Showing posts from category *Blog Columns.
-
Top 10 Posts for June 2011
›Chairman of the Joint Chief of Staff Admiral Mike Mullen joined his former staffers (see “In Search of a New Security Narrative“) on the New Security Beat top 10 list last month after speaking at the Wilson Center in the inaugural Lee Hamilton lecture. Richard Cincotta’s look at Tunisia’s demographics also remained popular, joined by several posts on climate, security, and development, including ECSP’s “Yemen Beyond the Headlines” event.
1. In Search of a New Security Narrative: The National Conversation at the Wilson Center
2. Tunisia’s Shot at Democracy: What Demographics and Recent History Tell Us
3. Connections Between Climate and Stability: Lessons From Asia and Africa
4. Admiral Mullen: “Security Means More Than Defense,” Inaugural Lee Hamilton Lecture at the Wilson Center
5. Climate Adaptation, Development, and Peacebuilding in Fragile States: Finding the Triple-Bottom Line
6. One in Three People Will Live in Sub-Saharan Africa in 2100, Says UN
7. India’s Maoists: South Asia’s “Other” Insurgency
8. Eye on Environmental Security: Where Does It Hurt? Climate Vulnerability Index, Momentum Magazine
9. Helping Hands: An Integrated Approach to Development
10. Yemen Beyond the Headlines: Losing the Battle to Balance Water Supply and Population Growth -
Quality and Quanitity: The State of the World’s Midwifery in 2011
›Each year, 350,000 women die while pregnant or giving birth, as many as two million newborns die within the first 24 hours of life, and there are 2.6 million stillbirths. Sadly, the majority of these deaths could be prevented if poor and marginalized women in developing countries had access to adequate health facilities and qualified health professionals. In fact, according to the new UNFPA report, State of the World’s Midwifery 2011: Delivering Health, Saving Lives, just doubling the current number of midwives in the 58 countries highlighted in the report could avert 21 percent of maternal, fetal, and newborn deaths.Launched last week, the report is the first of its kind, using new data from 58 low-income countries with high burdens of maternal and neonatal mortality to highlight the challenges and opportunities for developing an effective midwifery workforce.
“Developing quality midwifery services should be an essential component of all strategies aimed at improving maternal and newborn health,” write the authors of the report. Qualified midwives ensure a continuum of essential care throughout pregnancy and birth, and midwives can help facilitate referrals of mothers and newborns to hospitals or specialists when needed:Unless an additional 112,000 midwives are trained, deployed, and retained in supportive environments, 38 of 58 countries surveyed might not met their target to achieve 95 per cent coverage of births by skilled attendants by 2015, as required by Millennium Development Goal 5.
There is a total shortage of 350,000 skilled midwives globally, with some countries, like Chad and Haiti, needing a tenfold increase to match demand, according to the report. But quantity isn’t the only issue; there has also been an insufficient focus on quality of care. Additionally, most countries do not have the capacity to accurately measure the number of practicing midwives, and national policies focusing on maternal and newborn health services often do not view midwifery services as a priority.
To help overcome these challenges, the report outlines a number of “bold steps” to be taken by governments, regulatory bodies, schools, professional associations, NGOs, and donor agencies in order to maximize the impact of investments, improve mutual accountability, and strengthen the midwifery workforce and services. Of course, the needs of each country are unique, and the report ends with individual country profiles that highlight country-specific maternal and neonatal health indicators.
While this report does much to highlight the critical importance of midwives in promoting the health and survival of mothers and newborns, real impact will only come when governments, communities, civil society, and development partners work together to implement these recommendations.
Sources: UNFPA.
Video Credit: UNFPA. -
Nepal to East Africa: Population, Health, and Environment Programs Compared
›“Practice, Harvest and Exchange: Exploring and Mapping the Global, Health, Environment (PHE) Network of Practice,” by the University of Rhode Island’s Coastal Resources Institute and the USAID-supported BALANCED Project, explores the successes and challenges of their global population, health, and environment (PHE) network (with a heavy presence in East Africa). In order to increase support of the nascent PHE approach, the network seeks to shorten the “collaborative distance” between “PHE champions,” so they can develop a stronger body of evidence for the links between population, health, and the environment. In their analysis, the authors write that the network has facilitated the development of independent, information-sharing relationships between “champions.” However, they also observed shortfalls in the network, such as its limited reach into less technologically advanced yet more biodiverse regions, its bias toward BALANCED meet-up event participants, and its exclusion of those experts unlikely to be included in published works.
In “Linking Population, Health, and the Environment: An Overview of Integrated Programs and a Case Study in Nepal” from the Mount Sinai Journal of Medicine, Sigrid Hahn, Natasha Anandaraja, and Leona D’Agnes provide both a broad survey of the structure and content of programs using the PHE method and an in-depth case study of a successful initiative in Nepal. Hahn et al. praise the Nepalese program for simultaneously addressing deforestation from fuel-wood harvesting, indoor air pollution from wood fires, acute respiratory infections related to smoke inhalation, as well as family planning in Nepal’s densely populated forest corridors. “The population, health, and environment approach can be an effective method for achieving sustainable development and meeting both conservation and health objectives,” the authors conclude. In particular, one benefit of cross-sectoral natural resource and development programs is the inclusion of men and adolescent boys typically overlooked by strictly family planning programs. -
Ecological Tourism and Development in Chi Phat, Cambodia
›Chi Phat is a single-dirt-road town nestled in the Cardamom Mountains of Southwestern Cambodia, one of the largest intact forests in Southeast Asia. The town is only accessible by two routes: a three-hour river boat trip up the Phipot River or, if the road isn’t flooded by the rainy season, an exhilarating 30-minute motorbike ride from Andoung Tuek, a blip on the one paved road that runs along Cambodia’s southwestern border. Since 2007, Wildlife Alliance has been running an ecotourism project in Chi Phat (full disclosure: I used to work for Wildlife Alliance in Washington, DC).
The project has been featured in The New York Times and since its inclusion in the Lonely Planet travel guide, has become a destination for backpackers looking to leave the beaten path. I recently visited the project after spending time in neighboring Vietnam and was struck by the contrast between the densely populated and urbanized Mekong Delta and the visibility of rural poverty in Cambodia.
“Cambodia’s contemporary poverty is largely a legacy of over twenty years of political conflict,” reads a 2006 World Bank Poverty Assessment. The Pol Pot regime’s agrarian collectivization forced millions into the countryside and as a result, even in today’s predominantly-urban world, Cambodia remains 78 percent rural. Today 93 percent of Cambodia’s poor live in rural areas, two thirds of rural people face food shortages, and maternal and reproductive health outcomes in the country lag far behind those in the cities. Chi Phat and the sparsely populated northeast have over ten or twenty times the rate of maternal deaths of Phnom Penh.
A Town Transformed
Before Wildlife Alliance began the Community-Based Ecotourism (CBET) project in Chi Phat, most villagers made a living by slash-and-burn farming, illegal logging, and poaching endangered wildlife. Wildlife Alliance Founder and CEO Suwanna Gauntlett described the ecological zone around the town as “a circle of death,” in an audio interview with New Security Beat last year.Now, Chi Phat is a rapidly growing tourism destination offering treks and bike tours. In 2010 they brought in 1,228 tourists – not huge by any means, but over twice the number from 2009. The town now boasts a micro-credit association, a school, and a health clinic that offers maternal and reproductive health services. The village is also visited by the Kouprey Express, an environmental education-mobile that provides children and teachers with lessons, trainings, and materials on habitat and wildlife protection, pollution prevention, sustainable livelihoods, water quality, waste and sanitation, energy use, climate change, and adaptation.
One villager, Moa Sarun, described to me how he went from poacher and slash-and-burn farmer, to tour guide, and finally, chief accountant:Since I have started working with CBET, I realize that the wildlife and forest can attract a lot of tourists and bring a lot of income to villagers in Chi Phat commune. I feel very regretful for what I have done in the past as the poacher…I know clearly the aim of CBET is to alleviate the poverty of local people in Chi Phat, so I am very happy to see people in Chi Phat have jobs and better livelihoods since the project has established.
It’s hard to imagine what the town would have looked like before Wildlife Alliance arrived. The visitor center, restaurant, and “pub” (really, a concrete patio with plastic chairs and a cooler filled with beer), together make up nearly half of the town’s establishments. For two dollars a night, I stayed in a homestay and lived as the locals do on a thin mattress under mosquito netting, with a bucket of cold water by the outhouse for a shower, and a car battery if I wanted to use the fan or light (but not both). These amenities place Chi Phat above average for rural Cambodia. According to 2008 World Bank data, only 18 percent of rural areas had access to improved sanitation and only 56 percent had access to an improved water source.
Poaching Persists
Real change has certainly hit Chi Phat, but illegal activities persist, as a Wall Street Journal review of the project noted. In one Wildlife Alliance survey, 95 percent of members participating in the project made less than 80 percent of their previous income and 12 percent of people made less than 50 percent. “That, to me, is a red flag,” Director of U.S. Operations Michael Zwirn acknowledged to me. Nevertheless, he said “it is well documented that it’s the most lucrative community-based ecotourism project in Cambodia. That doesn’t mean that everyone is making money, or that they’re making enough money, but the community is clearly benefiting.”
Harold de Martimprey, Wildlife Alliance’s community-based ecotourism project manager, told me in an email interview:We monitor closely the impact of the CBET project on the diminution of poaching and deforestation. We estimate that since the beginning of the project, the illegal activities have decreased by almost 70 percent.
As Chi Phat ecotourism continues to scale up, de Martimprey expressed hope that more and more villagers would participate in the project and stop destructive livelihoods.
After four years, Chi Phat has already developed enough to operate financially on its own. Wildlife Alliance will stop funding the project later this year and transition it towards total self-sustainability. The plan is to then ramp up efforts at a neighboring project in Trapeang Ruong, due to open to the public next month.
A Land of Opportunity
So far Chi Phat lacks much of what do-gooder tourists are hoping to find when they come in search of ecotourism. There is little to no information about the work of Wildlife Alliance and how ecotourism benefits the town, or the health, education, and economic benefits the villagers have received. A little more obvious justification for ecotourism’s inflated prices might appease the average backpacker used to exploitatively lower prices elsewhere in the country. The guides, staff, and host families for the most part speak little English, which does not bode well for its tourism potential. “This is a work in progress,” said de Martimprey.
Most of my time in Chi Phat, I felt like the only foreigner to ever set foot in the town – refreshing after witnessing much of the rest of Southeast Asia’s crowded backpacker scene. As Chi Phat continues to grow, hopefully it will “bring in enough people to support the community without the adverse effects of tourism,” said Zwirn. “They don’t want it to turn into the Galapagos.” Thankfully, de Martimprey told me, “Chi Phat is far from reaching this limit and can be scaled up to much bigger operation,” without negatively impacting the environment.
Luckily, plans to build a highly destructive titanium mine near the town were recently nixed by Prime Minister Hun Sen in what was an unexpected victory over industrial interests. However, soon after, the town was again under threat – this time by a proposed banana plantation nearby.
“The Cardamom Mountains are still seen as a land of opportunity for economic land concessions for some not-so-green investors looking at buying land for different purposes, and often disregarding the interest of the local people,” said de Martimprey.
Eventually Zwirn hopes that as more tourists come to the Cardamoms, they will become “a constituency for conservation,” he said. “We need to build a worldwide awareness of the Cardamoms as a destination, and as a place worth saving.”
Sources: BBC, IFAD, Phnom Penh Post, New York Times, United Nations, Wall Street Journal, Wildlife Alliance, World Bank, World Wildlife Fund.
Photo Credit: Hannah Marqusee. -
Watch ‘Dialogue’ TV on the Future of Women and the Arab Spring
›This week on Dialogue, host John Milewski discusses the role that women played in the Arab Spring and how these roles might evolve in the coming months and years with the enormous political changes sweeping the region. He is joined by Moushira Khattab, Lilia Labidi, and Haleh Esfandiari. [Video Below]
Moushira Khattab is a human rights activist who formerly served as Minister of Family and Population for Egypt. She also served as Assistant Minister of Foreign Affairs, Vice Chair of the UN Committee on the Rights of the Child, and was Egypt’s ambassador to South Africa during the Mandela era. Lilia Labidi is an anthropologist and professor at the University of Tunis who currently serves as Minister of Women’s Affairs in the Republic of Tunisia. Previously she was a visiting professor at the American University in Cairo and a fellow at the Wilson Center. Haleh Esfandiari is author of the book, My Prison My Home: One Women’s Story of Captivity in Iran. Haleh serves as the director of the Wilson Center’s Middle East Program.
Dialogue is an award-winning co-production of the Woodrow Wilson International Center for Scholars and MHz Networks that explores the world of ideas through conversations with renowned public figures, scholars, journalists, and authors. The show is also available throughout the United States on MHz Networks, via broadcast and cable affiliates, as well as via DirecTV and WorldTV (G19) satellite.
Find out where to watch Dialogue where you live via MHz Networks. You can send questions or comments on the program to dialogue@wilsoncenter.org. -
Watch: Richard Matthew at TEDxChange on Natural Resources, Conflict, and Environmental Peacemaking
›“It’s not surprising that about half the time, efforts to try to stabilize countries as they come out of war fail,” said Richard Matthew, associate professor at the University of California at Irvine and founding director of the Center for Unconventional Security Affairs, at a recent TEDxChange event. “Wars today are very destructive. They may not be as big as the wars of the last century, but they do a lot of damage.”
Matthew’s work focuses on the environmental dimensions of conflict and peacebuilding. Conflict can be spurred by competition over natural resources but it also contributes to further scarcity in many cases, creating a feedback loop. The natural resource aspect of conflict is particularly important in areas where livelihoods depend directly on access to land, water, and forests, he said.
In addition to discussing the benefits of including the environment in peacemaking efforts, Matthew also touched on the need for an increased proportion of national security spending to be spent on peace and development rather than defense. “It is in our interest to grow people out of the conditions that foster terrorism and extremism and infectious disease and crisis,” he said.
In particular, Matthew remains confident that an emerging group of leaders will find new and creative ways to support peacebuilding, natural resource management, and adaptation activities in the future: “Social entrepreneurs – people willing to combine their passion to make a better world with sound business tools – are developing truly innovative ways of taking daunting social problems and making them manageable.” -
Enhancing Public Engagement in Climate Change: The 2011 Climate Change Communicators of the Year
›“Excellence in climate communication has to do with public engagement – communication that expands the portion of the public that is engaged in this issue and enhances their degree of engagement,” said Edward Maibach, director of the Center for Climate Change Communication at George Mason University. “Enhancing Public Engagement in Climate Change: The 2011 Climate Change Communicators of the Year,” was held jointly by the Environmental Change and Security Program (ECSP) and George Mason University on June 8 to present awards for excellence in climate change communication by Naomi Oreskes and the Alliance for Climate Education.
-
The Implications of Urbanization on Food Security and Child Mortality of the Urban Poor
›In the chapter, “Urban Agriculture and Climate Change Adaptation: Ensuring Food Security Through Adaptation,” of the edited volume, Resilient Cities: Cities and Adaptation to Climate Change – Proceedings of the Global Forum 2010, authors Marielle Debbeling and Henk de Zeeuw assess the viability of urban and peri-urban agriculture (UPA) as a method of climate change adaptation for the urban poor. Debbeling and de Zeeuw assert that UPA increases the resilience of cities by diversifying both food supply and income streams for the urban poor; decreasing the negative effects of “heat island effect,” air pollution, and urban flooding; conserving water and utilizing organic waste; and reducing energy use and greenhouse gas emissions. Given the scale and impact of modern urbanization, the authors write that “the integration of UPA into urban development and master plans, urban land use and zoning plans, as well as active maintenance of the protected agricultural zones…is crucial.”In “Urban Area Disadvantage and Under-5 Mortality in Nigeria: The Effect of Rapid Urbanization,” published by Environmental Health Perspectives, authors Diddy Antai and Tahereh Moradi found a significant link between the mortality rate of children under five years of age and a poor and disadvantaged urban environment; such an environment is characterized by poor sanitation, overcrowding, a lack of access to safe water, and high levels of disease-inducing air pollution and hazardous wastes. Although urban living may increase proximity to health care and other social amenities, low- and middle-income countries, such as Nigeria, have overstretched their adaptive capacities and the result is poor health indicators. Antai and Moradi predict that the rapid urbanization of Nigerian cities will bring increased infant mortality, unless individual- and community-based policy interventions are implemented to counter the adverse environmental conditions of deprived areas.
