Four months ago, the resident medical officer at the HIV and AIDS clinic in Kampala, Uganda reported that the clinic treated up to 50 patients a day. Now, the clinic is relatively empty, and supplies of antiretroviral therapy (ART) pile up, unused.

“When we started out, people thought it was weird. ‘Why are you integrating people and animals and why are you integrating human health and animal health?’” says Kalema-Zikusoka, founder of Conservation Through Public Health (CTPH), in this week’s New Security Broadcast. Indeed, health infrastructure and conservation have long been organized around distinct silos. “Donors were focusing on single sector funding, and government departments were aligned along single sectors,” says Kalema-Zikusoka.

Over the past decade, our understanding of how climate change affects conflict and security has advanced considerably. Yet, how to best address the overlapping challenges of climate change, conflict, and human security remains an open question. In an article published in World Development, I address this topic by examining how climate security discourses inform development policy and, in turn, how the structures of development enable or constrain institutional capacity to address climate security. This research identifies not only the unique barriers the development sector must overcome, but also the ways in which the most common framings of climate change (i.e., as a threat multiplier) limit the scope for policy and programming.

Until 2016, the agrarian residents of east Kenya’s Kitui county had never encountered a water quality monitor like Mary Musenya. Wearing a bright blue company jersey and furnished with sample bottles and plastic trays, the young Kenyan is a water safety officer for FundiFix, a tiny rural water supply service company. She is one of 20 staff who manage 130 pumps, plus pipes and water tanks that serve 82,000 people across a 1,000 square-mile service area in Kitui and Kwale counties. 

“We need to give more weight to the voices of people who are most affected by climate change,” says Vanessa Nakate, a prominent Ugandan climate activist, in this week’s Friday Podcast. At the local, regional, and global levels, Nakate’s work sheds light on the imperative for policymakers to value the lived experiences of oft-overlooked groups such as women, youths, and citizens of developing nations. “When I talk about climate justice, it is not something that I want for the future—it is something that I want right now, because our present is catastrophic,” she says.

“If there’s one message, it’s health systems need to be resilient, agile, and equitable,” said Uzma Alam, a researcher at the Africa Institute for Health Policy Foundation and Senior Program Officer of the Africa Academy of Sciences. “No one person, no one community, no one minority can be left behind. After all, your health system is as agile, as resilient as your weakest link.” She spoke at a recent Wilson Center event co-sponsored with the Population Institute, “Lessons from Africa: Building Resilience through Community-Based Health Systems.” The event focused on how locally led interventions improved the resilience and responsiveness of health systems in sub-Saharan Africa. 

“Achieving true progress on sexual and reproductive health and rights requires a comprehensive approach and a commitment to tackling deeply entrenched inequities and injustices of which marginalized communities continue to bear the brunt,” said Dr. Herminia Palacio, President and CEO of the Guttmacher Institute. She spoke at a recent Wilson Center event where speakers analyzed findings from the Guttmacher Institute on the state of sexual and reproductive health and rights (SRHR) globally.