Showing posts from category humanitarian.
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In Somalia, Beyond the Immediate Crises, Demography Reveals a Long-Term Challenge
›December 21, 2011 // By Elizabeth Leahy MadsenIn the nearly 20 years since the infamous intervention that resulted in the deaths of dozens of American and UN peacekeeping soldiers on the streets of Mogadishu, Somalia has become the epitome of a “failed state.” Neighboring countries, global bodies, and aid agencies are rushing to respond to the country’s rapidly evolving political, security and humanitarian crises.
Diplomatic attention has focused on decentralized, weak governance that is divided among the Al Shabab insurgency, clan warlords, and a hamstrung and largely ineffective Transitional Federal Government, whose control does not extend beyond the capital. Foreign militaries have had to devote naval resources to curtailing daring and far-reaching acts of piracy against civilian and military vessels from networks based in Somalia. Aid groups have been stymied in their efforts to stem famine as access to populations in the hardest-hit areas has been cut off by Al Shabab and food aid has been stolen. Most recently, Kenyan and, reportedly, Ethiopian forces have crossed the border, extending the reach of the country’s political crisis. Hundreds of thousands of have fled conditions of hunger, illness, and violence into neighboring countries.
Perhaps the deepest woe of a “failed state” is that its problems are deep-seated and cannot be solved during the brief span of a UN meeting or the news cycle following the latest terrorist attack. Amid the extraordinary efforts to battle the country’s crises, one of the most important underlying structural factors is often overlooked: the country’s unusual demographic picture.
A Demographic Outlier
Somalia is a global outlier in demographic terms, with rates of fertility (6.4 children per woman), infant mortality (107 deaths per 1,000 births), and maternal mortality (1,200 deaths per 100,000 live births) all above the already-high averages for sub-Saharan Africa. These demographic indicators are both a reflection of the abysmal state of health care in the country and a warning that its economic and security challenges are unlikely to be easily resolved.Research shows that where at least 60 percent of the population is younger than 30 years old, countries are more prone to outbreaks of civil conflict, and the risk increases as the proportional size of the “youth bulge” grows. In Somalia, 70 percent of the population is younger than 30, a level comparable to Iraq and the Palestinian Territories. With little to no improvements in health care, Somalia’s age structure has remained unchanged over the past 40 years. Unlike dozens of other countries where fertility has declined significantly in recent decades, Somali women have nearly as many children on average today as they did in the 1970s. The current total fertility rate of 6.4 children per woman is only a 12 percent decline from the 1970 rate.
Despite high infant mortality – more than 10 percent of children die before turning one – this sustained high fertility rate has generated rapid population growth, with each successive generation larger than the next. Somalia’s population has almost tripled since 1970, from 3.6 to 9.3 million, although population density remains low (one-third the world average). If the fertility rate remains constant at the current level – not an unreasonable projection considering how stagnant it has been over past decades – Somalia would be home to 33 million people by 2050. Even if the fertility rate drops to near four children per woman, as projected in the UN’s medium variant, the population would still triple to 28 million by mid-century given the demographic momentum of decades of high fertility.The fertility decline built into the UN’s medium variant projection – which would still place Somalia among the highest total fertility rates in the world by 2050 – is unlikely without steady and major improvements in the country’s health system, particularly women’s health. But with decades of conflict, weak governance and little investment, the environment for reproductive health services is dire.
A recent World Health Organization assessment described “unacceptable levels of unmet need, extreme inequities in access…slow progress…[and] underinvestment and poorly coordinated actions.” Pregnancy and childbirth are major risks to women’s well-being. Somali women have a one in 14 chance of dying from maternal causes over their lifetimes, the second-highest risk in the world. Funding to improve reproductive and maternal health care remains too low to meet demand. The United Nations Population Fund reports that donors spent about $6 million on population and reproductive health programs in 2008, about one-third as much as was spent in Benin and Burundi, which have smaller populations.
The Future for Youth
Instability and violence have become entrenched in Somalia; according to the Armed Conflict Dataset, civil conflict occurred in 12 of the past 20 years. The direct causes of the conflict are typically recorded as struggles for power and resources among competing clans. But in considering the underlying causes of conflict, demographic security scholars have suggested that very young age structures such as Somalia’s can create both motive and opportunity for recruitment into a violent uprising. As ever-growing numbers of young people face adulthood with few prospects for employment, hopelessness or desperation can make them vulnerable to the promise of well-being and identity offered by a political faction or rebel group.
There are 1.7 million people between the ages of 15 and 24 in Somalia today, with another 2.5 million following in the next ten-year age cohort. With opportunities for education, jobs, and equitable participation in society, these youth would represent a promising future for their country. Unfortunately, such opportunities are not afforded to most of them. A United Nations survey found that the secondary school enrollment rate is just six percent, with poverty and early marriage keeping many young people out of school. World Bank data from 2002 show that two-thirds of urban working-age adults and 41 percent of those in rural areas were unemployed. Nearly half of the population lives on less than $1 per day.
Youth Education, Economic Opportunities Could Increase Stability
While global attention centers on the government’s commitment to a new roadmap for peace and the efforts of the African Union’s peacekeeping forces to drive Al Shabab out of Mogadishu, development agencies have recognized demographic security as an important component of Somalia’s future.
The United Nations Children’s Fund is supporting schools for displaced children in Mogadishu, saying in a press release that “providing them with learning opportunities in a safe environment is critical for the country’s long-term stability and growth.”
The U.S. Agency for International Development (USAID) has announced plans for a new program called the Somali Youth Leaders Initiative, which aims to improve young people’s access to secondary education and economic opportunities and to increase their civic participation. In designing the program, USAID noted “the recruitment of boys and men by extremist organizations and piracy networks” and “the common perception that an increasing youth population is a potentially destabilizing force.”
As the October 4 bombing at the Education Ministry in Mogadishu showed, young people are often the victims of the country’s instability. Programs such as those of UNICEF and USAID that empower young people to capitalize on their potential should be a greater focus among initiatives to address Somalia’s long-term future as well as its immediate crises.
Elizabeth Leahy Madsen is a consultant on political demography for the Wilson Center’s Environmental Change and Security Program and former senior research associate at Population Action International.
Sources: BBC, Population Action International, The New York Times, UCDP/PRIO, UNICEF, UNESCO, UN Population Division, UN Population Fund, Urdal (2006), USAID, World Bank, World Health Organization.
Image Credit: “Somalia Suffers from Worst Drought in Century,” courtesy of flickr user United Nations Photo/Stuart Price; charts arranged by Elizabeth Leahy Madsen, data from the UN Population Division and World Health Organization. -
Famine and Food Insecurity in the Horn of Africa: A Man-Made Disaster?
›This year’s drought in the Horn of Africa has been the region’s worst in decades and has exploded into a humanitarian catastrophe affecting millions. In Somalia, where the drought is layered on top of two decades of conflict and an extremely weak state, the impact of the drought has been most damaging. Somalia is the only country in the region where the UN has declared famine zones. And, even though the UN recently upgraded three of Somalia’s six famine areas to “lesser emergencies,” four million Somalis – more than half the country’s population – remain in urgent need of food and general humanitarian aid.
The drought may have been what sparked the current crisis, but other, longer-term factors, like a sustained lack of agricultural development, extreme rural poverty, and changing weather patterns, not to mention Somalia’s lack of functioning government, set the stage.
A Long-Term Crisis in the Making
“Lack of rainfall over several seasons is the most immediate and most visible cause of the current humanitarian crisis in the Horn of Africa,” said Jim Hansen of the Consultative Group on International Agricultural Research (CGIAR) in a brief video produced this summer by the International Research Institute for Climate and Society at Columbia University (watch above). Much of the Horn’s population “depends on rain-fed agriculture and pastoralism for their livelihoods and sustenance,” said Hansen. Already “quite poor and…locked in poverty for quite a long time,” environmental and resource degradation, paired with rapid population growth, have compounded their vulnerability to extreme events, he said.
Throughout the region, resilience to crises like the current drought has been weakened by decades of poor agricultural planning, “driven more by shifts in ideology than any real evidence among some of the key international development organizations,” said Hansen. That poor planning has made communities more dependent on humanitarian aid when poor weather hits, which in turn forces aid groups to redirect resources away from longer-term development and towards short-term disaster relief instead, Hansen said.
While these problems exist across the Horn of Africa, Hansen points out that the crisis has been most damaging in Somalia, which he attributes to the country’s weak governance and to international aid groups’ limited ability to operate in the country.
“Northern Kenya, southern Ethiopia, and Somalia have similar severity of drought, but the humanitarian crisis is much more severe – the loss of livelihood and life is greater in Somalia largely because the government is weaker,” he said.
The Government’s Role
Owen Barder, a senior fellow at the Center for Global Development, draws a more direct line between governance and famine in the Horn. “In Somalia…there’s a complete breakdown of government, and the consequence is the famine that we’re seeing,” said Barder during a Center for Global Development podcast. The country has been without a functioning government since 1991, when civil war broke out. It has since become “the most food-insecure nation in the world” and, as described by Foreign Policy, “the international community’s longest-running failure.”
Barder raised two points about the government’s role in famine. One, that access to information – in this case an early warning system monitoring drought conditions – can minimize the humanitarian impact of any given natural disaster; and two, that a country’s government must be able to translate that information into action in order for it to actually make a difference.
Barder is not alone in emphasizing the state’s role as a driver of the famine. Edward Carr, a AAAS science fellow with USAID, wrote in July, when the UN first declared famine in Somalia, that attributing the famine solely to drought is “a horrible abdication of responsibility for the human causes of this tragedy.”
Charles Kenny, also a senior fellow at the Center for Global Development, went even further on Foreign Policy, arguing that famine, or “mass starvation as an intentional act of governance,” should be categorized as a crime and prosecutable at the International Criminal Court.
Al Shabab and the Months AheadAs of late November, the United Nations estimated that tens of thousands had died in Somalia alone since drought began this spring. Though USAID’s Famine Early Warning Systems Network (FEWSNET) reports that famine has now subsided in three of the six southern regions it initially struck, a quarter of a million Somalis remain at risk of “imminent starvation,” according to the UN.
According to FEWSNET, famine should not reappear in the foreseeable future, assuming aid groups can maintain current distribution levels – a key caveat. Ten days after FEWSNET issued its analysis, however, Al Shabab, the Al Qaeda-linked militant organization that controls much of southern Somalia, banned 16 aid groups, including UNICEF and the World Health Organization, from operating in the areas under its control. UNICEF spokesman Jaya Murthy told the BBC that the move would put “about 160,000 severely malnourished children…at imminent risk of death.”
Fighting in southern Somalia between Al Shabab and Kenyan and Ethiopian forces is adding another layer to the country’s humanitarian crisis. The UN Office of the High Commissioner for Refugees reported that, as of late November, the fighting had become the primary driver of internal displacement, replacing drought and famine as the key drivers during the first three quarters of the year. The UNHCR estimated that, between the drought and the conflict, 1.46 million Somalis have been displaced.
Meanwhile, the rainy season is picking up, and although that’s good news for farmers and pastoralists, it also means that Somalis will be vulnerable to diseases like measles, typhoid, and cholera, which can spread quickly through overcrowded, under-supplied IDP camps. Somalis still living under Al Shabab’s control are prohibited from getting vaccinations, amplifying their vulnerability to disease in the coming months.
These latest developments offer strong evidence that policy decisions can exacerbate the human toll of natural disasters. From Barder’s perspective, that is reason for optimism. “We have the information, we have the capacity to prevent it from happening,” he said.
For more on Somalia’s underlying demographic issues, see Elizabeth Leahy Madsen’s post “In Somalia, Beyond the Immediate Crises, Demography Reveals a Long-Term Challenge.”
Sources: AlertNet, Associated Press, BBC, Famine Early Warning Systems Network, Foreign Policy, Huffington Post, The New York Times, UNHCR, UN News Centre, Voice of America.
Video Credit: “Jim Hansen on Food Security in East Africa,” courtesy of the International Research Institute for Climate and Society on vimeo; image credit: FEWSNET/USAID. -
Addressing Gender-Based Violence Across Humanitarian Development in Haiti
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Women and girls living in displacement camps in post-earthquake Haiti are “the most vulnerable of a very vulnerable population,” according to Amanda Klasing, women’s rights researcher at Human Rights Watch. Klasing was joined by Leora Ward, technical advisor for women’s protection and empowerment at International Rescue Committee (IRC), and Emily Jacobi, executive director of Digital Democracy, for a November 15 panel discussion at the Wilson Center on gender-based violence in Haiti. “Unless we address the violence – the actual experience of violence that women and girls continue to experience at very high rates in Haiti – we [aren’t] going to be able to create a general environment for women and girls to participate in the rebuilding of their country,” Ward said.
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Laurie Mazur, The Aspen Leaf
The Planet at 7 Billion: Lessons from Somalia
›October 28, 2011 // By Wilson Center Staff
The original version of this article, by Laurie Mazur, appeared on the Aspen Institute’s Aspen Leaf blog.
Listless, emaciated children wait for water to arrive by donkey. Their mothers rest nearby, too exhausted to speak. Tiny graves are chiseled out of bone-dry earth to hold the famine’s youngest victims. That is what Mary Robinson, then-president of Ireland, found when she visited Somalia 19 years ago. Images of suffering haunted her for years: “I never got Somalia out of my system,” she said.
Now, the Horn of Africa is again in the grip of famine. When Robinson returned to Somalia earlier this year, “Everything was even worse” than in 1992. At the National Press Club on Monday, October 17, Robinson issued an eloquent plea to address the crisis in Somalia, which has already claimed 40,000 lives. “How can we allow that to happen in the 21st century?” she asked. “It’s a black mark for all of us.” The event was part of a series of discussions organized by the Institute’s Aspen Global Health and Development program, titled “7 Billion: Conversations that Matter.”
Women, Reproductive Health, and Fertility.
It is not enough to respond to the current crisis, Robinson said. To prevent a recurrence, we must also address long-term health and development challenges. That means bolstering governance and security. And, perhaps most important, it means unleashing the power of women. Women are critical to the future of Somalia, said fellow speaker Walid Abdelkarim, principal officer and team leader for Somalia at the UN Department of Peacekeeping Operations. “The most important element is the ability of the household to grow,” he said, “and that’s about the woman who nourishes and runs the household.”
Continue reading on The Aspen Leaf.
Video Credit: Aspen Institute. -
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. -
Women and Water: Streams of Development
›“One of the things that we consistently learn is that water is a woman’s issue,” said Lisa Schechtman, WaterAid America’s head of policy and advocacy, leading off a September 23 Wilson Center on the Hill panel on gender, water, and development. Schechtman was joined in the discussion by Jae So, director of the World Bank’s Water and Sanitation Program; Christian Holmes, USAID’s Global Water Coordinator; and Geoff Dabelko, moderator and director the Wilson Center’s Environmental Change and Security Program.
Water issues affect everyone, but women often bear the brunt of water collection responsibilities, making them vulnerable to changes in access or sanitation, especially in developing countries. “Studies show that about 26 percent of a rural African woman’s time is spent collecting water,” Schechtman said. “That means that they can’t go to school, they can’t take care of their families, or go to clinics, or spend time generating income, or doing other things in their community like participating in political processes.”
What’s more, as women make the hours-long hike to get water, “they’re risking injury and sexual assault,” Schechtman added. “So there’s a really wide-ranging set of impacts, just out of the actual act of collecting water.”
The Horn of Africa: Severe Problems, Small Changes
In one town in northeastern Kenya, Holmes said women have to travel 12 miles to find water – and even then, they are drawing it from a waterhole shared with wildlife. In Ethiopia, “we have severe problems,” he said, “not the least of which is not just sanitation but also HIV and AIDS,” as HIV/AIDS patients often drink unsanitary water to take their medications. That water gives them diarrheal disease, “so they’re excreting the value of the treatment” – and women, as household caregivers, bear an ever greater burden.
In Somalia, girls drop out of school once they start menstruating because schools do not have latrines that allow them to meet their needs safely and privately. “To think that the lack of a latrine could make you drop out of school and your entire life is going to change overnight – it’s just not acceptable,” said Holmes.
In each of these cases, small changes could dramatically reduce strains on women. Holmes pointed to a USAID project in Kenya that is building wells closer to population centers and empowering women by bringing them into the decisions on developing and managing wells. In Ethiopia, NGOs are working to train women on sanitation and hygiene, which could reduce the burden of illness on women and their families. And in Somalia, the simple addition of women’s latrines at schools would mean girls can continue their education beyond puberty.
Closing the Water Gender Gap
The World Bank’s 2012 World Development Report on Gender Equality and Development recommends that development professionals “look at the gender gaps in basic endowments, like access to health, access to water resources, access to land,” and determine not just how they affect men and women differently but why those gaps exist in the first place, said Jae So.
A CARE and Swiss Development Corporation study of water services in Nicaragua found that when men realized how much of a role water-related activities played in women’s day-to-day lives, “it energized the entire community to really devote their collective resources” towards improving water management, said So.
“Water touches everything else in one’s life,” said Holmes. “You can link it to water and climate change, water and health, water and food, water and conflict, water and education – all are interwoven.”
Event ResourcesSources: The United Nations, UNICEF, USAID, WaterAid America, The World Bank.
Photo Credit: “Repatriated Mamas at the fountain,” courtesy of flickr user Julien Harneis -
Digging Deeper: Water, Women, and Conflict
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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]
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Gates and Winnefeld: Development a Fundamental Part of National Security
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“As we’ve learned in Iraq and Afghanistan, reconstruction, development, and governance are crucial to any long-term success – it is a lesson we forget at our peril,” said Former Secretary of Defense Robert Gates in a video address commemorating the U.S. Agency for International Development’s 50th anniversary this fall. Gates was joined by Admiral James Winnefeld, Jr., the vice chairman of the Joint Chiefs of Staff, in a post on USAID’s Impact blog to reinforce the importance of development and USAID in particular to U.S. national security.
USAID was created on November 3, 1961 as part of a total overhaul of U.S. foreign assistance by President Kennedy. From the start, President Kennedy understood that the agency would play a role not just in development abroad but in improving U.S. security as well.
The agency is marking its 50th anniversary in an environment where development and security are seen as perhaps more linked than ever.
Winnefeld described the work that USAID and the military do as going hand-in-hand, saying that “together, we play a critical role in America’s effort to stabilize countries and build responsive local governance.”
In country after country, Winnefeld said, “USAID’s development efforts are critical to our objective of creating peace and security around the world.” He added that “instability in any corner of today’s highly interconnected world can impact everyone. Development efforts prevent conflicts from occurring by helping countries become more stable and less prone to extremism.”
“For 50 years,” Gates said, “USAID has embodied our nation’s compassion, generosity, and commitment to advance our ideals and interests around the globe. It’s a commitment demonstrated every time this agency works hand-in-hand with communities worldwide to cure a child, build a road, or train a judge.”
“By improving global stability,” Winnefeld concluded, “USAID helps keep America safe.”
Sources: USAID.
Video Credit: USaidVideo.
