A Population Reference Bureau (PRB) policy brief considers several methods of integrating population, health, and environment initiatives in Uganda, citing the Ruhiira Millennium Village Project and the Conservation Through Public Health program as successful examples. Also new from PRB: Farzaneh (Nazy) Roudi explains that Iran’s “youth bulge, along with changes in women’s fertility and reproductive health, provide a backdrop for understanding Iran’s current political instability.”

In “Military vs. Climate Security: Mapping the Shift From the Bush Years to the Obama Era,” Miriam Pemberton of the Institute for Policy Studies compares U.S. government spending on climate change and military, arguing for dedicating more resources to climate security.

A new report from Global Witness reveals that all main warring parties in the eastern Democratic Republic of the Congo—including rebel groups and members of the Congolese national army—are heavily involved in the mineral trade in North and South Kivu provinces.

In the Spring 2009 edition of The New Atlantis, Kendra Okonski asks if water is a human right, while Travis Kavulla looks at “Aids Relief and Moral Myopia” in Africa, arguing that the Western public-health lobby “must realize that HIV has a social dimension that must be addressed.”

A landlocked, impoverished, densely populated country, Rwanda faces steep challenges in the quest to improve the quality of life of its people, who are mostly small-scale farmers. One solution promoted by the Sustaining Partnerships to enhance Rural Enterprise and Agribusiness Development (SPREAD) project, which I visited last month with the leaders of the East Africa Population-Health-Environment (PHE) Network, is helping farmers produce higher-quality crops, which can be sold for premium prices on international markets. In this way, farmers can increase their income by producing better crops, rather than producing more—since in Rwanda, there isn’t any more land to go around.

Coffee is Rwanda’s primary export, so SPREAD focuses its efforts there, although it also targets other high-value crops like chili peppers. SPREAD helps organize farmers into cooperatives with their own bylaws and elected leaders; for instance, the highly successful Maraba cooperative includes 1,400 farmers and their families. Agricultural extension agents show farmers techniques for raising the quality of their coffee. One innovation SPREAD has introduced is coffee bikes, which are specially designed eight-speed mountain bikes that can carry up to 300 kg of coffee cherries. SPREAD found that coffee transported to processing stations on the bikes scored 3.5 SCAA quality points higher than coffee transported by foot or truck, due to shorter average times between harvesting and processing.

SPREAD has provided the impetus for the construction of 120 coffee washing stations (CWS) during the past several years, and has also set up three CWS support centers, which assist with quality control. Washing coffee before and after fermentation is key to preserving its quality. SPREAD has made sure to incorporate a number of environmental initiatives into coffee growing and processing, including mulching coffee trees and digging trenches around them to prevent erosion on Rwanda’s steep hillsides; purchasing new water-efficient coffee-washing machines; filtering the CWS wastewater before releasing it into the river; and using vermiculture (worms) to process coffee pulp and mucilage into organic fertilizer. As SPREAD’s Jean Marie Irakabaho put it, growing coffee without caring for the land is like milking a cow without feeding it.

SPREAD has incorporated family planning (FP) and health initiatives into its agricultural work. The same coffee extension workers who teach farmers how to improve the quality of their coffee have been trained to deliver basic health and FP messages and products to them. Working closely with the district government and local health center, SPREAD staff focus primarily on improving maternal and child health; FP; HIV/AIDS prevention, testing, and treatment; and water, sanitation, and hygiene. A weekly radio program, “Imbere Heza” (“Bright Future”), integrates coffee-growing and health information.

SPREAD, which is funded by the U.S. Agency for International Development and led by the Norman Borlaug Institute for International Agriculture at Texas A&M; University, knows it won’t be around forever, so it is striving to make its improvements to Rwandan livelihoods permanent. It created the Rwanda Small Holder Specialty Coffee Company (RWASHOSCCO), a cooperative-owned company that helps cooperatives market and export their coffee. Specialty Rwandan coffee can now be found in online stores like Land of a Thousand Hills Coffee and Allegro Coffee, as well as in cafes around the world. At the East Africa PHE Network workshop, our coffee breaks featured wonderful coffee from the Maraba cooperative. I encourage all coffee connoisseurs to taste for themselves the delicious results of sustained investment in the livelihoods, agriculture, environment, and health of Rwanda’s coffee farmers!

Rachel Weisshaar attended the meeting of the East Africa PHE Network in Kigali, Rwanda. See previous posts on the New Security Beat: “Rwanda: More Than Mountain Gorillas,” “East Africa PHE Network: Translating Strong Results Into Informed Policies,” and “East Africa Population-Health-Environment Conference Kicks Off in Kigali.”

Photo: Jean Marie Irakabaho (left), chief agronomist and coffee research coordinator at SPREAD, shows the beds where worms are being raised to digest coffee pulp and mucilage, while local children look on. Courtesy of Rachel Weisshaar.

This is an exciting time to be working global public health, with more attention and money going to the field in the last decade than perhaps ever before. In the past, the struggle has been to direct more money and attention to these issues, but recent efforts have focused more on maximizing funds’ impact—by strengthening health systems, focusing on prevention, and finishing so-called “unfinished agendas” in maternal health, child mortality, and family planning. In my remarks at a recent panel on foreign policy challenges facing the 111th Congress, I focused on four issues: infectious diseases, neglected health issues, funding, and capacity building.

Zimbabwe’s current cholera epidemic has killed more than 1,100 people and sickened nearly 24,000, prompting the United States, the United Kingdom, and some African nations to press for sanctions on—and the resignation of—President Robert Mugabe. The impoverished country ranks 151 out of 177 on the UN Human Development Index and has an average life expectancy of 34 for women and 37 for men. Although it has suffered yearly cholera outbreaks since 1998, this year’s epidemic dwarfs previous ones. The epidemic is being aggravated by severe food shortages and the country’s high prevalence of HIV/AIDS, and is expected to continue through the end of the rainy season in March.

In “Who Cares About the Weather?: Climate Change and U.S. National Security” (subscription required), Joshua Busby argues that although advocates have overstated some of climate change’s impacts, it nevertheless poses direct threats to conventional U.S. national security interests, and therefore deserves serious consideration by both academics and policymakers.

An article in the Economist examines the melting Kolahoi glacier, which could soon threaten water supply and livelihoods in the Kashmir valley.

“Marauding elephants in northern Uganda have added to the challenges faced by civilians trying to rebuild their lives in the wake of 20 years of civil war, destroying their crops and prompting some to return to displaced people’s (IDP) camps they had only recently left,” says an article from IRIN News.

In an EarthSky podcast interview, Lori Hunter of the University of Colorado, Boulder, discusses her work researching how HIV/AIDS affects families’ use of natural resources.

Payson Schwin of the World Resources Institute recently interviewed Crispino Lobo of the Watershed Organization Trust about his work helping rural Indian villages escape poverty by managing their natural resources sustainably.

A research commentary from Population Action International explores family planning trends in Pakistan, as well as the relationships between demography and security in this critically important country.

Despite—or perhaps because of—its extremely high population density, Rwanda has launched a series of initiatives to protect its environment and reduce poverty, reports the UN Food and Agriculture Organization.

The Population Reference Bureau has released two new policy briefs examining population, health, and environment issues in Calabarzon Region and the Autonomous Region of Muslim Mindanao.

Stalled Youth Transitions in the Middle East: A Framework for Policy Reform proposes changes to education, employment, and housing that would offer Middle Eastern youth additional opportunities. “Young people in the Middle East (15-29 years old) constitute about one-third of the region’s population, and growth rates for this age group are the second highest after sub-Saharan Africa,” say the authors. “Today, as the Middle East experiences a demographic boom along with an oil boom, the region faces a historic opportunity to capitalize on these twin dividends for lasting economic development.”

An October 2008 brief from the UN Department of Economic and Social Affairs uses examples from Africa and Latin America to explore ways to ensure that non-renewable resource revenues contribute to sustainable development.

Video is now available for “Breaking Barriers: Family Planning, Human Health and Conservation,” a session at this month’s Conservation Learning Exchange conference in Vancouver.

In a rare display of bipartisan unity, the U.S. Senate voted 80-16 Wednesday to reauthorize the President’s Emergency Plan for AIDS Relief (PEPFAR). Originally passed in 2003 and set to expire this September, the White House credits PEPFAR with delivering antiretroviral drug treatment to 1.7 million people worldwide.

Reflecting the bipartisan support of the program, the top two members of the Senate Foreign Relations Committee heaped praise on the program and the president. Senator Joseph Biden (D-DE), chairman of the committee, said the program is “the single most significant thing the president has done.” Senator Richard Lugar (R-IN), the committee’s ranking member, argued eloquently that PEPFAR benefits U.S. national security and foreign policy. During the floor debate, he made the following statement:

We should understand that our investments in disease prevention programs have yielded enormous foreign policy benefits during the last five years. PEPFAR has helped to prevent instability and societal collapse in a number of at-risk countries; it has stimulated contributions from other wealthy nations to fight AIDS; it has facilitated deep partnerships with a new generation of African leaders; and it has improved attitudes toward the United States in Africa and other regions.

In my judgment, the dollars spent on this program can be justified purely on the basis of the humanitarian results that we have achieved. But the value of this investment clearly extends to our national security and to our national reputation.

The Senate legislation extends the program five years and triples its funding to $48 billion. The bill met with initial opposition from several conservatives, and the Democratic-controlled Senate defeated several Republican amendments earlier this week. The House passed a slightly different version of the legislation in April; differences between the two bills will be resolved in a conference committee.

The authors of an article in the most recent issue of Science report that population tends to grow, not decline, around protected areas. Population growth means increased donor funding for conservation programs, they say, but high population density can negatively impact the effectiveness of such programs.

The latest volume of the journal Population and Environment, featuring contributions from former ECSP speakers Lori Hunter, Roger-Mark De Souza, and Judy Oglethorpe, examines the links between the environment and HIV/AIDS in Africa, calling for greater attention to the connections between these seemingly disparate issues.

Population growth rates and conservation are closely and inextricably linked, says a new UN Population Fund fact sheet that argues that slowing growth rates worldwide through family planning programming is a vital, and currently underfunded, component of the fight against environmental degradation.

“Countries have historically been quick to rattle their sabers over water, but they have nevertheless been content to keep them sheathed,” write ECSP Director Geoff Dabelko and ECSP Program Assistant Karin Bencala in “Water Wars: Obscuring Opportunities,” published in the Spring/Summer 2008 issue of Columbia University’s Journal of International Affairs (PDF previews), which focuses on global water issues.

PlusNews recently reported on the harmful impact of rising food prices on HIV-positive Ethiopians. According to the nation’s Central Statistical Agency, the price of food has increased 40 percent since last year. The situation has been particularly devastating for those with HIV, as poor nutrition weakens the immune system and “hastens the development of HIV into AIDS.” For those on antiretrovirals, malnutrition reduces the treatment’s effectiveness and increases its toxicity to the body. As Gideon Cohen of the UN World Food Programme (WFP) explained, antiretroviral treatment “can’t work if people aren’t eating enough.”

The consequences extend far beyond HIV-positive individuals themselves, however. For infected mothers who have been advised against breastfeeding, purchasing milk or formula drastically increases household expenses and is often unaffordable. In addition, HIV augments adults’ energy requirements by 10-30 percent. Without sufficient nutrition, it becomes difficult for these individuals—who constitute almost eight percent of Ethiopia’s urban population—to work and provide for their families, undermining food security even further. So as the current food crisis threatens the lives and livelihoods of the HIV-positive in Ethiopia, it also increases the rest of the population’s susceptibility to the virus and other illnesses.

Unfortunately, this problem is not a new one. At a 2006 Wilson Center event, Jordan Dey, director of the U.S. Relations Office at WFP, said, “Hunger weakens immune systems, increases vulnerability to disease, and creates a platform for disability.” A Wilson Center On the Hill event today from 12:00 noon to 1:15 p.m. in the Rayburn House Office Building will examine what the United States can do to relieve the global food crisis.

According to PlusNews, WFP’s HIV/AIDS feeding programme in Ethiopia has exceeded its budget by 44 percent, and has had to borrow funds from other UN programmes. This alarming situation illustrates the severity of the situation in Ethiopia and calls not only for increased humanitarian aid, but also for mechanisms to ensure long-term food security. Nations will not be healthy, prosperous, and peaceful until their people are properly nourished and given the chance to develop to their full capacity.