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Strengthening the Voices of Women Champions for Family Planning and Reproductive Health
›“The health, security, and well-being of families depend importantly on the health of women,” said Carol Peasley, president and CEO of the Centre for Development and Population Activities (CEDPA). “When women have the ability to voluntarily space and limit the number of children they have, maternal and newborn child deaths decrease, as do abortions and abortion-related injuries,” she continued.
Peasley was joined by three panelists on September 28 at the Wilson Center: Dr. Nafis Sadik, special advisor to the UN Secretary General; Tigist Kassa Milko, health communications program coordinator for Panos Ethiopia; and Rosemary Ardayfio, a reporter for the Ghanaian paper, The Daily Graphic.
Ardayfio and Milko both recently participated in a CEDPA-led workshop, which is designed to create effective women champions for family planning and reproductive health.
“The voices of women champions may in fact be the best way to influence policymakers and just average citizens around the world,” said Peasley.
Women’s Rights Essential for Development of All
According to Sadik, women have gained some autonomy over their reproductive health:- Maternal mortality around the world is down by 40 percent compared to 1990 levels;
- Family planning reaches over 65 percent of women who need and want it;
- Many developing countries will achieve parity in girls’ and boys’ education by 2015; and
- Women are increasingly prominent in national and international leadership.
- Women’s literacy rates are still much lower than men’s;
- Pregnancy and childbirth still pose major health risks for women;
- Maternal mortality is the single biggest differential between developed and developing countries;
- We are far from reaching the Millennium Development Goal of reducing maternal mortality by 75 percent; and
- The current unmet demand for family planning (215 million women) is projected to rise by 40 percent by 2050 as the reproductive age population grows.
Local Champions for Local Needs
Although Tigist Kassa Milko and Rosemary Ardayfio come from two African countries hundreds of miles apart, their struggles are eerily similar.
In Ethiopia, the more than 1.5 million women who live in pastoral or nomadic areas shoulder many responsibilities, including walking long distances to fetch food and water for their families. The well-being of these women and their families is further strained by the challenges of climate change and limited health service provision.
To help overcome these obstacles, a number of micro-credit associations now offer female pastoralists alternative livelihood options. Panos Ethiopia also provides “reproductive health, family planning, gender-based violence forums” and “trainings on life skills and saving” to those who come for loans, said Milko.
But “when it’s a choice between walking to get water and walking to get contraceptives, water will win,” said Milko, so it is essential to focus on integrating ways to improve livelihoods, health, and ecosystems – also known as population, health, and environment (PHE) programs.
In Ghana, women also grapple with competing issues of development, poverty, healthcare, and cultural barriers. According to Ardayfio, 35 out of every 100 Ghanaian women want to space or limit births but are not using modern family planning methods. As a journalist, she acknowledged that there are many myths about reproductive health that need to be dispelled. The newspaper she writes for, The Daily Graphic, publishes three articles on women’s health each week.
“The stories of women dying from pregnancy-related causes should continue to be told in a compelling manner until our government makes good on the many international commitments it has signed to,” said Ardayfio. “Our decision-makers should be told again and again that it’s time to scale up family planning.”
Event Resources:
Sources: CEDPA, Guttmacher Institute, Population Reference Bureau, UNESCO, UNICEF, USAID.
Photo Credit: Dave Hawxhurst/Wilson Center. -
Climate-Induced Migration: Catastrophe or Adaptation Strategy?
›February 11, 2011 // By Kayly OberThe claims on climate change-induced migration have often been hyperbolic: “one billion people will be displaced from now until 2050”, “200 million people overtaken by…monsoon systems…droughts…sea-level rise and coastal flooding”, “500 million people are at extreme risk” from sea-level rise. However, hard data is difficult to come by or underdeveloped. The International Institute of Environment and Development (IIED) have set out to fill this gap with their newest publication, “Not Only Climate Change: Mobility, Vulnerability and Socio-Economic Transformations in Environmentally Fragile Areas of Bolivia, Senegal and Tanzania.” As the title suggests, the author, Cecilia Tacoli, traveled to Bolivia, Senegal, and Tanzania in order to see how environmental change affects migration patterns in real world case studies. What she found was a bit more nuanced than the headlines.
Case Studies: Bolivia, Senegal, and Tanzania
Despite existing predictions of doom and gloom, the report found that there has been no dramatic change in mobilization in each community, even in the face of recurring droughts. Instead, those who rely heavily on agriculture for subsistence have turned to seasonal or temporary migration. While previously considered a last resort, moving locally from rural to urban areas has become more common. The motivation for following this option, however, seems to be couched more in socio-economic concerns and only marginally exacerbated by the environment.
“All the case study locations,” writes Tacoli, “are in areas affected by long-term environmental change (desertification, soil degradation, deforestation) rather than extreme weather events. However, in the majority of locations residents identify a precipitating event – a particularly severe drought, an epidemic of livestock disease, the unintended impact of infrastructure – as the tipping point that results in drastic changes in local livelihoods. In all cases, socio-economic factors are what make these precipitating environmental events so catastrophic.”
Practical Policy Prescriptions
Although the report finds that the environment wasn’t currently the main driver of migration in Bolivia, Senegal, or Tanzania, it acknowledges that it may play a larger role in the future: “Environmental change undoubtedly increases the number of people mobile,” Tacoli told BBC News. “But catastrophe like droughts and floods tend to overlap with social and structural upheaval, like the closure of other sources of local employment that might have protected people against total dependence on the land.”
As such, Tacoli suggests treating migration as a practical adaptation strategy rather than a problem. “The concentration of population in both large and small urban centers has the potential to reduce pressure on natural resources for domestic and productive uses,” she writes.
For example, Tacoli argues that the resulting remittances and investments from migrants in urban centers fuel “a crucial engine of economic growth” in smaller towns where land prices are cheaper. This, in turn, creates further employment opportunities.
The report also encourages policymakers to focus on local interventions, such as ensuring more equitable access to land, promoting the sustainable management of natural resources to reduce vulnerability, and investing in education, access to roads, and transportation to markets. These programs would help diversify and bolster non-agricultural livelihoods, thus reducing to the risks of climate variability.
“Local non-farm activities,” writes Tacoli, “can be an important part of adaptation to climate change for the poorer groups, and the nature of the activities can contribute to a relative reduction in local environmental change.”
Avoiding Backlash
Tacoli points out that “by downplaying political and socio-economic factors in favor of an emphasis on environmental ones, alarmist predictions of climate change-induced migration can result in inappropriate policies, for example forced resettlement programmes, that will do little to protect the rights of those vulnerable to environmental change.”
However, Tacoli is careful not to over-extend her policy prescriptions. In an email to the New Security Beat she emphasized that the case studies were not intended to be representative:The emphasis is on the need to have a detailed understanding of the local context – socio-economic, cultural and political – to understand the impacts of climate change on migration and mobility…Generalizations are not usually helpful for policy-making, and a grounded understanding of the local factors that influence livelihood responses (of which mobility and migration are one aspect) is certainly a better starting point. The aim of the report is to contribute to the building of collective knowledge on these issues, rather than provide a definitive account.
Sources: BBC News, Christian Aid, Commission on Climate Change and Development, Global Humanitarian Forum, Organization for Security and Co-operation in Europe.
Photo Credit: “Villager in Tanzania,” courtesy of flickr user vredeseilanden. -
No Peace Without Women
›November 11, 2010 // By Kayly OberOn October 31, 2000, the UN Security Council adopted Resolution 1325, which calls for women’s equal participation in all efforts to maintain and promote peace and security. The resolution sought to exorcise the demons of the 1990s, when genocide took over 800,000 lives in Rwanda, thousands of women were raped in Bosnia, and millions more were displaced. However, the truth is that little progress has been made over these last 10 years and women remain on the periphery when it comes to post-conflict reconstruction and development.
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Meeting the Needs of Latin America’s Rural and Urban Populations
›October 14, 2010 // By Kayly OberThere are two Latin Americas according to demographers. In one of the most urbanized regions of the world, the population of some countries remains highly rural. While countries like Chile, Argentina, and Uruguay are close to 90 percent urbanized, much of Central America, as well as Ecuador, Paraguay, and Bolivia, are only about 50-60 percent urban.
Across the continent, Latin America’s total fertility rate has fallen from almost six children per woman in the 1960s to 2.2 children in 2005. Population growth rates are projected to continue to decline from 1.5 percent in 2010 to roughly 0.75 percent by 2020. But less-urbanized countries continue to experience high population growth in their rural areas, particularly among their large indigenous populations, who are not experiencing the same shifts from high to low fertility.
For example, since 1990, communities surrounding Guatemala’s Sierra de Lacandon National Park have grown by 10 percent each year, with birthrates averaging eight children per woman. These larger communities and households have led to agricultural expansion into the park, which has lost 10 percent of its forest canopy since 1990.
Rural-to-rural migration is also a key, but often overlooked, dynamic as migrants move to other rural areas in search of new land to farm. Between 1961 and 2001, Central America’s rural population increased by 59 percent. This increased population was accompanied by a 15 percent increase in deforestation, totaling some 13 million hectares.
Although many rural areas of Latin America have high fertility rates and expanding populations, they also have a high unmet demand for contraception. Indigenous populations are particularly underserved by health providers for many reasons, including cultural barriers, language, and accessibility. According to the Population Reference Bureau, an estimated 50 percent of indigenous women in the Ecuadorian Amazon do not want another child, yet 98 percent of them do not have access to a modern contraceptive method.
While reaching historically disadvantaged populations in rural communities is not easy, some programs have had considerable success—and saved money—by combining environmental and health efforts. For example, the Guatemalan NGO ProPeten trained more than 80 midwives and health promoters and developed a radio soap opera in both Spanish and Q’eqchi’ to deliver health services and environmental education to the communities living near the Maya Biosphere Reserve.
Given links between rural population growth and agricultural expansion, expanding access to family planning may not only be a cost-effective way to help women reach their desired family size, but also a smart investment in forest conservation and climate mitigation—and perhaps a down-payment on a more secure future for all. -
Drug Barons, Poachers, Ranchers, Oh My! Guatemala’s Forests Under Siege
›July 29, 2010 // By Kayly OberLast week, the New York Times ran an article about the many threats converging on Guatemala’s Maya Biosphere Reserve. “There’s traffickers, cattle ranchers, loggers, poachers and looters,” Richard D. Hansen, an American archaeologist, told NYT. “All the bad guys are lined up to destroy the reserve. You can’t imagine the devastation that is happening.”
Eric Olson, senior associate of the Mexico Institute at the Woodrow Wilson Center, agrees that drug trafficking is a major problem in the Petén, a region of northern Guatemala that lies within the Biosphere. “Petén’s isolation has made it possible for the biodiversity of the area to survive and thrive during periods of great social turmoil, especially in the 1980s,” Olson told the New Security Beat. “However, the isolation also makes it an ideal place for drug traffickers to move their illegal product northward.”
According to NYT, peasant squatters in search of farmland constitute an additional threat because they “often become pawns of the drug lords,” and, in some instances, “function as an advance guard for the drug dealers, preventing the authorities from entering, warning of intrusions, and clearing land that the drug gangs ultimately take over.”
Plus, the situation seems poised to worsen. According to a UNESCO report, Petén’s population has surged from 25,000 during the 1970s to upwards of 500,000 today. This growth, coupled with an attendant rise in subsistence farming, has had significant environmental impacts across the region.
Population Growth in Protected Areas
“Population has a huge impact on Guatemala’s ecological diversity,” David López-Carr, an associate professor in the University of California-Santa Barbara’s Geography Department, wrote in an e-mail to the New Security Beat. Most striking, according to López-Carr, are total fertility rates in rural areas, which remain “over 5 and much higher still – higher than 6 – in the most remote rural areas where ecological diversity is highest.”
Despite the fact that most migrants move to Guatemala City, smaller cities, or the United States, López-Carr wrote that the “tiny fraction (probably under 5%) that move to remote rural areas have a major impact on biodiversity and forest conversion.” López-Carr pointed out that “in core conservation areas of the Maya Biosphere Reserve, in-migration has swelled the population in some regions by nearly 10% annually during the past two decades.”
At a 2008 meeting at the Woodrow Wilson Center, professors Justin Brashares and George Wittemyer said three factors drive population growth near protected areas in Africa and Latin America: 1) more money for parks (as measured by protected-area funds from the Global Environment Facility); 2) more park employees; and 3) more deforestation on the edges of protected areas.
To avoid population pitfalls, Guatemala’s President Alvaro Colom should take this research into account before putting his “Cuatro Balam” eco-tourism plan into action. The initiative—named for the four main figures in the Mayan creation myth—seeks to divide the reserve into an archaeological park in the north and an agricultural zone in the south, while setting up a Maya studies center for scholars and installing an $8 million electric mini-train to shuttle tourists through the reserve.
The Perils of “Pristine Conservation”
While President Colom’s plan is certainly ambitious, communities in Petén are cautious. They see Cuatro Balam as a continuation of earlier government-funded projects, where “pristine conservation” – oft-touted by large conservation organizations – prohibited human interaction with the forests and limited socioeconomic opportunities for local populations.
Liza Grandia, an anthropology professor at Clark University who has lived and worked in the Peten region, points out in Conservation and Society that “primary” or “pristine” forests flagged as biological hotspots by these conservation organizations are likely remnants of ancient Mayan agroforestry. However, Mayan descendents are not allowed to live within nor manage these areas.
Instead, stewardship of many federal parks is delegated to large conservation outfits or the government. But Rosa Maria Chan, director of ProPeten, a community-based environmental organization, wrote in an e-mail to the New Security Beat that “the environment is not always the government’s priority,” adding that “development” normally signifies large infrastructure projects, instead of smaller-scale ideas that would better address human development.
The Benefits of Community-Based Conservation
One successful local project is the Association of the Forest Community of Péten (ACOFOP), a community-based association made up of 23 indigenous and farming organizations. Under ACOFOP’s direction, uncontrolled settlement in the biosphere reserve has been stopped, communities have ceased the conventional slash-and-burn practices, and forest fires have virtually ceased in community-managed areas. ACOFOP’s projects have also created jobs in local communities, where the beneficiaries re-invest their earnings into collective infrastructure.
In the mid-1990s/early 2000s, ProPeten’s Remedios I and II programs, funded mainly by USAID, used radio soap operas and mobile theaters to educate residents about conservation, reproductive health, nutrition, and sustainable agriculture. Underlying these programs’ success was an unprecedented survey that gathered data on the rapidly changing population-environment dynamics in this frontier region.
Grandia, who served as head of ProPeten’s board of directors from 2003-2005, writes in 2004 Wilson Center article that “the integrated DHS [Demographic and Health Survey] has been a critical part of developing…programs linking health and population with the environment,” which lowered Petén’s total fertility rate from 6.8 to 5.8 children per woman in just four years. Plans are underway to include a similar environmental module in the next DHS survey.
Although the fate of Guatemala’s forests is subject to many outside forces, from the government’s development plans to the cartel’s smuggling operations, small-scale, community-based programs may have the best shot at transforming the drivers of deforestation into sustainable, economic development opportunities.
Photo Credit: “Keel-billed Toucan at Tikal National Park, Guatemala,” courtesy of flickr user jerryoldenettel. -
An “Aye” for an “Aye”: Everyone Has a Right to Be Counted
›July 12, 2010 // By Kayly OberAround the world, countries from Afghanistan to Papua New Guinea to the United States are taking part in their decadal census, leading the UN Population Fund (UNFPA) to select the theme “Everyone Counts” for World Population Day 2010, which was celebrated on July 11.
Everyone has the right to be counted, because “censuses and population data play a critical role in development and humanitarian response and recovery,” said UNFPA Executive Director Thoraya Ahmed Obaid in her World Population Day message. Obaid added that “with quality data we can better track and make greater progress to achieve the Millennium Development Goals, and promote and protect the dignity and human rights of all people,” especially among vulnerable populations like women, girls, the poor, and the marginalized.
USAID similarly supports quality data collection, which it says plays a critical role in advancing voluntary family planning in the developing world. For the last 25 years, USAID has funded the Demographic and Health Surveys (DHS) program, which collaborates with national health ministries to collect data on family planning, child and maternal health, disease prevalence, and other health indicators.
This invaluable data is made freely available for public use, which can foster new research in the field and stimulate innovative approaches to addressing public health issues. Praising the DHS program, Gapminder Foundation Director Hans Rosling told a Wilson Center audience last year that “statistics should be the intellectual sidewalks of a society, and people should be able to build businesses and operate on the side of them.”
Accurate census counts are also important elements of “good governance, transparency and accountability,” said UN Secretary-General Ban Ki Moon in his World Population Day message. “Population data helps leaders and policy-makers to make informed decisions about policies and programmes to reduce poverty and hunger, and advance education, health and gender equality,” he said.
But no one is suggesting that coming up with reliable population data is an easy task. As Sean Peoples and Elizabeth Leahy point out in the May/June 2009 issue of World Watch magazine, issuing population projections can be a risky business:In the 2008 Revision of World Population Prospects, the UN Population Division projects that our planet will grow to 9.15 billion people by 2050. Yet this medium-variant projection is just one of several possible scenarios released in this latest round of number crunching. The low- and high-variant projections—7.96 billion and 10.5 billion, respectively—could instead become reality, given uncertainties in the developing world due to factors such as inconsistent data collection, weak health system infrastructure, and low government capacity.
The goal, then, is to make sure everyone counts. -
Time to Give a Dam: Alternative Energy as Source of Cooperation or Conflict?
›July 8, 2010 // By Kayly OberMitigation can be a means to peace, not just conflict, said Stacy VanDeveer in the lead up to Backdraft: The Conflict Potential of Climate Mitigation and Adaptation at the Woodrow Wilson Center on June 10. VanDeveer believes that mitigation techniques, particularly alternative energy sources like hydroelectric dams, could stimulate cooperation rather than exacerbate threats.
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Urbanization, Climate Change, and Indigenous Populations: Finding USAID’s Comparative Advantage
›May 26, 2010 // By Kayly Ober“Part of the outflow of migrants from rural areas of many Latin American countries has settled in remote rural areas, pushing the agricultural frontier further into the forest,” writes David López-Carr in a recent article in Population & Environment, “The population, agriculture, and environment nexus in Latin America.” In a May 4 presentation at the LAC Economic Growth and Environment Strategic Planning Workshop in Panama City, Panama, he discussed how to integrate family planning and environmental services in rural Latin America.
Latin America is one of the most highly urbanized continents in the world, with an average of 75 percent of the population living in cities. However, “there are two Latin Americas,” said López-Carr at the workshop, which was sponsored by the Woodrow Wilson Center’s Environmental Change and Security Program and Brazil Institute, as well as the U.S. Agency for International Development. Largely developed countries like Chile, Argentina, and Uruguay are close to 90 percent urbanized, while Guatemala, Ecuador, and Bolivia are about 50 percent. In less urbanized countries, rural-rural migrants in search of agricultural land remain a major driving force behind forest conversion, he said.
Between 1961 and 2001, Central America’s rural population increased by 59 percent, said Lopez-Carr. The increasing density of the rural population had a negative impact on forest reserves: a 15 percent increase in deforestation totaling some 13 million hectares.
“Rural areas of Latin America still have high fertility rates but (unlike much of rural Africa, for example) also have a high unmet demand for contraception, meaning that improved contraceptive availability would likely result in a rapid and cost-effective means to reduce population pressures in priority conservation areas,” he said. Additionally, remote rural areas with high population growth rates tend to be associated with indigenous populations located in close proximity to protected forests.
For example, in Guatemala, communities surrounding Sierra de Lacandon National Park have, since 1990, grown by 10 percent each year, with birthrates averaging eight children per woman. Larger communities and larger households have led to agricultural expansion, which infringes on the park and accelerates deforestation in one of the most biologically diverse biospheres in the world, said López-Carr.
Based on these demographic and environmental trends, López-Carr suggested USAID’s work in the region should focus on rural maternal and child health, and education – especially for girls. Not only does USAID already invest in such programs, but they only cost pennies per capita and could reduce the number of rural poor living in Latin American cities by tens of millions.
Given the strong links between population density and deforestation in Latin America, expanding access to family planning would also be a smart investment in forest conservation and climate mitigation, López-Carr concluded.
Source: Population Reference Bureau.
Photo Credit: Dave Hawxhurst, Woodrow Wilson Center.
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