Showing posts from category global health.
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New UNEP Climate Report Says Women Face “Disproportionately High Risks”
›December 8, 2011 // By Brenda ZuluA new United Nations Environment Programme (UNEP) report, Women at the Frontline of Climate Change: Gender Risks and Hopes, released at COP-17, says that women, particularly those living in mountainous regions in developing countries, “face disproportionately high risks to their livelihoods and health from climate change, as well as associated risks such as human trafficking.”
Droughts, floods, and mudslides are affecting a growing number of people worldwide, in part because of climate change, but also because population growth is highest in some of the most vulnerable areas of the world. For example, in the 10 years from 1998-2008, floods affected one billion people in Asia, but only four million people in Europe.
According to UNEP, women often bear the brunt of such disasters: “In parts of Asia and Africa, where the majority of the agricultural workforce are female, the impacts of such disasters have a major impact on women’s income, food security, and health,” as they are responsible for about 65 percent of household food production in Asia and 75 percent in Africa. In addition, they are often more likely than men to lose their lives during natural disasters.
UNEP Executive Director Achim Steiner said in a press release that “women often play a stronger role than men in the management of ecosystem services and food security. Hence, sustainable adaptation must focus on gender and the role of women if it is to become successful.”
“Women’s voices, responsibilities, and knowledge on the environment and the challenges they face will need to be made a central part of governments’ adaptive responses to a rapidly changing climate,” he added.
Investing in low-carbon, resource-efficient green technologies, water harvesting, and alternatives to firewood could strengthen climate change adaptation and improve women’s livelihoods, says UNEP.
“If Insufficient, Family Planning Funds Should Be Scaled Up”
UNEP spokesperson Nick Nuttall said in an interview that there are wide differences between how people consume natural resources, with North Americans and Europeans consuming far more than someone in a developing country. We should move toward more efficient use of natural resources, make the transition to a low-carbon economy, and scale up renewable energies, which can reduce demand for fossil fuels to meet economic growth and population increases, he said.
Asked whether climate change funds should therefore support family planning, Nuttall said the UN supports the right of couples and women to choose the size of their families and that many UN agencies and NGOs provide that support already.
But, he said, “there are funds available for family planning and, if insufficient, they should be scaled up to meet the demands and requests of developing countries. Given that this is an issue far wider than climate change, these existing funding streams should be where the financial support comes, rather than from a climate fund.”
Brenda Zulu is a member of Women’s Edition for Population Reference Bureau and a freelance writer based in Zambia. Her reporting from the COP-17 meeting in Durban (see the “From Durban” series on New Security Beat) is part of a joint effort by the Aspen Institute, Population Action International, and the Wilson Center.
Sources: UNEP.
Image Credit: “Climate change vulnerability,” courtesy of Riccardo Pravettoni, UNEP/GRID-Arendal. -
African Women, Most Vulnerable to Climate Change, Are Agents of Change
›December 6, 2011 // By Brenda ZuluIt is the poorest people whose lives are most undermined by changes in the weather, said Chair of the Global Leaders Council for Reproductive Health Mary Robinson at a side event on “Healthy Women, Healthy Planet” during COP-17 in Durban, South Africa. “When farmers don’t know how to predict the seasons, when there is more flooding than there was, when there are longer periods of drought and then flash flooding,” she said, people need more resilience. “They have to be even stronger in being able to cope with the drought and flooding.”From Population Action International’s Weathering Change – Fatima’s Story.
“In the past, February and March were planting months, while June and July were harvest months in the first season,” explained Constance Okollet, chairperson of the Osukura United Women Network in eastern Uganda, in an interview. “The second season started in August and September as planting months, but now we don’t have any seasons anymore.”
Okollet said that since 2007, there have been floods in her area that have destroyed homes and fields and forced some to leave their homes. “I actually had to leave when the floods destroyed my house and when I went back there was nothing; and immediately after that there was a drought after planting,” she said.
“These days we gamble with agriculture, as we are not sure when to plant. What we see now is, if it is not torrential rains, then it is a storm. During the rainy season, you find a lot of winds. We never used to see them and now we have mudslides, which are occurring every year. With heavy rains it has been difficult for people to dry cassava and groundnuts. Last month, I lost two fields of groundnuts because the rain has been very heavy,” Okollet said. “In the community, we used to harvest heavily, but it is not the same anymore.”
African women are often particularly vulnerable to such environmental disruptions. Okollet pointed out that women walk long distances to look for water and feed children before they go to school. “Women always eat little and leave the rest for their children,” she said. “Children are sick and there is a lot of death in the village because of hunger and lack of food security.”
Water-borne diseases, such as cholera, erupt after floods contaminate the water, and getting health care can be difficult for women because the health center is very far away.
Okollet said that when all this was happening, she and her fellow network members thought that maybe God was punishing them. “We only knew what was happening when Oxfam talked to us about climate change,” she said.
The Osukura United Women Network has asked the Ugandan government for help supplying early-maturing crops that will adapt to the seasonal change. The group is working to sensitize their community to the importance of hygiene and sanitation as well as working with men in the community to build wells and latrines.
“We need women to be agents of change in their local communities,” said Robinson.
Brenda Zulu is a member of Women’s Edition for Population Reference Bureau and a freelance writer based in Zambia. Her reporting from the COP-17 meeting in Durban (see the “From Durban” series on New Security Beat) is part of a joint effort by the Aspen Institute, Population Action International, and the Wilson Center.
Video Credit: “Fatima’s Story – Weathering Change Extra,” courtesy of vimeo user Population Action International. -
Gender, Family Planning Should Be Part of Climate Discussions, Says Mary Robinson
›December 6, 2011 // By Brenda ZuluSpeaking at a side event on “Healthy Women, Healthy Planet” in Durban, South Africa, Mary Robinson, chair of the Global Leaders Council for Reproductive Health, said they were seeing more female leadership at this year’s UN climate change conference (COP-17).
But Robinson, who is also chair of the Mary Robinson Foundation – Climate Justice, said there needs to be more explicit gender language in the COP-17 text to ensure that green climate funds support gender equity and money gets to women on the ground for adaptation.
“Our foundation has been helping to bring out women’s leadership at the top level in this conference to match women’s leadership at the community level,” explained Robinson, pointing out that the heads of the last three COPs are women.
Though the role of gender in climate adaptation and mitigation will likely not be prominently discussed on the floor at COP-17, Robinson said she looked forward to side conversations about a stronger focus on these issues.
Family planning, she argued, should also play a larger role. “There have been so many attempts to deflect from commitments and get into other kinds of issues that bring about some kind of stigma in this area,” said Robinson. But “those of us on the Global Leaders Council on Reproductive Health fundamentally believe in the central role played by reproductive health, access to knowledge about how to space children, and having choices about number of children.”
There are about 215 million women in the world who do not want to get pregnant but are not using modern contraception. Family planning and reproductive health services help build up a woman’s resilience to climate changes, Robinson explained.
These services are vital to improving women’s health and enable women to seek educational and work opportunities, unleashing their potential to help solve problems associated with climate change.
Brenda Zulu is a member of Women’s Edition for Population Reference Bureau and a freelance writer based in Zambia. Her reporting from the COP-17 meeting in Durban (see the “From Durban” series on New Security Beat) is part of a joint effort by the Aspen Institute, Population Action International, and the Wilson Center.
Sources: World Health Organization.
Image Credit: “Mary Robinson and Constance Okollet” at COP-17, used with permission courtesy of the Mary Robinson Foundation – Climate Justice (MRFCJ). -
New Population, Health, and Environment Program for Lake Victoria
›With some of Africa’s highest population densities, ethnic diversity, and biodiversity, the Great Lakes region is one of the most volatile intersections of human development and the environment. A new population, health, and environment (PHE) initiative from Pathfinder International, announced Monday at the International Conference on Family Planning in Senegal, aims to help address these issues by supporting sustainable resource management and women’s right to choose when and how often they have children.
Jointly funded by the David and Lucile Packard Foundation and the John D. and Catherine T. MacArthur Foundation, with additional support from USAID’s Office of Population and Reproductive Health, the project will focus on Ugandan and Kenyan sections of the Lake Victoria basin.
Lake Victoria is the second largest freshwater source in the world, a biodiversity hotspot, and an important regional waterway, but regional population growth among the highest in Africa and economic development have led to declining water quality, reduced fish stocks, and industrial pollution. The basin as a whole supports upwards of 35 million people.
“This new project is a welcome development for many reasons,” said ECSP Director Geoff Dabelko. “It brings the integrated PHE approach to one of the world’s greatest lakes, it enables respected health NGO Pathfinder to pursue PHE efforts, and marks the return of a leading private donor, the MacArthur Foundation, to a group of foundations willing to support this innovative approach.”
Sono Aibe, senior advisor for strategic initiatives at Pathfinder emphasized the integrated challenges facing the region. “In these remote, resource dependent areas of the world, the interconnectedness between the health of people and the health of the environment is undeniable,” she said in a press release. “When women are empowered to participate in the sustainable management of natural resources alongside men and youth, as well as have access to sexual and reproductive health care services, their lives will improve and so will the condition of the ecosystems that they depend on.”
The project’s objective, according to Pathfinder, is to reduce threats to biodiversity, conservation, and ecosystem degradation by increasing access to family planning and sexual/reproductive health services. The project plans to develop scalable approaches that can be adopted by communities, local governments, and national governments. Technical support is to be provided by the BALANCED Project, ExpandNet, and the Population Reference Bureau.
“Lessons learned from this new project will help us better develop and design projects for vulnerable communities in fragile ecosystems, while simultaneously advocating for increased government support for integrated programs throughout the Lake Victoria Basin,” said Lucy Shillingi, Pathfinder’s country representative for Uganda.
The Lake Victoria effort will build upon the experiences of other integrated PHE efforts in the region, such as Rwanda’s SPREAD Project, Uganda’s Conservation Through Public Health, and Tanzania’s TACARE and Coastal Management Partnership.
Sources: Lake Victoria Basin Commission, Pathfinder International, UNEP. -
Sarah Lindsay, Ministerial Leadership Initiative
At Family Planning Plenary, Youth’s Messages Captivate Audience
›December 2, 2011 // By Wilson Center StaffThe original version of this article, by Sarah Lindsay, appeared on the Ministerial Leadership Initiative’s Leading Global Health blog.
With more than 2,200 family planning policymakers, researchers, and advocates watching the opening plenary of the International Conference on Family Planning (ICFP) – including some in seaside tents outfitted with big-screen TVs – two youth leaders captivated the audience.
The featured speakers included international dignitaries, headlined by the president of Senegal, but the younger leaders made a dramatic plea with an adamant demand: involve youth in family planning decision making.
As many family planning advocates say, family planning can improve the lives of future generations. Based on this argument, the youth leaders said they should be fully included in the discussions in making policy, and not have policymakers make decisions for them.
Both speakers, Saudou Node and Mohammed Barry, expressed disappointment that more has not been done to ensure universal access to family planning. Node told the plenary that projects and policies created to increase family planning access often never make it to the field.
Continue reading on Leading Global Health. For more on ICFP 2011, see Sarah’s full series of posts. -
Jeanne Nyirakamana, PHE Champion
Reaching Rural Rwandans With Integrated Health and Livelihood Messages
›This PHE Champion profile was produced by the BALANCED Project.
Rwanda is one of the most densely populated countries on the planet, with more than 11 million people in one of Africa’s smallest countries, most of whom depend on the land as subsistence farmers. The country has diverse mountain, lake, and savannah landscapes, and the Virunga Mountain chain in the northwest part of the country is home to one-third of the world’s threatened mountain gorilla population. At the same time, the population throughout the country suffers from high rates of unmet need for contraception, and three percent of the adult population lives with HIV/AIDS. In a land under such intense pressure on natural resources, rural livelihood initiatives are critical to ensuring people have options for meeting their daily health and well-being needs.
For the past three years, Jeanne Nyirakamana has served as head of the health program for the Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development (SPREAD) Project. Supported by the U.S. Agency for International Development through Texas A&M; University, the SPREAD Project is integrating a dynamic coffee production and quality improvement program in Rwanda with health outreach to improve community well-being. The health component works to improve the lives of coffee farmers and cooperative members by providing them with health information and services related to family planning, maternal and child health, prevention of sexually-transmitted infections (including HIV), and water and sanitation.
Training Peer Educators
Working closely with the coffee program, Nyirakamana’s team has trained more than 540 men, women, and youth peer educators who have reached more than 95,000 coffee farmers with education and services. Key communication messages highlight the links between sound decision-making and health-seeking behaviors, productive farms and agribusinesses, and strong and healthy families.
The program also leverages and supports local health resources through referrals to existing public health services, organization of mobile clinics, and community-based distribution of a socially marketed water purification solution (Sur Eau) and condoms (Prudence). According to Nyirakamana, one of the project’s greatest successes is the increased acceptance of family planning by farmers and their families and the more than 7,500 farmers who have been tested for HIV. In order to draw in as many coffee farmers as possible, many of the health and livelihood activities take place at the stations where the coffee beans are washed, at other buildings used by the coffee farmer cooperative, or during combined community meetings or home visits. At the washing stations, Nyirakamana’s team supports local health center staff to provide voluntary counseling and testing (VCT) and de-worming services while at the same time SPREAD-trained peer educators and coffee/health extension agents disseminate family planning information.
The cooperatives’ buildings have clean water, hand-washing stations, and small kiosks where condoms and Sur Eau are sold. These community health agents work with SPREAD to ensure that the greater community, not just the coffee farmers, has access to health knowledge and services. They learn how to teach the community about a range of health issues and each month they submit reports showing how many people they reached and with what kinds of messages. They are also becoming increasingly engaged in coffee and agribusiness activities. Through the success of their health activities, these agents are seen as vital community resources.
Integrated Results
By implementing this integrated population, health and environment (PHE) approach, the SPREAD Project staff is ensuring the health of the people and environment and success of the agribusiness. “You cannot care for the environment without first caring for the people who live and use that environment, so when you transmit dual messages [agriculture and health] you are able to hit two birds with one stone,” said Nyirakamana.
According to a 2010 evaluation of the project, farmers and their families reported improvements in personal and household hygiene; an increase in understanding and acceptance of family planning; uptake of HIV and VCT services; and use of condoms and other local health services. As well, they noted shifts in gender norms affecting household revenue use, alcohol, and reproductive health. The agribusiness stakeholders value the integrated approach as a means to more holistically meet farmers’ goals of increased incomes and improved lives and livelihoods.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: BALANCED Project. -
UNiTE To End Violence Against Women
›November 25, 2011 // By Schuyler NullToday is the International Day to End Violence Against Women, an awareness and advocacy campaign organized by a host of UN agencies and offices “to galvanize action across the UN system to prevent and punish violence against women.”
Gender equity and inequity play a role in a myriad of international development, health, security, and even environmental issues, from rape as a weapon of war; demography’s effects on political stability; maternal health and its impact on child development; women’s rights as a social stability issue; and the disproportionate effect of climate change on rural women.
The numbers around gender-based violence are staggering. According to the UN:
Here are some of New Security Beat’s posts on gender-based violence and inequity and their intersection with development, the environment, and security:- 70 percent of women experience physical or sexual violence from men in their lifetime.
- Approximately 250,000 to 500,000 women and girls were raped in the 1994 Rwandan genocide, and in the eastern Democratic Republic of Congo (DRC), at least 200,000 cases of sexual violence, mostly involving women and girls, have been documented since 1996, though the actual numbers are considered to be much higher.
- In the United States, one-third of women murdered each year are killed by intimate partners; in South Africa, a woman is killed every six hours by an intimate partner; in India, 22 women were killed each day in dowry-related murders in 2007; and in Guatemala, two women are murdered, on average, each day.
- Over 60 million girls worldwide are child brides, married before the age of 18, primarily in South Asia (31.1 million) and sub-Saharan Africa (14.1 million).
Gender-Based Violence in the DRC: Research Findings and Programmatic Implications:
Dr. Lynn Lawry, senior health stability and humanitarian assistance specialist at the U.S. Department of Defense, presented findings from the first cross-sectional, randomized cluster study on gender-based violence in the DRC at the Wilson Center this year. The first of its kind in the region, the population-based, quantitative study covered three districts in the DRC and a total of 5.2 million adults, comprehensively assessing gender-based violence, including its prevalence, circumstances, perpetrators, and physical and mental health impacts.
Pop Audio: Judith Bruce on Empowering Adolescent Girls in Post-Earthquake Haiti: “The most striking thing about post-conflict and post-disaster environments is that what lurks there is also this extraordinary opportunity,” said Judith Bruce, a senior associate and policy analyst with the Population Council. Bruce spent time last year working with the Haiti Adolescent Girls Network, a coalition of humanitarian groups conducting workshops focused on the educational, health, and security needs of the country’s vulnerable female youth population.
The Walk to Water in Conflict-Affected Areas: Constituting a majority of the world’s poor and at the same time bearing responsibility for half the world’s food production and most family health and nutrition needs, women and girls regularly bear the burden of procuring water for multiple household and agricultural uses. When water is not readily accessible, they become a highly vulnerable group. Where access to water is limited, the walk to water is too often accompanied by the threat of attack and violence.
Weathering Change: New Film Links Climate Adaptation and Family Planning: “Our planet is changing. Our population is growing. Each one of us is impacting the environment…but not equally. Each one of us will be affected…but not equally,” asserts the new documentary, Weathering Change, launched at the Wilson Center in September. The film, produced by Population Action International, explores the devastating impacts of climate change on the lives of women in developing countries through personal stories from Ethiopia, Nepal, and Peru.
Sajeda Amin on Population Growth, Urbanization, and Gender Rights in Bangladesh:
The Population Council’s Sajeda Amin describes the Growing Up Safe and Healthy (SAFE) project, launched in Dhaka and other Bangladeshi cities last. The initiative aims, to increase access to reproductive healthcare services for adolescent girls and young women, bolstering social services to protect those populations from (and offer treatment for) gender-based violence, and strengthen laws designed to reduce the prevalence of child marriage – a long-standing Bangladeshi institution that keeps population growth rates high while denying many young women the opportunity to pursue economic and educational advancement.
No Peace Without Women: On October 31, 2000, the UN Security Council adopted Resolution 1325, which called for women’s equal participation in all efforts to maintain and promote peace and security; however, little progress has been made over these last 10 years and women remain on the periphery when it comes to post-conflict reconstruction and development. A report from the humanitarian organization CARE concedes that “much of the action remains declarative rather than operational.”
Addressing Gender-Based Violence to Curb HIV: At last year’s International AIDS Conference in Vienna an astonishing development in the campaign to stem the spread of HIV/AIDS was unveiled – a microbicide with the ability to reduce the risk of transmission of HIV. This welcome development coincides with an intensified focus on women’s health and security needs among donors, especially the United States.
The Future of Women in the MENA Region: A Tunisian and Egyptian Perspective: Lilia Labidi, minister of women’s affairs for the Republic of Tunisia and former Wilson Center fellow, joined Moushira Khattab, former minister of family and population for Egypt, this summer at the Wilson Center to discuss the role and expectations of women in the Egyptian and Tunisian revolutions, as well as issues to consider as these two countries move forward.
Sources: UN Secretary-General’s Office. -
Reducing Urban Poverty: A New Generation of Ideas
›Download Reducing Urban Poverty: A New Generation of Ideas from the Wilson Center.
In 2008 the global population reached a remarkable turning point; for the first time in history, more than half of the world’s people were living in cities. Moving forward into the 21st century, the world faces an unprecedented urban expansion with projections for the global urban population to reach nearly five billion by the year 2030. Virtually all of this growth will occur in the developing world where cities gain an average of five million residents every month, overwhelming ecosystems and placing tremendous pressure on the capacity of local governments to provide necessary infrastructure and services. Failure to incorporate urban priorities into the global development agenda carries serious implications for human security, global security, and environmental sustainability.
Recognizing a need to develop and strengthen urban-focused practitioner and policymaking ties with academia, and disseminate evidence-based development programming, the Wilson Center’s Comparative Urban Studies Project, USAID’s Urban Programs Team, the International Housing Coalition, the World Bank, and Cities Alliance teamed up to co-sponsor an academic paper competition for graduate students studying urban issues. The first competition took place in the months leading up to the 5th World Urban Forum, held in Rio de Janeiro in March 2010.
This publication, Reducing Urban Poverty: A New Generation of Ideas, marks the second annual academic paper competition. “Reducing urban poverty” was chosen as the theme with each author focusing on one of three topics: land markets and security of tenure; health; and, livelihoods. A panel of urban experts representing the sponsoring institutions reviewed 70 submitted abstracts, from which 16 were invited to write full length papers. Of these, six were selected for this publication. We congratulate the graduate students who participated in this competition for their contribution to our understanding of the complex relationship between urbanization and poverty.
These papers highlight the new research and innovative thinking of the next generation of urban planners, practitioners, and policymakers. It is our hope that by infusing the dialogue on these issues between the academic and policy worlds with fresh perspectives, we will foster new and innovative strategies to reduce global urban poverty.
Sources: UNFPA, UN-HABITAT.
