Showing posts from category family planning.
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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. -
Sam Rugaba, PHE Champion
Encouraging Childhood Education and Birth Spacing as an Approach to Conservation
›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.
