Showing posts from category funding.
-
Panetta: Diplomacy and Development Part of Wider Strategy to Achieve Security; Will They Survive Budget Environment?
›Leon Panetta – newly minted secretary of defense and former director of the CIA – gave one of his first public policy addresses yesterday at the Woodrow Wilson Center addressing national security priorities amidst a constrained budgeting environment (see video here). Under the debt ceiling agreement recently agreed to by Congress, the Pentagon is expected to achieve around $450 billion in spending cuts over the next 10 years.
Most of Secretary Panetta’s speech focused on “preserving essential capabilities,” including the ability to project power and respond to future crises, a strong military industrial base, and most importantly, a core of highly trained and experienced personnel.
But he also touched on the other two “D” s besides defense – diplomacy and development: “The reality is that it isn’t just the defense cuts; it’s the cuts on the State Department budget that will impact as well on our ability to try to be able to promote our interests in the world,” Panetta said in response to a question from ECSP Director Geoff Dabelko:National security is a word I know that we oftentimes use just when it comes to the military, and there’s no question that we carry a large part of the burden. But national security is something that is dependent on a number of factors. It’s dependent on strong diplomacy. It’s dependent on our ability to reach out and try to help other countries. It’s dependent on our ability to try to do what we can to inspire development.
Panetta’s backing of diplomacy and foreign aid as an extension of U.S. national security strategy is a continuation of vocal support by former Chairman of the Joint Chiefs of Staff Mike Mullen, former Secretary of Defense Bob Gates, and others at the Pentagon, but the bigger issue remains convincing Congress, where the State Department has become a popular target for budget cutters.
If we’re dealing with Al Qaeda and dealing with the message that Al Qaeda sends, one of the effective ways to undermine that message is to be able to reach out to the Muslim world and try to be able to advance their ability to find opportunity and to be able to seek…a better quality of life. That only happens if we bring all of these tools to bear in the effort to try to promote national security.
We’ve learned the lessons of the old Soviet Union and others that if they fail to invest in their people, if they fail to promote the quality of life in their country, they – no matter how much they spend on the military, no matter how much they spend on defense, their national security will be undermined. We have to remember that lesson: that for us to maintain a strong national security in this country, we’ve got to be aware that we have to invest not only in strong defense, but we have to invest in the quality of life in this country.
Perhaps the more useful question going forward is one of priorities. Clearly there will be (and already is) less money to go around, and the Defense Department is one of the largest outlays, while State is much smaller – the military’s FY 2012 budget request was $670.9 billion; the State Department’s, $50.9 billion. So the question is: when push comes to shove, will Secretary Panetta be able to sustain his support for diplomacy and development budgets if it means larger cuts at DOD?
Sources: Government Executive, Politico, U.S. Department of Defense, U.S. Department of State.
Photo Credit: David Hawxhurst/Wilson Center. -
Ben Ramalingam, Aid on the Edge of Chaos
The Complexity of Scaling Up
›October 11, 2011 // By Wilson Center StaffThe original version of this article, by Ben Ramalingam, appeared on Aid on the Edge of Chaos.
Despite increased prominence and funding of global health initiatives, attempts to scale up health services in developing countries are failing, with serious implications for achieving the Millennium Development Goals. A new paper argues that a key first step is to get a more realistic understanding of health systems, using the lens of complex adaptive systems.
Much ongoing work in development and humanitarian aid is based on the idea of “scaling up” effective solutions. Healthcare is one of the areas where this idea has played a central role – from the World Health Organization’s Health for All in the 1960s to UNICEF’s child healthcare programs, from rolling out HIV-AIDS, malaria and TB treatments to the package of interventions delivered to achieve the Millennium Development Goal on health.
However, despite the fact there are many cost-effective solutions to health problems faced in developing countries, many agencies are still frustrated in their attempts to deliver them at scale. This may be because of a widespread failure to understand the nature of health systems.
Continue reading on Aid on the Edge of Chaos.
Image Credit: Adapted from Table 1, “Understanding pathways for scaling up health services through the lens of complex adaptive systems,” Health Policy and Planning, Oxford University Press. -
Debts, Deficits, and Development
›The debates surrounding the U.S. national debt and deficit bring with them implications for both overall U.S. development policy and the budgets of USAID and the Department of State. These implications were the focus of the Wilson Center on the Hill event that took place on August 2, “Debts, Deficits, and Development,” moderated by Wilson Center Senior Scholar John Sewell. Sewell said that Congressional action on deficit reduction could potentially reduce funding for development-related initiatives just as the U.S. government “for the first time…is taking development and the notion of development very seriously.”
After an introduction from Sewell, Gordon Adams, distinguished fellow at the Henry L. Stimson Center, began by talking about the lack of attention that international affairs and the civilian side of U.S. international engagement usually receive in the government budget. He noted the growth in personnel and funding at USAID and the Department of State over the past ten years as a success, adding that a fair amount of this growth was related to the conflicts in Iraq and Afghanistan and the global effort against terrorist organizations.
“Foreign policy, development, foreign assistance, [and] diplomacy have increasingly been viewed as a key part of a broadly defined security budget,” said Adams. The first Quadrennial Diplomacy and Development Review had the potential to restructure the Department of State and USAID in line with these goals, he said, but lacked the force to prioritize programs and allocate funds effectively.
In post-conflict environments, Adams emphasized the need to build the capacity to govern effectively, efficiently, and accountably first. “Where we fall down,” added George Ingram, co-chair of the Modernizing Foreign Assistance Network, “is in rushing too much money in right as the conflict ends for two or three years and then getting distracted by other crises from year five to ten; when the country’s built up a capacity and probably could use the assistance, our interest falls off.” In his opinion, that sequencing should be reversed.
Focus on Priorities
Adams continued to emphasize the need for goals and priorities when he addressed the topic of belt-tightening at USAID or the Department of State. According to Adams, the four categories to consider in allocating resources are: security assistance; the individual priorities of foreign assistance and development funds; conflict prevention and resolution; and better preparation and training of personnel. He lauded the military’s commitment to training its servicemen and women throughout their careers and suggested a similar program for members of the Foreign Service. To coordinate these priorities, however, a coherent U.S. development strategy (currently lacking) is essential, said Ingram.
Focusing on how the current budget environment is impacting development, Ingram said that the decade of growth in the international affairs budget for development may have just hit a brick wall. He described the FY 2012 budget as “skewed heavily toward reducing the development accounts and protecting the security accounts,” resulting in an 11 percent overall cut from 2011 levels and some development accounts being reduced by 20 or 30 percent.
Ingram noted that USAID’s overall operating expenses were cut by 27 percent from FY 2011 levels. This operating expense reduction will likely halt planned increases in USAID staff and may ultimately lead to staff cuts. The failure to build up staff at USAID will reduce its ability to manage key development programs and slow the Department of Defense’s efforts to shift responsibilities for development work to civilian hands.
Adams added that in light of shrinking resources, legislators will probably ask supporters of development about the tangible outcomes of investment in development and about the link between development and American interests, so they should be prepared with answers. Ingram cited the successes of U.S. aid over the last decades – such as the Green Revolution and oral rehydration – and noted how they benefited from a long-term perspective rather than approaching development on a project-by-project basis.
Given the tumult in the Middle East since the start of the Arab Spring, the need for expertise in governance is high, said Adams. “The problem of governance in failing, fragile, weak, brittle authoritarian states,” he said, “is a great risk to stability.”
Event Resources:Erica Pincus is an intern at the Wilson Center’s Program on America and the Global Economy.
Image Credit: “Foreign Aid Spending,” courtesy of visual.ly user maggie, published by USAID. -
Watch: Younger Generation Will Prioritize Health, Education, Human Rights, Says Frederick Burkle
›June 7, 2011 // By Schuyler Null“Unfortunately, in the last two decades, when globalization became the mantra, it was primarily an economic mantra,” said Frederick Burkle, a senior fellow with the Harvard Humanitarian Initiative, visiting scientist at the Harvard School of Public Health, and senior public policy scholar at the Wilson Center. “The mantra was, ‘if you can improve the economy,” he said, “health, education, everything will follow.’”
“With the financial crisis, that proved not to be true,” Burkle said, and as a result, net expenditures in health and education have declined and the private sector, unfortunately, has not filled the gap.
“We really need to redefine globalization,” Burkle said. “And certainly economics will be there…but health, education, and human rights need to be just as dominant as the economics.”
Burke said he expects a gradual realignment of global priorities to come as younger generations come into decision-making roles. “They don’t have political clout right now,” he said, “but when they do…I think we’re going to see all these aspects that I mentioned – even the humanitarian profession becoming a career – accelerated.” -
USAID Egypt’s Health and Population Legacy Review
›On May 23 the Middle East Program, ECSP, and the Global Health Initiative of the Woodrow Wilson Center, along with the Global Health Technical Assistance Project, hosted a panel of speakers discussing the past 30 years of the U.S. Agency for International Development’s health and population initiatives in Egypt, as outlined in the new Egypt Health and Population Legacy Review. Geoffrey Dabelko, director of ECSP and coordinator of the Global Health Initiative at the Wilson Center, moderated the event. [Video Below]
Peter McPherson, former administrator of USAID during the Reagan administration, and George Laudato, the administrator’s special assistant for the Middle East, presented on the historical context behind USAID in Egypt and the results of their efforts. McPherson pointed to three lessons that can be drawn from the recent report:- “Big payoffs” require long-term efforts; and
- Economic support for a country can have a dramatic impact; but
- The host country’s commitments and investments are still important.
Motaz Zahran, political counselor for the Embassy of Egypt, noted that USAID efforts were “just one sector of a fruitful partnership” between the United States and Egypt that he hoped would continue. He said the success story outlined by the report was reflective of improvements in coordination and addressing specific goals.
Other panelists outlined the successes of USAID in Egypt as related to their own areas of expertise. Leslie B. Curtin, co-author of the review and an expert in demographics and health outcomes, noted the dramatic improvements in a range of health sectors, in particular the rise in contraceptive prevalence and immunization rates and decrease in both maternal and infant mortality rates.
Nahed Matta, MD, senior maternal and newborn health officer at USAID, focused on improvements to the quality of maternal health, which she said were made possibly through better technology and increased fact-gathering to identify the key factors regarding maternal health trends. Sameh El-Saharty, MD, senior health policy specialist at the World Bank and Health Legacy Review Committee member, credited the increased number of health professionals in Egypt, better information gathering on health systems, and restructured models of health insurance, as successful strategies.
Concluding the session, Amie Batson, deputy assistant administrator for Global Health at USAID, discussed the lessons that other development initiatives can draw from the legacy of USAID efforts in Egypt. She highlighted the importance of country ownership, in which the developing country engages with other institutions and religious and political leaders at both national and local levels, and of policies that fund routine monitoring and evaluation. She also outlined the possibilities of innovation and south-to-south sharing on the local and international scale, referencing inroads made by two recent initiatives: the “MAMA” mobile device program, launched by Secretary Clinton in May 2011 to assist with disseminating maternal health information, and the Saving Lives at Birth initiative, launched by USAID in partnership with several other organizations in March 2011.
Laura Rostad is an intern for the Middle East Program at the Woodrow Wilson Center.
Image Credit: Adapted from cover of the Egypt Health and Population Legacy Review, courtesy of USAID; cover photo courtesy of Leslie Curtin. -
Reporting on Global Health: A Conversation With the International Reporting Project Fellows
›“The story is the story, the information is the information, but you can frame it in very different ways,” said freelance journalist Annie Murphy at a roundtable discussion on the current state of global health reporting. Fresh off their five-week assignments, Murphy and three other fellows from the International Reporting Project (IRP) – Jenny Asarnow, Jill Braden Balderas, and Ann S. Kim – spoke at an event at the Woodrow Wilson Center on April 28 about their experiences researching underreported health issues in Haiti, Botswana, Mozambique, and Uganda. [Video Below]
Taking the Temperature of Global Health Reporting
Global health reporting, like many other forms of journalism, has felt the pinch from the global financial crisis, said Balderas, who edited a recent Kaiser Foundation report on the issue, “Taking the Temperature: The Future of Global Health Journalism.” Other challenges that have led to less global health coverage in mainstream media include an increased focus on “hyper-local” news; “story fatigue” from years of HIV/AIDS coverage; greater focus on epidemics and disasters; and the increasing number of advocacy groups starting their own news services.
Placing global health stories is a big challenge, agreed all four panelists. Who will want to run the story? What form – radio, documentary, print, online – will the story take? According to Murphy, some creative thinking may be needed: “It is global health, but that doesn’t mean we always have to frame it in this box of global health. It will be global health no matter what we do, so I think it’s also important for us to feed it into other events and issues that are important.”
(Re)building Maternal Healthcare in Haiti
With the worst maternal and infant mortality rates in the Western Hemisphere, Haiti needs medical providers of all kinds, said Asarnow, but especially skilled birth attendants. The devastating earthquake in 2010 destroyed Haiti’s only midwifery school, located in Port-au-Prince, killing many students and instructors. The school is still struggling to graduate a class of 15 people, she said.
In the rural town of Hinche, located in Haiti’s Central Plateau region, Asarnow frequently visited a public hospital that provided pregnant women with free obstetric care. Yet, she said, “even with free care, there [were] still a lot of barriers for women coming to the hospital to get care.” For example, the family members of expectant mothers had to provide sheets, clothing, food, and a bucket for personal needs. In addition, some women were too poor to afford transportation to and from the hospital.
Most women in Haiti, though, give birth at home with the help of traditional birth attendants, called matrones, Asarnow said. These matrones, popular in rural areas, are not formally educated in midwifery, but the government, along with non-profits such as Midwives for Haiti, have provided the matrones with training in basic health care and emergency situations.
Simply reporting on childbirth turned out to be a challenge, said Asarnow. “It’s hard to get people interested in something that just happens to most women,” she said; other more unusual health problems, such as infectious diseases, tend to garner more interest.
Finding Health Sovereignty in Mozambique
Health sovereignty, explained Murphy, is “the idea that nations have the right to make decisions about health and about how people are going to be treated” – an issue that is particularly pointed in Mozambique, where 50 percent of the national budget and 70 percent of the annual health budget is tied to international aid.
Mozambique, said Murphy, has only 1,000 doctors to serve a population of 22 million. By contrast, the country has an estimated 50,000 traditional healers. As a result, she said, most Mozambicans use traditional healing for at least part of their regular health care.
While researching traditional healers in the northern province of Tete, Murphy investigated a large Brazilian-owned coal mine that had displaced 5,000 local people when it was built. Mining is a major economic activity in Mozambique, yet mining companies are taxed a mere three percent by the government, said Murphy.
Health reporting doesn’t have to only cover traditional health issues, said Murphy. “The environment, natural resources, and how a country earns its money very much have to do with the health of the people who are living there,” she said. “How can you talk about being sovereign and providing health to your citizens if you don’t have the money to do that?”
Treating the Over-Treatment of Malaria in Uganda
“Malaria is quite over-treated” in Uganda, said Balderas. There’s the “idea that if you have a fever, you have malaria.” Consequently, the rate of misdiagnosis can reach alarming rates in some areas, she said.
Balderas said an estimated 50 percent of Ugandans get free treatment through the public sector. However, only donor-funded facilities are equipped with the rapid diagnosis test (or RDT), which takes only 20 minutes to determine the presence of malaria in a blood sample, she said. If these facilities were more widespread, misdiagnoses rates could easily be lowered.
Other challenges to the accurate diagnosis and treatment of malaria include faulty equipment, shortages of electricity and lab technicians, human error, corruption, bureaucratic entanglements, and presumptive diagnoses. For example, sometimes health workers do not know what is causing a patient’s fever, Balderas said, but they prescribe malaria treatments anyway because “they want to be able to give someone a treatment; they want to feel like they’re helping people.”
“There are certainly a ton of issues that relate to health,” Balderas said, such as poverty and corruption. Everyone she interviewed in Uganda – with the exception of government officials – identified the corruption in the country’s drug sector as a key problem.
Helping “Africa” One Small Story at a Time
Inspired by a World Health Organization study, which found “at least a 60 percent reduction in HIV infection among men who were circumcised,” Kim went to Botswana to investigate infant circumcision, a practice that is gaining popularity but is still alien. “I would meet people in the course of my day and they would ask me what I was doing there and I would talk about circumcision. They’d say, ‘Oh, I really want to get my baby circumcised. How do I do that?’” she reported.
The most powerful moment of her trip, said Kim, came when she was researching cervical cancer – the number one cancer among women in Botswana. As she waited with a woman to receive her lab results, Kim asked her if she was nervous. The woman, who was HIV-positive, said, “Yeah, I’m really worried. To me, it would be worse to get cervical cancer than to have HIV.” Even though Botswana is a middle-income country, said Kim, there are far more resources available to treat HIV than cancer.
Kim said that when presenting her work it was important for her to bring in the human element and not just the statistics: “I hope that, in whatever small way, even these small stories will help get issues in various countries on the map, especially in Africa where we tend to think of it as ‘Africa’ and not so much as different countries with different personalities and different situations.”
Sources: Malaria Journal, UNFPA, World Health Organization.
Image Credit: David Hawxhurst/Woodrow Wilson Center. -
Madagascar, Past and Future: Lessons From Population, Health, and Environment Programs
›In Madagascar, “today’s challenges are even greater than those faced 25 years ago,” said Lisa Gaylord, director of program development at the Wildlife Conservation Society. At an event at the Woodrow Wilson Center on March 28, Gaylord and her co-panelists, Matthew Erdman, the program coordinator for the Population-Health-Environment Program at Blue Ventures Conservation, and Kristen Patterson, a senior program officer at The Nature Conservancy, discussed the challenges and outcomes of past and future integrated population, health, and environment (PHE) programs in Madagascar. [Video Below]
Nature, Health, Wealth, and Power
Gaylord, who has worked in Madagascar for nearly 30 years, gave a brief history of USAID’s activities on the unique island, which she called a “mini-continent.” She used the “nature, health, wealth, and power” framework to review the organization’s environment, health, and livelihoods programs in Madagascar and their results. Governance, she said, is the centerpiece of this framework, but this piece “maybe didn’t have an adequate foundation” in Madagascar to see the programs through the political crisis.
Though its programs started at the community level, Gaylord said USAID’s objective was to scale up to larger levels. “You can’t always work on that level and have an impact,” she said, and there was “tremendous hope” in 2002 for such scaling up when Madagascar elected a new president, Marc Ravalomanana.
Unfortunately, changes in funding, a lack of economic infrastructure, and poor governance forced development programs to scale down. After President Ravalomanana was overthrown in a military coup in 2009, the situation got worse – the United States and other donors pulled most funding, and only humanitarian programs were allowed to continue.
“What worries me is that I think we have gone back” to working on a village level, Gaylord said. “We want to go up in scale, and I think that we felt that we could in Madagascar, but that’s where you have the political complexities that didn’t allow us to continue in that direction.”
Going forward, Gaylord said that it is important to maintain a field-level foundation, take the time to build good governance, and maintain a balance in the funding levels so that no one area, such as health, dominates development activities.
Living With the Sea
Based in southwestern Madagascar, the Blue Ventures program began as an ecotourism outfit, said Erdman, but has since grown to incorporate marine conservation, family planning, and alternative livelihoods. One of its major accomplishments was the establishment of the largest locally managed marine protection area in the Indian Ocean, called Velondriake, which in Malagasy means “to live with the sea.” This marine area covers 80 kilometers of coastline, incorporates 25 villages, and includes more than 10,000 people. The marine reserves for fish, turtles, and octopus, as well as a permanent mangrove reserve, protect stocks from overfishing.
One of the biggest challenges facing the region is its rapidly growing population, which threatens the residents’ health and their food security, as well as the natural resources on which they depend. More than half the population is under the age of 15 and the infant and maternal mortality rates are very high, Erdman explained. Blue Ventures, therefore, set up a family planning program called Safidy, which means “choice” in Malagasy.
“If you have good health, and family size is based on quality, families can be smaller and [there will be] less demand for natural resources, leading to a healthier environment,” said Erdman.
The region’s isolation and lack of education and health services are a challenge, said Erdman, but over the past three years, the contraceptive prevalence rate has increased dramatically, as has the number of clinic visits. The program uses a combination of clinics, peer educators, theater presentations, and sporting events, such as soccer tournaments, to spread information about health and family planning.
A Champion Community
“There is a long history of collaborative work in Madagascar,” Patterson said. Focusing on the commune (county) level, she worked in conjunction with USAID, Malagasy NGOs, and government ministries to try to scale up PHE programs in Madagascar’s Fianarantsoa province, which has a target population of 250,000 people.
“We essentially worked at two different levels,” said Patterson. At the regional level, a coordinating body for USAID and local partners called the “Eco-Regional Alliance” met monthly. The “Champion Commune” initiative, which worked at local levels, had three main goals, she explained:
Though working in such remote areas is expensive, and all non-humanitarian U.S. foreign aid has been suspended since the coup, Patterson hopes that development programs will return to Madagascar. Pointing to its vast rural areas, she stressed the importance of integrated efforts: “The very nature of multi-sectoral programs is that they have the highest benefit in the areas that are most remote. These are the areas where people are literally left out in the cold.”- Create a strong overlap with neighboring communes;
- Promote activities that benefited more than one sector (such as reforesting with vitamin-rich papaya trees); and
- Capitalize on the prior experiences of Malagasy NGOs in implementing integrated projects to help build up civil society.
Image credit: “Untitled,” courtesy of flickr user Alex Cameron.
Sources: The New York Times, Velondriake. -
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.






