Showing posts from category Africa.
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Boosting the U.S. Role in the Global Health Arena
›A new video from the Commission on Smart Global Health Policy, which was established by the Center for Strategic & International Studies, reviews the commission’s progress towards its goal of encouraging the U.S. government to embrace global health as a pillar of U.S. foreign policy.
The video reviews the recommendations from the commission’s March 2010 report, A Healthier, Safer and More Prosperous World: 1) Maintain robust U.S. support for the fight against HIV/AIDS, malaria, and tuberculosis; 2) Prioritize maternal and child health, especially in sub-Saharan Africa and South Asia; 3) Help other nations improve their capacity to prevent and respond to outbreaks of contagious disease; 4) Expand U.S. capacity to fund future global health initiatives by securing long-term investments for such efforts; and 5) Step up U.S. funding for multilaterals engaged in the global health field, including the World Health Organization, Global Fund, UNICEF, the World Bank, and the GAVI Alliance.
In the months ahead, commission members will be participating in public forums throughout the United States to discuss and promote the recommendations included in the report, before gathering in January to review the Obama administration’s progress on global health as the administration begins its third year. To date, the centerpiece of the administration’s health outreach efforts has been the six-year, $63 billion Global Health Initiative, designed to promote an enhanced U.S. role in addressing public health issues overseas.
The CSIS Global Health Policy Center will also be launching a year-long debate series called “Fault Lines in Global Health,” focusing on controversial topics in the global health field. The series’ kick-off event will center on U.S. AIDS funding, and is scheduled for Friday, August 6, 2010, from 9:30-11:00 a.m. -
PRB Maps the PHE World
›The Population Reference Bureau (PRB) has created an interactive Google map that highlights population, health, and environmental programs in Africa, Asia, and Latin America. The Population, Health, and Environment (PHE) Map shows the locations of projects that combine improved health services, sustainable natural resource management, and ecosystem conservation.
According to PRB’s Maura Graff and Jason Bremner, “the map aims to give viewers both a sense of the scale of current PHE integration efforts, and specific information about individual organizations, projects, and their location.”
Clicking on a marker will reveal the title of a PHE program, a short description of its goals and outcomes, a link to its website, and the occasional picture of the project in action. A list on the left alphabetically catalogs all the projects based on region.
The map also provides the opportunity for those working on PHE projects in the field to find nearby projects in order to share experiences. For example, in Ethiopia, Population Media Center and DSW’s Youth to Youth could share lessons learned about disseminating information on the reduction of female genital mutilation, the importance of providing family planning services to young married couples, and the linkage between reduced family size and enhanced stewardship of social and natural resources.
Communities that understand how population, health, and environment are intertwined are more engaged and energized to make a difference. In a video interview with ECSP, Roger-Mark De Souza, director of foundation and corporate relations at the Sierra Club, explains that PHE projects are so effective because solutions to a community’s liked problems demand this logical integration. For example, while learning about the health benefits of birth spacing, father and mothers also learn how their family planning decisions can improve the economic and environmental prospects of the community.
Just like PHE projects themselves, the map is a work in progress; PRB is seeking to add PHE projects that are still active or ended after 2005. Please contact Maura Graff if you would like to add a project.
Josephine Kim is a cadet at the United States Military Academy at West Point, and an intern with the Woodrow Wilson Center’s Environmental Change and Security Program. -
Interview With Wilson Center Scholar Margaret Wamuyu Muthee: Envisioning a New Future for Kenya’s Next Generation
›July 29, 2010 // By Wilson Center StaffYouth in sub-Saharan Africa constitute a large and growing portion of the region’s population, yet remain underserved by family planning and reproductive health programs. New Security Beat recently interviewed Margaret Wamuyu Muthee, an Africa Program Scholar at the Woodrow Wilson Center, about this problem. Muthee is currently working on a project documenting both the opportunities and challenges for young people growing up in Kenya.
New Security Beat: How do you define youth?Margaret Wamuyu Muthee: The African Union has defined youth as every person between the ages of 15 to 35 years, while the United Nations defines youth as persons between the ages of 15 and 24. I will be concentrating on the age group defined by the African Union.
NSB: What are some opportunities and challenges facing youth in Kenya?
However, I will not only be relying on age. There are other aspects that I must take into consideration. Many children assume the roles of an adult or a care-taker when they are at an early age. Children in African nations face different challenges [compared to children in Western countries], as there are fewer opportunities for transition in Africa.MWM: This is a very important stage for exposing youth to the available support and teaching them about the social economy. Some of the difficulties lie in the lack of resources and corruption, such as misuse of funds that are provided to the government by outside sources.
NSB: Which programs are taking actions to empower youth in Kenya?
On a more positive outlook, youth are very resilient. They have a wide range of potential and capacity that can be utilized right away. African nations, just like China, have an enormous population that can be a human resource. All we have to do is positively tap into their potential to make good changes.MWM: The Youth Enterprise Development Fund (YEDF) works to increase economic opportunities for Kenyan youth in nation-building through enterprise development. YEDF also works to lower the unemployment rate and teach certain skills for future employment. One downside of this fund is that even though it provides money, it does not provide mentorship for the youth who execute the programs.
NSB: Are these programs enough to address youth challenges?
Another program is Yes Youth Can! This $45 million initiative was created by the U.S. ambassador to Kenya and USAID. The program is designed to create local and national networks of youth leaders to advocate peaceful economic and governmental reforms. The wonderful thing about this organization is that it is completely youth-driven.MWM: Sometimes these programs are seen as too small and too late. Youth are seen as violent, and these programs are made to keep them busy. Programs need to address all the facts, from start to finish.
NSB: Are there programs specifically targeted at female youth?MWM: We need programs that address pregnancies, HIV/AIDS, and education for young women. These education programs not only need to teach them about pregnancies and HIV/AIDS, but also educate women about their rights: how to say “no” and object to certain actions.
NSB: Are family planning and reproductive health incorporated into youth education?
However, there are complications when it comes to female rights. There are sexual offense laws that females do not even know about. The implementation of these laws can be non-existent. Either the police system is flawed or accessing lawyers is too expensive for females. And even if a lawyer is hired, the rapist can pay off a judge, so the judge will not convict him.MWM: There are already reproductive health campaigns in Kenya. One example is the ABC program: Abstinence, Be faithful, Condom use. Everyone these days, in rural and urban environments, knows about HIV/AIDS. There needs to be more programs regarding family planning and health; there is only a limited amount of knowledge getting passed around about those two issues.
Margaret Wamuyu Muthee is the Programs Manager for Kenya’s University of Nairobi Center for Human Rights and Peace, and a current scholar in the Woodrow Wilson Center’s Africa Program.
There is a new proposed Kenyan constitution that bans abortion unless a doctor permits the abortion due to health reasons, or if the mother’s health is in critical danger. Many females die because they cannot legally get an abortion and try to abort their baby on their own, or accept services from a backstreet clinic.
We also have cultural practices that put up barriers to the spread of family planning and health. One such example is the practice of early female marriages. Girls as young as 10 years old will be forced to marry a much older man. These girls have not had proper education on reproductive health or family planning.
In addition, adults are still too shy to address youth that are having sex, and are embarrassed to talk about their health if they have HIV/AIDS. We need to educate more youth and provide the means for them to live safer lives.
Josephine Kim and Marie Hokenson are cadets at the United States Military Academy at West Point and interns with the Woodrow Wilson Center’s Environmental Change and Security Program.
Photo Credit: “The Mentees and their mentors,” used courtesy of flickr user The Advocacy Project. -
Addressing Gender-Based Violence to Curb HIV
›July 28, 2010 // By Marie HokensonAt the recent International AIDS Conference in Vienna, Austria, an astonishing development in the campaign to stem the spread of HIV/AIDS was unveiled—a microbicide with the ability to reduce the risk of transmission of HIV. This welcome development coincides with an intensified focus on women’s health and security needs among donors, especially the United States.
At the conference, the “Gender Programming and Practices: Practical Approaches with HIV and AIDS” session took an integrated approach, examining the links between gender-based violence and HIV/AIDS infection. Women are more vulnerable to gender-based violence and HIV infection than men, particularly in parts of sub-Saharan Africa where “girls and women aged 15 to 19 are three times more likely” to become infected with HIV than men in the same age group, according to the World Bank.
Michelle Moloney-Kitts, with the Office of the U.S. Global AIDS Coordinator, said that gender-based violence “affects not only public health, but [also] the ability of women and girls to contribute to developing their countries.” Since women play integral roles in supporting their families and communities in developing nations, their absence or weakened capacity due to HIV infection, injuries, or unwanted pregnancy can have larger repercussions for economic development and community health.
Deep Roots: Changing Minds About Gender-Based Violence
Elizabeth Mataka, the UN Secretary-General’s special envoy for AIDS in Africa, described the obstacles facing female victims of gender-based violence as “deep-rooted social, economic, legal, and cultural affairs” in their communities. Mataka asserted that “communities must be engaged” through a “change in mindset” in order to allow these women to “claim their basic human rights.” Scrutinizing the paucity of women’s organizations, she cited a “serious shortage of women’s leadership at the grassroots level” as a problem that must be overcome to empower and protect women.
Pamela Barnes, a co-leader of the Partnership to End Sexual Violence Against Girls, highlighted the extent of this “deep-rooted societal issue.” She pointed out that a 2007 Swaziland study found the most “common venue for sexual violence was…within the homes of the victims.”
Rui Bastos, representing Mozambique’s Ministry of Health, added that there is a pressing need to “change relationships between men and women,” and called for a shift in the current relationship dynamic to “give power to the women.” Noting the low number of men receiving HIV treatment, he called on men to “increase demand in treatment” in order to stem the spread of the disease.
Silent Voices: Talking About Sexual Violence Against Minors
Since the Swaziland survey found that “30 percent of the respondents indicated that they had experienced some form of sexual violence prior to the age of 15,” Barnes said greater efforts must be made to educate children about how to protect themselves from sexual violence. She added that efforts to protect children should also address other “risk factors for abuse [which] include lack of education, exposure to emotional abuse, and witnessing sexual assault.”
At a recent Wilson Center event on sexual violence against minors, Jama Gulaid of UNICEF Swaziland said that while talking about sexuality is not easy, “when you bring in violence it is even more difficult.” For that reason, Gulaid said, “you have to do two things—you have to share information and you have to present it in certain ways.” He explained that Swaziland was addressing the issue by relying on school-based interventions, which include trained community-child protection groups, toll-free telephone lines, case investigation services, and personal counseling.
Prevention First: Scaling Up to Stop Rape
While the new microbicide might help female victims of sexual violence avoid HIV infection, it will not stop the problem of gender-based violence. That is why Moloney-Kitts called on donors and NGOs to “scale up gender-based violence programs,” but in a way that goes beyond simply improving “post-rape care” and instead places greater emphasis on prevention efforts.
Not only would better rape prevention help reduce HIV and STD infection rates, but it would also help women avoid psychological damage and unwanted pregnancies—and, as Moloney-Kitts pointed out, improve economic development and enhance public health at the same time.
For more on gender-based violence, see these Wilson Center events:- Gender-Based Violence in Sub-Saharan Africa: A Review of Demographic and Health Survey Findings and Their Use in National Planning
- From Relief to Development: Gender-Based Violence Interventions in Conflict and Post-Conflict Contexts
- Dynamics Of Sexual Violence In The Eastern Democratic Republic Of Congo: Perpetrators, Community Response, and Policy Implications
Photo Credit: “Congo Kivu Violences Panzi,” used courtesy of flickr user andré thiel. -
Stephanie Hanson Reports on PHE in Agricultural Development and Rwanda’s ‘One Acre Fund’
›Driving from Kigali into rural Rwanda, the hills that flank either side of the paved road are covered with bananas, maize, coffee, and beans under cultivation. Most Rwandans are farmers, using any bit of available land to feed their families and generate income. In this country—the most densely populated in Africa—little arable land is left untended.
My organization, One Acre Fund, offers loans and education to smallholder farmers in Kenya and Rwanda. We work with 18,000 farmers in three districts in the southwestern and western part of Rwanda, where we are know as Tubura, which means “multiply” in Kinyarwanda.
Though One Acre Fund is not a traditional population, health, and environment (PHE) project, agricultural development work inherently is PHE work, particularly in Rwanda, which faces significant population and environment challenges.
Our farmers have small plots of land because Rwanda’s population density is so high—375 people per square kilometer, higher than Japan—leaving only .13 hectares of arable land per person. They struggle to grow enough food because it’s difficult to support a big family on a small piece of land, especially without access to high-quality seed and fertilizer.
When farmers don’t grow enough to ensure basic food security for their families, their children are malnourished, which makes them more susceptible to illness.
Finally, agriculture both depends on and affects the environment. Farmers need favorable growing conditions—good soil and adequate rainfall—for a good harvest. Sustainable agriculture practices, such as composting and preventing soil erosion, ensure the environment remains healthy to support future farming.One Acre Fund is acutely aware of the challenges that our farmers face due to high population density, food insecurity, and environmental degradation. We offer a service model that addresses all the needs of a smallholder farmer: financing, farm inputs, education, and market access.
When a farmer enrolls with One Acre Fund in Rwanda, she joins as part of a group of 6-15 farmers. She receives an in-kind loan of seed and fertilizer, which is guaranteed by her group members. One Acre Fund delivers this seed and fertilizer to a market point within two kilometers of where she lives. A field officer provides in-field training on composting, techniques to prevent soil erosion, land preparation, planting, fertilizer application, and weeding.
Over the course of the season, the field officer monitors the farmer’s fields. At the end of the season, he trains her on how to harvest and store her crop. One Acre Fund also offers a harvest buyback program that farmers can choose to participate in.
On average, One Acre Fund farmers double their farm income per acre in one growing season. Ninety-eight percent of our farmers repay their loans, which are due several weeks after harvest.
With their increased harvests, One Acre Fund farmers are able to feed their children, which reduces malnutrition. Anecdotally, we also know that One Acre Fund children experience less illness; this year, we are working to incorporate health indicators into our monitoring and evaluation work.
At a harvest buyback last month, I met many farmers who had benefited from One Acre Fund’s services. One woman, Tamar, had sold 400 kilograms (880 pounds) of beans at the previous season’s buyback, which earned her roughly 132,000 Rwandan francs ($235 USD). She told me that she was using the money to build a bigger home for the six of her ten children who lived at home.However, Tamar really wanted to buy a cow, but she knew that she would not earn enough money this year to afford one. With so many children, she struggled to earn enough money to invest in something that might generate additional income for her and her family.
Another woman, Medeatrice, had also made $235 USD from the sale of her beans. With that income, she had opened a small shop with her husband in a nearby market. Unusually for Rwanda, where the average woman has 5.5 children, Medeatrice only had one, a three-year old boy named Prince. I asked her if she planned to have more children.
“I only want one more child,” she told me. “If I only have two children, it is easy to educate and to take care of them.”
The Rwandan government has invested in educating its population on family planning, but it will take time for birth rates to drop. For now, families with five, six, or nine children are not uncommon.
However, research shows that when women have increased access to economic opportunities, birth rates drop. One Acre Fund is focused on helping Rwanda’s families increase their harvests so that they not only have enough to eat, but they can start investing in their futures.
Guest Contributor Stephanie Hanson is the director of policy and outreach at One Acre Fund.
Photo Credit: Rwanda’s hills and Medeatrice, courtesy of Stephanie Hanson. -
Landmark Law Takes Aim at the “Resource Curse”
›July 22, 2010 // By Schuyler NullBy signing the financial overhaul package on Wednesday, President Obama also enacted the first major U.S. government attempt to require transparency in the international oil, gas, and mineral trade, aimed at reducing the risk of “resource curse” scenarios that have plagued countries like Nigeria and the Democratic Republic of Congo.
The amendment, sponsored by Senators Bill Cardin and Richard Lugar, requires extractive companies registered with the SEC to publicly disclose their tax and revenue payments to foreign governments. The amendment singles out the DRC for additional scrutiny: companies trading in tin, coltan, wolframite, and gold – minerals found commonly in eastern Congo – will need to report whether they are sourcing from the DRC or its neighbors and disclose what steps they have taken to ensure that their supplies are conflict-free.
The international community will be eagerly watching the results of this effort. Can a U.S. law on conflict minerals reduce violence in the DRC’s complex civil war? I recently argued that while the legislation is a great initial effort, it will have little immediate impact on the violence and suffering in the country. In a recent interview with New Security Beat, EITI expert Jill Shankleman called the Cardin-Lugar bill “an important step” but pointed out that it only covers companies who are listed with the SEC and does not reduce the need for countries to enter into EITI.
Will this new law help Afghanistan – with its allegedly vast stores of valuable minerals – avoid the fate of the DRC? While some fear that corruption and lack of transparency may lead to conflict around the new Chinese contract to operate Afghanistan’s Aynak copper field, a recent U.S. Army War College paper argues that contrary to prevailing opinion, the Chinese approach to large-scale extractive investments could complement Western-led military stabilization efforts.
Photo Credit: “Wolframite” from the DRC, courtesy of flickr user Julien Harneis. -
Harnessing the Peace Potential of Youth in Post-Conflict Societies
›July 22, 2010 // By Marie HokensonIn many post-conflict societies throughout the world, young people must deal with poverty, exploitation, and neglect. It is perhaps not surprising then that many youth eventually find themselves embroiled in violence, either as perpetrators or victims of crime. However, often overlooked are young people’s current and potential future contributions to peace, since with the proper support, youth can prove instrumental in a society’s rebuilding process.
In her new book Youth in Post-Conflict Reconstruction: Agents of Change, Stephanie Schwarz examines the intersections between youth, war, and peace. These linkages were examined at a book launch and panel discussion held last week at the U.S. Institute of Peace.
According to Schwarz, youth are often ignored despite their potentially strong influence on society. Traditionally, children and adults—easier age cohorts to define—dominate the focus of aid programs and government outreach efforts in nations recovering from war, she said.
Yet in post-conflict environments, youth are highly vulnerable, since they often comprise a large portion of society, but have few opportunities available to lead a peaceful life. Schwarz broadly defines youth to encompass those that should be targeted in order to improve the prospects for a successful post-war reconstruction process.
Schwarz challenged those that link “youth bulge” with instability, describing the concept as an “exaggerated youth theory.” She asserted that youth can play either negative or positive roles in post-conflict societies, but specifically emphasized young people’s positive contributions as community leaders, with their ability to raise a “coordinated political voice…through spontaneous motivation.”
Communities and governments need to support young people engaged in these positive roles, Schwarz added. Otherwise, youth could become a “resource for perpetuation of violence,” she warned, especially if they become apathetic toward the reconstruction process, or are recruited as child soldiers. Schwarz advised that young people need empowerment programs to “provide skills to be productive in [their] community,” as well as to boost their sense of belonging.
Marc Sommers, also with the U.S. Institute of Peace, described obstacles that youth programs currently face in post-conflict societies. He pointed out that although post-war populations are often “youth dominated,” many young people are disengaged from programs linked to reconstruction efforts, which he said exacerbates the feeling of exclusion. In turn, he said, it becomes difficult for youth to reintegrate themselves into their communities, increasing the likelihood that they fall victim to child-soldier recruiters, or become drawn into other negative roles.
Lessons From Kenya: Integrate Young People to Avoid Conflict
In an interview, Margaret Muthee, a scholar with the Wilson Center’s Africa Program, used her personal observations and experiences from Kenya to shed some light on the obstacles young people often face in the developing world. She emphasized that while “youth are very resilient with lots of potential,” they often find themselves in a “disadvantaged position.”
In Kenya, Muthee said, youth suffer from a vicious cycle, where a lack of educational or economic opportunity places young people—especially men—on a slippery slope toward crime and violence. In turn, she explained, “male youth are vilified” and sometimes dealt with through government-supported “shoot to kill…[measures] designed to instill fear rather than reintegrate them into society.”
Muthee recommended countering the top-down approach of dealing with youth, asserting that with the right approach and improved support from government and civil society, peaceful paths can be developed for young people, which would help achieve a greater sense of security for entire communities.
Marie Hokenson is a cadet at the United States Military Academy at West Point and an intern with the Woodrow Wilson Center’s Environmental Change and Security Program.
Photo Credit: “Joy Centre – BEC,” used courtesy of flickr user Ben Namibia.
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In Kampala, African Leaders Discuss Maternal Health While Attacks Renew Concern over Somalia
›July 19, 2010 // By Schuyler NullLeaders from 49 African countries are meeting today in Kampala, Uganda, at the start of a scheduled week-long African Union (AU) summit on maternal and child health. Uganda is a fitting location, as it faces some of the toughest health and demographic challenges in Africa, including a very young and rapidly growing population and poor maternal health services. However, with the memory of last week’s twin bomb blasts still fresh, peace and security issues will surely be on the agenda as well.
Somalia’s lead insurgency group, Al Shabab, took responsibility for the attacks in Kampala, which killed more than 70 people. Al Shabab’s first prominent cross-border attack is only the latest sign that Somalia’s issues – which also include a very young and rapidly growing population – are starting to spill over its borders. For more on Somalia’s deepening crisis and its effects on the East African region, see New Security Beat’s recent analysis: “As Somalia Sinks, Neighbors Face a Fight to Stay Afloat.”
Sources: AP, Washington Post.
Photo Credit: Adapted from “Ugandan African Union contingent in Mogadishu, Nov. 25, 2007” courtesy of flickr user david axe.
