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Women Leaders Urge Stronger Advocacy on Health and Public Policy
›The original version of this article appeared on the Pan American Health Organization website.
Women have made major strides toward greater equality in Latin America and the Caribbean, but stronger advocacy and leadership are needed to address problems they continue to face in health and other areas, said a group of top women health leaders at an event held at the Woodrow Wilson Center in Washington, D.C. on September 27.
The event was part of a series of activities surrounding the 51st Directing Council meeting of the Pan American Health Organization/World Health Organization (PAHO/WHO), which is being held this week.
Dr. Michelle Bachelet, Executive Director of UN Women, noted that Millennium Development Goal (MDG) five, reduce maternal mortality, “is the one MDG that has advanced the least in our region and around the world.” She said it is now widely accepted that investing in women is not only an issue of human rights, it is also “the intelligent thing to do economically, politically, and socially. So why doesn’t it happen?” She said making it happen is the major leadership challenge facing women in health and public policy today. “We have to empower women to make the strongest case possible that investing in women is the best thing governments can do, and we have to help ministers of health make this same case with their governments.”
WHO Director-General Dr. Margaret Chan said that high levels of maternal mortality reflect “a failure of governments.” “We know how to prevent women from dying while giving birth. It’s a lack of political commitment, policies, and investments in the right areas. We need to get these issues out into the public, and we need to work with men who are enlightened to accomplish this,” she said.
Rocío García Gaytán, President of the Inter-American Commission of Women, said maternal mortality continues to be a major problem in the hemisphere despite the fact that it is almost completely preventable. She said that contrary to common belief, most maternal deaths take place in hospitals and are the result of a lack of proper training of medical personnel. “This problem should not exist in the second decade of this millennium,” she said.
PAHO Director Dr. Mirta Roses urged women to develop a leadership style that will effectively advocate for women’s top concerns, particularly social, economic, and political progress.
“What is different when women lead?” Roses asked. “We need to support each other and identify what we should do that is different from male models. We must all work together – UN Women, the Council of Women World Leaders – to define feminine leadership and promote it.”
Canada’s Minister of International Cooperation, Beverly Oda, said progress on public policies for women “took many years” to develop in Canada. Today, gender reviews of legislation are now mandatory for legislation, and promotion of gender equality is an integral part of Canadian technical cooperation programs.
Vice-Minister of Health Dr. Silva Palma de Ruiz of Guatemala described a number of initiatives in her country that have been successful in improving women’s health and status. They include joint efforts involving the health ministry, the public prosecutor’s office, the national human rights ombudsman, and civil society organizations to reduce sexual violence by empowering women to report violence and by more aggressive prosecution of perpetrators. PAHO/WHO has supported these efforts with technical assistance in developing guides for care of victims of sexual violence. Other efforts include a new family planning law and education of men and women as well as healthcare workers about women’s rights to use contraception.
Minister of Health Ann Peters of Grenada said that women of the Caribbean “are very vocal” and have had considerable success advocating for women’s health. In her own country, this has helped produce a highly effective comprehensive mother-child health program that includes strong community health services with well-trained midwives and good referral systems, breastfeeding-friendly hospitals, and universal voluntary testing of pregnant women for HIV. Thanks to these programs, Grenada has “no mother-to-child transmission of HIV and virtually no maternal mortality.”
Minister of Health Marcella Liburd of Saint Kitts and Nevis noted the importance of addressing the social determinants of women’s health. For example, in her country as elsewhere, the majority of people living in poverty are women. “We need to consider other aspects of women’s well-being,” she said, “including financial, social, and mental health.”
Paraguay’s Minister of Health, Dr. Esperanza Martinez, said it was important to address women’s concerns in an integral way. She described a new platform for discussing policies that affect women involving different government ministries, not just health. “Women need to participate as policymakers and also to influence policies from the outside,” she said.
Dr. Carmen Barroso, Western Hemisphere Director for the International Planned Parenthood Federation, said, “Civil society is ready to partner with ministries of health to advocate for more resources, legislation, and promotion of women’s sexual and reproductive rights.”
The event was organized by the Council on Women World Leaders, PAHO/WHO, the Wilson Center’s Environmental Change and Security Program, Global Health Initiative, and Latin America Program.
Event ResourcesPhoto Credit: David Hawxhurst/Wilson Center. -
Carl Haub, Behind the Numbers
Ethiopia’s 2011 Demographic and Health Survey: Remarkable Fertility Decline, Continued Rural Health Challenges
›September 28, 2011 // By Wilson Center StaffThe original version of this article, by Carl Haub, appeared on the Population Reference Bureau’s Behind the Numbers blog.
Continuing my recent practice of posting a quick summary of results from new demographic surveys in developing countries, here is another new Demographic and Health Survey (DHS) preliminary report, this time from a sub-Saharan African country. This will help readers of this blog to stay right up-to-date with the latest developments.
The Ethiopia 2011 DHS interviewed 16,515 women ages 15 to 49 and 14,110 men ages 15 to 59 from September 2010 to June 2011. The total fertility rate (TFR – the average number of children would bear in her lifetime if the birth rate of a particular year were to remain constant) obtained in the survey was 4.8 for the three-year period preceding the survey. For urban women, the TFR was 2.6 and for rural women, who were a little over 75 percent of the sample, 5.5. There appears to have been an acceleration of TFR decline from the 2005 to the 2011 survey compared with the 2000 DHS, which had a three-year TFR of 5.5. In 1990, a government survey had shown the TFR as 6.4. The desire to continue or cease childbearing provides one insight into possible future fertility trends. Of the women with five living children, 55.8 percent said that they did not wish to have any more children; among women with six or more living children, 68.6 percent said that they also wished to ceased childbearing.
Continue reading on Behind the Numbers.
Image Credit: Population Reference Bureau; data courtesy of Ethiopian Central Statistics Agency (CSA) and ICF Macro, Ethiopia Demographic and Health Survey (EDHS) 2011, Preliminary Report. -
Digging Deeper: Water, Women, and Conflict
›It’s not just “carrying water from a water point, but it’s discharging responsibilities that a woman has for using and managing water which may make her vulnerable to violence and bring her into risky areas,” said Dennis Warner, senior technical advisor for water and sanitation at Catholic Relief Services (CRS), at the Wilson Center on August 29. [Video Below]
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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. -
John Donnelly, Global Post
Reproductive Health’s Connection to Global Problems
›September 26, 2011 // By Wilson Center StaffThe original version of this article, by John Donnelly, appeared on Global Post.
At a forum at the Rubin Art Museum earlier this week, a group of global leaders, including two top U.S. officials, talked about how reproductive health issues for women were wrongly cast as only a women’s issue.
Instead, they said reproductive health was intimately connected to the world’s population boom, climate change, water and sanitation crises, economic downturns, educational rates, and development overall. And greater reproductive health rights would trigger a brighter future for the 600 million young women in the developing world, including the 10 million girls who are married before they reach the age 18, said the panelists, members of the Global Leaders Council for Reproductive Health of Aspen Global Health and Development.
And yet, reproductive health and family planning is generally not a focus on the world stage. In fact, the topic is often avoided.
“If you can help young women feel empowered, where they themselves want to delay pregnancy, they can become the actors in their own lives,” Maria Otero, U.S. Under Secretary of State for Democracy and Global Affairs said at the Rubin Museum of Art. “What this Council allows us to do is think about the issue of reproductive health, one that is interconnected to all other issues” related to development.
Continue reading on Global Post.
Image Credit: “Age at 1st marriage (women),” courtesy of ChartsBin; data courtesy of Gapminder. -
Gates and Winnefeld: Development a Fundamental Part of National Security
› “As we’ve learned in Iraq and Afghanistan, reconstruction, development, and governance are crucial to any long-term success – it is a lesson we forget at our peril,” said Former Secretary of Defense Robert Gates in a video address commemorating the U.S. Agency for International Development’s 50th anniversary this fall. Gates was joined by Admiral James Winnefeld, Jr., the vice chairman of the Joint Chiefs of Staff, in a post on USAID’s Impact blog to reinforce the importance of development and USAID in particular to U.S. national security.
USAID was created on November 3, 1961 as part of a total overhaul of U.S. foreign assistance by President Kennedy. From the start, President Kennedy understood that the agency would play a role not just in development abroad but in improving U.S. security as well.
The agency is marking its 50th anniversary in an environment where development and security are seen as perhaps more linked than ever.
Winnefeld described the work that USAID and the military do as going hand-in-hand, saying that “together, we play a critical role in America’s effort to stabilize countries and build responsive local governance.”
In country after country, Winnefeld said, “USAID’s development efforts are critical to our objective of creating peace and security around the world.” He added that “instability in any corner of today’s highly interconnected world can impact everyone. Development efforts prevent conflicts from occurring by helping countries become more stable and less prone to extremism.”
“For 50 years,” Gates said, “USAID has embodied our nation’s compassion, generosity, and commitment to advance our ideals and interests around the globe. It’s a commitment demonstrated every time this agency works hand-in-hand with communities worldwide to cure a child, build a road, or train a judge.”
“By improving global stability,” Winnefeld concluded, “USAID helps keep America safe.”
Sources: USAID.
Video Credit: USaidVideo. -
Carl Haub, Yale Environment 360
What If Experts Are Wrong On World Population Growth?
›September 22, 2011 // By Wilson Center StaffThe original version of this article, by Carl Haub, appeared on Yale Environment 360.
In a mere half-century, the number of people on the planet has soared from 3 billion to 7 billion, placing us squarely in the midst of the most rapid expansion of world population in our 50,000-year history – and placing ever-growing pressure on the Earth and its resources.
But that is the past. What of the future? Leading demographers, including those at the United Nations and the U.S. Census Bureau, are projecting that world population will peak at 9.5 billion to 10 billion later this century and then gradually decline as poorer countries develop. But what if those projections are too optimistic? What if population continues to soar, as it has in recent decades, and the world becomes home to 12 billion or even 16 billion people by 2100, as a high-end UN estimate has projected? Such an outcome would clearly have enormous social and environmental implications, including placing enormous stress on the world’s food and water resources, spurring further loss of wild lands and biodiversity, and hastening the degradation of the natural systems that support life on Earth.
It is customary in the popular media and in many journal articles to cite a projected population figure as if it were a given, a figure so certain that it could virtually be used for long-range planning purposes. But we must carefully examine the assumptions behind such projections. And forecasts that population is going to level off or decline this century have been based on the assumption that the developing world will necessarily follow the path of the industrialized world. That is far from a sure bet.
Continue reading on Yale Environment 360.
Image Credit: Data from UN Population Division, chart arranged by Schuyler Null. -
Broadening Development’s Impact: From Sustainability to Governance and Security
›John Drexhage and Deborah Murphy’s UN background paper, “Sustainable Development: From Brundtland to Rio 2012,” looks at how “sustainable development” has evolved since the 1987 Brundtland Report first brought the concept to the forefront of the international community’s attention. Drexage and Murphy write that climate change has become a “de facto proxy” for sustainable development and they offer various recommendations for how policymakers and institutions can better integrate social and economic issues into a sustainable development framework. Considering that “increasing consumption, combined with population growth, mean that humanity’s demands on the planet have more than doubled over the past 45 years,” the authors conclude that “the opportunity is ripe” to bring “real systemic change” to how the world thinks about – and acts on – sustainable development.The World Bank’s World Development Report 2011 makes an argument for “bringing security and development together to put down roots deep enough to break the cycles of fragility and conflict.” The report gives an overview of the “interconnections among security, governance, and development” and offers recommendations on how understanding and addressing them can end cycles of violence. Just as Drexhage and Murphy point to population changes as a challenge for sustainable development, the World Bank notes that growing urbanization has “increased the potential for crime, social tension, communal violence, and political instability” locally while a threefold increase in refugees and internally displaced persons over the past 30 years has put strains on regional relations around the world. Though the report acknowledges that there’s no quick fix to any of these problems, the conclusion underlining the report’s findings is that “strengthening legitimate institutions and governance to provide citizen security, justice, and jobs is crucial to break cycles of violence.”
A Publication of the Stimson Center.
