Showing posts from category Beat on the Ground.
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Watch: Blue Ventures PHE Program in Madagascar
›“All conservation efforts will be in vain if family planning issues aren’t addressed,” says Rebecca Hill, project manager for the Sexual and Reproductive Health Programme at Blue Ventures in a video highlighting their population, health, and environment (PHE) programming in Madagascar.
While primarily a marine conservation group, Blue Ventures also recognizes the need for integrating population into their efforts. They began a family planning program in southwestern Madagascar in 2008 as part of a “holistic approach to conservation.” The project aims to address the high unmet need for family planning, high fertility and maternal and infant mortality, and conserve the coastal environment. “We are directly saving lives,” Hill says.
Rapid population growth is creating an unsustainable strain on natural resources, as Matthew Erdman of Blue Ventures wrote in a previous post on The New Security Beat:The average total fertility rate in Velondriake is 6.7 children per woman, according to our data. On average women are only 15 years old when they first conceive. To compound this problem, a majority of the population is under the age of 15 – at or approaching reproductive age. At the current growth rate, the local population will double in only 10 to 15 years. The local food sources, already heavily depleted, barely feed the current population, let alone twice that amount. Without enabling these coastal communities to stabilize their population growth, efforts to improve the state of marine resources and the community’s food security are considerably hindered.
Hill describes the situation in the village when she joined the Blue Ventures in 2008 as “alarming,” with women “having up to 17 children despite not wanting children.” Many people in the town had never heard of condoms and had no idea how to use them, she said, and “they are desperate to have access to contraception.”
Today, the initial family planning program has been scaled up to the surrounding region and generated significant community involvement by peer educators teaching community members about sexual and reproductive health. It’s also become the first PHE project to receive support from the UNFPA within Madagascar.
There are currently 18 community-based distributors who give out two types of contraception in their villages. The fact that the community has so fully embraced the project shows that it can be replicated elsewhere, says Hill in the video. “Communities themselves have harnessed the ideas and consider that what we’re doing is vitally important.”
“Addressing family planning needs and issues is inextricably linked with conservation issues,” says Hill. “All conservation efforts will be in vain, if family planning issues are not addressed.”
Video Credit: Blue Ventures Family Planning Project from Alexander Goodman on Vimeo. -
Blue Ventures’ Integrated PHE Initiative in Madagascar
›In the small coastal village of Andavadoaka, Madagascar, the village elders offer a bottle of rum and two cigarettes to their ancestors before the men and their sons launch their wooden dugout canoes into the sea. Leaning over the side, their masked faces scour the water for their prey.
Meanwhile, the women – with babies on back and spears in hand – set out on foot into the shallow waters. One probes a small hole with her spear, and a tentacle reaches out to grapple with it. After careful coaxing, she pulls out an octopus, kills it, and adds it to her collection, which she tows on a string behind her.
In total, more than 1,850 pounds of octopus are collected on the opening day of the octopus harvest, a seasonal occurrence in Velondriake, the Indian Ocean’s first locally managed marine area.
Velondriake, which means “to live with the sea,” stretches along more than 40 km of southwestern Madagascar’s coast. The region encompasses 25 villages and is home to more than 8,000 people of the Vezo ethnic group, who are almost entirely dependent on marine resources, such as octopus, fish, and mangrove forests, for subsistence and income. But these resources are quickly disappearing due in large part to over-harvesting.
Blue Ventures Conservation – the London-based NGO I work for – has been working in the area since 2003 to protect the region’s coral reefs and mangroves, as well as their biological diversity, sustainability, and productivity, while also improving the quality of life of the local community.
To this end, Blue Ventures helped the community create a series of coastal marine reserves. Several permanent reserves protect the biodiversity of the coral reefs and mangroves, and help fish populations recover; while nearly 50 temporary reserves have increased the productivity of the octopus and crab fisheries. Octopuses reproduce quickly and juveniles grow at a nearly exponential rate, so a brief harvesting hiatus can lead to significant increases in yield. Increased yields translate to increased profits – something greatly welcomed by the people of this impoverished region.
The people of the region are also reproducing quickly: the average total fertility rate in Velondriake is 6.7 children per woman, according to our data. On average women are only 15 years old when they first conceive. To compound this problem, a majority of the population is under the age of 15 – at or approaching reproductive age. At the current growth rate, the local population will double in only 10 to 15 years. The local food sources, already heavily depleted, barely feed the current population, let alone twice that amount. Without enabling these coastal communities to stabilize their population growth, efforts to improve the state of marine resources and the community’s food security are considerably hindered.
In August 2007, Blue Ventures launched its Population, Health, & Environment (PHE) program as a weekly family planning clinic in Andavadoaka, which provided access to ingestible and injectable birth control options, as well as condoms. The clinic increased the village’s contraceptive prevalence rate (CPR) from 9.4 percent to 36.3 percent, and the Velondriake region’s CPR from 11.0 percent to 15.1 percent, in its first two years. (CPR data for the third year is not yet available, but should be notably higher, especially at the regional level.)
In 2009, Blue Ventures opened two more clinics and began holding quarterly outreach clinics in all Velondriake villages. We started offering long-acting, reversible contraceptive options, including Implanon and IUDs. Most recently, we have implemented a community-based distributor (CBD) program to provide wider access to contraceptives around the region, particularly for villagers that could not easily reach one of the clinic sites. These expansions paid dividends: the number of patients increased almost four-fold between the second and third years, with a cumulative total for all three years of just under 1,700 patients.
Recently, the PHE program began a partnership with the UN Population Fund (UNFPA), becoming the first PHE project to receive support from the UNFPA within Madagascar. The UNFPA funds will allow us to add new regional clinics; launch a behavior change campaign, including a regional theater tour and educational events; and further develop the CBD program.
UNFPA’s support of this initiative represents an important endorsement of Blue Ventures’ integrated approach to the challenges of marine sustainability, food security, reproductive health, and population growth. Funding applications to focus on improving maternal and infant health and to conduct a full health-needs assessment of the Velondriake region are pending.
In taking a population, health, and environment approach, Blue Ventures creates synergies that allow for the more effective achievement of health and conservation outcomes. Through providing family planning and health options – services the community really wants – Blue Ventures generates more support for all of its other initiatives, such as conservation and aquaculture programs.
This integrated multi-pronged approach also helps speed up the move towards a more sustainable future. By empowering and enabling couples to take control of their fertility, couples are able to have the size family they want. The use of family planning helps lower the population growth rate, and lower growth rates decrease pressures on natural resources. Decreased pressures on natural resources lead to healthier ecosystems; healthier ecosystems mean more natural resources available; and more resources lead to healthier families.
Through recognizing this inextricable link between communities, their health, and the environment they live in, Blue Ventures hopes to preserve not just the local coral reefs and mangroves, but the Vezo seafaring lifestyle. This way, the sons on the boats and the babies on the women’s backs may still have enough octopus and fish to harvest when they take their own children out to sea.
Matthew Erdman is the PHE coordinator for Blue Ventures. For more information about Blue Ventures’ PHE activities, please contact phe@blueventures.org, or visit their website at www.blueventures.org.
Photo Credit: Adapted from “07,” courtesy of Blue Ventures. -
PATH Foundation’s ‘Population, Health, and Environment Leadership as a Way of Life’
›PATH Foundation Philippines, Inc. (PFPI) just released a short documentary, Population-Health-Environment (PHE) Leadership as a Way of Life in All Walks of Life. The video features interviews with peer educators and local government officials who have partnered with PFPI on integrated coastal resource management in the Philippines that combines family planning and reproductive health services with environmental services.
According to those interviewed, an integrated approach is the best way to alleviate food insecurity in the area. “We cannot separate population, health, and environment, they should be implemented hand in hand,” said Marlyn Alcanises, a Fisheries and Coastal Resource Management program officer. “Even if we manage our coastal resources well, if there are many children due to high fertility and population growth, many people are hungry.”
The comprehensive program has been successful in addressing the social and environmental problems in the Verde Island Passage of the Philippines, one of Asia’s most densely populated regions, as well as a marine biodiversity hotspot and sea lane for many commercial ships.
The program uses community-based distribution of contraceptives to increase access to family planning, micro-credit schemes to finance sustainable livelihoods and alleviate poverty, and advocacy campaigns to increase government support for integrated health and environment programs.
Municipal Planning and Development Coordinator Cecilia Zulueta praised the integrated approach, saying “it can slow down population growth, decrease the number of malnutrition cases, lessen the number of out-of-school youth, and it can also decrease the crime rate, because if one does not have a stable source of income it may force him to engage in illegal activities.”
In ECSP’s FOCUS Issue 15, “Fishing for Families: Reproductive Health and Integrated Coastal Management in the Philippines,” Joan Castro and Leona D’Agnes demonstrated that PFPI’s Integrated Population and Coastal Resource Management project (IPOPCORM) was more cost-effective and had a greater impact on the wellbeing of both human reproductive health and coastal resources than non-integrated programs. In a study measuring the impacts of integrated versus single-sector reproductive health (RH) or coastal resource management (CRM) programs, they found the integrated approach met or exceeded single-sector outcomes for 26 out of 27 indicators.
Reducing high fertility rates reduces pressure on natural resources, decreases high rates of malnutrition, crime and HIV/AIDS, and preserves local fisheries, “making life sustainable for both humans and nature,” as PFPI puts it in the documentary. The hope is that the community leaders featured in the documentary will inspire others in similar situations to take the lead on integrated issues in their communities.
“Even if we are doing environmental conservation through population management in our province but the others are not, it will still create conflict somehow,” said Alcanises. “I believe that whatever program is being done in one province should also be done in other provinces, in order to avoid conflict and promote balance in program implementation.”
Julio Lopez, president of the Galera Association of Managers and Entertainers said, “this land is ours, and we are responsible in taking care of it.”
PFPI, along with the University of Rhode Island’s Coastal Resource Center and Conservation International, is part of the BALANCED project, which last year launched the PHE Toolkit as a resource for PHE professionals. For more on PFPI’s IPOPCORM program, see ECSP’s interviews with Joan Casto and Leona D’Agnes on our YouTube channel: “Joan Castro – Integrated Population and Coastal Resource Management (IPOPCORM)” and “Leona D’Agnes on Population, Health, and Environment.”
Video Credit: “Population-Health-Environment (PHE) A Video Documentary,” courtesy of YouTube user PATHFoundationPhils.
Sources: Population Reference Bureau. -
Watch: Population, Health, and Environment in Ethiopia
›Severely eroded and deforested, Ethiopia’s land is increasingly turning to desert, due to the country’s high population growth, unsustainable land use, and lack of land ownership. Featuring footage from my trip to Ethiopia last year, this video looks at the efforts of two projects to combat these devastating trends by meeting the country’s complex challenges with integrated solutions.
Ethiopia’s population is estimated at 85 million. Since 1900, the country has grown by nearly 74 million people, and the United Nations predicts this rapid growth will continue, reaching nearly 120 million people by 2025.
“Family planning is very crucial” to sustainable development, said Gebrehiwot Hailu of the Relief Society of Tigray (REST), located in the northern region of Tigray. “If the family has more children… he can’t feed them properly, he can’t send the children to school, because there is a food gap in the household.” REST uses a watershed planning model jointly developed by the community, health workers, and government agencies.
Realizing there is no silver bullet to development, projects like REST integrate population, health, and environment (PHE) programs to engage these challenges from all angles.
The Ethio Wetlands and Natural Resource Association (EWNRA), located in Ethiopia’s Wichi watershed, uses a combination of techniques to restore the watershed, create alternative livelihoods, strengthen health systems, and improve reproductive health.
“Through this integrated watershed intervention, the wetland is regaining its natural situation,” Shewaye Deribe of EWNRA told me. “The communities with their own bylaws, with their own watershed committee, with their own organization… are protecting these remaining forest patches.”
Sources: Population Reference Bureau. -
Ethiopian Case Study Illustrates Shortcomings of “Land Grab” Debate
›The lines have been drawn in the “land grab” debate: Will foreign investors displace small, local land-holders, damaging the environment with exploitive practices? Or will a combination of infrastructure investment and employment opportunities lead to a virtuous development cycle?
Recent reports suggest that the former is more likely than the latter (e.g., see the Oakland Institute, GRAIN, and the Food and Agriculture Organization). In each case, the proposed antidote is the typical wish-list: Boost institutional capacity to ensure that agreements are honored, environmental and labor regulations are observed, and local populations are given a stake in the process.
While it incorporates a broader swath of data and country case studies, the recent World Bank report, “Rising Global Interest in Farmland: Can It Yield Sustainable and Equitable Results?” largely recycles this tired diagnosis, as noted recently by Michael Kugelman on The New Security Beat.
But the two months we spent in the Amhara and Oromia regions of Ethiopia, surveying smallholders and profiling large-scale commercial farms, left us with a different impression. After completing 1,200 pages of surveys on smallholder livelihood strategies and farm management practices with 120 local farmers, as well as six profiles of private investors’ farms, we identified several key points that these reports missed.
Strong Laws Don’t Always Scare Investors Away
The World Bank report focuses on the belief that countries with weak institutions attract predatory investors, who use lack of oversight to their advantage by exploiting local populations, abusing regulations, etc. Ethiopia, however, has high institutional capacity relative to other African nations, yet still receives enormous land investment.
Every commercial farm we profiled received yearly visits from multiple regional and federal agencies investigating regulatory compliance. Moreover, two of the farms had been sold to their current owners because the previous business ventures failed to observe the terms of their business proposals. These terms included bringing certain amounts of foreign exchange into the country and hitting export targets.
Ethiopia attracts investors for other reasons. Official documents tout the diversity of its micro-climates, but we suspect investors are more likely drawn by a lease rate roughly 100x lower per hectare than the African average.
Given the emphasis on boosting institutional capacity as a means to ensure positive development outcomes, it’s too bad that the World Bank didn’t choose to conduct one of its case studies on Ethiopian commercial farms. Such a study could provide grounds for discussing what investment governed by stronger institutions would look like.
An Incomplete Paradigm
The potential for population displacement (with or without compensation), job creation, and infrastructure development is a well known and well studied paradigm. The World Bank report investigates the occurrence of these phenomena in its case studies, and the results are unsurprising: Sometimes things go OK and sometimes they go badly. This same story emerges in studies of foreign investments of all stripes: logging, oil and natural gas extraction, precious mineral mining, among others.
A more inventive analysis of land grabs could yield meaningful findings, however. Investors and smallholders are engaged in the same activity — farming — and in the case of cereal farms, they are producing the same crops. The resulting overlap allows for a multitude of creative interactions between smallholders and investors that should receive more attention.
Two of the investors we interviewed used these creative interactions to promote their business plans to regional development authorities. One farm sold certified seed to local farmers; another imported an irrigation system new to the region and plans to introduce it to the broader community. They each rented farm equipment to smallholders and held demonstration days to discuss farming techniques and new crop types with community members. One had already introduced new crops to the adjacent village via an “outgrowing” scheme and was exporting smallholder products from the farm, thus diversifying livelihoods for local farming households.
These are, of course, anecdotal accounts. But they suggest a broader point: More attention must be given to “secondary” benefits like technology and knowledge transfers, outgrowing or renting schemes, and informal interactions. Given the unique attributes of large-scale commercial investment in the agricultural sector, which continues to provide most Ethiopians’ livelihoods, these secondary benefits are the mechanism through which livelihoods seem most likely to be transformed. In this case, the preoccupation with displacement, formal compensation, jobs created, and infrastructure development only leads to generalized and ineffective analysis.
Our smallholder surveys and commercial farm profiles point to one conclusion: The commercial farms in our sample that engaged most fully in those creative interactions will generate substantial benefits for local populations over the next 5-10 years (quantitative analysis to be published in our final report this spring). The particular interactions taking place between these smallholders and commercial farms directly alleviate the primary constraints to smallholder livelihoods identified by our survey, such as lack of mechanization, lack of access to inputs, and inability to generate cash through sale of crops.
It’s far from clear that the World Bank analysis would have captured this reality in Ethiopia given its limited focus. Ideas like outgrowing receive scant attention, and are usually only discussed in hypothetical terms or in parentheticals – a trend the World Bank report unfortunately continued.
Incorporate Case Studies and Put Livelihoods First
So while our limited analysis may not enable us to speak broadly about the effects of commercial farming, we can offer two observations.
First, the creative arrangements that accompany the introduction of commercial farming must be front and center of any study. The study should be grounded in an understanding of the livelihood constraints faced by local populations, followed by an analysis of the types of interactions between commercial farms and smallholders that may affect those constraints, including not only traditional effects, such as displacement and employment, but also atypical impacts, such as improved seed distribution and technology demonstration.
Second, since Ethiopia has enough institutional capacity to be selective when choosing commercial investors (and to ensure they adhere to the terms), it embodies a number of principles the promoted by the World Bank report. Ethiopian Prime Minister Meles Zenawi views large-scale private farms as one piece of a broader commercialization effort to revolutionize smallholder agriculture, as described in the government’s development plan, PASDEP. This effort is in keeping with the report’s basic recommendation that host governments ensure that investment is compatible with domestic needs.
Understanding the phenomenon of large-scale land acquisitions should be at the top of the international research agenda. The effects on livelihood security and food security (in both developed and developing countries), as well as the potential contributions to resource conflicts, place such land deals among the most consequential recent trends in the international arena.
We believe a new framework must be brought to the analysis of land grabs. To effectively implement this framework, important but overlooked cases, such as we found in Ethiopia, should be included in future studies.
Nathan Yaffe and Laura Dismore are students at Carleton College, who just returned from researching commercial farming in Ethiopia. They can be reached at yaffen@carleton.edu and dismorel@carleton.edu.
Photo Credit: Adapted from “P8060261,” courtesy of flickr user Ben Jarman. -
Stephanie Hanson Reports on PHE in Agricultural Development and Rwanda’s ‘One Acre Fund’
›Driving from Kigali into rural Rwanda, the hills that flank either side of the paved road are covered with bananas, maize, coffee, and beans under cultivation. Most Rwandans are farmers, using any bit of available land to feed their families and generate income. In this country—the most densely populated in Africa—little arable land is left untended.
My organization, One Acre Fund, offers loans and education to smallholder farmers in Kenya and Rwanda. We work with 18,000 farmers in three districts in the southwestern and western part of Rwanda, where we are know as Tubura, which means “multiply” in Kinyarwanda.
Though One Acre Fund is not a traditional population, health, and environment (PHE) project, agricultural development work inherently is PHE work, particularly in Rwanda, which faces significant population and environment challenges.
Our farmers have small plots of land because Rwanda’s population density is so high—375 people per square kilometer, higher than Japan—leaving only .13 hectares of arable land per person. They struggle to grow enough food because it’s difficult to support a big family on a small piece of land, especially without access to high-quality seed and fertilizer.
When farmers don’t grow enough to ensure basic food security for their families, their children are malnourished, which makes them more susceptible to illness.
Finally, agriculture both depends on and affects the environment. Farmers need favorable growing conditions—good soil and adequate rainfall—for a good harvest. Sustainable agriculture practices, such as composting and preventing soil erosion, ensure the environment remains healthy to support future farming.One Acre Fund is acutely aware of the challenges that our farmers face due to high population density, food insecurity, and environmental degradation. We offer a service model that addresses all the needs of a smallholder farmer: financing, farm inputs, education, and market access.
When a farmer enrolls with One Acre Fund in Rwanda, she joins as part of a group of 6-15 farmers. She receives an in-kind loan of seed and fertilizer, which is guaranteed by her group members. One Acre Fund delivers this seed and fertilizer to a market point within two kilometers of where she lives. A field officer provides in-field training on composting, techniques to prevent soil erosion, land preparation, planting, fertilizer application, and weeding.
Over the course of the season, the field officer monitors the farmer’s fields. At the end of the season, he trains her on how to harvest and store her crop. One Acre Fund also offers a harvest buyback program that farmers can choose to participate in.
On average, One Acre Fund farmers double their farm income per acre in one growing season. Ninety-eight percent of our farmers repay their loans, which are due several weeks after harvest.
With their increased harvests, One Acre Fund farmers are able to feed their children, which reduces malnutrition. Anecdotally, we also know that One Acre Fund children experience less illness; this year, we are working to incorporate health indicators into our monitoring and evaluation work.
At a harvest buyback last month, I met many farmers who had benefited from One Acre Fund’s services. One woman, Tamar, had sold 400 kilograms (880 pounds) of beans at the previous season’s buyback, which earned her roughly 132,000 Rwandan francs ($235 USD). She told me that she was using the money to build a bigger home for the six of her ten children who lived at home.However, Tamar really wanted to buy a cow, but she knew that she would not earn enough money this year to afford one. With so many children, she struggled to earn enough money to invest in something that might generate additional income for her and her family.
Another woman, Medeatrice, had also made $235 USD from the sale of her beans. With that income, she had opened a small shop with her husband in a nearby market. Unusually for Rwanda, where the average woman has 5.5 children, Medeatrice only had one, a three-year old boy named Prince. I asked her if she planned to have more children.
“I only want one more child,” she told me. “If I only have two children, it is easy to educate and to take care of them.”
The Rwandan government has invested in educating its population on family planning, but it will take time for birth rates to drop. For now, families with five, six, or nine children are not uncommon.
However, research shows that when women have increased access to economic opportunities, birth rates drop. One Acre Fund is focused on helping Rwanda’s families increase their harvests so that they not only have enough to eat, but they can start investing in their futures.
Guest Contributor Stephanie Hanson is the director of policy and outreach at One Acre Fund.
Photo Credit: Rwanda’s hills and Medeatrice, courtesy of Stephanie Hanson. -
Philippines’ Bohol Province: Elin Torell Reports on Integrating Population, Health, and Environment
›For 10 years, I have been working on marine conservation in Tanzania with the University of Rhode Island’s Coastal Resources Center. As part of that effort, I’ve helped forge links between HIV/AIDS prevention in vulnerable fishing communities and marine conservation. However, family planning and reproductive health (FP/RH) were relatively new to me. But a recent study tour of an integrated Population, Health, and Environment (PHE) program in the Philippines helped me understand that combining family planning services and marine conservation can help reduce overfishing and improve food security.
Together with developing country representatives from seven African and Asian countries, I spent two weeks in February visiting three PHE learning sites and a marine protected area in Bohol province in the central Philippines, as part of a South-to-South study tour sponsored by the USAID-funded BALANCED Project, for which I work. The tour focused on the activities of the 10-year-old Integrated Population and Coastal Resource Management Initiative (IPOPCORM) project, which is run by PATH Foundation Philippines, Inc. (PFPI).
IPOPCORM has garnered a wealth of lessons learned and best practices to share with PHE newbies like me. Its integrated programs train people to be community-based distributers (CBDs) of contraceptives and PHE peer educators, as well as work with local and regional government officials to build support for family planning as a means to improve food security.
I was most impressed with the ways in which PFPI identifies and cultivates dynamic and motivated local leaders–men, women, and especially youth–to reach out to the members of their community who are highly dependent on marine resources for their survival. My Tanzanian colleagues and I would like to foster the volunteer spirit and “can do” attitudes we experienced through our work in East Africa. (Similar PHE peer educators are successfully working in Ethiopia’s Bale Mountains, as reported by Cassie Gardener in a previous edition of the “Beat on the Ground.”
My favorite part of the tour was a trip to the Verde Island Passage to see PFPI’s efforts in this fragile hotspot. The insights my Tanzanian colleagues and I gained from talking to the field practitioners in the Verde Islands helped us refine our ideas for translating some of the PHE techniques used in the Philippines to the Tanzanian cultural context, including an action plan for strengthening our existing PHE efforts with CBDs and peer educators.
Thanks to the study tour, I now have a better understanding of how to address population pressures in the context of conservation. Overall, my Tanzanian colleagues and I were inspired by the successes we saw firsthand and hope to emulate them to some degree in our own projects.
Elin Torell is a research associate at the Coastal Resources Center at the University of Rhode Island. She is the manager of CRC’s Tanzania Program and coordinates monitoring, evaluation, and learning within the BALANCED project. -
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.
