Showing posts from category community-based.
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GMHC 2010: Maternal Health Realities: Accountability and Behavior Change
›Four days ago a young woman died giving birth in a bustling marketplace in New Delhi. Just steps away from Parliament, this woman was left to die and no emergency care was sent to her – no midwives, nurses, or doctors; just people walking around her accepting the situation as normal and an uncontrollable way of life. But this is Delhi…not a remote tribal village where the nearest health clinic is hours away (on foot).
This juxtaposition lingers on in me as I sit in the plenary session of day two at the Global Maternal Health Conference and listen to Syeda Hameed, member of the Indian Parliament Planning Commission, discuss her recent visit to a remote village where every house has 10 children living in filth, flies, and emptiness.
Although I have been working on such development issues for the last five years I do not work in the field, nor do I visit the developing world on a regular basis. Hearing these stories, coupled with my firsthand experience of witnessing poverty here in Delhi reminds me of the daily reality of those 342,900 women who die every year. This is their way of life and I think it’s poignant that today’s sessions emphasize community based care, family planning, accountability, behavior change, and culture.
“Context, context, context,” said Wendy Graham of IMMPACT at yesterday’s plenary session. I agree, the context of social and cultural norms is an underlying factor that must be taken into consideration when implementing maternal and child health (MNCH) programs. With a background in psychology, I appreciated when Dr. Zulfiqar Bhutta, of Aga Khan University, recognized the toll of poverty on the imagination and the mentality of fatalism.
That is why it is so essential to “ask the people how they feel and bring their voices into the forums where policy decisions are made,” said Hameed. It is also important to hold key players accountable and include men in MNCH activities.
During the side session Male Involvement in Reproductive and Maternal and Newborn Health six field experts (in which half the panelists and audience members were men!) discussed effective methods for increasing male participation in family planning, vasectomies, gender equality, and hospital care.
The key findings from this discussion include:- Targeted interventions that educate men about danger signs and pregnancy complications correlates with behavior change and increased facility births.
- Many young married men feel pressured to prove their fertility. A sample of men was evaluated and those who had increased education and income were more likely to delay first pregnancy.
- Vasectomy is not something men want to talk about with family planning fieldworkers; however, official recognition of the vasectomy benefits by the government did increase referrals.
- Puppet and theater shows that demonstrate gender equity behaviors provide an opportunity for dialogue. Women in this study reported increased gender equity in family planning decision-making.
Originally posted at Maternal Health Task Force, by Calyn Ostrowski of the Woodrow Wilson International Center for Scholars, Coordinator of the Maternal Health Dialogue Series in partnership with the Maternal Health Task Force and UNFPA.
Photo Credit: “Parliament Street” courtesy of flickr user ~FreeBirD®~. -
Water, Power, Trash, and Security: Interview with Mishkat Al Moumin, First Iraqi Minister of the Environment
›August 31, 2010 // By Schuyler NullAs the final American combat brigade pulls out of the country, the prevailing opinion in the United States about Iraq at the moment seems to be one of “bad politics are better than no politics,” and that despite continued violence (albeit significantly lessened from 2006-2007 levels), the American mission is largely finished. However, serious challenges remain, one of the most significant being the government’s continued inability to supply basic services to a growing population.
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Interview With Wilson Center’s Maria Ivanova: Engaging Civil Society in Global Environmental Governance
›August 13, 2010 // By Russell SticklorFrom left to right, the five consecutive Executive Directors of the United Nations Environment Programme: Achim Steiner, Klaus Toepfer, Elizabeth Dowdeswell, Mostafa Tolba, and Maurice Strong, at the 2009 Global Environmental Governance Forum in Glion, Switzerland.
In the eyes of much of the world, global environmental governance remains a somewhat abstract concept, lacking a strong international institutional framework to push it forward. Slowly but surely, however, momentum has started to build behind the idea in recent years. One of the main reasons has been the growing involvement of civil society groups, which have demanded a more substantial role in the design and execution of environmental policy—and there are signs that environmental leaders at the international level are listening.
On the heels of the UN Environment Programme’s Governing Council meeting earlier this year in Bali, a call was put out to strengthen the involvement of civil society organizations in the current environmental governance reform process. To that end, UNEP is creating a Civil Society Advisory Group on International Environmental Governance, which will act as an information-sharing intermediary between civil society groups and regional and global environmental policymaking bodies over the next few years. (The application deadline has been extended; applicants interested in joining the Advisory Group should submit their materials via e-mail by Sunday, August 15, 2010—full instructions are listed at the end of this post.)
Maria Ivanova, a fellow at the Woodrow Wilson Center and director of the Global Environmental Governance Project, played a key role in ensuring civil society engagement in the contemporary political process on international environmental governance reform. Ivanova recently sat down with the New Security Beat to talk about the future prospects for global environmental governance, the Rio+20 Earth Summit in Brazil in 2012, and how to foster a more open and sustained dialogue between the worlds of environmental policymaking and academia.
New Security Beat: What are the pitfalls of a regional approach to addressing climate change and other environmental issues, as opposed to an international approach?
Maria Ivanova: Global environmental problems cannot be solved by one country or one region alone, and require a collective global response. But they can also not be addressed solely at the global level because they require action by individuals and organizations in particular geographies. The conundrum with climate change is that the countries and regions most affected are the ones least responsible for causing the problem in the first case. We cannot therefore simply substitute a national or regional response for a global action plan, as more often than not, it would be a case of “victim pays” rather than “polluter pays”—the fundamental principle of environmental policy in the United States and most other countries. Importantly, however, our global environmental institutions do not possess the requisite authority and ability to enforce agreements and sanction non-compliance.
NSB: What are some of the inherent difficulties in getting countries to see eye-to-eye and collaborate on the development of institutions for global environmental governance?
MI: The most important difficulty is perhaps the lack of trust and a common ethical paradigm accompanied by a pervasive suspicion about countries’ motives. Secondly, there is a perceived dichotomy between environment and development that has lodged in the consciousness of societies around the world. Thirdly, there’s the inability of current institutions to deliver on existing commitments. The resulting blame game feeds suspicions and restarts the whole cycle again.
NSB: Do you see the 21st century’s various environmental challenges as being a driver of international conflict or cooperation?
MI: After the fall of the Berlin Wall, it was expected that global environmental (and other) issues would be a driver for cooperation. A green dividend was expected, and the 1992 Rio Earth Summit fostered much hope. But quite the opposite happened. Global environmental challenges such as climate change, for example, have caused more conflict than cooperation. Other concerns, such as whaling and biodiversity loss, have also triggered conflicts as governments have become fiercely protective of their national sovereignty. On the other hand, civil society groups and even individuals around the world have come together in new coalitions and formed new alliances. So while at a governmental level we observe increased tension, at a civil society level, we witness unprecedented mobilization and collaboration, especially through social media. Obviously, we live in a new world.
NSB: There has been a lot of talk about bridging the gap between the academic and policy worlds—two communities that do not typically have much interaction, but likely have a lot to learn from one another. What steps do you think can be taken regarding environmental governance that might facilitate a sustained dialogue and interaction between the two sides?
MI: Many academics have thought, debated, and written about global environmental governance. Fewer have presented their analysis to policymakers and politicians. At the Global Environmental Governance (GEG) Project that I direct, we seek to bridge that gap and provide a clearinghouse of information, serving as a “brutal analyst,” and acting as an honest broker among various groups working in this field. Moreover, we are in the process of launching a collaborative initiative among the Global Environmental Governance Project, the Center for Law and Global Affairs at Arizona State University, and the Academic Council on the UN System to collect, compile, and communicate academic thinking on options for reform to the ongoing political process on international environmental governance. We are creating a Linked-In group where we hope to engage in discussions with colleagues from universities around the world with the purpose of generating ideas, developing options, and testing them with policymakers. Moreover, we are engaging with civil society beyond academia. The GEG Project is sponsoring five regional events on governance in Argentina, China, Ethiopia, Nepal, and Uganda that are taking place in August and September. Led by young environmental leaders in those countries who attended the 2009 Global Environmental Governance Forum in Glion, Switzerland, these consultations are generating genuine engagement in thought and action on governance. So, new initiatives are certainly emerging and the results could be visible by the Rio+20 conference in May 2012.
NSB: What are your expectations for Rio+20?
MI: Given that governance is a major issue on the agenda for Rio+20, my hope is that the conference will bring about a new model for global governance, which reframes the environment-development dichotomy, cultivates shared values, and fosters leadership. Indeed, I am convinced that leadership is the most important necessary condition for change. We need to encourage more bold, visionary, entrepreneurial behavior rather than conformity.
My hidden hope for Rio+20 is that it will dramatically shift the narrative and move us from sustainable development to sustainability. Sustainability builds on sustainable development but goes further than that. As a concept it allows for new thinking, new actors, and new politics. It avoids the North-South polarization of sustainable development, which is so often equated with development and is therefore understood as what the North has already attained and what the South is aspiring to. By contrast, no one society has reached sustainability, and learning by all is necessary. Moreover, much of the innovative thinking about sustainability is happening in developing countries, which are trying to improve quality of life without jeopardizing the carrying capacity of the environment. Progressive thinking is also taking place on campuses in industrialized countries, which are creating a new sense of community and collaboration. Indeed, young people around the world are engaging in finding new ways of living within the planetary limits in a responsible and fulfilling manner.
Maria Ivanova is director of the Global Environmental Governance Project, a fellow at the Woodrow Wilson International Center for Scholars, and an assistant professor of global governance at the McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston.
If you wish to nominate yourself or someone else as a candidate for the Civil Society Advisory Group on IEG, you need to submit materials to civil.society@unep.org by Sunday, August 15, 2010 (please copy info@environmentalgovernance.org). You can find the nomination form and the Terms of Reference for the group at the Global Environmental Governance Project’s website.
Photo Credit: “UNEP Leadership,” courtesy of the Global Environmental Governance Project. -
How Maternal Mortality and Morbidity Impact Economic Development
›“Investing in women and girls is the right thing to do,” says Mayra Buvinic, sector director of the World Bank’s gender and development group. “It is not only fair for gender equality, but it is smart economics.” But while it may be smart economics, many developing countries fail to address the underlying social causes that impact economic growth, such as poverty and gender inequality. Buvinic was joined by Dr. Nomonde Xundu, health attaché at the Embassy of South Africa in Washington, D.C., and Mary Ellen Stanton, senior maternal health advisor at the U.S. Agency for International Development (USAID), at the sixth meeting of the Advancing Policy Dialogue on Maternal Health Series, which addressed the economic impact of maternal mortality and provided evidence for the need for increased investment in maternal health.
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Land, Education, and Fertility in Rural Kenya
›August 10, 2010 // By Wilson Center StaffExcerpted from a summary on the Population Reference Bureau‘s website, by Karina Shreffler and F. Nii-Amoo Dodoo. The original version of this article appeared in Population and Environment 30, no. 3 (2009): 75-92.
Little is known about the role of land inheritance in the link between land availability and fertility. The recent transition from high to lower levels of fertility in some African countries presents an opportunity to clarify the underlying causes of this decline, since the individuals involved in the transitions are still alive.
Using data from focus group discussions with people whose childbearing occurred before and during the rapid and unexpected fertility decline in Nyeri District in rural Kenya, we examined the impact of diminishing land availability, farm size, and inheritance patterns on fertility decisionmaking and behavior. The results shed new light on the role of education, long considered the key determinant of fertility transition.
Our research suggests that rather than inheritance being an external factor affecting fertility behavior, parents in Nyeri District chose to educate their children after realizing they would not be able to bequeath a sufficient amount of land. Our work provides evidence of the importance of considering the influence of environmental factors on demographic processes, particularly in regions of resource dependence.
Continue reading on PRB.
For more on Kenya’s youth, see New Security Beat‘s interview with Wilson Center Scholar Margaret Wamuyu Muthee.
Photo Credit: “Olaimutiai Primary School (Maasai Land, Kenya),” courtesy of flickr user teachandlearn. -
Interview With Wilson Center Scholar Margaret Wamuyu Muthee: Envisioning a New Future for Kenya’s Next Generation
›July 29, 2010 // By Wilson Center StaffYouth in sub-Saharan Africa constitute a large and growing portion of the region’s population, yet remain underserved by family planning and reproductive health programs. New Security Beat recently interviewed Margaret Wamuyu Muthee, an Africa Program Scholar at the Woodrow Wilson Center, about this problem. Muthee is currently working on a project documenting both the opportunities and challenges for young people growing up in Kenya.
New Security Beat: How do you define youth?Margaret Wamuyu Muthee: The African Union has defined youth as every person between the ages of 15 to 35 years, while the United Nations defines youth as persons between the ages of 15 and 24. I will be concentrating on the age group defined by the African Union.
NSB: What are some opportunities and challenges facing youth in Kenya?
However, I will not only be relying on age. There are other aspects that I must take into consideration. Many children assume the roles of an adult or a care-taker when they are at an early age. Children in African nations face different challenges [compared to children in Western countries], as there are fewer opportunities for transition in Africa.MWM: This is a very important stage for exposing youth to the available support and teaching them about the social economy. Some of the difficulties lie in the lack of resources and corruption, such as misuse of funds that are provided to the government by outside sources.
NSB: Which programs are taking actions to empower youth in Kenya?
On a more positive outlook, youth are very resilient. They have a wide range of potential and capacity that can be utilized right away. African nations, just like China, have an enormous population that can be a human resource. All we have to do is positively tap into their potential to make good changes.MWM: The Youth Enterprise Development Fund (YEDF) works to increase economic opportunities for Kenyan youth in nation-building through enterprise development. YEDF also works to lower the unemployment rate and teach certain skills for future employment. One downside of this fund is that even though it provides money, it does not provide mentorship for the youth who execute the programs.
NSB: Are these programs enough to address youth challenges?
Another program is Yes Youth Can! This $45 million initiative was created by the U.S. ambassador to Kenya and USAID. The program is designed to create local and national networks of youth leaders to advocate peaceful economic and governmental reforms. The wonderful thing about this organization is that it is completely youth-driven.MWM: Sometimes these programs are seen as too small and too late. Youth are seen as violent, and these programs are made to keep them busy. Programs need to address all the facts, from start to finish.
NSB: Are there programs specifically targeted at female youth?MWM: We need programs that address pregnancies, HIV/AIDS, and education for young women. These education programs not only need to teach them about pregnancies and HIV/AIDS, but also educate women about their rights: how to say “no” and object to certain actions.
NSB: Are family planning and reproductive health incorporated into youth education?
However, there are complications when it comes to female rights. There are sexual offense laws that females do not even know about. The implementation of these laws can be non-existent. Either the police system is flawed or accessing lawyers is too expensive for females. And even if a lawyer is hired, the rapist can pay off a judge, so the judge will not convict him.MWM: There are already reproductive health campaigns in Kenya. One example is the ABC program: Abstinence, Be faithful, Condom use. Everyone these days, in rural and urban environments, knows about HIV/AIDS. There needs to be more programs regarding family planning and health; there is only a limited amount of knowledge getting passed around about those two issues.
Margaret Wamuyu Muthee is the Programs Manager for Kenya’s University of Nairobi Center for Human Rights and Peace, and a current scholar in the Woodrow Wilson Center’s Africa Program.
There is a new proposed Kenyan constitution that bans abortion unless a doctor permits the abortion due to health reasons, or if the mother’s health is in critical danger. Many females die because they cannot legally get an abortion and try to abort their baby on their own, or accept services from a backstreet clinic.
We also have cultural practices that put up barriers to the spread of family planning and health. One such example is the practice of early female marriages. Girls as young as 10 years old will be forced to marry a much older man. These girls have not had proper education on reproductive health or family planning.
In addition, adults are still too shy to address youth that are having sex, and are embarrassed to talk about their health if they have HIV/AIDS. We need to educate more youth and provide the means for them to live safer lives.
Josephine Kim and Marie Hokenson are cadets at the United States Military Academy at West Point and interns with the Woodrow Wilson Center’s Environmental Change and Security Program.
Photo Credit: “The Mentees and their mentors,” used courtesy of flickr user The Advocacy Project. -
Drug Barons, Poachers, Ranchers, Oh My! Guatemala’s Forests Under Siege
›July 29, 2010 // By Kayly OberLast week, the New York Times ran an article about the many threats converging on Guatemala’s Maya Biosphere Reserve. “There’s traffickers, cattle ranchers, loggers, poachers and looters,” Richard D. Hansen, an American archaeologist, told NYT. “All the bad guys are lined up to destroy the reserve. You can’t imagine the devastation that is happening.”
Eric Olson, senior associate of the Mexico Institute at the Woodrow Wilson Center, agrees that drug trafficking is a major problem in the Petén, a region of northern Guatemala that lies within the Biosphere. “Petén’s isolation has made it possible for the biodiversity of the area to survive and thrive during periods of great social turmoil, especially in the 1980s,” Olson told the New Security Beat. “However, the isolation also makes it an ideal place for drug traffickers to move their illegal product northward.”
According to NYT, peasant squatters in search of farmland constitute an additional threat because they “often become pawns of the drug lords,” and, in some instances, “function as an advance guard for the drug dealers, preventing the authorities from entering, warning of intrusions, and clearing land that the drug gangs ultimately take over.”
Plus, the situation seems poised to worsen. According to a UNESCO report, Petén’s population has surged from 25,000 during the 1970s to upwards of 500,000 today. This growth, coupled with an attendant rise in subsistence farming, has had significant environmental impacts across the region.
Population Growth in Protected Areas
“Population has a huge impact on Guatemala’s ecological diversity,” David López-Carr, an associate professor in the University of California-Santa Barbara’s Geography Department, wrote in an e-mail to the New Security Beat. Most striking, according to López-Carr, are total fertility rates in rural areas, which remain “over 5 and much higher still – higher than 6 – in the most remote rural areas where ecological diversity is highest.”
Despite the fact that most migrants move to Guatemala City, smaller cities, or the United States, López-Carr wrote that the “tiny fraction (probably under 5%) that move to remote rural areas have a major impact on biodiversity and forest conversion.” López-Carr pointed out that “in core conservation areas of the Maya Biosphere Reserve, in-migration has swelled the population in some regions by nearly 10% annually during the past two decades.”
At a 2008 meeting at the Woodrow Wilson Center, professors Justin Brashares and George Wittemyer said three factors drive population growth near protected areas in Africa and Latin America: 1) more money for parks (as measured by protected-area funds from the Global Environment Facility); 2) more park employees; and 3) more deforestation on the edges of protected areas.
To avoid population pitfalls, Guatemala’s President Alvaro Colom should take this research into account before putting his “Cuatro Balam” eco-tourism plan into action. The initiative—named for the four main figures in the Mayan creation myth—seeks to divide the reserve into an archaeological park in the north and an agricultural zone in the south, while setting up a Maya studies center for scholars and installing an $8 million electric mini-train to shuttle tourists through the reserve.
The Perils of “Pristine Conservation”
While President Colom’s plan is certainly ambitious, communities in Petén are cautious. They see Cuatro Balam as a continuation of earlier government-funded projects, where “pristine conservation” – oft-touted by large conservation organizations – prohibited human interaction with the forests and limited socioeconomic opportunities for local populations.
Liza Grandia, an anthropology professor at Clark University who has lived and worked in the Peten region, points out in Conservation and Society that “primary” or “pristine” forests flagged as biological hotspots by these conservation organizations are likely remnants of ancient Mayan agroforestry. However, Mayan descendents are not allowed to live within nor manage these areas.
Instead, stewardship of many federal parks is delegated to large conservation outfits or the government. But Rosa Maria Chan, director of ProPeten, a community-based environmental organization, wrote in an e-mail to the New Security Beat that “the environment is not always the government’s priority,” adding that “development” normally signifies large infrastructure projects, instead of smaller-scale ideas that would better address human development.
The Benefits of Community-Based Conservation
One successful local project is the Association of the Forest Community of Péten (ACOFOP), a community-based association made up of 23 indigenous and farming organizations. Under ACOFOP’s direction, uncontrolled settlement in the biosphere reserve has been stopped, communities have ceased the conventional slash-and-burn practices, and forest fires have virtually ceased in community-managed areas. ACOFOP’s projects have also created jobs in local communities, where the beneficiaries re-invest their earnings into collective infrastructure.
In the mid-1990s/early 2000s, ProPeten’s Remedios I and II programs, funded mainly by USAID, used radio soap operas and mobile theaters to educate residents about conservation, reproductive health, nutrition, and sustainable agriculture. Underlying these programs’ success was an unprecedented survey that gathered data on the rapidly changing population-environment dynamics in this frontier region.
Grandia, who served as head of ProPeten’s board of directors from 2003-2005, writes in 2004 Wilson Center article that “the integrated DHS [Demographic and Health Survey] has been a critical part of developing…programs linking health and population with the environment,” which lowered Petén’s total fertility rate from 6.8 to 5.8 children per woman in just four years. Plans are underway to include a similar environmental module in the next DHS survey.
Although the fate of Guatemala’s forests is subject to many outside forces, from the government’s development plans to the cartel’s smuggling operations, small-scale, community-based programs may have the best shot at transforming the drivers of deforestation into sustainable, economic development opportunities.
Photo Credit: “Keel-billed Toucan at Tikal National Park, Guatemala,” courtesy of flickr user jerryoldenettel. -
WomanStats Maps Gender-Linked Security Issues
›The WomanStats Project has published an array of maps depicting the challenges and conditions facing women worldwide today. The maps, which serve as a visual representation of the project’s database, cover gender-linked security issues such as: son preference and sex ratio, physical security, inequity in family law, human trafficking, polygamy, maternal mortality, discrepancy in education, government participation, intermingling between the sexes in public, and required dress codes.These maps help researchers visually see correlations between two or more map themes. For example, Women’s Physical Security is moderately correlated to fertility rate, while Sex Ratio/Son Preference is not highly correlated to any other measures tested, such as women in the labor force, democracy, political rights, and economic rights. In addition to maps, the WomanStats Project’s database was used to create graphs that compare the scale values of Physical Security Clusters and Son Preference/Sex Ratio Distributions to the number of countries the scale level affected.
Some of the maps would benefit from additional functionality. For example, the “Women’s Physical Security” map broadly categorizes states based on high, medium, and low levels of security, but the legend is not linked to the definitions of these classifications. Another useful addition would be data tables that rank the countries for each theme. Such enhancements would better enable the viewer to perform empirical and spatial analysis of the status of women.
Overall, the WomanStats Project maps offer the viewer engaging visual depictions of how women’s lives vary across the world, and how countries compare to each other in terms of women’s security.
Josephine Kim is a cadet at the United States Military Academy at West Point and an intern with the Woodrow Wilson Center’s Environmental Change and Security Program.
Map and graph used courtesy of the WomanStats Project.
