Showing posts from category Africa.
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Cassie Gardener
Integrating Population, Health, and Environment in Ethiopia’s Bale Mountains
›Ethiopia suffers from vast deforestation, rapid population growth, and high rates of maternal mortality. But development programs that address these issues in an integrated fashion may help end that suffering. As part of my two-month internship with the PHE-Ethiopia Consortium, I recently visited the Movement for Ecological and Community Action (MELCA) Project in the rural Bale Zone of southeastern Ethiopia to witness these programs in action.
Ethiopia’s Spectacular Bale Mountains
The little-known Bale Mountains are national and global treasures of biodiversity, teeming with dozens of endemic mammal, bird, and plant species. Ethiopia’s most important region for migrating birds, the rivers and streams in the Bale watershed flow to more than 12 million people in southern Ethiopia and western Somalia. Bale Mountains National Park hosts half of the world’s population of its rarest canid, the Ethiopian wolf, which has dwindled to a mere 250 individuals due to human interaction. When I toured the park, I was lucky enough to spot bushbucks, mountain nyalas, molerats, and several Ethiopian wolves.
As in many parts of the country, rural communities around the park face grave livelihood and health challenges, and their unsustainable use of land to eke out a living is threatening its conservation efforts. Due to diminishing agricultural land and an average total fertility rate of 6.2 children per mother in the region, people are increasingly forced to cut trees for fuel and timber in order to feed and house their families.
If Bale’s resources continue to be exploited in an unsustainable way, more mammal species would become extinct here than in any other area of equivalent size in the world. Even worse, MELCA Project Manager Tesfaye Teshome told me that if deforestation and impending climate change dry up Bale’s precious watershed, drought and famine could lead to the displacement or death of millions of Ethiopian citizens.
Raising PHE Awareness in the Community
Since 2005, MELCA, a member organization of the PHE-Ethiopia Consortium, has been working to protect biodiversity and culture in the Bale region through research, advocacy, and their award-winning youth environmental education program called SEGNI, or “Social Empowerment through Group and Nature Interaction.” In March 2008, with funding from Engender Health and the Packard Foundation, MELCA launched an integrated population, health and environment (PHE) project that provides culturally sensitive training at the community, school, and government levels.I was impressed that after just seven months of raising awareness, I met dozens of community members and key stakeholders who strongly believe in both the conceptual and operational benefits of PHE integration. For example, the Health Extension Workers and beneficiaries explained to me that community members in the Bale region, most of whom are conservative Muslims, held negative perception of family planning, which contributed to the area’s large family sizes and maternal mortality. But by involving Islamic community leaders in the project’s discussions, MELCA helped convince religious leaders that family planning is an important part of improving the health and livelihoods of the community.
“After the PHE training, we have improved awareness of population, family planning, health and environmental issues, and we understand that child spacing is better. Even my wife is now using family planning services, and as a result our lives are improved,” said Shihase, a religious leader in the community.
Join the Club: PHE Goes to School
Inspired by training sessions at schools, the SEGNI nature clubs, women’s clubs, and anti-AIDS clubs joined together to form new “PHE Clubs.” With the support of MELCA, PHE Club students plant indigenous tree seedlings in school nurseries for distribution to the community. They also create dramas, songs, poems, and illustrated storyboards about population, health, and environment issues, and use modest “mini-media” equipment such as a stereos and microphones to share these stories with their peers and other community members.
When I arrived at Finchaa Banoo Elementary School, hundreds of students greeted me with a PHE song, wearing traditional costumes with PHE banners strewn across their chests. They led me to their nursery site where they had planted 60,000 indigenous tree seedlings. A beautifully decorated cultural hut was filled with 10 PHE storyboard panels, painted by a local PHE-trained artist.
Fatiye, a 21-year old PHE club leader in 8th grade, proudly told me, “Before the coming of PHE, I’d been working only on SEGNI and knew only about biodiversity and culture. But now, I clearly understand health and population issues, including HIV/AIDS, taught to me by my peers. By having the integration of clubs, we’ve strengthened our power to accomplish more.”
Working Together to Save Time and Improve Health
MELCA’s PHE trainings also helped government officials and development workers who had previously operated in isolated sectors to integrate their work at the planning and implementation levels. Health Extension Workers and experts from the Agricultural and Rural Development Office said that collaboration is beneficial to them and the community, because it saves time and accomplishes greater results. Shankore, one of the Health Extension Workers, told me that integrating efforts across sectors allows them to help more households adopt both family planning and better sanitation, by more consistently and efficiently delivering services at the same time.
And their efforts are paying off: “Previously, we were giving birth just like chickens, our forest coverage was diminishing, and we were damaging our resources. We had cattle in our homes, and our children had health problems. Now, we understand how to improve these issues,” Khasim Sheka, a male member of the community, told me. “Health Extension Workers are teaching us about cleaning our home gardens and homes, and we separate our house from our cattle, liquid, and solid waste. My wife wasn’t using any family planning before, and now she’s using five-year Norplant.”
Although MELCA’s PHE project is still in its early stages, it appears capable of being scaled up with a little investment in additional training and by building the capacity of its staff and community members. In particular, the reproductive health component of the project needs to be strengthened, since Health Extension Workers are not trained on simple long-term family planning methods like IUDs, and are afraid they will lose clients if they continue to have to refer them to the distant health clinic.
With these improvements, MELCA could more successfully implement the integrated PHE approach, which will not only reduce the impact of population growth and deforestation on Bale Mountain Natural Park, but will improve the health and livelihoods of its neighbors, and ultimately protect its biodiversity for Ethiopia and the global community.
For more information about PHE-Ethiopia, please contact phe-ethiopia@gmail.com or visit their website at http://www.phe-ethiopia.org. For more information about MELCA, please contact melca@ethionet.et or visit their website at http://www.melca-ethiopia.org.
Cassie Gardener was the National Campus Organizer for the Sierra Club’s Global Population and Environment Program from 2006-2010, and is currently traveling around the world and volunteering for integrated health and development programs like PHE-Ethiopia and GoJoven prior to beginning her Masters in Public Health Program at UCLA in the fall.
Photo Credits: Morgennenbel034_31a, courtesy of flickr user Agoetzke Practitioners, courtesy of Cassie Gardener. -
Shape of Things to Come: Uganda’s Demographic Barriers to Democracy
›In March, Uganda’s cultural landmark, the Kasubi Tombs, were destroyed in a suspicious fire. Tensions spilled over when Ugandan President Yoweri Museveni paid a visit to the Bugandan site and found his entrance blocked by an angry crowd. According to an independent newspaper, soldiers accompanying the president opened fire, killing three civilians.
With ethnic-tinged unrest and student protests in Kampala, as well as cross-border conflicts in the north and east, Museveni, who has led Uganda since 1986, is facing a potentially serious test as elections approach early next year. The country’s demographic profile, and in particular the lack of opportunities for growing numbers of young people, will add to the country’s challenges, as I argue in a new case study of Uganda’s demography.
Uganda has the youngest population in the world, with 77 percent of its people younger than age 30. Women in Uganda have an average of 6.7 children each and 41 percent of married women have an unmet need for family planning. The population of Uganda is currently growing by about one million people per year, and given the force of its demographic momentum, Uganda’s population is likely to almost double by 2025 even if fertility declines.
Population Action International has found that countries with age structures like Uganda’s are the most likely to experience internal strife and autocratic governance. Between 1970 and 2007, 80 percent of outbreaks of civil conflict occurred in countries in which 60 percent or more of the population was younger than age 30.During that same period, 90 percent of countries with an age structure like Uganda’s had autocratic or only partially democratic governments.
Demography alone does not cause conflict. Most governments, even those with youthful populations, do not become entrenched in internal violence and upheaval. But age structure affects a country’s vulnerability to conflict, due to the demands a government faces in providing for its growing numbers.
In Uganda, young people face diminishing prospects in agriculture, the primary industry, as plot sizes shrink with each successive generation. At projected population growth rates, land density may increase 350 percent by 2050, from 122 inhabitants per km2 to a possible 551 inhabitants per km.
Only one-quarter of students who enroll in primary school reach the final grade, and even those with university degrees find few jobs. A reported youth unemployment rate of 22 percent is even higher in urban areas.
After 25 years in power, President Museveni will stand for a fourth official term in 2011. Despite growing dissent among his constituents, he appears confident of keeping his seat. Regardless of what happens next year,Uganda’s leaders must firmly commit to addressing their country’s demographic issues.
Age structure can become a window of opportunity if youth are engaged in society and couples can choose the number of children they can support. But in Uganda, that window remains far out of reach.
Three new case studies from Population Action International on Haiti, Yemen and Uganda examine the challenges specific to countries with very young age structures and recommend policy solutions.
Elizabeth Leahy Madsen is a senior research associate at Population Action International (PAI). She is the primary author of the 2007 PAI report The Shape of Things to Come: Why Age Structure Matters to a Safer, More Equitable World.
Photo Credits: “Atanga.pater.uganda,” courtesy of flickr user Kcarls. -
VIDEO – Joshua Busby on Climate Change and African Political Stability
›April 6, 2010 // By Sean Peoples“It is not enough to say that Ethiopia is vulnerable,” says Joshua Busby, an assistant professor at the LBJ School of Public Affairs at the University of Texas at Austin. Also necessary is “which parts of Ethiopia are vulnerable and why.” Busby is part of the Department of Defense-funded Climate Change and African Political Stability (CCAPS) project. Part of the Minerva Research Initiative, CCAPS is a multi-year, multi-institution effort to diagnose and assess the causal connections between climate change and security consequences.
In order to diagnose these relationships, CCAPS will use “geographic information systems to map sub-national vulnerability to climate change,” Busby says. Maps will not only include physical exposure to climate change, but also detailed social, household, and community level indicators and broader factors of politics, governance, and demography.
Although only in the first year of the project, Busby describes the initial achievements CCAPS has made in mapping specific vulnerability areas throughout western Ethiopia, the Democratic Republic of the Congo, and Nigeria. In the next few years, the CCAPS project will continue to map region-specific areas of vulnerability on the African continent and will provide policymakers with the tools to improve foreign assistance flows in areas of high vulnerability. -
Conflict and Peacebuilding in Africa
›“Political Marginalization, Climate Change, and Conflict in African Sahel States,” authored by Clionadh Raleigh and appearing in the March 2010 issue of International Studies Review, examines the relationship between political status, economic status, and conflict among African communities threatened by climate change. “[T]he risk of conflict depends largely on the size and political importance of ethnic groups,” Raleigh finds. “Small, politically insignificant ethnic groups experience most conflicts related to environmental pressures.” The work is geared toward helping practitioners predict where high levels of vulnerability and conflict may occur in the face of climate change. (SUBSCRIPTION ONLY)The Initiative for Peacebuilding and Adelphi Research‘s Peacebuilding Across Lake Albert: Reinforcing Environmental Cooperation Between Uganda and the Democratic Republic of Congo uses the case study of Lake Albert to explore the possibilities for, and limits of, peacebuilding initiatives around natural resources and the environment. Looking specifically at protected areas, water and fisheries, and energy and oil, the study finds that resources can serve as “entry points for improving trust-building between and within countries,” even amidst heightened competition. Peacebuilding Across Lake Albert concludes that local stakeholder participation is integral to success and recommends that donor efforts focus on strengthening communal ties, creating opportunities for “benefits-sharing from sustainable resource management,” and increasing inclusiveness throughout the development process. -
Send in the Scientists, Says Finnish MP
›April 1, 2010 // By Sean PeoplesPekka Haavisto, a Member of the Finnish Parliament, thinks an objective scientific investigation of rumored toxic waste in Somalia would be both doable and politically useful. Haavisto, the former Finnish minister of environment, visited the Woodrow Wilson Center last week and spoke with the Environmental Change and Security Program’s director Geoff Dabelko.
Dabelko wrote about Haavisto’s ideas for a Somalia environmental assessment after a conversation they had late last year in Helsinki:Haavisto is an enthusiastic advocate for environmental missions that may improve the desperate conditions resulting from violent conflicts. “We should be talking with all the factions,” he told me, to investigate the toxic waste charges. Such a thorough and objective assessment could provide a rare and potentially valuable avenue for addressing underlying suspicions and grievances some Somalis hold against those whom they claim dump waste off shore and overfish their waters.
It’s no surprise Haavisto focuses on using scientific environmental assessments in conflict settings. He is the former chairman of the UN Environment Programme’s Post-Conflict Assessment Unit (PCAU)—now called the Disasters and Conflicts Programme—the Geneva-based UNEP unit that assesses environmental threats, remediates hot spots, builds capacity, and supports peacebuilding around environmental issues in post-conflict settings. Haavisto presented UNEP’s work at the Wilson Center in a 2004 presentation. His colleagues, including UNEP Executive Director Achim Steiner, have subsequently launched more recent UNEP contributions at the Wilson Center. ECSP Director Geoff Dabelko serves on UNEP’s Expert Advisory Group on Environment, Conflict, and Peacebuilding. -
Guerrillas vs. Gorillas in the Congo Basin
›Gorillas could disappear from the Congo basin in the next 10-15 years, according to a new report issued by the United Nations and Interpol. The Last Stand of the Gorilla – Environmental Crime and Conflict in the Congo Basin places responsibility for the decline of gorilla populations in the Democratic Republic of the Congo and its surrounding region squarely on the shoulders of resource-hungry militants, who poach gorilla bushmeat to feed hungry soldiers and mine workers and sell in local markets. Militants extract timber, charcoal, diamonds, and other resources to raise funds for arms, reducing gorilla territory.
Yet another rationale is retaliation against park rangers who attempt to limit their illegal activities within national parks. In the process, park rangers have found themselves, their parks, and their endangered charges targets of militant groups seeking to plunder and traffic goods through protected areas. “In Virunga Park alone, 190 park rangers have been killed in the last 15 years,” notes the report, which is also available in an interactive e-book edition.
Conflict with local communities also frequently leads to the slaughter of the gorillas and loss of their habitats. Displaced people and refugees also compete with gorillas for land. In several cases, gorillas facing shrinking natural domains have satisfied their appetites in banana plantations, and local farmers have struck back.Strengthening Law Enforcement
Not all, however, is dire. The report finds several success stories stemming out of transboundary law enforcement collaboration and recommends increased training and support for local and international law enforcement groups. “The gorillas are yet another victim of the contempt shown by organized criminal gangs for national and international laws aimed at defending wildlife,” said David Higgins, Interpol’s Environmental Crime Programme Manager. “The law enforcement response must be internationally coordinated, strong, and united, and Interpol is uniquely placed to facilitate this.”
Law enforcement in the Congo Basin faces an uphill battle, in part due to conditions present in peace agreements between guerillas and the Congolese government. Removing vehicle checkpoints from important border crossings was key to the insurgents agreeing to peace. While these agreements reduced violence, they have created a highway for illegal exports. This trade props up the militant groups and undercuts the chances for peace on a regional scale. It is an example of how large remaining quantities of automatic weapons and turns to poaching by ex-militants can render post-conflict environments even more damaging to local wildlife than war itself.
Toward Coexistence
In some locations, conflicts between gorillas and local farmers are disappearing with the construction of natural barriers and as local populations realize the potential of ecotourism to generate greater revenue from thriving gorilla populations than collapsing ones. Greater international coordination and local commitment, however, are necessary. Turning threatening competition into beneficial cooperation is possible.
Tara Innes is a PhD student at the University of Maryland, studying conflict-environment linkages.
Photos: Gorilla, courtesy Flickr user mrflip; Gorilla Territory Affected by War, Mining, and Logging courtesy UNEP/GRID-Arendal. -
The Plight of Urban Refugees in Nairobi
›“The Traditional image of life in tented sprawling camps no longer tells the full refugee story.”– Hidden and Exposed: Urban Refugees in Nairobi, Kenya
Coinciding with the end of UN-HABITAT’s 5th World Urban Forum, a new report and associated video, Hidden and Exposed: Urban Refugees in Nairobi, Kenya, have been released by the Humanitarian Policy Group (HPG) at the Overseas Development Institute (ODI) and the International Rescue Committee (IRC).
Hidden and Exposed removes the cloak of migration stereotypes and provides an unfiltered look at urban migrants’ struggle for daily survival. Focusing on seven neighborhoods with high refugee concentrations in Nairobi, the authors — through qualitative interviews and secondary data — found a unique, challenging urban environment for thousands of refugees. Aid and development groups often overlook these urban refugees, instead favoring work with traditional established camps on the urban periphery.
The HPG found that Nairobi’s 46,000 registered refugees represent a diverse mix of ethnic groups and nationalities, all trying to secure economic independence and security. While much research has been devoted to the traditional concept of displaced migrants in centralized ex-urban camps, such as Dadaab in Eastern Kenya, urban dwellers are just as vulnerable to insecurity, poverty, and harassment. With nebulous legal rights, facing discrimination and protected by only fragile support systems, the refugee community in Nairobi finds itself in a precarious situation.
In light of the challenges, the research team at HPG offered three basic recommendations as initial steps:
1. Protection:
2. Livelihoods:- Address confusion over legal rights to prevent issues of police harassment and community violence.
- Target a subset of donor funds for training local police forces and government agencies.
- Establish partnerships between the UNHCR and the Kenyan government to improve the latter’s Refugee Status Determination System.
- Funnel humanitarian and development aid toward legal aid services while also using innovative strategies to increase dialogue between urban refugees and the surrounding Kenyan communities.
3. Service Delivery:- Carry out surveys to better understand the Nairobi urban economy, including the informal sector.
- Support the government of Kenya in their efforts to help urban refugees to become self-reliant.
- Recognize the transition of refugees from sequestered camps to urban areas and develop an effective response.
- Secure Kenyan government permission for the issuance of work permits for refugees.
Fleeing conflict and attracted by the possibility of better jobs, services, or security, thousands of refugees have sought new lives in Nairobi. Yet the reality for many urban migrants is an existence burdened with inadequate assistance, a precarious legal status, and economic and physical insecurity. Through the implementation of these recommendations, HPG hopes to draw attention to these hidden refugees, and offer them the hope of improved livelihoods and effective security.- Design aid models to address the unique challenges faced by urban refugees in Nairobi.
- Ensure coordinated and comprehensive services, in conjunction with the Kenyan government and international organizations, to address the needs of the urban refugees and the surrounding communities, with particular attention granted to refugee women and girls.
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Maintaining the Momentum: Highlights From the Uganda International Conference on Family Planning
›“Family planning is to maternal survival what a vaccination is to child survival,” said Johns Hopkins professor Amy Tsui, quoting Khama Rogo of the World Bank, at the Woodrow Wilson Center event Maintaining the Momentum: Highlights From the Uganda International Conference on Family Planning on March 16. Rogo made the strong statement during the landmark November 2009 conference in Kampala, which has renewed interest in family planning and reproductive health among African leaders and development partners. Rhonda Smith of the Population Reference Bureau and Sahlu Haile of the David and Lucile Packard Foundation joined Tsui, the director of The Bill & Melinda Gates Institute of Population & Reproductive Health, to discuss their impressions of the Kampala conference and what it means for the future of family planning in Africa.
“An event that happened at the right time”
“Kampala was the work of a community,” said Tsui. More than 50 organizations—the U.S. Agency for International Development, the UN Population Fund, the World Bank, the World Health Organization, and the Gates and Packard Foundations—convened in Uganda, which was chosen not only for its central location, but also to highlight the country’s soaring unmet need for contraception—41 per cent—and rapid 3.1 percent population growth rate.Panels focused on key issues in family planning, including:- Integrating family planning into HIV/AIDS care
- Integrating family planning in post-abortion, postpartum, child, and other primary health care
- Expanding contraception delivery services by community health workers
- Increasing outreach to youth and men
- Capitalizing on private and public innovations in service delivery and financing
- The United States announced its foreign assistance budget will increase support for family planning from $450 million to $715 million for the next fiscal year.
- The Global Health Initiative identified maternal/child health and family planning as one of its main priority themes.
- Secretary of State Clinton positively discussed girls’ education, family planning, and reproductive health at the ICPD + 15 anniversary.
- The Women Deliver 2010 Conference, to be held in June, has identified family planning as a third pillar of maternal health.
Uganda on the MoveRhonda Smith’s presentation “Uganda on the Move”—which she also presented in Uganda—is a prototype of the Population Reference Bureau’s new ENGAGE (Eliminating National Gaps—Advancing Global Equity) project, which is designed to “engage policy audiences and promote policy dialogue around issues of high fertility and high unmet need for family planning and their costs, consequences, and solutions,” she said. By using stunning, innovative graphics and avoiding confounding technical terms, ENGAGE’s products are designed to reach non-technical policy audiences and influential decision-makers.
As one of the Uganda conference’s most talked about presentations, “Uganda on the Move” wows audiences with visuals created using Hans Rosling’s Trendalyzer software. The presentation shows that although Ugandans are increasingly healthier, have a higher life expectancy, and are more educated, maternal health remains in jeopardy. Tellingly, 46 percent of pregnancies in the country are unplanned, 6,000 women die each year from complications related to pregnancy, and 1,200 women die each year from undergoing unsafe abortions.
Maternal deaths, however, do not tell the whole story: For every one woman dying, Smith said, 20-30 women suffer from short-term disability, which places a major strain on economic growth. From 2004 to 2013, maternal death will cost Uganda US$350 million in lost productivity; and disability will cost and additional US$750 million.
What Next? The African Perspective“After 10 years of virtual clandestine work, [family planning] is just coming out of the closet,” said Sahlu Haile. Over the last few decades, family planning advocates have been struggling to: 1) keep family planning alive—without it being affected by political considerations 2) make family planning a health priority, without any associations with rights violations; and 3) be in solidarity with pioneering organizations of the family planning movement, like the International Planned Parenthood Federation, that were victims of discriminatory funding decisions.
The Uganda conference changed all that, said Haile. In Uganda, conference attendees were “talking about family planning…not reproductive health, not maternal/child health.” This, he said, was “probably the single most important lesson…that I took from the Kampala conference.”
Following the conference, Haile said that African government officials stressed family planning as a priority at meetings in Ethiopia and Nigeria—the first time he had witnessed such high-level attention to family planning from those countries in his 30-year career.
In Ethiopia, African leaders pledged to:- Prioritize family planning, since family planning is one of the most cost-effective development investments;
- Ensure access to contraception, as 40 percent of maternal deaths are associated with unwanted pregnancies; and
- Integrate MDG 5b, universal access to reproductive health, into their international development plans and budgets.
Haile credited the Kampala conference for spurring these efforts. In December, he joined a task force of 14 Ethiopian organizations to plan the next steps. They will jointly develop research capacities, generate evidence, and strengthen monitoring and evaluation practices, especially with regard to integrating population, health, and environment efforts. In addition, they will engage with wider audiences via new tools such as the blog RH RealityCheck and Gapminder Foundation’s Trendalyzer program.
Haile believes we need to “work together to encourage national-level efforts…to make sure family planning stays where it is now and make sure it is not abandoned.”
To be a part of the new online family planning community, join the Kampala Conversation.
Photo 1: A women and her children in Jinja, Uganda. Courtesy Flickr user cyclopsr. Photos of Amy Tsui, Rhonda Smith, and Sahlu Haile courtesy of Dave Hawxhurst, Woodrow Wilson Center.
