Showing posts by Wilson Center Staff.
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Top 10 Posts for December 2010
›Pop Audios from Roger-Mark De Souza and John Bongaarts, water conflict on the Mekong river, a take on Restrepo from one of this summer’s West Pointers, and demographic security on the Hill topped the list last month:
1. Pop Audio: From Cancun: Roger-Mark De Souza on Women and Integrated Climate Adaptation Strategies
2. Managing the Mekong: Conflict or Compromise?
3. Pop Audio: John Bongaarts on the Impacts of Demographic Change in the Developing World
4. Restrepo: Inside Afghanistan’s Korengal Valley
5. Demographic Security Comes to the Hill
6. The Future of Sub-Saharan Africa’s Tentative Fertility Decline
7. On the Beat: Where Have all the Malthusians Gone?
8. Bringing Cambodia Back from the Brink: Audio Interview with Suwanna Gauntlett
9. COP-16 Cancun Coverage Wrap-up: An Integrated Climate Dialogue
10. India’s Maoists: South Asia’s “Other” Insurgency -
Evidence, Links, and Solutions
Maternal Undernutrition
›“Maternal undernutrition is often overlooked as a strategy for reducing poverty and as a key intervention to reduce maternal mortality and morbidity,” said Mary Ellen Stanton, senior maternal health advisor at the U.S. Agency for International Development. Stanton was joined by Dr. Doyin Oluwole, director of the Africa’s Health in 2010 program, and Amy Webb Girard, assistant professor at the Emory University School of Public Health, in the final meeting of the Advancing Policy Dialogue on Maternal Health series on December 15 where they addressed the linkages between poverty, undernutrition, and poor maternal health outcomes.
The Cycle of Malnutrition and Poverty
Many factors contribute to a woman’s nutritional status, including lack of capital, access to land, and poverty; thus, said Oluwole, “we must adopt a multi-pronged and multi-sectoral response.”“General malnutrition is usually associated with iron-deficiency anemia, which leads to poor cognitive function and educational achievement, poor health, and fatigue.” Oluwole said. “These three factors lead to low worker productivity, and low worker productivity leads to income poverty.”
“All of these aggravate malnutrition and so the vicious cycle of malnutrition and poverty continues,” said Oluwole. To break this cycle, she pointed out that countries like Malawi and Mexico have implemented various multi-sectoral interventions that have “stimulated economic growth; implemented targeted social, health, and nutrition programs; and put in place safety nets.”
“In the window of opportunity during pregnancy and the first two years of life, we can make a big difference,” Oluwole said. She advocated for an “integrated anemia package” that provides anti-malarials, de-worming medicine, iron folic acid tablets, and extra food during pregnancy. She also noted the importance of family planning and targeted high-coverage interventions, such as salt iodization, vitamin A supplementation, and breastfeeding promotion.
In conclusion, Oluwole provided several recommendations for the development community to improve maternal mortality rates and undernutrition of women:
Maternal Undernutrition: Our Global Disgrace- Promote universal primary and secondary education, especially for girls
- Stimulate economic growth with a focus on gender and equity
- Invest in infrastructure to reduce transportation time to hospitals
- Postpone age of marriage and of first pregnancy
- Provide targeted and effective nutrition and health interventions
- Encourage private sector participation and government leadership
- Integrate the maternal health and nutrition communities and services
“We don’t tend to look at maternal nutrition and its impacts on the woman herself,” said Girard. The lack of data on the relationship between nutrition and maternal health outcomes “hampers our ability to move maternal nutrition onto the health and development agenda,” she added.“Anemia is widespread; worldwide, it is a significant public health burden, both in women of reproductive age as well as in pregnant women,” said Girard. Studies have shown that moderate anemia increases risk of hemorrhage and may also increase the risk of sepsis, while severe anemia has been shown to directly contribute to maternal mortality. Targeted interventions can help reduce these risks greatly. “For every one gram per deciliter increase in hemoglobin level, you can reduce maternal mortality by approximately 25 percent, but the mechanisms by which this occurs are not well elucidated,” noted Girard.
“We need to include women not as just targets of nutritional interventions, but as beneficiaries in their own health,” said Girard. Key nutritional interventions such as micronutrient supplementation, fortification, and behavior change communication can help to improve not only fetal, infant, and child health, but can also reduce maternal morbidity and mortality. In addition, Girard recommended the following strategies to achieve greater impact:
Together, these strategies can help improve access to nutrition and health services, as well as adequate food for women throughout their lives. “We need to integrate health and nutrition – they are actually the same pillar, complementing each other,” Girard concluded.- Improve nutrition throughout the life cycle, not just during pregnancy
- Look for alternate strategies for micronutrient delivery
- Integrate maternal nutrition into food security and agricultural strategies
- Collect indicators specific to women’s health impacts
- Recognize and address gender bias
Photo Credit: “Bangladesh mothers, kids,” courtesy of flickr user Bread for the World. -
The Role of Population Dynamics in Climate Adaptation
›December 21, 2010 // By Wilson Center StaffThis post is a synthesis of a panel discussion at the UNFPA Population Dynamics and Climate Change conference in Mexico City with Marcia Castro, of the Harvard School of Public Health; Heather D’Agnes, of USAID; and Lori Hunter, of the University of Colorado at Boulder.
It is well-known that environmental change — including climate change — has important impacts on human health. However, it is less well understood how health systems shape the responses of individuals and households to environmental change. Population dynamics — such as fertility, migration, and mortality and morbidity — influence community health and greatly affect community resilience in the face of environmental changes, including the capacity to adapt to climate change.
Mortality and Morbidity
Morbidity and mortality dramatically shape a household’s ability to adapt its livelihood strategies to a changing climate. For example, in areas of high HIV prevalence, such as sub-Saharan Africa, adult mortality seriously undermines livelihood options. In the face of such loss, the household’s reliance on local natural resources intensifies. If environmental change reduces the amount of available resources, the household has fewer options for energy and sustenance.
Morbidity also affects adaptive capacity, and morbidity itself can be shaped by environmental change. For example, environmental scarcity can increase poverty, which can lead to an increase in risky transactional sex, further fueling the HIV pandemic. Malnutrition resulting from drought and environmental shocks can suppress the immune systems of HIV-positive people, making them more vulnerable to illness and less able to adapt to other external changes.
Fertility and Family Planning
Healthier households are more resilient households, so increasing access to health services, including reproductive health services, is essential for building adaptive capacity. High fertility poses challenges to a family’s livelihood and has negative health effects on women and children. Providing reproductive health services is an effective way to improve the capacity of these vulnerable groups to adapt to climate change. For example, a recent study argues that lowering fertility rates in the Himalayan region could increase community resilience to the predicted fluctuations in water quantity.
However, there is a high level of unmet demand for contraception across the globe. How can community adaptation programs help meet this need? Importantly, research from the Philippines suggests that integrating population, health, and environment programs in a package approach to community development is more effective than single-sector interventions. Including family planning and reproductive health services in community-based climate adaptation programs could not only more effectively meet the community’s needs, but could also improve its adaptive capacity better than health or climate programs alone.
Migration
Another population process, migration, can both impact health and affect the capacity for adaptation. For example, internal migration in the Brazilian Amazon appears associated with the spread of malaria, which negatively impacts the adaptive capacity of households. To mitigate climate change’s health impacts, states should more effectively plan settlements and health systems, including health impact assessments for infrastructure and development projects. (Editor’s Note – northern Nigeria and Niger present another example of similar climate-related migratory patterns that significantly impact health and economic resilience.)
In summary, the scientific evidence is clear that population dynamics — such as mortality, fertility, and migration — and environmental trends are linked. Projects intended to improve a community’s ability to adapt to a changing climate should consider and address these linkages in their design and implementation.
Sources: Foundation for Environmental Conservation, UNFPA, USAID.
Photo Credit: “Toureg family in Niger,” courtesy of flickr user ILRI. -
Emily Gertz, Momentum Magazine
U of M’s ‘Momentum’ on Water Scarcity, Population, and Climate Change
›December 20, 2010 // By Wilson Center StaffExcerpted from the original article, “Water Tight,” by Emily Gertz in the University of Minnesota’s Momentum magazine.
The next time you stop off at a pub for a quick bite, think about this: It took around 630 gallons of water to make your burger. Your pint of beer used around 20 gallons. Manufacturing your blue jeans and t-shirt drank up about 1,218 gallons of water: 505 and 713 gallons, respectively.
Total: nearly 1,900 gallons of water – and that’s without fries on the side.
These quantities are the “water footprint” of each product: the total amount of freshwater used in its manufacture, including producing the ingredients.
For many products, that footprint is Paul Bunyan–sized: With water seemingly cheap and plentiful, there has been little incentive to try to keep it small.
But today, that’s changing. Even though much of the water we use for growing food and making products is replenished by natural hydrological cycles, freshwater will be less reliable and available in the coming century. Population growth is increasing both demand for water and pollution of potable supplies. At the same time, climate change is disrupting historical precipitation patterns, shrinking freshwater sources such as glaciers and snowpack, and creating unprecedented droughts and floods.
According to an analysis published in Nature in September 2010, the freshwater supplies of most of the world’s population are at high risk.
“If you look at the global distribution of people and the global distribution of threat levels to human water security, the places with the highly threatened water security represent about 80 percent of the world population, over four billion people,” says study co-author Peter McIntyre, assistant professor at the University of Wisconsin’s Center for Limnology.
In the United States, a 2010 analysis by the consulting firm Tetra Tech for the Natural Resources Defense Council found that more than 1,100 counties – fully two-thirds of all counties in the lower 48 states – will contend with higher water risk by 2050 due to climate change alone. Fourteen states can expect extremely serious problems with freshwater supply, including Florida, Mississippi, New Mexico, and California.
It’s not surprising, then, that businesses are increasingly considering their corporate water footprint. They encounter water risk – and opportunities to reduce it – at many stages of their operations, from growing crops to running retail stores. Factoring such risks into their present and future planning is helping companies present themselves as good environmental stewards to the public, and potentially reduce risks to their earnings from water scarcity.
“It’s often said that water is going to be the oil of the 21st century, in the sense of becoming an ever-more scarce commodity,” McIntyre says. “In the grand scheme of things, you can live without oil, but you can’t live without water. Water is fundamental for all life. And that’s certainly true for business as well.”
Continue reading on Momentum.
Sources: Natural Resources Defense Council, Nature.
Photo Credit: Adapted from “Lake Hume at 4%,” courtesy of flickr user suburbanbloke. -
Too Few or Too Many? Joel E. Cohen on How Education Can Address Both
›December 17, 2010 // By Wilson Center Staff“So which is it: Is it too many people or is it too few people?” asks Joel E. Cohen of the Rockefeller University in this interview with ECSP. “The truth is, both are real problems, and the fortunate thing is that we have enough information to do much better in addressing both of those problems than we are doing – we may not have silver bullets, but we’re not using the knowledge we have.”
Cohen has studied the population-resources equation, trying to determine how best to support global demographics in a sustainable, equitable way. He points to the cross-cutting power of education to both curb rapid population growth in the developing world and ease the cost of aging populations in the developed.
“On continuing rapid population growth, we know that more education is associated with reductions in fertility,” said Cohen. And when combined with voluntary family planning, it’s also cheap “compared to the costs of having children that are not well cared for – the opportunity costs,” he said.
On aging, “we know that people who are educated well in their youth – both at primary, secondary, and especially tertiary levels – have better health in old age,” said Cohen. “So the costs of an aging population are diminished when people are educated. They take better care of themselves and they have options – they can use their minds as their bodies mature.”
Education is a long-term solution, but shorter-term policy options, like France’s bump of the retirement age to 62 that prompted rioting this fall, will also be necessary. “Sixty-two is only a way station,” Cohen said. “The retirement age has to move up, because people are living longer, they’re more productive, they’re in better health, and they’re going to have to keep working to take care of themselves.” -
Judith Bruce on Empowering Adolescent Girls in Post-Earthquake Haiti
›“The most striking thing about post-conflict and post-disaster environments is that what lurks there is also this extraordinary opportunity,” said Judith Bruce, a senior associate and policy analyst with the Population Council’s Poverty, Gender, and Youth program. Bruce has spent time this year working with the Haiti Adolescent Girls Network (HAGN), a coalition of humanitarian groups conducting workshops focused on the educational, health, and security needs of the country’s vulnerable female youth population.
Gender-based violence has long been an issue in Haiti, but the problem became even more pronounced in the wake of the January earthquake. HAGN has sought to address the problem by concentrating its community-based programming on “high priority” groups, including girls who are disabled, serve as de facto heads of households, or are aged 10-14.
Bruce asserted that protecting and empowering young girls is critical because upon reaching puberty, “their access to a safe world shrinks dramatically.” With the post-disaster environment adding another layer of challenge, she said “there could be no ambiguity in anyone’s mind that we have to create dedicated spaces for girls who, at least for a few hours a week, feel secure to be themselves and to plan for their long-term safety as well as their development.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Watch: Joel E. Cohen on Solving the Resource-Population Equation in the Developing World
›December 14, 2010 // By Wilson Center Staff“It’s very hard to put a number on a quantity that depends on future events, processes we don’t understand, and values that may change over time,” said Joel E. Cohenof the Rockefeller University in this interview with ECSP. “That doesn’t mean we have no problems and it doesn’t mean there’s nothing we can do.”
There are three schools of thought or proposed “panaceas,” when it comes to balancing natural resources and population, said Cohen: a bigger pie (new technology to increase productivity), fewer forks (reduced consumption), and better manners (reduced irrational market inequities and better governance).
In the 15 years since his book How Many People Can the Earth Support? was published, Cohen’s approach has changed. While the 1996 book lacked a definitive policy recommendation, he is now analyzing options. “The evolution of my thought has moved from ‘how many people can the Earth support?’ to ‘what do we need to solve problems?’” he said.
You need adequate child and maternal nutrition to produce potential problem solvers and you need education to give them the tools to do it with, said Cohen, who studied the impact of universal primary and secondary education with colleagues at the American Academy of Arts and Sciences.
“If you look at a map of stunting in the world, there are parts of South Asia and sub-Saharan Africa where more than half the children are stunted – that means two standard deviations [of] height below normal for their age,” said Cohen. “Those populations are handicapped at the starting gate because they don’t have the problem solvers.” -
Robert Engelman, Worldwatch Institute
The Number Left Out: Bringing Population Into the Climate Conversation
›December 9, 2010 // By Wilson Center StaffNumbers swirl around climate change.
So many parts per million of greenhouse gases in the atmosphere. So many gigatons of carbon dioxide emitted. So many degrees Celsius of temperature rise that we hope won’t happen. Yet one number rarely comes into play when experts or negotiators talk about the changing atmosphere and the warming of the planet: the number of humans putting heat-trapping gases into the air.
The original version of this article, by Robert Engelman, appeared on the Worldwatch Institute’s Transforming Cultures blog.The UK Met Office’s data set for September 2009 of more than 1,600,000 temperature readings from 1,700+ stations.
Numbers swirl around climate change.
So many parts per million of greenhouse gases in the atmosphere. So many gigatons of carbon dioxide emitted. So many degrees Celsius of temperature rise that we hope won’t happen. Yet one number rarely comes into play when experts or negotiators talk about the changing atmosphere and the warming of the planet: the number of humans putting heat-trapping gases into the air.
The relative silence isn’t hard to understand. Population is almost always awkward to talk about. It’s fraught with sensitivity about who has how many children and whether that is anyone else’s business. It’s freighted with sexuality, contraception, abortion, immigration, gender bias, and other buttons too hot to press into conversation. Yet two aspects of population’s connection to climate change cry out for greater attention – and conversation.
One is that population – especially its growth, but other changes as well – matters importantly to the future of climate change, a statement that as far as I can tell is not challenged scientifically. (The Intergovernmental Panel on Climate Change, for example, accepts the accuracy of the so-called Kaya identity, which names population among the four factors that determine emissions growth from decade to decade.) And, two, addressing population in climate-friendly ways is also fundamentally people-friendly, in that it involves no “population control,” but rather the giving up of control – especially control of women’s bodies by people other than themselves.A new Worldwatch Institute report, which I authored, offers details, findings, and recommendations on both the importance of population in climate change and how to address it. The report looks at some of the history of the population-climate link – in particular, interesting work by William Ruddiman, who hypothesizes that the agricultural revolution contributed to global warming thousands of years ago. And it addresses the common objection that population growth can’t be that important in greenhouse gas emissions growth because countries with high per capita emissions tend to have smaller families than low-emitting countries.
Equity in per capita emissions, I argue, is an essential goal – and without it, no global effort to shrink emissions can succeed. The imperative of an equal sharing of atmospheric carbon space is among the most powerful arguments for a smaller world population. When greenhouse gases other than carbon dioxide – such as methane and “black carbon” – are considered, per capita emissions gaps are not as wide as many writers believe. And the amount of all these gases that equal emitters can contribute without altering the atmosphere shrinks in direct proportion to population’s growth.
Arguments about population’s role in climate change are unnecessarily heated, however. Even if the growth of human numbers played only a minor role in emissions growth, it would be worth discussing – not because addressing population will somehow resolve our climate predicament, but because ultimately no other strategy on its own will either. We need the widest possible range of strategies – economic, political, technological, and behavioral – that are both feasible and consistent with shared human values.
On population, the most effective way to slow growth is to support women’s aspirations. Almost all women aspire to gain an education, to stand in equality with men, and to make decisions for themselves – including whether and when to give birth. Policies and programs to help women achieve these aspirations exist in many places. But they don’t get the attention, support and funding they deserve. And they are rarely seen as climate-change strategies.
As societies, we have the ability to end the ongoing growth of human numbers – soon, and based on human rights and women’s intentions. This makes it easy to speak of women, population, and climate change in a single breath.
Robert Engelman is vice president for programs at the Worldwatch Institute and the author of “Population, Climate Change, and Women’s Lives.” Please contact him if you are interested in a copy of the report.
Sources: UK Met Office, World Resources Institute.
Image Credit: Adapted from “Met Office Climate Data – Month by Month (September),” courtesy of flickr user blprnt_van, and report cover, courtesy of the Worldwatch Institute.
