Monthly archive for November 2010. Show all posts
-
Mapping World Bank-Funded Projects
›The World Bank recently released their interactive “Mapping for Results Platform” that allows users to see where and how World Bank funding is being spent. Users can view project costs and expenditures by sector at sub-national levels and overlay this with human development data such as poverty, population, and health indicators. In the current beta version, interactive maps and downloadable data are available for Kenya, Bolivia, and the Philippines.
The example map shown above shows all of the World Bank’s 38 active water and sanitation, health, and agricultural projects in Kenya, as well as malnutrition rates by district. Clicking on any of the projects on the map displays the project name, financing amount, and exact location of the program.
Presumably, in the final version, all 2,669 active World Bank projects and 15,246 project locations – accounting for $136.91 billion – will be included.
Image Credit: World Bank Mapping for Results Platform. -
Tamara Kreinin on Women’s Empowerment, Population Growth, and Sustainability
›“We know that when that when we empower women – whether it’s giving them control over their bodies and access to family planning or whether it’s by including them in planning around climate change – their agency can make huge leaps for us,” said Tamara Kreinin, executive director of women and population at the UN Foundation, in this interview with ECSP.
Seventy percent of the world’s poor are women and they’re also the members of the household most likely to be responsible for food, water, and firewood collection.
“At the same time, we know that women are often not at the table,” she said. “They’re not at the table in country when countries are creating aid to adaptation strategies around the environment and climate change, and they’re not at the table at places like Copenhagen and some of the big climate change meetings.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Meeting the Health Challenges of the Urban Poor
›November 2, 2010 // By Joshua NickellFifty percent of the world’s population now lives in cities, a figure that is predicted to rise to 60 percent by 2030, and 70 percent by mid-century, according to UN figures. The majority of this growth will occur in the Global South, where most of the world’s slums are found.
Why the rampant urban migration? Prospects for better health care, education, and employment are drawing the world’s poor out of rural areas into cities. But as the number of impoverished city-dwellers and slums grows, it is becoming increasingly important for society to consider how it will address the problems associated with this unprecedented degree of global urbanization.
At a recent event, “Meeting the Health Challenge of Urban Poverty and Slums,” co-hosted by the Wilson Center on the Hill program and the Comparative Urban Studies Project, Jacob Kumaresan, director of WHO Center for Health Development in Kobe, Japan, and Richard B. Lamporte, director of new program development, Jhpiego, discussed poverty and health challenges in rapidly growing urban slums.
The chances that the world’s rapidly growing number of city-dwellers will live a healthy and prosperous life depend on the services and opportunities cities can offer. As Kumaresan pointed out, there is currently no shortage of problems. Among other ills, he stated that 170 million urban residents currently do not have access to a latrine, while more than 1.2 million people will die from urban air pollution this year alone. As more individuals migrate to cities, these problems will be compounded.
Kumaresan also noted that cities have the “worst and the most unimaginable disparities when it comes to health.” While urban centers have more hospitals and attract many of the best doctors, the hospitals are often not managed or governed well. As a result, many poor urbanites suffer worse health care than their rural neighbors.
For instance, Kumaresan noted that tuberculosis rates in rural parts of India are half those of urban settings. Kumaresan also emphasized that these disparities are certainly not limited to the Global South: developed cities like New York and Los Angeles contend with similar inequities.
To address these issues, Kumaresan encouraged policymakers to examine the unique circumstances and conditions of their cities. “You’ve got to do analytical work to see what the problems are in each city, and to look not at the averages, but to unmask the differentials,” he said.
In Osaka, Japan, tuberculosis rates are 12 times higher than the rest of the country, said Kumaresan, primarily because of high affliction rates among its homeless population. As such, it is important for Osaka’s policymakers to address its tuberculosis problem by considering related socio-economic factors and following through with concrete policy actions.
Lamporte emphasized the importance of giving aid and development organizations flexible funding in order to allow them to better address unique local urban problems and inequities. He advised international donors to devote a certain percentage of their funding to integrated initiatives. “Certainly the goalposts could be set, but having some element of complementary funding … would be extremely useful,” he said.
As both Lamporte and Kumaresan pointed out, the future of the city is increasingly becoming the future of the world. As such, it is crucial to have “an urban optic going into the future,” according to Lamporte. If not, he argued, it will be at our own peril, as disease and unrest find increasingly sturdy footholds in urban slums. As the transformation from a rural to an urban planet continues, it will be essential for emerging and growing cities must use successful urban development techniques from both the Global North and the South.
Joshua Nickell is an intern with the Program on America and the Global Economy.
Sources: IRIN, Osaka University Graduate School of Medicine, UN, World Health Organization.
Photo Credit: “kibera_photoshow08,” courtesy of flickr user newbeatphoto. -
Rare Earths Intrigue: In Response to Chinese Ban, Japan and Vietnam Make a Deal
›November 2, 2010 // By Schuyler NullThe BBC is reporting that Japan has reached an agreement with Vietnam that will help provide a secure supply of rare earth minerals, after China reportedly stopped exports to Japan during an ongoing territorial dispute last month.
China produces nearly all (97 percent, according to the GAO) of the rare earth minerals used around the world, minerals that are used in many advanced electronics including mobile phones, missiles, and key components of cleaner energy tech. Japanese companies are expected to gain exclusive exploration and mining rights in northwest Vietnam in exchange for technical assistance on nuclear reactors.
China’s reported export freeze on rare earths raised warning flags in the region as well as in Washington, where fears over exclusive supply of the crucial minerals have been growing for some time – particularly in the defense community. (Although Bloomberg reports a new Pentagon study says it’s not such a big deal after all.) Control over and access to resources has become an important concern in East Asian diplomacy, as population and consumption in the region rises. For more, check out The New Security Beat’s coverage of the many diplomatic fault lines at play between the lower Mekong countries, China, and the United States, rare earth minerals and green energy, and the conflict potential of future resource scarcity.
Sources: BBC, Bloomberg, Government Accountability Office, The New York Times, TechNewsDaily.
Image Credit: Adapted from “The Huc Bridge, Hanoi,” courtesy of flickr user -aw-. -
Mobile Phones for Maternal Health in the Developing World
›With rising use in the developing world, cell phones and mobile technologies can create “connected and coordinated health systems that save more lives,” said Josh Nesbit at the GHI event “New Applications for Existing Technologies to Improve Maternal Health,” on October 27. Capitalizing on these new technologies could increase efficiency, cost-effectiveness, and efficacy of public health programs. Nesbit, executive director of FrontlineSMS: Medic, was joined by Alain Labrique, assistant professor at the Johns Hopkins School of Public Health, and David Aylward, executive director of the mHealth Alliance at the United Nations Foundation, to discuss the role of Information and Communication Technologies (ICTs) in the prevention of maternal mortality.
Collaborations for mHealth
While “cell phones can’t save lives, the lack of information does kill,” said Aylward. Using technology that many people already own and use, mobile technology is an appropriate tool for disseminating health data and information. Existing technologies such as mobile phones and SMS text messaging can revolutionize healthcare by improving data collection and disease tracking, expanding patient diagnostics, and advancing education and awareness among health workers and patients.
With 64 percent of all mobile phone users located in the developing world, the use of mobile devices to improve health services in low-income countries is especially promising.
Aylward hopes that mobile health technology (mHealth) will help combat maternal mortality in the developing world. With approximately 350,000 women dying in childbirth each year, and only marginal progresses towards achieving Millennium Development Goal 5, finding such innovative solutions to improve maternal health is crucial.
Public-private partnerships are particularly important when considering the long-term sustainability of mHealth programs. “This didn’t happen because of the World Bank, it happened because people who are very poor voted with their very limited funds to have access to information,” said Aylward.
Aylward is hopeful that government and donor support will continue to become more supportive of mobile technology and coordinated in their implementation of mHealth programs globally.
Mobile Health Solutions in the Developing World
“Through mobile tools, we can act as quickly as possible to improve access to skilled birth attendants, emergency obstetric care, and access to reproductive health commodities,” said Nesbit.
Nesbit’s organization, FrontlineSMS: Medic, is working to eliminate barriers created by the lack of resources and infrastructure in the developing world using mobile health technology. Now working in 20 countries, the organization uses free software “that enables large-scale, two-way text messaging using only a laptop, a GSM modem, and inexpensive cell phones,” explained Nesbit.
“One of the best measures is whether people continue to use your tools, and they will if it impacts their lives positively and they won’t if it doesn’t—sometimes it’s as simple as that,” said Nesbit on why communities in the developing world are eagerly embracing mobile technology.
Moving forward, Nesbit hopes to “scale and replicate, both vertically and horizontally, models that we’ve shown can work, but also to build new tools” and work with the health community “to help identify the needs and the gaps in these systems.”
However, Nesbit stresses that “these are very much tools and not solutions; they become solutions when they are paired with people on the ground who use them.”
Compressing the Time Between Crisis and Care
“The opportunities for mobile phones to act synergistically with existing health systems in low- to middle-income countries are many,” said Labrique. The current challenge is to harness this technology to improve health outcomes in the developing world, where disease burden is disproportionately high.
In the developing world, “decisions influenced by the lack of resources, such as poverty, or lack of information have led to highly convoluted patterns of care-seeking,” said Labrique.
“Delayed decision-making compounded by delayed transport can have tragic consequences for maternal mortality,” said Labrique, and the most immediate use of mobile technology is “getting the necessary care, on time, to where these deaths are taking place.” Cell phones can help women, their families, and local health workers to seek timely, appropriate medical help for an obstetric emergency.
“Addressing equity and access to phones when evaluating the impact or success of mHealth interventions is critical,” Labrique said. Although cell phone use is high and steadily increasing, social and cultural norms in some countries might prevent women from using them. Further, Labrique notes, in Bangladesh, cell phone use among the poorest families is noticeably less than those with higher socioeconomic status.
“ICT and mHealth solutions have tremendous promise to improve maternal health in resource limited settings; however, it’s important not to let the technology guide the public health agenda,” said Labrique. More data is needed to determine how these tools might strengthen and enhance health systems and a clearer research agenda can help ensure evidence-based solutions guide programming.
For more from David Aylward and mHealth, be sure to see “Watch: David Aylward on How Wireless Technology is Changing Global Health and Empowering Women.”
Sources: Lancet, United Nations Foundation.
Photo Credit: “‘SMS till you drop’ — mobile phone ad on van in Kampala, Uganda,” courtesy of flickr user futureatlas.com. -
Top 10 Posts for October 2010
›Nathan Yaffe and Laura Dismore’s post on a Ethiopian land-grab case study, Marc Levy’s response to Halvard Buhaug, and India and China’s thirst for resources topped the list last month:
1. The Beat on the Ground: Ethiopian Case Study Illustrates Shortcomings of “Land Grab” Debate
2. On the Beat: Climate-Security Linkages Lost in Translation
3. India’s Maoists: South Asia’s “Other” Insurgency
4. U.S. v. China: The Global Battle for Hearts, Minds, and Resources
5. VIDEO: Peter Gleick on Peak Water
6. Brian O’Neill: Population Is Neither a Silver Bullet Nor a Red Herring in Climate Problem
7. DRC’s Conflict Minerals: Can U.S. Law Impact the Violence?
8. On the Beat: New Study Finds Lower Population Growth Could Cut Carbon Emissions, Lead Author Presents at SEJ 2010
9. Latin America’s Future: Emerging Trends in Economic Growth and Environmental Protection
10. Welcome Back, Roger-Mark: A Powerful Voice Returns to PHE