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NewSecurityBeat

The blog of the Wilson Center's Environmental Change and Security Program
Showing posts from category maternal health.
  • The Challenge for Africa: A Conversation With Wangari Maathai

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    May 5, 2009  //  By Rachel Weisshaar
    “Almost every conflict in Africa you can point at has something to do with competition over resources in an environment which has bad governance,” said Wangari Maathai, founder of the Green Belt Movement and recipient of the 2004 Nobel Peace Prize, at an April 13, 2009, event co-sponsored by the Wilson Center’s Environmental Change and Security Program and Africa Program and the International Gateway at the Ronald Reagan Building & International Trade Center. Maathai discussed her new book, The Challenge for Africa, with Environmental Change and Security Program Director Geoff Dabelko.

    “This is why I wrote this book: Because I really was challenging us as Africans to think outside the box and to begin to see why when we seem to move forward, we make two steps forward, and we make one step backward, and so we look like we are not moving,” said Maathai. “Some of these issues are complex, they are difficult—but they have a lot to do with the way we have decided to manage our resources and to manage our politics and economics.”

    The Three Legs of Stability

    Maathai used the traditional African three-legged stool as a metaphor for what she views as the three essential components of a stable society: sustainable environmental management, democratic governance, and a culture of peace. “Those legs are chiseled by a craftsman…[who] chisels all the three legs at the same time, in order to create a balance,” she said. “If we don’t have these three legs, no matter who comes, and with whatever [loans or aid], we shall never develop.”

    Land, Politics, and Ethnicity: An Explosive Combination

    Maathai explained that in the absence of democratic governance and sustainable environmental management, natural resources have repeatedly ignited conflict in her native Kenya. For instance, the advent of private land ownership during colonialism pitted Maasai herders, who need large tracts of land to graze their cattle, against Kikuyu farmers, who for the first time obtained deeds to their land and began to erect fences to mark the boundaries.

    In addition, Maathai noted that politicians often use Kenya’s ethnic divisions and land scarcity to whip up animosity toward internal migrants and bolster their own re-election prospects. “If you don’t, then, therefore, ensure that the resources within the country are equitably distributed, and you encourage these prejudgments that communities have against each other, you’re going to have conflict,” she said.

    Holistic Approach Is Key to Successful Development

    The Green Belt Movement began as a small, grassroots project that envisioned tree-planting as a way to address rural women’s needs, including firewood, food, clean water, and soil erosion. “Even though that’s how we started, it very quickly became clear to me that these are symptoms, and therefore we needed to get to the causes. And it is in search of the causes that eventually led me into understanding how interconnected these issues were,” said Maathai, who urged governments, development agencies, and nonprofits to adopt an integrated approach to development.

    “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.”

    “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,” explained Maathai.

    “Even though it is the women who provide the drive for planting trees—partly because it is they who suffer when the environment is destroyed, it is also they who work in the field—once we are in the community, we will have to deal with the women, deal with the men, deal with the children, deal with the livestock, deal with everything,” said Maathai.

    Climate Change, Forests, and Environmental Justice

    According to Maathai, 20 percent of greenhouse gas emissions are due to deforestation and forest degradation—more than the percentage due to transportation. She is working with Avoided Deforestation Partners to make avoiding deforestation part of the Copenhagen agreements—a step that would not only slow global climate change, but also help those who are directly dependent on natural resources like forests for their livelihoods, and therefore most vulnerable to climate change. “This is the one issue which really comes to tell us that indeed, the planet is a small village, and all of us are in this little village together.”
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  • Pakistan’s Daunting—and Deteriorating—Demographic Challenge

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    Guest Contributor  //  April 29, 2009  //  By Tod Preston
    Every day it seems the headlines bring new worries about the future of Pakistan. But among the many challenges confronting the nation—including a growing Taliban insurgency—one significant problem remains largely undiscussed: its rapidly expanding population.

    Consider this: Pakistan’s population nearly quadrupled from 50 million in 1960 to 180 million today. It’s expected to add another 66 million people—nearly the entire population of Iran—in the next 15 years. UN projections predict that by the late 2030s, Pakistan will become the fourth most populous country in the world, behind India, China, and the United States.

    And believe it or not, the demographic outlook for Pakistan got bleaker in recent weeks. The new medium-range UN projections for Pakistan’s total population have been raised to 335 million for 2050—45 million higher than the UN projection just two years ago. Why the change? Because birth rates aren’t falling as had been predicted—women in Pakistan have an average of four children—and unmet need for family planning remains high.

    The case of education provides a snapshot of how these demographics affect Pakistan, from basic quality-of-life issues to the country’s overall stability. Even though the official literacy rate in Pakistan has increased from about 18 percent to 50 percent since 1970, the number of illiterate people has simultaneously jumped from 28 million to 48 million. The literacy rate for women stands at a shockingly low 35 percent.

    As public schools have become increasingly overcrowded, more parents have turned to madrasas in an attempt to educate their children—or at least their sons. It’s no secret that some of Pakistan’s madrasas have ties to radical religious and terrorist-affiliated organizations.

    So what does this portend for the future?

    Even assuming large infusions of assistance from the United States, Pakistan’s public school system will become even more overwhelmed in the years ahead. Building enough schools and hiring enough teachers would be daunting in any country, let alone one facing as many challenges as Pakistan. It seems likely that enrollments in madrasas will swell, and more children will face a future with no schooling whatsoever. Clearly, this is not a recipe for a more stable and peaceful Pakistan.

    Pakistan’s rapid population growth is not inevitable, however. A key driver is lack of access to family planning, which is symptomatic of the overall poor status of women and girls. More than 25 percent of Pakistani women have an unmet need for family planning—meaning the demand is clearly there—and nothing in the Koran prohibits its usage. In other majority-Muslim nations, such as Algeria, Bangladesh, and Iran, family planning has been prioritized and is widely used.

    Unfortunately, family planning programs in Pakistan and many developing countries have suffered from both inattention and funding cuts in recent years. Traditionally, the United States has been a major source of funding and technical assistance, but since 1995, U.S. international family planning assistance has fallen 35 percent (adjusted for inflation), even as demand has increased.

    Today, more than 200 million women—many of them in the most impoverished parts of the world—have an unmet need for family planning. In countries like Pakistan, the resulting rapid population growth makes it increasingly difficult to provide sufficient education, health care, housing, and employment—and depletes land, water, fisheries, and other vital natural resources.

    The Obama administration recently proposed a new U.S. assistance strategy for Pakistan—and a key component is a significant increase in development and economic assistance. Let’s hope it will include an increase for family planning. It would be a wise investment in a brighter, more stable future—for Pakistan and for the world.

    Tod Preston is vice president for U.S. government relations at Population Action International.

    Photo: Children in Jinnah Colony, Karachi, Pakistan. Courtesy of Flickr user NB77.
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  • VIDEO: Leona D’Agnes on Population, Health, and Environment

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    April 15, 2009  //  By Wilson Center Staff
    Integrated population-health-environment (PHE) programs “are very cost-effective ways” to develop “community capacity—to strengthen their know-how, and bring…in some additional appropriate technologies” to promote livelihoods, says Leona D’Agnes in this short expert analysis from the Environmental Change and Security Program.

    “It doesn’t require a lot of money, but it does require capacity building and being able to motivate communities and help them to understand that it is not just the government that’s responsible for their development. Their own food security and environmental security rests with their abilities to manage their assets, their natural resources, to plan their families, and make sure their children finish school.”

    In this expert analysis, D’Agnes, currently a consultant to CDM International on PHE and forestry in Nepal, discusses the linkages between population, health, and environment involved in her work as a technical adviser for PATH Foundation Philippines and its IPOPCORM project.

    To learn more about population, health, and environment issues, please visit our PHE page.
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  • Hardship in Haiti: Family Planning and Poverty

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    April 14, 2009  //  By Rachel Weisshaar
    The New York Times’ Nicholas Kristof aptly describes the connections between poverty and lack of access to family planning in a recent op-ed, using a Haitian woman named Nahomie as an example. He rightly argues that we won’t be able to end poverty until women are able to choose how many children to have. He also notes that relative funding levels for family planning have decreased in recent decades, and that development professionals’ attention has shifted to other issues. Yet 201 million women around the world still have an unmet need for family planning.

    One of the few off notes in Kristof’s article, I think, is his portrayal of family planning as a difficult, challenging intervention. Of course, it is more complicated than simply giving birth control pills to women and condoms to men. But community health workers with little formal education have been successfully trained to deliver family-planning services to remote communities in developing countries.

    While I recognize he has space limitations, Kristof neglected to mention that in Haiti, poverty and lack of access to family planning are linked to severe environmental degradation and natural disasters. A 2006 U.S. Agency for International Development (USAID) report found that “the root causes of environmental disaster in Haiti are acute poverty, rapid population growth, and unplanned urbanization.” To meet their daily needs, the rapidly growing population resorts to unsustainable agricultural and energy practices that deforest and erode the countryside—or move to increasingly crowded cities.

    At a Wilson Center presentation in August 2006, USAID’s Rochelle Rainey reported that 40 percent of Haitian women wished to use contraception but did not have access to it. Modern contraceptive methods are used by only 23 percent of the population, contributing to a total fertility rate of 4.9 children per woman. As Ronald Toussaint, a Haitian biodiversity specialist, said: “If we don’t address population issues, it is like the Creole phrase, ‘wash your hands and then rub them in the dirt.’”

    Photo: Children in Haiti. Courtesy of Flickr user Billtacular.
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  • Specialty Coffee Project Brings Jolt of Attention to Agriculture, Health in Rural Rwanda

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    March 9, 2009  //  By Rachel Weisshaar
    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.
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  • Rwanda: More Than Mountain Gorillas

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    February 27, 2009  //  By Rachel Weisshaar
    If you’ve visited Rwanda, chances are you’ve seen the country’s famous mountain gorillas in Volcanoes National Park. The endangered gorillas are such a national treasure that the ceremony when each year’s baby gorillas are named is a huge public event. Yet most foreign tourists never visit the country’s other attractions, which include Akagera National Park in the east and Nyungwe National Park in the southwest.

    Destination Nyungwe Project (DNP), which I visited yesterday with the leaders of the East Africa PHE Network, is trying to change all that. It envisions Nyungwe National Park becoming a world-class tourist destination, and improving the livelihoods of the local people in the process. In fact, as project director Ian Munanura sees it, ensuring the park benefits local communities is a necessity, not a luxury. It’s fine to tell people not to cut down trees in the forest, or not to poach endangered animals, but they will continue these activities unless they have another way to make a living.

    Nyungwe has a lot to offer; as the largest montane rainforest in Africa, it boasts 13 species of primates, including chimpanzees and colobus monkeys, as well as nearly 300 species of birds. It also has a relatively well-developed network of hiking trails. DNP is working on several projects intended to boost the park’s tourism appeal, including an interpretive visitor center, high-end tented campsites, and a rainforest canopy walk on a bridge suspended between two towers.

    As these larger projects are constructed, DNP—which is funded by the U.S. Agency for International Development and implemented by International Resources Group, Family Health International, and the Wildlife Conservation Society—is also working to improve the health, livelihoods, and environmental management of the local communities. A health coordinator works with local clinics to improve maternal and child health, family planning and reproductive health, and hygiene. Health and family-planning activities are key to ensuring the park’s survival because high population growth, and the resulting demand for land, is one of the key threats to the park, says Munanura. A small-grants program provides micro-loans to local people for sustainable livelihoods, such as setting up cultural tourism attractions or producing soap, lotion, and oils from forest products.

    Nyungwe National Park still struggles to attract tourists, as it lacks the luxury accommodations offered at Volcanoes National Park. But according to Munanura, 80 percent of visitors to Nyungwe hear about it through word-of-mouth, suggesting that those who do visit are extremely satisfied with their experience. These visitors would probably be even more satisfied knowing that their vacations were helping communities escape from poverty and disease. We will be following the progress of this innovative project with interest.

    Rachel Weisshaar is attending the meeting of the East Africa PHE Network in Kigali, Rwanda. She will be posting daily updates on the New Security Beat throughout the week (see days one and two).

    Photo: Nyungwe National Park, Rwanda. Courtesy of Rachel Weisshaar.
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  • Global Public Health: An Agenda for the 111th Congress

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    February 11, 2009  //  By Gib Clarke

    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.

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  • UC Berkeley to Open New Center for Population, Health, and Sustainability

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    December 2, 2008  //  By Wilson Center Staff
    The University of California, Berkeley, School of Public Health recently received $15 million from the Fred H. Bixby Foundation to expand the Bixby Program in Population, Family Planning & Maternal Health into the Bixby Center for Population, Health, and Sustainability. The Bixby Center will highlight population’s impact on global public health, climate change, poverty, and civil and international conflict. “I think the huge challenge for the human race in the 21st century is whether we can move to a biologically sustainable way of life on this planet,” said Malcolm Potts, chair of the Bixby Center. “Population plays an essential role in that,” he added. The Bixby Center will also address the well-documented unmet need for family planning around the world.

    Although it will be housed within the School of Public Health, the Bixby Center will partner with the Blum Center for Developing Economies, the Berkeley Center for Global Public Health, the Berkeley Population Center, and other initiatives.
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