Showing posts from category family planning.
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‘Earth Focus’ Talks to PAI About Bringing Out Women’s Voices on Climate Change
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“We have got to build an increased desire for [and] interest in what happens outside of the United States,” said Suzanne Ehlers, CEO of Population Action International (PAI). She was joined by Vice President of Research, Roger-Mark De Souza, in an episode of Link TV’s Earth Focus, “Women and the Changing Environment,” to discuss the interconnections between women’s reproductive health and climate change.
The episode, built around PAI’s Weathering Change documentary, draws together footage from Ethiopia, Peru, and Nepal to construct messages about the role that reproductive health services can play in responding to the burden that climate change places upon women in the developing world.
“Women are at the forefront of climate change impacts [and] they are disproportionately affected by the negative impacts,” said De Souza. Empowering women by increasing access to voluntary family planning services that allow them to make choices about the timing and the spacing of their births is a way to help ensure that women have the resilience required to react to climate impacts, he continued.
“I want the American people to get out of their borders more often,” said Ehlers. “The U.S. is an unbelievable global leader on reproductive health,” but fluctuations in funding due to domestic politics have sometimes “forced closures of clinics throughout the world.” By listening to those voices that are too often marginalized in international decision making, especially women, we can build a desire for international engagement, she suggests.
“It’s got to be something that the American people see as development…how it links to diplomacy and it absolutely supports defense – that those three D’s are interchangeable,” she said. -
Yemen: Revisiting Demography After the Arab Spring
›April 17, 2012 // By Elizabeth Leahy MadsenAlong with other countries where the Arab Spring caught hold, Yemen has been gripped by major upheaval over the past year. Although President Ali Abdullah Saleh finally ceded power in February after his administration’s violent reprisals failed to deter protesters, the country remains at a crossroads. As its political future continues to evolve, the new government must also address a range of deep-seated economic and social challenges. In addition to claiming more than 2,000 lives, the crisis has undermined Yemenis’ livelihoods and even their access to food. A recent World Food Program survey found that more than one-fifth of Yemen’s population is living in conditions of “severe food insecurity” – double the rate measured three years ago – and another fifth is facing moderate difficulty in feeding themselves and their families.
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Invest in Women’s Health to Improve Sub-Saharan African Food Security, Says PRB
›“Future food needs depend on our investments in women and girls, and particularly their reproductive health,” says the Population Reference Bureau’s Jason Bremner in a short video on population growth and food security (above). Understanding why, where, and how quickly populations are growing, and responding to that growth with integrated programming that addresses needs across development sectors, are crucial steps towards a food secure future, he says.
Reducing Food Insecurity by Meeting Unmet Needs
In sub-Saharan Africa, where nearly one-fourth of the population lives with some degree of food insecurity, persistently high fertility rates help drive population growth, according to the policy brief that accompanies Bremner’s video.
On average, women in the region have 5.1 children, more than twice the global average total fertility rate (TFR) of 2.5. The United Nation’s medium-variant projections (which Bremner notes are often used to predict future food need) show the region more than doubling in size by 2050, but that projection rests on the assumption that the average TFR will drop to three by mid-century.
As many as two-thirds of sub-Saharan African women want to space or limit their births, but do not use modern contraception. While the reasons for not using modern contraception are many, ranging from cultural to logistical, the lack of funding for family planning and reproductive health services remains a serious impediment to improving contraceptive prevalence and, in turn, lowering fertility rates.
“Current levels of funding for family planning and reproductive health from donors and African governments fail to meet current needs, much less the future needs,” writes Bremner.
Almost 40 percent of the region’s population is younger than 15 years old and has “yet to enter their reproductive years,” writes Bremner. “Consequently, the reproductive choices of today’s young people will greatly influence future population size and food needs in the region.”Fertility Assumptions and Population Projections in the Democratic Republic of Congo
Family Planning Is One Piece of an Integrated Puzzle
Increasing funding for family planning services would be a boon to the region, but Bremner cautions that viewing sub-Saharan Africa’s rapid population growth solely from a health perspective and in isolation from other development needs would be inherently limiting.
“Slowing population growth through voluntary family planning programs demands stronger support from a variety of development sectors, including finance, agriculture, water, and the environment,” Bremner writes. A multi-sector approach that addresses population, health, livelihood, and environment challenges could mitigate future food insecurity more effectively than single-track programming that addresses sub-Saharan Africa’s various development needs in isolation from one another.
Improving women’s role in agriculture, for example, could help minimize food insecurity on a regional scale, Bremner writes. Women make up, on average, half the agricultural labor force in sub-Saharan Africa, and yet it is more difficult for them to own arable land, obtain loans, and afford basic essentials like fertilizer that can help boost agricultural productivity. Furthermore, women’s traditional household responsibilities, like fetching water, often cut into the amount of time they are able to give to farming. With those limitations lifted, women could offer enormous capacity for meeting future food needs.
Given the complex and interconnected nature of the development challenges facing sub-Saharan Africa, integrated cross-sector programming, with an emphasis on meeting family planning needs, is essential to reducing total fertility rates while improving food security over the long-term, according to Bremner.
“Investments in women’s agriculture, education, and health are critical to improving food security in sub-Saharan Africa,” he writes.
“Improving access to family planning is a critical piece of fulfilling future food needs,” he adds, “and food security and nutrition advocates must add their voices to support investments in women and girls and voluntary family planning as essential complements to agriculture and food policy solutions.”
Sources: Population Reference Bureau.
Video Credit: Population Reference Bureau. -
Reproductive Health an Essential Part of Climate Compatible Development
›April 11, 2012 // By Sandeep BathalaECSP was at London’s 2012 Planet Under Pressure conference following all of the most pertinent population, health, and security events.
At a panel on “climate compatible development” at this year’s Planet Under Pressure global change conference, Population Action International’s Roger-Mark De Souza was the lone voice to speak about demographics. He presented a detailed analysis of population trends, based on collaboration with the Kenya-based African Institute for Development Policy.
“The link between population dynamics and sustainable development is strong and inseparable – as is the link between population dynamics, reproductive health, and gender equality,” said De Souza. These linkages were emphasized by the UN at the International Conference on Population and Development, held in Cairo in 1994, as well as during the original Rio Conference on Environment and Development in 1992.
“Climate compatible development” is a novel development paradigm being developed by the Climate and Development Knowledge Network and defined as “development that minimizes the harm caused by climate impacts, while maximizing the many human development opportunities presented by a low emissions more resilient future.”The key tenet of this development framework is an emphasis on climate strategies that embrace development goals and integrate opportunities alongside the threats of a changing climate. In this respect, climate compatible development is seen as moving beyond the traditional separation of adaptation, mitigation, and development strategies. It challenges policymakers to consider “triple win” strategies that result in lower emissions, better resilience, and development – simultaneously.
Although developed nations are historically the major contributors of greenhouse gases due to comparatively high levels of consumption, developing countries are the most vulnerable to consequences of climate change. Emerging evidence shows that rapid population growth in developing countries exacerbates this vulnerability and undermines resilience to the effects of climate change, said De Souza. Socioeconomic improvement will also increase the levels of consumption and emissions from developing countries.
“Meeting women and their partners’ needs for family planning can yield the ‘triple win’ strategy envisaged in the climate development framework,” De Souza said. “Meeting unmet family planning needs would help build resilience and strengthen household and community resilience to climate change; slow the growth of greenhouse gases; and enhance development outcomes by improving and expanding health, schooling, and economic opportunities.”
Decision makers engaged in climate change policy planning and implementation at local, national, and international levels should have access to evidence on population trends and their implications on efforts to adapt to climate change as well as the overall development process, De Souza said.He presented new maps and analysis for Africa, particularly Malawi and Kenya, developed by PAI, building on earlier mapping work which identified 26 global population and climate change hotspots – countries that are experiencing rapid population growth, low resilience to climate change, and high projected declines in agricultural production.
“PAI’s work is a clear demonstration of how better decision making can be informed by the right analysis, in the right format, at the right time,” said Natasha Grist, head of research at the Climate Knowledge and Development Network.
“Most of the hotspot countries have high levels of fertility partly because of the inability of women and their partners to access and use contraception,” said De Souza. He continued:Investing in voluntary health programs that meet family planning needs could, therefore, slow population growth and reduce vulnerability to climate change impacts. This is especially important because women, especially those who live in poverty, are likely to be most affected by the negative effects of climate change and also bear the disproportionate burden of having unplanned children due to lack of contraception.
In conclusion, said De Souza, “global institutions and frameworks that support and promote climate compatible development can enhance the impact of their work by recognizing and incorporating population dynamics and reproductive health in their adaptation and development strategies.”
For full population-related coverage from the conference, see our “Planet 2012 tag.” Pictures from the event are available on our Facebook and Flickr pages, and you can join the conversation on Twitter (#Planet2012).
Sources: Climate and Development Knowledge Network, IPCC, Population Action International.
Photo Credit: Sean Peoples/Wilson Center; Maps: Population Action International. -
Mia Foreman, Behind the Numbers
Serving the Reproductive Health Needs of Urban Communities in Nairobi
›The original version of this article, by Mia Foreman, appeared on the Population Reference Bureau’s Behind the Numbers blog.
Kenya’s population is growing rapidly, more than tripling from 10.9 million people in 1969 to 38.6 million in 2009. According to the United Nations, the annual population growth rate between 2010 and 2015 is 2.7 percent with 22.5 percent of the population residing in urban areas in 2011.
One area that has seen tremendous growth is Nairobi’s largest slum, Kibera. While experts have given estimates ranging from 270,000 to 2,000,000 residents, Kibera is a large area of informal settlements plagued by challenges such as the lack of electricity, job opportunities, and high levels of violence.
While it may be easier to focus on what is lacking in Kibera, there are also many services being provided in the community including affordable and quality reproductive health care by organizations such as Marie Stopes Kenya.
Marie Stopes Kenya was established in Kenya in 1985 as a locally registered nongovernmental organization. It is Kenya’s largest and most specialized sexual reproductive health and family planning organization and is known for providing a wide range of high-quality, affordable, and client-centered services to men, women, and youth throughout Kenya. In 1997, Marie Stopes Kenya opened its first clinic in Kibera and began offering reproductive health services at an affordable rate for residents.
Continue reading on Behind the Numbers.
Sources: UN Population Division.
Photo Credit: “The Kibera ‘river’,” courtesy of Dara Lipton and flickr user The Advocacy Project. -
Taking Stock of Past and Current Demographic Trends
›March 29, 2012 // By Kayly OberECSP is at London’s 2012 Planet Under Pressure conference following all of the most pertinent population, health, and security events.
“Demography is a science of assumptions,” said Sarah Harper, a demographer at the University Oxford, during a panel at the Planet Under Pressure conference. Thirty years ago, she said, demographers believed the world would reach 24 billion by 2050, now the latest UN median projections predict 10 billion. That means a lot of progress has been made for families and development as a whole, but there are some obstacles yet.
Harper stressed that the development community should focus on parts of the world with stubbornly high fertility rates, particularly sub-Saharan Africa. If total fertility rates came down there by 2050, below the expected four children per woman, the region could be home to as many as a billion fewer people than current projections. The earlier we acknowledge this growth, the easier it will be to offer interventions like family planning and reproductive health to hedge it, she said.
Additionally, demographers need worry about important changes in modern population and environment dynamics.
As Harper notes in an interview with ECSP (video below):There has been so much hype around population growth that I think we’ve ignored the other characteristics of population…that it’s changing in its density – we’re all becoming more urban; it’s changing in its distribution – we’re becoming more mobile; and it’s also changing in its composition – the world is getting older.
Sir John Sulston of the Royal Society agreed: population is a more-nuanced subject than many can digest. “Population has been much too ignored because it’s difficult,” he said.
I think it’s very clear that these changes are going to interact with the environment and be affected by environmental change but are also going to impact upon future environmental change.
Sulston urged us to look not just at the diversity of the world, but also the inequity. Today, there is “inequity in countries, between countries, and between generations.”
There is no silver bullet – the international community need to look at three components in concert if we want to make a difference, he said: first, bring down infant mortality; second, invest in family planning; and third, emphasize education for women.“It’s not about surviving, it’s about flourishing,” Sulston said.
When the ECSP delegation isn’t attending plenary and breakout sessions here at the conference, we’re manning our Wilson Center information booth. And over the last few days, we’ve had the pleasure of introducing our work to a number of new faces, including curious faculty, energetic students, and hopeful doctoral candidates. If you’re attending please feel free to stop by.
Expect more updates from East London, including more short video interviews, in the next three days as ECSP highlights the unique perspectives coming out of the Planet Under Pressure conference.
Pictures from the event are available on our Facebook and Flickr pages, and you can join the conversation on Twitter (#Planet2012) or watch the livestream here.
Photo Credit: Sean Peoples/Woodrow Wilson Center, -
Demography, Climate in the Spotlight at Planet Under Pressure
›March 27, 2012 // By Kayly OberLondon’s 2012 Planet Under Pressure conference, on all things global change – including climate, population, global risks, and food security – kicked off with a bang on March 26 and ECSP was there to cover it. We’ll be here throughout the week following all of the most pertinent population, health, and security events – we invite you to visit our booth if you happen to be in London, join the conversation on Twitter (#Planet2012), and/or watch the livestream.
During the opening plenaries, UK Scientific Advisor and all-around environmental all-star Sir John Beddington was the first to introduce population into the discussion.
Speaking on “The Planet in 2050” panel, Beddington immediately noted that really 2050 is too far out and instead we should focus on the next two decades. Within these 20 years the trajectory of greenhouse gas emissions and climate change will be determined by the extent and manner of urbanization and demographic changes, particularly in Africa.
“How are we going to generate an infrastructure to feed 500 million Africans in the next 13 years?” Beddington asked.
Beddington’s talk could be considered a rejoinder to his famous “perfect storm” analogy, outlined in The Guardian in 2009:Our food reserves are at a 50-year low, but by 2030 we need to be producing 50 percent more food. At the same time, we will need 50 percent more energy, and 30 percent more freshwater.
In a later session, “Securing Global Biodiversity,” Simon Stuart, chair of the species survival commission of the International Union for Conservation of Nature (IUCN), expanded on this “perfect storm” analogy.
There are dramatic problems out there, particularly with water and food, but energy also, and they are all intimately connected. You can’t think about dealing with one without considering the others. We must deal with all of these together.
He agreed that the global challenge of our day hinged on how human needs add pressures to the natural environment. Rising demand for energy, food, and freshwater not only influences climate change but also exerts unprecedented pressure on soil quality and biodiversity.
But although we’re impeded by major challenges, including “unsustainable economic models,” a lack of public support, and a massive need for investment in conservation, we have made some strides, Stuart said. The Convention on Biological Diversity’s strategic plan for biodiversity, established in 2010, sets 20 targets for biodiversity conservation by 2020. Stuart believes this is the beginning of acknowledging the urgency of addressing the threat to biodiversity.
Tim Coulson, professor of population biology at Imperial College London, compared the efficiency of either reducing fertility rates or per capita consumption to determine the best way to reduce humanity’s impact on the planet.
Coulson ran two simple simulations using India and the United States as case studies. In one model, he changed fertility rates by one percent per year for 50 years. In the other, he decreased per capita consumption by one percent per year for 50 years. What he found in both cases was that decreasing per capita consumption achieved the most rapid change in human impact on the environment. Nevertheless, he acknowledged that a longer-term course of action of declining fertility rates was needed to keep impact stable.
Readers beware, however – this type of experiment is an incredibly simplified exercise in the intersection of people and the environment. A more varied set of scenarios would produce more useful results. As Beddington mentioned, populations in sub-Saharan Africa have both the highest growth rates and the most direct impact on the environment due to their higher reliance on natural resources for livelihoods.
And, perhaps most importantly, as one commentator noted, these scenarios do not take into account cost factors. For instance, in order to reduce greenhouse gas emissions through more energy efficient buildings and transport, the United States would need to invest $1.1 trillion through 2030. Alternatively, the cost to provide for the 215 million women in developing countries who want to avoid pregnancy but are not using an effective means of contraception is estimated at $3.6 billion. Using the “wedge” climate model, meeting unmet family planning needs would be equivalent to the amount of greenhouse gas emissions saved by converting entirely to electric vehicles – at a fraction (about five percent) of the cost.
Stay tuned for more updates from ECSP at the Planet Under Pressure Conference. We’ll also be posting pictures from the conference to our Facebook and Flickr pages.
Video Credit: “Welcome to the Anthropocene,” commissioned by the Planet Under Pressure Conference. -
Hotspots: Population Growth in Areas of High Biodiversity
›More than one-fifth of the world’s population lives in biodiversity hotspots – “areas that are particularly rich in biodiversity and endemic species,” said John Williams of the University of California, Davis, at the Wilson Center on February 29. And those populations are growing faster than the global average. Add to that the fact that “biodiversity continues to decline globally, despite increasing investments in conservation,” said David Lopez-Carr of the University of California, Santa Barbara, and the need for new approaches to conservation becomes evident. [Video Below]
Williams and Lopez-Carr were joined by Dr. Vik Mohan, director of the sexual and reproductive health program for Blue Ventures, a London-based conservation nongovernment organization that works with communities on the remote western coast of Madagascar.
To respond to the demands of the communities and to better protect biodiversity hotspots, the speakers argued that conservation efforts need to incorporate health and livelihood services directed at the growing populations living nearby.
A Complex Relationship
“The relationship between population and biodiversity loss or conservation is a pretty complex relationship,” said Williams.
He offered Latin America and the Caribbean as an example of the multiple factors that can affect how population and biodiversity interact. Population growth in the region has slowed, and agricultural expansion is driving habitat loss as the population ages and urbanizes and as increasing per capita GDP contributes to higher levels of consumption.
In the Indo-Pacific region, stretching from East Asia to Australia, high population growth coupled with economic growth has coincided with an increase in the exploitation of rare species for illegal trade, according to Williams. And in Africa, where the population is growing quickly but without comparable economic growth and amid high levels of instability, subsistence drives ecological exploitation.
Biodiversity and Family Planning in Madagascar
“People who live in the biodiversity hotspots are typically poorer, typically have poorer access to healthcare than their counterparts in the cities or in the world at large, and typically have poorer health than those counterparts,” said Mohan.
Blue Ventures has been working in Madagascar since 2003. The island is one of the most biodiverse areas in the world; 80 percent of its plant and animal life is endemic, meaning it exists there and nowhere else, said Mohan. At the same time, Madagascar is one of sub-Saharan Africa’s fastest growing countries, with a population growth rate of 2.9 percent and an average total fertility rate of 4.6 children per woman.
Blue Ventures initially came to the country to improve conservation in the island’s coastal villages, where residents survive largely on subsistence fishing. But once there, the group quickly found that the population was “growing so rapidly that in spite of our best conservation efforts, the demand for those finite coastal resources [was] outstripping supply,” said Mohan.
“The number of people who are going out to catch fish to feed their to feed their families is going up exponentially, and those fisherman are having to work harder and harder to catch smaller fish that are farther and farther down the food web.”
Realizing that trend, Mohan said that “just by asking a few very basic questions, we unearthed a huge unmet need for healthcare and a huge unmet need for family planning in particular.”
In response, Mohan and his colleagues opened up a family planning clinic in Andavadoaka, one of the villages Blue Ventures serves. On the clinic’s first day, Mohan said, “20 percent of all women of reproductive age came asking for contraception.” Following that opening, they “rapidly found [that] this unmet need was mirrored in every single village along the coast that we worked in,” he said. Since then, modern contraceptive prevalence, initially about seven percent, has increased four-fold, while birth rates have fallen by about one-third. All in all, Mohan said, the population of the Velondriake region, where Blue Ventures operates, is five percent smaller now than it would have been without the group’s family planning services.
Rural Areas Driving Population Growth
Across the developing world, Lopez-Carr said that unmet need for family planning “remains significantly higher” in biodiversity hotspots. Given that high unmet need, especially in Africa, it is easy to infer that “conservation may be less sustainable…if it does not consider health,” he said.
In his ongoing research on population and biodiversity, Lopez-Carr looks at how fertility rates compare in and out of hotspot areas and between regional and local levels. At the country and province level, “high-value conservation areas do not have unusually high total fertility rates (TFRs),” he said. But at more localized levels, “in the most remote rural areas, TFRs remain high, and in many cases, in the most remote rural areas, the demand for family planning is still very low,” indicating that these areas are still in the early stages of their demographic transitions.
The fact that the sub-state picture can look so different from the state-level picture means that there is more work for researchers to do, said Lopez-Carr. “Where the fertility rates are highest is where we have the least data,” he said, and that has significant implications for understanding future population growth.
Looking at UN population projections, the world’s net population gains will be in its poorest cities, he said, but “virtually all this growth is going to be from migration, fueled by remaining high fertility in rural areas.” And “virtually all of that growth will be predicated upon the timing, magnitude, [and] pace of the fertility transition in rural areas.”
Better understanding the demographic picture in rural areas is therefore critical – not just to improving health and preserving biodiversity in the world’s hotspots, but to honing down more accurate global population projections as well.
Event ResourcesPhoto Credit: “Fisherman Carries Day’s Catch,” courtesy of United Nations Photo.
