Showing posts from category funding.
-
Maintaining the Momentum: Highlights From the 2012 London Summit on Family Planning
›
This summer, 26 countries and private donors met at the London Summit on Family Planning to pledge $2.6 billion to expand family planning services to 120 million more women in the poorest countries around the world. But while the summit renewed focus on reproductive health with its ambitious target, “we’re now at that point where we have to really sit down and work through” how to achieve that goal, said Julia Bunting of the UK’s Department for International Development at the Wilson Center on September 17. [Video Below]
-
Lawrence K. Altman, The New York Times
A World Without AIDS, Still Worlds Away
›August 6, 2012 // By Wilson Center Staff
The original version of this article, by Lawrence K. Altman, appeared on The New York Times.
Is the world on the verge of ending the AIDS epidemic and creating an AIDS-free generation, even though a cure and a vaccine are still distant hopes?Yes, roared enthusiasts among the nearly 24,000 participants at the 19th International AIDS Conference here last week. Their hopes are based on the extraordinary scientific gains made since the conference was last held in the United States, 22 years ago, when an AIDS diagnosis was a sure death sentence.
Among those gains: antiretroviral drug combinations for women to prevent infection of their newborns; drugs to treat and prevent infection with HIV, the virus that causes AIDS, among adults; and evidence that voluntary male circumcision can reduce the risk of female-to-male transmission by 50 to 60 percent.
Today, HIV has become a chronic disease that, if treated appropriately, can be held at bay in a newly infected young adult for decades — if the patient adheres to the rigid daily drug regimen.
Continue reading on The New York Times.
Lawrence K. Altman is a senior scholar for the Woodrow Wilson Center’s United States Studies Program.
Photo Credit: “Secretary of State Hilary Rodham Clinton speaks at the International AIDS Conference,” courtesy of Roxana Bravo/World Bank. -
Pop at Rio+20: Despite Failure Narrative, Progress Made at Rio on Gender, Health, Environment Links
›July 13, 2012 // By Sandeep BathalaA month ago this weekend I boarded a plane to Rio de Janeiro for the UN Conference on Sustainable Development. Over the past few weeks, I have had some time to reflect on the amazing (and exhausting) experience afforded to me. Unfortunately, the final Rio+20 outcome document (considered by some to be misnamed as “The Future We Want”) failed to recognize the connections between reproductive rights and sustainability. However, since I returned I’ve also found myself in conversations with colleagues eager to celebrate the successes of the conference.
Jason Bremner, program director at Population Reference Bureau, reminds me that the initial “zero draft document” that was circulated prior to Rio had absolutely no mention of reproductive health, family planning, or population. “Though the ultimate conference document wasn’t a success by many measures, I commend the efforts of the many advocacy organizations that resulted in the inclusion of reproductive health and family planning as a key aspect of sustainable development,” he said.
Other wins were recognized at Rio as well. On a panel organized by the International Planned Parenthood Federation, Brazilian Minister of Policies for Women Eleonora Menicucci de Oliveira pointed out that the presence of women this year was much stronger than at the 1992 conference. And she stressed that the overall importance placed on the reduction of poverty will have a big impact for women.
Though the official language was weakened in the final outcome document, there was much more support expressed at side events and off the record conversations. Speaking at the same event as Oliveira, Christian Friis Bach, Minister for Development Cooperation in Denmark, said that “one leader after another has stood up for reproductive rights, and we’ve started a campaign which will go on until ICPD+20.”
In fact, as the Wilson Center’s Brazil Institute Director Paulo Sotero points out, there was a great deal of progress made by non-government representatives alongside the main conference:I left Rio more hopeful about the future than the official part of Rio+20 would allow. As governments clearly fumbled in the face of the complex challenges of imagining and building a more equitable and sustainable economic growth model in the decades ahead, I saw senior business executives and leaders of civil society engaged in intelligent and productive dialogue about difficult issues at hundreds of thematic panels held at the Corporate Sustainability Forum and other sessions held in Rio.
I felt the same energy. And many groups there seemed to already be planning for next steps.
On the first day of side events I attended, members of the Population and Climate Change Alliance discussed strategies to ensure that in the post-2015 (i.e. post-Millennium Development Goals) international development agenda sexual and reproductive health and rights are explicitly recognized as core to sustainable development. The panel included Mialy Andriamahefazafy of Blue Ventures Madagascar, Joan Castro of PATH Foundation Philippines, Inc., and Negash Teklu of PHE Ethiopia Consortium, who all shared examples of efforts in their countries to integrate reproductive health with other sustainable development programs.Joan Castro on PATH Foundation’s work in the Philippines
The Rio+20 conference was, at the very least, a re-affirmation of the tenets set down by the ‘92 Earth Summit – that is, that there is middle ground between full-tilt economic development and uncompromising environmentalism, called “sustainable development,” and we ought to be moving towards it. It was also a fantastic gathering place for disparate groups of people to come together on to similar issues and to build momentum and networks on their issues.
For those hoping to see a stronger link recognized between reproductive rights, population, and the environment, the good news is that elsewhere, awareness and momentum seems to be growing. Just this week, The Bill and Melinda Gates Foundation joined the United Kingdom, United States, France, Germany, the Netherlands, South Korea, Norway, Sweden, and Australia to pledge more than $2.6 billion towards meeting global unmet for contraceptives. And the connection to development was explicit: “Contraceptives are one of the best investments a country can make in its future,” reads the summit website.
Coincidence to have followed so closely behind a “disappointing” Rio outcome? Perhaps not.
Sources: The Bill and Melinda Gates Foundation, Estado, UN Conference on Sustainable Development.
Photo Credit: “UN Women Leaders Forum at Rio+20,” courtesy of UN Women. -
Gates Foundation Spearheads London Summit on Family Planning
›July 12, 2012 // By Carolyn Lamere
“Given the option, [women in developing countries] will have fewer children,” said Melinda Gates in a TEDxChange talk in April. “The question is: are we going to commit to helping them get what they want now? Or are we going to condemn them to some century-long struggle, as if this were still revolutionary France and the best method was still coitus interruptus?”
Wednesday, The Bill and Melinda Gates Foundation followed through on Gates’ pledge, helping to raise more than $2.6 billion at the London Summit on Family Planning as part of an ambitious goal of helping 120 million additional women in developing countries gain access to contraception by 2020. The summit was co-hosted by the UK Department for International Development and garnered support from other foundations and governments, including the United States, France, Germany, the Netherlands, South Korea, Norway, Sweden, and Australia.
To quote the Population Institute’s Robert Walker on Dot Earth, this is a big deal:Many of the challenges that we face (hunger, severe poverty, energy, food, carbon emissions) are seemingly intractable. Population growth, which is a challenge multiplier, is not intractable. Far from it. There are proven highly cost-effective means of lowering fertility rates: providing access to contraceptives, keeping girls in school, ending child marriage practices, and changing social norms (including attitudes toward women and desired family size) through entertainment media.
The focus on family planning for the Gates Foundation – one of the largest philanthropic organizations in the world – is relatively new (though their commitment to global health and development is not). Melinda Gates announced a commitment to maternal health in 2010, and the foundation first issued a family planning strategy in April of this year.
The move has been unwelcome by some, particularly some Catholic institutions who object to family planning. But Gates has been adamant that contraceptives “should be a completely non-controversial topic.” She argues that 90 percent of Americans find contraceptives “morally acceptable,” including herself and many other Catholics, so there is no reason for the taboo around international aid for family planning to continue.
“We’re not going to agree about everything, but that’s OK,” said Gates in a recent interview with CNN.
In the TEDxChange talk, which helped launch this year’s push, she credits her upbringing for instilling a strong sense of social justice. During her travels with the Gates Foundation, one woman from a slum in Nairobi told her, “I want to bring every good thing to this child before I have another.” That statement resonated with Gates: “We all want to bring every good thing to our children,” she said. “But what’s not universal is our ability to provide every good thing for our children.” Gates pointed to contraception as a way for families to plan for their future and manage their resources. She recognized the controversial history of family planning as population control, but argued that this new initiative is about providing choices to individuals, not imposing values.
Gates remains confident that as long as the foundation makes its mission clear, people will rally behind the cause.
“We’re not talking about abortion. We’re not talking about population control. What I’m talking about is giving women the power to save their own lives, to save their children’s lives, and to give their families the best possible future.”
Sources: BBC, The Bill and Melinda Gates Foundation, CNN, Catholic Family and Humans Rights Institute, Catholics For Choice, Dot Earth.
Video Credit: TEDxChange. -
Nabeela Ali on How PAIMAN Is Improving Maternal Health in Pakistan
›“Maternal mortality is a very complex thing – it’s not just patient-doctor relationships, it has so much to do with behaviors, with communities, with the household, with family members,” said Nabeela Ali, chief of party for the Pakistan Initiative for Mothers and Newborns (PAIMAN), which received USAID maternal and child health funding from 2004 to 2010.
Pakistan is the world’s sixth most populous country, yet has long held one of the world’s highest maternal mortality rates. Ali spoke at the Wilson Center last fall about strategies to better engage faith-based organizations on maternal and child health issues. In this interview with ECSP, she stressed that despite Pakistan’s very religious society, these interventions are possible with the right messaging.
PAIMAN aims to reach vulnerable and isolated groups, including poor, rural, or conservative women. “The areas where no one can reach [are] where we targeted,” Ali said.
In these areas, ulama – influential religious leaders and scholars – are highly trusted. “It was not a one-size-fits-all strategy,” Ali emphasized. “Religious leaders are not technical people, but they are experts in their own field. You have to approach them with trust and respect.”
“The first step is establishing rapport with them; then they listen to you,” said Ali. This is best done through another alim, not a technical person. Those ulama that were approachable proved to be valuable allies in the promotion of maternal health. PAIMAN has reached over 35 million people in Pakistan over its now eight-year run.
Projects like PAIMAN are necessary in areas of the world where religious leaders are the most respected community authorities. In Pakistan, Ali believes that now that this strategy has been demonstrated to be viable, the government should help bring it to scale. An NGO-funded project ends, but a government-funded program has much more continuity, which in turn helps build trust with local leaders, she said.
Sources: UN Population Division. -
Karen Newman: Rio+20 Should Re-Identify Family Planning As a Core Development Priority
›April 25, 2012 // By Kate DiamondEnergizing people around family planning can be difficult, “because donors, like everyone else, like something that’s new,” said Karen Newman, coordinator for the UK-based Population and Sustainability Network. “There’s nothing new about family planning. The technology is safe, effective, it’s acceptable, and it works. We just need a lot more of it out there to be accessible to a lot more people.”
Newman spoke to ECSP at the 2012 Planet Under Pressure conference about her hopes for the upcoming Rio+20 sustainable development conference, which marks the 20-year anniversary of the UN Earth Summit.
“What we want is increased investment in voluntary family planning services that respect and protect rights,” Newman said, “and I think that Rio represents a fabulous opportunity for us to re-identify family planning as a core development priority.”
Newman also hopes the Rio conference will lead to “an integrated look at sustainable development, so that… it isn’t just about the green economy and institutional framework, it’s looking at sustainable development in the round.”
Government development programs and policymakers need to adapt their bureaucratic processes to the kinds of integrated programming being carried out on the ground, she said. In Madagascar, for example, conservation group Blue Ventures leads an integrated PHE program that cuts across marine conservation, family planning, and healthcare sectors. “Now I defy you to find an EU budget line that would be broad enough to embrace marine conservation and family planning in the same project line,” said Newman.
“The first thing we need is that level of integrated thinking – not just in Rio, but also in the way that we conceptualize the work that needs to be done and we facilitate the availability of funding streams that can fund that kind of integrated program.”
Lastly, Newman hopes that the summit in and of itself is successful because of its implications for future development work. As the world gears up to create the next big framework for global development to follow the Millennium Development Goals, Rio is uniquely positioned to set a baseline for what matters and for what the development community is capable of accomplishing.
“What I want to see is a really sophisticated look at sustainable development, coming up with sustainable development goals in a world that makes sense of seven billion, where there are still millions of women without access to the family planning services that we take for granted,” said Newman, “and taking that concept to the job of developing the post-MDG framework that will frame development for the next 20 years.” -
Kavita Ramdas: Why Educating Girls Is Not Enough
›
“I’m a big proponent of girl’s education. I believe that it’s a very important and a very valuable human rights obligation that all countries should be meeting,” said Kavita Ramdas, executive director for programs on social entrepreneurship at Stanford University, at the Wilson Center. However, “in the past seven to eight years we have found ourselves in a situation where there’s kind of an enchantment with girl’s education, as though it were the new microenterprise magic bullet to solve everything from poverty, to malnourishment, to inequality.”
“The outcomes that we ascribe to girl’s education…are not anything that I would argue with,” she said, yet, this enchantment “has happened simultaneously with a significant drop in both funding and support for strategies that give girls and women access to reproductive health and choices, particularly family planning.”
This is a problem, said Ramdas, because we cannot rely on education alone to do all the heavy lifting required to empower women.
“I think it’s important for us to recognize that there are societies where girls and women have achieved significantly high levels of education in which gender inequality remains,” she said, “for example, places like Japan and Saudi Arabia, where you have high per capita income, high levels of education, and yet…where women and girls are still marginalized and on the edges in terms of decision making.”
“I don’t think we have to wait for one to be able to do the other,” she said. “As we support programs for girls’ education, we also need to demand that those programs be buttressed by strong programs in adolescent health, strong programs in sex education, strong programs that actually provide girls and women with access to family planning and contraception.” -
USAID’s New Climate Strategy Outlines Adaptation, Mitigation Priorities, Places Heavy Emphasis on Integration
›February 29, 2012 // By Kathleen MogelgaardIn January, the U.S. Agency for International Development released its long-awaited climate change strategy. Climate Change & Development: Clean Resilient Growth provides a blueprint for addressing climate change through development assistance programs and operations. In addition to objectives around mitigation and adaptation, the strategy also outlines a third objective: improving overall operational integration.
The five-year strategy has a clear, succinct goal: “to enable countries to accelerate their transition to climate-resilient low emission sustainable economic development.” Developed by a USAID task force with input from multiple U.S. agencies and NGOs, the document paints a picture of the threats climate change poses for development – calling it “among the greatest global challenges of our generation” – and commits the agency to addressing both the causes of climate change and the impacts it will have on communities in countries around the world.
These statements are noteworthy in a fiscal climate that has put development assistance under renewed scrutiny and in a political environment where progress on climate change legislation seems unlikely.
Not Just Challenges, But Opportunities
To make the case for prioritizing action on climate change, the strategy cites climate change’s likely impact on agricultural productivity and fisheries, which will threaten USAID’s food security goals. It also illustrates the ways in which climate change could exacerbate humanitarian crises and notes work done by the U.S. military and intelligence community in identifying climate change as a “threat multiplier” (or “accelerant of instability” as the Quadrennial Defense Review puts it) with implications for national security.
Targeted efforts to address climate change, though, could consolidate development gains and result in technology “leap-frogging” that will support broader development goals. And, noting that aggregate emissions from developing countries are now larger than those from developed countries, the strategy asserts that assisting the development and deployment of clean technologies “greatly expands opportunities to export U.S. technology and creates ‘green jobs.’”
In addition to providing a rationale for action, the strategy provides new insights on how USAID will prioritize its efforts on climate change mitigation and adaptation. It provides a clear directive for the integration of climate change into the agency’s broader development work in areas such as food security, good governance, and global health– a strong and encouraging signal for those interested in cross-sectoral planning and programs.
Priorities Outlined, Tough Choices Ahead
President Obama’s Global Climate Change Initiative, revealed in 2010, focuses efforts around three pillars: clean energy, sustainable landscapes, and adaptation. USAID’s climate strategy fleshes out these three areas, identifying “intermediate results” and indicators of success – such as the development of Low Emission Development Strategies in 20 partner countries, greenhouse gas sequestration through improved ecosystem management, and increasing the number of institutions capable of adaptation planning and response.
In laying out ambitious objectives, however, the authors of the strategy acknowledge constrained fiscal realities. The strategy stops short of identifying an ideal budget to support the activities it describes, though it does refer to the U.S. pledge to join other developed countries in providing $30 billion in “fast start financing” in the period of 2010 to 2012 and, for those USAID country missions that will be receiving adaptation and mitigation funding, establishes “floors” of $3 million and $5 million, respectively.
The final section of the strategy lists over thirty countries and regions that have already been prioritized for programs, including Bangladesh, India, Kenya, Malawi, and Peru. But “we are unable to work in every country at risk from climate change impacts or with the potential for low carbon sustainable growth,” the strategy asserts. An annex includes selection criteria to guide further funding decisions, including emission reduction potential, high exposure to physical climate change impacts, a suitable enabling environment, coordination with other donors, and diplomatic and geographic considerations.
“Integration” Central to Strategy
The concept of integration figures prominently throughout the 27-page document. For those of us working in the large and growing space where the global challenges of climate change, food security, health, livelihoods, and governance overlap, this attention is heartening. While it may sometimes seem simply fashionable to pay lip service to the idea of “breaking out of stovepipes,” the strategy identifies concrete ways to incentivize integration.
“Integration of climate change into USAID’s development portfolio will not happen organically,” the strategy says. “Rather, it requires leadership, knowledge and incentives to encourage agency employees to seek innovative ways to integrate climate change into programs with other goals and to become more flexible in use of funding streams and administrative processes.”
To this end, USAID plans to launch a group of pilot activities. USAID missions must submit pilot program proposals, and selected programs will emphasize integration of top priorities within the agency’s development portfolio (including Feed the Future and the Global Health Initiative). Among other criteria, pilots must demonstrate buy-in from multiple levels of leadership, and will be selected based on their potential to generate integration lessons and tools over the next several years.
This kind of integration – the blending of key priorities from multiple sectors, the value of documented lessons and tools, the important role of champions in fostering an enabling environment – mirrors work carried out by USAID’s own population, health, and environment (PHE) portfolio. To date, USAID’s PHE programs have not been designed to address climate challenges specifically, and perhaps not surprisingly they aren’t named specifically in the strategy. But those preparing and evaluating integration pilot proposals may gain useful insights on cross-sectoral integration from a closer look at the accumulated knowledge of more than 10 years of PHE experience.
Population Dynamics Recognized, But Opportunities Not Considered
Though not a focus of the strategy, population growth is acknowledged as a stressor – alongside unplanned urbanization, environmental degradation, resource depletion, and poverty – that exacerbates growing challenges in disaster risk reduction and efforts to secure a safe and sufficient water supply.
Research has shown that different global population growth scenarios will have significant implications for emissions growth. New analysis indicates that the fastest growing populations are among the most vulnerable to climate change and that in these areas, there is frequently high unmet need for family planning. And we have also clearly seen that in many parts of the world, women’s health and well-being are increasingly intertwined with the effects of changing climate and access to reproductive health services.
In its limited mention of population as a challenge, however, the strategy misses the chance to identify it also as an opportunity. Addressing the linked challenges of population growth and climate change offers an opportunity to recommit the resources required to assist of the hundreds of millions of women around the world with ongoing unmet need for family planning.
The strategy’s emphasis on integration would seem to be an open door to such opportunities.
Integrated, cross-sectoral collaboration that truly fosters a transition to climate-resilient, low-emission sustainable economic development will acknowledge both the challenge presented by rapid population growth and the opportunities that can emerge from expanding family planning access to women worldwide. But for this to happen, cross-sectoral communication will need to become more commonplace. Demographers and reproductive health specialists will need to engage in dialogues on climate change, and climate specialists will need both opportunities and incentives to listen. USAID’s new climate change integration pilots could provide a new platform for this rare but powerful cross-sectoral action.
Kathleen Mogelgaard is a writer and analyst on population and the environment, and a consultant for the Environmental Change and Security Program.
Sources: FastStartFinance.org, International Energy Agency, Maplecroft, Population Action International, The White House, U.S. Department of Defense, USAID.
Photo Credit: “Displaced Darfuris Farm in Rainy Season,” courtesy of United Nations Photo.
