Showing posts from category global health.
-
Women Leaders Urge Stronger Advocacy on Health and Public Policy
›The original version of this article appeared on the Pan American Health Organization website.
Women have made major strides toward greater equality in Latin America and the Caribbean, but stronger advocacy and leadership are needed to address problems they continue to face in health and other areas, said a group of top women health leaders at an event held at the Woodrow Wilson Center in Washington, D.C. on September 27.
The event was part of a series of activities surrounding the 51st Directing Council meeting of the Pan American Health Organization/World Health Organization (PAHO/WHO), which is being held this week.
Dr. Michelle Bachelet, Executive Director of UN Women, noted that Millennium Development Goal (MDG) five, reduce maternal mortality, “is the one MDG that has advanced the least in our region and around the world.” She said it is now widely accepted that investing in women is not only an issue of human rights, it is also “the intelligent thing to do economically, politically, and socially. So why doesn’t it happen?” She said making it happen is the major leadership challenge facing women in health and public policy today. “We have to empower women to make the strongest case possible that investing in women is the best thing governments can do, and we have to help ministers of health make this same case with their governments.”
WHO Director-General Dr. Margaret Chan said that high levels of maternal mortality reflect “a failure of governments.” “We know how to prevent women from dying while giving birth. It’s a lack of political commitment, policies, and investments in the right areas. We need to get these issues out into the public, and we need to work with men who are enlightened to accomplish this,” she said.
Rocío García Gaytán, President of the Inter-American Commission of Women, said maternal mortality continues to be a major problem in the hemisphere despite the fact that it is almost completely preventable. She said that contrary to common belief, most maternal deaths take place in hospitals and are the result of a lack of proper training of medical personnel. “This problem should not exist in the second decade of this millennium,” she said.
PAHO Director Dr. Mirta Roses urged women to develop a leadership style that will effectively advocate for women’s top concerns, particularly social, economic, and political progress.
“What is different when women lead?” Roses asked. “We need to support each other and identify what we should do that is different from male models. We must all work together – UN Women, the Council of Women World Leaders – to define feminine leadership and promote it.”
Canada’s Minister of International Cooperation, Beverly Oda, said progress on public policies for women “took many years” to develop in Canada. Today, gender reviews of legislation are now mandatory for legislation, and promotion of gender equality is an integral part of Canadian technical cooperation programs.
Vice-Minister of Health Dr. Silva Palma de Ruiz of Guatemala described a number of initiatives in her country that have been successful in improving women’s health and status. They include joint efforts involving the health ministry, the public prosecutor’s office, the national human rights ombudsman, and civil society organizations to reduce sexual violence by empowering women to report violence and by more aggressive prosecution of perpetrators. PAHO/WHO has supported these efforts with technical assistance in developing guides for care of victims of sexual violence. Other efforts include a new family planning law and education of men and women as well as healthcare workers about women’s rights to use contraception.
Minister of Health Ann Peters of Grenada said that women of the Caribbean “are very vocal” and have had considerable success advocating for women’s health. In her own country, this has helped produce a highly effective comprehensive mother-child health program that includes strong community health services with well-trained midwives and good referral systems, breastfeeding-friendly hospitals, and universal voluntary testing of pregnant women for HIV. Thanks to these programs, Grenada has “no mother-to-child transmission of HIV and virtually no maternal mortality.”
Minister of Health Marcella Liburd of Saint Kitts and Nevis noted the importance of addressing the social determinants of women’s health. For example, in her country as elsewhere, the majority of people living in poverty are women. “We need to consider other aspects of women’s well-being,” she said, “including financial, social, and mental health.”
Paraguay’s Minister of Health, Dr. Esperanza Martinez, said it was important to address women’s concerns in an integral way. She described a new platform for discussing policies that affect women involving different government ministries, not just health. “Women need to participate as policymakers and also to influence policies from the outside,” she said.
Dr. Carmen Barroso, Western Hemisphere Director for the International Planned Parenthood Federation, said, “Civil society is ready to partner with ministries of health to advocate for more resources, legislation, and promotion of women’s sexual and reproductive rights.”
The event was organized by the Council on Women World Leaders, PAHO/WHO, the Wilson Center’s Environmental Change and Security Program, Global Health Initiative, and Latin America Program.
Event ResourcesPhoto Credit: David Hawxhurst/Wilson Center. -
Carl Haub, Behind the Numbers
Ethiopia’s 2011 Demographic and Health Survey: Remarkable Fertility Decline, Continued Rural Health Challenges
›September 28, 2011 // By Wilson Center StaffThe original version of this article, by Carl Haub, appeared on the Population Reference Bureau’s Behind the Numbers blog.
Continuing my recent practice of posting a quick summary of results from new demographic surveys in developing countries, here is another new Demographic and Health Survey (DHS) preliminary report, this time from a sub-Saharan African country. This will help readers of this blog to stay right up-to-date with the latest developments.
The Ethiopia 2011 DHS interviewed 16,515 women ages 15 to 49 and 14,110 men ages 15 to 59 from September 2010 to June 2011. The total fertility rate (TFR – the average number of children would bear in her lifetime if the birth rate of a particular year were to remain constant) obtained in the survey was 4.8 for the three-year period preceding the survey. For urban women, the TFR was 2.6 and for rural women, who were a little over 75 percent of the sample, 5.5. There appears to have been an acceleration of TFR decline from the 2005 to the 2011 survey compared with the 2000 DHS, which had a three-year TFR of 5.5. In 1990, a government survey had shown the TFR as 6.4. The desire to continue or cease childbearing provides one insight into possible future fertility trends. Of the women with five living children, 55.8 percent said that they did not wish to have any more children; among women with six or more living children, 68.6 percent said that they also wished to ceased childbearing.
Continue reading on Behind the Numbers.
Image Credit: Population Reference Bureau; data courtesy of Ethiopian Central Statistics Agency (CSA) and ICF Macro, Ethiopia Demographic and Health Survey (EDHS) 2011, Preliminary Report. -
Digging Deeper: Water, Women, and Conflict
›
It’s not just “carrying water from a water point, but it’s discharging responsibilities that a woman has for using and managing water which may make her vulnerable to violence and bring her into risky areas,” said Dennis Warner, senior technical advisor for water and sanitation at Catholic Relief Services (CRS), at the Wilson Center on August 29. [Video Below]
-
Carl Haub, Yale Environment 360
What If Experts Are Wrong On World Population Growth?
›September 22, 2011 // By Wilson Center StaffThe original version of this article, by Carl Haub, appeared on Yale Environment 360.
In a mere half-century, the number of people on the planet has soared from 3 billion to 7 billion, placing us squarely in the midst of the most rapid expansion of world population in our 50,000-year history – and placing ever-growing pressure on the Earth and its resources.
But that is the past. What of the future? Leading demographers, including those at the United Nations and the U.S. Census Bureau, are projecting that world population will peak at 9.5 billion to 10 billion later this century and then gradually decline as poorer countries develop. But what if those projections are too optimistic? What if population continues to soar, as it has in recent decades, and the world becomes home to 12 billion or even 16 billion people by 2100, as a high-end UN estimate has projected? Such an outcome would clearly have enormous social and environmental implications, including placing enormous stress on the world’s food and water resources, spurring further loss of wild lands and biodiversity, and hastening the degradation of the natural systems that support life on Earth.
It is customary in the popular media and in many journal articles to cite a projected population figure as if it were a given, a figure so certain that it could virtually be used for long-range planning purposes. But we must carefully examine the assumptions behind such projections. And forecasts that population is going to level off or decline this century have been based on the assumption that the developing world will necessarily follow the path of the industrialized world. That is far from a sure bet.
Continue reading on Yale Environment 360.
Image Credit: Data from UN Population Division, chart arranged by Schuyler Null. -
Jan Eliasson, Huffington Post
What Somalia Teaches Us: Sanitation, Health, and Conflict
›September 15, 2011 // By Wilson Center StaffThe original version of this article, by Jan Eliasson, appeared on Huffington Post.
The confirmation of cholera deaths in Somalia offers a chilling reminder of what happens when there is no safe water and inadequate sanitation. The refugee crisis in Somalia is fueled by the worst drought in the horn of Africa in over 60 years.
This humanitarian disaster is a glaring example of the international community’s failure to uphold basic needs and rights of some of our planet’s most vulnerable people. As we struggle to respond to this humanitarian catastrophe, we must remember that Somalis are in need of more than access to food, but also safe water, sanitation, shelter, and healthcare.
For many of Somalia’s poorest citizens, who have walked for days and miles, drinking contaminated water, and staying in crowded camps, deadly diseases including cholera may be a tragic but predictable end result. Up to 100,000 people have crowded into Mogadishu, seeking shelter, food, and water. More arrive each day in Mogadishu and in overflowing camps in neighboring Kenya.
Experts estimate that more than 29,000 children under the age of five have already died from the combination of drought, famine, and illness. Diarrhea is on the rise in overcrowded shelters where there is a shortage of safe water and large numbers of weak and malnourished children. These conditions provide a breeding ground for infectious diseases, including measles, cholera and pneumonia. On August 18th, Tarik Jasarevic, a spokesperson for the World Health Organization, said, “We don’t see the end of it.”
Continue reading on Huffington Post.
Sources: AP, The New York Times, UN.
Image Credit: “The Horn of Africa food security crisis in numbers,” courtesy of the Famine Early Warning Systems Network (FEWS NET) and USAID. -
Rich Thorsten on Water Sanitation, Population, and Urbanization in the Developing World
›
“For the first time in human history, more than one half of the world’s population now lives in urban areas, and some of the largest and fastest growing population centers in the world – countries like India, China, parts of sub-Saharan Africa – are in areas where water resources are becoming more and more scarce,” said Water.org’s Rich Thorsten in a recent interview with ECSP.
Thorsten serves as director of international programs for Water.org, which partners with local communities, governments, and NGOs across Central America, South Asia, and Africa to bring improved water sanitation to at-need rural and urban populations. He emphasized that ensuring access to clean water has a number of positive spillover effects, ranging from improved prospects for economic development to greater social stability, since access to non-polluted water supplies removes one potential source of tension within and between communities.
Community Health
The greatest benefit of improved sanitation services, however, comes in the form of enhanced public health outcomes. “I would definitely say there is a strong correlation” between the two, Thorsten asserted. “Water and sanitation-related diseases are related to the deaths of at least 3.5 million people every year in the developing world – not to mention millions of hours and dollars that are lost to treating health problems and coping with health problems as a result of poor [water] access and hygiene practices.”
Thorsten said that community participation has been a key aspect of ensuring the sustainability of Water.org’s projects. To pave the way for continued gains in economic development and public health, he said they work alongside water users, engineers, and government officials in target communities to make those parties stakeholders in the infrastructure development process. Fostering a sense of community ownership of sanitation projects helps reduce the likelihood that infrastructure will fall into disrepair or disuse after the initial programming intervention has been conducted.
Given that improving water-sanitation access for the world’s poor is a key element of the UN Millennium Development Goals, Thorsten said he is pleased the subject seems to be attracting more attention within the policymaking and development communities. Despite the positive momentum, however, he acknowledged the fight to ensure clean-water access for the developing world will remain an uphill battle.
“When one considers that….about 2.6 billion people lack access to basic sanitation, that there’s more people in the world that have access to a cell phone than a pit latrine or a toilet, it’s still a very daunting task that will require a lot more investment, commitment, and attention in order to improve the situation for billions of people,” Thorsten said.
Sources: UN.
The “Pop Audio” series is also available as podcasts on iTunes. -
Watch: Don Lauro on How Integrated Development Deepens Community Involvement
›September 7, 2011 // By Schuyler Null
Population, health, and environment (PHE) projects address an impressive range of issues – natural resource management, family planning, maternal and child health, water, sanitation, nutrition, and strengthening health systems – but perhaps their most important advantage is the level of community involvement elicited, said long-time PHE expert Don Lauro in an interview with ECSP.
“There’s a depth to these programs,” Lauro said. Tools like rural participatory appraisal allow communities to map out their problems and then come up with solutions on their own. “If you get deep enough, it becomes they who own the project, and I think that that’s your ultimate goal,” he explained. “You have a much greater prospect for sustainability of that effort, no matter what happens to the funding.”
Lauro recently visited the USAID-funded BALANCED Project in Tanzania as part of a wider look at integrated development projects. He emphasized that what exactly this integrated approach is called – be it PHE, HELP, or HELPS – is insignificant; what matters is that these disparate elements are combined. -
Michael Kugelman, Huffington Post
Pakistan’s Biggest Threats May Not Be What You Think They Are
›August 30, 2011 // By Wilson Center StaffThe original version of this article, by Michael Kugelman, appeared on the Huffington Post.
The most troubling news to emerge from Pakistan in recent days has little to do with militancy or other headline-grabbing scourges that afflict the country. Rather, it relates to a new Oxfam report’s finding that more than a third of the country’s population – about 60 million people – is undernourished.
Pakistan may well be convulsed by extremist violence; according to Pakistani estimates, it has killed or injured 30,000 in recent years. Yet contrary to what U.S. media coverage may suggest, this is not the greatest threat to the Pakistani people.
Numerous candidates contend for this dubious honor. One, underscored by Oxfam, is hunger. Even before last year’s devastating floods, which destroyed more than 2 million hectares of arable land, the World Food Program estimated that 77 million Pakistanis were going hungry. Another is water insecurity, one of Pakistan’s biggest killers. With a third of Pakistanis lacking access to clean water, no wonder waterborne illness claims the lives of 1.2 million Pakistanis per year – and 630 children every day. Lack of education also tops the list. More than 40 million of Pakistan’s 70 million school-age children (those between the ages of 5 to 19) are not in school. And then there is Pakistan’s energy crisis. Due to power shortfalls, some Pakistanis suffer outages for as long as 20 hours per day – crippling industry and bringing misery to millions of households. All of this is compounded by state corruption, which constrains access to these precious resources and services.
Continue reading on Huffington Post.
Sources: Business Recorder, Oxfam International, PBS, World Food Program.
Michael Kugelman is a program associate with the Wilson Center’s Asia Program.
Photo Credit: “People returning home as soon as the water recedes enough,” courtesy of flickr user DFID – UK Department for International Development.
