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Jason Bremner, Behind the Numbers
PHE Champions Bring Their Experiences From the Field to the International Family Planning Conference in Senegal
›December 8, 2011 // By Wilson Center StaffThe original version of this article, by Jason Bremner, appeared on the Population Reference Bureau’s Behind the Numbers blog.
This past week at the 2011 International Conference on Family Planning, four practitioners from the field traveled from remote parts of the Democratic Republic of Congo, Ethiopia, Madagascar, and Tanzania to Dakar, Senegal, to share their successes and challenges in reaching remote communities with an integrated package of health, livelihood, and environment services. Together they made up the panel, “Reaching the Hardly Reached: Delivering Family Planning Through Population, Health, and Environment Integration.”
The panelists came from four environmental organizations whose starting point for working in these remote places was the protection of the biodiversity and natural resources upon which all life depends. Dr. Vik Mohan, physician and medical director for Blue Ventures, talked about how he and his organization transitioned from focusing initially on the conservation of coastal marine reserves and coral reefs to now working to improve health care, including access to family planning.
Blue Ventures, in response to community and women’s needs, opened a family planning clinic, and on the opening day, 20 percent of the women of reproductive age in the community came out to request contraceptives. Today they offer a whole spectrum of short- and long-acting contraceptive methods through partnerships with Marie Stopes International, Population Services International, and various funders. Blue Ventures reported that contraceptive prevalence had risen from 8 percent when they began in 2007 to 35 percent today.
Continue reading on Behind the Numbers.
Photo used with permission courtesy of PRB. Left to right: Didier Mazongo, WWF; Vik Mohan, Blue Ventures; Baraka Kalangahe, Tanzania Coastal Management Partnership; and Jason Bremner, PRB. -
New Population, Health, and Environment Program for Lake Victoria
›With some of Africa’s highest population densities, ethnic diversity, and biodiversity, the Great Lakes region is one of the most volatile intersections of human development and the environment. A new population, health, and environment (PHE) initiative from Pathfinder International, announced Monday at the International Conference on Family Planning in Senegal, aims to help address these issues by supporting sustainable resource management and women’s right to choose when and how often they have children.
Jointly funded by the David and Lucile Packard Foundation and the John D. and Catherine T. MacArthur Foundation, with additional support from USAID’s Office of Population and Reproductive Health, the project will focus on Ugandan and Kenyan sections of the Lake Victoria basin.
Lake Victoria is the second largest freshwater source in the world, a biodiversity hotspot, and an important regional waterway, but regional population growth among the highest in Africa and economic development have led to declining water quality, reduced fish stocks, and industrial pollution. The basin as a whole supports upwards of 35 million people.
“This new project is a welcome development for many reasons,” said ECSP Director Geoff Dabelko. “It brings the integrated PHE approach to one of the world’s greatest lakes, it enables respected health NGO Pathfinder to pursue PHE efforts, and marks the return of a leading private donor, the MacArthur Foundation, to a group of foundations willing to support this innovative approach.”
Sono Aibe, senior advisor for strategic initiatives at Pathfinder emphasized the integrated challenges facing the region. “In these remote, resource dependent areas of the world, the interconnectedness between the health of people and the health of the environment is undeniable,” she said in a press release. “When women are empowered to participate in the sustainable management of natural resources alongside men and youth, as well as have access to sexual and reproductive health care services, their lives will improve and so will the condition of the ecosystems that they depend on.”
The project’s objective, according to Pathfinder, is to reduce threats to biodiversity, conservation, and ecosystem degradation by increasing access to family planning and sexual/reproductive health services. The project plans to develop scalable approaches that can be adopted by communities, local governments, and national governments. Technical support is to be provided by the BALANCED Project, ExpandNet, and the Population Reference Bureau.
“Lessons learned from this new project will help us better develop and design projects for vulnerable communities in fragile ecosystems, while simultaneously advocating for increased government support for integrated programs throughout the Lake Victoria Basin,” said Lucy Shillingi, Pathfinder’s country representative for Uganda.
The Lake Victoria effort will build upon the experiences of other integrated PHE efforts in the region, such as Rwanda’s SPREAD Project, Uganda’s Conservation Through Public Health, and Tanzania’s TACARE and Coastal Management Partnership.
Sources: Lake Victoria Basin Commission, Pathfinder International, UNEP. -
The Yasuní-ITT Initiative Is a Practical Climate Solution That Must Be Embraced at Durban
›As the world turns to Durban, South Africa, for this year’s UN climate summit, new findings are turning up the heat on the urgency to address climate change. The reality though is that we no longer have the luxury of resting our hopes solely on an internationally binding climate agreement; we must begin to look more closely at supporting immediate and tangible solutions. By complementing a global top-down effort of continued international negotiations with bottom-up approaches, we increase our chances at mitigating the most damaging effects of climate change. One of the most innovative models of such a bottom-up approach is the Yasuní-ITT Initiative being undertaken by the Government of Ecuador and supported by the UN Development Programme’s Multi-Partner Trust Fund Office (MPTF Office).
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Seven Ways Seven Billion People Affect the Planet
›October 31, 2011 // By Geoffrey D. DabelkoSeven billion people now live on earth, only a dozen years after global population hit six billion. But the seven billion milestone is not about sheer numbers: Demographic trends will significantly impact the planet’s resources and peoples’ security.
Growing populations stress dwindling natural resource supplies while high levels of consumption in both developed countries and emerging economies drive up carbon emissions and deplete the planet’s resources. And neglected “youth bulges” could bolster extremism in fragile states like Somalia and destabilize nascent democracies like Egypt.
Here are seven ways seven billion people affect the planet, according to recent research:
Security: Nearly 90 percent of countries with very young and youthful populations had undemocratic governments at the end of the 20th century. Eighty percent of all new civil conflicts between 1970 and 2007 occurred in countries where at least 60 percent of the population is under age 30, says demographer Elizabeth Leahy Madsen. According to research by demographer Richard Cincotta, these countries may achieve democracy, but are less likely to sustain it.- Richard Cincotta: Tunisia Predicted: Demography and the Probability of Liberal Democracy in the Greater Middle East
- Elizabeth Leahy Madsen: Demographic Security 101
Water: By 2025, 1.8 billion people will be living in countries with water scarcity, and fully two-thirds will be living in conditions of water stress. People are using groundwater faster than it can be naturally replenished, putting us in danger of “peak water,” says MacArthur “Genius” Fellow Peter Gleick. “We cannot talk about water without also understanding the enormously important role of population dynamics and population growth.”- Peter Gleick: Population Dynamics Key to Sustainable Water Solutions
Forests: The growing demand for energy has helped devastate tropical forests, as more than two billion people depend on wood for cooking and heating, particularly in developing countries. Projects in Indonesia, Nepal, and Uganda are fighting deforestation by providing alternative energy and incomes along with health and family planning services.- Indonesia: Health in Harmony
- Nepal: Forests for the Future
- Uganda: Sharing the Forest
Future Growth: By 2050, the UN says global population could range anywhere from 8 billion to 11 billion – and where it ends up depends in large part on the status of women in developing countries. “Even if fertility rates remain constant at current levels (which is unlikely), developing regions would grow from 5.7 billion in 2010 to 9.7 billion in 2050, but the total population of developed countries would remain essentially unchanged,” writes Madsen.- Elizabeth Leahy Madsen: How Did We Arrive at 7 Billion – and Where Do We Go From Here? [Part One] [Part Two]
There are no quick solutions to these seven problems. But meeting the unmet need for contraception of more than 200 million women is an effective and inexpensive way to start.
Sources: Population Action International, UN, World Health Organization.
Image Credit: Used with permission courtesy of Scott Woods, The University of Western Ontario. -
Health and Harmony: Population, Health, and Environment in Indonesia
›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.
“Health Is Key to Sustainable Development”
Gelbard took a step back to talk about CCPHI’s experience establishing multi-sector partnerships among NGOs and corporations by building trust and enabling dialogue between the communities.
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.
Through CCPHI, companies and NGOs have partnered on a wide range of efforts, including improving access to and funding for reproductive health services, improving sanitation by increasing access to water, and combating human trafficking by empowering girls and women.
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.
Event Resources
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. -
Carl Haub, Yale Environment 360
What If Experts Are Wrong On World Population Growth?
›September 22, 2011 // By Wilson Center StaffThe original version of this article, by Carl Haub, appeared on Yale Environment 360.
In a mere half-century, the number of people on the planet has soared from 3 billion to 7 billion, placing us squarely in the midst of the most rapid expansion of world population in our 50,000-year history – and placing ever-growing pressure on the Earth and its resources.
But that is the past. What of the future? Leading demographers, including those at the United Nations and the U.S. Census Bureau, are projecting that world population will peak at 9.5 billion to 10 billion later this century and then gradually decline as poorer countries develop. But what if those projections are too optimistic? What if population continues to soar, as it has in recent decades, and the world becomes home to 12 billion or even 16 billion people by 2100, as a high-end UN estimate has projected? Such an outcome would clearly have enormous social and environmental implications, including placing enormous stress on the world’s food and water resources, spurring further loss of wild lands and biodiversity, and hastening the degradation of the natural systems that support life on Earth.
It is customary in the popular media and in many journal articles to cite a projected population figure as if it were a given, a figure so certain that it could virtually be used for long-range planning purposes. But we must carefully examine the assumptions behind such projections. And forecasts that population is going to level off or decline this century have been based on the assumption that the developing world will necessarily follow the path of the industrialized world. That is far from a sure bet.
Continue reading on Yale Environment 360.
Image Credit: Data from UN Population Division, chart arranged by Schuyler Null. -
IRP and TIME Collaborate on Indonesia’s Palm Oil Dilemma
›“Everything the company does goes against my conscience. But the question remains, who should work from the inside to inform everyone? Who should be pushing that these things are right, these things are acceptable, and these things are not?” says Victor Terran, in this video by Jacob Templin for TIME and the International Reporting Project (IRP). Templin traveled to Indonesia as part of IRP’s Gatekeeper Editor program in May 2011.
Terran is a resident of a village west of Borneo in the Kalimatan province, where he works as a field supervisor for one of the largest palm oil companies in Indonesia. Although the industry has supplied his village with much-needed employment and economic development, he worries that the influx of jobs has come at the expense of the health of the forests, agriculture, and clean rivers that sustain his village. “It’s not just about the money,” he says. “Will they sincerely keep the regulations and be fair to our community?”
An Industry with a Checkered Past
Terran’s skepticism of the industry is justified – palm companies, such as Sinar Mas, have a nasty track record of “abusing local labor and pilfering forests” for what they call “liquid gold,” says Templin.
Greenpeace released a report, “How Sinar Mas is Pulping the Planet,” in 2010 that alleged that Sinar Mas cut down important wildlife preserves, illegally planted on peat lands, and that these actions resulted in the release of considerable amounts of carbon into the atmosphere and loss of critical wildlife habitat.
As a result, the company lost major contracts with Unilever, Kraft, and Nestle. Sinar Mas CEO Franky Widjaya tells Templin that the company is taking definitive steps to prevent such instances from happening again, but that change will not happen overnight.
Akhir bin Man, a manager for another palm oil company, PT Kal, says he does not want to experience a public relations nightmare similar to Sinar Mas, so his company is seeking certification from the internationally recognized Roundtable on Sustainable Palm Oil (RSPO). The RSPO certification requires PT Kal to conserve nearly half of its land, use safer pesticides, and negotiate profit-sharing agreements with villagers.
Global Benefits
“These are not only vast forest landscapes which are home to species such as orangutans, elephants, and rhinos, but they’re also some of the globally most important reservoirs of carbon,” Adam Tomasek, director of the WWF Heart of Borneo Initiative, tells Templin.
Due to the wide-scale implications of disrupting such a substantial carbon sink, Tomasek and his colleagues see the destruction of these habitats as not just a local problem: “Sustainably managing the forest and carbon stocks that they contain here in Indonesia is not only important locally, not only important regionally, but an extremely important critical in the global approach to dealing with climate change,” he says.
Resisting the Juggernaut
Recognizing the inherent value of their natural resources, some villages are fighting to keep palm companies off of their land. Pak Bastarian is the head of such a village: “In my opinion, [palm] plantations are only owned by certain groups of people, and they don’t necessarily bring prosperity,” he tells Templin.
Bastarian is a reformed environmentalist whose hesitance toward the palm industry is a by-product of his own experiences – in the 1990s he worked for years running a timber company that illegally cut down trees. “I don’t know how many trees I cut down…a countless number.” Now, he uses his elected power to preserve trees like the ones he once cut down.
However, keeping the companies out of his village is an uphill battle, Templin explains. Bastarian says he faces mounting pressure from governmental officials, who make threats, and many villagers, who would rather have the jobs. He tells Templin that he even received bribes from PT Kal (an accusation they deny).
Bastarian’s position may cost him though – with elections right around the corner, he said does not know how much longer he can keep the palm companies out.
“My worry is that if our forests are cleared, our children will not be able to see what protected wood looks like, or what protected animals look like,” he tells Templin. When the palm oil companies first came, he chose to wait and see how the other villages fared before allowing them to come in. “To this day,” he says, “I’ve never changed my mind.”
Video Credit: “Indonesia’s Palm Oil Dilemma: To Cash In or Fight for the Forests?,” courtesy of the International Reporting Project. -
Zo Zatovonirina, PHE Champion
Improving Human Health and Conservation in Madagascar’s Forest Communities
›This PHE Champion profile was produced by the BALANCED Project.
Madagascar is one of the world’s most unique ecosystems, with a total of eight plant families, five bird families, and five primate families that live nowhere else on Earth. Madagascar’s tropical forests and marine environments are home to endemic species of flora and fauna, although tragically 15 species are now extinct. At the same time, Madagascar is rich in freshwater resources, yet more than 60 percent of the island’s 19.7 million people do not have access to safe drinking water.Since 2003, Zo Zatovonirina has worked for Conservation International (CI) in Madagascar, and he has seen up-close the challenges of reaching remote forest communities, often requiring one- or two-day hikes over treacherous roads. As coordinator for USAID’s Healthy Families, Healthy Forests Program, Zo worked with two Malagasy nongovernmental organizations (NGOs), MATEZA, and the Association for Health Action and Security, to implement integrated population, health, and environment (PHE) approaches in response to community needs in the Ankeniheny Zahamena forest corridor in eastern Madagascar.
From 2003-2008, CI and partners reached more than 25,000 village residents with PHE messages; increased contraceptive prevalence in target zones from 17 percent in 2005 to 30 percent in 2008; constructed 3,000 latrines; and improved environmental health in all priority sites.
Today, biodiversity in Madagascar is under increased pressure, in light of political instability since 2009 and continued population pressures. Recognizing CI and partner experience and investments in conservation efforts to improve human well-being, USAID Madagascar and World Learning recently awarded a new 15-month grant to CI Madagascar and two Malagasy NGO partners – Voahary Salama and Ny Tanintsika – to implement an integrated PHE project in the southeastern Ambositra Vondrozo forest corridor. All three organizations have implemented PHE projects in Madagascar, and they have established trusting relationships with the people living in these fragile ecosystems.
Madagascar has a rich history of implementing successful PHE projects, and this project represents a new PHE pilot phase in the midst of political uncertainty. According to Zo, PHE approaches remain constant – simultaneously addressing several complex and linked problems such as poverty, child survival, and unsustainable dependency on natural resources. In Zo’s experience, CI’s PHE approach touches on all these aspects and delivers a pragmatic, integrated package of interventions designed to increase community capacity to better manage their health and environment. Utilizing PHE approaches, CI, Voahary Salama, and Ny Tanintsika will strive to reach communities for the first time ever with family planning, water, sanitation, and hygiene services while helping them conserve their biological heritage.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: The forests of Madagascar, courtesy of Conservation International/Russ Mittermeier, and Zo Zatovonirina, courtesy of Conservation International.
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