Showing posts from category *Blog Columns.
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Judith Bruce on Empowering Adolescent Girls in Post-Earthquake Haiti
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“The most striking thing about post-conflict and post-disaster environments is that what lurks there is also this extraordinary opportunity,” said Judith Bruce, a senior associate and policy analyst with the Population Council’s Poverty, Gender, and Youth program. Bruce has spent time this year working with the Haiti Adolescent Girls Network (HAGN), a coalition of humanitarian groups conducting workshops focused on the educational, health, and security needs of the country’s vulnerable female youth population.
Gender-based violence has long been an issue in Haiti, but the problem became even more pronounced in the wake of the January earthquake. HAGN has sought to address the problem by concentrating its community-based programming on “high priority” groups, including girls who are disabled, serve as de facto heads of households, or are aged 10-14.
Bruce asserted that protecting and empowering young girls is critical because upon reaching puberty, “their access to a safe world shrinks dramatically.” With the post-disaster environment adding another layer of challenge, she said “there could be no ambiguity in anyone’s mind that we have to create dedicated spaces for girls who, at least for a few hours a week, feel secure to be themselves and to plan for their long-term safety as well as their development.”
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Rebuilding Stronger, Safer, Environmentally Sustainable Communities After Disasters
The GRRT Toolkit for Humanitarian Aid
›Natural disasters present an immediate humanitarian crisis but are also an opportunity to rebuild societies to be more resilient and environmentally sustainable than they were before. The “Green Recovery and Reconstruction Training Toolkit” (GRRT), created by World Wildlife Fund (WWF) and the American Red Cross and launched at the Wilson Center on November 19, will help future humanitarian efforts integrate principles of environmental conservation into their disaster recovery strategies. This strategic partnership has been “an incredible effort and marriage between organizations that have different operating styles, different approaches to situations,” said WWF Chief Operating Officer Marcia Marsh. While implementing the GRRT may not be easy, “we need integrated solutions for integrated problems,” said Erika Clesceri, bureau environmental officer at USAID.
A Critical Partnership
In the midst of a crisis, humanitarian workers on the ground often do not have the time, skills, or funding to incorporate environmental concerns into relief efforts, said Robert Laprade, senior director for emergencies and humanitarian assistance at CARE. Humanitarian workers are “going a hundred miles an hour, they’re going on adrenaline and they’re there to save people’s lives – and the environment is just of secondary importance,” he said.
But “environmental sustainability is critical to the achievement of long-lasting recovery results,” said Roger Lowe, senior vice president of communications at American Red Cross. The Red Cross Principles of Conduct state that “relief aid must strive to reduce future vulnerabilities to disaster as well as meeting basic needs” and “avoid long-term beneficiary dependence upon external aid,” he said.
From Damnation, Purgatory, and Armageddon to Redemption
For many crisis-stricken regions, lack of an emphasis on environmental sustainability during disaster recovery efforts can mean “damnation in the present, purgatory in the near future, and Armageddon in the long term,” said Peter Walker, director of the Feinstein International Center at Tufts University. Stress on the environment caused by climate change or unsustainable resource consumption can often contribute to conflict, he explained.
In Darfur, “the environmental change was part and parcel of what led to that conflict,” Walker said. At one time an “environmental Eden” of diverse ecological zones, Darfur gradually became an environment that could not support a society of livestock herding. As the environment changed, some former herders became salaried, armed gunmen, known as the Janjaweed who felt they faced “a choice of no choice,” Walker said, to either “die as pastoralists or become pariahs as mercenaries.”
The challenge for humanitarian aid organizations is to not only help communities recover from disasters, but help them adapt to future environmental stress caused by globalization, climate change, or other factors. “If you cannot adapt,” Walker said, “that’s going to lead to violence.” To avoid aid dependency or resurgence in conflict it is critical to integrate environmental sustainability into disaster relief efforts from the beginning, he said:We used to believe that our world in the aid business was divided between relief on the left and long-term development on the right, and one would gradually go into the other in this relief-development continuum. But the reality is that you have a significant population – a population of millions of people – who are effectively trapped in a form of aid purgatory. They’re basically on a drip feed. Humanitarian assistance does not get you forward, it keeps you alive.
The GRRT offers organizations guidelines for implementing integrated disaster relief to provide a sustainable solution. While every crisis is different, the GRRT’s guidelines should be as applicable to “flooding in Boston as they are to flooding in Aceh,” said Walker.
Implementing Integrated Solutions
Securing funding for this integrated approach will be a challenge, as a significant portion will go towards staffing and training people on the ground, said Clesceri. A stand-alone, dedicated budget for environmental issues within humanitarian assistance programs must “be fought and re-fought for on a continual basis,” she said.
Local partnerships are essential. “Replicate” should be “stricken from the lexicon,” said Marsh. “You can’t replicate, and this toolkit isn’t meant to be a one-size-fits-all.” Instead, she said, the goal of the GRRT is to “create very practical approaches with communities.”
The key to helping communities recover from disasters is to form the kinds of strategic partnerships demonstrated by WWF and the American Red Cross in the creation of the GRRT. “Interdisciplinary groups are always, in my mind, going to get you a better solution in the end, but the risk is that they take more time…but it’s absolutely worth it,” she said.
Photo Credit: “Dark Clouds from Haiti’s Hurricane Tomas Loom over Camps,” courtesy of flickr user United Nations Photo. -
The World’s Toilet Crisis
›Forty percent of the world’s population – 2.6 billion people – do not have access to toilets, and some in the international aid community are finally dispensing with the euphemisms and calling this sanitation crisis what it is: “shit.”
In “The World’s Toilet Crisis” (trailer above), Adam Yamaguchi sets off in an episode of Current TV’s Vanguard program to tell the story of “the deadliest killer in the world…something no one wants to talk about.” All around the developing world, thanks in part to rapid population growth and poor development and environmental standards, “people are literally eating their own shit,” he said.
His journey takes him to India, where more people own cell phones, than toilets. The 55 percent of Indians who practice open defecation have contributed to another grim statistic: an estimated 840,000 children under the age of five die in India each year from diarrheal diseases.
India’s water quality is especially affected by lack of sanitation. In the documentary, Yamaguchi visits the Yamuna River, which is Delhi’s primary source of drinking water, and has become a “giant toilet” literally bubbling with methane gas. This phenomenon is not unique to India. Approximately 80 percent of sewage in developing countries goes untreated, polluting local water resources.
But it is women who feel the effects of lack of access to clean water and toilets most keenly. In 72 percent of households around the world, women are the primary water collectors, often travelling long distances for drinkable water. They face shame and harassment when going to the bathroom, causing them to suppress their need until dark, causing negative health effects. Waiting until nightfall also means that when women openly defecate, they often face molestation, violence, and rape. Teenage girls also often drop out of school once they begin to menstruate because toilets are not private, unsafe, or are simply nonexistent.
Reflecting on his motivations for making the documentary, Yamaguchi said that in order to expose this “global public health crisis,” he needed to be as graphic, shocking, and disgusting as possible.If you’re not grossed out by, or incensed by the fact that there is shit everywhere, you’re not really moved to act or change your ways. And that’s ultimately what’s happened in many places in the world. It’s a normal fact of life. You see it everywhere, and you think nothing of it. There are causes out there that are deep sexy causes or marketable causes. Shit or toilets – not the most marketable thing in the world.
“The World’s Toilet Crisis” forms part of a broader trend among sanitation advocates to use crude language to address a problem the international health and development community has traditionally shied away from talking about directly.
Tales of shit: Community-Led Total Sanitation in Africa, published shortly before World Toilet Day by the International Institute for Environment and Development, takes an equally direct approach to sanitation.
Community-Led Total Sanitation (CLTS) is an approach begun with great success by Dr. Kamal Kar in Bangladesh that relies on “triggering” to change community behavior. The report, which is prefaced by a three-page “International Glossary of Shit” listing the words for shit in other languages, emphasizes the need to “explicitly [talk] about and [make] visible the shit that is normally hidden beneath taboos and polite language.” By almost literally thrusting people’s shit right under their noses, communities learn what they have been ignoring: that they are “eating each others’ shit.”
Traditional sanitation programs often fail because “a high proportion of latrines constructed with subsidies are never used as toilets, but as storage space, animal shelters, or prayer rooms – the buildings are too high quality to be wasted on toilets!” says the report. CLTS, on the other hand, focuses on changing behavior at the community, rather than the individual level to create sustainable change that responds and adapts to a community’s distinct culture and needs.
“The World’s Toilet Crisis” shows the promise CLTS has of meeting the needs of the billions without toilets. In East Java, Yamaguchi joins a community leader to collect a “specimen” from a well-traveled river bank near the town, which he proceeds to show to a group of women in the town who are, predictably, revolted. The community then takes collective action to become “open-defecation free” and invest in toilets.
“The World’s Toilet Crisis” is not easy to watch, nor was it easy to film – seven minutes in, Yamaguchi vomits on the banks of the polluted Yamuna River. Disgust, however, is central to raising awareness and affecting change on both the community and global levels. As Yamaguchi explains, “You’re going to get grossed out by seeing this piece, and that’s part of the point.”
Sources: Community-Led Total Sanitation, Current TV, Earth Times, IIED, Water.org, World Toilet Organization, WHO, United Nations University.
Video Credit: “The World’s Toilet Crisis – Vanguard Trailer,” courtesy of Current TV’s Vanguard. -
Expanding Access to Maternal Health Commodities
›“This is not just about getting quantities of drugs out, this is about saving women’s lives with really simple products that work,” said Julia Bunting, team leader of AIDS and reproductive health at the UK Department for International Development and coalition chair of the Reproductive Health Supplies Coalition, at the ninth meeting of the Global Health Initiative’s 2009-2010 Advancing Policy Dialogue on Maternal Health series. Joined by panelists Melodie Holden, president of Venture Strategies Innovations (VSI), and Elizabeth Leahy Madsen, senior research associate at Population Action International (PAI), the panel discussed the challenges and strategies for expanding access to maternal health commodities.
Integrating Maternal Health and Family Planning Supply Chains“It is often said that the family planning and the maternal health communities have very different views of supplies… but actually [both communities] recognize that we need to explore the continuum,” said Bunting, addressing the need to integrate maternal health commodities into existing reproductive health supply chains. “I really think the stars are aligned right now for advancing this agenda,” added Bunting.
“Many of the commodities that we talk about in terms of reproductive and maternal health cost tiny amounts to deliver, but actually save lives and are some of the most cost-effective interventions we have both in public health and in broader development,” said Bunting.
No Product, No Program
“Supplies are a key element in programs to improve maternal health and they are also a tangible and visible hook to increase awareness and commitment,” said Madsen. “Policymakers whose eyes glaze over when they hear the term ‘health systems strengthening’ can grasp… much better when they learn that supply shelves in clinics are bare and that women are making great efforts to reach facilities, only to leave empty- handed,” said Madsen.
Presenting research conducted by PAI, Madsen discussed the availability of four key maternal health medicines and products in Bangladesh and Uganda including:
By focusing on supplies that target the three leading causes of maternal mortality, Madsen and her colleagues identified factors that inhibit access to these commodities and developed recommendations for strengthening maternal health supply chains.- Oxytocin: used to prevent post-partum hemorrhage
- Misoprostol: used to prevent post-partum hemorrhage
- Magnesium Sulfate: used to treat pre-eclampsia
- Vacuum Aspirators: used for treatment of early and incomplete abortion
Madsen identified several strategies to strengthen supply chains for maternal health commodities including forecasting and preparing for growing demand, advocating for government and donor support, encouraging scaling-up of community-based approaches, promoting family planning, and focusing on human resource training.
“In maternal health, if a supply to prevent or treat a life-threatening complication is in stock, there must also be a way for a woman to reach it in time… and in most cases a provider who knows how to administer it,” said Madsen.
“This research is intended to lay the groundwork for future advocacy and policy initiatives by providing an evidence base that is informed by local expertise,” said Madsen. “We hope that this information will inform program implementation, funding decisions, and awareness raising.”
Getting the Product to People: The Case of Misoprostol
“The story of Misoprostol is still being written. The goal is to invest in creating access to interventions that are low-cost and relatively simple to use,” said Holden. By sharing lessons learned, Holden described VSI’s experience registering and procuring Misoprostol and demonstrated how community mobilization is imperative to overcoming major challenges for large-scale implementation.“Making products available is not without challenges,” said Holden. To increase access to Misoprostol in rural communities, maternal health experts must work to “engage communities, educate and mobilize women, train providers at all levels of the health care system, and provide support to distributors to jump start sales,” said Holden. “By looking holistically across entire health systems, bringing in great interventions, addressing the components of supply and demand, and working with local partners, we can have lasting impact.”
While the price of Misoprostol has decreased significantly, Holden stressed the need to identify creative ways along the supply chain that reduce costs to the end user. Additionally, “establishing policies around this new intervention not only establishes its reach, but also makes its use institutionalized, which means it will be part of the system even if governments or individuals change,” said Holden.
“If there is a gap between what could be achieved with Misoprostol and what is being achieved, we need to go back to the model and figure out what pieces aren’t working,” concluded Holden. “The work is complex and takes time, but it’s worth it.”
Photo Credit: “Rapid HIV testing,” courtesy of flickr user DFID – UK Department for International Development. -
From Cancun: Getting a Climate Green Fund
›Over 9,000 negotiators from 184 countries have gathered for the 16th Conference of the Parties of the UN Framework Convention on Climate Change (UNFCCC), known as COP-16, in Cancun, Mexico. No one expects a binding emissions reduction agreement, but a successful outcome on a set of decisions here – the so-called “balanced package” – will help build trust among countries and make progress towards a final emissions agreement next year.
One of the most important parts of the package is agreement on the creation of a green climate fund – an international fund designed to help developing countries adapt to and mitigate the effects of climate change.
If the negotiations are as successful, as expected, the fund will be part of a package that also includes the architecture for an adaptation body, technology transfer, REDD-plus, and progress towards a binding international mitigation agreement that negotiators hope to conclude at COP-17 in Durban, South Africa.
An event Monday morning co-hosted by Oxfam and the Global Campaign for Climate Action, featured a variety of developed and developing country perspectives about what a new fund for mitigation and adaptation programs should look like.
The event was galvanized by a letter, currently being circulated here at the talks, signed by 215 civil society organizations and calling for “the establishment of a fair global climate fund at COP-16 that will meet the needs and interests and protect the rights of the most vulnerable communities and people around the world.” In opening comments and a question-and-answer session, panelists articulated some of the most contentious points that negotiators are currently discussing, some of the reasons why a green fund is so important, and the implications for global equity, sustainable development, and international security.
A main point under discussion right now is how the fund will be governed. The United States and other developed countries argue that the fund should work under the supervision of the UNFCCC but international financial institutions, like the World Bank, should also assist in creating the fund.
Judith McGregor, the UK ambassador to Mexico, argued in her opening statement that for the United Kingdom, “climate finance… is a clear, clear priority” at the COP, but that the World Bank would lend the fund legitimacy and make donors more confident in the fund’s ability to deliver. Tim Gore from Oxfam expressed the opinion held by many civil society organizations and delegates from developing countries, that the fund must “act under the authority of the UNFCCC… independent from institutions such as the World Bank,” because a new climate fund should have an equitable governance structure that includes the voices of developing countries, civil society members, indigenous peoples, women, and other stakeholders – not a majority share by the developed countries like at the World Bank.
Another stumbling block is how climate finance will be divided between adaptation and mitigation programs. Gore argued that adaptation and mitigation finance must be balanced 50-50, whereas currently “there is a huge adaptation gap… less than 10 percent of current climate finance is going to adaptation.” Evans Njewa, the lead finance negotiator representing the group of Least Developed Countries (LDCs), noted in his statement that “adaptation is the priority for the LDCs [in Cancun].”
The source of these funds is also a contentious issue that divides developed and developing countries. Under the Copenhagen Accord, most of the COP country parties agreed that developed countries would mobilize $30 billion in fast start finance by 2012 and $100 billion per year by 2020 in climate finance from public, private, and other “innovative sources,” such as a carbon tax or cap-and-trade systems. Developed countries like the United States are mobilizing public funds for climate finance but argue that the majority of the $100 billion figure should be provided by private investments and that loans provided by development institutions as well as grants should also count.
Climate finance for adaptation will help make poor, rural communities in particular more resilient to the effects of climate change, including drought, floods and tropical storms, and therefore help the international community to achieve several related development milestones such as the Millennium Development Goals, according to Alzinda Abrea, finance minister of Mozambique.
Cate Owen of the Women’s Environment and Development Organization (WEDO) explained that investing in climate adaptation now “makes good sense” because “investing now in responding to climate change will lessen the long-term costs” to developed country donors.
The message that climate adaptation measures are becoming essential to sustainable development was perhaps delivered most forcefully by Florina Lopez, an indigenous person from Panama, who described the impacts that her people are already suffering as a result of climate change. Since her community survives by fishing, hunting and growing crops, severe flooding is disrupting indigenous ways of life and floods bring assaults on community health, like diarrhea, skin disease, and malnutrition. Community activities that contribute to development such as education and healthcare are also paralyzed by these impacts. Adaptation funding will be essential for her community to survive and to avoid disruptive displacement.
Still, perhaps the most compelling political reason for American taxpayers to invest in climate change adaptation in the developing world is the national security implications of the effects of climate change. A report issued this week by the Center for American Progress and the Alliance for Climate Protection explains why the United States must have a global climate investment strategy, despite adverse economic and political conditions domestically. Adaptation funding will “reduce risks of climate-related national security threats, including from severe floods or droughts in Pakistan and the Middle East” and strengthen our relationships with developing country recipients, including strategically important partners like India, Indonesia, and Brazil, write the authors. Finally, by managing displacement, migration, and violent conflict driven by the effects of climate change, such as water scarcity, climate change adaptation can help bolster international security and stability.
The establishment of a climate green fund here in Cancun is essential for an equitable and balanced international climate deal. A fund is first and foremost the moral imperative of developed countries, known as the Annex-I parties under the UNFCCC, who are historically responsible for greenhouse gas emissions. However, developed countries need not rely on the moral argument to convince policymakers and taxpayers that climate adaptation for the poorest and most vulnerable countries and people is a good investment.
Within the UN process itself, a robust, well-run, equitable green fund would help rebuild the trust lost between developed and developing countries at Copenhagen last year. In Gore’s words, Oxfam is “cautiously optimistic that we can get an agreement here in Cancun that rebuilds trust between rich and poor countries.”
Alex Stark is a program assistant at the Friends Committee on National Legislation, working on the Peaceful Prevention of Deadly Conflict Program. She is attending the Cancun negotiations as part of the Adopt a Negotiator team.
Sources: Alliance for Climate Protection, British Foreign and Commonwealth Office, Center for American Progress, Global Campaign for Climate, Mozambique Ministry of Planning and Finance, Oxfam, UN Framework Convention on Climate Change, Women’s Environment and Development Organization.
Photo Credit: “Will you back a climate fund?,” courtesy of flickr user Oxfam International. -
Hans Rosling Double Feature: ‘The Joy of Stats’ on BBC and Population Growth at TED
›Hans Rosling, creator of Gapminder and professor of international health at Sweden’s Karolinska Institute, hosts a new documentary on the BBC called The Joy of Stats that takes a look at the breadth and depth of data available today to analysts and private citizens alike.
In the clip above, Rosling demonstrates his primary interest in world health, tracking life expectancy and income over the last 200 years to show both the remarkable progress that has been made but also the tremendous gap that remains between those at the top (the very rich and healthy) and those at the bottom (the very poor and sick).
Rosling has been a vocal (and visual) advocate for expanding people’s knowledge of the world by presenting statistics in innovative ways. “Statistics should be the intellectual sidewalks of a society, and people should be able to build businesses and operate on the side of them,” he said at a discussion at the Wilson Center in May 2009.
In particular, Rosling’s focus has been on health, poverty, and the developing world, where he’s advocated for increased focus on child and maternal health and education. “The role of the old West in the new world is to become the foundation of the modern world – nothing more, nothing less,” he said during a TED talk on population growth (see below) where he broke from his more flashy visuals and went analog – using IKEA boxes to illustrate population and consumption growth. “But it’s a very important role. Do it well and get used to it.”
Rosling’s Gapminder software has been incorporated into Google’s Public Data Explorer, where many development indicators from the World Bank, World Health Organization, and others can now be easily tracked by anyone. For more on Google Data and to see an example set of indicators (agriculture as a percentage of GDP vs. fertility rates over the last 50 years), check out this previous Eye On, on The New Security Beat.
Video Credit: “Hans Rosling’s 200 Countries, 200 Years, 4 Minutes – The Joy of Stats – BBC Four,” courtesy of BBC, via YouTube, and “Hans Rosling on global population growth,” courtesy of TED. -
From Cancun: Roger-Mark De Souza on Women and Integrated Climate Adaptation Strategies
›“When you look at the negative impacts of climate change, the impacts on the poor and the vulnerable – particularly women – increase, so investing in programs that put women at the center is critical,” said Roger-Mark De Souza, vice president of research and director of the climate program at Population Action International (PAI), speaking to ECSP from the UN Climate Change Conference in Cancun, Mexico. “There are a number of missed opportunities here in Cancun and in climate change deliberations overall that are not including women and are missing an opportunity to have a bigger bang for the buck, or power for the peso, as we say in Mexico.”
PAI hosted a side session with five panelists from Denmark, Ethiopia, Kenya, Suriname, and Uganda on “Healthy Women, Healthy Planet: Women’s Empowerment, Family Planning, and Resilience.” The session attracted more than 100 attendees and prompted incisive, informative questions, said De Souza.
“There was a call for additional research that is policy relevant that identifies some of the key entry points and added benefits at a country level,” said De Souza. “And there is a very strong call for youth partnerships from a number of youth advocates who are looking at medical and public health interventions and are desirous of including reproductive health programming as part of that.”
“One concrete next step for Cancun is to work with other civil society partners who are here who are tracking how gender is being integrated into the negotiating language, particularly with regard to financing mechanisms,” De Souza said.
Besides financing and the need for more research, De Souza said the key issues that emerged from the panel were: the importance of linking programs of different scales; ensuring women’s empowerment and ownership; and recognizing and replicating effective partnerships.
For more from Roger-Mark De Souza, see ECSP Focus Issue 19, “The Integration Imperative: How to Improve Development Programs by Linking Population, Health, and Environment.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Top 10 Posts for November 2010
›Matthew Erdman’s report on PHE programing in Madagascar, Jennifer Sciubba’s response to the “aging” media blitz, a series on Nigeria’s cloudy future, and John Bongaart’s Pop Audio topped the list last month:
1. The Beat on the Ground: Toliara, Madagascar
Matthew Erdman Reports on Blue Ventures’ Integrated PHE Initiative
2. On the Beat: Where Have all the Malthusians Gone?
3. Nigeria’s Future Clouded by Oil, Climate Change, and Scarcity: Part One, The Delta
4. Pop Audio: John Bongaarts on the Impacts of Demographic Change in the Developing World
5. India’s Maoists: South Asia’s “Other” Insurgency
6. Guest Contributor Kavita Ramdas: What’s Good for Women Is Good for the Planet
7. Restrepo: Inside Afghanistan’s Korengal Valley
8. DRC’s Conflict Minerals: Can U.S. Law Impact the Violence?
9. Nigeria’s Future Clouded by Oil, Climate Change, and Scarcity: Part Two, The Sahel
10. The Ultimate Weapon Is No Weapon: Human Security and the New Rules of War and Peace
