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Health and Harmony: Population, Health, and Environment in Indonesia
›Borneo’s Gunung Palung National Park is a microcosm of both the island’s ecological wealth and vulnerability. More than half of the park is undisturbed forest; the remainder, however, “is being torn down day after day” at an alarming rate, said Health in Harmony’s Nichol Simpson at an event on integrated approaches to population, health, and environment (PHE) programs in Indonesia. Alene Gelbard of the Public Health Institute’s Company-Community Partnerships for Health Indonesia (CCPHI) program joined Simpson on September 29 at the Wilson Center. Both speakers emphasized that no matter what issue a group works on, engaging local communities is essential for success.
The Destructive Cycle: Poor Health, Poor Environment
For Simpson, “the intersection between human and environmental health” is at the heart of Health in Harmony’s work. Health in Harmony opened Clinic ASRI in 2007, aiming to provide improved healthcare to villagers throughout Gunung Palung National Park while ending their dependence on illegal logging as a means of financial survival.
The area’s inhabitants were all too easily trapped in what Simpson called “the destructive cycle.” When faced by an unexpected medical emergency, families would go into debt to pay their medical bills. Health in Harmony found that of 232 local households surveyed, 13 percent had recently experienced a major medical emergency, at an average cost of $360. Most households in the area only hold around $260 in emergency savings, so to make up the difference, about a third turned to illegal logging to pay down their debt.
By deforesting the park, illegal logging worsens the health of nearby communities. For example, Simpson said that Clinic ASRI has seen a rise in cases of malaria and tuberculosis in the surrounding communities, in part because deforestation has increased the level of mosquito activity. The link between human and environmental health is clear, said Simpson: the people ASRI serves are “living it every day. They know the cause of this. And…they want it to stop.”
Protecting Natural Resources By Improving Health
The Health in Harmony clinic located in Sukadana, a small village sandwiched between Borneo’s coast and Gunung Palung Park, helps break the destructive cycle by treating patients regardless of their ability to pay. If patients do not have cash, they can barter for their care. In one case, a girl named Yani came to ASRI after her family incurred $500 over two months of visiting hospitals and traditional healers, none of whom could treat her condition. ASRI diagnosed and treated Yani for scabies. In exchange, her mother signed a pledge to protect Gunung Palung from logging and made the clinic a floor mat to cover the $1.50 bill.
By providing affordable, high-quality healthcare that is contingent upon pledging to protect the environment, Clinic ASRI improves human and environmental health in one fell swoop, said Simpson. “Because the infant mortality rate has decreased and you’re not overcompensating,” said Simpson, families can choose to have fewer children, using free birth control provided by ASRI.
“When you have fewer and healthier children, you’re investing in your education,” said Simpson. “When you’re investing in your education, you’re investing in your country and your community. This is the virtuous cycle. I didn’t invent it, but we are proving it in Sukadana.”
The communities around the clinic have embraced ASRI’s work, partnering with them to expand their services to address additional community needs, like training farmers in more productive organic methods and providing mated pairs of goats for widows, who pay ASRI back with kid goats and manure for fertilizer.
All but one of the 23 villages that ASRI services have been consistently free of illegal logging, according to monitors who visit them on a regular basis. “We’re proving the theory that we can protect natural resources by improving health,” Simpson said.
“Health Is Key to Sustainable Development”
Gelbard took a step back to talk about CCPHI’s experience establishing multi-sector partnerships among NGOs and corporations by building trust and enabling dialogue between the communities.
With corporate responsibility becoming more popular, “everyone’s talking about partnerships these days, and everybody’s partnering with everyone,” said Gelbard. “I don’t care what they call it – I care what they’re doing” and what results they achieve, she said. A successful partnership involves “all partners doing something more than just giving money.”
Gelbard said the 2004 tsunami reinforced the notion of corporate responsibility for a lot of companies operating in Indonesia. They saw that unless they branched out beyond their own walls and “did things to help strengthen communities,” efforts at corporate responsibility simply “would not benefit them in the long-run,” she said.
Through CCPHI, companies and NGOs have partnered on a wide range of efforts, including improving access to and funding for reproductive health services, improving sanitation by increasing access to water, and combating human trafficking by empowering girls and women.
Achieving the Millennium Development Goals will require increasing access to health care in a manner that reflects the needs of communities, she said. At its core, CCPHI’s work and the partnerships it facilitates are “based on the knowledge that health is key to sustainable development,” said Gelbard.
Event Resources
Sources: Alam Sehat Lestari, American Journal of Tropical Medicine and Hygiene, Company-Community Partnerships for Health Indonesia, ExxonMobil, The Guardian, Health in Harmony, National Geographic, PBS News Hour, Public Health Institute, Republic of Indonesia Ministry of Forestry, United Nations, World Wildlife Fund
Photo Credit: Used with permission courtesy of ASRI and Nikki See, Under-told Stories. -
PHE Is One Great Idea That Won’t Be On the Rio Agenda, Says Roger-Mark De Souza
›October 17, 2011 // By Sean Peoples“I am now serving as an example to other women in the community because I am not having any more children. I have received training in sustainable agricultural practices, I’m generating income, and I’m educating others,” said Berhane Ferkade, an Ethiopian farmer, to Population Action International’s Roger-Mark De Souza earlier this year. The 39-year-old mother of 11 become one of the community’s model farmers after working with LEM Ethiopia – a local population, health, and environment (PHE) development organization.
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Jon Foley: How to Feed Nine Billion and Keep the Planet Too
›October 12, 2011 // By Geoffrey D. DabelkoJon Foley of the University of Minnesota’s Institute on the Environment is a food security rock star, plain and simple. And he deserves that lofty status in part because he explains our complex 21st century agriculture challenges in such a clear and accessible fashion. See him present (like in the TEDx video above), and you are left wishing all scientists would drop in on the “how to make your work understandable” class that Foley must have aced.
Foley brought that clarity of presentation, mixed with self-deprecating humor, to this past week’s inaugural South by Southwest (SXSW) Eco conference in Austin, Texas. Foley said we must meet three big challenges in the realm of agriculture:- Feeding the population today: One in seven of the world’s seven billion people do not know where their next meal is coming from.
- Feeding the future population: The planet is expected to reach more than nine billion people in just 39 years (and may still continue to grow beyond nine billion, rather than leveling off as expected until recently).
- Farming the planet sustainably: We are a long way from achieving sustainable agriculture, given overuse of fertilizers, soil erosion and degradation, deforestation (leading to loss of biodiversity), and energy-intensive practices (producing excessive carbon emissions).
But Foley and his colleagues retain their scientific union cards while suggesting specific ways the world might meet the three food security goals listed above. In what must be considered the academic equivalent of a walk-off grand slam, they will be featured as next week’s cover story in Nature and a more accessible derivative in the November issue of Scientific American.
“Today, humans are farming more of the planet than ever, with higher resource intensity and staggering environmental impacts, while diverting an increasing fraction of crops to animals, biofuels and other nonfood uses,” Foley et al. write in Nature. “Meanwhile, almost a billion people are chronically hungry. This must not continue: the requirements of current and future generations demand that we transform agriculture to meet the twin challenges of food security and environmental sustainability.”
Their four-step plan in brief:- Slow agricultural expansion to stop deforestation and the huge ecological cost that stems from expanding into new lands, often to grow animal feed rather than food for direct human consumption.
- Grow more food on the acres currently under cultivation. The attention, resources, and innovation applied to the best-producing farms need to also be turned on the least productive farms, where rates as low as 20 percent of potential yields are the norm.
- Improve the resource efficiency of agriculture, through better water use, for example. Places like India, where the energy to pump groundwater is effectively free, are very inefficient in the use of water per calorie grown.
- Close “diet gaps,” where only 60 percent of what is grown is actually for human consumption (the rest for animals and fuel), and reduce food waste, whether it is spoilage on the way to market or the excesses of a food industry that leaves so much uneaten.
Sources: Nature.
Video Credit: “TEDxTC – Jonathan Foley – The Other Inconvenient Truth,” courtesy of Youtube user TEDxTalks. -
Watch: First Impressions From the Inaugural SXSW Eco Conference
›October 6, 2011 // By Schuyler NullOur director, Geoff Dabelko, provides a brief update from South by Southwest’s (SXSW) first Eco conference, being held in Austin, Texas this week:
Bill Ritter, former governor of Colorado, was impressive in an interview with Bryan Walsh of Time magazine, seamlessly alternating between technical and policy questions about energy security.
Ned Breslin, CEO of Water for People, provided some real talk, challenging the notion that it’s “easy” to provide needy populations with freshwater. It’s not as simple as “$25 saves a life,” he said. Providing long-term, sustainable water and sanitation solutions to people around the world requires a great deal of hard work, particularly on financing and ownership questions.
Finally, Jon Foley of the University of Minnesota’s Institute on the Environment presented a five-step response to what he called today’s three main food challenges: providing enough to feed today’s population, tomorrow’s (an estimated nine billion people by 2050), and doing it all in a sustainable fashion. The Institute on the Environment publishes an almost-quarterly magazine, Momentum, whose work we’ve featured before on New Security Beat (here, here, and here), and, incredibly, is available, delivered to your house, for FREE. Highly recommended.
Stay tuned for more updates from SXSW, including the ECSP-supported panel, “Three Great Ideas That Won’t Be On the Rio+20 Agenda.” -
Watch: Dennis Taenzler on Four Key Steps for REDD+ to Avoid Becoming a Source of Conflict
›The UN Program on Reducing Emissions from Deforestation and Forest Degradation (REDD) provides financial incentives to developing countries to conserve their forests and invest in low-carbon pathways to sustainable development. However, it may also be a potential new source of conflict, says Dennis Taenzler, a senior project manager at adelphi in Berlin, who works on climate and energy policies as well as peace and conflict issues.
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El Niño, Conflict, and Environmental Determinism: Assessing Climate’s Links to Instability
›October 5, 2011 // By Schuyler NullA recent Nature article on climate’s impact on conflict has generated controversy in the environmental security community for its bold conclusions about links between the global El Niño/La Niña cycle and the probability of intrastate conflict.
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SXSW Eco Panel: Three Great Ideas That Won’t Be On the Rio+20 Agenda
›September 30, 2011 // By Schuyler NullSouth by Southwest (SXSW) – the popular music, film, and alternative showcase – is moving into the green space with its first ever “eco” conference, kicking off next week, October 4, with more than 50 panels on “solutions for a sustainable world.” There’s one in particular though you should tune into: “Three Great Ideas that Won’t Be On the Rio Agenda,” featuring Geoff Dabelko, director of the Wilson Center’s Environmental Change and Security Program; Roger-Mark De Souza, vice president of research and director of the climate program at Population Action International; and Aimee Christensen, CEO of Christensen Global Strategies.
The panel will feature discussion on three issues that will likely not be on the table at the Rio+20 UN Conference on Sustainable Development next year: integrated population, health, and environment development programs, climate adaptation as a path to peacebuilding, and how to get the private sector better involved in helping cope with climate change.
If you’re traveling down to Austin, “Three Great Ideas” is scheduled for Thursday, October 6 at 10am CST; if not, stay tuned for webcast information! -
Remembrance: Wangari Maathai, Nobel Peace Prize Winner, Linked Environment and Conflict
›September 26, 2011 // By Schuyler NullSad news today as Wangari Maathai, the first African woman and the first environmentalist to win the Nobel Peace Prize, has passed away in Nairobi. The Green Belt Movement, which Maathai founded in 1977, has planted over 30 million trees and advocates for what Maathai called the three essential components of a stable society: sustainable environmental management, democratic governance, and a culture of peace. [Video Below]
“Almost every conflict in Africa you can point at has something to do with competition over resources in an environment,” said Maathai during her visit to the Wilson Center in 2009:Unless you deal with the cause, you are wasting your time. You can use all the money you want for all the years you want; you will not solve the problem, because you are dealing with a symptom. So we need to go outside that box and deal with development in a holistic way.
Maathai’s message was molded from her experiences in Kenya and across sub-Saharan Africa in general. She was not shy about condemning African leaders and advocating for women in the political space. In ECSP Report 12, she wrote, “I come from a continent that has known many conflicts for a long time. Many of them are glaringly due to bad governance, unwillingness to share resources more equitably, selfishness, and a failure to promote cultures of peace.”
Importantly, though, Maathai advocated for addressing these issues in concert, not separately. She said at the Wilson Center:I can’t say, ‘Let us deal with governance this time, and don’t worry about the resources.’ Or, ‘Don’t worry about peace today, or conflicts that are going on; let us worry about management of resources.’ I saw that it was very, very important to use the tree-planting as an entry point.
A Message to the World
Some raised questions when Maathai won the Nobel Peace Prize in 2004 – the first awarded to someone from the environmental field – but the recognition was more than deserved, wrote Environmental Change and Security Program (ECSP) Director Geoff Dabelko on Grist:Maathai is on the front lines of the struggle over natural resources that fuels conflicts across the world. While there is no dramatic footage of tanks rumbling across borders or airplanes flying into buildings, the everyday fight for survival of those who depend directly on natural resources – forests, water, minerals – for their livelihoods is at the heart of the battle for peace and human security.
Maathai explained in Report 12 that she thought her winning of the prize was intended as a message to the world to “rethink peace and security.”
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Elevating such a strong Southern voice – and one whose elephant’s skin bears the scars of the fight for peace – is a noble choice.
The Nobel Committee “wanted to challenge the world to discover the close linkage between good governance, sustainable management of resources, and peace,” she wrote. “In managing our resources, we need to realize that they are limited and need to be managed more sustainably, responsibly, and accountably.”
Sources: Grist, The New York Times.
Photo Credit: David Hawxhurst/Wilson Center.
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