Showing posts from category family planning.
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Integrated Approach Helps “Model Farmers” Increase Productivity in Ethiopia
›March 24, 2011 // By Schuyler Null
To reach the village of Grar Gaber from Addis Ababa, you drive up over the Entoto Mountains overlooking the capital then motor down two hours of new Japanese-built highway to the town of Fiche. From there it’s 20 minutes on a broken dirt road across rocky hills. I was joined there by about 20 others from the PHE Ethiopia Consortium’s general assembly (see day one and day two coverage here) and Population Action International, to visit an integrated population, health, and environment (PHE) development program run by LEM Ethiopia.
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Watch: David Lopez Carr and Liza Grandia on Rural Population Growth and Development in Guatemala
›March 22, 2011 // By Hannah MarquseeDemographers today are largely concerned with two trends: aging in the developed world, and rapid urbanization in the developing world. The majority of people in the world now live in cities, “but this tiny fraction of people that live in rural areas – concealed by the data because it’s a small fraction – still have very high fertility rates, precisely where protected areas are,” said David Lopez-Carr, associate professor of geography at the University of California, Santa Barbara in this ECSP interview.
“You see a gradient. The more rural, the more remote, the higher fertility,” said Carr. In Guatemala, for example, fertility rates range from below four children per woman in Guatemala City, to as high as eight in the remote Maya biosphere reserve, which is mostly indigenous. “These are the populations that are growing the fastest and the ones who are living in direct proximity and whose livelihoods are predicated directly on the rainforest, whether it’s through resource extraction or…agricultural expansion,” said Carr.
Liza Grandia, assistant professor of international development and social change at Clark University, spent many years working in the Maya biosphere reserve with the Guatemalan NGO ProPeten to address deforestation. However, after years of alternative livelihood projects, “it became clear that many of those efforts would be undermined by population growth and continued migration into the region,” she said in an interview with ECSP.
Grandia and ProPeten conducted a study as part of the Demographic and Health Surveys to examine the linkages between health, population, and environmental trends in the Peten region. Based on these findings, Grandia founded Remedios, a program that partnered with International Planned Parenthood Foundation and the Guatemala Ministry of Health to provide family planning services to “one of the most remote places in Latin America.”
Remedios used mass media, such as the radio soap opera “Between Two Roads,” broadcast in Spanish and Q’eqchi’ Maya, to reach people across this remote region. In the popular soap opera, “the villain is a cattle rancher, the heroine is a midwife, and through the tales of daily life in this village we weave in messages about domestic violence, use of family planning, agrarian problems, like land speculation, and a whole host of other issues that come up in people’s daily lives,” said Grandia. “In three years as a result of that work, the total fertility went from 6.8 to 5.8. To date, 10 years later, it’s dropped to 4.3.” -
“Better Bang for the Buck”: Blogging From Ethiopia’s Population, Health, and Environment General Assembly
›March 18, 2011 // By Schuyler Null
Hello from Addis Ababa, where I am blogging from the 5th annual general assembly of the Population, Health, and Environment (PHE) Consortium of Ethiopia (see further coverage here). Along with the Philippines, Ethiopia is the largest PHE programmer in the world, both in terms of number of programs and people affected, and for good reason: The country combines dire need, willing donors, and a great deal of local capacity and will.
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USAID: Maternal Deaths in Bangladesh Decline by 40 Percent in Less Than 10 Years
›The original version of this article, by the USAID Global Health Bureau, appeared on the USAID Impact blog.
Bangladesh is on track to meet the 2015 deadline for UN Millennium Development Goal 5 (50 percent reduction in maternal deaths). The Bangladesh Maternal Mortality and Health Service Survey, jointly funded by the Government of Bangladesh, USAID, Australian Aid (AusAID) and the United Nations Population Fund (UNFPA), found that maternal deaths in Bangladesh fell from 322 per 100,000 in 2001 to 194 in 2010, a 40 percent decline in 9 years.
The decline in direct obstetric deaths is most likely the consequence of better care seeking practices and improved access to and use of higher-level referral care. The decline in total fertility rate due to the successful family planning program has reduced exposure to high risk pregnancies and has thus prevented a large number of maternal deaths.
Continue reading on USAID’s Impact blog.
Sources: Directorate General of Health Services – Bangladesh, UN.
Photo Credit: Adapted from “Mother & Son,” courtesy of flickr user Anduze traveller. -
Watch: Roger-Mark De Souza on the Scaling Advantages of Population, Health, and Environment Integration
›March 11, 2011 // By Schuyler NullBy integrating population, health, and environment (PHE) efforts, development programs can make a difference in people’s lives in a real and meaningful way – one which they understand, appreciate, and desire, said Roger-Mark De Souza in this interview with ECSP. De Souza is the vice president of research and director of the Climate Program at Population Action International.
The PHE approach “allows itself to be applied at different levels,” said De Souza. “It’s easily implemented at the level of a village, or a town, or a city where a number of individuals can say ‘these are concrete results and outcomes that we want in our lives and that we want to live our lives in an integrated way.’”
PHE interventions not only provide tangible results to individuals, said De Souza, but they also help accomplish broader policy objectives, including improving health and alleviating poverty.
“There are lessons to be learned from different areas of integration, not just population, health, and environment,” De Souza said. For example, initiatives that integrate food security and HIV/AIDS deal with issues “similar to the ones we deal with in integrating population, health, and environment,” he said. Lessons and experiences need to be shared between these communities, but they also share similar advantages: From a cost-efficiency stand point, integration simply provides greater “bang for the buck,” he said. -
Engineering Solutions to the Infrastructure and Scarcity Challenges of Population Seven Billion (and Beyond)
›March 9, 2011 // By Hannah MarquseeA recent Institution of Mechanical Engineers (IME) report, Population: One Planet, Too Many People?, argues that “sustainable engineering solutions largely exist for many of the anticipated challenges” of a world population scheduled to top seven billion this year and projected to reach upwards of nine billion by 2050. “What is needed,” write the authors, “is political and social will, innovative financing mechanisms, and the transfer of best practice through localization to achieve a successful outcome.”
City lights on the French-Italian border, from the International Space Station.
Since nearly all of the population growth in the next 40 years will occur in the developing world, the report recommends nations adopt five “Engineering Development Goals” (listed below), alongside the Millennium Development Goals, to meet the needs of the world’s growing poor. The report also recommends that developed countries provide technical engineering expertise to developing countries in the model of the UK Department for International Development’s Resource Centers. This assistance will help them implement these goals and “leapfrog” the “resource-hungry, dirty phase of industrialization.”
Population Growth a Threat?
While the report issues a clear call to action for engineers and governments, it does not address the issue of population growth per se, which has caused some to argue that population growth might not be the problem after all. The Independent, for example, initially headlined their article about the report, “Population Growth Not a Threat, Say Engineers,” but changed it after publication to “Population Growth a Threat, Say Engineers.”
The IME authors clearly state that “population increase is likely to be the defining challenge of the 21st century,” and the report provides practical steps governments can take given current population trends. But its focus on “engineering solutions” highlights the ongoing debate between those who argue that technological fixes alone can solve the world’s social and environmental problems, and those who advocate for contraception as a low-cost path to a sustainable world.
“I would love there to be technological solutions to all our problems,” said Nobel Laureate Sir John Sulston at a recent ECSP event on the UK Royal Society’s forthcoming People and the Planet study, but “we’ve got to make sure that population is recognized, while not the sole problem, as a multiplier of many others. We’ve got to make sure that population really does peak out when we hope it will.”
The projections on which the report is based will be difficult to hit without dramatic reductions in fertility, mainly in sub-Saharan Africa – a goal that is nigh impossible without increased investment in access to voluntary family planning. The UN high variant projection, which calculates a much less dramatic decrease in current fertility levels, has world population reaching 11 billion by 2050.
“There is no need to delay action while waiting for the next greatest technical discovery,” write the IME authors. “If action is not taken before a crisis point is reached there will be significant human hardship. Failure to act will place billions of people around the world at risk of hunger, thirst, and conflict as capacity tries to catch up with demand.”
Engineering Development Goals
1. “Energy: Use existing sustainable energy technologies and reduce energy waste.”
Currently, “over 1.5 billion people in the world do not have access to energy,” says the IME report. In addition, global demand for energy is expected to rise by 46 percent by 2030, and the world will need to invest $46 trillion over the next 40 years to shift towards renewable energy sources. The report points out that “there are no insurmountable technical issues in sourcing enough energy for an increasingly affluent larger global population.” Instead, “the difficulties lie in the areas of regulation, financing, politics, social ethics, and international relations.”
2. “Water: Replenish groundwater sources, improve storage of excess water and increase energy efficiencies of desalination.”
Global water consumption, write the IME authors, is predicted to rise 30 percent by 2030 due to population growth and increased energy and agricultural consumption. These numbers are troubling, considering that a recent study in Nature found that more than 1.7 billion people, almost entirely from the developing world, already face chronically high water scarcity.
However, this problem is not simply one of a shortage of water, rather “a case of supply not matching demand at a certain time and place where people are living,” says the IME report. Engineering solutions must involve the capturing and storage of rain water, more cost-effective desalination techniques, and aquifer storage and recovery techniques, says the report. But more importantly, “decision-makers need to become more aware of the issues of water scarcity and work more closely with the engineering profession in finding localized solutions.”
3. “Food: Reduce food waste and resolve the politics of hunger.”
The IME report cites the World Bank’s prediction that demand for agricultural production will double by 2050, due to a combination of population growth, more people turning to meat-heavy diets, and agricultural shortages from extreme weather events. Efficiencies can go a long way towards filling this supply-demand gap, says the IME report. In developed countries an average of 25 percent of edible food is thrown away in the home after purchase, while in developing countries, as much as half of crops are lost before ever reaching market due to lack of adequate transportation and storage infrastructure.
For example, the authors point out that in India, “between 35 percent and 40 percent of fruit and vegetable production is lost each year between the farm and the consumer” – an amount greater than the entire annual consumption of the UK. Americans are also big food wasters. A USDA study found that in one year, 27 percent of all edible food was thrown away in the United States after purchase. Developed countries can significantly increase efficiency “through behavioral change that recognizes the value of food,” says the report.
4. “Urbanization: Meet the challenge of slums and defending against sea-level rises.”
Urbanization “presents one of the greatest societal challenges of the coming decades,” write the IME authors, but cities also represent a “significant opportunity…to be very efficient places to live in terms of a person’s environmental impact.”
According to the World Bank, by 2050, three quarters of the world will live in cities, and nearly all of this growth will occur in the developing world. Already, one third of the world’s urban population live in “appalling slum conditions,” says the IME report. Challenges for the urban poor are especially severe in coastal areas – home to three quarters of the world’s large cities – where they are vulnerable to flooding and extreme weather events, which according to new studies, have increased as a result of climate change.
The report calls for nations to use an “integrated, holistic approach” that brings in engineering expertise early in the planning process to create infrastructure that is individualized to a city’s unique cultural, geographical, and economic needs.
5. “Finance: Empower communities and enable implementation.”
Implementation of the above four goals will require “innovative soft loans and micro-financing, ‘zero-cost’ transition packages, and new models of personal and community ownership, such as trusts,” write the IME authors. Furthermore, communities must play a central role in decision-making in order to find appropriate and local solutions.
In all five of these goals, “barriers to deploying solutions are not technological,” says the report. Instead, they are political and social. Better international cooperation, dialogue, and sharing of expertise between and amongst engineers, decision-makers, and the public, is crucial to implementation.
Sources: Department for International Development, Guardian, The Independent, Institution of Mechanical Engineers, Nature, The New York Times, UN Habitat, United Nations, USDA, World Bank.
Image Credit: “City Lights, France-Italy Border (NASA, International Space Station Science, 04/28/10),” courtesy of flickr user NASA’s Marshall Space Flight Center. -
Joan Castro on Integrated Population and Coastal Resource Management in the Southern Philippines
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In the southern Philippines, the innovative IPOPCORM program “worked in areas where there is high…marine biodiversity, high population, and high population momentum, which means…about 40 percent of the population are 15 years and below,” Joan Castro told ECSP in this interview. Castro, the executive vice president of PATH Foundation Philippines, Inc., recently spoke at the Wilson Center on the state of integrated development efforts in her country and elsewhere.
From 2000-2006, IPOPCORM (which stands for “integrated population and coastal resource management”) sought to integrate population, health, and environment (PHE) development efforts in Philippine communities. They had four primary objectives, said Castro: 1) improve the reproductive health of the community members; 2) improve management of the coastal resources; 3) increase knowledge of the linkages between population, health, and the environment; and 4) increase the capacity of community leaders to advocate for these links.
“The aspect of livelihoods was very essential,” said Castro, especially for empowering women in the communities. Through family planning services and micro-credit finance initiatives, women were able to better space their pregnancies and contribute to household incomes, she said. In addition, by establishing locally managed, marine protected areas, IPOPCORM increased the protection of high biodiversity zones and improved the likelihood that there will be enough fish to feed future generations.
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Carrying Capacity: Should We Be Aiming to Survive or Flourish?
›“In the eyes of many governments, population has, as we all know, been a rather uncomfortable topic for a number of years,” said Nobel Laureate Sir John Sulston, FRS, chair of the Institute for Science, Ethics, and Innovation at the University of Manchester and chair of the Royal Society’s People and the Planet working group. At an event at the Wilson Center on February 22, Sulston and his co-panelists, Martha Campbell, president of Venture Strategies for Health and Development, and Professor Parfait Eloundou-Enyegue of Cornell University, encouraged active debate on a range of population dynamics and their connections to economic, environmental, and political futures. [Video Below]
The Nexus of Population and Consumption
The dialogue between population and environmental communities has been pushed aside for many years but has lately been climbing its way back onto national agendas, said Sulston. However, the debate remains polarized. Scientists need to “sort out the facts as best we can” to help bring the communities together, he said. 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 “play our part in engendering constructive dialogue,” he said.
“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. Instead of talking about the maximum number of people the Earth can hold, we should also focus on “the quality of life of those people,” he said. 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.
For centuries humanity has pursued a policy of “competitive growth,” both in population and consumption. But in preparation for the UN “Rio+20” summit on sustainable development in 2012, policymakers should be discussing “pathways to sustainability within the context of population,” said Sulston.
“Humanity needs to learn to act collectively and constructively in the face of these long-term and therefore rather elusive threats, just as we do rather well when we’re faced with immediate and tangible ones,” Sulston said. “So we need the best technology, but we need it in the context of a thoughtful society, and then we can both survive and happily flourish.”
A Demographic Crossroads
“No longer is population growth or population size the only issue of the day,” said Parfait Eloundou-Enyegue. “You have to worry about both population growth and population decline, you have to worry about immigration, you have to worry about aging, you have to worry about HIV and adult mortality, et cetera.”
Some people, Eloundou-Enyegue said, take this diversity of demographic issues as “grounds for complacency” by thinking they do not share in others’ problems. Yet, he said, population and ecology are areas where the risks are shared by all.
These challenges demand a “more comprehensive framework” that details the interactions between population, affluence, environment, technology, and inequality, said Eloundou-Enyegue. Tensions persist between these different areas, and breaking them will require “call[ing] on other qualities of the human spirit,” he said. The world is, Eloundou-Enyegue concluded, at a “demographic crossroads.”
The Timing of Declining Fertility
The key to ending the sensitivity to the issue of population growth is to “understand that this is about options: options for women and options for families,” said Martha Campbell. Strong attention and funding support can meet needs and lead to declining birth rates, as in the case of Kenya before the mid-1990s. But with the broader emphasis on reproductive health and concerns about coercion that followed the 1994 United Nations International Conference on Population and Development (ICPD) in Cairo, funding for family planning declined. As a result, Kenya’s fertility rates leveled off instead of continuing to decline, said Campbell, contributing to an upward revision of global population projections.Campbell illustrated the impact of delays in achieving replacement-level fertility on the overall population size of individual states. In the case of Pakistan, for example, analysis by Venture Strategies for Health and Development and the African Institute for Development Policy projects that the country will have a total population of 350 million if replacement-level fertility is reached by 2020, and a population of almost 600 million if that same mark is reached by 2060.
Looking ahead to the “Rio+20” summit in 2012, Campbell emphasized the need for continued discussion about population growth and family planning. The silence on these issues after Cairo in 1994 and the subsequent global impact should serve as a warning for future generations, she said: “It is important for this next generation and the current generation to understand what happened so that it will never, ever happen again. The silence on population must not occur.”
Photo Credit: “Rush hour,” courtesy of flickr user Jekkone, and Pakistan fertility chart, courtesy of Martha Campbell and Venture Strategies.
