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Life on the Edge: Climate Change and Reproductive Health in the Philippines
›July 18, 2011 // By Hannah MarquseeHigh population growth and population density have placed serious stress on natural resources in the Philippines. No one lives far from the coast in the 7,150-island archipelago, making the population extremely dependent on marine resources and vulnerable to sea-level rise, flooding, and other effects of climate change. The coastal megacity of Manila – one of the most densely populated in the world – is beset by poor urban planning, lack of infrastructure, and a large population living in lowland slums, making it particularly vulnerable to increased flooding and natural disasters. [Video Below]
The Philippines is now home to 93 million people and by 2050 is expected to reach 155 million, according to the UN’s medium fertility variant projections. Development programs in the country have made great strides towards increasing access to family planning and reproductive health services as well as improving management of marine resources, but the underlying trends remain troubling.
The Battle Over Reproductive Health
Since 1970, the government’s Commission on Population has been addressing population growth, reproductive health, and family planning. “The impact of the high rate of population growth is intricately linked to the welfare and sustainable development for a country like the Philippines, where poverty drives millions of people to overexploit their resource base,” wrote the commission. As a result of these efforts and others, total fertility rate has dropped from 6.0 children per woman in 1970, to the present 3.2.
The Philippines has also made great gains towards achieving Millennium Development Goal targets, “particularly in the alleviation of extreme poverty; child mortality; incidences of HIV/AIDS, tuberculosis, and malaria; gender equality in education; household dietary intake; and access to safe drinking water,” according to the United Nations Development Program (UNDP). Yet, “glaring disparities across regions persist,” UNDP states.
One of the poorest regions in the country, the Autonomous Region of Muslim Mindanao, is also home to a violent separatist movement. With limited access to health services, fertility and population growth rates are the highest in the country. Women in Mindanao average 4.2 children per woman; one in four married women has an unmet need for contraception; and 45 percent of households live in poverty (compared to 24 percent nationally).
Nationally, “serious challenges and threats remain with regard to targets on maternal health, access to reproductive health services, nutrition, primary education, and environmental sustainability,” according to UNDP–in particular, indicators on maternal health are “disturbing” and of all the MDGs, are labeled “least likely to be achieved.”
Out of three million pregnancies that occur every year, half were unplanned and one-third of these end in abortions, according to a 2006 report of the Allan Guttmacher Institute conducted in the Philippines. Induced abortion was the fourth leading cause of maternal deaths, and young women accounted for 17 percent of induced abortions. Over half of births occurred at home and one-third of them were assisted by traditional birth attendants. Around 75 percent of the poorest quintile did not have access to skilled birth attendants compared to only 20 percent of the richest quintile.
The politically influential Catholic Church recently blocked passage of a reproductive health bill, despite support by President Benigno Aquino and a majority of Filipinos. The bill seeks to provide universal access to contraception and would make sex education required from fifth grade onwards, a provision that has angered Church officials.
Manila Under Water
The Philippines’ combination of high population growth and limited land area (nearly all of which is near the coast) makes the country extremely vulnerable to the effects of climate change. Sixty-five percent of Filipinos live in coastal areas and 49 percent live in urban areas. Paul Hutchcroft, in Climate Change and Natural Security, writes that “even in the best of times, the frequency of typhoons, floods, earthquakes, and volcanic eruptions makes the Philippines one of the most disaster-prone countries in the world” (p. 45).
Population growth, climate change, and deforestation will only increase the severity of these disasters, he concludes. Hutchcroft points out that by 2080, projected temperature increases of between 1.2 to 3.9 degrees Celsius could raise sea levels by an estimated 0.19 to 1.04 meters – a scary thought for the 15 million living within a one-meter elevation zone (p. 46).
In 2009, metropolitan Manila, currently home to 11 million people (18,650 per square kilometer) and projected to grow to 19 million by 2050, was hit by tropical storms that caused devastating flooding – at their peak, waters reached nearly seven meters, according to a World Bank report. “More than 80 percent of the city was underwater,” write the authors, “causing immense damage to housing and infrastructure and displacing around 280,000-300,000 people.”
“Even if current flood infrastructure plans are implemented, the area flooded in 2050 will increase by 42 percent in the event of a 1-in-100-year flood,” says the World Bank report. Climate change could also increase the cost of flooding as much as $650 million, or 6 percent of GDP. Only by considering climate-related risks in urban planning can the Philippines hope to mitigate the effects of climate change, the report concludes.
Integrated Development: One Piece of the Puzzle?
Population, health, and environment (PHE) programs that integrate family planning and natural resource management are one way to help the majority of Filipinos that live in densely populated and resource-stressed coastal areas.
In ECSP’s FOCUS Issue 15, “Fishing for Families: Reproductive Health and Integrated Coastal Management in the Philippines,” Joan Castro and Leona D’Agnes explain how Path Foundation Philippines, Inc.’s IPOPCORM project – which ran from 2000 to 2006 – helped “improve reproductive health and coastal resource management more than programs that focused exclusively on reproductive health or the environment – and at a lower total cost.” A recent peer-reviewed study, co-authored by Castro and D’Agnes and published in Environmental Conservation, proved the same point with rigorous analysis.
“When we started IPOPCORM, there was really nothing about integrating population, health, and environment,” said Castro in an interview with ECSP. IPOPCORM provided some of the first evidenced-based results showing there is value added to implementing coastal resource management and family planning in tandem rather than separately. In part due to the success of the IPOPCORM, the Philippines have become one of the major PHE development implementers in the world.
Creating sustainably managed marine sanctuaries while improving access to family planning provides a way forward for many coastal communities. However, the Philippines’ urban woes – 44 percent of urban dwellers live in slums, according to the Population Reference Bureau – internal divisions, and natural vulnerability will likely make it difficult to dodge considerable climate-related effects in the near future. Already the archipelago’s vast biodiversity is in crisis, according to studies over two thirds of native plant and animal species are endemic to the islands and nearly half of them are threatened; only seven percent of its original old-growth less than 10 percent of the islands’ original vegetation remains; and 70 percent of nearly 27,000 square kilometers of coral reefs are in poor condition.
Sources: CIA, Conservation International, Field Museum, The Guardian, The Huffington Post, Philippines National Statistics Office, Population Reference Bureau, United Nations, U.S. Census Bureau, World Bank, World Wildlife Fund.
Photo Credit: “Climate Risk and Resilience: Securing the Region’s Future” courtesy of Flickr user Asian Development Bank. -
Michael Kugelman, Foreign Policy
Pakistan’s Demographic Dilemma
›July 15, 2011 // By Wilson Center StaffThe original version of this article, by Michael Kugelman, appeared on Foreign Policy’s AfPak Channel.
Pakistan’s 2011 census kicked off in April, but less than three months later, it is embroiled in controversy. Several members of the Sindh Census Monitoring Committee have rejected as “seriously flawed” the recently completed household count. They allege that census workers, directed by an unspecified “ethnic group,” have counted Karachi’s “inns, washrooms, and even electric poles” as households in an effort to dilute the city’s native “Sindhi” presence.
These Census Monitoring Committee members are not the only Pakistani politicians to be concerned about the census. Pakistan is experiencing rapid urbanization; while a third of the country’s people have long been rurally based, at least 50 percent of the population is expected to live in cities by the 2020s. Pakistan’s political leadership draws much of its power from rural landholdings, power that could be greatly reduced if a census confirms this migration toward cities.
This politicization underscores the perils of census-taking in Pakistan. In many other nations, it is a routine process completed regularly. Yet in Pakistan, myriad factors – from catastrophic flooding and insufficient funding to the turbulent security situation and intense political opposition – have conspired to delay it for three consecutive years, making the country census-less since 1998.
Accurate census data enables governments to make decisions about how to best allocate resources and services. In Pakistan, such decisions are critical. Consider that its current population, estimated at about 175 million, is the world’s sixth-largest. It has the highest population growth, birth, and fertility rates in South Asia – one of the last regions, along with sub-Saharan Africa, still experiencing young and rapidly rising populations. Additionally, with a median age of 21, Pakistan’s population is profoundly youthful. Two-thirds are less than 30 years old, and as a percentage of total population, only Yemen has more people under 24.
Continue reading on Foreign Policy.
Michael Kugelman is a program associate for the Asia Program at the Woodrow Wilson Center and co-editor of Reaping the Divided: Overcoming Pakistan’s Demographic Challenges.
Sources: UN Population Division.
Photo Credit: “Pakistan Diaster Relief,” courtesy of flickr user DVIDSHUB. -
World Population Day 2011: The Year of Seven Billion
›July 11, 2011 // By Schuyler NullThe UN Population Fund established World Population Day as a day of awareness about global population in 1987. As we approach seven billion just 24 years later, the UN is kicking off their 7 Billion Actions campaign, designed to raise awareness about the resource, health, and environmental challenges raised by our numbers. Population and its more detailed cousin-indicator, demography, impact the world in a great many ways – from contributing to resource scarcity and environmental destruction to creating social imbalances that can lead to civil instability.
Check out a few of New Security Beat’s most recent stories on population to get a sense of why it’s such an important but oft-simplified and misunderstood indicator and where it matters most.
Photo Credit: “World population,” courtesy of flickr user Arenamontanus.- One in Three People Will Live in Sub-Saharan Africa in 2100, Says UN
- Ten Billion: UN Updates Population Projections, Assumptions on Peak Growth Shattered
- Tunisia Predicted: Demography and the Probability of Liberal Democracy in the Greater Middle East
- Watch: Demographic Security 101 With Elizabeth Leahy Madsen
- Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions
- Guest Contributor Michael Kugelman: Pakistan’s Population Bomb Defused?
- Dot-Mom: USAID Egypt’s Health and Population Legacy Review
- Watch: Eric Kaufmann on How Demography Is Enhancing Religious Fundamentalism
- Consumption and Global Growth: How Much Does Population Contribute to Carbon Emissions?
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Consumption and Global Growth: How Much Does Population Contribute to Carbon Emissions?
›July 6, 2011 // By Schuyler Null
When discussing long-term population trends on this blog, we’ve mainly focused on demography’s interaction with social and economic development, the environment, conflict, and general state stability. In the context of climate change, population also plays a major role, but as Brian O’Neill of the National Center for Atmospheric Research put it at last year’s Society of Environmental Journalists conference, population is neither a silver bullet nor a red herring in the climate problem. Though it plays a major role, population is not the largest driver of global greenhouse gases emissions – consumption is.
In Prosperity Without Growth, first published by the UK government’s Sustainable Development Commission and later by EarthScan as a book, economist Tim Jackson writes that it is “delusional” to rely on capitalism to transition to a “sustainable economy.” Because a capitalist economy is so reliant on consumption and constant growth, he concludes that it is not possible for it to limit greenhouse gas emissions to only 450 parts per million by 2050.
It’s worth noting that the UN has updated its population projections since Jackson’s original article. The medium variant projection for average annual population growth between now and 2050 is now about 0.75 percent (up from 0.70). The high variant projection bumps that growth rate up to 1.08 percent and the low down to 0.40 percent.
Either way, though population may play a major role in the development of certain regions, it plays a much smaller role in global CO2 emissions. In a fairly exhaustive post, Andrew Pendleton from Political Climate breaks down the math of Jackson’s most interesting conclusions and questions, including the role of population. He writes that the larger question is what will happen with consumption levels and technological advances:The argument goes like this. Growth (or decline) in emissions depend by definition on the product of three things: population growth (numbers of people), growth in income per person ($/person), and on the carbon intensity of economic activity (kgCO2/$). This last measure depends crucially on technology, and shows how far growth has been “decoupled” from carbon emissions. If population growth and economic growth are both positive, then carbon intensity must shrink at a faster rate than the other two if we are to slash emissions sufficiently.
Pendleton also brings up the prickly question of global inequity and how that impacts Jackson’s long-term assumptions:
Jackson calculates that to reach the 450 ppm stabilization target, carbon emissions would have to fall from today’s levels at an average rate of 4.9 percent a year every year to 2050. So overall, carbon intensity has to fall enough to get emissions down by that amount and offset population and income growth. Between now and 2050, population is expected to grow at an average of 0.7 percent and Jackson first considers an extrapolation of the rate of global economic growth since 1990 – 1.4 percent a year – into the future. Thus, to reach the target, carbon intensity will have to fall at an average rate of 4.9 + 0.7 + 1.4 = 7.0 percent a year every year between now and 2050. This is about 10 times the historic rate since 1990.
Pause at this stage, and take note that if there were no further economic growth, carbon intensity would still have to fall at a rate of 4.9 + 0.7 = 5.6 percent, or about eight times the rate over the last 20 years. To his credit, Jackson acknowledges this – as he puts it, decoupling is vital, with or without growth. Decoupling will require both huge innovation and investment in energy efficiency and low-carbon energy technologies. One question, to which we’ll return later, is whether and how you can get this if there is no economic growth.But Jackson doesn’t stop there. He goes on to point out that taking historical economic growth as a basis for the future means you accept a very unequal world. If we are serious about fairness, and poor countries catching up with rich countries, then the challenge is much, much bigger. In a scenario where all countries enjoy an income comparable with the European Union average by 2050 (taking into account 2.0 percent annual growth in that average between now and 2050 as well), then the numbers for the required rate of decoupling look like this: 4.9 percent a year cut in carbon emissions + 0.7 percent a year to offset population growth + 5.6 percent a year to offset economic growth = 11.2 percent per year, or about 15 times the historical rate.
To further complicate how population figures into all this, Brian O’Neill’s Proceedings of the National Academy of Sciences article, “Global Demographic Trends and Future Carbon Emissions,” shows that urbanization and aging trends will have differential – and potentially offsetting – impacts on carbon emissions. Aging, particularly in industrialized countries, will reduce carbon emissions by up to 20 percent in the long term. On the other hand, urbanization, particularly in developing countries, could increase emissions by 25 percent.
What do you think? Is infinite growth possible? If so, how do you reconcile that with its effects on “spaceship Earth?” Do you rely on technology to improve efficiency? Do you call it a loss and hope the benefits of growth are worth it?
Sources: Political Climate, Proceedings of the National Academy of Sciences, Prosperity Without Growth (Jackson). -
Watch: Demographic Security 101 With Elizabeth Leahy Madsen
›June 27, 2011 // By Schuyler Null“Today we are in an era of unprecedented demographic divergence, with population trends moving simultaneously in different directions. Some countries are beginning to experience population decline, while others continue to grow rapidly,” says Elizabeth Leahy Madsen, formerly the senior research associate at Population Action International (PAI). In this primer video from ECSP, Madsen explains how global demographic trends affect economic development, national security, and foreign policy.
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Shall the Religious Inherit the Earth?
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“The world as a whole is getting more religious,” said Professor of Politics at the University of London Eric Kaufmann, speaking at the Wilson Center for the launch of his latest book, Shall the Religious Inherit the Earth? Due to their consistently higher birthrates, religious fundamentalists may reverse the tide of secularism within the next century, he said. [Video Below]
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Pakistan’s Population Bomb Defused?
›What is going on over at the UN Population Division? In response to The New Security Beat’s post on the UN’s sub-Saharan projections, Ed Carr of USAID recently highlighted what appears to be gross overestimations in the 2010 population revision for Ghana. Yet in the case of Pakistan, the opposite is seemingly at play – the projections appear to wildly (and unrealistically) underestimate population numbers for the coming decades.
The 2008 revision’s mid-variant estimate for Pakistan in 2050 was 335 million people. The new revision projects only about 275 million by that year. Even the new high-variant estimate (314 million) falls below the earlier mid-variant projection. Furthermore, the constant-fertility variant estimate for 2050 has fallen from 450 million to under 380 million.
What gives? Thanks to some helpful staff at the Population Division and Population Action International’s Elizabeth Leahy Madsen (who helped translate the UN’s demographic-ese for this non-specialist), I can only conclude that the UN has decided to hedge its bets that Pakistan’s fertility rates will fall, simply because its South Asian neighbors (and other nations) have followed this trajectory.
If so, I believe this assumption is spurious. As reported in the Wilson Center’s recent book on Pakistan’s population challenges, though Pakistan’s fertility rate is in decline, it is falling at a considerably slower pace than that of its neighbors, and the rate of decrease has slowed considerably over the last decade. The country’s total fertility rate (TFR) today is just under four, considerably above the replacement level rate (2.1).
By many indications, Pakistan’s TFR does not figure to fall quickly anytime soon. Pakistan’s maternal and reproductive health sector is deeply troubled, with family planning services either of poor quality or nonexistent – particularly in rural areas. Many rural women are obliged to travel on average 50 to 100 kilometers to obtain such services. Meanwhile, the status of Pakistani women is dreadful; female literacy is estimated to stand at only 44 percent (some places it as low as 35 percent), while women’s labor participation rates barely approach 20 percent. Not surprisingly, Pakistan’s contraceptive prevalence rate is quite low (30 percent), while its rate of unmet need for family planning is high (25 percent).
With all of Pakistan’s problems, improving access to family planning is simply not a front-burner issue for Islamabad (in fact, as our book notes, demography on the whole is largely neglected in Pakistan), which makes the 2010 revision’s projections all the more questionable.
The UN is expected to release details on the methodology behind its basic assumptions in the coming weeks; here’s hoping for some clarity. (Editor’s note: As Liz Madsen points out, there’s also a white paper on the new probabilistic model to sift through, if you’re prepared for some heavy reading.)
Michael Kugelman is a program associate for the Asia Program at the Woodrow Wilson Center.
Chart Credit: Modification of projections of total fertility based on Bayesian hierarchical model, courtesy of the UN Population Division. -
Helping Hands: An Integrated Approach to Development
›Originally featured in the Wilson Center’s Centerpoint, June 2011.
“At the moment, the agendas of the growing population of people and the environment are too separate. People are thinking about one or the other,” said Sir John Sulston, Nobel laureate and chair of the Institute for Science, Ethics, and Innovation at the University of Manchester, in an interview with the Environmental Change and Security Program (ECSP).
“People argue about, ‘Should we consume less or should we have fewer people?’ The point is it’s both. We need to draw it together. It’s people and their activities.”
Many who research and work on population, health, and environment (PHE) issues are increasingly advocating integrated solutions. Such issues as population growth, natural resource management, and food security, are interrelated challenges that, if addressed concurrently, likely will yield better results and community trust.
With this notion in mind, ECSP launched the five-year HELPS (health, environment, livelihoods, population, and security) project in October 2010. The project focuses on integrated PHE programs and demographic security linkages. HELPS also looks at population’s links to global environmental priorities, media coverage of population, and related issues like gender, youth, and equity.
Funded by USAID’s Office of Population and Reproductive Health through its IDEA (Informing Decision-makers to Act) grant, the HELPS project builds on ECSP’s 14-year history of exploring nontraditional security issues.
Population-Environment Connection
A February event in the HELPS series featured Sir John Sulston, who said dialogue between population and environmental communities has received renewed attention and is reappearing on national agendas.
The Royal Society’s People and the Planet study, which will be completed by early 2012, will “provide policy guidance to decision-makers as far as possible” and aims to facilitate dialogue, he said. The HELPS Project is helping the working group gather evidence of population-environment connections and to identify solutions.
“What we should be aiming to do is to ensure that every individual on the planet can come to enjoy the same high quality of life whilst living within the Earth’s natural limits,” said Sulston. People are happier, healthier, and wealthier than ever before, according to human development indexes. But, Sulston said, 200 million women worldwide have an unmet need for family planning, ecosystems are degraded, biodiversity has decreased, and there are widespread shortages of food and water.
“Many times we tackle different development challenges through single sector programs: health programs, agriculture programs, water programs. Those single sector approaches can make sense,” said ECSP Director Geoff Dabelko on the Wilson Center’s Dialogue television program. “But, of course, poor people are facing all those life and death challenges at once. We have to find ways to help them meet those challenges together in an integrated fashion.”
On the same program, Roger-Mark De Souza, vice president for research and director of the Climate Program for Population Action International, said the drive for integrated development stems from the communities being served, not necessarily from outside aid groups. “We’ve seen that there’s a greater impact because there’s longer sustainability for those efforts that have an integrated approach,” he said. “There’s a greater understanding and a greater appreciation of the value that [PHE] projects bring.”
At an April 7 ECSP event, De Souza said rural communities in developing countries understand that high population growth rates, poor health, and environmental degradation are connected. An integrated approach to development, he said, is a “cost-effective intervention that we can do very easily, that responds to community needs that will have a huge impact that’s felt within a short period of time.”
Proponents of integrated development face significant barriers, but the tide may be turning. To fully harness this momentum, former ECSP Senior Program Associate Gib Clarke argues in his FOCUS brief, “Helping Hands: A Livelihood Approach to Population, Health, and Environment Programs,” that the PHE community must solidify its research base, reach out to new partners, and push for flexible funding and programming. He suggested changing the name PHE to HELP – health, environment, livelihoods, and population. By adding livelihoods, the glue that binds population, health, and the environment, he said, the HELP moniker might broaden its appeal to new donors and practitioners.
Case Study: Madagascar
In Madagascar, a key country for integrated PHE programs, “today’s challenges are even greater than those faced 25 years ago,” said Lisa Gaylord, director of program development at the Wildlife Conservation Society, at a March 28 Wilson Center event. As the country’s political situation has deteriorated since 2009, the United States and other donors pulled most funding, and some PHE programs were forced to discontinue environmental efforts.
But other PHE programs are expanding: Based in southwestern Madagascar, the Blue Ventures program began as an ecotourism outfit, said Program Coordinator Matt Erdman, but has since grown to incorporate marine conservation, family planning, and alternative livelihoods. A major challenge is its rapidly growing population, which threatens the residents’ health and food security, as well as the natural resources on which they depend. More than half the island’s population is younger than 15, and the infant and maternal mortality rates are high, Erdman said.
In response, Blue Ventures set up a family planning program. The program uses a combination of clinics, peer educators, theater presentations, and sporting events, such as soccer tournaments, to spread information about health and family planning. The HELPS project will soon publish a Focus brief on Blue Ventures’ family planning efforts, titled: “To Live with the Sea.”
Erdman said, “If you have good health, and family size is based on quality, families can be smaller and [there will be] less demand for natural resources, leading to a healthier environment.”
Demographic Security
A country’s age structure can pose a challenge, said Jennifer Dabbs Sciubba, the Mellon Environmental Fellow with the Department of International Studies at Rhodes College, at a March 14 Wilson Center event. Countries with a large percentage of people younger than 30 “are [much] more likely to experience civil conflict than states with more mature age structures.”
Tunisia’s recent revolution, Sciubba said, could be understood as a “story about demography.” Countries with transitional age structures, such as India, Brazil, and South Africa, face different security challenges. With a majority of their populations between 15 and 60 years old, more people are contributing to the economy than are taking away, which could bolster these countries economically and politically. Global institutions will have to reform and include these countries, she advised, “or else become irrelevant.”
“Understanding population is critical to our success in being able to prevent conflict, and also managing conflict and crises once we’re involved,” said Kathleen Hicks, Deputy Undersecretary at the Department of Defense (DOD). However, the DOD does not “treat demographics as destiny,” she said, but instead as “one of several key trends, the complex interplay of which may spark or exacerbate future conflicts.”
Demography can also help predict political trends. In 2008, demographer Richard Cincotta predicted that between 2010 and 2020 the states along the northern rim of Africa – Morocco, Algeria, Tunisia, Libya, and Egypt – would each reach a demographically measurable point where the presence of at least one liberal democracy among the five would be probable. Recent months have brought possible first steps to validate that prediction.
Mathew Burrows, counselor at the National Intelligence Council, said Cincotta’s work demonstrates that “the demographic tool is essential” to analysts and policymakers. “There is a real appetite among policymakers” for understanding demography, he said, because it gives them more structure than political science narratives.
Yemen is another example of this trend. In March, tens of thousands of youth-led demonstrators demanded that their president resign. While numerous factors have sparked the “Arab Spring,” one driving force is Yemen’s dire demographic and environmental situation. Some experts say Yemen may be the first country to run out of groundwater. The average Yemeni woman has more than five children, and 45 percent of its population is below age 15. On May 18, Yemeni and international experts discussed these issues at the Wilson Center. Upcoming HELPS events include daylong conferences on Afghanistan and Nigeria.
There are solutions that can break the links between “youth bulges” and insecurity. In a recent video interview discussing the connection between demography and civil conflict, Elizabeth Leahy Madsen, a senior research associate at Population Action International, said, “Policies that have a major impact over time are ensuring education, especially for girls, and providing employment opportunities to the large and growing numbers of young people today.”
Dana Steinberg is the editor of the Wilson Center’s Centerpoint.
Photo Credit: Blue Ventures in Madagascar, courtesy of Garth Cripps.
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