Showing posts by Wilson Center Staff.
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Sarah Lindsay, Ministerial Leadership Initiative
At Family Planning Plenary, Youth’s Messages Captivate Audience
›December 2, 2011 // By Wilson Center StaffThe original version of this article, by Sarah Lindsay, appeared on the Ministerial Leadership Initiative’s Leading Global Health blog.
With more than 2,200 family planning policymakers, researchers, and advocates watching the opening plenary of the International Conference on Family Planning (ICFP) – including some in seaside tents outfitted with big-screen TVs – two youth leaders captivated the audience.
The featured speakers included international dignitaries, headlined by the president of Senegal, but the younger leaders made a dramatic plea with an adamant demand: involve youth in family planning decision making.
As many family planning advocates say, family planning can improve the lives of future generations. Based on this argument, the youth leaders said they should be fully included in the discussions in making policy, and not have policymakers make decisions for them.
Both speakers, Saudou Node and Mohammed Barry, expressed disappointment that more has not been done to ensure universal access to family planning. Node told the plenary that projects and policies created to increase family planning access often never make it to the field.
Continue reading on Leading Global Health. For more on ICFP 2011, see Sarah’s full series of posts. -
Jeanne Nyirakamana, PHE Champion
Reaching Rural Rwandans With Integrated Health and Livelihood Messages
›This PHE Champion profile was produced by the BALANCED Project.
Rwanda is one of the most densely populated countries on the planet, with more than 11 million people in one of Africa’s smallest countries, most of whom depend on the land as subsistence farmers. The country has diverse mountain, lake, and savannah landscapes, and the Virunga Mountain chain in the northwest part of the country is home to one-third of the world’s threatened mountain gorilla population. At the same time, the population throughout the country suffers from high rates of unmet need for contraception, and three percent of the adult population lives with HIV/AIDS. In a land under such intense pressure on natural resources, rural livelihood initiatives are critical to ensuring people have options for meeting their daily health and well-being needs.
For the past three years, Jeanne Nyirakamana has served as head of the health program for the Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development (SPREAD) Project. Supported by the U.S. Agency for International Development through Texas A&M; University, the SPREAD Project is integrating a dynamic coffee production and quality improvement program in Rwanda with health outreach to improve community well-being. The health component works to improve the lives of coffee farmers and cooperative members by providing them with health information and services related to family planning, maternal and child health, prevention of sexually-transmitted infections (including HIV), and water and sanitation.
Training Peer Educators
Working closely with the coffee program, Nyirakamana’s team has trained more than 540 men, women, and youth peer educators who have reached more than 95,000 coffee farmers with education and services. Key communication messages highlight the links between sound decision-making and health-seeking behaviors, productive farms and agribusinesses, and strong and healthy families.
The program also leverages and supports local health resources through referrals to existing public health services, organization of mobile clinics, and community-based distribution of a socially marketed water purification solution (Sur Eau) and condoms (Prudence). According to Nyirakamana, one of the project’s greatest successes is the increased acceptance of family planning by farmers and their families and the more than 7,500 farmers who have been tested for HIV. In order to draw in as many coffee farmers as possible, many of the health and livelihood activities take place at the stations where the coffee beans are washed, at other buildings used by the coffee farmer cooperative, or during combined community meetings or home visits. At the washing stations, Nyirakamana’s team supports local health center staff to provide voluntary counseling and testing (VCT) and de-worming services while at the same time SPREAD-trained peer educators and coffee/health extension agents disseminate family planning information.
The cooperatives’ buildings have clean water, hand-washing stations, and small kiosks where condoms and Sur Eau are sold. These community health agents work with SPREAD to ensure that the greater community, not just the coffee farmers, has access to health knowledge and services. They learn how to teach the community about a range of health issues and each month they submit reports showing how many people they reached and with what kinds of messages. They are also becoming increasingly engaged in coffee and agribusiness activities. Through the success of their health activities, these agents are seen as vital community resources.
Integrated Results
By implementing this integrated population, health and environment (PHE) approach, the SPREAD Project staff is ensuring the health of the people and environment and success of the agribusiness. “You cannot care for the environment without first caring for the people who live and use that environment, so when you transmit dual messages [agriculture and health] you are able to hit two birds with one stone,” said Nyirakamana.
According to a 2010 evaluation of the project, farmers and their families reported improvements in personal and household hygiene; an increase in understanding and acceptance of family planning; uptake of HIV and VCT services; and use of condoms and other local health services. As well, they noted shifts in gender norms affecting household revenue use, alcohol, and reproductive health. The agribusiness stakeholders value the integrated approach as a means to more holistically meet farmers’ goals of increased incomes and improved lives and livelihoods.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: BALANCED Project. -
Jill Shankleman for the U.S. Institute of Peace
Lifting the Veil: What Can We Learn From EITI Reports?
›November 22, 2011 // By Wilson Center StaffThe original version of this article, by Jill Shankleman, appeared on the United States Institute of Peace’s International Network for Economics and Conflict blog.
The Extractive Industries Transparency Initiative (EITI), launched in 2002, now has 35 participating countries that have committed to publish annual, independently verified reports on all mining, oil, and gas payments made by companies to governments and all revenues received by governments from these extractive industry companies. The EITI is based on the premise that making public reliable information about extractive industry payments will make corruption and theft of “resource rents” more difficult and will enable informed debate amongst citizens and politicians about how to use resource wealth. While initially some governments could object to joining on the grounds that EITI was “a bad boys’ club,” Norway is now a fully engaged member; the United States has just announced that it will participate; and Australia stated it will pilot-test the system.
The participants in EITI also include Liberia, East Timor, Sierra Leone, and Côte d’Ivoire, which, as post-conflict states, depend more than most on effective management of their resource wealth to establish the foundations for sustained economic growth. Citizens, journalists, and government officials in all the EITI countries now have access to some information on what extractive industry companies are paying to the government and what the government is receiving.
However, examination of country EITI reports reveals several shortcomings in reporting. What do the reports tell us beyond the headline numbers (i.e., total revenues and the size of any discrepancy between what companies report paying and what governments report receiving)? What do they tell us about revenue trends or about the significance of these revenues in total government receipts? How many countries have a pattern similar to Tanzania whereby the largest contribution documented in their first report was through companies collecting payroll taxes on behalf of the government? What is the value of “social investments,” training levies, or research and development contributions made by extractive industry companies? Where, and to what extent, do oil, gas and mining companies make payments to local governments?
Continue reading on the International Network for Economics and Conflict blog.
Jill Shankleman is a senior scholar at the Woodrow Wilson Center and former senior social and environmental specialist at the World Bank.
Video Credit: “Transparency Counts,” courtesy of vimeo user EITI International. -
Watch: Geoff Dabelko on Climate Adaptation and Peacebuilding at SXSW
›November 16, 2011 // By Wilson Center StaffThe problems of climate adaptation, poverty alleviation, and peacebuilding are common to many parts of the world. Yet the efforts to address them are often pursued separately or with little coordination. Capturing the co-benefits of building institutional capacity critical to all three areas is an idea that will likely receive little attention at next year’s Rio+20 Earth Summit in Brazil, says ECSP Director Geoff Dabelko.
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Robert Olson for the Science and Technology Innovation Program
Geoengineering for Decision Makers
›Download Geoengineering for Decision Makers, by Robert Olson, from the Wilson Center. Excerpted below is the executive summary.
Geoengineering involves intentional, large-scale interventions in the Earth’s atmosphere, oceans, soils or living systems to influence the planet’s climate. Geoengineering is not a new idea. Speculation about it dates at least to 1908, when Swedish scientist Svente Arrhenius suggested that the carbon dioxide released from burning fossil fuels might help prevent the next ice age. Until recently, proposals for using geoengineering to counteract global warming have been viewed with extreme skepticism, but as projections concerning the impact of climate change have become more dire, a growing number of scientists have begun to argue that geoengineering deserves a second look.
Below are 10 of the major concerns about geoengineering that policymakers need to be aware of and give due consideration. These concerns apply mainly to solar radiation management (SRM), the form of geoengineering that attempts to cool the climate by reflecting a small amount of solar radiation back into space. SRM involves significantly higher risks than the other form of geoengineering, carbon dioxide removal (CDR) which involves removing carbon dioxide from the atmosphere and storing it in the ocean, plants, soil, or geological formations.- Unintended Negative Consequences: We may know too little about the Earth’s geophysical and ecological systems to be confident we can engineer the climate on a planetary scale without making an already bad situation even worse;
- Potential Ineffectiveness: Some proposed CDR methods are so weak that they would produce useful results only if sustained on a millennial timescale;
- Risk of Undermining Emissions-Mitigation Efforts: If politicians come to believe that geoengineering can provide a low-cost “tech fix” for climate change, it could provide a perfect excuse for backing off from efforts to shift away from fossil fuels;
- Risk of Sudden Catastrophic Warming: If geoengineering is used as a substitute for emissions reduction, allowing high concentrations of CO2 to build up in the atmosphere, it would create a situation where if the geoengineering ever faltered because of wars, economic depressions, terrorism or any other reasons during the millennium ahead, a catastrophic warming would occur too quickly for human society and vast numbers of plant and animal species to adapt;
- Equity Issues: Geoengineering efforts might succeed in countering the warming trend on a global scale, but at the same time cause droughts and famines in some regions;
- Difficulty of Reaching Agreement: It could be harder to reach global agreements on doing geoengineering than it is to reach agreements on reducing carbon emissions;
- Potential for Weaponization: Geoengineering research could lead to major advances in knowledge relevant for developing weather control as a military tool;
- Reduced Efficiency of Solar Energy: For every one percent reduction in solar radiation caused by the use of SRM geoengineering, the average output of concentrator solar systems that rely on direct sunlight will drop by four to five percent;
- Danger of Corporate Interests Overriding the Public Interest: Dangers include a lack of transparency in SRM technology development and the possibility that the drive for corporate profits could lead to inappropriate geoengineering deployments;
- Danger of Research Driving Inappropriate Deployment: Research programs have often created a community of researchers that functions as an interest group promoting the development of the technology that they are investigating.
Several of the best climate studies suggest that stabilizing the amount of carbon dioxide and other greenhouse gases below the level that risks dangerous climate change will require a social mobilization and technological transformation at a speed and scale that has few if any peacetime precedents. If correct, and the needed mobilization does not occur in the years immediately ahead, then decision makers later in the century could find themselves in a situation where geoengineering is the only recourse to truly dangerous climate change. The most fundamental argument for R&D; on geoengineering is that those decision makers should not be put in a position of either letting dangerous climate change occur or deploying poorly evaluated, untested technologies at scale. At the very least, we need to learn what approaches to avoid even if desperate.
Continue reading by downloading the full report from the Wilson Center.
Robert Olson is a Senior Fellow at the Institute for Alternative Futures. -
Emily Puckart, MHTF blog
Maternal Health in Kenya: New Research Unnecessary, Time to Address Existing Gaps
›The original version of this article, by Emily Puckart, appeared on the Maternal Health Task Force blog.
During the recent Wilson Center/African Population and Health Research Center meeting in Nairobi on improving health systems through a maternal health framework, participants focused on knowledge gaps in the Kenyan health system that can negatively affect maternal healthcare. This focus on gaps sparked discussion around research needed (or not needed) in the maternal health field, supply gaps, and gaps between addressing technical, medical issues of maternal health (like preeclampsia or postpartum hemorrhage), and larger society-wide gaps like gender equity. The gaps highlighted by participants at the Nairobi dialogue included:- Gaps in knowledge: During the dialogue, members of the Kenyan maternal health community discussed the possibility of strengthening community health workers as an information delivery platform. Participants wondered about the possibility of using community health workers to distribute information both downward to the end user (patients), and then again to gather information from end users and distribute it upwards through the system to reflect the opinions of the direct users of the healthcare system.
- Supply gaps: Participants argued that while there is a large body of information in terms of maternal health supplies at the national level in Kenya, there is not as much data on supplies at the actual health facility level, where it is much needed and would be very helpful to successfully treat patients.
- Gaps in healthcare delivery: There is a strong need to address inequality in the distribution of health services as there are unequal services in rural and urban areas. Within those broad areas there may be further inequalities, as even in urban areas, slum areas or neighborhoods on the edges of cities may have less access to quality healthcare than populations that live in wealthier areas of the city or closer to the city center. Further there are broader questions of gender and access to care. Where women are not able to control household finances, they may be unable to access and pay for lifesaving care. Participants framed the question in a rights framework, “Do we value the lives of women less than men?”
- Health workforce gaps: There is a mismatch between the supply of health workers and the absorption of those trained health workers in Kenya. Many of them are not incentivized professionally or financially to stay in the system where they are trained. These health workers may leave for other countries or prefer to stay in urban areas depriving rural areas of a surplus of trained health workers.
- Gaps between words and actions: Several of the small working groups pointed to accountability as a serious issue, as there are gaps between the words of politicians on health issues and actual actions. The gap between the government promised funding for health and the actual lower amount of spending was consistently highlighted during the Nairobi dialogue as a serious gap in holding governments accountable for their promises.
The lively conversation provoked by a broad discussion of gaps in the Kenyan health system provided fertile ground to develop action points on maternal healthcare that participants then presented on the second day of the meeting to several Kenyan members of parliament. Ideally, this will be the first discussion of many as maternal health advocates, field workers, and researchers coalesce around ways to address the gaps in maternal healthcare in Nairobi and elsewhere.
Emily Puckart is a senior program assistant at the Maternal Health Task Force (MHTF).
Photo Credit: Jonathan Odhong, African Population and Health Research Center. -
Good Company: ‘New Security Beat’ Honored for Best Population Commentary
›The Population Institute’s 2011 Global Media Awards go to a Pulitzer Prize winning cartoonist, the head of the UN Population Fund, PBS NewsHour – and us! We’re thrilled to announce that the New Security Beat has won its third Global Media Award for Best Online Commentary or Blog.
Our company in this year’s line-up is impressive:- PBS NewsHour, for several segments related to population issues, including one on an Indonesian plant showing promise for male birth control and another on how religion and tradition are clashing with family planning efforts in Guatemala;
- Dr. Babatunde Osotimehin, Executive Director of UNFPA, for his editorial in Science, “Population and Development;”
- EarthSky: A Clear Voice for Science, for their series of weekly interviews with scientists around the world, including a series with population experts.
- Population Action International (PAI), for their short film Weathering Change, which tells stories about the impact of climate change on women from Ethiopia, Nepal, and Peru (and which was launched at the Wilson Center).
New Security Beat also got a nice shout-out from Andy Revkin on Dot Earth this week for our “seven billion” stories and coverage from South by Southwest Eco. For more on “seven billion” be sure to read Elizabeth Leahy Madsen’s breakdown of how we got to this milestone, Geoff Dabelko’s take on seven ways seven billion will affect the planet, the webcast of our recent reporting on population and environment event, and our latest YouTube videos, including PAI’s Roger-Mark De Souza presenting at South by Southwest Eco. -
Michael Kugelman for Seminar
Safeguarding South Asia’s Water Security
›November 4, 2011 // By Wilson Center StaffThe original version of this article, by Michael Kugelman, appeared in the public policy journal Seminar.
In today’s era of globalization, the line between critic and hypocrite is increasingly becoming blurred. Single out a problem in a region or country other than one’s own, and risk triggering an immediate, yet understandable, response: Why criticize the problem here, when you face the same one back home?
Such a response is particularly justified in the context of water insecurity, a dilemma that afflicts scores of countries, including the author’s United States. In the parched American West, New Mexico has only 10 years-worth of drinking water remaining, while Arizona already imports every drop. Less arid areas of the country are increasingly water-stressed as well. Rivers in South Carolina and Massachusetts, lakes in Florida and Georgia, and even the mighty Lake Superior (the world’s largest fresh-water lake) are all running dry. According to the U.S. Environmental Protection Agency, if American water consumption habits continue unchecked, as many as 36 states will face water shortages within the next few years. Also notable is the fact that America’s waterways are choked with pollution, and that nearly twenty million Americans may fall ill each year from contaminated water. Not to mention that more than thirty U.S. states are fighting with their neighbors over water.
Such a narrative is a familiar one, because it also applies to South Asia. However, in South Asia, the narrative is considerably more urgent. The region houses a quarter of the world’s population, yet contains less than five percent of its annual renewable water resources. With the exception of Bhutan and Nepal, South Asia’s per capita water availability falls below the world average. Annual water availability has plummeted by nearly 70 percent since 1950, and from around 21,000 cubic meters in the 1960s to approximately 8,000 in 2005. If such patterns continue, the region could face “widespread water scarcity” (that is, per capita water availability under 1,000 cubic meters) by 2025. Furthermore, the United Nations, based on a variety of measures – including ecological insecurity, water management problems and resource stress – characterizes two key water basins of South Asia (the Helmand and Indus) as “highly vulnerable.”
These findings are not surprising, given that the region suffers from many drivers of water insecurity: high population growth, vulnerability to climate change, arid weather, agriculture dependent economies, and political tensions. This is not to say that South Asia is devoid of water security stabilizers; indeed, its various trans-national arrangements, to differing degrees, help the region manage its water constraints and tensions. This paper argues that such arrangements are vital, yet also incapable of safeguarding regional water security on their own. It asserts that more attention to demand-side water management within individual countries is as crucial for South Asian water security as are trans-national water mechanisms.
Continue reading on Seminar.
Michael Kugelman is a program associate for the Asia Program at the Woodrow Wilson Center.
Sources: The American Prospect, Jaitly (2009), The New York Times, UNEP, UN Population Division, Washington Post.
Video Credit: “Groundwater depletion in India revealed by GRACE,” courtesy of flickr user NASA Goddard Photo and Video. For more on the visualization, see the story on NASA’s Looking at Earth.
