Showing posts from category PHE.
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Uganda’s Demographic and Health Challenges Put Into Perspective With Newfound Oil Discoveries [Part Two]
›April 26, 2012 // By Kate Diamond
“We never thought we would end up having the same problems here as the people in the Niger Delta. But now I’m worried,” Henry Ford Mirima, a spokesman for Uganda’s Bunyoro kingdom, said last fall in Le Monde Diplomatique. The kingdom – which calls itself East Africa’s oldest – sits along Lake Albert, where over the past seven years British oil company Tullow Oil has discovered oil reserves big enough to produce an estimated 2.5 billion barrels.
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Karen Newman: Rio+20 Should Re-Identify Family Planning As a Core Development Priority
›April 25, 2012 // By Kate DiamondEnergizing people around family planning can be difficult, “because donors, like everyone else, like something that’s new,” said Karen Newman, coordinator for the UK-based Population and Sustainability Network. “There’s nothing new about family planning. The technology is safe, effective, it’s acceptable, and it works. We just need a lot more of it out there to be accessible to a lot more people.”
Newman spoke to ECSP at the 2012 Planet Under Pressure conference about her hopes for the upcoming Rio+20 sustainable development conference, which marks the 20-year anniversary of the UN Earth Summit.
“What we want is increased investment in voluntary family planning services that respect and protect rights,” Newman said, “and I think that Rio represents a fabulous opportunity for us to re-identify family planning as a core development priority.”
Newman also hopes the Rio conference will lead to “an integrated look at sustainable development, so that… it isn’t just about the green economy and institutional framework, it’s looking at sustainable development in the round.”
Government development programs and policymakers need to adapt their bureaucratic processes to the kinds of integrated programming being carried out on the ground, she said. In Madagascar, for example, conservation group Blue Ventures leads an integrated PHE program that cuts across marine conservation, family planning, and healthcare sectors. “Now I defy you to find an EU budget line that would be broad enough to embrace marine conservation and family planning in the same project line,” said Newman.
“The first thing we need is that level of integrated thinking – not just in Rio, but also in the way that we conceptualize the work that needs to be done and we facilitate the availability of funding streams that can fund that kind of integrated program.”
Lastly, Newman hopes that the summit in and of itself is successful because of its implications for future development work. As the world gears up to create the next big framework for global development to follow the Millennium Development Goals, Rio is uniquely positioned to set a baseline for what matters and for what the development community is capable of accomplishing.
“What I want to see is a really sophisticated look at sustainable development, coming up with sustainable development goals in a world that makes sense of seven billion, where there are still millions of women without access to the family planning services that we take for granted,” said Newman, “and taking that concept to the job of developing the post-MDG framework that will frame development for the next 20 years.” -
Invest in Women’s Health to Improve Sub-Saharan African Food Security, Says PRB
›“Future food needs depend on our investments in women and girls, and particularly their reproductive health,” says the Population Reference Bureau’s Jason Bremner in a short video on population growth and food security (above). Understanding why, where, and how quickly populations are growing, and responding to that growth with integrated programming that addresses needs across development sectors, are crucial steps towards a food secure future, he says.
Reducing Food Insecurity by Meeting Unmet Needs
In sub-Saharan Africa, where nearly one-fourth of the population lives with some degree of food insecurity, persistently high fertility rates help drive population growth, according to the policy brief that accompanies Bremner’s video.
On average, women in the region have 5.1 children, more than twice the global average total fertility rate (TFR) of 2.5. The United Nation’s medium-variant projections (which Bremner notes are often used to predict future food need) show the region more than doubling in size by 2050, but that projection rests on the assumption that the average TFR will drop to three by mid-century.
As many as two-thirds of sub-Saharan African women want to space or limit their births, but do not use modern contraception. While the reasons for not using modern contraception are many, ranging from cultural to logistical, the lack of funding for family planning and reproductive health services remains a serious impediment to improving contraceptive prevalence and, in turn, lowering fertility rates.
“Current levels of funding for family planning and reproductive health from donors and African governments fail to meet current needs, much less the future needs,” writes Bremner.
Almost 40 percent of the region’s population is younger than 15 years old and has “yet to enter their reproductive years,” writes Bremner. “Consequently, the reproductive choices of today’s young people will greatly influence future population size and food needs in the region.”Fertility Assumptions and Population Projections in the Democratic Republic of Congo
Family Planning Is One Piece of an Integrated Puzzle
Increasing funding for family planning services would be a boon to the region, but Bremner cautions that viewing sub-Saharan Africa’s rapid population growth solely from a health perspective and in isolation from other development needs would be inherently limiting.
“Slowing population growth through voluntary family planning programs demands stronger support from a variety of development sectors, including finance, agriculture, water, and the environment,” Bremner writes. A multi-sector approach that addresses population, health, livelihood, and environment challenges could mitigate future food insecurity more effectively than single-track programming that addresses sub-Saharan Africa’s various development needs in isolation from one another.
Improving women’s role in agriculture, for example, could help minimize food insecurity on a regional scale, Bremner writes. Women make up, on average, half the agricultural labor force in sub-Saharan Africa, and yet it is more difficult for them to own arable land, obtain loans, and afford basic essentials like fertilizer that can help boost agricultural productivity. Furthermore, women’s traditional household responsibilities, like fetching water, often cut into the amount of time they are able to give to farming. With those limitations lifted, women could offer enormous capacity for meeting future food needs.
Given the complex and interconnected nature of the development challenges facing sub-Saharan Africa, integrated cross-sector programming, with an emphasis on meeting family planning needs, is essential to reducing total fertility rates while improving food security over the long-term, according to Bremner.
“Investments in women’s agriculture, education, and health are critical to improving food security in sub-Saharan Africa,” he writes.
“Improving access to family planning is a critical piece of fulfilling future food needs,” he adds, “and food security and nutrition advocates must add their voices to support investments in women and girls and voluntary family planning as essential complements to agriculture and food policy solutions.”
Sources: Population Reference Bureau.
Video Credit: Population Reference Bureau. -
Hotspots: Population Growth in Areas of High Biodiversity
›More than one-fifth of the world’s population lives in biodiversity hotspots – “areas that are particularly rich in biodiversity and endemic species,” said John Williams of the University of California, Davis, at the Wilson Center on February 29. And those populations are growing faster than the global average. Add to that the fact that “biodiversity continues to decline globally, despite increasing investments in conservation,” said David Lopez-Carr of the University of California, Santa Barbara, and the need for new approaches to conservation becomes evident. [Video Below]
Williams and Lopez-Carr were joined by Dr. Vik Mohan, director of the sexual and reproductive health program for Blue Ventures, a London-based conservation nongovernment organization that works with communities on the remote western coast of Madagascar.
To respond to the demands of the communities and to better protect biodiversity hotspots, the speakers argued that conservation efforts need to incorporate health and livelihood services directed at the growing populations living nearby.
A Complex Relationship
“The relationship between population and biodiversity loss or conservation is a pretty complex relationship,” said Williams.
He offered Latin America and the Caribbean as an example of the multiple factors that can affect how population and biodiversity interact. Population growth in the region has slowed, and agricultural expansion is driving habitat loss as the population ages and urbanizes and as increasing per capita GDP contributes to higher levels of consumption.
In the Indo-Pacific region, stretching from East Asia to Australia, high population growth coupled with economic growth has coincided with an increase in the exploitation of rare species for illegal trade, according to Williams. And in Africa, where the population is growing quickly but without comparable economic growth and amid high levels of instability, subsistence drives ecological exploitation.
Biodiversity and Family Planning in Madagascar
“People who live in the biodiversity hotspots are typically poorer, typically have poorer access to healthcare than their counterparts in the cities or in the world at large, and typically have poorer health than those counterparts,” said Mohan.
Blue Ventures has been working in Madagascar since 2003. The island is one of the most biodiverse areas in the world; 80 percent of its plant and animal life is endemic, meaning it exists there and nowhere else, said Mohan. At the same time, Madagascar is one of sub-Saharan Africa’s fastest growing countries, with a population growth rate of 2.9 percent and an average total fertility rate of 4.6 children per woman.
Blue Ventures initially came to the country to improve conservation in the island’s coastal villages, where residents survive largely on subsistence fishing. But once there, the group quickly found that the population was “growing so rapidly that in spite of our best conservation efforts, the demand for those finite coastal resources [was] outstripping supply,” said Mohan.
“The number of people who are going out to catch fish to feed their to feed their families is going up exponentially, and those fisherman are having to work harder and harder to catch smaller fish that are farther and farther down the food web.”
Realizing that trend, Mohan said that “just by asking a few very basic questions, we unearthed a huge unmet need for healthcare and a huge unmet need for family planning in particular.”
In response, Mohan and his colleagues opened up a family planning clinic in Andavadoaka, one of the villages Blue Ventures serves. On the clinic’s first day, Mohan said, “20 percent of all women of reproductive age came asking for contraception.” Following that opening, they “rapidly found [that] this unmet need was mirrored in every single village along the coast that we worked in,” he said. Since then, modern contraceptive prevalence, initially about seven percent, has increased four-fold, while birth rates have fallen by about one-third. All in all, Mohan said, the population of the Velondriake region, where Blue Ventures operates, is five percent smaller now than it would have been without the group’s family planning services.
Rural Areas Driving Population Growth
Across the developing world, Lopez-Carr said that unmet need for family planning “remains significantly higher” in biodiversity hotspots. Given that high unmet need, especially in Africa, it is easy to infer that “conservation may be less sustainable…if it does not consider health,” he said.
In his ongoing research on population and biodiversity, Lopez-Carr looks at how fertility rates compare in and out of hotspot areas and between regional and local levels. At the country and province level, “high-value conservation areas do not have unusually high total fertility rates (TFRs),” he said. But at more localized levels, “in the most remote rural areas, TFRs remain high, and in many cases, in the most remote rural areas, the demand for family planning is still very low,” indicating that these areas are still in the early stages of their demographic transitions.
The fact that the sub-state picture can look so different from the state-level picture means that there is more work for researchers to do, said Lopez-Carr. “Where the fertility rates are highest is where we have the least data,” he said, and that has significant implications for understanding future population growth.
Looking at UN population projections, the world’s net population gains will be in its poorest cities, he said, but “virtually all this growth is going to be from migration, fueled by remaining high fertility in rural areas.” And “virtually all of that growth will be predicated upon the timing, magnitude, [and] pace of the fertility transition in rural areas.”
Better understanding the demographic picture in rural areas is therefore critical – not just to improving health and preserving biodiversity in the world’s hotspots, but to honing down more accurate global population projections as well.
Event ResourcesPhoto Credit: “Fisherman Carries Day’s Catch,” courtesy of United Nations Photo. -
More People, Less Biodiversity? The Complex Connections Between Population Dynamics and Species Loss
›March 8, 2012 // By Laurie Mazur“For if one link in nature’s chain might be lost, another and another might be lost, till this whole system of things should vanish by piece-meal.”
~ Thomas Jefferson, 1799This much is clear: As human numbers have grown, the number of species with whom we share the planet has declined dramatically. While it took about 200,000 years for humanity to reach one billion people around 1800, world population has grown sevenfold since then, surpassing seven billion last year.
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Reaching Out to Environmentalists About Population Growth and Family Planning
›“Promoting women’s empowerment is an effective strategy for looking at climate and the environment but also is important in its own right,” said the Sierra Club’s Kim Lovell at the Wilson Center on February 22. “Increasing access to family planning for women around the world is a climate adaptation and climate mitigation solution.” [Video Below]Drawing on research by Brian O’Neill (National Center for Atmospheric Research) and others Lovell explained that meeting the unmet need for family planning around the world could provide up to 16 to 29 percent of the emissions reductions required by 2050 in order to avoid more than two degrees of warming (the target set by nations to prevent the most damaging effects of climate change).
For environmentalists and those concerned with climate change, “sometimes the idea has been that population is toxic, that we can’t talk about population growth,” said Nancy Belden of Belden Russonello and Stewart Consulting, but the results of a recent survey and several focus groups conducted in association with Americans for UNFPA demonstrate that there is great potential for engaging the environmental community in such a discussion.
Belden and Lovell were joined by Kate Sheppard from Mother Jones to discuss how the population and environment communities can come together in the lead-up to the Rio+20 UN sustainable development conference.
Besides providing a basic health commodity, empowering women through access to family planning also improves adaptation outcomes, said Lovell. “Climate change is already happening and women and families around the world are suffering from the effects of water scarcity [and] of erratic weather patterns,” she said. But “when women have the ability to plan their family size and have more choices about their families and about their reproductive health and rights, that makes it easier to adapt to those climate change effects that are already taking place.”
Resonating With Environmental Priorities
“The people who really care about the environment are generally the same people who care about access to contraception and birth control and family planning…they’re a ready audience to hear about these connections and they’re a ready audience to take action about them,” said Kate Sheppard. Reproductive rights issues are something that people can really connect with, she said; “most women, most men too…understand why it’s an important issue and they’ve understood it in their own life and they have [a] very strong response to it.”
When we approach the linkages between environment and population, said Sheppard, it is important to recognize the role of empowering language – language about access to services, education, and resources for women.
The aim of the Americans for UNFPA survey was to find out whether environmentalists can be engaged in discussions of population issues such as family planning and international voluntary contraception, and if so, how?
The results show that “environmentalists are ready to talk about population, they’re ready to listen – it’s not toxic,” said Belden. She outlined three key findings:
First, environmentalists prioritize the environment but they also give a high priority to empowering women, said Belden. “Population pressures are seen as an environmental problem…they don’t dismiss it,” yet the “strongest framework that we could come up with…for engaging people on the issues around voluntary family planning and contraception focuses on women.”
Second, the environmental community is relatively optimistic about the potential outcomes of family planning programs and of foreign aid in general. When queried, half of the environmentalists strongly supported the idea of U.S. contributions to UN programs that provide voluntary access to contraception in developing countries, said Belden.
When asked to mark their top priority among a list of possible outcomes of providing voluntary access to contraception, 47 percent of the environmentalists selected either “improving living conditions for women and their families” or “ensuring women have options and can make reproductive decisions” as their top priority. While a significant number are also concerned about stalling population growth, this integrative focus on improving the lives of women and their families is heartening, said Belden.
In the Run-Up to Rio+20, More Than Pop
One point that all three speakers stressed is the need to integrate consumption into the integrated population message. In her survey work, Belden found that “if you don’t talk about consumption in the same breath, [environmentalists] start wanting to put it in there because otherwise…this is someone blaming others.”
Lovell similarly highlighted that “if we’re working to ensure a sustainable planet for future generations to come, we have to think about consumption and population.” For instance, “the United States makes up five percent of the world’s population but consumes 25 percent of the world’s resources,” she said.
Said Sheppard: “It’s not simply a problem that the numbers of people here on the Earth are going up, it’s a problem of how people, especially here in the U.S., live.”
It is imperative – especially from a sustainable development standpoint – that while working towards integrating environment and population we remain focused on a message that includes “using less but still having a high quality of life” here at home, said Sheppard.
Event ResourcesSources: Proceedings of the National Academy of Sciences.
Photo Credit: “Timorese Traditional Home,” courtesy of United Nations Photo. -
Championing Women’s Rights and Population Issues in Kenya With the ‘Reject’
›“We find that politicians play around with [population] numbers when it comes to the common man and the common woman,” says Jane Godia in this short video interview. Godia writes for Reject, an African Woman and Child Feature Service biweekly news publication that won a Global Media Award from the Population Institute for its issue on family planning and politics in Kenya.
Godia says that politicians “use these numbers for their gain, they tell women not to use family planning because they want more children so that…they can have more voters, but nobody thinks about if this woman will be able to feed these children, if this family will be able to have their next meal, or even accommodation, or even land to till.”
The Reject’s name comes from the paper’s early practice of running stories – often about underserved groups, like women, children, and the poor – that had been rejected from mainstream publications. Population and environment issues have been highlighted since the first issue came out in September 2009, when “we were talking about families moving on to Mount Kenya…to look for pasture and water for their animals,” says Godia.
“When there’s no water and when there’s no food, people migrate,” she says. “And when people are migrating they’re moving with their animals, they’re moving with their families, and they end up going to places” that eventually become overcrowded and resource-stressed, sometimes introducing the same problems that led people to migrate in the first place. -
‘Marketplace’ and ‘NewsHour’ Highlight Population, Health, and Environment Program in the Philippines
›The Danajon reef is the only double barrier reef in the Philippines, “one of the richest marine biodiversity hot spots in the world,” and it’s being devastated as the country’s exploding population depends on its waters for their food and livelihoods, reported Sam Eaton in a recent two-part series on population, health, and environment issues in the Philippines broadcast last month for American Public Media’s Marketplace and the PBS NewsHour.
The report is part of joint project called Food for 9 Billion, with Homelands Productions, the Center for Investigative Reporting, APM, and PBS. Previous reports examined food security in East Africa and Egypt.
The Philippines “import more rice than any other country on the planet,” said Eaton. The “highest population growth rates in all of Southeast Asia” as well as dwindling natural resources – nearly 100 million people live in a land area the size of Arizona – have created a cycle of poverty. The first step to breaking that cycle, he said, is improving access to family planning.
Growing Families, Growing Poverty
The Canayong family, living on the edge of a garbage dump in a Manila slum, offers a vivid example of what poverty means in the Philippines. Clarissa Canayong has had 14 children – 4 died from measles and dengue fever, the remaining 10 spend their days alongside Clarissa, sifting through the dump for things they need and things they can sell. At the end of a good day, the family has earned around $7 to survive on. All in all, Clarissa’s “inability to provide enough food, and to pay for her children’s education, all but guarantees she and her family will remain poor,” said Eaton.
The archipelago adds about two million people every year, putting population on track to double in size sometime around 2080. “And that’s only if something is done to close the birth control gap,” said Eaton, as those projections build in an expectation that growth will slow.
“As cities all across the country expand, the displaced often end up migrating to urban slums,” he said. “Population growth among poor Filipinos is twice the national average,” meaning that once a family enters poverty, they end up in a cycle “that’s nearly impossible to break.”
The Difference Family Planning Can Make
If Clarissa had had access to family planning, she told Eaton, she would have wanted to have only two children. In Humayhumay, where residents have access to a community-based family planning distribution program started by PATH Foundation Philippines, Inc., families have that luxury of choice.
Working through local partners, the PATH Foundation identifies and trains community-based vendors to sell contraception – both pills and condoms, said Dr. Joan Castro, who began the program in Humayhumay. The idea is to make buying contraceptives “as easy as buying soft drinks or matches.”
Both Jason Bostero, a farmer and fisherman in Humayhuay, and his wife, Crisna, grew up in large families – so large, in Crisna’s case, that “sometimes, we would only eat once a day because we were so poor. We couldn’t go to school. I did not finish school because there were just so many of us,” she told Eaton.
Now that they have access to contraceptives, a smaller family size means their income is “just right” to feed everyone three times a day. For the community as a whole, smaller family sizes mean that the nearby fish stocks that provide the community with food and income have a chance to replenish themselves in the absence of overfishing.
“In just six years since the program was first established here,” reported Eaton, “family sizes have plummeted from as many as 12 children to a maximum of about 4 today.”
Exception to the Rule
Humayhumay is an exception to the rule in the Philippines. There is no state funding for birth control in the country, and over the past few years, major international donors like USAID and the United Nations have ended their family planning work in the country. More than a quarter of poor Filipinos have no access to any type of family planning service, and more than half of all pregnancies are unintended, said Eaton.
Family planning has long been a contentious issue in the country. Eaton spoke to Congressman Walden Bello, who has spent more than a decade trying to pass legislation to establish universal access to birth control and improve other family planning and reproductive services. The Catholic Church, said Bello, is a powerful (80 percent of Filipinos are Catholic) and consistent opponent. In October 2010, the Church went so far as to threaten President Benigno Aquino with excommunication after he voiced support for access to contraception.
Rather than limit population growth, the Church argues the country should increase food production. But land is limited, rice imports are already the highest in the world, and, “according to the World Bank, every major species of fish here shows signs of severe overfishing,” said Eaton.
Looking Forward and Abroad
Eaton pointed to the Philippines’ neighbors as examples to emulate: “A long history of government-supported family planning has…paved the way for Thailand to become one of the world’s biggest rice exporters” and helped to cut back poverty in the country, said Eaton.
Indonesia too, he pointed out, has largely avoided the population growth-resource depletion-poverty cycle, thanks in part to a state- and faith-backed family planning program. (As Elizabeth Leahy Madsen wrote in a recent New Security Beat post, the decision of Indonesia’s religious leaders to throw their support behind family planning in the 1960s was a key factor in success there.)
Considering the obstacles, the Philippines face an uphill battle before family planning services become similarly universal. But the political tides may already be turning: last April, the President said he would support the reproductive health legislation even if it meant excommunication.
Meanwhile, PATH Foundation’s Castro is hopeful that Humayhumay’s success story will lay the seeds for widespread public support for family planning. “The vision of the project is in this community you see more children educated who are able to become leaders and speak out for themselves in the future and be able to become stewards of their own sexuality and the future environment,” said Castro. “This is the legacy.”
Sources: BBC, Bloomberg News, Catholic News Agency, The Guardian, Population Reference Bureau, TIME Magazine, US Agency for International Development, U.S. Catholic.
