The Jordan River has become so polluted that visitors, many of whom are devout Christians making a pilgrimage to one of the religion’s most sacred sites, have been barred from its waters due to health concerns. Furthermore, more than 98 percent of its fresh water is diverted for agricultural work, meaning that the pollutants that end up in the river are highly concentrated.
But today, Bromberg said, sewerage is being removed on both the Israeli and Jordanian sides and there is a commitment to do the same from the Palestinians. For the first time in 60 years, there are concrete plans to return fresh water to a river that is “so holy to half of humanity.”
Sources: The Age, Friends of the Earth Middle East, The Guardian, U.S. Environmental Protection Agency
Peak water is “the idea that we are effectively running into constraints and limits on our water use,” said Gleick, in part because of population growth. “It lets us think differently about the limits to the water that’s available for us to use, and about the water that it’s appropriate for us to use, and about the policies to put in place to avoid the bad things that happen when we reach or exceed peak constraints.”
Gleick breaks the concept into three categories:
Peak renewable water: “Where we can no longer increase the amount of water we’retakingoutofrivers – when we take all of it.”
Across all three categories, said Gleick, we are very bad at understanding limits. “We don’t measure peak water carefully, we don’t collect the data necessary to understand when we’re approaching or exceeding peak water limits.”
“Understanding and applying the idea of peak water is the first step toward developing strategies and institutions to avoid the worst disasters associated with overuse and inappropriate use of our water resources.”
Introducing the special report, Simon Cook, Myles Fisher, Tassilo Tiemann, and Alain Vidal note in “Water, Food and Poverty: Global- and Basin-Scale Analysis” that the vast majority of population growth over the next few decades is expected to happen in developing countries, “where the disjunct between poverty, water and food is particularly acute.” Gaining a better understanding of water – how much we have, who uses it, and how best to use it – is essential to improving development results in the face of this demographic explosion. Water is linked with poverty and development through issues like scarcity, access, and water-related hazards (like drought, flood, and disease). But the authors conclude that water productivity – the ease or difficulty in getting water from its source to agriculture – “is by far the most important water-related constraint to improved food, income and environmental security.”
In “Water, Agriculture and Poverty in the Niger River Basin,” Andrew Ogilvie et al., paint a bleak picture of life in one of West Africa’s most important basins, writing that “[m]uch of the population in the basin suffers from extreme, chronic poverty and remains vulnerable to droughts and malnutrition.” Many of the Niger basin’s 94 million residents rely on subsistence agriculture, and most of that agriculture relies on rainwater rather than groundwater irrigation systems. Over time, the authors write, “there is little doubt that climate change will increase the strain on already-vulnerable agriculture.” Population growth will exacerbate this strain; the basin’s population is expected to increase as much as fourfold by 2050. In spite of this bleak picture, the authors conclude that “[i]mprovements in rainfed agriculture can have an important impact on poverty reduction and food security due to the large population dependent on it.”
Borneo’s Gunung Palung National Park is a microcosm of both the island’s ecological wealth and vulnerability. More than half of the park is undisturbed forest; the remainder, however, “is being torn down day after day” at an alarming rate, said Health in Harmony’s Nichol Simpson at an event on integrated approaches to population, health, and environment (PHE) programs in Indonesia. Alene Gelbard of the Public Health Institute’s Company-Community Partnerships for Health Indonesia (CCPHI) program joined Simpson on September 29 at the Wilson Center. Both speakers emphasized that no matter what issue a group works on, engaging local communities is essential for success.
The Destructive Cycle: Poor Health, Poor Environment
For Simpson, “the intersection between human and environmental health” is at the heart of Health in Harmony’s work. Health in Harmony opened Clinic ASRI in 2007, aiming to provide improved healthcare to villagers throughout Gunung Palung National Park while ending their dependence on illegal logging as a means of financial survival.
The area’s inhabitants were all too easily trapped in what Simpson called “the destructive cycle.” When faced by an unexpected medical emergency, families would go into debt to pay their medical bills. Health in Harmony found that of 232 local households surveyed, 13 percent had recently experienced a major medical emergency, at an average cost of $360. Most households in the area only hold around $260 in emergency savings, so to make up the difference, about a third turned to illegal logging to pay down their debt.
By deforesting the park, illegal logging worsens the health of nearby communities. For example, Simpson said that Clinic ASRI has seen a rise in cases of malaria and tuberculosis in the surrounding communities, in part because deforestation has increased the level of mosquito activity. The link between human and environmental health is clear, said Simpson: the people ASRI serves are “living it every day. They know the cause of this. And…they want it to stop.”
Protecting Natural Resources By Improving Health
The Health in Harmony clinic located in Sukadana, a small village sandwiched between Borneo’s coast and Gunung Palung Park, helps break the destructive cycle by treating patients regardless of their ability to pay. If patients do not have cash, they can barter for their care. In one case, a girl named Yani came to ASRI after her family incurred $500 over two months of visiting hospitals and traditional healers, none of whom could treat her condition. ASRI diagnosed and treated Yani for scabies. In exchange, her mother signed a pledge to protect Gunung Palung from logging and made the clinic a floor mat to cover the $1.50 bill.
By providing affordable, high-quality healthcare that is contingent upon pledging to protect the environment, Clinic ASRI improves human and environmental health in one fell swoop, said Simpson. “Because the infant mortality rate has decreased and you’re not overcompensating,” said Simpson, families can choose to have fewer children, using free birth control provided by ASRI.
“When you have fewer and healthier children, you’re investing in your education,” said Simpson. “When you’re investing in your education, you’re investing in your country and your community. This is the virtuous cycle. I didn’t invent it, but we are proving it in Sukadana.”
The communities around the clinic have embraced ASRI’s work, partnering with them to expand their services to address additional community needs, like training farmers in more productive organic methods and providing mated pairs of goats for widows, who pay ASRI back with kid goats and manure for fertilizer.
All but one of the 23 villages that ASRI services have been consistently free of illegal logging, according to monitors who visit them on a regular basis. “We’re proving the theory that we can protect natural resources by improving health,” Simpson said.
With corporate responsibility becoming more popular, “everyone’s talking about partnerships these days, and everybody’s partnering with everyone,” said Gelbard. “I don’t care what they call it – I care what they’re doing” and what results they achieve, she said. A successful partnership involves “all partners doing something more than just giving money.”
Gelbard said the 2004 tsunami reinforced the notion of corporate responsibility for a lot of companies operating in Indonesia. They saw that unless they branched out beyond their own walls and “did things to help strengthen communities,” efforts at corporate responsibility simply “would not benefit them in the long-run,” she said.
Achieving the Millennium Development Goals will require increasing access to health care in a manner that reflects the needs of communities, she said. At its core, CCPHI’s work and the partnerships it facilitates are “based on the knowledge that health is key to sustainable development,” said Gelbard.
Sources: Alam Sehat Lestari, American Journal of Tropical Medicine and Hygiene, Company-Community Partnerships for Health Indonesia, ExxonMobil, The Guardian, Health in Harmony, National Geographic, PBS News Hour, Public Health Institute, Republic of Indonesia Ministry of Forestry, United Nations, World Wildlife Fund
Photo Credit: Used with permission courtesy of ASRI and Nikki See, Under-told Stories.
Water issues affect everyone, but women often bear the brunt of water collection responsibilities, making them vulnerable to changes in access or sanitation, especially in developing countries. “Studies show that about 26 percent of a rural African woman’s time is spent collecting water,” Schechtman said. “That means that they can’t go to school, they can’t take care of their families, or go to clinics, or spend time generating income, or doing other things in their community like participating in political processes.”
What’s more, as women make the hours-long hike to get water, “they’re risking injury and sexual assault,” Schechtman added. “So there’s a really wide-ranging set of impacts, just out of the actual act of collecting water.”
The Horn of Africa: Severe Problems, Small Changes
In one town in northeastern Kenya, Holmes said women have to travel 12 miles to find water – and even then, they are drawing it from a waterhole shared with wildlife. In Ethiopia, “we have severe problems,” he said, “not the least of which is not just sanitation but also HIV and AIDS,” as HIV/AIDS patients often drink unsanitary water to take their medications. That water gives them diarrheal disease, “so they’re excreting the value of the treatment” – and women, as household caregivers, bear an ever greater burden.
In Somalia, girls drop out of school once they start menstruating because schools do not have latrines that allow them to meet their needs safely and privately. “To think that the lack of a latrine could make you drop out of school and your entire life is going to change overnight – it’s just not acceptable,” said Holmes.
In each of these cases, small changes could dramatically reduce strains on women. Holmes pointed to a USAID project in Kenya that is building wells closer to population centers and empowering women by bringing them into the decisions on developing and managing wells. In Ethiopia, NGOs are working to train women on sanitation and hygiene, which could reduce the burden of illness on women and their families. And in Somalia, the simple addition of women’s latrines at schools would mean girls can continue their education beyond puberty.
Closing the Water Gender Gap
The World Bank’s 2012 World Development Report on Gender Equality and Development recommends that development professionals “look at the gender gaps in basic endowments, like access to health, access to water resources, access to land,” and determine not just how they affect men and women differently but why those gaps exist in the first place, said Jae So.
A CARE and Swiss Development Corporationstudy of water services in Nicaragua found that when men realized how much of a role water-related activities played in women’s day-to-day lives, “it energized the entire community to really devote their collective resources” towards improving water management, said So.
“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.”
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.”
“Let’s take an area of conflict of great concern to us: Afghanistan. One of the very concrete questions is, do you invest your development efforts predominantly in the relatively secure parts of Afghanistan, which gives you more security gains in terms of holding them, or in the relatively insecure parts, where you’re most concerned with winning against the Taliban and the battle seems most in the balance?” With that question, Richard Danzig, the chairman of the board for the Center for a New American Security (CNAS), got to the heart of the issues being debated at a recent panel on development assistance and national security.
The discussion, hosted on September 5 by the Aspen Institute in conjunction with the Brookings Blum Roundtable on Global Poverty, brought together Rajiv Shah, the administrator of the U.S. Agency for International Development; Susan Schwab, professor at the University of Maryland and former U.S. trade representative; Sylvia Mathews Burwell, president of the Bill and Melinda Gates Foundation’s Global Development Program; and CNAS’ Danzig. Most of the hour-long discussion was spent debating whether assistance could be successful in insecure situations (like Afghanistan), or if a place has to have some kind of stability before assistance can really take root and successfully spur development.
Short vs. Long term
Administrator Shah, not surprisingly, made the argument that development assistance is valuable in either instance. That said, he also strongly cautioned against overpromising what aid in a place like Afghanistan can accomplish, saying that “one big mistake we’ve made is to oversell what any civilian agency can do in an environment where there’s an active military campaign.” He pointed out that “it not only raises the cost of doing the work…but it also puts people at real risk.”
Danzig took a more aggressive tone, saying that “in the great majority of cases I think it is misleading and distortive to argue for development on the grounds that it will predominantly enhance security.” He argued that more often than not, security should be a prerequisite for development: “You need to distinguish cart and horse here…in most instances…the security needs to precede the development.”
Shah and Danzig, who dominated the panel, were more in sync about what development assistance can accomplish in longer-term scenarios, when security and stability are assured. Shah in particular spoke forcefully about development assistance over time, stressing that “in the long view, in the medium term, the development priorities are national security priorities.”
Enabling Success
However, Shah did warn that aid could fall short of our goals if it not carried out in a reliable way. “Stability and predictability of finance is the single thing that’s most highly correlated with good outcomes,” he said. When our aid to a country comes and goes unreliably, flowing one year and stopping abruptly the next, it’s much harder to have the kind of positive impact we want it to have, he explained.
“Through the years, where these questions have been debated back and forth, there has been one constant,” said moderator Jessica Tuchman Mathews, president of the Carnegie Endowment for International Peace. “We have always multiplied the objectives vastly beyond the resources – always.”