The May edition of Reproductive Health Matters is a special edition on sustainable development and reproductive health and rights. Our own Roger-Mark De Souza writes that in the quest to build resilience, development practitioners can learn from integrated population, health, and environment (PHE) programs.

Despite the threat posed by flooding and sea-level rise, relatively little attention has been paid to the potential for environmentally induced instability in coastal West African cities. However, current trends, including rapid population growth, land use patterns, and increasing climate impacts, suggest the costs of inaction in these urban areas are rising.

To date, there have been two proposed responses to climate change: mitigation, aimed at stopping the buildup of greenhouse gases, and adaptation, focused on accommodating ourselves to a warmer world. There is a third option, however, that is increasingly relevant: suffering.

Over the last two decades, social accountability has emerged as a strategy to make health services more responsive to community needs. It’s an approach that creates a space for “interaction between citizen engagement and government responsiveness,” said Jonathan Fox, professor of international development at American University at the Wilson Center May 5. [Video Below]

Rapid population growth can be a contributing factor to climate change vulnerability and should be considered in climate adaptation and peacebuilding efforts, said the Wilson Center’s Roger-Mark De Souza at a workshop on climate change adaptation and peacebuilding hosted by the Institute for Security Studies (ISS) in Addis Ababa.

In 2012, the government of Kenya passed a landmark policy to manage its rapid population growth. The new population policy aims to reduce the number of children a woman has over her lifetime from five in 2009 to 3 by 2030. The policy also includes targets for child mortality, maternal mortality, life expectancy, and other reproductive health measures.