Showing posts from category development.
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USAID Egypt’s Health and Population Legacy Review
›On May 23 the Middle East Program, ECSP, and the Global Health Initiative of the Woodrow Wilson Center, along with the Global Health Technical Assistance Project, hosted a panel of speakers discussing the past 30 years of the U.S. Agency for International Development’s health and population initiatives in Egypt, as outlined in the new Egypt Health and Population Legacy Review. Geoffrey Dabelko, director of ECSP and coordinator of the Global Health Initiative at the Wilson Center, moderated the event. [Video Below]
Peter McPherson, former administrator of USAID during the Reagan administration, and George Laudato, the administrator’s special assistant for the Middle East, presented on the historical context behind USAID in Egypt and the results of their efforts. McPherson pointed to three lessons that can be drawn from the recent report:- “Big payoffs” require long-term efforts; and
- Economic support for a country can have a dramatic impact; but
- The host country’s commitments and investments are still important.
Motaz Zahran, political counselor for the Embassy of Egypt, noted that USAID efforts were “just one sector of a fruitful partnership” between the United States and Egypt that he hoped would continue. He said the success story outlined by the report was reflective of improvements in coordination and addressing specific goals.
Other panelists outlined the successes of USAID in Egypt as related to their own areas of expertise. Leslie B. Curtin, co-author of the review and an expert in demographics and health outcomes, noted the dramatic improvements in a range of health sectors, in particular the rise in contraceptive prevalence and immunization rates and decrease in both maternal and infant mortality rates.
Nahed Matta, MD, senior maternal and newborn health officer at USAID, focused on improvements to the quality of maternal health, which she said were made possibly through better technology and increased fact-gathering to identify the key factors regarding maternal health trends. Sameh El-Saharty, MD, senior health policy specialist at the World Bank and Health Legacy Review Committee member, credited the increased number of health professionals in Egypt, better information gathering on health systems, and restructured models of health insurance, as successful strategies.
Concluding the session, Amie Batson, deputy assistant administrator for Global Health at USAID, discussed the lessons that other development initiatives can draw from the legacy of USAID efforts in Egypt. She highlighted the importance of country ownership, in which the developing country engages with other institutions and religious and political leaders at both national and local levels, and of policies that fund routine monitoring and evaluation. She also outlined the possibilities of innovation and south-to-south sharing on the local and international scale, referencing inroads made by two recent initiatives: the “MAMA” mobile device program, launched by Secretary Clinton in May 2011 to assist with disseminating maternal health information, and the Saving Lives at Birth initiative, launched by USAID in partnership with several other organizations in March 2011.
Laura Rostad is an intern for the Middle East Program at the Woodrow Wilson Center.
Image Credit: Adapted from cover of the Egypt Health and Population Legacy Review, courtesy of USAID; cover photo courtesy of Leslie Curtin. -
Environmental Action Plans in Darfur: Improving Resilience, Reducing Vulnerability
›Many villagers in Baaba, a community of 600 in South Darfur, remember a shady forest of mango and guava trees that provided food and a valuable income for the villagers and a pleasant picnic spot for people in Nyala, the nearby state capital. Over the last decade, that forest has degraded into eroded brush dotted by the occasional baobab – a transformation that is unfortunately a familiar sight throughout Darfur.
Most of Baaba’s trees have become firewood and charcoal for the people living in nearby internally displaced persons (IDP) camps. Baaba’s residents, who themselves returned from the camps to try to rebuild their lives at home, struggle to coax enough food from the soil, which has largely eroded away following deforestation. Afraid to venture any further than necessary from home for fear of violence and banditry in the countryside, they farm and graze the same land year after year without fallow periods – further depleting the soil and driving yields ever lower.
Baaba is like hundreds of Darfuri villages, which face a brutal mix of insecurity and environmental decline that leaves them one poor harvest away from being forced into the IDP camps. Baaba, however, is also a pilot participant in a new approach – the Community Environmental Action Plan – that aims to rehabilitate the local environment, enable people to sustainably manage natural resources, and ultimately to make communities more prosperous and resilient.
Most of Darfur has always been marginal land where farming and herding provide a meager livelihood and natural resources are few. Even before war broke out in 2003, soaring population growth (total population has quintupled since the 1970s) was putting intolerable pressure on the land, water, and trees of Darfur. The conflict in Darfur has since heavily disrupted traditional methods for sharing and maintaining natural resources, leading to environmental devastation. The worsening effects of climate change – though hard to separate from local environmental depletion – are also beginning to disrupt weather patterns and farming. The disheartening result is that even where fighting has subsided and displaced persons return home, they often find that the land no longer sustains them.
Traditional humanitarian aid and infrastructure projects are ill-suited to help, since persistent insecurity deprives humanitarian actors of access to communities for weeks or months at a time. Environmental decline didn’t start the humanitarian crisis in Darfur, but it threatens to prolong it and put a sustainable peace out of reach.
Community Environmental Action PlansThe International Organization for Migration (IOM), mandated to work on IDP and return issues in Darfur, aimed to address these challenges with Community Environmental Action Plans (CEAPs) in three pilot villages. CEAPs build comprehensive local capacity, enabling communities to manage natural resources sustainably and address environmental problems themselves without relying on outside support. The ultimate goal is to build the resilience and adaptive capacity of vulnerable communities. IOM worked with Baaba and two other villages to implement CEAPs, in partnership with the Swiss-based environmental NGO ProAct, the UN Environment Programme (UNEP), the government of South Darfur, and Darfuri environmental organizations. The project, funded by the Government of Japan, ran from early 2009 until mid-2010.
The CEAP process trains communities to understand the connections between a healthy ecosystem and a prosperous community and to promote livelihoods by rehabilitating the environment. Each participating village formed a CEAP governance committee, which was then trained to understand the environment as a single integrated system and to see how damaging one resource like trees can devastate other ecosystem services – such as pollination, groundwater retention, and soil fertility – that enable and promote human livelihoods. The communities then identified essential needs, including reforestation, water harvesting, and improved sanitation, and worked with IOM to develop appropriate responses. These activities were all implemented by the villages themselves, with technical and material support from IOM and its partners.
Building Local Capacity
The communities built low-tech but highly productive tree nurseries, producing and planting over 200,000 seedlings to restore damaged land and provide a sustainable wood supply. Local women learned how to make highly fuel-efficient stoves using locally available materials, cutting their need for firewood and allowing them to sell stoves in the nearby Nyala market.Farmers received extensive training in sustainable agriculture techniques, including water harvesting, composting, agro-forestry, and intercropping (mixing complementary plant species together in the same fields). Volunteers were trained in effective hygiene practices and built latrines for each household. Water committees were trained to repair and maintain the villages’ indispensable but fragile water hand pumps, ensuring a more reliable source of drinking water. Each of these activities was governed by a community committee, including women and youth, trained to manage the projects for the benefit of the entire community and continue the work after the project’s end.
Through this approach, all three villages significantly boosted their livelihoods and agricultural productivity while becoming less dependent on the unsustainable exploitation of their fragile environment. The CEAP approach benefits greatly from focusing on capacity-building and local implementation, which fosters a strong sense of community ownership that persists after the project ends. Equally important, CEAPs attempt to address most or all of a community’s environmental issues simultaneously, reducing the risk that neglected environmental problems – particularly agricultural failure – will critically destabilize and displace a community in the future.
A Replicable Model
CEAPs aren’t a panacea, particularly in the conflict-prone areas where they are most needed. Insecurity, particularly a series of abductions of humanitarian workers from several organizations in 2010, cut off IOM’s access to the communities late in the project. Though the core activities were completed by working through local partners with more reliable access, the security situation left few opportunities for follow-up activities. Longer-term threats, particularly unrestrained population growth – which requires a comprehensive approach that includes addressing unmet need for family planning services – could undo much of the good that CEAPs accomplish.
Though insecurity prevented IOM from continuing the project, other organizations including UNEP are implementing and refining the CEAP approach elsewhere in Darfur and other regions in sub-Saharan Africa. As climate changes intensifies and the potential for related conflicts looms, the CEAP approach should be considered as a powerful and flexible tool to rehabilitate the environment and strengthen vulnerable communities.
Paul Rushton is a consultant for the International Organization for Migration, Sudan, and worked as a Programme Officer managing the CEAP projects in South Darfur from 2009 to 2010.
Sources: International Organization for Migration, UN.
Photo Credit: Camels graze in a destroyed and degraded village in Western Darfur, courtesy of UNEP; and pictures from CEAP sites in Southern Darfur, courtesy of Paul Rushton. -
“The Second Front in the War on Terror”
USAID, Muslim Separatists, and Politics in the Southern Philippines
›For some years after the terrorist attacks of 9/11, the existence of violent Muslim separatists on the southern Philippine island of Mindanao gave U.S. officials significant cause for concern. In 2005, for example, the U.S. embassy charge d’affaires to the Philippines, Joseph Mussomeli, told reporters that “certain portions of Mindanao are so lawless, so porous…that you run the risk of it becoming like an Afghanistan situation. Mindanao is almost, forgive the poor religious pun, the new Mecca for terrorism.” During the Bush administration, officials referred to the region as a “second front” in the War on Terror: the region was once seen as a “new Afghanistan” that “threatened to become an epicenter of Al Qaeda.” [Video Below]
Nevertheless, as noted by Wilson Center Fellow Patricio Abinales at an Asia Program event on May 11, U.S. efforts to co-opt and pacify separatist guerrillas have proven remarkably successful in some areas of the islands. Some commentators have highlighted the role of the U.S. military in bringing a relative sense of security to troubled regions, noting that Mindanao presents a “future model for counterinsurgency.” However, Abinales’s research shows the military activities have had little effect, often because troops are stationed far from potential areas of conflict. Instead, it is the civilian side of the American presence that has dampened conflict in the war zones of the southern Philippines.
Abinales specifically explored the factors behind the success of the U.S. Agency for International Development’s (USAID) Growth with Equity in Mindanao (GEM) program in demobilizing and reintegrating 28,000 separatist guerrillas of the Moro National Liberation Front (MNLF), as well as the long-term political consequences of this accomplishment.
“Arms to Farms”
Usually, USAID programs are organized on the basis of grants for specific and limited projects. In contrast, GEM arose as a long-term umbrella organization that oversees the disbursement and management of American funding across a number of long-term projects. Coordinators are trained directly in Mindanao and are encouraged to “go native,” living in the area and becoming part of the community. GEM prioritizes cultural understanding, respect for community leaders, an appreciation of the important role that women play in local societies, and sensitivity to potential divisions within separatist groups and their security concerns vis-à-vis the Philippine government.
There has often been a general tendency for aid organizations to associate the demobilization of warring groups with disarmament. While Philippine officials on Mindanao have sometimes tried this approach, cash-for-guns amnesty schemes have opened up opportunities for corruption and have not been particularly effective. Understanding that one of the major concerns of guerrilla rebels is exploitation by corrupt government officials, GEM established an “Arms to Farms” scheme, whereby Muslim rebels are trained to engage in agriculture, but are not encouraged to put away their weapons. In this way, the program keeps potential guerrillas and Al Qaeda recruits busy with legitimate and peaceful economic activity, while it assuages their concerns about the threat from corrupt government officials, who may otherwise take the fruits of agricultural labor by force.
In fact, Abinales noted that one of the keys to GEM’s success is that the organization has never submitted to the official local authorities, and has largely been allowed a free reign by Manila to conduct its activities on Mindanao. It is precisely because the state has not been successful in delivering welfare regimes which provide stability to the area that GEM is seen as an alternate source of development and security in the region. Moreover, because of GEM’s activities, other American officials are allowed relatively free access, and are even welcomed into areas where the authority of the Philippine government holds no sway. Most of GEM’s activities are conducted with the MNLF, which has maintained its own official treaties and agreements with Manila since the 1970s. However, the American organization is beginning to enter the territory of the Moro Islamic Liberation Front, a splinter group of the MNLF that rejects relations with the national government outright, but one whose leaders are jealous of the development gains the MNLF has made under GEM.
Abinales was quick to point out that although GEM’s activities have been successful, they are tailor-made to specific circumstances. It is therefore difficult to present them as a generalized model that can be applied to other separatist conflicts. Nevertheless, Abinales’s work suggests that government agencies working on counterinsurgency efforts elsewhere might do well to examine the benefits of the flexible civilian approaches to conflict resolution formed with a deep understanding of the concerns of the specific communities involved.
Bryce Wakefield is program associate with the Asia Program at the Woodrow Wilson Center. -
Watch: Edward Carr on Delivering Development and Rethinking Assumptions
›May 13, 2011 // By Schuyler NullWhile visiting West Africa first as an archaeologist, Edward Carr, an associate professor in the Department of Geography at the University of South Carolina and author of Delivering Development: Globalization’s Shoreline and the Road to a Sustainable Future, found that the villages in which he was working were far more resilient to the impacts of climate change than he expected. Increased frequency of drought, declines in rainfall, severe storms – these challenges are the sort of thing that can “totally destroy someone’s livelihood in a year,” he said in an interview with ECSP, “yet they were surviving and surviving really, really well.”
That experience and others challenged his understanding of “how I thought the world was supposed to work, how I’d been taught the world was supposed to work, versus what I was actually seeing happen on the ground,” said Carr. “I became so struck by what people were dealing with in the current context that my interest started to shift much more towards what they were doing now.”
Now serving as a AAAS fellow and the climate change coordinator for the Bureau for Democracy, Conflict, and Humanitarian Assistance at the U.S. Agency for International Development, Carr said he is trying to change how the U.S. government does development.
“The last 13 years of my career have been trying to figure out what’s actually happening on the ground first,” Carr said, and that led to writing Delivering Development.
“One of the key arguments I have is that the world does not work the way we assume it does – we are fundamentally misunderstanding what’s happening for most people living out, especially in rural areas, in the developing world,” said Carr. “The challenges they face are significant but not necessarily the ones we’re aimed at.”
For example, said Carr, “we see rising food prices globally and…the presumption is that the poorest people in the world are going to get really hammered by this.” But, he said, “That’s not entirely true, because a lot of the poorest people in the world living in rural areas have an option to just disconnect from markets completely – they go total subsistence if they need to.”
There’s an assumption that people shouldn’t be disconnecting like that, but, Carr pointed out, when new places are integrated into larger markets, “we’re also integrating them into new sources of risk that they may not be very well equipped to manage, and that becomes a really significant challenge.”
“We’re starting with the fundamental assumption that markets can be a solution, without necessarily really looking carefully at how markets can be part of the problem,” said Carr. -
Ten Billion: UN Updates Population Projections, Assumptions on Peak Growth Shattered
›May 12, 2011 // By Schuyler NullThe numbers are up: The latest projections from the UN Population Division estimate that world population will reach 9.3 billion by 2050 – a slight bump up from the previous estimate of 9.1 billion. The most interesting change however is that the UN has extended its projection timeline to 2100, and the picture at the end of the century is of a very different world. As opposed to previous estimates, the world’s population is not expected to stabilize in the 2050s, instead rising past 10.1 billion by the end of the century, using the UN’s medium variant model.
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Family Planning as a Strategic Focus of U.S. Foreign Policy
›May 11, 2011 // By Wilson Center Staff“Family Planning as a Strategic Focus of U.S. Foreign Policy,” by Elizabeth Leahy Madsen, was an input paper for the Council on Foreign Relations report, The Role of U.S. Family Planning Assistance in U.S. Foreign Policy. Excerpted from the introduction:
Comprehensive policies that incorporate demography, family planning, and reproductive health can promote higher levels of stability and development, thereby improving the health and livelihood of people around the world while also benefiting overarching U.S. interests. U.S. foreign aid will be more effective if increased investments are made in high population-growth countries for reproductive health and family planning programs. These programs are cost-effective because they help reduce the stress that rapid population growth places on a country’s economic, environmental, and social resources.
Family Planning and Reproductive Health Programs
Family planning and reproductive health programs have successfully reduced the world’s population growth rate, propelled economic development, and improved women’s lives across the world. When people, and especially women, are given the opportunity and technology to limit their family size, they often choose to do so.
Population trends are motivated by three demographic forces: fertility, mortality, and migration. Although they can have dramatic effects on national and local populations, mortality and migration in particular have relatively little influence globally. Across the world, mortality rates have declined to a point where most children born today live to reach their own reproductive years, though much work remains to reduce the effect of communicable diseases and improve nutrition among the young. Meanwhile, three percent of the world’s population currently lives outside of their birth-countries. Therefore, while migration is increasing and an important demographic force, it does not occur at a scale large enough to significantly affect global-level demography.
Fertility rates currently are – and in the short-term will remain – the most important driver of global demographic trends. The total fertility rate, or average number of children born to each woman, has been estimated at 2.7 for the period between 2000 and 2005, a decline from 3.6 children per woman in the early 1980s. Given this decline, population projections generally assume future declines in fertility rates. For example, the widely cited “medium-fertility variant,” which is the United Nations’ projection of a world population growing from 6.9 billion in 2010 to 9.1 billion by 2050, relies upon an assumption that the global fertility rate will decline by 24 percent to two children per woman. However, if fertility rates remain constant at current levels, the world’s population would reach 11 billion by 2050. Fertility rates, whether they decline or remain at current levels, are not distributed evenly among countries and regions.
Continue reading or download the full report, “Family Planning as a Strategic Focus of U.S. Foreign Policy,” from the Council on Foreign Relations. -
Population and Environment Connections: The Role of Family Planning in U.S. Foreign Policy
›May 11, 2011 // By Geoffrey D. Dabelko“Population and Environment Connections,” was an input paper for the Council on Foreign Relations report, Family Planning and U.S. Foreign Policy: Ensuring U.S. Leadership for Healthy Families and Communities and Prosperous, Stable Societies.
Current global population growth rates are not environmentally sustainable and the increasing demands of a growing global population are increasingly straining supplies of food, energy, and water. The expected consequences of climate change will stress resources further. Population growth dynamics compound challenges presented by increased resource consumption from a rising global middle class, making the world’s population, and the quality and quantity of natural resources, top priorities for governments and the public alike.
Governments and multilateral organizations must recognize the relationship between resource demand, resource supply, and resource degradation across disparate economic and environmental sectors. Formulating appropriate and effective responses to growth-induced resource complications requires both a nuanced understanding of the problem and the use of innovative approaches to decrease finite resource consumption.
Family planning and integrated population, health, and environment (PHE) approaches offer opportunities to address such concerns. These efforts recognize the importance of population-environment linkages at the macro-level. They also operate at the household, community, and state levels, empowering individuals and decreasing community vulnerability by building resilience in a wider sustainable development context. PHE approaches embrace the complex interactions of population, consumption, and resource use patterns. To paraphrase Brian O’Neill, a leading scholar on population-climate connections, PHE approaches offer a way forward that is neither a silver bullet nor a red herring. Addressing population-environment links is an essential step to tackling global sustainability crises.
Download “Population and Environment Connections” from the Council on Foreign Relations. -
Population Growth and Climate Change Threaten Urban Freshwater Provision
›May 6, 2011 // By Emanuel FeldBy 2050, more than one billion urban dwellers could face perennial freshwater shortages if major improvements are not made to water management practices and infrastructure, according to a recent study published in the journal PNAS, “Urban Growth, Climate change, and Freshwater Availability.” These challenges will arise as hydrologic changes due to climate change compound “an unprecedented wave of urban growth,” with nearly three billion additional urban residents forecast by 2050. “It is a solvable problem,” the study argues, “but one that will take money, time, political will, and effective governance.”
Using demographic data from the Earth Institute at Columbia University, as well as a variety of climate and city-level demographic scenarios, the researchers estimate per-capita water availability for cities in the developing world, where urban growth will be most rapid. They advise, however, that their findings should be taken as conservative estimates, since the study assumes cities can use all nearby water and does not account for key challenges relating to water quality and delivery to urban centers.
In 2000, 150 million people in developing countries lived in urban areas that could not support their own water requirements (i.e. less than 100 liters available per person per day). By 2050, according to the study, urban population growth alone could bring this figure to 993 million and more than three billion could face intermittent shortages at least one month out of the year. When the researchers expanded the area on which cities can draw upon to include a 100 km buffer zone, these values drop to 145 million and 1.3 billion, respectively.
However, once climate and land use change are included in the models, the aggregate number of people facing perennial shortages rises a further 100 million, if only water stores within the urban area are considered, or 22 million, for the 100 km buffer zone model.
Remarkably, these aggregate figures differ very little among the various demographic and climate scenarios. The particularities of the challenge do however vary at the regional level. Perennial water shortage will generally be limited to cities in the Middle East and North Africa. Seasonal water shortages, on the other hand, will be geographically widespread, although rapidly urbanizing India and China will be especially hard hit.
The study acknowledges the temptation to view water shortage “as an engineering challenge.” Still, the lead author, Rob McDonald of The Nature Conservancy, cautions against exclusive reliance on grey infrastructure solutions (e.g. canals and dams) in an article for Nature Conservancy, saying:Some new infrastructure will be needed, of course – that’s the classic way cities have solved water shortages. But especially in parts of the world where there’s lots of cities, just going out farther or digging deeper to get water can’t be the only solution.
Instead, McDonald and co-authors Pamela Green, Deborah Balk, Balazs M. Fekete, Carmen Revenga, Megan Todd, and Mark Montgomery, emphasize the need for cities to encourage more efficient water use by their industrial and residential sectors, as well as the potential to engage the water-intensive agriculture sector in surrounding rural areas.
“Bottom line,” McDonald said in an interview with Robert Lalasz of The Nature Conservancy’s Cool Green Science blog, “don’t think of those high numbers as a forecast of doom. They are a call to action.”
Emanuel Feld is a student at Yale University studying economics and the environment.
Sources: Cool Green Science, PNAS, The Nature Conservancy.
Photo Credit: Adapted from “Chennai prayed too hard…. Part I,” courtesy of flickr user Pandiyan.
