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ASRI’s Integrated Health and Conservation Programming in Borneo
›If you have a fever in the town of Sukadana in Indonesian Borneo, the locals might suggest you go to the ASRI clinic. It’s in a little house whose front yard is crowded with bicycles and motorbikes. In the waiting room, you examine a whiteboard that explains your payment options. ASRI accepts cash. But it looks like you can also pay with labor in the clinic’s organic garden or its reforestation site. If you own a goat, you can bring in its manure and pay with that. You can even pay with durian tree seeds!
Doctoring both humans and the environment is the raison d’etre of Alam Sehat Lestari (“healthy life everlasting” in Bahasa Indonesia, or ASRI for short), an NGO dedicated to the idea that human health is so intertwined with that of the environment that trying to fix one must include trying to fix the other. Located beside Indonesia’s Gunung Palung National Park, ASRI aims to protect the park’s irreplaceable rainforests by offering health care incentives to local people to stop illegal logging. We’re supported by our sister NGO in the United States, Health in Harmony.
For both people and the forest, the task is urgent. The island of Borneo was once famously covered by rainforest. But now only half of that canopy exists, and less than one-third will remain by 2020. Beginning in the mid-20th century, loggers, palm-oil plantation companies, and farmers logged, burned, and clear-cut their way through the island. Horrifyingly, much of this destruction has taken place in “protected” areas like national parks. The relentless loss of forest has devastated biodiversity in Borneo and severely reduced habitats for many organisms, including one of humanity’s closest relatives, the orangutan – as of 2005, there were about 55,000 left, a tenth of which live in Gunung Palung. Some experts predict the orangutan will be extinct within a few decades. Despite their protected status, Gunung Palung’s forests are continually threatened by illegal logging for valuable hardwood, poor implementation of management practices, and forest fires, many of which are started to clear land for new uses. Over 50,000 hectares of the 90,000-hectare national park’s forest cover are damaged or gone.
Contributing is the fact that Borneo’s economy is based largely on extractive industries; there simply aren’t many other job options. An ASRI survey found that in the Gunung Palung area the average cost of an emergency visit to the district or regional hospital was $460 – more than the average annual income. In fact, one-third of interviewees had faced a choice between health care and food. Financial pressures like that are what drive people to illegal logging. A four-meter board can go for R110,000, or about $10 – a little less than the average villager’s monthly income of $13. Working in a rice field, by contrast, pays about a dollar a day.
Sukadana, located so close to Gunung Palung, is a boom town for these industries. It was recently made a seat of the local regency. We watch new buildings go up every week – most of them built using illegal wood chopped straight out of the national park – and workers and money are flowing in.
As forest is converted to plantations, however, pesticides and fertilizers enter the watershed, which damage water and soil quality as well as human health. Watershed destruction from logging and land conversion leads to flooding which makes it harder to raise rice and can increase rates of flood-related diseases. Logging itself is dangerous work, and there are few or no worker protections. As well, seasonal, man-made forest fires, which this ecosystem is not adapted to and which can last for months, devastate both the natural habitat and respiratory health.
Enter ASRI: Our Sukadana clinic offers high-quality, low-cost medical care to all comers, with discounts for people living in villages that do not contribute to illegal logging (which the National Park office determines using air and ground patrols). This incentive system was devised in consultation with local leaders and is intended to take advantage of powerful social ties in this rural area. But given the complexity of the connections between poverty, health, and the environmental degradation here, ASRI also attacks these problems from other angles.
For one, patients and families can pay by eco-friendly, non-cash means – some of which actually end up providing further benefit to the patients. Many choose to do a stint of labor for ASRI in our organic garden. There they learn techniques that they can apply to their own crops. Some farmers have reported making a considerable profit selling their own organic produce with the skills they learned at ASRI, and some have sworn off traditional slash-and-burn agriculture, because as organic farmers they earn more money for less work. Others decide to work at ASRI’s reforestation site, which aims to restore several hectares of burned-over, degraded grassland to its original forested state. Patients can also bring in compost or manure; rainforest seeds and seedlings; or handmade grass mats, which are snapped up by clinic staff and volunteers.
ASRI’s other programs include Goats for Widows, in which impoverished widows receive a goat and give back its organic manure and one kid. Clinic staff teach townspeople and villagers about the links between the environment and health and include information about diseases like tuberculosis during “movie nights,” when they set up a projection screen and show educational videos. Crucially, ASRI also engages in capacity-building through its trained medical volunteers, who serve as consultants for Indonesian staff doctors who are fresh out of medical school.
On the horizon is a new eco-friendly “super-clinic” that will allow us to perform major surgery and house many more inpatients. We hope that as it goes up, people will learn ways to build with less wood, and that by offering even better health care to people living around the national park, we will gain enough leverage to slow or even stop illegal logging. For the community – everyone from the next generation of Sukadanans to the gibbons and durian trees – that would be a healthy change for all.
Jenny Blair, M.D., is a physician, writer, and long-term volunteer at ASRI, along with her husband, Roberto Cipriano, a LEED-accredited professional and architect who is helping to design ASRI’s newest clinic.
Sources: Center for International Forestry Research, Food and Agriculture Organization, Gunung Palung Orangutan Conservation Program, Mongabay.com, Rainforest Action Network, Tropics, World Rainforest Movement, World Wildlife Foundation
Video and Image Credit: “Conservation – Part 1,” courtesy of AlamSehatLestari, and “Ibu Nurdiah,” used with permission, courtesy of Roberto Cipriano. -
Laurie Mazur at SEJ 2010 on ‘A Pivotal Moment: Population, Justice, and the Environmental Challenge’
›“Right now, half the world’s population – some 3 billion people – are under the age of 25,” began Laurie Mazur on the “Population, Climate, and Consumption” panel at the Society for Environmental Journalists 20th Annual Conference. “It’s the largest generation ever that’s coming of age, and the choices that those young men and women make about childbearing will determine whether world population…grows to anywhere between 8 and 11 billion by the middle of this century.”
“The good news is that everything we need to do to slow population growth is something we should be doing anyway,” she continued. Mazur is the author of A Pivotal Moment: Population, Justice, and the Environmental Challenge and director of the Population Justice Project.
She was joined on the panel by Brian O’Neill, who spoke about a new study examining the impact of demographics on carbon emissions, and Jack Liu, who spoke about the impact of household size on emissions in China.
The “Pop Audio” series offers brief clips from ECSP’s conversations with experts around the world, sharing analysis and promoting dialogue on population-related issues. Also available on iTunes. -
Tracking the End Game: Sudan’s Comprehensive Peace Agreement
›The next nine months are critical for Sudan. The 2005 Comprehensive Peace Agreement (CPA) sets January 9, 2011, as the date when southern Sudanese will vote on secession or unity, and the people of disputed Abeyei will vote on whether to be part of North or South Sudan. Between now and July 2011, when the provisions of the CPA come to an end, we could see the birth of the new country of South Sudan—or a return to a North-South war if the referendum is stalled, botched, or disputed. (Few currently expect that a unity vote will create the “New Sudan” envisioned by the late John Garang.)
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Ethiopian Case Study Illustrates Shortcomings of “Land Grab” Debate
›The lines have been drawn in the “land grab” debate: Will foreign investors displace small, local land-holders, damaging the environment with exploitive practices? Or will a combination of infrastructure investment and employment opportunities lead to a virtuous development cycle?
Recent reports suggest that the former is more likely than the latter (e.g., see the Oakland Institute, GRAIN, and the Food and Agriculture Organization). In each case, the proposed antidote is the typical wish-list: Boost institutional capacity to ensure that agreements are honored, environmental and labor regulations are observed, and local populations are given a stake in the process.
While it incorporates a broader swath of data and country case studies, the recent World Bank report, “Rising Global Interest in Farmland: Can It Yield Sustainable and Equitable Results?” largely recycles this tired diagnosis, as noted recently by Michael Kugelman on The New Security Beat.
But the two months we spent in the Amhara and Oromia regions of Ethiopia, surveying smallholders and profiling large-scale commercial farms, left us with a different impression. After completing 1,200 pages of surveys on smallholder livelihood strategies and farm management practices with 120 local farmers, as well as six profiles of private investors’ farms, we identified several key points that these reports missed.
Strong Laws Don’t Always Scare Investors Away
The World Bank report focuses on the belief that countries with weak institutions attract predatory investors, who use lack of oversight to their advantage by exploiting local populations, abusing regulations, etc. Ethiopia, however, has high institutional capacity relative to other African nations, yet still receives enormous land investment.
Every commercial farm we profiled received yearly visits from multiple regional and federal agencies investigating regulatory compliance. Moreover, two of the farms had been sold to their current owners because the previous business ventures failed to observe the terms of their business proposals. These terms included bringing certain amounts of foreign exchange into the country and hitting export targets.
Ethiopia attracts investors for other reasons. Official documents tout the diversity of its micro-climates, but we suspect investors are more likely drawn by a lease rate roughly 100x lower per hectare than the African average.
Given the emphasis on boosting institutional capacity as a means to ensure positive development outcomes, it’s too bad that the World Bank didn’t choose to conduct one of its case studies on Ethiopian commercial farms. Such a study could provide grounds for discussing what investment governed by stronger institutions would look like.
An Incomplete Paradigm
The potential for population displacement (with or without compensation), job creation, and infrastructure development is a well known and well studied paradigm. The World Bank report investigates the occurrence of these phenomena in its case studies, and the results are unsurprising: Sometimes things go OK and sometimes they go badly. This same story emerges in studies of foreign investments of all stripes: logging, oil and natural gas extraction, precious mineral mining, among others.
A more inventive analysis of land grabs could yield meaningful findings, however. Investors and smallholders are engaged in the same activity — farming — and in the case of cereal farms, they are producing the same crops. The resulting overlap allows for a multitude of creative interactions between smallholders and investors that should receive more attention.
Two of the investors we interviewed used these creative interactions to promote their business plans to regional development authorities. One farm sold certified seed to local farmers; another imported an irrigation system new to the region and plans to introduce it to the broader community. They each rented farm equipment to smallholders and held demonstration days to discuss farming techniques and new crop types with community members. One had already introduced new crops to the adjacent village via an “outgrowing” scheme and was exporting smallholder products from the farm, thus diversifying livelihoods for local farming households.
These are, of course, anecdotal accounts. But they suggest a broader point: More attention must be given to “secondary” benefits like technology and knowledge transfers, outgrowing or renting schemes, and informal interactions. Given the unique attributes of large-scale commercial investment in the agricultural sector, which continues to provide most Ethiopians’ livelihoods, these secondary benefits are the mechanism through which livelihoods seem most likely to be transformed. In this case, the preoccupation with displacement, formal compensation, jobs created, and infrastructure development only leads to generalized and ineffective analysis.
Our smallholder surveys and commercial farm profiles point to one conclusion: The commercial farms in our sample that engaged most fully in those creative interactions will generate substantial benefits for local populations over the next 5-10 years (quantitative analysis to be published in our final report this spring). The particular interactions taking place between these smallholders and commercial farms directly alleviate the primary constraints to smallholder livelihoods identified by our survey, such as lack of mechanization, lack of access to inputs, and inability to generate cash through sale of crops.
It’s far from clear that the World Bank analysis would have captured this reality in Ethiopia given its limited focus. Ideas like outgrowing receive scant attention, and are usually only discussed in hypothetical terms or in parentheticals – a trend the World Bank report unfortunately continued.
Incorporate Case Studies and Put Livelihoods First
So while our limited analysis may not enable us to speak broadly about the effects of commercial farming, we can offer two observations.
First, the creative arrangements that accompany the introduction of commercial farming must be front and center of any study. The study should be grounded in an understanding of the livelihood constraints faced by local populations, followed by an analysis of the types of interactions between commercial farms and smallholders that may affect those constraints, including not only traditional effects, such as displacement and employment, but also atypical impacts, such as improved seed distribution and technology demonstration.
Second, since Ethiopia has enough institutional capacity to be selective when choosing commercial investors (and to ensure they adhere to the terms), it embodies a number of principles the promoted by the World Bank report. Ethiopian Prime Minister Meles Zenawi views large-scale private farms as one piece of a broader commercialization effort to revolutionize smallholder agriculture, as described in the government’s development plan, PASDEP. This effort is in keeping with the report’s basic recommendation that host governments ensure that investment is compatible with domestic needs.
Understanding the phenomenon of large-scale land acquisitions should be at the top of the international research agenda. The effects on livelihood security and food security (in both developed and developing countries), as well as the potential contributions to resource conflicts, place such land deals among the most consequential recent trends in the international arena.
We believe a new framework must be brought to the analysis of land grabs. To effectively implement this framework, important but overlooked cases, such as we found in Ethiopia, should be included in future studies.
Nathan Yaffe and Laura Dismore are students at Carleton College, who just returned from researching commercial farming in Ethiopia. They can be reached at yaffen@carleton.edu and dismorel@carleton.edu.
Photo Credit: Adapted from “P8060261,” courtesy of flickr user Ben Jarman. -
Alex Evans on Resource Scarcity and Global Consumption
›“Why should we be concerned with scarcity issues?” asks New York University’s Alex Evans. Beyond general population growth, there is also an expanding global middle class that is shifting to more Western diets and consuming more energy, he explains. The net result is that demand for food, water, oil, and land is outpacing supply. These scarcity issues should be grouped together, argues Evans, because you can’t address one without affecting the others.
The “Pop Audio” series offers brief clips from ECSP’s conversations with experts around the world, sharing analysis and promoting dialogue on population-related issues. Also available on iTunes. -
A Blueprint for Action on the U.S.-Mexico Border
›September 17, 2010 // By Robert DonnellyAt the U.S.-Mexico border, environmental degradation is a chief concern affecting both countries’ shared watersheds, “airsheds,” and greater ecosystems. At the same time, continuing population stresses in the U.S. Southwest are further aggravating the area’s perennially acute water needs, while climate change is threatening to make the region even hotter and drier.
Compounding these ecological challenges and their consequent health risks is the fact that the poverty on both sides of the border appears largely intractable, at least in the short-to-medium term. Yet the region and its shared challenges also present unique opportunities for enhanced U.S.-Mexico collaboration, particularly in the areas of joint environmental management, cross-border emergency response, and renewable energy development.
Earlier this summer, the Woodrow Wilson Center’s Mexico Institute looked to address these challenges and opportunities by co-sponsoring an event with the Good Neighbor Environmental Board (GNEB), an independent federal advisory committee (coordinated by the Environmental Protection Agency) that advises the U.S. government on border environmental practices. The event revolved around the release of the board’s new report, A Blueprint for Action on the U.S.-Mexico Border.
Initiatives Show Promise
Chief among the report’s 63 policy recommendations is the need for better coordination among and between federal, state, and local agencies at the border. GNEB Chair Paul Ganster cited the report’s support of a transboundary environmental impact assessment (TEIA) process “to address transnational (environmental) impacts, and encourage transborder cooperation on environmental infrastructure projects.” The report suggests that the trilateral Commission on Environmental Cooperation (CEC)—comprising Mexico, Canada, and the United States—“explore such an agreement.”
Ganster added that U.S. border communities require dedicated focus from the government in ways that non-border communities might not because of their unique and poverty-aggravated environmental challenges.
Michelle DePass, an assistant administrator at the Environmental Protection Agency’s Office of International and Tribal Affairs, said that the board’s findings would be used in the search for solutions to border-region environmental challenges. She acknowledged recent advances in tackling such challenges, such as EPA-coordinated efforts to reduce the serious environmental threat posed by heaps of tires scattered throughout the region.
DePass also described the EPA’s U.S.-Mexico Environmental Program, known as Border 2012, highlighting its successful involvement in efforts to clean up the Metales y Derivados industrial waste site in Baja California.
Nancy Sutley, chair of the White House Council on Environmental Quality, said that the border region is poised to become part of a “clean energy revolution” because of its supply of renewable resources. She lauded the report for encouraging clean-energy collaboration with Mexico, and said the report’s recommendations have a special significance because they are issued by individuals who actually live and work in the border region.
Bilateral collaboration is necessary to mitigate the adverse effects of climate change and to resolve shared environmental problems at the border, said Enrique Escorza, an official with the Political Affairs Section of the Mexican Embassy in Washington, D.C. Escorza said the need for collaboration has finally eclipsed prior impediments, such as concerns about violations of national sovereignty.
“The border throws us together,” Escorza said, adding that Mexico has a new understanding about shared resources. “It’s not about ‘our’ water,” he declared. “It’s about shared watersheds and our working as partners.”
A Federal, State, and Local Stakeholder Perspective
Duncan Wood, acting chair of the Department of International Relations at the Instituto Tecnólogico Autónomo de México (ITAM), noted that the border region presents enormous opportunities in the area of renewable energy investment. The border is a unique region, he added, since ecosystems overlap rather than respect national boundaries. He drew linkages between the report’s policy options for improving the border and two pillars of U.S.-Mexico security cooperation policy: the development of a 21st century border where security and trade concerns complement one another, and the construction of resilient border communities.
Russell Frisbie, the Washington liaison for the International Boundary and Water Commission (IBWC), and John Wood, a county commissioner in Cameron County, Texas, both discussed the need for a bilateral federal-to-federal memorandum of understanding on cross-border emergency-management response. The development of such a protocol could help first responders in both countries more easily cross the border to provide relief in the event of natural disasters, such as floods or wildfires.
Allyson Siwik, executive director with New Mexico’s Gila Resources Information Project, seconded the report’s recommendation for a successful Transboundary Aquifer Assessment Program, which would, according to the GNEB report, “scientifically characterize aquifers that underlie the international boundary and encourage other efforts to improve data gathering and accessibility for border water resources, such as harmonization of standards.” Ann Marie A. Wolf, president of the Sonora Environmental Research Institute (Arizona), called for upgrades to water and wastewater systems in border sister cities, some of which suffer regular overflows from flooding.
Siwik also stressed an ongoing need to assess the environmental impact of security fencing along the border, which Wood said prevented the natural movement of animal species, while not effectively deterring unauthorized migration.
Robert Donnelly is a program associate with the Mexico Institute at the Woodrow Wilson Center.
Photo credit: “U.S.-Mexico border fence at Nogales, Arizona,” courtesy of flickr user jim.greenhill. -
New World Bank Report on Land Grabs Is a Dud
›After months of delays and false starts, and a tantalizing partial leak to the Financial Times earlier this summer, the much-ballyhooed World Bank report on large-scale land acquisitions has finally arrived.
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The Feed for Fresh News on Population
›August 24, 2010 // By Wilson Center StaffRT @NewSecurityBeat: New: Royal Society Calls for Submissions: “People and the Planet” Study – http://ht.ly/2oOju #Population @royalsociety
RT @NewSecurityBeat: New: #Land, #Education, and #Fertility in Rural #Kenya – http://ht.ly/2nvJL #Demography #Population #Youth #ECSP #fb
Spoke on need for integration in climate, food, water, & health on #USAID @PressClubDC panel. @NewSecurityBeat coverage http://ow.ly/2n0K4
Great to see Colin Kahl this morning. Here’s a @NewSecurityBeat podcast w/ him on environment, demography, & conflict http://ow.ly/2n0qG
My take on @Revkin on @dotearth asking how much is enough? Look to Durning & Pirages to help redefine the good life http://ow.ly/2mG2T
Follow Geoff Dabelko and The New Security Beat on Twitter for more population, health, environment, and security updates.
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