it—a constant temptation when the ultimate goal is implementing coordinated policy responses. Fortunately, such nuanced problem diagnoses of population dynamics are becoming more common.
In his most recent contribution to Foreign Affairs, “The New Population Bomb: Four Megatrends That Will Change the World,” George Mason University’s Jack Goldstone brings a similar understanding to the complex issue of population, identifying four future trends that will have more impact than growth rates alone:- Demographic decline in developed countries will shift economic power to developing countries.
- Aging populations in developed countries will increase demand for immigrant workers.
- Population growth will be concentrated in the poorest, youngest, and most heavily Muslim countries.
- Most of the world’s population will be urbanized, with the largest centers in the poorest countries.
- Developed nations should “build effective alliances with the growing powers of the new Second World” (e.g., Brazil, China, Iran, Mexico, Thailand, Turkey, and Vietnam) by expanding the G8 and the European Union.
- NATO should expand its membership and activities to include “large and strategic Second and Third World powers.”
- Developed nations should encourage immigration from “young, underemployed, and unstable populations in developing countries.”
By ECSP Director Geoff Dabelko
Photo: Kenyan refugee, courtesy Flickr user Zoriah; UN High Commissioner for Refugees António Guterres, courtesy Flickr user Crossroads Foundation Photos; Professor Jack Goldstone, courtesy Dave Hawxhurst MORE - Demographic decline in developed countries will shift economic power to developing countries.
-
From the Wilson Center:
Maintaining the Momentum: Highlights From the Uganda International Conference on Family Planning
›By Kayly Ober // Monday, March 29, 2010“Family planning is to maternal survival what a vaccination is to child survival,” said Johns Hopkins professor Amy Tsui, quoting Khama Rogo of the World Bank, at the Woodrow Wilson Center event Maintaining the Momentum: Highlights From the Uganda International Conference on Family Planning on March 16. Rogo made the strong statement during the landmark November 2009 conference in Kampala, which has renewed interest in family planning and reproductive health among African leaders and development partners. Rhonda Smith of the Population Reference Bureau and Sahlu Haile of the David and Lucile Packard Foundation joined Tsui, the director of The Bill & Melinda Gates Institute of Population & Reproductive Health, to discuss their impressions of the Kampala conference and what it means for the future of family planning in Africa.
“An event that happened at the right time”
“Kampala was the work of a community,” said Tsui. More than 50 organizations—the U.S. Agency for International Development, the UN Population Fund, the World Bank, the World Health Organization, and the Gates and Packard Foundations—convened in Uganda, which was chosen not only for its central location, but also to highlight the country’s soaring unmet need for contraception—41 per cent—and rapid 3.1 percent population growth rate.Panels focused on key issues in family planning, including:
- Integrating family planning into HIV/AIDS care
- Integrating family planning in post-abortion, postpartum, child, and other primary health care
- Expanding contraception delivery services by community health workers
- Increasing outreach to youth and men
- Capitalizing on private and public innovations in service delivery and financing
- The United States announced its foreign assistance budget will increase support for family planning from $450 million to $715 million for the next fiscal year.
- The Global Health Initiative identified maternal/child health and family planning as one of its main priority themes.
- Secretary of State Clinton positively discussed girls’ education, family planning, and reproductive health at the ICPD + 15 anniversary.
- The Women Deliver 2010 Conference, to be held in June, has identified family planning as a third pillar of maternal health.
Uganda on the Move
Rhonda Smith’s presentation “Uganda on the Move”—which she also presented in Uganda—is a prototype of the Population Reference Bureau’s new ENGAGE (Eliminating National Gaps—Advancing Global Equity) project, which is designed to “engage policy audiences and promote policy dialogue around issues of high fertility and high unmet need for family planning and their costs, consequences, and solutions,” she said. By using stunning, innovative graphics and avoiding confounding technical terms, ENGAGE’s products are designed to reach non-technical policy audiences and influential decision-makers.
As one of the Uganda conference’s most talked about presentations, “Uganda on the Move” wows audiences with visuals created using Hans Rosling’s Trendalyzer software. The presentation shows that although Ugandans are increasingly healthier, have a higher life expectancy, and are more educated, maternal health remains in jeopardy. Tellingly, 46 percent of pregnancies in the country are unplanned, 6,000 women die each year from complications related to pregnancy, and 1,200 women die each year from undergoing unsafe abortions.
Maternal deaths, however, do not tell the whole story: For every one woman dying, Smith said, 20-30 women suffer from short-term disability, which places a major strain on economic growth. From 2004 to 2013, maternal death will cost Uganda US$350 million in lost productivity; and disability will cost and additional US$750 million.
What Next? The African Perspective
“After 10 years of virtual clandestine work, [family planning] is just coming out of the closet,” said Sahlu Haile. Over the last few decades, family planning advocates have been struggling to: 1) keep family planning alive—without it being affected by political considerations 2) make family planning a health priority, without any associations with rights violations; and 3) be in solidarity with pioneering organizations of the family planning movement, like the International Planned Parenthood Federation, that were victims of discriminatory funding decisions.
The Uganda conference changed all that, said Haile. In Uganda, conference attendees were “talking about family planning…not reproductive health, not maternal/child health.” This, he said, was “probably the single most important lesson…that I took from the Kampala conference.”
Following the conference, Haile said that African government officials stressed family planning as a priority at meetings in Ethiopia and Nigeria—the first time he had witnessed such high-level attention to family planning from those countries in his 30-year career.
In Ethiopia, African leaders pledged to:- Prioritize family planning, since family planning is one of the most cost-effective development investments;
- Ensure access to contraception, as 40 percent of maternal deaths are associated with unwanted pregnancies; and
- Integrate MDG 5b, universal access to reproductive health, into their international development plans and budgets.
Haile credited the Kampala conference for spurring these efforts. In December, he joined a task force of 14 Ethiopian organizations to plan the next steps. They will jointly develop research capacities, generate evidence, and strengthen monitoring and evaluation practices, especially with regard to integrating population, health, and environment efforts. In addition, they will engage with wider audiences via new tools such as the blog RH RealityCheck and Gapminder Foundation’s Trendalyzer program.
Haile believes we need to “work together to encourage national-level efforts…to make sure family planning stays where it is now and make sure it is not abandoned.”
To be a part of the new online family planning community, join the Kampala Conversation.
Photo 1: A women and her children in Jinja, Uganda. Courtesy Flickr user cyclopsr. Photos of Amy Tsui, Rhonda Smith, and Sahlu Haile courtesy of Dave Hawxhurst, Woodrow Wilson Center. MORE -
Reading Radar:
Demographic Trends
›By Dan Asin // Friday, March 26, 2010Worldfocus recently featured two pieces on the Arab world’s burgeoning population. “Demographics of the Arab World,” a radio broadcast, brings together Magda Abu-Fadil of the American University in Beirut and Bernard Haykel of Princeton University for a look at the region’s demographic trends. Despite possessing different political systems and being at different levels of economic development, demographic challenges of youth bulges, emigration, and gender gaps are common to countries across the Arab world. “Arab World Experiences Rapid Population Explosion,” a written interview with demographer Patrick Gerland of the United Nations Population Division, tackles similar issues. Topics of discussion include demographic variations between Middle Eastern nations, fertility rates, the consequences of the region’s youth bulge, and best- and worst-case scenarios for the Arab world’s future.
MORE
State of the World’s Cities 2010/2011: Bridging the Urban Divide is the most recent edition of UN-HABITAT’s biennial outlook into global population centers. Analyzing the “the complex social, political, economic, and cultural dynamics of urban environments,” the report explores the “ways in which many urban dwellers are excluded from the advantages of city life.” UN Secretary General Ban Ki-Moon draws a connection between cities and climate change in the report’s preface, writing, “With over half the world’s population now living in cities, and cities making a disproportionate contribution to climate change, urbanization is one of the ‘crucial agendas’ of our time.” -
‘Wilson Center on the Hill:’ Haiti’s Long Road Ahead
›By ECSP Staff // Thursday, March 25, 2010Nearly two months after the devastating 7.0 magnitude earthquake in Port-au Prince, Haiti, the country still needs assistance to provide basic healthcare and shelter, in addition to rebuilding Haiti’s economy, government, and institutions. As the international community and NGOs make the transition from emergency disaster relief to long-term reconstruction and capacity-building efforts, donor coordination and long-term commitment are crucial. Recently, on Capitol Hill, a panel of experts organized by Wilson Center on the Hill and the Wilson Center’s Latin American Program discussed Haiti’s continuing problems and challenges.
MORE
Patience Necessary
Johanna Mendelson Forman, a senior associate for the Americas Program at the Center for Strategic and International Studies, stressed that progress in Haiti will take time—perhaps five years to rebuild and 10 years to see positive economic growth. This timeline is often frustrating for donors—including Congress and U.S. citizens—who want to see immediate results, she noted. Nevertheless, Mendelson Forman discounted the myth that “because Haiti is a weak state it is not a sovereign state,” and emphasized that developing and strengthening the Haitian government remains necessary.
She observed that the post-earthquake efforts in Haiti have been different from previous United Nations interventions, particularly in terms of the Latin American community’s involvement. Brazil, for example, is leading relief operations. Other Latin American countries—including Haiti’s neighbor, the Dominican Republic—have committed to promoting a stable and secure Haiti. Here Mendelson Forman noted a new partnership initiated by the Dominican and Haitian governments. “[Dominican officials] understand that they are doomed if Haiti is doomed,” she said. “As members of the international community, it is our job to foster that reconciliation.”
Costs Are Rising
Andrew Philip Powell, a regional economic advisor in the Caribbean Country Department at the Inter-American Development Bank (IDB), said that while the IDB initially estimated damage from the earthquake at about $8 billion, the complete destruction of the government and commerce centered in Port-au-Prince could push that number much higher. The IDB and partner organizations are currently conducting a Post-Disaster Needs Assessment that will ultimately identify the official damages and ballpark the cost of reconstruction.
Powell stated that Haiti is “not starting from a blank slate,” citing a development strategy agreed upon in April 2009 by the Haitian government and international donors. In keeping with the strategy, he emphasized the need for effective coordination between donors and the Haitian government. At the same time, he said it is vital to encourage population dispersion by shifting government agencies and private-sector jobs to other parts of the country. Haiti needs roads and communication networks outside of the capital area, as well as export processing zones in outlying regions, to increase the economic opportunities outside of Port-au-Prince, he said.
However, with the large amounts of aid flowing into the country, Powell warned donors and Haitian officials to remain on the lookout for “Dutch disease”—a decline in the manufacturing sector following a sharp increase in natural resource prices, foreign assistance, or foreign direct investment. Its occurrence could increase Haiti’s dependency on aid in the future.
Challenges for Healthcare
Sheri Fink, a public policy scholar at the Woodrow Wilson Center and senior fellow at the Harvard Humanitarian Initiative, offered her perspective on Haiti’s continuing health crisis based on two trips to the country in the earthquake’s aftermath. There are signs of hope, including some normalcy and commerce returning to the camps, she noted, but problems in the health sector as a whole are increasing. As field hospitals put in place after the earthquake close, “there is a fear among Haitians that attention is starting to turn elsewhere,” she said.
According to Fink, “the work is far from done” in Haiti, a sentiment she said is shared by many departing health workers. The hospitals left standing are not prepared to deal with the influx of patients arriving at their doors following the closure of field hospitals, and government health workers are currently working without pay.
Fink also pointed out the risk of long-term earthquake-related health problems, including injuries suffered during aftershocks or from falling debris, inflamed chronic diseases, horrible conditions and lack of basic health services in camps, and the “looming nightmare” of infectious disease epidemics.
Fink called for more international involvement to avert a widening of the health crisis. “We’ve made a big commitment and to follow-up on the investment, to make it mean something; let’s not be satisfied with just bringing things back to where they were,” she said.
By Sarah Huston and David Klaus of Wilson Center on the Hill at the Woodrow Wilson International Center for Scholars.
Photo: Courtesy Flickr user United Nations Development Programme -
Pop Tweets:
The Feed for Fresh News on Population
›By ECSP Staff // Thursday, March 25, 2010USAID’s Gloria Steele offers written testimony on the FY2011 Global Health and Child Survival (GH CS) budget request before the House Appropriations Subcommittee on State, Foreign Operations
Andrew Revkin gives a shout-out to family planning and notes the lack of population discussion at Copenhagen in his blog post, “From Wishful Thinking to Real-World Action on Climate“
Video of Secretary of State Hilary Clinton addressing the Commission on the Status of Women in which she discusses the Global Health Initiative, maternal mortality, family planning, and “gendercide“
Family planning-environmental connections headline PATH‘s March edition of Outlook
Youth bulges and social conflict are noted in Nicholas Kristoff’s recent article on child marriages in Yemen
Follow Geoff Dabelko on Twitter for more population, health, environment, and security updates MORE -
Energy Is a “Constraint on Our Deployed Forces”: DOD DOEPP Nominee Sharon Burke
›By ECSP Staff // Wednesday, March 24, 2010“I believe right now that energy is a vulnerability and constraint on our deployed forces,” said Department of Defense nominee and CNAS Vice President Sharon Burke yesterday morning at her confirmation hearing before the Senate’s Armed Services Committee. She described the tremendous cost—in lives, capital, and operational flexibility—of meeting the current fuel needs of troops in Afghanistan. Leading DOD’s efforts to account for the “full cost and full burden of energy,” she said, will be one of her priorities if she is confirmed.
“The committee and Congress have shown an acute interest in operational energy by creating this position,” said Burke, who would be the first person to serve as Director of Operational Energy Plans and Programs (DOEPP). “Sharon Burke has a deep understanding of the energy and climate change challenges facing the Department of Defense,” according to Geoff Dabelko, director of the Wilson Center’s Environmental Change and Security Program. “She would be able to hit the ground running if confirmed.”MORE
Burke said that previous Congressional and presidential mandates have pushed DOD to improve the energy posture of its domestic facilities. She hopes to achieve similar successes in the operational arena. While she was reluctant to privilege any single solution, she suggested that more efficient weapon platforms and tactical vehicles, alternative fuels, and better business and acquisition processes could all be part of the mixture.
In response to a question from Senator Chambliss (R-GA) about climate change, Burke said, “I think the Quadrennial Defense Review (QDR) does a very good job laying out the proper role of the military forces.” The Wilson Center recently hosted a panel discussion on the QDR and the UK Defence Green Paper, at which the speakers repeatedly referred to the future DOEPP.
The nomination hearing largely avoided any tension concerning climate science and mitigation policies, focusing instead on military operations and ensuring the maximum effectiveness of U.S. forces. “My top priority would be mission-effectiveness,” Burke said. E&E; News reports Burke is expected to be confirmed.
Photo: Sharon Burke courtesy CNAS. -
Is the Melting Arctic a Security Challenge or Crisis? The View From Russia and Washington
›By Geoff Dabelko // Wednesday, March 24, 2010
In his opening remarks at the Security Council of the Russian Federation’s meeting on climate change last week, Russian President Dmitry Medvedev framed climate change as a force for increased competition and “disputes between countries.” Unsurprisingly, he focused on the Arctic region and what he called the “inadmissible” and “unfair” threats to Russia’s access to the region’s resources:
We must not forget either that climate change can give rise not only to physical change, change in the nature around us, but can also see the emergence of disputes between countries over energy exploration and extraction, the use of marine transport routes, bioresources, and shortages of water and food resources. The countries bordering the Arctic region are already actively engaged in expanding their research, economic, and even military presence in the Arctic. Unfortunately, in this situation, we are seeing attempts to limit Russia’s access to exploring and developing Arctic energy deposits, which is inadmissible from a legal point of view and unfair in terms of our country’s geographical location and very history.
MOREHis reference to “shortages of water and food resources” fits squarely within the increasingly common view of climate change’s potential as a “conflict accelerant” (see, e.g., the U.S. Department of Defense’s 2010 Quadrennial Defense Review) or “threat multiplier” (as in CNA’s National Security and the Threat of Climate Change and statements from representatives of the UK and EU foreign offices).
But his Arctic comments sounded different than what I’ve been hearing in Washington. The Arctic rightfully gets a lot of attention for alarming rates of physical change, newly accessible resources, and potential new shipping routes. Yet remarks at a recent spate of Arctic climate and security discussions suggest officials in Washington view the geopolitical and trade issues more as “challenges” than “crises.”
For example, last month at the Stimson Center, and just yesterday at the Johns Hopkins University Applied Physics Lab, the U.S. Navy’s director of Task Force Climate Change and oceanographer, Rear Admiral David Titley, used “challenge” rather than “crisis” to depict the security situation in the far North. At numerous panels, officials and experts expressed confidence that the Arctic Council and related institutions are forums robust enough to manage current and future disputes.
Ironically, one of those key institutions is UNCLOS, the Law of the Sea treaty, which has been ratified by 157 countries, but not the United States. U.S. military and civilian officials alike see ratification as a key step for the United States to represent its interests in these critical multilateral settings. Nevertheless, we can anticipate some knee-jerk demagoguery about the treaty ceding U.S. sovereignty to the United Nations, so the Senate is unlikely to take up the issue until after the fall 2010 elections.
I want to thank friend and colleague Alexander Carius, co-director of Adelphi Research, for calling President Medvedev’s speech to my attention.
Photo: Russian President Dmitry Medvedev, courtesy Flick user World Economic Forum -
Tapping In: ‘Secretary Clinton on World Water Day’
›By Julien Katchinoff // Tuesday, March 23, 2010
“It’s not every day you find an issue where effective diplomacy and development will allow you to save millions of lives, feed the hungry, empower women, advance our national security interests, protect the environment, and demonstrate to billions of people that the United States cares. Water is that issue,” declared Secretary of State Hillary Clinton at a World Water Day event hosted by the National Geographic Society and Water Advocates.MORE
Alongside speeches by representatives from government and the non-profit sector, Secretary Clinton repeatedly emphasized America’s support for water issues. “As we face this challenge, one thing that will endure is the United States’ commitment to water issues,” she asserted. “We’re in this for the long haul.” Beyond simply highlighting the importance of the issue, Secretary Clinton also affirmed commitment to new programmatic, cross-cutting initiatives that will target water as a keystone for development and peace.
ECSP Director Geoff Dabelko, who attended the event, noted that Secretary Clinton’s speech ran counter to the much publicized notion that water scarcity is an unavoidable catalyst for conflict.She came down squarely on the side of inclusion by identifying water as both a ‘human security’ and ‘national security’ issue. At the same time, she did not fall prey to the common pitfall of arm-waving about water wars. She flagged conflict and stability concerns, but also raised solutions through meeting needs associated with water and development. She went out of her way to emphasize water’s potential for peace and confidence-building, reflecting a commitment to capturing opportunities rather than merely identifying threats.
Secretary Clinton highlighted five crucial areas that comprise the United States’ whole-of-government approach to water issues:
1. Building capacity:
Through efforts with international partners, the United States hopes to strengthen the abilities of water-stressed nations to manage vital water resources. Agencies such as the Millennium Challenge Corporation and USAID are implementing initiatives that will enhance national ministries and encourage regional management cooperatives.
2. Elevating diplomatic efforts:
A lack of coordination between the numerous UN agencies, governments, and multilateral funding organizations hinders global water progress. By bringing this work together, the United States can act as a leader, demonstrating a positive diplomatic precedent for fragile and water-stressed nations.
3. Mobilizing financial support:
Relatively small grants have achieved large impacts. Work by the United States to strengthen capital markets in the water sector shows that it is possible to earn large returns on water investments. Successful examples range from educational and awareness-building programs, to desalinization and wastewater treatment plants.
4. Harnessing the power of science and technology:
Although there is no silver technological bullet to solve the global water crisis, simple solutions, such as ceramic filters and chlorine disinfection systems, do help. Additionally, sharing government-accumulated technological knowledge can have significant impacts, as demonstrated in a recent NASA-USAID project establishing an Earth-observation monitoring and visualization system in the Himalayas.
5. Broadening the scope of global partnerships:
By encouraging partnerships and elevating water in its global partnership initiatives with NGOs, non-profits, and the private sector—all of which are increasingly engaged in water issues—the Department of State hopes to maximize the effectiveness of its efforts.
The holistic approach advocated by Secretary Clinton reflects a distinct evolution of American diplomacy within this area, which is strongly supported by the water community. “The policy directions outlined in the speech, the five streams, represent a victory for those in and outside of government who have argued for a broad, rather than narrow, view of water’s dimensions,” said Dabelko. “The diversified strategy focuses on long-term and sustainable interventions that respond to immediate needs in ways most likely to make a lasting difference.”
In her concluding remarks, Secretary Clinton sounded a positive note, noting that for all of the press and attention devoted to the dangers of the global water crisis and the possible dark and violent future, dire predictions may be avoided through a smart, coordinated approach. “I’m convinced that if we empower communities and countries to meet their own challenges, expand our diplomatic efforts, make sound investments, foster innovation, and build effective partnerships, we can make real progress together, and seize this historic opportunity.”
Photo Credits: State Department Official Portrait; UNEP. -
Dot-Mom:
Maternal and Newborn Health as a Priority for Strengthening Health Systems
›By Calyn Ostrowski // Tuesday, March 23, 2010Among the many initiatives that have recently been launched to strengthen health systems in the developing world, there is little consensus on execution. Traditional strategies for improving the health system, such as the vertical approach, which prioritizes communicable diseases, or the horizontal approach, which prioritizes non-communicable diseases, are limited in scope and fail to include a comprehensive gender lens.
To overcome the shortcomings of these two health financing approaches, the “diagonal” strategy combines them by “clearly defining priorities and utilizing these priorities to drive general improvements of the health system,” said Julio Frenk, dean of the Harvard University School of Public Health, at the Global Health Initiative’s third event in the “Advancing Policy Dialogue on Maternal Health” series.MORE
Along with panelists Helen de Pinho of Columbia University, and Agnes Soucat of the World Bank, Frenk discussed how prioritizing key maternal health indicators can improve health systems and support the implementation of evidence-based interventions.
Putting Women and Health First
Drawing on his experience as Mexico’s minister of health, Frenk said that clearly defining a set of priorities grounded in “women and health” drove the improvement of Mexico’s health system. “Picture three concentric circles. The core of these concentric circles is the prevention of maternal mortality and disability; the second circle [includes] other aspects of sexual and reproductive health in addition to pregnancy and delivery; the third circle includes other fundamental areas of women’s health and the intersection of women with the health system,” said Frenk.
Mexico used maternal mortality rates to measure quality of care and rectify weaknesses in the health system. “Every maternal death triggered an audit that could lead to a hospital losing its license to operate,” said Frenk. Additionally, these audits helped to identify gaps and prioritize investments in “equipment and supply of drugs…and networks [for] obstetric emergencies,” he added.
“This illustrates how you can take a specific set of priorities and drive them through,” argued Frenk. “Global health needs to get out of the traditional confines that have split the community between vertical and horizontal and adopt more integrated frameworks like the notion of women and health,” he said, which “will leave behind a better health system to deal with the next challenge.”
Measuring Maternal Health
The maternal health community agrees that to reduce maternal mortality rates, access to emergency obstetric care (EmOC) must be improved. “A simple assessment of an emergency obstetric care facility combines a number of aspects that are core to strong health systems,” said de Pinho. To reduce maternal mortality, a strong health system must be able to positively answer these key questions:
These questions monitor the availability, utilization, and quality of care, which signals whether “the health system is actually responding to the woman’s needs when they need it,” said de Pinho. These maternal health indicators “paint a picture for where next steps need to be taken,” she said.- Are there enough facilities providing EmOC and are they well distributed?
- Are women with obstetric complications using these facilities?
- Is the quality of the EmOC services adequate?
Rwanda’s Innovations in Health Financing
“When we talk to ministries of health we ask them what are the low-hanging fruits we can reach in the six years” until the deadline for meeting the Millennium Development Goals (MDGs), said Soucat. To implement methods with proven results, additional research data, monetary support, and political will are all necessary. Rwanda’s ministry of health used the health-related MDGs—particularly MDG 5 to reduce maternal deaths by 75 percent—to reform the health system and hold institutional and individual actors accountable.
Rwanda’s health system was reformed through five key pillars:
“The heart of the reform is to increase accountability to its citizens,” said Soucat. Rwanda’s results-based financing offered “incentives and salary supplements to workers who saw more patients and provided higher quality of care,” she said. Impact assessments demonstrate that all income groups in Rwanda benefited from this health care scheme; in three years family planning tripled and assisted deliveries increased by 13 percent –“something that has never been observed in Africa,” she said.- Fiscal decentralization increased community participation and allocated funds to district governments
- Performance contracts were established between the president and district mayors
- A performance-based financing system distributed money to health facilities based on results
- Community health insurance increased access and reduced out-of-pocket expenditures
- Autonomous health facilities were allowed to hire and fire personnel
Rwanda’s Ministry of Health conducted rigorous assessments to ensure quality services and demonstrate impact to the Ministry of Finance. “When talking about maternal health a strong dialogue between the Ministry of Health and Ministry of Finance is needed more than ever and centered around the production of results,” argued Soucat. Scaling up the results-based finance scheme in other African countries is possible, she said, but additional research is needed to better understand this scheme at the decentralized level. -
‘A Question of Quality: ’ World Water Day 2010
›By Julien Katchinoff // Monday, March 22, 2010World Water Day 2010, dedicated to the issue of water quality, points to a challenge that is often omitted from the scarcity debate. Today, through a variety of global events, publications, and speeches, a large coalition of organizations, companies, and institutions will underline the importance of healthy ecosystems and water quality necessary for human well-being.
A participating partner in this initiative, the National Geographic Society, has made its special issue on water, Water: Our Thirsty World, available for free online. After registration, readers may find the following stories interesting:
“Water is Life” – Barbara Kingsolver
“The Big Melt” – Brook Larmer
“Sacred Waters” – John Stanmeyer
“The Burden of Thirst” – Tina Rosenberg
“Silent Streams” – Douglas H. Chadwick
“California’s Pipe Dreams” – Joel K. Bourne, Jr.
“Parting the Waters” – Don Belt
“The Last Drop” – Elizabeth Royte
Photo Credits: “Rural water pump near Ulundi, South Africa” Photo: Flickr User Trevor Samson, World Bank Photo Collection MORETopics: water -
Guest Contributor:
Imagine There Are No Countries: Conservation Beyond Borders in the Balkans
›By Todd Walters // Friday, March 19, 2010International peace parks have captured the imagination of visionaries like Nelson Mandela, who called them a “concept that can be embraced by all.” Such parks—also known as transboundary protected areas—span national boundaries, testifying to the peaceful collaborative relationship between neighboring countries and to the co-existence of humans and nature.
MORE
Peace parks seek to simultaneously promote regional peace and stability, conserve biodiversity, and stimulate job creation. How can they accomplish such ambitious goals?- Biodiversity: The political borders and physical barriers within the park are removed, allowing animals and humans to migrate freely. In addition, surveys of the area’s biodiversity don’t stop at sovereign borders, but are instead conducted on an ecosystem basis.
- Job creation: Developing eco-tourism—one of the fastest-growing industries in the world—provides people living near peace parks an incentivized alternative to exhausting the very resource base on which their survival depends.
- Peace and stability: To jointly manage natural resources successfully requires countries to collaborate through cross-boundary committees on conservation, safety and security, finance, human resources, legislation, and tourism.
My organization, International Peace Park Expeditions, uses experiential peacebuilding, academic programs, and professional trainings in international peace parks to integrate theory with practice. We seek to develop leadership and collaboration among three distinct, but complementary, groups: students and professors, transboundary protected area professionals, and youth from the peace park countries.
Our Summer 2010 programs focus on the proposed peace park in the Western Balkans’ Prokletije/Bjeshket e Namuna mountains, between Albania and the newly independent countries of Montenegro (2006) and Kosovo (2008), which were formerly part of Yugoslavia. The Balkans Peace Park Project, a UK charity and their local network of partner organizations and individuals, first conceptualized the Balkans Peace Park, an area of approximately 4000 square km, in 2001.
This summer, participants in our professional training symposium will collaboratively develop a more precise and dynamic map. Students and young leaders in our other two programs will learn about peace parks while trekking together across the borders into all three countries.
Experiential Peacebuilding (July 19-25, 2010)
Experiential Peacebuilding programs combine outdoor experiential education and practical skills training in peacebuilding to foster the development of a community of young leaders capable of catalyzing positive peaceful changes in their communities. This summer’s program is being developed in conjunction with our local partner organizations (ERA and Marimangut in Kosovo; Outdoor Albania and High Albania in Albania; and PSD Prokletija in Montenegro). The primary goals of these programs are to unite youth from conflict-affected communities to develop relationships across borders; transform negative attitudes and stereotypes; and create a core group of young leaders with the skills, tools, and motivation to generate and direct changes in their communities.
Academic Expedition (June 7-26 and August 2-21, 2010)This three-week, three-credit course, “Conservation Beyond Borders,” will combine traditional academic teaching with proven experiential learning methodologies to create a unique, dynamic expedition that will provide students with a strong understanding of the theory and practice of international peace parks. Course readings and lectures will provide the academic base, and guest lectures from subject-matter experts working in the field will create the bridge; both will address sustainable forestry management, biodiversity surveys, eco-tourism plans, development and infrastructure planning, environmental conservation, water resource management, peacebuilding initiatives, and cross-border projects. First-hand experience trekking through the proposed Balkans Peace Park, crossing the borders of Albania, Kosovo, and Montenegro, and living among the local people will bring theory to life.
Professional Training Symposium (July 8-9, 2010)
This year’s Professional Field Training Symposium, “Critical Transboundary Environmental Linkages,” will bring together experts, policymakers, and stakeholders from the Prokletije/Bjeshket e Namuna region to discuss cross-border ecotourism, biodiversity mapping, and sustainable forestry management. The symposium seeks to build trust through cross-border collaboration, and to improve environmental management in the peace park region. Participants will create a Google Earth map to house shared environmental data and visit two project sites in the proposed peace park.
Todd Walters is the founder and executive director of International Peace Park Expeditions. He holds a master’s degree in International Peace and Conflict Resolution from American University’s School of International Service, and is a National Outdoor Leadership School (NOLS) certified wilderness guide. While at AU, he worked as an intern for the Environmental Change and Security Program.
Photos courtesy IPPE/Cory Wilson.
Subscribe to: Posts (Atom)
