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An Update on PRB’s Population, Health, and Environment Project Map
›As reproductive rights advocates reflect on their disappointment with the outcome of last week’s Rio+20 summit, it is encouraging to see that population, health, and environment (PHE) projects – which fundamentally connect women’s health with sustainable development – continue to sprout up around the world. The Population Reference Bureau (PRB) launched their community-supported PHE Project Map in March 2010, and since then, the map has grown to include 76 projects across three continents, and has been viewed more than 82,000 times.
The goal of the map is to show which organizations are doing what PHE work where and when. While the map highlights expected hotspots like Ethiopia, Madagascar, and the Philippines, it also brings into focus countries that may not necessarily come to mind when thinking about PHE – South Africa, Venezuela, and Vietnam being among them. The map is updated on a rolling basis, and has grown substantially during its first two years.
These numbers should offer encouragement to reproductive rights and sustainable development advocates. Even if world leaders are still struggling to integrate these issues into a global development framework, NGOs, local nonprofits, and development agencies across the world are moving full-speed ahead to improve healthcare, strengthen ecosystems, and empower women and men across Latin America, sub-Saharan Africa, and South Asia.
To add a project to the map, contact PRB’s Rachel Yavinksy at ryavinsky@prb.org. -
Top 10 Posts for June 2012
›With the focus on sustainable development last month, Rio+20 coverage and related-population, health, and environment stories crept into the top posts (measured by unique pageviews). Carl Haub of Population Reference Bureau made a surprise appearance too with his update on the Democratic Republic of Congo’s latest demographic and health survey coming in at number three. To read ECSP’s full coverage of the 20th anniversary of the UN Earth Summit, see a full line-up of posts from Sandeep Bathala and our partners here.
1. India’s Maoists: South Asia’s “Other” Insurgency
2. The Year Ahead in Political Demography: Top Issues to Watch
3. Republic of Congo Demographic and Health Survey Shows High Maternal Health, But No Fertility Decline
4. In Search of a New Security Narrative: The National Conversation Series Launches at the Wilson Center
5. Reading Radar: USAID’s New Global Health Framework and Delivering Equity in Health Interventions
6. Guest Contributor Tim Hanstad: Poor Land Tenure: A Key Component to Why Nations Fail
7. Pop at Rio+20: Getting Women’s Rights on the Agenda
8. Bringing Environment and Climate to the 2012 Population Association of America Annual Meeting
9. On the Beat: Sex and Sustainability on the Road to Rio+20
10. PHE and Community-Based Adaptation to Climate Change: Stronger Together -
Gwen Hopkins, Aspen Institute Global Health and Development
Aspen Ideas Festival Takes on “The Population Challenge”
›The original version of this article, by Gwen Hopkins, appeared on the Aspen Ideas Festival blog.
The pictures flash quickly: lush sea vegetation replaced by empty grey-blue seabed as carbon bubbles out of undersea vents. Reservoirs depleted too quickly, never to refill. Forests and mountains leveled for coal, deep sea oil rigs ablaze, the arctic ice cap visibly retreating. Dennis Dimick is answering the question posed to him with a litany of evidence collected by National Geographic: Does population matter?
Yes, he says – a lot.
Kicking off the Our Planet: The World at Seven Billion track, on a panel called “The Population Challenge,” Washington Post staff writer Joel Achenbach moderated a conversation between Dimick and Helene Gayle, president and CEO of CARE USA, following Dimick’s presentation about how the earth’s human population has made its presence known.
Dimick explains that this new geologic era has been dubbed Anthropocene, the age of man, as we “transform the planet to perpetuate our lifestyle.” That’s a lifestyle powered first and foremost by what he calls “the new sun” – coal, oil, and gas, or in Dimick’s words, “ancient plant goo.” These transformations are deep and widespread – and according to Dimick, growing worrisome in their magnitude. While there is searing inequity – “few have a lot, and a lot have few” – those that lead the consumption have, for example, caught 90 percent of the big fish in the sea already, and burn in one year a quantity of fuel that took a million years to coalesce underground. “If everyone in the world lived like Americans do, we’d need four planets.”
Continue reading on the Aspen Ideas Festival blog.
Photo Credit: Aspen Institute. -
What Are the Most Important Factors in the Failed States Index?
›Last week, the Fund for Peace issued its eighth annual Failed States Index (FSI). The index gives 177 countries a score between 1.0 and 10.0 for 12 indicators, ranging from the legitimacy of the state and the security apparatus to demographic pressure and uneven development (high being bad, low being good – see full descriptions of the indicators here). But which of these indicators has the biggest impact? We did a quick analysis of the Failed States Indexes published from 2006 to 2012 to show which of the indicators correlate most with a high score. (We skipped 2005 since the roster of analyzed countries was significantly smaller.)
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IPPF and Partners Connect Reproductive Rights With the Environment and Development
›A new framework for sexual and reproductive health is needed, argued panelists in a recent event at the Wilson Center, and the Rio+20 conference on sustainable development would have been the place to start. An international consensus around women’s human rights was developed at the International Conference on Population and Development in Cairo in 1994, but Carmen Barroso, director of the International Planned Parenthood Federation’s Western Hemisphere Region, said there has been slow implementation, little funding, and furthermore the world has changed significantly since then.
Barroso was joined by Latanya Mapp Frett, vice president of Planned Parenthood Global, as well as two representatives of Planned Parenthood partner organizations, Marco Cerezo of FUNDAECO and Ben Haggai of Carolina for Kibera.
New challenges to the reproduce rights landscape include the rapid spread of HIV/AIDS and decreased funding for international programs. But new opportunities include rapid dissemination provided by the internet and globalization and a subsequent mobilization of youth. “Young people are the largest cohort in history,” Barroso said in an interview with ECSP, both in absolute numbers and in percent of the population. “We have a historical opportunity [to incorporate] them in these decision-making processes.” Additionally, gender and health issues are incresaingly seen by many as linked with the environment and development.
Intersection of Health and the Environment
Marco Cerezo’s FUNDAECO (Foundation for Ecodevelopment and Conservation) is an example of Planned Parenthood’s partnership with other organizations. Based, in rural Guatemala, they shifted from primarily focusing on conservation and sustainable development to incorporating women’s health after finding a vicious cycle of poverty, high fertility, and environmental degradation in the places they worked.
Women’s health was so dire it was holding development back, Cerezo said. “Sustainable community development will not be possible without the education, empowerment, and support to rural women,” they write in their mission statement.
FUNDAECO now acts as a model for the intersection between reproductive health and the environment. Cerezo reported that once women are healthy and empowered through clinics established by FUNDAECO, they become more active in all aspects of the community, including ecological preservation.
Building Healthy Communities
Ben Haggai, who works in Nairobi’s biggest slum, Kibera, further reiterated the need for integrated programs. Carolina for Kibera has a number of programs to improve the quality of life for residents, he said, and has a particular focus on youth with sports associations and education programs.
Youth are the best reproductive health educators, Haggai said, as they are able to talk frankly with their peers. The NGO trains peer youth educators to reach out to community members about reproductive health and other issues like substance abuse. Since the young people work as volunteers, Haggai said, they are motivated only by a desire to improve their communities.
A Natural Intersection
Latanya Mapp Frett agreed that sexual and reproductive health aligns quite naturally with issues of sustainability. “We try to work in the countries overseas in Latin America and Africa where we focus particularly on non-traditional health sectors,” she said in an interview with ECSP following the panel. “One of those sectors is the environment.”
While emphasizing that contraceptive use is a cost-effective way to ensure sustainable development, Mapp Frett cautioned against framing sexual and reproductive health only in the context of reducing fertility. While this may have been common in the past, she noted, it’s important to ensure that women have the right to make childbearing choices for themselves.
Mapp Frett also urged policymakers in the United States to look to developing countries for intersections between development, the environment, and reproductive health. She said that Planned Parenthood’s partner organizations, including FUNDAECO and Carolina for Kibera, have found these connections and successfully partnered with already existing networks like churches to more effectively reach the community.
Translating Into Effective Action
Each member of the panel spoke about the challenge of articulating the need for sexual and reproductive health programs to people outside the field. Barroso mentioned research conducted by Brian O’Neill which found that meeting the current unmet need for contraception would slow population growth enough to reduce emissions by 17 percent.
Cerezo emphasized the importance of consensus among the staff of a given organization, saying it is difficult to make a case to agronomists and farmers if a culture clash exists within the institution. Haggai agreed, adding that focusing on reproductive issues is an important measure of prevention which helps protect both the environment and the health of women in a community.
For Mapp Frett, women’s reproductive and sexual health is indivisible from other aspects of development. “As you talk about sustainable development, you talk about ensuring that women are empowered to make sure that our earth is sustainable,” she said.
Assessing Rio+20
The panel took place before the UN Conference on Sustainable Development got underway in Rio. Participants had high hopes for a renewed focus on gender and reproductive rights at the conference. Unfortunately, language on reproductive rights was first weakened and then omitted entirely from the final outcome document (see the account written by ECSP’s Sandeep Bathala at Rio for more on the conference).
While pressure from the Vatican and the G-77 kept reproductive health out of the outcome document, it was not entirely forgotten at the conference. A number of side events highlighted the importance of reproductive rights, especially in the context of the environment and development.
Hillary Clinton also re-affirmed U.S. commitment to access to contraception and reproductive health care. “Women must be empowered to make decisions about whether and when to have children,” she said at the conference on Friday. “And the United States will continue to work to ensure that those rights are respected in international agreements.”
Clinton shared the urgency expressed by the panelists at the Wilson Center. “There is just too much at stake, too much still to be done,” she said. “We simply cannot afford to fail.”
Event Resources:Sources: FUNDAECO, UN Conference on Sustainable Development, U.S. Department of State.
Photo Credit: Sean Peoples/Wilson Center. -
The Economist
Afghanistan’s Demography: A Bit Less Exceptional
›The original version of this article appeared in The Economist, and is based on ECSP Report 14, Issue 1.
This is a story from Afghanistan which is not about fighting, bombs, or the Taliban. It even contains a modicum of good news. It is about demography.
Afghanistan has long been seen as a demographic outlier. In 2005-10, according to the United Nations Population Division, its fertility rate was 6.6 – the second-highest in the world after Niger (the fertility rate is the number of children a woman can expect to have during her lifetime). The contrast with the rest of South Asia is extreme: fertility ranged from four (in Pakistan) to below three (in Bangladesh, India, and Sri Lanka). Afghanistan’s sky-high fertility seems consistent with a view of the country as trapped in an exceptional and dysfunctional mode of development, marked by war, religious extremism, tribal honor codes, and the subjugation of women.
But this fertility rate was always a bit of a guess. The last census was taken in 1979, the year of the Soviet invasion. A whole generation has grown up since then, amid pervasive violence and uncertainty. It has been extremely hard to know how fertility has been changing.
Hence the significance of the Afghanistan Mortality Survey. Based on interviews with 48,000 women and girls aged 12 to 49, it is the nearest thing the country has had to a national census for 30 years (there were smaller surveys in 2003 and 2007-08, but their coverage was not national).
Continue reading on The Economist.
Read more about the Afghanistan Mortality Survey here on the blog with Elizabeth Leahy Madsen’s original posts here and here.
Photo Credit: “Celebrating International Women’s Day in Afghanistan,” courtesy of the U.K. Department for International Development. -
Alexandra Cousteau on the Global Water Crisis and Choosing Between the Environment and the Economy
›Above is a short discussion filmed after a full dialogue TV episode last week; for the full interview, please visit the Wilson Center.
“We have serious issues that we need to address, yet we’re largely unaware of them because water seems so abundant,” said Alexandra Cousteau in an interview at the Wilson Center. “That myth of abundance is finally reaching an age of limits.”
Cousteau spoke with John Milewski of the Wilson Center’s dialogue TV program, after an event on the recent global water security assessment by the U.S. intelligence community. She discussed the work of her organization, Blue Legacy, which seeks to raise awareness of the ‘global water crisis’ – from degrading quality to growing scarcity and the proliferation of water refugees.
Global Water Crisis
“Traditionally our understanding of the global water crisis has been very narrow,” said Cousteau. “We have talked about it mostly in terms of the very real water and sanitation crisis that is happening in the developing world.” Without minimizing the severity of the situation in developing countries or oversimplifying the tangled nature of their problems, she characterized these water and sanitation struggles as fundamentally “solvable.”
Cousteau argued that there are also substantial water problems in the United States. Pollution due to runoff and over-utilization of major riverways are threats that are much different from those in the past.
“In Nixon’s time, when he signed the Clean Water Act, it was because rivers like the Potomac were in such bad shape, and they could see it from their office windows,” she said. “But the threats to our water are different today…before, it was industrial effluent, and what we were putting in the water that we could see. The Hudson River would change color daily based on the paper mills and what color paper they were printing that day.”
Today, chemicals may impact water quality without changing the appearance of water: “You don’t see it, the water can be perfectly transparent.”
Blue Legacy Expeditions
Cousteau has taken two expeditions with Blue Legacy to highlight water issues around the world. The first in 2009 was global; Cousteau and her team traveled from India to Botswana and beyond. Throughout the voyage, she worked to make her travels accessible to the general public and was surprised at her success.
“It was an experiment, but it worked. And when we came back to the United States, we got a lot of feedback, and one of the things people said was, ‘Gosh, that was an incredible adventure, thanks for taking us along for the ride! Clearly, there is a global water crisis, now I understand that. I’m just so relieved it’s not happening in America.’ And I thought, ‘Oh my Lord, I guess we have an expedition to do in America!’”
Her 2010 North America expedition focused on issues ranging from the over-exploited Colorado River to the polluted Mississippi, and sought to make water problems personal “at a time when our demand on water is at a tipping point.”
The Environment and the Economy
Cousteau’s interview was particularly timely in light of global economic troubles which have led some to say the environment should take a backseat. Cousteau said this doesn’t have to be the case. She emphasized the interconnected nature of the environment and the economy, saying that policymakers don’t have to choose to focus on one or the other.
“We feel like we have to make a choice between the economy and the environment, and that’s a false dilemma. A healthier environment is a more prosperous economy. And when we fail to realize that we don’t have to sacrifice one to have the other, then I think we wind up sacrificing a lot of the quality of life and the opportunity that we take for granted.”
Video Credit: Dialogue/Wilson Center and Alexandra Cousteau. -
Population Projections: Breaking Down the Assumptions
›“The seventh billion [person] was added in 12 years, and that could be the story for the eighth billion – and that gets people who think that growth has stopped,” said Carl Haub, senior demographer at the Population Reference Bureau. Haub was joined by Hania Zlotnik, former director of the UN Population Division, and Rachel Nugent of the University of Washington’s Department of Global Health on June 5 to speak about the assumptions behind the UN population projections. While each of the panelists noted the utility of projections, they also cautioned against seeing them as inevitable. [Video Below]
Meeting the Projections
As a former top official in the UN’s Population Division, Zlotnik spoke about how much is riding on the projections. “The experts tell me that to feed nine billion people, living better than the standards of living that we have today, one needs to increase agricultural production or all the production of food by about 70 percent and that is a challenge, but it might be feasible. But if the numbers go higher…I think it’s impossible,” she said.
The medium variant projection by the UN that gets the world to that nine billion figure is not a given – it builds in expected action on and improvement of many demographic indicators. Zlotnik pointed to the global unmet need for family planning, for example, which “is especially high in the high fertility countries,” and suggested that the current rate of increase in contraceptive use is insufficient.
She calculated the number of years it would take many of these countries to meet their unmet need at their current rate of uptake and found “the number of years for a lot of these poorer countries that have high fertility would be very long – 40 years, some of them, 80 years, 100 years – because the increased contraceptive prevalence has been so small.” At that rate, population growth in these countries will far surpass the UN medium variant.
The perception that population growth is no longer an issue contributes to the problem, Zlotnik said. People see that only 18 percent of the world population lives in countries with high population growth and assume “there’s no longer a population problem.” But she emphasized the power of exponential growth, arguing that even a small proportion growing at a rapid rate can have a large impact.
Questioning Assumptions
Haub pointed out several instances where assumptions in the methodology behind the projections create uncertainty.
For example, there is a lack of data in many low-income countries. “A date, let’s say 2000, 2005 – it’s the past, but it may be a projection. It may be based on a census in 1990,” he said. If it’s wrong, that error may not be corrected until another census, but it will still be relied on for country-level projections.
He also noted that certain assumptions about desired family size sometimes do not bear out on the ground. One of the key methods to slowing population growth is to provide women and couples with the means to choose how many children they wish to bear. But in many fast-growing countries, women wish to have large numbers of children. In Niger, for example, women say their ideal family size is over nine children. Such women are less likely to use contraception, no matter how accessible it is, as they value larger families.
“It has been – I guess conventional is a good word – to assume that birth rates are going to come down the way they did in the rich countries,” Haub noted. But there has been a “stall” for many developing countries, which he suggests is caused by fast initial uptake from urban women followed by much slower uptake by rural women. These dynamics, however, are relatively new and therefore are not always well incorporated into current projections.
The Economic Impact of Population Changes
While Haub and Zlotnik looked at the assumptions made before the projections are made and the importance and means to reach these projections, Nugent focused on the economic implications of lower fertility and the demographic transition.
She suggested that increased control over fertility can positively impact a country’s economy. Women are given the opportunity to “invest their time in acquiring skills and investing time in the labor market and that affects their earnings…[and] their ability to control resources and make decisions within the household” as they spend less time caring for children, she said.
The labor market changes as well, as fewer children are born into a given generation. This can reduce “demand on economic resources [and] demand on environmental resources,” and the increased investment in human capital allowed by smaller family sizes can lead to a healthier population.
Nugent concluded by pointing out key areas of intervention most likely to decrease both fertility and mortality and allow countries to reap the positive economic benefits of fertility decline. She suggested a focus on “complementary investments in education and health,” especially with regard to “poor and marginalized populations,” which can in fact impact the country as a whole. Finally, she recommended focusing on proven “evidence-based programs [and] service-delivery programs.”
Educating Policymakers
Each of the panelists cautioned against relying on population projections without taking action to make them come true.
“Maybe the best thing to do if you’re giving a presentation is to show the UN’s constant fertility variant first and scare people half to death and then say, ‘but if 117,000 things go right, [the medium variant projection] is what will happen,” said Haub, addressing the common tendency to view the UN projections as destiny.
Similarly, Nugent warned against viewing the demographic transition as inevitable. “There’s a certain sense…that [the demographic dividend] is kind of an automatic thing that happens, and that really has to be addressed,” she said, adding that “it’d be quite interesting to show some scenarios of what would need to be done…in order to get some benefits from that dividend.” (See also Elizabeth Leahy Madsen’s recent article on achieving the dividend.)
Zlotnik reiterated that the UN does not in fact know what the future will bring. “It’s not that we know what the world is going to do, but we hope that [the projections] will get the message out – if this doesn’t happen, you’re in trouble.”
Event ResourcesPhoto Credit: Sean Peoples/Wilson Center.
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