Yearly archive for 2011.
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Southern Africa, China, and “Sustainable Access”
The Mineral Security of the United States
›In a report titled “Elements of Security: Mitigating the Risks of U.S. Dependence on Critical Minerals,” author Christine Parthemore from the Center for a New American Security writes, “Growing global demand coupled with the mineral requirements necessary for both managing military supply chains and transitioning to a clean energy future will require not only clearer understanding, but also pragmatic and realistic solutions.” Minerals and rare earth elements such as lithium, gallium, and rhenium are critical elements for many defense technologies (e.g. jet engines, satellites, missiles, etc.) and alternative energy sources (batteries and wind turbines). Parthemore argues that U.S. policy should focus on preventing suppliers from exerting undue leverage (as China did in 2010), mitigating fiscal risk and cost overruns, reducing disruption vulnerability, and ensuring the United States is able to meet its growth goals in clean energy and other high-tech fields.
In a report from the U.S. Air War College, author Stephen Burgess writes of the potential for conflict over competition for “strategic minerals” in five southern African states: South Africa, the Democratic Republic of the Congo, Zambia, Zimbabwe, and Namibia. The report, titled “Sustainability of Strategic Minerals in Southern Africa and Potential Conflicts and Partnerships,” states that growing industrial countries like China will compete, potentially aggressively, with the United States for sustainable access to elements such as chromium, manganese, cobalt, uranium, and platinum group metals. Burgess recommends that the United States become more engaged in southern Africa by providing development assistance to mining communities and developing strategic partnerships. -
India’s Quest for a Lower Carbon Footprint
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Between 1994 and 2007, India reduced its carbon dioxide emissions by 35 percent. As a result, the country’s emissions per capita now register at just over a ton per year – less than China (nearly five tons) and much less than the United States (18 tons). On May 10, Wilson Center Public Policy Scholar Ajay Shankardiscussed how India made these reductions, and what the nation plans to do to bring them down further in the decades ahead.
According to Shankar, several factors account for the 35 percent reductions. One is market-based, with high costs having discouraged heavy carbon-based energy consumption. India levied a “huge de facto” carbon tax on all commercial and industrial uses of electricity, which led to prices as much as 80 percent higher than the cost of supply. Another reason is legislation: New Delhi passed a robust energy conservation law. The private sector was a major contributor to the reductions; Shankar pointed out that India is now the world’s largest hub for small fuel-efficiency vehicles, as embodied by the Tata Motors corporation’s Nano car.
Shankar acknowledged the need for further carbon reductions. As India’s economic growth continues and its citizens become wealthier, carbon emissions will likely increase as more people buy cars and invest in air conditioning. Accordingly, the country has announced its intention, by 2020, to lower emissions by 20 to 25 percent from 2005 levels. He identified two carbon-reducing “opportunities” for India in the coming decades. One is to make irrigation more energy-efficient through the use of solar energy.
Another opportunity lies in India’s cities, where 300 to 400 million people are expected to flock over the next two to three decades. Urbanization presents a considerable carbon challenge, given the proliferation of carbon-emitting vehicles and AC units envisioned by such migration. Shankar spoke of the need for “smart cities” replete with “green buildings,” parks, and electric vehicles. He argued that India has created these types of cities before – including Chandigarh, the capital of Punjab Province, back in the 1950s.
Shankar stated that solar and nuclear energy constitute the “game-changers” for lessening the country’s carbon emissions. New Delhi hopes to generate 20,000 megawatts of solar capacity by 2020, with projections of grid parity by 2017 – meaning that in just several years, solar power could be as cheap to generate as fossil-fuel-driven electricity. He also underscored the priority New Delhi places on nuclear energy, noting that Prime Minister Manmohan Singh was willing to stake his political survival on the passing of a controversial civil nuclear deal with Washington because of nuclear’s environmental benefits. Shankar insisted that the Indian government will not be deterred by Japan’s recent nuclear crisis.
While Shankar described New Delhi’s 20 to 25 percent reductions goal as “ambitious,” he contended that he is more optimistic than he would have been several years ago about India’s prospects for attaining that objective. India, he concluded, must “rule out no option, and pursue every option intelligently.”
Michael Kugelman is program associate with the Asia Program at the Woodrow Wilson Center.
Photo Credit: “Tata nano,” courtesy of flickr user mjaniec. -
Watch: Edward Carr on Delivering Development and Rethinking Assumptions
›May 13, 2011 // By Schuyler NullWhile visiting West Africa first as an archaeologist, Edward Carr, an associate professor in the Department of Geography at the University of South Carolina and author of Delivering Development: Globalization’s Shoreline and the Road to a Sustainable Future, found that the villages in which he was working were far more resilient to the impacts of climate change than he expected. Increased frequency of drought, declines in rainfall, severe storms – these challenges are the sort of thing that can “totally destroy someone’s livelihood in a year,” he said in an interview with ECSP, “yet they were surviving and surviving really, really well.”
That experience and others challenged his understanding of “how I thought the world was supposed to work, how I’d been taught the world was supposed to work, versus what I was actually seeing happen on the ground,” said Carr. “I became so struck by what people were dealing with in the current context that my interest started to shift much more towards what they were doing now.”
Now serving as a AAAS fellow and the climate change coordinator for the Bureau for Democracy, Conflict, and Humanitarian Assistance at the U.S. Agency for International Development, Carr said he is trying to change how the U.S. government does development.
“The last 13 years of my career have been trying to figure out what’s actually happening on the ground first,” Carr said, and that led to writing Delivering Development.
“One of the key arguments I have is that the world does not work the way we assume it does – we are fundamentally misunderstanding what’s happening for most people living out, especially in rural areas, in the developing world,” said Carr. “The challenges they face are significant but not necessarily the ones we’re aimed at.”
For example, said Carr, “we see rising food prices globally and…the presumption is that the poorest people in the world are going to get really hammered by this.” But, he said, “That’s not entirely true, because a lot of the poorest people in the world living in rural areas have an option to just disconnect from markets completely – they go total subsistence if they need to.”
There’s an assumption that people shouldn’t be disconnecting like that, but, Carr pointed out, when new places are integrated into larger markets, “we’re also integrating them into new sources of risk that they may not be very well equipped to manage, and that becomes a really significant challenge.”
“We’re starting with the fundamental assumption that markets can be a solution, without necessarily really looking carefully at how markets can be part of the problem,” said Carr. -
Ten Billion: UN Updates Population Projections, Assumptions on Peak Growth Shattered
›May 12, 2011 // By Schuyler NullThe numbers are up: The latest projections from the UN Population Division estimate that world population will reach 9.3 billion by 2050 – a slight bump up from the previous estimate of 9.1 billion. The most interesting change however is that the UN has extended its projection timeline to 2100, and the picture at the end of the century is of a very different world. As opposed to previous estimates, the world’s population is not expected to stabilize in the 2050s, instead rising past 10.1 billion by the end of the century, using the UN’s medium variant model.
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Family Planning as a Strategic Focus of U.S. Foreign Policy
›May 11, 2011 // By Wilson Center Staff“Family Planning as a Strategic Focus of U.S. Foreign Policy,” by Elizabeth Leahy Madsen, was an input paper for the Council on Foreign Relations report, The Role of U.S. Family Planning Assistance in U.S. Foreign Policy. Excerpted from the introduction:
Comprehensive policies that incorporate demography, family planning, and reproductive health can promote higher levels of stability and development, thereby improving the health and livelihood of people around the world while also benefiting overarching U.S. interests. U.S. foreign aid will be more effective if increased investments are made in high population-growth countries for reproductive health and family planning programs. These programs are cost-effective because they help reduce the stress that rapid population growth places on a country’s economic, environmental, and social resources.
Family Planning and Reproductive Health Programs
Family planning and reproductive health programs have successfully reduced the world’s population growth rate, propelled economic development, and improved women’s lives across the world. When people, and especially women, are given the opportunity and technology to limit their family size, they often choose to do so.
Population trends are motivated by three demographic forces: fertility, mortality, and migration. Although they can have dramatic effects on national and local populations, mortality and migration in particular have relatively little influence globally. Across the world, mortality rates have declined to a point where most children born today live to reach their own reproductive years, though much work remains to reduce the effect of communicable diseases and improve nutrition among the young. Meanwhile, three percent of the world’s population currently lives outside of their birth-countries. Therefore, while migration is increasing and an important demographic force, it does not occur at a scale large enough to significantly affect global-level demography.
Fertility rates currently are – and in the short-term will remain – the most important driver of global demographic trends. The total fertility rate, or average number of children born to each woman, has been estimated at 2.7 for the period between 2000 and 2005, a decline from 3.6 children per woman in the early 1980s. Given this decline, population projections generally assume future declines in fertility rates. For example, the widely cited “medium-fertility variant,” which is the United Nations’ projection of a world population growing from 6.9 billion in 2010 to 9.1 billion by 2050, relies upon an assumption that the global fertility rate will decline by 24 percent to two children per woman. However, if fertility rates remain constant at current levels, the world’s population would reach 11 billion by 2050. Fertility rates, whether they decline or remain at current levels, are not distributed evenly among countries and regions.
Continue reading or download the full report, “Family Planning as a Strategic Focus of U.S. Foreign Policy,” from the Council on Foreign Relations. -
Population and Environment Connections: The Role of Family Planning in U.S. Foreign Policy
›May 11, 2011 // By Geoffrey D. Dabelko“Population and Environment Connections,” was an input paper for the Council on Foreign Relations report, Family Planning and U.S. Foreign Policy: Ensuring U.S. Leadership for Healthy Families and Communities and Prosperous, Stable Societies.
Current global population growth rates are not environmentally sustainable and the increasing demands of a growing global population are increasingly straining supplies of food, energy, and water. The expected consequences of climate change will stress resources further. Population growth dynamics compound challenges presented by increased resource consumption from a rising global middle class, making the world’s population, and the quality and quantity of natural resources, top priorities for governments and the public alike.
Governments and multilateral organizations must recognize the relationship between resource demand, resource supply, and resource degradation across disparate economic and environmental sectors. Formulating appropriate and effective responses to growth-induced resource complications requires both a nuanced understanding of the problem and the use of innovative approaches to decrease finite resource consumption.
Family planning and integrated population, health, and environment (PHE) approaches offer opportunities to address such concerns. These efforts recognize the importance of population-environment linkages at the macro-level. They also operate at the household, community, and state levels, empowering individuals and decreasing community vulnerability by building resilience in a wider sustainable development context. PHE approaches embrace the complex interactions of population, consumption, and resource use patterns. To paraphrase Brian O’Neill, a leading scholar on population-climate connections, PHE approaches offer a way forward that is neither a silver bullet nor a red herring. Addressing population-environment links is an essential step to tackling global sustainability crises.
Download “Population and Environment Connections” from the Council on Foreign Relations. -
Isobel Coleman, Council on Foreign Relations
Report: Family Planning and U.S. Foreign Policy
›May 10, 2011 // By Wilson Center StaffThe original version of this brief, by Isobel Coleman of the Council on Foreign Relations, is based on the report, Family Planning and U.S. Foreign Policy: Ensuring U.S. Leadership for Healthy Families and Communities and Prosperous, Stable Societies, by Isobel Coleman and Gayle Lemmon.Click here for the interactive version (non-Internet Explorer users only).
U.S. support for international family planning has long been a controversial issue in domestic politics. Conservatives tend to view family planning as code for abortion, even though U.S. law, dating to the 1973 Helms Amendment, prohibits U.S. foreign assistance funds from being used to pay for abortion. Indeed, increased access to international family planning is one of the most effective ways to reduce abortion in developing countries. Investments in international family planning can also significantly improve maternal, infant, and child health. Support for international voluntary family planning advances a wide range of vital U.S. foreign policy interests – including the desire to promote healthier, more prosperous, and secure societies – in a cost-effective manner.
Saving Lives of Mothers and Children
More than half of all women of reproductive age in the developing world, some 600 million women, use a form of modern contraception today, up from only 10 percent of women in 1960. This has contributed to a global decline in the average number of children born to each woman from more than six to just over three. Despite these gains, an estimated 215 million women globally – particularly in sub-Saharan Africa and southern Asia – are sexually active but are not using any contraception, even though they want to avoid pregnancy or delay the birth of their next child. With the world’s population poised to cross the seven billion mark later in 2011, and expected to grow by nearly 80 million people annually for several more decades, global unmet need for family planning is likely to increase.
Studies have shown that contraception could reduce maternal deaths by a third, from approximately 360,000 to 240,000; reduce abortions in developing countries by 70 percent, from 35 million to 11 million; and reduce infant mortality by 16 percent, from 4 million to around 3.4 million.
For a woman in the developing world, the lifetime risk of dying from pregnancy is still one of the greatest threats she will face. In developed countries, 1 out of 4,300 women will lose her life as a consequence of pregnancy, compared to sub-Saharan Africa, where that figure soars to 1 in 31, and Afghanistan, where the lifetime risk of dying from pregnancy is 1 out of 7.
Unsafe abortions are one factor contributing to high maternal death rates. As of 2008, 47,000 abortion-related maternal deaths occur annually, accounting for 13 percent of all maternal deaths. Filling the unmet need for modern family planning would lead to a reduction in mistimed pregnancies and a significant decline in abortions and abortion-related health complications. In 2000 alone, if women who wished to postpone or avoid childbearing had access to contraception, approximately 90 percent of global abortion-related and 20 percent of obstetric-related maternal deaths could have been averted.
Maternal mortality has a devastating and irreversible effect on children and families. Indeed, countries with the highest maternal mortality rates also experience the highest rates of neonatal and childhood mortality. When a mother dies, her surviving newborn’s risk of death increases to 70 percent.
Family planning presents an opportunity to curb maternal and under-five deaths not simply by giving women of all ages the ability to determine their family size, but by enabling women to delay pregnancy until at least age 18 and to space and plan their births. In this way, modern contraceptive methods help women avoid high-risk pregnancies. Studies suggest that short pregnancy intervals (when the pregnancy occurs less than twenty-four months after a live birth) are associated with an increased risk of maternal and under-five mortality. In fact, if all mothers were to wait at least 36 months to conceive again, it is estimated that 1.8 million deaths of children under five could be prevented annually.
Enhancing International Security
While much of the developed world is experiencing population stability or even decline, many countries in the developing world continue to see rapid population growth. Population imbalances have emerged as a serious issue affecting economic opportunity, global security, and environmental stability. Ongoing civil conflicts, radicalism, weak governance, and corruption are endemic problems for many fragile states. While high fertility rates are not the cause of their problems, they do complicate the challenges these countries face in trying to reduce poverty, achieve per capita income growth, provide education and productive opportunities for youth, and address increasing shortages of natural resources.With the world’s population poised to cross the 7 billion mark later in 2011, and expected to grow by nearly 80 million people annually for several more decades, global unmet need for family planning is likely to increase.
Yemen, for example, has the highest rate of unmet need for family planning of any country. Its population has doubled in less than 20 years, and it has the world’s second-youngest population. High fertility – around six children per woman – taxes Yemen’s infrastructure, education and health systems, and environment. In addition, its labor force is growing at a pace much faster than the growth of available jobs, resulting in high youth unemployment. Increasing access to family planning would help improve Yemen’s long-term prospects for achieving per capita growth and stability. Conversely, continued high fertility rates will only deepen Yemen’s current crises.
Many countries experiencing fast population growth – like Yemen – do not have the capacity to harness the potential of their young populations. In these cases, high fertility rates can lead to a vicious cycle of poverty at the community, regional, and national levels. Rapidly growing populations are also more prone to outbreaks of civil conflict and undemocratic governance. Eighty percent of all outbreaks of civil conflict between 1970 and 2007 occurred in countries with very young populations. Demographers have shown that the statistical likelihood of civil conflict consistently decreases as countries’ birth rates decline.
Countries with the highest population growth rates face real resource constraints, particularly arable land and clean water. As of 2010, 40 percent of populations in more than 35 countries have insufficient access to food, with the largest concentration in central and eastern sub-Saharan Africa. Given that many of these food-insecure countries will continue to experience significant population growth in decades ahead, malnutrition will remain a challenge.
Continue reading at the Council on Foreign Relations or download the full report, Family Planning and U.S. Foreign Policy: Ensuring U.S. Leadership for Healthy Families and Communities and Prosperous, Stable Societies.
Isobel Coleman is a senior fellow for U.S. foreign policy; director of the Civil Society, Markets, and Democracy Initiative; and director of the Women and Foreign Policy Program at the Council on Foreign Relations.
Sources: Council on Foreign Relations, Population Action International, Population Reference Bureau, UNFPA, World Health Organization.
Chart Credit: Arranged by Schuyler Null, data from UN Population Division, World Population Prospects, 2010 Revision. -
Reporting on Global Health: A Conversation With the International Reporting Project Fellows
›“The story is the story, the information is the information, but you can frame it in very different ways,” said freelance journalist Annie Murphy at a roundtable discussion on the current state of global health reporting. Fresh off their five-week assignments, Murphy and three other fellows from the International Reporting Project (IRP) – Jenny Asarnow, Jill Braden Balderas, and Ann S. Kim – spoke at an event at the Woodrow Wilson Center on April 28 about their experiences researching underreported health issues in Haiti, Botswana, Mozambique, and Uganda. [Video Below]
Taking the Temperature of Global Health Reporting
Global health reporting, like many other forms of journalism, has felt the pinch from the global financial crisis, said Balderas, who edited a recent Kaiser Foundation report on the issue, “Taking the Temperature: The Future of Global Health Journalism.” Other challenges that have led to less global health coverage in mainstream media include an increased focus on “hyper-local” news; “story fatigue” from years of HIV/AIDS coverage; greater focus on epidemics and disasters; and the increasing number of advocacy groups starting their own news services.
Placing global health stories is a big challenge, agreed all four panelists. Who will want to run the story? What form – radio, documentary, print, online – will the story take? According to Murphy, some creative thinking may be needed: “It is global health, but that doesn’t mean we always have to frame it in this box of global health. It will be global health no matter what we do, so I think it’s also important for us to feed it into other events and issues that are important.”
(Re)building Maternal Healthcare in Haiti
With the worst maternal and infant mortality rates in the Western Hemisphere, Haiti needs medical providers of all kinds, said Asarnow, but especially skilled birth attendants. The devastating earthquake in 2010 destroyed Haiti’s only midwifery school, located in Port-au-Prince, killing many students and instructors. The school is still struggling to graduate a class of 15 people, she said.
In the rural town of Hinche, located in Haiti’s Central Plateau region, Asarnow frequently visited a public hospital that provided pregnant women with free obstetric care. Yet, she said, “even with free care, there [were] still a lot of barriers for women coming to the hospital to get care.” For example, the family members of expectant mothers had to provide sheets, clothing, food, and a bucket for personal needs. In addition, some women were too poor to afford transportation to and from the hospital.
Most women in Haiti, though, give birth at home with the help of traditional birth attendants, called matrones, Asarnow said. These matrones, popular in rural areas, are not formally educated in midwifery, but the government, along with non-profits such as Midwives for Haiti, have provided the matrones with training in basic health care and emergency situations.
Simply reporting on childbirth turned out to be a challenge, said Asarnow. “It’s hard to get people interested in something that just happens to most women,” she said; other more unusual health problems, such as infectious diseases, tend to garner more interest.
Finding Health Sovereignty in Mozambique
Health sovereignty, explained Murphy, is “the idea that nations have the right to make decisions about health and about how people are going to be treated” – an issue that is particularly pointed in Mozambique, where 50 percent of the national budget and 70 percent of the annual health budget is tied to international aid.
Mozambique, said Murphy, has only 1,000 doctors to serve a population of 22 million. By contrast, the country has an estimated 50,000 traditional healers. As a result, she said, most Mozambicans use traditional healing for at least part of their regular health care.
While researching traditional healers in the northern province of Tete, Murphy investigated a large Brazilian-owned coal mine that had displaced 5,000 local people when it was built. Mining is a major economic activity in Mozambique, yet mining companies are taxed a mere three percent by the government, said Murphy.
Health reporting doesn’t have to only cover traditional health issues, said Murphy. “The environment, natural resources, and how a country earns its money very much have to do with the health of the people who are living there,” she said. “How can you talk about being sovereign and providing health to your citizens if you don’t have the money to do that?”
Treating the Over-Treatment of Malaria in Uganda
“Malaria is quite over-treated” in Uganda, said Balderas. There’s the “idea that if you have a fever, you have malaria.” Consequently, the rate of misdiagnosis can reach alarming rates in some areas, she said.
Balderas said an estimated 50 percent of Ugandans get free treatment through the public sector. However, only donor-funded facilities are equipped with the rapid diagnosis test (or RDT), which takes only 20 minutes to determine the presence of malaria in a blood sample, she said. If these facilities were more widespread, misdiagnoses rates could easily be lowered.
Other challenges to the accurate diagnosis and treatment of malaria include faulty equipment, shortages of electricity and lab technicians, human error, corruption, bureaucratic entanglements, and presumptive diagnoses. For example, sometimes health workers do not know what is causing a patient’s fever, Balderas said, but they prescribe malaria treatments anyway because “they want to be able to give someone a treatment; they want to feel like they’re helping people.”
“There are certainly a ton of issues that relate to health,” Balderas said, such as poverty and corruption. Everyone she interviewed in Uganda – with the exception of government officials – identified the corruption in the country’s drug sector as a key problem.
Helping “Africa” One Small Story at a Time
Inspired by a World Health Organization study, which found “at least a 60 percent reduction in HIV infection among men who were circumcised,” Kim went to Botswana to investigate infant circumcision, a practice that is gaining popularity but is still alien. “I would meet people in the course of my day and they would ask me what I was doing there and I would talk about circumcision. They’d say, ‘Oh, I really want to get my baby circumcised. How do I do that?’” she reported.
The most powerful moment of her trip, said Kim, came when she was researching cervical cancer – the number one cancer among women in Botswana. As she waited with a woman to receive her lab results, Kim asked her if she was nervous. The woman, who was HIV-positive, said, “Yeah, I’m really worried. To me, it would be worse to get cervical cancer than to have HIV.” Even though Botswana is a middle-income country, said Kim, there are far more resources available to treat HIV than cancer.
Kim said that when presenting her work it was important for her to bring in the human element and not just the statistics: “I hope that, in whatever small way, even these small stories will help get issues in various countries on the map, especially in Africa where we tend to think of it as ‘Africa’ and not so much as different countries with different personalities and different situations.”
Sources: Malaria Journal, UNFPA, World Health Organization.
Image Credit: David Hawxhurst/Woodrow Wilson Center.
