Frontlines Interviews John Sewell: "Promoting Development Is a Risky Business"

Monday, May 31, 2010

Q: Foreign assistance has had major achievements over the past 50 years. What are some examples?

SEWELL: There have been many but off the top of my head I can think of three. First, the Green Revolution where the combined efforts of American aid and private foundations revolutionized agriculture in Asia. As a result, many more people lived a much longer time. Second, the efforts put into improving education, particularly of women and girls. The third is population growth. When I started working on development, the best predictions said that global population would rise to over 20 billion at the end of the 20th century. Now we know it will not go much above 9 billion and perhaps lower. That wouldn’t have happened without American leadership and funding.

Q: What are the major failures of foreign assistance?

SEWELL: Failures have occurred either because countries were not committed to development, or because aid agencies designed ineffective programs. But most major failures came about because aid was provided for political reasons— for Cold War purposes in Southeast Asia or the Middle East, not for economic and social development. And we should remember that promoting development is a risky business. If there were no failures, development agencies were being too cautious.

But the more important failures are at the strategic level. Assistance really is only effective when governments and leaders want to speed economic growth, improve health and education, and address poverty. When the government isn’t committed to development, a lot of aid is wasted.

That’s why the choice of countries is so important. Korea is one example. Korean leaders knew how to use foreign aid effectively to build agriculture and industry. Part of that assistance funded investments in health and education. We all know the result.

Egypt, on the other hand, also has received large amounts of American assistance since 1979. But its growth rates are low and they still have one of the highest rates of adult illiteracy in the world.

Perhaps the largest failure has been in Africa. Except for a small number of countries, Africa lags far behind other regions. The blame lies not just with African leaders but also with aid donors who have continued to provide assistance in ways that hinder development.

Q: In what ways can global poverty be reduced quickly in the next three to four years?

SEWELL: In the short term, it won’t happen. The global financial crisis makes that a certainty.

The best estimates are that up to 90 million people will fall back into poverty because they will have lost jobs and livelihoods. The most important thing the U.S. can do in the near term is to continue to lead the reform of the international financial systems that are essential to restarting global economic growth, particularly in the developing world.

Q: That’s the way to reduce poverty?

SEWELL: In the short term, yes. But the U.S. can target aid to build poor peoples’ capacities and can make a great difference. That means aid for education, especially women, and to enable poor people to improve their health. And jobs are critical.

I think the right goal is to empower people to move into the middle class.

That means helping to provide technical assistance and in making low-cost credits for both farmers and small scale entrepreneurs. They will be the generators of jobs that enable men and women to move out of poverty.

Q: Why do you say in one of your papers that economic growth alone will not eliminate poverty?

SEWELL: Because it’s true. Growth does not automatically diminish poverty; it has to be complemented by government actions to share the gains from growth by investing in better health and education. For this you also need a competent state. That’s how the East Asian countries managed to develop so successfully. On the other hand, many Latin American countries have grown at decent rates but have lousy income distribution. But now countries like Brazil are starting to change. For instance, the Brazilian government now pays mothers to keep their children in school where they can get education and health care.

Q: USAID has restrictions that inhibit advertising. How can the public and Congress be informed about the successes and importance of development assistance?

SEWELL: USAID has been very timid about educating the public and Congress. I am not even sure that the earlier successful programs of development education exist anymore. Some steps are easy.

USAID staff knows a lot about development. Why not send them out to talk to public groups around the country? USAID staff doesn’t even participate actively in the yeasty dialogue on development that goes on in the Washington policy community and they should be encouraged to do so. Other changes may require funding and perhaps legislation and the administration should work with the Congress to get them.

Informing the public is particularly important now when there are two major processes underway to modernize U.S. development programs and Congress is rewriting the development assistance legislation.

Q: Since China and Vietnam have both developed without democracy, how important is it to push for democracy and good governance? Are they really necessary?

SEWELL: We need to separate democracy and governance. Very few of the successful developing countries have started out as democracies; India is the big exception. On the other hand, all of the successful countries have had effective governments to do what governments should do: provide security and public goods like health and education, establish the rule of law, and encourage entrepreneurship.

We need to face the fact that no outsider, including the U.S., can “democratize” a country. But it can play an important role in helping to improve governance in committed poor countries. And one of the important parts of successful development is what a Harvard economist calls “conflict mediating institutions” that allow people to deal with the inevitable conflicts that arise within successful development.

Q: You have said that we need to make markets work. How can we help poor people begin to trade when Europe, Japan, and the United States either block imports or subsidize exports?

SEWELL: If you are serious about development, you have to give high priority to trade policy. Unfortunately, USAID seems to have very little voice in trade decisions.

The U.S. needs to focus its development trade policy on the poorest countries. The highest priority should be dropping the remaining subsidies for U.S. production of highly subsidized agricultural products like cotton that can be produced very competitively in very poor countries.

But many of these countries have difficulty selling goods in the U.S., not only because of subsidies, but also because they are not equipped to export. Transport costs are high as are the costs of meeting U.S. health and quality standards, and knowledge of marketing in America is scarce.

Here’s where USAID can play an important complementary role. U.S. companies are already providing technical assistance, some with USAID support. But USAID can expand its trade capacity building programs and focus them on the poorer countries.

Q: What about microcredit?

SEWELL: Microcredit is a very important innovation, especially for empowering poor people, particularly poor women. It’s part of the solution to ending poverty.

But there are other needs. In most poor countries, there are large groups of poor entrepreneurs who are not poor enough to get microcredit but who can’t get commercial banks to lend to them. These are people who produce products for sale— handbags, for instance—that employ 10 to 20 people, but they need capital and advice in order to grow. In the U.S., small businessmen used to borrow money from local banks.That’s how America grew. But similar institutions don’t exist in many poor countries.

Q: We are involved in so many different programs—20 or 30 different federal agencies do some sort of foreign assistance— why not just invest in education and health and let each country figure out what their own development plan should be?

SEWELL: A very good idea. I have long advocated that the U.S. should focus its programs on a few major development issues but I would go beyond just health and education. I add climate change and dealing with global health threats. We dodged the bullet on SARS [severe acute respiratory syndrome] and avian flu but we may not be so lucky in the future. And strengthening governance and strengthening weak states is essential.

The real need now is for some mechanism that oversees and coordinates the multiplicity of agencies that have programs and expertise on these critical issues. Let’s hope that emerges from the current administration’s reviews of development policy

John Sewell a senior scholar at the Woodrow Wilson International Center for Scholars, was interviewed by FrontLines Editorial Director Ben Barber. Originally published in USAID FrontLines, April 2010.

Feed the Future:
Can Food Security Stop Terrorism?

Friday, May 28, 2010

USAID’s "Feed the Future" initiative is being touted for its potential to help stabilize failing states and dampen simmering civil conflicts. Speaking at a packed symposium on food security hosted by the Chicago Council last week, USAID Administrator Rajiv Shah called food security “the foundation for peace and opportunity – and therefore a foundation for our own national security.”

“Famine and starvation create the conditions for extremism around the world, the same extremism our men and women in the armed forces are fighting right now in Afghanistan and Iraq and elsewhere,” said U.S. Representative Rosa DeLauro in a fiery speech. “We fight hunger and poverty and we undercut the recruiting base for those that would threaten our families.”

However, terrorism, like conflict, has multiple causes. The argument that poverty or hunger produces terrorism lacks essential complexity.

In a 2003 ECSP Report article, Carol Lancaster pointed out that few, if any, of the most prominent terrorist or insurgent organizations of the last few decades – Al Qaeda, Hamas, Hezbollah, FARC, the Tamil Tigers – are rooted in poverty and hunger or state that their ultimate goal is its elimination. These groups are driven by a myriad of specific motivations, ranging from disgust with corrupt local governments, a sense of humiliation by the West, religious fanaticism, boredom, and/or alienation, said Lancaster, but not hunger.

Resource mismanagement, humanitarian challenges, and demographic imbalances also play a role in spurring conflicts in regions that we normally associate with chronic food insecurity and conventional security threats, like the Horn of Africa and Central Asia.

Take for example Afghanistan, where ongoing U.S. military and USDA efforts have specifically highlighted agricultural development as a key objective. Despite impressive gains in Afghan agriculture, violence in the country has escalated substantially over that period.

In the context of failed or failing states, food insecurity rarely occurs in a vacuum. It is unrealistic to expect peace and stability simply by addressing agricultural development alone. In the case of Afghanistan, while the agricultural strategy is working, the security situation remains unsettled and corruption is rampant – both problems that are extraneous from food security.

Even in Somalia, the most food-insecure nation in the world, the insurgent group Al Shabab formed in response to years of corrupt and ineffectual governance, rather than the near perpetual state of hunger that has stricken the country since 1991.

The Stimson Center’s Richard Cincotta, a consultant to ECSP, recently pointed out that food security can only realistically be understood from a state-centric perspective. Each state has its own unique challenges, many of which (like Afghanistan, Pakistan, Yemen, or Somalia) are affected by – but independent of – whether or not a population can feed itself. Agricultural development must be viewed as only one piece of a broader, integrated strategy that addresses a country’s specific needs.

Norman Borlaug, the father of the Green Revolution, said "you can't build a peaceful world on empty stomachs and human misery." This maxim remains true, but to truly address human misery, one must also have good governance, human security, health services, and economic and educational opportunities.

Sources: CNN, Journal of East African Studies, New York Times, U.S. State Department, UN, USAID.

Photo Credits: A woman and her children in South Galkayo, Somalia with armed police standing by, courtesy of flickr user IRIN Photos, and “California Guardsman gathers soil sample in Afghanistan” courtesy of flickr user The National Guard.

Feed the Future:
USDA v. Taliban

Friday, May 28, 2010

Agricultural development is the “top non-security priority” in Afghanistan, said U.S. Secretary of Agriculture Tom Vilsack, in a recent speech. “Unemployment is the best recruiting tool for the Taliban,” he told the Des Moines Register.

Sixty USDA experts are working with their partners in State, USAID, DOD, and other members of U.S. government to increase agricultural opportunities in rural areas of the country. Embedded in small civil-military units of 15-100 people, USDA experts have worked on projects of all scales: installing windmill water pumps, training veterinarians, refurbishing university research laboratories, stabilizing river banks and irrigation canals, and developing storage facilities.

In his keynote speech at the Feed the Future launch, Vilsack emphasized the need to build markets. In Afghanistan, USDA is focusing on improving infrastructure so farmers can receive deliveries and ship produce, and boosting credit vehicles to help farmers purchase the inputs to grow crops. Opium traders provide seeds to the farmers and pick up the crops at the farms, he said, which makes opium easier to produce than legal crops.

Alternative crops could be just as or more valuable, Vilsack told NPR:
Table grapes are in some cases perhaps four and five times more valuable than poppy. Saffron, almonds, pomegranates, a number of fruits are significantly more profitable. What we have to do is we have to establish that the reward of putting those crops in the ground is greater and the risk is equal to or less than poppy production.
On the same NPR program, Vilsack’s counterpart agreed: “Agriculture growth means employment and employment means security. They're so much related to each other. In places where the military operates, if you do not offer people the future, just by military means, security and stability will be a very far-reaching dream,” said Minister of Agriculture, Irrigation, and Livestock Mohammad Asif Rahimi.

But the Afghan government faces an immense challenge: Afghanistan’s unemployment rate is estimated at 35 percent, which ranks it in the bottom 20 countries in the world. With a population growth rate of 3.5 percent and nearly half the population already under the age of 15, the need for job creation is only set to increase.

While agricultural development and food security are essential, Rahimi acknowledged, alone they are not enough. The Afghan government needs a “whole of government approach,” he said. To win the hearts of its people the government must offer “an alternative to what the Talibans were offering to people…more livelihood and security and education and health, and also a better and more secure future.”

Both Vilsack and Rahimi avoid the common trap of equating hunger with conflict, instead emphasizing agricultural employment and economic opportunities as key to solving that intractable conflict.

But it’s not the only piece of the puzzle. I hope the Feed the Future’s “whole of government” approach in Afghanistan will emphasize not only agriculture, but also the environmental policies and health services, such as family planning, that can ensure that agricultural gains are sustainable even after the troops leave.

Sources: Central Intelligence Agency, Des Moines Register, NPR, United Nations Statistics Division, United Nations Population Division, U.S. Agency for International Development, U.S. Department of Agriculture, U.S. Department of State.

Photo Credit: Colonel Stephen Redman and John Van Horn of the USDA discuss crop plans with local residents while surveying the site of the Arkansas Agribusiness Development Team's (ADT)demonstration farm plot near Shahr-e-Safa, Afghanistan, courtesy Flickr user isafmedia.

The Eye in the Sky: Using Remote Sensing for Population-Environment Research

Friday, May 28, 2010

A recently concluded web seminar hosted by the Population Environment Research Network (PERN) engaged social scientists and Geographic Information Systems (GIS) and remote sensing experts to appraise the role of remote sensing data collection in population and environment research, and identify effective methods for future collaboration.

As the population-environment relationship attracts more study, scholars should consider how remote sensing data will be integrated within existing research needs, as well as how new programs and sensors will help meet future needs. Invited expert Sean Sloan of the University of Melbourne wrote that the potential societal benefits of this research are “immense, albeit largely unrealized. In my view, the principal benefit is that, for the first time, policymakers may draw upon a rich, national-scale empirical basis to develop social/agricultural/economic policy relevant to large-scale environmental issues.”

Cyberseminar participants considered several questions and topics, from determining the most appropriate sensors and instruments for the measurement of population and environment interactions, to addressing the challenges of interdisciplinary research and data interoperability. The discussion also touched on land use and land-cover change, as well how to apply the technology to specific case studies, geographic regions, PE issues, or scalar resolutions.

Demographer Jack Baker of the University of New Mexico raised a tricky issue in his contribution to the discussion of using night-time missions such as Nightsat to calculate population growth and urban sprawl. For his study of remote hunter-gatherers in rural Paraguay, Baker found that “they don't have electricity so I don't think they would be captured in satellite views of the night sky. It would be interesting to see how these population estimates I made perform in comparison to an estimate made using night sky imagery ...in reality I would like to see lots of these sorts of comparisons before really feeling like I had a grasp on what the strengths and weaknesses of night sky approaches are,” he wrote.

PRB’s Jason Bremner pointed out that despite the high value of remote sensing to understanding human dimensions of environmental change, “the insights remain largely confined to peer-reviewed journals and the academic community. Conservation and development practitioners and policymakers don’t have access to and don’t read the peer-reviewed journals.” In addition, the increasingly technical nature of these methods will require “finding new ways to communicate what we know to those with no technical knowledge of the field,” he said. He urged the participants “to consider what you are doing to overcome the divide between what we know and what others about understand and can use to make decisions.”

Direct dialogue like this between social scientists and remote sensing experts can help establish stronger, more effective ties between two disciplines that would benefit greatly from each other’s support. Such collaboration will be increasingly necessary to address the increasingly complex challenges of population-environment connections.

Julien Katchinoff is a MA student at American University studying global environmental politics and a former intern with ECSP.

Photo Credit: Nightsat image of Osaka, Japan courtesy the National Oceanic and Atmospheric Administration's (NOAA) National Geophysical Data Center (NGDC).

Guest Contributor Frederick M. Burkle, Jr., Harvard School of Public Health
Climate Change and Global Health: The Contradictions That Define China

Thursday, May 27, 2010

As a China follower who has visited the country numerous times over the past 40 years, I have an enduring love affair with the “old” China, which prided itself on balancing the harmony of nature with its decision-making. It is tragically ironic that despite this impressive historical and cultural backdrop, current choices have pushed the country’s harmony with nature beyond the tipping point.

The atmosphere in Chengdu, the capital of Sichuan Province in central China, tells a cautionary tale of China’s current emphasis on economic growth at the expense of its citizens’ health. With lower annual sunshine totals than London, Chengdu’s perpetually grey, cloudy horizon graphically illustrates the massive industrial waste and coal-fired pollution that plague this booming city.

In April, global health experts convened in Chengdu at the 5th International Academic Conference on Environmental and Occupational Medicine, which was co-sponsored by the U.S. Centers for Disease Control and Prevention and Chinese CDC offices, to report on the impact of climate change on public health.

Because of its geography, the mountain-encircled basin in which Chengdu sits is the natural point of release for daily deposits of air pollutants and dust blown in from India and other countries to the west. A rapid series of satellite views presented by John Petterson, director of the Sequoia Foundation, brought gasps from conference attendees, as these accumulated industrial wastes were shown concentrating against the massive southern Tibetan mountain range, then turning grey and black as they moved east, before being deposited on Sichuan’s vulnerable (and already heavily polluted) basin.

Environmental risk factors, especially air and water pollution, are a major--and worsening--source of death and illness in China. Air quality in China’s cities is among the worst in the world, and industrial water pollution is a widespread health hazard.
And although air pollution is clearly a complex global problem, individual nation-states continue to approach this dilemma as though it lies between its borders alone.

Luckily, this conference was prefaced by a number of timely scientific articles on China in the Lancet. The predominantly Chinese authors clearly take the critical risks that we expect from the Lancet, which is a defender of accountability and transparency in global health. This issue brings shame to other publications who still consider their “place” to be protecting the conventional politico-economic emphasis on decision-making inherent to most industrialized countries.

At the conference, public health and climate experts openly voiced their frustration at the blatant privileging of economic priorities over the health of unknowing populations. China--the fastest growing economy in world history, with unprecedented growth driven by external “demand” and precipitous acceleration of domestic consumption--has become the poster-child for global ignorance. However, the West is an equal and essential partner, having moved their manufacturing to China for cheap labor, lax environmental regulations, and higher profits.

Dr. Mark Keim, senior advisor for the CDC’s National Center for Environmental Health, presented irrefutable evidence that root structure erosion from advancing saltwater has led to starvation in Polynesia, the first recorded evidence-based outcome measure of climate change’s public health effects.

At Mark’s request, I presented evidence on the worsening health impacts of rapid urbanization, specifically within urban enclaves that expand due to dense population growth before protective public health infrastructures and systems are in place (forthcoming in Prehospital and Disaster Medicine). Currently, the megacities in Asia and Africa--where sanitation is ignored and infectious disease is prevalent--now have the highest infant and under-age five mortality rates in the world.

Today, we face the largest gap in health indices between the haves and have-nots since the alarming days before the Alma-Ata Declaration. This new health data was an uncomfortable surprise to many conference attendees, most of whom were experts in the physical and environmental sciences.

We have become too “vertical” in our research over the past 50 years, and thus we fail to recognize that solutions to problems facing the global community must be trans-disciplinary and multi-sectoral, and serve multiple ministries and decision-makers.

If not undone by human decisions, global climate change and climate-warming greenhouse gases will rapidly intensify. This effort requires the best collaboration between science and the humanities, as well as the harmonious lessons of the “old” China.

Frederick M. Burkle, Jr., MD, MPH, DTM, is a senior public policy scholar at the Woodrow Wilson Center and a senior fellow of the Harvard Humanitarian Initiative at the Harvard School of Public Health.

Photo Credit: Chengdu skyline in smog, courtesy Flickr user lonely radio.

Eye On:
Visualizing Human and Natural Resources

Thursday, May 27, 2010

A visualization of London’s natural resources – grass, trees, and water only - by Adam Nieman.
In the policy world, statistics, percentages, and budgets on the order of millions and billions are routinely thrown around. But what do six and a half billion people, 957 tonnes per second, or three trillion dollars really look like?

Visual artist Adam Nieman recently received attention from The New York Time’s Dot Earth Blog for his illuminating scale models of hard-to-envision quantities such as the volume of oil being leaked from the Deepwater Horizon wells, global carbon emissions as measured in “UN Building units per second,” and the relatively small amount of air and water on Earth.

Demographers and sustainability experts often warn about the increasingly smaller allotment of natural resources per capita, but few have illustrated that reality at such a human scale as Nieman does.

On a global level, Nieman’s work shows the tremendous population density of the world’s “urban island.” Over half of the global population now lives in cities, which is represented by the grey dot, just 616 km across in “Land-Cover Islands.”

Others seeking to improve quantitative visualizations include David McCandless of the site Information Is Beautiful. Among other things, McCandless has tackled the daunting task of accurately comparing spending in an age of trillion dollar budgets, with his “Billion Dollar Gram.”

Another group, the Dutch firm TD Architects, highlights the disparity between global demographics and the distribution of wealth with “Walled World.”

Nieman’s blog examines the confusion that often occurs at the interface between the political and scientific worlds. This confusion is amply demonstrated by debates over contentious issues such as budget priorities, population growth, and climate change.

Politicians often ask that complex problems be distilled into simple bullet points for speeches and policy documents. However, when it comes to problems of such complexity and scale, pictures like these may be worth a thousand bullet points.

Sources: New York Times, Reuters.

Photo Credit: “Green London (wide)” and "land cover islands" courtesy of flickr user JohnJobby.

Urbanization, Climate Change, and Indigenous Populations: Finding USAID’s Comparative Advantage

Wednesday, May 26, 2010

“Part of the outflow of migrants from rural areas of many Latin American countries has settled in remote rural areas, pushing the agricultural frontier further into the forest,” writes David López-Carr in a recent article in Population & Environment, “The population, agriculture, and environment nexus in Latin America.” In a May 4 presentation at the LAC Economic Growth and Environment Strategic Planning Workshop in Panama City, Panama, he discussed how to integrate family planning and environmental services in rural Latin America.

Latin America is one of the most highly urbanized continents in the world, with an average of 75 percent of the population living in cities. However, “there are two Latin Americas,” said López-Carr at the workshop, which was sponsored by the Woodrow Wilson Center’s Environmental Change and Security Program and Brazil Institute, as well as the U.S. Agency for International Development. Largely developed countries like Chile, Argentina, and Uruguay are close to 90 percent urbanized, while Guatemala, Ecuador, and Bolivia are about 50 percent. In less urbanized countries, rural-rural migrants in search of agricultural land remain a major driving force behind forest conversion, he said.

Between 1961 and 2001, Central America’s rural population increased by 59 percent, said Lopez-Carr. The increasing density of the rural population had a negative impact on forest reserves: a 15 percent increase in deforestation totaling some 13 million hectares.

"Rural areas of Latin America still have high fertility rates but (unlike much of rural Africa, for example) also have a high unmet demand for contraception, meaning that improved contraceptive availability would likely result in a rapid and cost-effective means to reduce population pressures in priority conservation areas," he said. Additionally, remote rural areas with high population growth rates tend to be associated with indigenous populations located in close proximity to protected forests.

For example, in Guatemala, communities surrounding Sierra de Lacandon National Park have, since 1990, grown by 10 percent each year, with birthrates averaging eight children per woman. Larger communities and larger households have led to agricultural expansion, which infringes on the park and accelerates deforestation in one of the most biologically diverse biospheres in the world, said López-Carr.

Based on these demographic and environmental trends, López-Carr suggested USAID’s work in the region should focus on rural maternal and child health, and education – especially for girls.
Not only does USAID already invest in such programs, but they only cost pennies per capita and could reduce the number of rural poor living in Latin American cities by tens of millions.

Given the strong links between population density and deforestation in Latin America, expanding access to family planning would also be a smart investment in forest conservation and climate mitigation, López-Carr concluded.

Source: Population Reference Bureau.

Photo Credit: Dave Hawxhurst, Woodrow Wilson Center.

Guest Contributor Michael Kugelman:
Look Beyond Islamabad To Solve Pakistan’s “Other” Threats

Wednesday, May 26, 2010

After years of largely being ignored in Washington policy debates, Pakistan’s “other” threats - energy and water shortages, dismal education and healthcare systems, and rampant food insecurity - have finally moved to the front burner.

For several years, the Woodrow Wilson Center’s Asia Program has sought to bring these problems to the attention of the international donor community. Washington’s new determination to engage with Pakistan on its development challenges - as evidenced by President Obama’s signing of the Kerry-Lugar bill and USAID administrator Raj Shah’s comments on aid to Pakistan - are welcome, but long overdue.

The crux of the current debate on aid to Pakistan is how to maximize its effectiveness - that is, how to ensure that the aid gets to its intended recipients and is used for its intended purposes. Washington will not soon forget former Pakistani president Pervez Musharraf’s admission last year that $10 billion in American aid provided to fight the Taliban and al-Qaeda was instead diverted to strengthen Pakistani defenses against archrival India.

What Pakistani institutions will Washington use to channel its aid monies? In recent months, the U.S. government has considered both Pakistani NGOs and government agencies. It is now clear that Washington prefers to work with the latter, concluding that public institutions in Pakistan are better equipped to manage large infusions of capital and are more sustainable than those in civil society.

This conclusion is flawed. Simply putting all its aid eggs in the Pakistani government basket will not improve U.S. aid delivery to Pakistan, as Islamabad is seriously governance-challenged.

Granted, Islamabad is not hopelessly corrupt. It was not in the bottom 20 percent of Transparency International’s 2009 Corruption Perceptions Index (Pakistan ranked 139 out of 180), and enjoyed the highest ranking of any South Asian country in the World Bank’s 2010 Doing Business report.

At the same time, the Pakistani state repeatedly fails to provide basic services to its population - not just in the tribal areas, but also in cities like Karachi, where 30,000 people die each year from consuming unsafe water.

Where basic services are provided, Islamabad favors wealthy, landed, and politically connected interests over those of the most needy - the very people with the most desperate need for international aid. Last year, government authorities established a computerized lottery that was supposed to award thousands of free tractors to randomly selected small farmers across Pakistan. However, among the “winners” were large landowners - including family members of a Pakistani parliamentarian.

Working through Islamabad on aid provision is essential. However, the United States also needs to diversify its aid partners in Pakistan.

For starters, Washington should look within civil society. This rich and vibrant sector is greatly underappreciated in Washington. The Hisaar Foundation, for example, is one of the only organizations in Pakistan focusing on water, food, and livelihood security.

The country’s Islamic charities also play a crucial role. Much of the aid rendered to health facilities and schools in Pakistan comes from Muslim welfare associations. Perhaps the most well-known such charity in Pakistan - the Edhi Foundation - receives tens of millions of dollars each year in unsolicited funds.

Washington should also be targeting venture capital groups. The Acumen Fund is a nonprofit venture fund that seeks to create markets for essential goods and services where they do not exist. The fund has launched an initiative with a Pakistani nonprofit organization to bring water-conserving drip irrigation to 20,000-30,000 Pakistani small farmers in the parched province of Sindh.

Such collaborative investment is a far cry from the opaque, exploitative foreign private investment cropping up in Pakistan these days - particularly in the context of agricultural financing - and deserves a closer look.

With all the talk in Washington about developing a strategic dialogue with Islamabad and ensuring the latter plays a central part in U.S. aid provision to Pakistan, it is easy to forget that Pakistan’s 175 million people have much to offer as well. These ample human resources - and their institutions in civil society - should be embraced and be better integrated into international aid programs.

While Pakistan’s rapidly growing population may be impoverished, it is also tremendously youthful. If the masses can be properly educated and successfully integrated into the labor force, Pakistan could experience a “demographic dividend,” allowing it to defuse what many describe as the country’s population time bomb.

A demographic dividend in Pakistan, the subject of an upcoming Wilson Center conference, has the potential to reduce all of Pakistan’s threats - and to enable the country to move away from its deep, but very necessary, dependence on international aid.

Michael Kugelman is program associate with the Asia Program at the Woodrow Wilson International Center for Scholars.

Photo Credit: Water pipes feeding into trash infected waterway in Karachi, courtesy Flickr user NB77.

Feed the Future:
Securing Food in Insecure Areas

Tuesday, May 25, 2010

“Of the 1 billion people who are in food-stressed situations today, a significant proportion live in conflict-ridden countries,” said Raymond Gilpin of the U.S. Institute of Peace at last Thursday’s launch of USAID’s Feed the Future initiative. “Most of them live in fear for their lives, in uncertain environments, and without clear hope for a better tomorrow.”

According to data from the World Food Programme and the UCDP/PRIO Armed Conflict Database, of the countries with moderately to very high hunger rates in 2009, nearly a quarter experienced violent conflict in the previous year, and nearly half in the preceding two decades.

Gilpin said those working toward food security need to develop “conflict-sensitive” approaches, because “a lot of fundamentals that underlie this problem have a lot to do with conflict.” He noted several points, from production to purchasing power, at which conflict enters to disrupt the farm to mouth food cycle:

  • Production: Be it forced or voluntary, internal or external, conflict often results in displacement. Farmers are not exempt, and when they’re not on their land they cannot produce.

  • Delivery: “Food security isn’t always an issue of food availability; it’s an issue of accessibility,” he said. “When violent conflict affects a community or a region…it destroys infrastructure and weakens institutions.”

  • Market access: In conflict zones, it is solitary or competing armed contingents, rather than the market’s invisible hand, that control access to supplies. “Groups who usually have the monopoly of force, control livelihoods and food and services,” he said.

  • Purchasing power: Conflict disrupts economic activity, degrading both incomes and real wealth. Those remaining in the conflict area suffer from fewer opportunities to conduct business, while those choosing to migrate relinquish their assets. In instances where food is available to purchase, conflict reduces the number of individuals who can afford it.

While conflict-sensitive approaches to food security are a necessary part of immediate conflict/post-conflict responses, if food security gains are to take hold, long-term commitments--based on creating markets, building capacity, and developing sustainability--are just as essential. To improve agricultural markets, Gilpin recommended: reducing tariff and non-tariff trade barriers, building income support and safety nets, helping farmers increase yields, and creating “regional rapid response” initiatives so that donors are less reliant on “exorbitantly high-priced” spot markets.

Photo Credit: World Food Programme distribution site in Afghanistan, courtesy Flickr user USAID Afghanistan.

NATO 2020 Recommendations Avoid “New Security” Challenges

Tuesday, May 25, 2010

A recently released report, NATO 2020, outlines expert recommendations for the alliance’s new strategic concept. However, while pointing to a nighttime satellite image of the globe at a Wilson Center conference last week, Professor Peter Liotta of Salve Regina University said the report focuses too much on conventional self-defense, when most of the new security challenges of the 21st century will come from areas of the world “where the lights are out.”

In an interview with New Security Beat, Liotta criticized NATO 2020’s emphasis on what he sees as a reactive, rather than a proactive, stance. By ignoring “new security” vulnerabilities such as environmental and demographic challenges, NATO may end up creating more threats for itself down the line, he said.

The report briefly acknowledges that demographic change and environmental degradation represent sources of uncertainty in forecasting global trends. However, neither are included as major threats to the alliance. Instead, the authors say the most probable threats are nuclear or non-nuclear armed ballistic missiles, terror attacks, and cyber intrusion.

Discussions about non-traditional security vulnerabilities often produce contentious and conflicting viewpoints, which makes it easier to ignore them, said Liotta. However, it is important for NATO to realize that security threats – even more conventional ones – do not exist in isolation.

Liotta said the continued focus on NATO’s Article 5, the invocation of collective self-defense, overshadows other important foundations of the alliance. For example, Article 2, which encourages “promoting conditions of stability,” could be invoked to help the alliance address non-traditional security threats.

In his presentation, Liotta, formerly of the U.S. Naval War College, cited mass migration, water scarcity, and low probability, high-risk events, such as rapid sea-level rise from Arctic ice melt, as examples of challenges that NATO should be preparing to meet. He also drew attention to the security challenges of a burgeoning global population, saying that rapid growth and urbanization will produce 600 cities with more than one million people by 2025.

Such extreme events as the 2008 earthquake in Sichuan, China, which killed about 90,000 people and left five million homeless, might be a symptom of the strain our growing population has placed on the Earth’s natural systems, said Liotta. Scientists point out that an earthquake of such magnitude has never been seen in Sichuan and that large construction projects – particularly a large dam and reservoir that lie within 550 yards of the fault line – have likely had a considerable effect on local geology.

In Europe’s current deployment-adverse, difficult fiscal environment, it is perhaps understandable that NATO planners would focus on concrete threats rather than emerging vulnerabilities. But, as Liotta argues, the consequences for ignoring these new security challenges could be no less dire.

Sources: Daily Mail, Foreign Policy, NATO, Telegraph.

Photo Credit: “The Night Lights of Planet Earth” courtesy of flickr user woodleywonderworks.

Reading Radar:
21st Century Water

Tuesday, May 25, 2010

The Economist published this week For Want of Drink, its special report on water. The report, a compilation of 11 articles, is a mix of surveys of global management strategies, health impacts, and economic considerations on the one hand, and deeper looks into specific practices in Singapore, India, and China on the other. Most interesting for New Security Beat readers is the article "To the Last Drop: How to Avoid Water Wars." The article states there have been "no true water wars," but goes on to question whether the pressures of climate change and population growth could generate different outcomes in the future. While the challenges laid out are manifold, the article concludes that potential for cooperation is equally present. "The secret is to look for benefits and then try to share them. If that is done, water can bring competitors together."

Global Change: Impacts on Water and Food Security, published by IFPRI in collaboration with CGIAR and the Third World Centre for Water Management, is an anthology of focused articles studying "the interplay between globalization, water management, and food security." While heavily focused on trade and finance, the articles span the spectrum of food and water challenges, from biofuels to the global fish trade. Overall, the book finds that "global change provides more opportunities than challenges," but taking advantage of globalization's opportunities demands "comprehensive water and food policy reforms."

Political Rhetoric or Policy Reality? Tracking Trends in Environment, Peace, and Security

Friday, May 21, 2010

ECSP Director Geoff Dabelko lectures at UC Irvine's Sustainability Seminar Series.


Over the past 25 plus years, the understanding of environment and security links has evolved to reflect changing threat and opportunity scenarios. Today, "environmental security" has become a popular phrase used to encompass everything from oil exploration to pollution controls to corn subsidies.

While environmental advocates and security actors remain wary of each other's focus, means, and ends, both scholars and policymakers are working to better understand these linkages and respond to them. Today, the wide range of potential climate change impacts is re-energizing broader debates over human security that suggest redefining security beyond purely militaristic terms.

At the same time, the traditional security community's increased concern with climate change (and the social reactions it may produce) has helped garner wider attention. The number of U.S. and overseas policy responses is dizzying. In this lecture--part of the Sustainability Seminar Series at the UC-IrvineCenter for Unconventional Security Affairs--the Wilson Center's Geoff Dabelko highlights key environmental security policy developments and situates today's initiatives within a context of nearly three decades of efforts.

Video courtesy of OpenCourseWare at University of California, Irvine.

Pop Tweets:
The Feed for Fresh News on Population

Friday, May 21, 2010

RT @popact: World Bank launches action plan to help poor countries reduce fertility rates and prevent maternal deaths http://paidc.org/ ...

#Climate change & #demography 2of 10 factors "magnifying uncertainty" in 10 yr horizon of #NATO 2020 report @NATO_news http://ow.ly/1MqWi

Nick Kristof has people, poverty, conservation post with his Gabon column. Challenge is integrated response @NickKristof http://ow.ly/1LQUL

Rich Cincotta on where's the home for political demography? ISA, AAG, PAA, APSA? All come up wanting @newsecuritybeat http://ow.ly/1LnBn

Population & environmental links in #Rwanda are grist for Reading Radar on @newsecuritybeat including @enviroscribe http://ow.ly/1KzZg

Stanford's Paul Ehrlich weighs in on population and sustainability in the latest issue of PLoS Biology on the #MAHB. http://ow.ly/1HcC6

Feed the Future:
USAID’s Shah Focuses on Women, Innovation, Integration

Thursday, May 20, 2010

Women in developing countries are "core to success and failure” of USAID’s plan to fight hunger and poverty, and "we will be focusing on women in everything we do," said USAID Administrator Rajiv Shah at today’s launch of the “Feed the Future” guide.

But to solve the “tough problem” of how to best serve women farmers, USAID needs to "take risks and be more entrepreneurial,” said Shah, as it implements the Global Hunger and Food Security Initiative.

"A lot of this is going to fail and that’s OK,” Shah said, calling for a "culture of experimentation” at the agency. He welcomed input from the private sector, which was represented at the launch by Des Moines-based Pioneer Hi-Bred.

In one “huge change in our assistance model,” Feed the Future will be “country-led and country-owned,” said Shah, who asked NGOs and USAID implementing partners to "align that expertise behind country priorities" and redirect money away from Washington towards “building real local capacity.” USAID will "work in partnership, not patronage," with its 20 target countries, he said.

To insure that the administration’s agricultural development efforts are aligned to the same goals, Shah said USAID will collect baseline data from the start on three metrics: women's incomes, child malnutrition, and agricultural production.

"Whether it is finance, land tenure, public extension, or training efforts, it does not matter whether it is an ‘agricultural development’ category of program,” said Shah. All programs will “provide targeted services to women farmers."

While Shah briefly mentioned integrating these efforts with the administration’s Global Health Initiative, he only gave one example. Nutrition programs would be tied to health "platforms that already exist at scale" in country, such as HIV, malaria, vaccination, and breastfeeding promotion programs, he said.

Targeting Food Security: The Wilson Center’s Africa Program Takes Aim

If “food supplies in Africa cannot be assured, then Africa’s future remains dismal, no matter how efforts of conflict resolution pan out or how sustained international humanitarian assistance becomes,” says Steve McDonald, director of the Wilson Center’s Africa Program, in the current issue of the Wilson Center’s newsletter, Centerpoint. “It sounds sophomoric, but food is essential to population health and happiness—its very survival—but also to productivity and creativity.”

The May 2010 edition of Centerpoint highlights regional integration, a key focus of U.S. policy, as a mechanism for assuring greater continuity and availability of food supplies. Drawing on proceedings from the Africa Program’s "Promoting Regional Integration and Food Security in Africa" event held in March, Centerpoint accentuates key conclusions on building infrastructure and facilitating trade.

Photo Credit: "USAID Administrator Shah visits a hospital in Haiti" courtesy Flickr user USAID_Images.

Reading Radar:
Interplays Between Demographic and Climatic Changes

Thursday, May 20, 2010

"Impacts of Population Change on Vulnerability and the Capacity to Adapt to Climate Change and Variability: A Typology Based on Lessons from 'a Hard Country,'" appearing in the journal Population and Environment, is a study of societal resilience by Robert McLeman from the University of Ottawa. Beginning with a literature review of the connections between population growth and greenhouse gas emissions, McLeman then details how demographic changes can negatively affect resilience--the ability of societies to cope and adapt to climate changes. Based on empirical studies of small communities undergoing local climate and demographic changes in eastern Ontario, McLeman finds that simultaneous demographic and climatic change "increased stress on local social networks...critical to climate adaptation."

"Climate Change and Population Migration in Brazil’s Northeast: Scenarios for 2025–2050," also appearing in the journal Population and Environment, examines "demographic dynamics--particularly migration--driven by changes in the performance of the economy due to climate changes." The region of study was chosen for its high levels of both population and poverty and its dry climate, "which will be severely impacted by growing temperatures." The study concludes that predicted climate change impacts on agriculture are potential push migration factors and offers policy and planning recommendations to reduce migrant vulnerabilities.

Both articles are part of Population and Environment's special issue on "Climate Change: Understanding Anthropogenic Contributions and Responses."

Eye On:
USAID Launches GeoExplorer: Connecting Natural Resource Management Activities, Practitioners, and Communities

Tuesday, May 18, 2010

Part of USAID's FRAMEweb community, GeoExplorer is a visual aggregator of natural resource management (NRM) activities, best practices, success stories, and lessons learned. As of launch, GeoExplorer is home to 43 activities, each searchable by scale (e.g. local, national, or regional), sub-sector (e.g. forestry, water, wildlife), and topic (e.g. governance, livelihoods, and health).

GeoExplorer was designed to foster knowledge sharing among and between practitioners, program managers, and researchers. USAID expects the tool to help avoid cases both of repeating past mistakes and reinventing the wheel, serve as a guide for study trips to the field, build community exchanges, and foster networking. It is built on ArcGIS architecture that USAID hopes will allow for continual expansion, particularly through the addition of GIS layers that can empower users with greater search options and tools for cross-project analytic analyses.

All activities on GeoExplorer are directly uploaded by users and USAID funding is not a requirement for inclusion. A FRAMEweb account (free) is all that is needed to sign-up and start adding your own projects. USAID hopes to make GeoExplorer available to host other NRM sub-sectors and even non-NRM activities in the future.

From the Wilson Center:
Coffee and Contraception: Combining Agribusiness and Community Health Projects in Rwanda

Tuesday, May 18, 2010

“Population pressures and diminishing land holdings – due to high fertility rates, war and genocide, and subsequent migration – have caused a rapid decrease in the forested and protected areas and increased soil infertility and food insecurity” in Rwanda, USAID’s Irene Kitzantides told a Wilson Center audience.

Kitzantides, a population, health, and environment advisor and global health fellow, said “the population is projected to reach over 14 million by 2025” – nearly one-third more than today, due to the country’s high fertility rate of nearly 5.5 children per women–which could continue to negatively impact forests and food supplies.

In response to these challenges, USAID supported the Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development (SPREAD) Project. SPREAD uses an integrated population-health-environment (PHE) approach to develop the coffee agribusiness and bring family planning, HIV/AIDS, and reproductive health services to coffee workers.

Combining income generation with health services was thought an effective way to “fulfill the overall SPREAD goal of improving lives and livelihoods,” said Kitzantides.

A SPREADing Mandate: Integrating Health and Agribusiness

SPREAD follows USAID’s PEARL I and II Projects, which focused exclusively on agricultural development. Coffee is still at the center of SPREAD’s activities, with $5 million of the project’s $6 million USAID budget earmarked for agricultural development.

However, a broader mandate to include health services emerged after recognition that greater income alone does not ensure greater quality of life. The additional health funding leverages SPREAD’s already established relationships with farming cooperatives to bring health services to traditionally underserved rural communities.

“We really tried to build on the existing assets of the cooperative,” said Kitzantides. “We also really tried to complement local and national public health policy and partners.”

The integration of health with agricultural goals, and the use of already established in-country health programs, has made SPREAD extremely cost-effective, with HIV/AIDS prevention education costing less than $2 per person.

Examples of SPREAD’s integrated work include:
  • Combined health and agricultural lessons: Kitzantides and her colleagues trained nearly 400 animateurs de café, cooperative employees running the agricultural education programs, to incorporate public health objectives into their activities. Combining health and agricultural education into one session takes advantage of workers already trained during previous USAID programs. The combination also attracts more male participants, who traditionally shunned HIV/AIDS, family planning, and reproductive health campaigns and services.

  • Radio programming: SPREAD worked with the agricultural radio program Imbere Heza (“Bright Future”) to incorporate health messaging at the end of each program.

  • Mobile clinics: SPREAD works with cooperatives and local health centers to bring convenient services to farmers when they gather at sales or processing stations during harvests.

  • Community theater: SPREAD hires local theater groups to perform skits on health. The farming communities “really love community theater and always ask for it,” said Kitzantides.

SPREADing Success

In its relatively short existence, SPREAD’s health activities have reached over 120,000 people with HIV/AIDS prevention messages; nearly 90,000 with messages discussing family planning/reproductive health; and almost 40,000 about maternal and child health. The project counts 347 women as new users of family planning services.

Lessons learned – which will be examined in more detail in an upcoming issue of Focus – include the importance of using community-based approaches to overcome perceived social barriers; the advantages of integrating cross-cutting activities at the outset of a program; and the need for strong monitoring and evaluation systems to measure the effort’s outcomes.

Jason Bremner of the Population Research Bureau said PHE projects such as SPREAD go “beyond what the health sector itself can do and find new ways of reaching underserved remote populations.” He presented a soon-to-be-released PRB map plotting the location of more than 40 PHE projects in Africa.

The success of SPREAD and similar projects demonstrates the potential for PHE approaches to bring reproductive health and family planning services to rural areas, Bremner noted, but there is still much work to be done to scale up this integrated approach – and to document its successes.

Sustaining SPREAD

Kitzantides said it took several years to integrate health activities with the already established agricultural programs. Since USAID funding for the program is scheduled to end in 2011, she is uncertain that the time remaining will be enough for SPREAD’s health partners to develop the logistical and financial capacities to become self-sustaining. But SPREAD has changed attitudes and beliefs, two key objectives that do not require sustained funding.

“We used to talk about growing coffee, making money, buying material things like bikes – not about problems like malaria, HIV/AIDS, etc.,” said one SPREAD agricultural business manager during the program’s evaluation. “Someone could have 5 million Rwandan francs in the house but could suffer from malaria where medicine costs 500 Rwandan francs, due to ignorance. You have to teach people about production, you have to also think of their health to improve their lives.”

Photo Credits: Irene Kitzantides, courtesy David Hawxhurst; condom demonstration, courtesy Nick Fraser; community theater group, courtesy SPREAD Health Program; Jason Bremner, courtesy David Hawxhurst.

Challenges Found in The Places We Live

Tuesday, May 18, 2010

The work of photographer Jonas Bendicksen provided the inspiration for a research paper competition organized by the Woodrow Wilson Center’s Comparative Urban Studies Project, the Cities Alliance, the International Housing Coalition, USAID, and the World Bank. At “The Places We Live: Slums and Urban Poverty in the Developing World,” four of the winning papers (out of 200 entries) were critiqued by urbanization policy experts. The authors focused on critical issues facing the world’s rapidly urbanizing centers, including service delivery, the challenge of political cleavages, redevelopment mechanisms, sanitation, and citizen participation in urban development.

The competition was established to “tap into the academic community and encourage ... a younger generation of academics…to think about the challenges of rapid urbanization and the needs of slum dwellers and what we can do about it,” said USAID’s Jessica Tulodo. “It is the central issue that we are going to be grappling with for the coming decades and beyond. How do we not just address the challenges, but harness the opportunities of urban growth and how do we ensure that the larger population of urban poor can benefit and participate?”

“This is an effort to rekindle a stronger debate between the academic community and policymakers. I think that’s desperately absent, particularly in this field,” said Christopher Williams, the U.S. Representative of UN-HABITAT.

All Politics Are Local: Urban Services in Zambia

In her case study of the shanty compounds on the periphery of Lusaka, Zambia, Danielle Resnick investigates how the ruling government -- through “development initiatives” -- suppresses political opposition and controls weaker economic and political factions. The difficult relationship between local service delivery and inter-party politics is endemic in many African countries, where local municipalities are often run by opposition parties.

Christopher Williams, in his review, praised Resnick’s work for capturing the intricacies and complexity of rapid urbanization in Zambia and beyond, noting that it offered a "scathing" critique of direct budget assistance by foreign donors.

“Land Sharing”: A New Approach for Slums in Southeast Asia

Paul Rabe's "Land Sharing in Phnom Penh and Bangkok: Lessons From Four Decades of Innovative Slum Redevelopment Projects in Two Southeast Asian 'Boom Towns'" examines the emerging issue of land conflict in redeveloping urban areas and innovative solutions such as land sharing. Sometimes called a "win-win-win,” land sharing through multi-use agreements based on maximized utility can help to mediate the needs of slum dwellers, private developers, and municipal governments.

Rabe found that land sharing has several limitations, including programmatic delays, muted benefits for stakeholders, and limited deployments. "In retrospect," he said, "the institutional setting [for land sharing] is not mature enough to accommodate a fairly complex redevelopment procedure."

If donors and civil society groups are willing to brave a complex and highly politicized environment, land sharing may be an innovative option for those looking to quell redevelopment conflict. Robin Rajack of the World Bank said it was critical for the future sustainability of growing urbanization, as improving the ability of the urban poor to navigate difficult land tenure changes may foster urban economic growth.

Maintaining Sanitation, Building Community in India

In "Desired Outcomes, Unexpected Processes: Two Stories of Sanitation Maintenance in Erode Tenements, India," Sai Balakrishnan asks why, "within the same municipality, are residents of some tenements more willing to contribute towards septic tank maintenance than others?" Her analysis of two communities in the state of Tamil Nadu in Southern India finds that asset ownership, embedded and accessible politicians, and political patronage did not improve maintenance of sanitation infrastructure. Instead, the critical factors were the spatial proximity of infrastructure, bundling of water and sanitation services, and "street-level bureaucrats."

Reviewer Bob Buckley of the Rockefeller Foundation asked if future research could incorporate empirical data on the costs of sanitation problems for communities, “beyond the visuals," which could provide a deeper understanding of the difficulty of delivering services in urban slums.

Gaming Community Participation in Argentina

Josh Lerner’s "What Games Can Teach Us about Community Participation: Participatory Urban Development in Rosario's Villas" reveals the results of his six months of fieldwork in the slums of Rosario, Argentina. Although urban redevelopment can produce conflict--especially when combined with vast inequities in economic and political power--Lerner found that taking a game theory approach to difficult land-use decisions helped to "enhance the quality of community participation, by making it more attractive, active, and effective, and making decisions fairer and more transparent."

William Corbett of Cities Alliance warned that if developing countries cannot effectively deal with the chaotic informality of land tenure and urban development, “gangs with guns will do it for you”-- particularly when urban change and resource or land scarcity provokes competition for limited resources.

Photo Credits: “Christopher Williams, Danielle Resnick; Moynahan Boardroom” courtesy of David Hawxhurst.

Dot-Mom:
New Maternal Mortality Statistics: A Catalyst for Increased Investment

Monday, May 17, 2010

Maternal mortality rates in many low income countries, such as India, are declining, according to a recent study by researchers at the Institute of Health Metrics and Evaluation (IHME) at the University of Washington. According to the report, maternal deaths have fallen from 526,000 a year in 1980 to 342,900 in 2008. This news, while welcoming, has caused dissent among some global health activists who fear donors and policymakers will dismiss the issue and call into question the higher maternal mortality rates last reported by the United Nations. While concerns over monitoring and evaluation raise important methodology questions, this news must also serve as catalyst for world leaders and donors to take action and recognize that investing in women pays.

The data reported by IHME only concludes what maternal health advocates already know. “We know how to save women’s lives, we don’t need a cure…this is a political problem and political will is essential,” said Theresa Shaver, director of White Ribbon Alliance, at a Wilson Center event in December 2008. Greater funding for family planning and access to emergency obstetric care and HIV/AIDS services should all be included in a scaling up resources for improved maternal health programs. “Without HIV, annual maternal deaths would have been 281,500 in 2008,” said Richard Horton, editor of The Lancet, in last week’s Lancet comments.

Investing in contraception and family planning services through vertical funding mechanisms can reduce maternal mortality rates by addressing all of a woman’s health needs at the time of service. To widen the platform of comprehensive services for women and their families, efforts to link public health services and offer more at one location should be expanded. “Many women have expressed a need for contraception and family planning services…when you offer family planning services on-site with HIV services, you have a huge uptake in family planning use,” shared Michelle Moloney-Kitts, assistant coordinator at the Office of the U.S. Global AIDS Coordinator at a the Wilson Center in December 2009.

Yet political will remains in short supply. “Despite strong advocacy efforts, political leaders have either ignored the call or failed to make the health of women in pregnancy a priority,” stated Horton. Six countries--Afghanistan, Democratic Republic of Congo, Ethiopia, India, Nigeria, and Pakistan--account for over half of all maternal deaths worldwide, and increased investment in these countries will improve maternal health targets, such as Millennium Development Goal (MDG) 5 seeking to reduce maternal deaths by 75 percent.

Progress is possible and “policymakers are more likely to act on issues that they think they can do something about,” said Jeremy Shiffman, associate professor of public administration at Syracuse University, at the Wilson Center in March 2009. The maternal health community must rally around these positive findings and galvanize support for greater financial contributions. “Two decades of concerted campaigning by those dedicated to maternal health is working,” said Horton.” “[G]reater investment in that work is likely to deliver even greater benefits.”

Calyn Ostrowski is the program associate for the Wilson Center's Global Health Initiative.

Photo Credits: A woman in India safely delivers her baby in the hospital through the Madhya Pradesh Health Sector Reform program. Courtesy Flickr user Department for International Development

As Somalia Sinks, Neighbors Face a Fight to Stay Afloat

Friday, May 14, 2010

The week before the international Istanbul conference on aid to Somalia, the UN’s embattled envoy to the country, Ahmedou Ould-Abdallah, warned the Security Council that if the global community “did not take the right action in Somalia now, the situation will, sooner or later, force us to act and at a much higher price.”

The UN High Commission for Refugees (UNHCR) also issued strong warnings this week. Deputy High Commissioner Alexander Aleinikoff said in Geneva, "The displacement crisis is worsening with the deterioration of the situation inside Somalia and we need to prepare fast for new and possibly large-scale displacement."

But the danger is not limited to Somalia. The war-torn country’s cascading set of problems – criminal, health, humanitarian, food, and environmental – threaten to spill over into neighboring countries.

A Horrendous Humanitarian Crisis

The UN- and U.S.-backed Transitional Federal Government (TFG) controls only parts of Mogadishu and small portions of central Somalia, while insurgent group Al Shabab controls nearly the entire south. The northern area is divided into semi-autonomous Somaliland and Puntland, which also fall outside of the transitional government’s control.

But the civil war is only one part of what Ould-Abdallah called a “horrendous” humanitarian crisis.

According to the UN, 3.2 million Somalis rely on foreign assistance for food – 43 percent of the population – and 1.4 million have been internally displaced by war. Another UN-backed study finds that approximately 50 percent of women and 60 percent of children under five are anemic. Most distressing, the UN Security Council reported in March that up to half of all food aid sent to Somalia is diverted from people in need by militants and corrupt officials, including UN and government employees.

Because of the country’s large youth bulge45 percent of Somalia’s population is under the age of 15 – food and health conditions are expected to get much worse before they get better. In the 2009 Failed States Index, Somalia ranks as the least stable state in the world and, along with Zimbabwe, has the highest demographic pressures.

Islamic Militants and the Battle for the High Seas

Yet the West continues to focus on the sensational pirate attacks on Somalia’s coast. The root cause of these attacks is not simply lawlessness say Somali officials, instead, they began partly as desperate attempts to stop foreign commercial fleets from depleting Somalia’s tuna-rich, lawless shores. A 2006 High Seas Task Force reported that at any given time, “some 700 foreign-owned vessels are engaged in unlicensed and unregulated fishing in Somali waters, exploiting high value species such as tuna, shark, lobster and deep-water shrimp.”

The transitional government opposes the fishermen-turned-pirates, but can do little to stop them. Al Shabab has thus far allowed pirates to operate freely in their territory. Their tacit approval may be tied to reports that the group has received portions of ransoms in the past.

Another hardline Islamist group, Hizbul Islam, recently took over the pirate safe haven of Haradhere, allegedly in response to local pleas for better security, but the move may simply have been part of an ongoing struggle with Al Shabab for control of pirate ransoms and port taxes – one of the few sectors of the economy that has remained lucrative.

“I can say to you, they are not different from pirates — they also want money," Yusuf Mohamed Siad, defense minister with Somalia’s TFG, told Time Magazine.

A Toxic Threat

Initially the pirates claimed one of their goals was to ward off “mysterious European ships” that were allegedly dumping barrels of toxic waste offshore. UN envoy Ould-Abdallah told Johann Hari of The Independent in 2009 that "somebody is dumping nuclear material here. There is also lead, and heavy metals such as cadmium and mercury – you name it." After the 2005 tsunami, “hundreds of the dumped and leaking barrels washed up on shore. People began to suffer from radiation sickness, and more than 300 died,” Hari reports.

Finnish Minister of Parliament Pekka Haavisto, speaking to ECSP last year, urged UN investigation of the claims. “If there are rumors, we should go check them out,” said the former head of the UN Environment Program’s Post-Conflict Assessment Unit:

I think it is possible to send an international scientific assessment team in to take samples and find out whether there are environmental contamination and health threats. Residents of these communities, including the pirate villages, want to know if they are being poisoned, just like any other community would.

To date, there has been no action to address these claims.

Drought, Deforestation, and Migration

While foreign entities may have been exploiting Somalia’s oceans, the climate has played havoc with the rest of the country. Reuters and IRIN report that the worst drought in a decade has stricken some parts of the interior, while others parts of the country face heavy flooding from rainfall further upstream in Ethiopia.

Land management has also broken down. A 2006 Academy for Peace and Development study estimated that the province of Somaliland alone consumes up 2.5 million trees each year for charcoal, which is used as a cheaper alternative to gas for cooking and heating. A 2004 Somaliland ministry study on charcoal called the issue of deforestation for charcoal production “the most critical issue that might lead to a national environmental disaster.”

West of Mogadishu, Al Shabab has begun playing the role of environmental steward, instituting a strict ban on all tree-cutting – a remarkable decree from a group best known for their brutal application of Sharia law rather than sound governance.

The result of this turmoil is an ever-increasing flow of displaced people – nearly 170,000 alone so far this year, according to the Washington Post – driven by war, poverty, and environmental problems. The burden is beginning to weigh on Somalia’s neighbors, says the UNHCR.

The Neighborhood Effect

One of the largest flows of displaced Somalis is into the Arabian peninsula country of Yemen – itself a failing state, with 3.4 million in need of food aid, 35 percent unemployment, a massive youth bulge, dwindling water and oil resources, and a burgeoning Al Qaeda presence.

In testimony on Yemen earlier this year, Assistant Secretary of State Jeffrey Feltman said that the country’s demographics were simply unsustainable:

Water resources are fast being depleted. With over half of its people living in poverty and the population growing at an unsustainable 3.2 percent per year, economic conditions threaten to worsen and further tax the government’s already limited capacity to ensure basic levels of support and opportunity for its citizens.

Other neighboring countries face similar crises of drought, food shortage, and overpopulation – Ethiopia has 12 million short of food, Kenya, 3.5 million, says Reuters. UNHCR reports that in Djibouti, a common first choice for fleeing Somalis, the number of new arrivals has more than doubled since last year, and the country’s main refugee camp is facing a serious water crisis.

A Case Study in Collapse

The ballooning crises of Somalia encompass a worst-case scenario for the intersection of environmental, demographic, and conventional security concerns. Civil war, rapid population growth, drought, and resource depletion have not only contributed to the complete collapse of a sovereign state, but could also lead to similar problems for Somalia’s neighbors – threatening a domino effect of destabilization that no military force alone will be able to prevent.

Speaking at a naval conference in Abu Dhabi this week, Australian Vice Admiral Russell Crane told ASD News that, "The symptoms (piracy) we're seeing now off Somalia, in the Gulf of Aden, are clearly an outcome of what's going on on the ground there. As sailors, we're really just treating the symptoms.”

Sources: Academy for Peace and Development, AP, ASD News, Carnegie Endowment for International Peace, Christian Science Monitor, Foreign Policy, High Seas Task Force, Independent, IRIN, New York Times, Population Action, Population Reference Bureau, Reuters, Telegraph, Time, UN, US State Department, War is Boring, Washington Post.

Photo Credits: “Don't Swim in Somalia (It's Toxic)” courtesy of Flickr user craynol and “Somalia map states regions districts” courtesy of Wikimedia Commons.

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