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Reducing Health Inequities to Better Weather Climate Change
›In an article appearing in the summer issue of Global Health, Dr. Margaret Chan, director-general of the World Health Organization (WHO), brings to light what she calls the starkest statistic in public health: the vast difference in the mortality rates between rich and poor countries. For example, the life expectancy of a girl is doubled if she is born in a developed country rather than in a developing country. Chan writes that efforts to improve health in developing countries now face an additional obstacle: “a climate that has begun to change.”
Climate change’s effect on health has increasingly moved into the spotlight over the past year: DARA’s Climate Vulnerability Monitor measures the toll that climate change took in 2010 on human health, estimating some 350,000 people died last year from diseases related to climate change. The majority of these deaths took place in sub-Saharan Africa, where weak health systems already struggle to deal with the disproportionate disease burden found in the region. The loss of “healthy life years” as a result of global environmental change is predicted to be 500 times greater in poor African populations than in European populations, according to The Lancet.
The majority of these deaths are due to climate change exacerbating already-prominent diseases and conditions, including malaria, diarrhea, and malnutrition. Environmental changes affect disease patterns and people’s access to food, water, sanitation, and shelter. The DARA Climate Vulnerability Monitor predicts that these effects will cause the number of deaths related to climate change to rise to 840,000 per year by 2030.
But few of these will be in developed countries. With strong health systems in place, they are not likely to feel the toll of a changing environment on their health. Reducing these inequities can only be achieved by alleviating poverty, which increases the capacity of individuals, their countries, and entire regions to adapt to climate change. It would be in all of our interests to do just this, writes Chan: “A world that is greatly out of balance is neither stable nor secure.”
Sarah Lindsay is a program assistant at the Ministerial Leadership Initiative for Global Health and a Masters candidate at American University.
Sources: DARA, Global Health, The Lancet, World Health Organization.
Image Credit: Henry J. Kaiser Family Foundation and the World Health Organization. -
Pakistan’s Population Bomb Defused?
›What is going on over at the UN Population Division? In response to The New Security Beat’s post on the UN’s sub-Saharan projections, Ed Carr of USAID recently highlighted what appears to be gross overestimations in the 2010 population revision for Ghana. Yet in the case of Pakistan, the opposite is seemingly at play – the projections appear to wildly (and unrealistically) underestimate population numbers for the coming decades.
The 2008 revision’s mid-variant estimate for Pakistan in 2050 was 335 million people. The new revision projects only about 275 million by that year. Even the new high-variant estimate (314 million) falls below the earlier mid-variant projection. Furthermore, the constant-fertility variant estimate for 2050 has fallen from 450 million to under 380 million.
What gives? Thanks to some helpful staff at the Population Division and Population Action International’s Elizabeth Leahy Madsen (who helped translate the UN’s demographic-ese for this non-specialist), I can only conclude that the UN has decided to hedge its bets that Pakistan’s fertility rates will fall, simply because its South Asian neighbors (and other nations) have followed this trajectory.
If so, I believe this assumption is spurious. As reported in the Wilson Center’s recent book on Pakistan’s population challenges, though Pakistan’s fertility rate is in decline, it is falling at a considerably slower pace than that of its neighbors, and the rate of decrease has slowed considerably over the last decade. The country’s total fertility rate (TFR) today is just under four, considerably above the replacement level rate (2.1).
By many indications, Pakistan’s TFR does not figure to fall quickly anytime soon. Pakistan’s maternal and reproductive health sector is deeply troubled, with family planning services either of poor quality or nonexistent – particularly in rural areas. Many rural women are obliged to travel on average 50 to 100 kilometers to obtain such services. Meanwhile, the status of Pakistani women is dreadful; female literacy is estimated to stand at only 44 percent (some places it as low as 35 percent), while women’s labor participation rates barely approach 20 percent. Not surprisingly, Pakistan’s contraceptive prevalence rate is quite low (30 percent), while its rate of unmet need for family planning is high (25 percent).
With all of Pakistan’s problems, improving access to family planning is simply not a front-burner issue for Islamabad (in fact, as our book notes, demography on the whole is largely neglected in Pakistan), which makes the 2010 revision’s projections all the more questionable.
The UN is expected to release details on the methodology behind its basic assumptions in the coming weeks; here’s hoping for some clarity. (Editor’s note: As Liz Madsen points out, there’s also a white paper on the new probabilistic model to sift through, if you’re prepared for some heavy reading.)
Michael Kugelman is a program associate for the Asia Program at the Woodrow Wilson Center.
Chart Credit: Modification of projections of total fertility based on Bayesian hierarchical model, courtesy of the UN Population Division. -
Environmental Action Plans in Darfur: Improving Resilience, Reducing Vulnerability
›Many villagers in Baaba, a community of 600 in South Darfur, remember a shady forest of mango and guava trees that provided food and a valuable income for the villagers and a pleasant picnic spot for people in Nyala, the nearby state capital. Over the last decade, that forest has degraded into eroded brush dotted by the occasional baobab – a transformation that is unfortunately a familiar sight throughout Darfur.
Most of Baaba’s trees have become firewood and charcoal for the people living in nearby internally displaced persons (IDP) camps. Baaba’s residents, who themselves returned from the camps to try to rebuild their lives at home, struggle to coax enough food from the soil, which has largely eroded away following deforestation. Afraid to venture any further than necessary from home for fear of violence and banditry in the countryside, they farm and graze the same land year after year without fallow periods – further depleting the soil and driving yields ever lower.
Baaba is like hundreds of Darfuri villages, which face a brutal mix of insecurity and environmental decline that leaves them one poor harvest away from being forced into the IDP camps. Baaba, however, is also a pilot participant in a new approach – the Community Environmental Action Plan – that aims to rehabilitate the local environment, enable people to sustainably manage natural resources, and ultimately to make communities more prosperous and resilient.
Most of Darfur has always been marginal land where farming and herding provide a meager livelihood and natural resources are few. Even before war broke out in 2003, soaring population growth (total population has quintupled since the 1970s) was putting intolerable pressure on the land, water, and trees of Darfur. The conflict in Darfur has since heavily disrupted traditional methods for sharing and maintaining natural resources, leading to environmental devastation. The worsening effects of climate change – though hard to separate from local environmental depletion – are also beginning to disrupt weather patterns and farming. The disheartening result is that even where fighting has subsided and displaced persons return home, they often find that the land no longer sustains them.
Traditional humanitarian aid and infrastructure projects are ill-suited to help, since persistent insecurity deprives humanitarian actors of access to communities for weeks or months at a time. Environmental decline didn’t start the humanitarian crisis in Darfur, but it threatens to prolong it and put a sustainable peace out of reach.
Community Environmental Action Plans
The International Organization for Migration (IOM), mandated to work on IDP and return issues in Darfur, aimed to address these challenges with Community Environmental Action Plans (CEAPs) in three pilot villages. CEAPs build comprehensive local capacity, enabling communities to manage natural resources sustainably and address environmental problems themselves without relying on outside support. The ultimate goal is to build the resilience and adaptive capacity of vulnerable communities. IOM worked with Baaba and two other villages to implement CEAPs, in partnership with the Swiss-based environmental NGO ProAct, the UN Environment Programme (UNEP), the government of South Darfur, and Darfuri environmental organizations. The project, funded by the Government of Japan, ran from early 2009 until mid-2010.
The CEAP process trains communities to understand the connections between a healthy ecosystem and a prosperous community and to promote livelihoods by rehabilitating the environment. Each participating village formed a CEAP governance committee, which was then trained to understand the environment as a single integrated system and to see how damaging one resource like trees can devastate other ecosystem services – such as pollination, groundwater retention, and soil fertility – that enable and promote human livelihoods. The communities then identified essential needs, including reforestation, water harvesting, and improved sanitation, and worked with IOM to develop appropriate responses. These activities were all implemented by the villages themselves, with technical and material support from IOM and its partners.
Building Local Capacity
The communities built low-tech but highly productive tree nurseries, producing and planting over 200,000 seedlings to restore damaged land and provide a sustainable wood supply. Local women learned how to make highly fuel-efficient stoves using locally available materials, cutting their need for firewood and allowing them to sell stoves in the nearby Nyala market.Farmers received extensive training in sustainable agriculture techniques, including water harvesting, composting, agro-forestry, and intercropping (mixing complementary plant species together in the same fields). Volunteers were trained in effective hygiene practices and built latrines for each household. Water committees were trained to repair and maintain the villages’ indispensable but fragile water hand pumps, ensuring a more reliable source of drinking water. Each of these activities was governed by a community committee, including women and youth, trained to manage the projects for the benefit of the entire community and continue the work after the project’s end.
Through this approach, all three villages significantly boosted their livelihoods and agricultural productivity while becoming less dependent on the unsustainable exploitation of their fragile environment. The CEAP approach benefits greatly from focusing on capacity-building and local implementation, which fosters a strong sense of community ownership that persists after the project ends. Equally important, CEAPs attempt to address most or all of a community’s environmental issues simultaneously, reducing the risk that neglected environmental problems – particularly agricultural failure – will critically destabilize and displace a community in the future.
A Replicable Model
CEAPs aren’t a panacea, particularly in the conflict-prone areas where they are most needed. Insecurity, particularly a series of abductions of humanitarian workers from several organizations in 2010, cut off IOM’s access to the communities late in the project. Though the core activities were completed by working through local partners with more reliable access, the security situation left few opportunities for follow-up activities. Longer-term threats, particularly unrestrained population growth – which requires a comprehensive approach that includes addressing unmet need for family planning services – could undo much of the good that CEAPs accomplish.
Though insecurity prevented IOM from continuing the project, other organizations including UNEP are implementing and refining the CEAP approach elsewhere in Darfur and other regions in sub-Saharan Africa. As climate changes intensifies and the potential for related conflicts looms, the CEAP approach should be considered as a powerful and flexible tool to rehabilitate the environment and strengthen vulnerable communities.
Paul Rushton is a consultant for the International Organization for Migration, Sudan, and worked as a Programme Officer managing the CEAP projects in South Darfur from 2009 to 2010.
Sources: International Organization for Migration, UN.
Photo Credit: Camels graze in a destroyed and degraded village in Western Darfur, courtesy of UNEP; and pictures from CEAP sites in Southern Darfur, courtesy of Paul Rushton. -
Book Review: Envisioning a Broader Context to Security With ‘The Ultimate Weapon is No Weapon’
›The Ultimate Weapon is No Weapon: Human Security and the New Rules of War and Peace, by a career U.S. Army officer, Lieutenant Colonel Shannon Beebe, and Professor Mary Kaldor, director of the Centre for the Study of Global Governance at the London School for Economics, is the product of an intriguing partnership. Despite the fact that their respective professions have often displayed distrust and hostility toward one another, the coauthors’ combined perspectives have created a particularly prescient and non-partisan challenge to the security status quo.
Beebe and Kaldor add to the growing call to re-evaluate existing constructs of “national security” and to reconsider the roles of Western militaries and international aid agencies in the globalized 21st century world. In particular, they emphasize the urgent need for a more nuanced understanding of security that includes humanitarian considerations as an integral component in these institutions’ agendas. This “human security” is the right of all people to livelihoods, clean drinking water, nourishing food, and education and proper health care, in addition to a safe and secure place to live, free from the fear of personal crime and violence.
Such insecurity affects us all even if it does not directly result in open warfare. According to Misha Glenny in his 2009 book, McMafia, it is estimated that 20 percent of the global GDP is generated through criminal activities, which exploit the weak and the vulnerable on a global scale. It is difficult to say what role the traditional Western military can play under situations in which vast networks of tyranny through corruption are rapidly growing.
Historical and General Context
The Ultimate Weapon is No Weapon is a persuasive argument in favor of deconstructing the conventional credo of war that has dominated U.S. military theory since World War II. Beebe and Kaldor argue that the political and financial capital mined from the Greatest Generation significantly influenced the “state-against-state” model of the American military machine, and then helped perpetuate and sustain it. The United States’ Cold War experience reinforced the notion that the goal of security is to defeat a great enemy, preferably in open battle using the best available military hardware.
But, the authors ask, did such displays of military superiority and readiness actually accomplish the strategic goal of maintaining our security in today’s world? Did we perhaps narrow the definition of security too much, and in using the wrong tools, did we worsen the very problems we set out to solve?
Beebe and Kaldor provide ample evidence to suggest we have taken the narrow approach, from NATO’s involvement in Yugoslavia, to the debacle in Somalia, and the current conflicts in Afghanistan and Iraq. The authors are not simply out to criticize the military, but instead suggest that the lines that define nation-states today no longer hold the same power that they once did. Other forces at work, from economic globalization to climate change, must be recognized.
Definitions and Prescriptions for a Changing World
When civilians become targets of violence, their resilience is weakened, write Beebe and Kaldor, for a variety of reasons that are often difficult to ascertain without on-the-ground intelligence. For instance, is violence against civilians intended to provide opportunities for political gain by certain groups, or just cover up criminal behavior intended for monetary gain? In this kind of environment, where does the modern Western military machine fit, and how can international humanitarian institutions be more effective?
Beebe and Kaldor contend that instead of developing strategic operations focused on killing the enemy, the military should be focused instead on creating safe spaces for civilians:A human-security approach would emphasize bottom-up reconstruction of governance and justice systems, local security capabilities, and, of course, addressing poverty, education, and health. It would, as well, have to be part of a more global strategy for dealing with the transnational criminal networks, especially drug networks, that are nourished by and that nourish conflicts (p. 196).
Even if it is not the sole responsibility of the military to provide such resources, the authors argue, failure to recognize the importance of human security or to protect resources will ultimately increase our security risks.
An Unobtainable Utopia or Early Warning?
Undoubtedly, the problems that the authors describe are real; it is time to re-evaluate what kind of world we want to live in and how this might be achieved. What should we do if there is no legitimate state government to negotiate with, and yet there is clearly a violent and deadly situation, such as the 1994 genocide in Rwanda? Would the American people tolerate spending money on a military operation without there being any direct sign of imminent threat or danger to them, and without the ability to declare some sort of traditional military victory? Or would their reaction be the same as Neville Chamberlain’s to Czechoslovakia in 1938, that human security merely describes “a quarrel in a faraway country between people of whom we know nothing?”
The recent intervention in Libya is a case in point. Speaking on Meet the Press recently, Secretary of Defense Gates admitted that the country was of no vital interest to the United States, and instead defended spending money on military air strikes based upon humanitarian grounds. Despite the clear mandate from the UN, NATO, and the Arab League to respond to this human security crisis, there has clearly been little appetite in the United States to lead military interventions in Libya without an obviously defined motive of self-interest.
The difficulty lies in explaining that basic security and instability have grave consequences, even across great distances, and that addressing potential conflicts early prevents the need for making harder choices later on. The U.S. Department of State has tackled that difficult task in the recent Quadrennial Diplomacy and Development Review, which calls for greater focus on human security interventions as a way to avoid or mitigate future military conflicts.
Though a few of the solutions postulated in this book may seem overly idealistic to some, I would argue that Beebe and Kaldor’s ideas represent less a utopian vision than an early warning and plea for change in the years to come. Rather than succumbing to the easy temptation to fear globalization and the world outside our borders, we must learn to engage with and help create a thriving global civil community.
A must-read for a broad range of audiences, The Ultimate Weapon is No Weapon offers a historical and contemporary basis for envisioning a broader context to security and understanding that the “ultimate weapons of the twenty-first century are, in fact, not weapons in the military sense at all” (p. 202).
Tracy Walstrom Briggs is currently the Minerva Associate Chair for Energy and Environmental Security (USAF). She has worked with the Swedish Defense Forces (FOI) and the UN Environment Programme to facilitate more sustainable peacekeeping installations using rapid impact assessment tools. She was also a professor and associate chair for the Graduate Environmental Studies Program at California State University Fullerton.
Sources: HistoryVideos101, McMafia (Glenny), NBC, U.S. Department of Defense.
Photo Credit: “3-6 Soldiers Provide Medical Aid,” courtesy of flickr user expertinfantry. -
Forest Conservation Method a Fit for Canada’s Oil Sands?
›In Wednesday’s speech on U.S. energy security, President Obama stated clearly that the United States would continue to rely on oil imports from Canada and other stable nations. But serious environmental concerns continue to dog the Canadian oil sands industry. Could an agreement reached by Canada’s Forest Products Association provide a model for a way forward?
In May 2010, the Canadian Boreal Forest Agreement (CBFA) was signed by 21 members of the Forest Products Association of Canada (FPAC) and nine major environmental groups, including Greenpeace, the Nature Conservancy, and the Pew Charitable Trusts, without government involvement. The three-year agreement represents the largest forest conservation plan in history and protects more than 72 million hectares of Canada’s Boreal Forest. It also ended a long “do not buy” campaign of FPAC products, previously spearheaded by environmental organizations.
The CBFA essentially commits FPAC to the highest environmental standards of forest management and conservation, as well as the suspension of logging in environmentally sensitive areas, in part to protect endangered caribou populations. In return, environmental organizations agreed to support FPAC members.
The oil sands industry faces a similar challenge. In both cases, industry and environmental NGOs have clashed in a long and bitter battle over industry practices and their impact on the environment. The difference is that FPAC realized that directly engaging environmental groups in reasoned discussion might be a more intelligent approach to resolving environmental challenges than shouting back and forth at one another. FPAC also believes that buyers will be attracted to their newfound reputation for sustainable practices and higher ethical standards.
Model Agreements
Oil sands producers have much to gain by engaging the environmental community in new and innovative ways Should the CBFA model be followed, the oil sands industry may be able to negotiate an agreement with environmental organizations and voluntarily agree to higher environmental standards in return for recognition and support of their efforts from key environmental organizations.
This wouldn’t be the first initiative where creative engagement between environmental organizations and industry served to mutually benefit both sides. For instance, in 1999, WWF and Unilever created the Marine Stewardship Council (MSC), a program that rewards fisheries employing environmentally sustainable practices by recognizing their efforts through MSC certification and eco-labeling. Member fisheries maintain that MSC labeling has helped them retain existing markets, expand into others, and in some cases obtain a price premium for their product.
Such an initiative would go a long way to allow oil sands producers to shed their damaging reputation for producing “dirty oil.” Even if an agreement could not be reached, the oil sands industry would be viewed at the very least as willing to listen to the concerns of environmental organizations and take such issues seriously.
Not Perfect, But It’s a Start
The CBFA model may not be a perfect fit for the oil sands but it demonstrates that environmental groups and industry can find common ground on extremely contentious issues.
Finding this common ground must begin with accepting that the oil sands will never be “green.” According to a study by the Royal Society of Canada, in 2008, oil sands mining and development operations covered an area roughly the size of the state of Illinois and was responsible for emitting nearly 37 million tons of CO2. The study also found that there are legitimate concerns regarding the impact of oil sands development on the quality and quantity of regional freshwater supplies.
Nevertheless, the oil sands also represent a critical source of stable energy supplies for Canada and the United States, and calls by some environmental NGOs to halt oil sands production are unrealistic. More than 20 percent of U.S. oil is sourced from Canada, making it the United States’ leading supplier, and roughly half of that comes from the oil sands.
A CBFA-style agreement could help oil sands producers secure the U.S. market, which currently takes 99 percent of Canada’s oil exports, by quelling campaigns in the United States to stop imports from the oil sands. And under an agreement similar to the CBFA, the environmental community could have a larger say in how it is developed and extracted
As it stands, both industry and the environmental community remain engaged in a heated war of words, with neither side really listening to the other. Until they are willing to sit down and engage each other in new ways, both groups are likely to continue to talk over one another and make little progress on striking an environmental and economic balance that could ultimately benefit both sides.
Ken Crist is a program associate with the Canada Institute at the Woodrow Wilson International Center for Scholars.
Sources: Sources: The Canadian Boreal Forest Agreement, National Resources Defense Council, The New York Times, Royal Society of Canada, Vancouver Sun.
Photo Credit: “Athabasca oil sands digger,” courtesy of flickr user . Shell, and “Boreal forest 2009,” courtesy of flickr user Gord McKenna. -
Civilian Power in a Complex, Uncertain World
›Leading Through Civilian Power: The First Quadrennial Diplomacy and Development Review (QDDR) initiates an encouraging process of rethinking and restructuring that is long overdue. It explicitly links itself to the 2010 National Security Strategy and echoes the latter’s commitment to “national renewal and global leadership.” It refers briefly to the obvious companion document, the Quadrennial Defense Review, although it resists engaging with some key aspects.
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Food Price Shocks and Instability Highlight Weaknesses in Governance and Markets
›Unrest across the Middle East has been front-page news for weeks, with commentators searching for explanations to account for the shifting political winds. Many, such as Thomas Friedman and Kevin Hall, have drawn connections between food prices and instability. But, as they point out, high food prices do not deterministically lead to unrest. Instead, rising prices highlight the degree to which governments and governance processes provide and ensure sustainable livelihoods for their people. What these and other commentators point to is that recognizing the role of government in providing food and security is vital: high food prices, they argue, don’t directly cause unrest, but high food prices in poorly managed countries creates a dangerous environment in which unrest may be more likely.
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First Steps on Human Security and Emerging Risks
›The 2010 Quadrennial Development and Diplomacy Review (QDDR), the first of its kind, was recently released by the State Department and USAID in an attempt to redefine the scope and mission of U.S. foreign policy in the 21st century. Breaking away from the Cold War structures of hard international security and an exclusive focus on state-level diplomacy, the QDDR recognizes that U.S. interests are best served by a more comprehensive approach to international relations. The men and women who already work with the U.S. government possess valuable expertise that should be leveraged to tackle emerging threats and opportunities.
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