Showing posts from category family planning.
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Sam Rugaba, PHE Champion
Encouraging Childhood Education and Birth Spacing as an Approach to Conservation
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This PHE Champion profile was produced by the BALANCED Project.
Fifty-one-year-old Sam Rugaba is a dedicated teacher who loves his job at the Bujengwe Community Primary School. The school is the result of a community-based project located in the Bujengwe Parish of the Kayonza subcounty in the Kanungu district of Uganda – just 18 kilometers from the Bwindi Impenetrable National Park (BINP). The biodiversity-rich BINP is home to many rare species including the endangered mountain gorilla. Sam is also a Conservation Through Public Health(CTPH) community volunteer and community conservation health worker. -
Mapping Demographics in WWF Priority Conservation Areas
›February 25, 2011 // By Hannah Marqusee“The developing world is urbanizing at a dizzying pace,” yet rural populations living in developing countries are also rapidly increasing, threatening many of the planet’s most biodiverse regions, says a new study, Mapping Population onto Priority Conservation Areas, by David López-Carr, Matthew Erdman, and Alex Zvoleff.
Using comprehensive data from the USAID-sponsored Demographic Health Surveys (DHS), the researchers analyzed population, mortality, and fertility indicators for 10 of the 19 priority places for conservation identified by the World Wildlife Foundation (WWF). These biological hotspots represent parts of 25 countries throughout South Asia, sub-Saharan Africa, and South America, including the Democratic Republic of the Congo, Colombia, Guatemala, Indonesia, Kenya, Nepal, Madagascar, and Thailand.
Urban vs. Rural
The findings confirmed the researchers’ hypothesis that rural areas within WWF priority regions are at a lower state of demographic transition than their urban counterparts, meaning they have higher fertility and infant mortality rates and a younger age structure due to poor access to primary health care, including family planning. Furthermore, women in these regions desire more children than those in urban, non-priority areas, but experience a greater difference between ideal and actual number of children.
For many of the indicators, the differences between urban and rural, and priority and non-priority, regions of the developing world are striking. In urban Asia, the mean predicted population doubling time is 86.1 years; in rural Africa it is only 24.6 years. Urban Asia and South America also have total fertility rates of 1.8 children per woman, while rural Africa’s is 5.2. Infant mortality also ranged from a low of 20 deaths per every 1,000 births in some developing urban areas, to over 100 in rural parts of Coastal East Africa. In the developed world it is less than 10.
There is also consistently less desire among women in priority areas to limit their childbearing. Worldwide, 49.4 percent of women living within priority areas want to limit childbearing, compared to 56.2 percent outside priority areas.
Rural areas in all regions had the highest unmet need for family planning, with the exception of the Congo Basin, where high infant mortality has persisted and dampened women’s desire to limit childbearing. “If much needed health services were provided in the Congo Basin, along with family planning services, child survival rates would increase, and couples would be more inclined to limit overall births,” the study says.
Lower demand for family planning in priority areas is consistent with Caldwell’s theory of intergenerational wealth flows, the paper noted, which explains how in rural agricultural societies, children are economic assets who move wealth to their parents. As countries develop and people gain access to education, healthcare and female empowerment, wealth flows reverse and children become financial burdens. This transition decreases fertility and increases demand for family planning.
Setting Priorities
As WWF plans to scale up its population, health and environment (PHE) programs, this study will help to prioritize places within priority areas that are most in need of PHE intervention and “are most likely to help alleviate negative environmental and social impacts of rapid population growth.” The results of this study show that many areas are ripe for such intervention:Nearly a quarter of households in Coastal East Africa and the Mesoamerican Reef wish to have access to contraception yet their desire remains unfulfilled. Similarly, households within priority places in Coastal East Africa, the Mesoamerican Reef, Amazon and the Guianas, and the Eastern Himalayas wish to have nearly one child fewer than they currently have.
The findings of this study have already informed the planning of several of WWF’s projects in Madagascar and Namibia.
The limited availability and detail of the DHS data was the primary limitation of the study, the researchers noted. The 25 countries examined did not fully cover all WWF’s priority areas – 17 other countries within the priority areas lacked sufficiently comprehensive data for the study. Furthermore, the district or municipality was the smallest unit of analysis possible with DHS data, making it difficult to exactly pinpoint priority communities.
“Geography matters,” write the authors. “Only with further refined data accompanied by qualitative on-the-ground field research can we credibly answer remaining questions.”
Image Credit:“Family Planning: Unmet Need for Family Planning Services” and “Mortality Rate: Child Mortality Rate (Under Age 5)” courtesy of World Wildlife Fund.
Sources: Population Council, World Wildlife Fund. -
Watch: Laurie Mazur on a Pivotal Moment for the Global Environment and World Population
›February 24, 2011 // By Hannah Marqusee“It’s increasingly clear that we are living in a pivotal moment,” said Laurie Mazur, director of the Population Justice Project, in this interview with ECSP about her new book, A Pivotal Moment: Population, Justice, and the Environmental Challenge. Currently, “nearly half the world’s population – about three billion people – are under the age of 25,” she said, and the choices these young people make, and the choices that are available to them “will determine whether world population grows from the current almost 6.9 billion to anywhere between 8 billion and 11 billion.”
“Numbers do matter,” said Mazur. “Clearly, a world population of 8 billion would be better than 11 billion for both human beings and the environment.” What’s more, “everything we need to do to slow population growth is something we should be doing anyway.”
Investments in family planning, girls’ education, women’s empowerment, and sustainable, equitable development are all means to slowing population growth, as well as being an end in and of themselves. Population growth “is an issue of really broad appeal” and should be of concern to environmental and reproductive health advocates, people of faith, or anyone who cares about development, justice, and eliminating poverty, said Mazur. -
Deforestation, Population, and Development in a Warming World: A Roundtable on Latin America
›“Rural development and MCH [maternal child health] in the most remote, rural areas are going to largely explain the future of Latin American conservation, development, population, and urbanization,” said David Lopez-Carr, associate professor of geography at the University of California, Santa Barbara, at a recent Wilson Center roundtable on “Deforestation, Population, and Development in Latin America.”
Nearly 80 percent of Latin America’s people live in urban areas, yet the continent’s rural populations have a disproportionate effect on its forests. Panelists Liza Grandia, assistant professor of international development and social change at Clark University, and Jason Bremner, director of population, health, and environment at the Population Reference Bureau, argued that meeting the needs of these communities is therefore key to conserving Latin America’s forests. [Video Below]
Rural Populations Have Disproportionate Impact on Deforestation
“There are two Latin Americas,” said Carr. Countries like Argentina, Chile, and Uruguay are 90 percent urban, while countries like Guatemala, Ecuador, and Bolivia are about 50 percent urban. However, despite this rapid urbanization and declining population growth at the national level, rural areas in Latin America are still experiencing high fertility rates and significant forest loss. So how are these trends related?
In his analysis of more than 16,000 municipalities in Latin America, Carr found “no statistical significance between population change at the municipal level and woody vegetation change at the municipal level.” Yet this lack of connection does not mean population growth and deforestation are unrelated, but instead indicates “a problem of place and scale,” he said. Within countries or even within municipalities, there are huge variations in fertility rates. Rural areas, which generally have larger families, more agricultural expansion, higher population growth, and lower population density, account for higher impact per capita on forests.
“Less than one percent of the population of Guatemala moves to any rural frontier at all,” said Carr, “yet that small, tiny fraction of the population has a disproportionate impact on the forests, and that is true throughout Latin America.” Carr also distinguished between the private sector primarily converting secondary forest for corporate agriculture and subsistence farmers clearing old growth forest.
Indigenous Lands Are Key to the Future
There are generally two groups of people on the frontier: indigenous people and “colonists,” who move in to take advantage of undeveloped land. Indigenous people, by and large, act as “stewards of the forests,” exhibiting lower rates of deforestation and forest fragmentation then colonists, Bremner said. “They do have a very protective effect, largely because they are excluding others from those lands.”
Indigenous communities tend to be “common property institutions” with an informal or cultural set of rules and traditions facilitating land use, said Bremner. They are “really good at mobilizing against external threats,” he said, which results in a protective effect over the forest. In the Amazon, for example, “indigenous lands, in the context of all of this colonization and deforestation that is happening, are now seen as key to the future,” he said.
However, as indigenous population growth and growing agricultural and industrial expansion change indigenous communities and livelihoods, more formal rules must be developed to govern land use. If indigenous communities “are the protective factor, then we need to know how to protect them,” said Bremner.
There are few demographic surveys of rural communities, but one of nearly 700 women in the Ecuadorian Amazon found the total fertility rate of indigenous women to be seven to eight children per woman. “Fifty percent of indigenous women didn’t want to have another child…of that 50 percent, 98 percent were not using a modern method of contraception,” Bremner said. “Responding to these women’s needs, I think, would go a long way in terms of changing the future of these communities.”
Guatemala: Reducing Fertility By Thinking Outside the Box
Grandia, with support from Conservation International and ProPeten, conducted a study of population and environment connections as part of the Demographic and Health Survey (DHS) of Peten, a sparsely populated and highly biodiverse municipality of Guatemala. The 90,000 people living in the protected area in this park had “literally no family planning services,” said Grandia, and their population was on track to double within 20 years.
Using the DHS data, Grandia and ProPeten created a “somewhat eclectic population and environment program” that integrated many of the concerns of indigenous Maya communities in Peten, called Remedios. Remedios focused on a diverse set of issues, including agriculture, education, maternal and child health, family planning, and gender issues, and included projects like a “traveling education-mobile” and Between Two Roads, a bilingual radio soap opera in Spanish and Q’eqchi’ Maya, which used the story of a conflict between midwife and cattle rancher in a frontier community “to touch on a whole range of social and environmental issues.”
“As a result of our efforts…the total fertility rate dropped from 6.8 in 1999 to 5.8 in 2002, and in the most recent DHS it had fallen to 4.3,” said Grandia. She credited this success in part to the fact that the programs were “so cross-cutting across many of those schools of thought.” Yet the integration of a diverse range of issues also caused a split between the field-based ProPeten and the DC-based Conservation International, who wanted a more “narrow focus” on family planning and conservation, she said.
“Sometimes working outside the box can have unexpected results,” said Grandia. The population-environment movement could learn from the American environmentalist movement’s evolution from “an elite movement” into a “broader-based socially dynamic movement that involved new constituencies,” she said.
“Population and environment has often begged the articulation of a third field,” said Grandia. “How you fill in that blank often reflects the kind of development interventions you deem appropriate.” Perhaps “justice” should be considered “a new critical third paradigm,” she said.
Sources: Population Reference Bureau, World Bank.
Photo Credit: “Chevron’s Toxic Legacy in Ecuador’s Amazon,” courtesy of flickr user Rainforest Action Network. -
Ruth Siyage, PHE Champion
Promoting Family Planning and Livelihoods for a Healthy Environment in Uganda
›This PHE Champion profile was produced by the BALANCED Project.
Meet 32 year old Ruth Siyage – a wife, mother, peasant farmer, shop owner, and population, health, and environment (PHE) champion. Ruth, her husband, Siyage Benon, and their three healthy daughters – ages 3, 6, and 11 – live about an hour from Bwindi Impenetrable National Park (BINP) in Uganda’s Kanungu District. The 33,000-hectare BINP is a World Heritage Site known for its exceptional biodiversity – with over 200 species of trees, 100 species of ferns, 350 species of birds, 200 species of butterflies, as well as many endangered species, including the mountain gorilla.
In addition to being a peasant farmer who grows potatoes, millet, beans, and groundnuts to feed her family, Ruth also has a small shop in the nearby trading center where she sells groceries and interacts with most of her friends. Ruth first learned of and embraced the PHE approach through a neighbor and local community volunteer, Mrs. Hope Matsiko – one of 29 PHE volunteers trained by the Conservation Through Public Health (CTPH) programs.
Ruth recalls:Hope used to approach us and tell us about family planning. Others refused to listen, but I took it up. Before, I used to refuse to go to Kajubwe Health Center for services and never got information because it was so far away. However, when Hope, the local volunteer, who is also my neighbor, visited me at home, I got more information about family planning. She also counseled me on the methods I could use, which was best for my health and how to use it. I now use family planning.
As a new champion, Ruth uses several ways to teach her community about family planning and PHE activities. One way is through face-to-face discussions with individuals attending village meetings. She focuses on women she sees often and who she knows have closely-spaced pregnancies. Recently, three of these women started using modern contraceptives.Ruth also spreads her PHE messages through her work with the local women’s association, Kishanda Bakyara Twebiseho (Kishanda Women Livelihoods Association), as an active member of a local church, and as a local village council member. In the council, she is in charge of teaching about agriculture and the environment – a perfect opportunity to share her PHE messages about the linkages between population, health, and the environment. Ruth is a great model of the benefits of taking a PHE approach, with her well-spaced pregnancies – which have helped ensure her own reproductive health and that of her three daughters – and her teaching of others, from what she now knows about the need to keep ourselves and our environment healthy to the impacts of each on the other.
Ruth says she believes that through a PHE approach much can be done and has been done:By teaching people about safe water use, I believe that we can stop diarrhea diseases. And by teaching about sanitation, we can help prevent diseases such as malaria, tuberculosis, and worms. Now my neighbors seldom get sick. We have a fairly healthy life. When we are not sick, we do not have to sell our goats and land to buy medicine. And when we plan our families, we are better able to care for and educate our children. Through our community sensitization, people now even understand the importance of gorilla conservation.
Ruth is especially appreciative of the CTPH program, which first taught her about and then turned her into an advocate for the integrated PHE approach.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: Silverback mountain gorilla named Mwirima with a juvenille gorilla from the Rusguguar group near Bwindi Impenetrable National Park, and Ruth and her son in their shop in rural Uganda, courtesy of CTPH. -
Eliya Zulu on Population Growth, Family Planning, and Urbanization in Africa
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“The whole push for population control or to stabilize populations in Africa in the ’70s and the ’80s mostly came out of the West,” said Eliya Zulu of the African Institute for Development Policy (AFIDEP) in this interview with ECSP. Then new research brought to light the fact that many women in Africa actually wanted to control their fertility themselves, but they didn’t have access to family planning.
“It kind of put the African leaders who really didn’t want to talk anything about fertility control and so on in a fix,” Zulu said. “Because all of sudden now it was the African women themselves who are saying we need these services – it was not an imposition from the West.”
Based in Nairobi, Kenya, Zulu said that part of what he does at AFIDEP is “try to get African countries to think about the future.” Current economic growth in parts of Africa simply can’t match population growth, but improving access to family planning and child/maternal health infrastructure can greatly reduce fertility rates – and quickly.
“The question for Africa is: Are we going to be ready? And we need to prepare,” said Zulu. “For that to happen it’s not just about saying ‘let’s have fewer children.’ I think we also need to do this from a social developmental perspective where we also look at ways in which we can improve the quality of the population, empower women, invest in education, and so on.”
Four Factors of Success
There are several factors that are critical for successful family planning and child/maternal health efforts, said Zulu: strong political leadership, sustained commitment over time, financial investment (research has shown that over 90 percent of women in sub-Saharan Africa cannot afford contraceptives), and strong accountability mechanisms for monitoring performance of programs and use of resources.
“There are a number of countries that have shown that, even with the limited resources that Africa has, that with all the problems that Africa has, if you really emphasize those four factors that I mentioned, you can actually achieve very, very positive results,” Zulu said.
Rapid Urbanization and the Growth of Urban Poverty
Rapid urbanization is one of Africa’s biggest challenges, said Zulu. “Africa is the least urbanized region of the world now, but it’s growing at the highest rate.” If you look at historical examples from the West and Asia, “urbanization is supposed to be a good thing; urbanization has been a driver of economic development,” he said, but “the major characteristic of urbanization in Africa has been the rapid growth of urban poverty.”
“If the economies are not going to develop the capacity to absorb this population and create enough jobs for them, there’s going to be chaos, because you can’t have all these young people without having jobs for them,” said Zulu. “The challenge for many African governments is how to have sustainable urbanization and how to transform our cities into agents of development.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Albert Lotana Lokasola, PHE Champion
Improving Health and Preserving Ecosystems in the Democratic Republic of Congo
›This PHE Champion profile was produced by the BALANCED Project.
In the remote forests of the Democratic Republic of Congo (DRC), Albert Lotana Lokasola is helping improve livelihoods by bringing much-needed health services to the communities living in and around the Kokolopori Bonobo Reserve. Officially recognized by the DRC government in May 2009, the reserve is a high biodiversity wilderness area covering an area about the size of Rhode Island (4,785 square kilometers).
Located 300 miles southwest of Kisangani, the reserve contains bonobos, a rare and highly endangered great ape species that is as closely related to humans as chimpanzees. In addition, the reserve is highly valued for its biodiversity, including several other flagship species such as leopards, elephants, Congo peafowl, Tshuapa red colobus, and Salonga monkeys.
Lokasola founded a nationally recognized organization called Vie Sauvage, or “Wild Life” in English. He serves as the president of the organization and works with international organizations to foster conservation and rural development in an integrated, holistic approach. As a native of Kokolopori, he believes that “the forest, men, and wildlife live together and should be protected together.”
In partnership with local residents and supported by the Bonobo Conservation Initiative, Lokasola and Vie Sauvage established the first medical clinic in the area in 2006. They garnered support for a doctor, nurses, and supplies from the Indigo Foundation in Australia and the Kokolopori-Falls Church Sister City Partnership.
Before the clinic was founded, community members had to walk or bicycle more than 50 miles to get to the nearest hospital in the territorial capital of Djolu. Now the Kokolopori clinic serves the 8,000 people who live in 30 villages along a 40-mile road in the reserve. One of the clinic’s goals is to help improve women’s health by training and equipping midwives and by providing access to other health services. Malaria and poor nutrition contribute to high maternal and child mortality, and women in Kokolopori do not yet have access to reproductive health services such as family planning.
Vie Sauvage articulates integrated health and conservation messages through their community education projects. They are also working with the community to prevent malnutrition by planting fruit trees in agroforestry fields to produce supplemental food supplies. At the same time, these trees will create corridors for wildlife movement and protect the genetic flow. They also create a sound micro-climate for people, sequester carbon dioxide, and filter the air. Through these efforts, Vie Sauvage and the people of Kokolopori are demonstrating the critical links between human well-being and conservation.
Vie Sauvage has garnered resources and participation from diverse partners (like the Kokolopori-Falls Church Sister City Partnership and the Indigo Foundation, mentioned above) which work together to support the clinic and fund medical staff salaries, training, supplies and equipment, and infrastructure improvements.
According to Lokasola, Vie Sauvage and partners are currently exploring potential partnership opportunities to integrate family planning and reproductive health into existing activities. His hope is that by providing these much-needed services, the community will be healthier and critical ecosystems will be sustainably preserved.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: Building along the road in Kokolopuri village serves as a messsage drum for sending messages from one village to the next, courtesy of Ingrid Schulze and the BALANCED Project. -
Watch: Joan Castro on Resource Management and Family Planning in the Philippines
›January 27, 2011 // By Wilson Center Staff“Sixty-percent of Filipinos live in the coastal areas,” said Joan Castro, executive vice president of PATH Foundation Philippines, Inc., in an interview with ECSP, and dwindling fish stocks are an issue across the archipelago. “With increasing population, the food that goes on the table for a lot of families in these coastal communities was an issue, so food security was the theme of the IPOPCORM project.”
IPOPCORM (standing for “integrated population and coastal resource management”) was started in 2000 and ran for six years. It sought to address population, health, and the environment (PHE) issues together in rural, coastal areas of the Philippines.
“When we started IPOPCORM, there was really nothing about integrating population, health, and environment,” Castro said. 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.
The PATH Foundation worked with local governments and NGOs to establish a community-based family planning system while also strengthening local resource management. The results showed a decrease in unmet need for family planning and also improved income among youth in the remote areas they worked in.
Today, Castro also serves as the PHE technical assistance lead of the Building Actors and Leaders for Advancing Community Excellence in Development (BALANCED) project – a USAID initiative transferring PHE know-how to regions of East Africa and Asia.
