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Watch: Dr. Vik Mohan on Integrating Family Planning and Conservation in Madagascar
›The integration of population, health, and environment programming “enables us to create synergies that mean we are more effective at achieving both health and conservation goals,” said Dr. Vik Mohan, director of sexual and reproductive health programming for Blue Ventures, in an interview with ECSP at the 2011 International Conference on Family Planning.
After Blue Ventures established their first clinic in 2007 in the village of Andavadoaka, on Madagascar’s southwest coast, “we felt immense pressure to scale up our intervention,” said Mohan. “We started with one clinic in one village, and now we have a multi-site service covering all 40 villages that we partner with for our community-based conservation work,” he said.
According to data compiled by Blue Ventures, the average total fertility rate in the region is 6.7 children per woman. The London-based eco-tourism-turned health and environment NGO offers a variety of family planning services to meet local demand, including mobile outreach clinics and community-based distribution of contraceptives. They also partner with Marie Stopes International to offer long-acting and permanent methods of contraception for those that want it.
“This Model Can Be Taken to Scale”
By integrating conservation and reproductive health messaging and service delivery, “we are getting greater buy-in from the community because they all see the added value of the breadth of things that we offer them,” Mohan said. “Men who came to hear about fisheries management get to hear about family planning technologies, practically for the first time in their lives.”
The fishermen are able to see the links between food security and population growth through their own experience, he added. “We believe very passionately this model can be taken to scale,” Mohan said. “This is something that could be easily replicated in other regions. Definitely in other coastal regions, but almost certainly in other remote areas – perhaps areas of high biodiversity where there are existing projects, perhaps conservation projects – but where there is an unmet need for healthcare and family planning in particular.”
“My advice to other organizations, whether you are doing healthcare or whether you are doing conservation, is just think holistically,” said Mohan. “If you are a conservation organization that recognizes that there is an unmet healthcare need for the communities that you work with, then…don’t be afraid to ask those questions, and don’t be afraid to build capacity to meet the need, if you find one. Or, don’t be afraid to partner with health NGOs to enable that need to be met.”
For more on Blue Ventures’ integrated efforts, see also ECSP FOCUS Issue 23, “To Live With the Sea: Reproductive Health Care and Marine Conservation in Madagascar,” co-authored by Vik Mohan. -
Susanna Murley for The Huffington Post
Compromise Is Hard: The Problems and Promise of REDD+
›December 6, 2011 // By Wilson Center StaffThe original version of this article, by Susanna Murley, appeared on The Huffington Post.
In Durban this week delegates from around the world are examining the options to mitigate carbon emissions. What looks like the best chance for progress? REDD+ (for Reduced Emissions from Deforestation and Degradation, plus co-benefits – like conservation, sustainable management of forests, and enhancement of forest carbon stocks). REDD+ has been seen as a potentially powerful solution to solve both poverty and deforestation – in one fell swoop.
How does it work? Essentially, these programs would be funded by developed nations to help pay for community forestry projects in developing countries, if the communities can demonstrate – with verifiable data – that their efforts are saving forests that would have been destroyed or if they are planting trees that would permanently sequester carbon.
Will this work? Many other systems have tried and failed to reduce deforestation. In Indonesia, where an area of forest about the size of Nevada has been destroyed since 1990, activists have participated in demonstrations, legal actions, blockades and destruction of property to protest timber production. Many international NGOs have joined them in their campaigns against the forestry practices in Indonesia, releasing report after report on the “State of the Forest.” The World Bank and the International Monetary Fund have attempted to regulate forestry as conditions of their loans. None of it worked, and Indonesia continues to see massive amounts of illegal logging and deforestation.
Continue reading on The Huffington Post.
Sources: Center for International Forestry Research, Gellert (2010), MongaBay.com
Photo Credit: “Oil palm plantation,” courtesy of flickr user CIFOR (Ryan Woo). -
The Yasuní-ITT Initiative Is a Practical Climate Solution That Must Be Embraced at Durban
›As the world turns to Durban, South Africa, for this year’s UN climate summit, new findings are turning up the heat on the urgency to address climate change. The reality though is that we no longer have the luxury of resting our hopes solely on an internationally binding climate agreement; we must begin to look more closely at supporting immediate and tangible solutions. By complementing a global top-down effort of continued international negotiations with bottom-up approaches, we increase our chances at mitigating the most damaging effects of climate change. One of the most innovative models of such a bottom-up approach is the Yasuní-ITT Initiative being undertaken by the Government of Ecuador and supported by the UN Development Programme’s Multi-Partner Trust Fund Office (MPTF Office).
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Healthy People, Healthy Ecosystems: Results From a Public-Private Partnership
›“A lot of people probably don’t think that an organization with a name like ‘World Wildlife Fund’ would have a program on population, health, and the environment,” said WWF’s Tom Dillon at the Wilson Center, but actually it is very natural. “Most of the people we work with are in rural areas, and they depend on their natural resources for their own livelihoods and for their own well-being. Of course, if you are in that situation, in order to be a steward of the environment, you’ve got to have the basics. You have got to have your own health.”
Dillon was joined by staff from WWF, as well as Scott Radloff, director of USAID’s Office of Population and Reproductive Health, and Conrad Person, director of corporate contributions at Johnson & Johnson, to talk about the results of a three-year partnership between USAID, WWF, and Johnson & Johnson. The joint effort, a formal Global Development Alliance, provided health and family planning services, clean water, and sanitation to communities in three of WWF’s priority conservation landscapes: The Salonga National Park in the Democratic Republic of Congo (DRC), the Lamu Archipelago in Kenya, and the Terai Arch Landscape in Nepal.
By creating an innovative public-private partnership that linked health objectives, particularly related to family planning and maternal and child health, to environmental and conservation activities, “this alliance was ahead of its time,” said Radloff.
Human Health Linked to Environmental Health
The project had four objectives, said Terri Lukas, WWF’s population, health, and environment (PHE) program manager: improve family health; reduce barriers to family planning and reproductive health services; improve community management of natural resources and habitat conservation; and document and promote successful approaches.
“Human health cannot be separated from environmental health anywhere,” Lukas said, “but most especially when we are working with very poor people who live very close to nature.”
Projects Provide Integrated Services
The Salonga National Park in the DRC is home to many endangered species, including the bonobo, one of the four great apes. Local communities are very isolated, and lack access to safe drinking water and sustainable livelihoods, as well as basic health and family planning services, according to Lukas. The PHE project was able to train 135 voluntary community health workers in family planning and maternal and child health care, including 55 women. One year after the training, health workers were distributing contraception to more than 300 new users per month, Lukas said.
The alliance has also integrated health and family planning services into conservation programs in Kenya’s Kiunga Marine National Reserve, in part, “to demonstrate to the people that we care about them as well as the environment, and also to show them the synergies that exist between the health issue and the environment issue,” said WWF Program Coordinator Bahati Mburah. The region has been suffering through a year-and-a-half-long drought, and has one of the highest population growth rates in east Africa, placing considerable pressure on natural resources.
“We talk to [the fisher folk] about health and family planning, and how they are related to the management of fisheries,” said Mburah. With improved transportation and mobile outreach services provided by the project, 97 percent of women are now able to access family planning services within two hours of their home, she said.
The third site is in the Terai region along the southern border of Nepal. In this lowland region, the alliance is attempting to safeguard and restore forest areas in order to allow wildlife to move and breed more freely, while at the same time improving the health and economic prospects of the people. By linking these goals, support for conservation efforts increased from 59 percent to 94 percent of households, with 85 percent attributing positive attitude changes to increased access to health services and safe drinking water, according to Bhaskar Bhattarai, project coordinator for WWF-Nepal.
Documenting and Promoting Successful Approaches
Cara Honzak, WWF’s senior technical advisor on population, health, and environment, said the global objective of the alliance was to document and promote successful PHE approaches. Comprehensive baseline and endline surveys provided critical evidence that integrated PHE programming increases family planning use in remote areas, improves conservation buy-in within communities, and leads to increased participation of women in community leadership and decision-making.
“We have played a key role in producing some of the evidence that has been used throughout Washington [D.C.], especially to provide information to government bodies that are making decisions about bringing more money into family planning, health, and particularly in the environmental sector,” said Honzak.
“After two decades in the field, and working in this area, I wasn’t expecting many surprises. I couldn’t have been more wrong,” Lukas said. “These three years have changed almost everything about the way I now view health development…I have long called myself a conservationist, but now I say to my international health colleagues: we are all conservationists, and if we aren’t, we should be.”
Event Resources- Bhaskar Bhattarai presentation
- Cara Honzak presentation
- Terri Lukas presentation
- Bahati Mburah presentation
- Photo gallery
- Video
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Watch: Gidon Bromberg Gives an Update on Jordan River Rehabilitation Efforts
›October 27, 2011 // By Kate DiamondGidon Bromberg, co-director of Friends of the Earth Middle East (FOEME), says in this short interview with ECSP that his outlook on rehabilitating the Jordan River has changed completely over the last five years. We had been “laughed at” for trying to restore the waterway, he said; now though, “we are very confident that the Jordan River south of the Galilee down to the Dead Sea will be rehabilitated.”
By building a cross-border peace park and encouraging collaboration between Israelis, Palestinians, and Jordanians on water scarcity and quality issues, FOEME aims to improve environmental and security problems that bind the three groups together.
The Jordan River has become so polluted that visitors, many of whom are devout Christians making a pilgrimage to one of the religion’s most sacred sites, have been barred from its waters due to health concerns. Furthermore, more than 98 percent of its fresh water is diverted for agricultural work, meaning that the pollutants that end up in the river are highly concentrated.
But today, Bromberg said, sewerage is being removed on both the Israeli and Jordanian sides and there is a commitment to do the same from the Palestinians. For the first time in 60 years, there are concrete plans to return fresh water to a river that is “so holy to half of humanity.”
Sources: The Age, Friends of the Earth Middle East, The Guardian, U.S. Environmental Protection Agency -
Robert Draper, National Geographic
People and Wildlife Compete in East Africa’s Albertine Rift
›The original version of this article, by Robert Draper, appeared on National Geographic.
The mwami remembers when he was a king of sorts. His judgment was sovereign, his power unassailable. Since 1954 he, like his father and grandfather before him, has been the head of the Bashali chiefdom in the Masisi District, an undulating pastoral region in eastern Democratic Republic of the Congo (DRC). Though his name is Sylvestre Bashali Mokoto, the other chiefs address him as simply doyen – seniormost. For much of his adult life, the mwami received newcomers to his district. They brought him livestock or other gifts. He in turn parceled out land as he saw fit.
Today the chief sits on a dirty couch in a squalid hovel in Goma, a Congolese city several hours south of Masisi. His domain is now the epicenter of a humanitarian crisis that has lasted for more than a decade yet has largely eluded the world’s attention. Eastern Congo has been overtaken by thousands of Tutsi and Hutu and Hunde fighting over what they claim is their lawful property, by militias aiming to acquire land by force, by cattlemen searching for less cluttered pastures, by hordes of refugees from all over this fertile and dangerously overpopulated region of East Africa seeking somewhere, anywhere, to eke out a living. Some years ago a member of a rebel army seized the mwami’s 200-acre estate, forcing him, humiliated and fearing for his safety, to retreat to this shack in Goma.
The city is a hornet’s nest. As recently as two decades ago Goma’s population was perhaps 50,000. Now it is at least 20 times that number. Armed males in uniform stalk its raggedy, unlit streets with no one to answer to. Streaming out of the outlying forests and into the city market is a 24/7 procession of people ferrying immense sacks of charcoal on bicycles or wooden, scooter-like chukudus. North of the city limits seethes Nyiragongo volcano, which last erupted in 2002, when its lava roared through town and wiped out Goma’s commercial district. At the city’s southern edge lies the silver cauldron of Lake Kivu – so choked with carbon dioxide and methane that some scientists predict a gas eruption in the lake could one day kill everyone in and around Goma.
The mwami, like so many far less privileged people, has run out of options. His stare is one of regal aloofness. Yet despite his cuff links and trimmed gray beard, he is not a chief here in Goma. He is only Sylvestre Mokoto, a man swept into the hornet’s nest, with no land left for him to parcel out. As his guest, a journalist from the West, I have brought no gifts, only demeaning questions. “Yes, of course my power has been affected greatly,” the mwami snaps at me. “When others back up their claims with guns, there is nothing I can do.”
Continue reading on National Geographic.
Photo Credit: “Aerial View of Goma,” courtesy of UN Photo/Marie Frechon. -
Watch: Scott Wallace on the Amazon’s Last Uncontacted Tribes and the Intersection Between Human Rights and Conservation
›October 19, 2011 // By Wilson Center StaffIn the far west of the Amazon, some of the last uncontacted indigenous tribes on Earth live untouched by modern society. Scott Wallace, frequent contributor to National Geographic and former public policy scholar at the Wilson Center, spoke to New Security Beat about his new book, The Unconquered: In Search of the Amazon’s Last Uncontacted Tribes, which chronicles his harrowing trip through the Javari Valley Indigenous Land. Wallace accompanies former sertanista (“agent of contact”)-turned-native rights advocate Sydney Possuelo as he attempts to map and protect the territory of the flecheiros, or Arrow People, named for the poison-tipped arrows they use.
The Brazilian government and activists are trying to protect the areas where these native groups live and allow them to choose for themselves if they want contact. “It’s not that hard to find us,” Wallace said. For the moment, however, “it’s clear that they do not want that contact.”
By protecting these people, the government is also protecting thousands, if not millions, of acres of virgin rainforest, said Wallace, creating a mutually beneficial intersection between human rights and environmental conservation.
“The assumption is that there is now a global village, everyone’s connected…no one of us is separated from anyone else on the planet by more than six degrees of separation,” said Wallace. But that assumption breaks down in the face of these people who live in complete isolation from the rest of the world.
We have to decide whether to leave them alone and let them live their lives or try to make lasting contact, said Wallace. Contact would open up the tribe’s land and resources to development but come at great risk to their society, their lives (due to vulnerability to disease), and the Amazonian ecosystem, as the example of India’s Adavasi tribes demonstrates. -
Health and Harmony: Population, Health, and Environment in Indonesia
›Borneo’s Gunung Palung National Park is a microcosm of both the island’s ecological wealth and vulnerability. More than half of the park is undisturbed forest; the remainder, however, “is being torn down day after day” at an alarming rate, said Health in Harmony’s Nichol Simpson at an event on integrated approaches to population, health, and environment (PHE) programs in Indonesia. Alene Gelbard of the Public Health Institute’s Company-Community Partnerships for Health Indonesia (CCPHI) program joined Simpson on September 29 at the Wilson Center. Both speakers emphasized that no matter what issue a group works on, engaging local communities is essential for success.
The Destructive Cycle: Poor Health, Poor Environment
For Simpson, “the intersection between human and environmental health” is at the heart of Health in Harmony’s work. Health in Harmony opened Clinic ASRI in 2007, aiming to provide improved healthcare to villagers throughout Gunung Palung National Park while ending their dependence on illegal logging as a means of financial survival.
The area’s inhabitants were all too easily trapped in what Simpson called “the destructive cycle.” When faced by an unexpected medical emergency, families would go into debt to pay their medical bills. Health in Harmony found that of 232 local households surveyed, 13 percent had recently experienced a major medical emergency, at an average cost of $360. Most households in the area only hold around $260 in emergency savings, so to make up the difference, about a third turned to illegal logging to pay down their debt.
By deforesting the park, illegal logging worsens the health of nearby communities. For example, Simpson said that Clinic ASRI has seen a rise in cases of malaria and tuberculosis in the surrounding communities, in part because deforestation has increased the level of mosquito activity. The link between human and environmental health is clear, said Simpson: the people ASRI serves are “living it every day. They know the cause of this. And…they want it to stop.”
Protecting Natural Resources By Improving Health
The Health in Harmony clinic located in Sukadana, a small village sandwiched between Borneo’s coast and Gunung Palung Park, helps break the destructive cycle by treating patients regardless of their ability to pay. If patients do not have cash, they can barter for their care. In one case, a girl named Yani came to ASRI after her family incurred $500 over two months of visiting hospitals and traditional healers, none of whom could treat her condition. ASRI diagnosed and treated Yani for scabies. In exchange, her mother signed a pledge to protect Gunung Palung from logging and made the clinic a floor mat to cover the $1.50 bill.
By providing affordable, high-quality healthcare that is contingent upon pledging to protect the environment, Clinic ASRI improves human and environmental health in one fell swoop, said Simpson. “Because the infant mortality rate has decreased and you’re not overcompensating,” said Simpson, families can choose to have fewer children, using free birth control provided by ASRI.
“When you have fewer and healthier children, you’re investing in your education,” said Simpson. “When you’re investing in your education, you’re investing in your country and your community. This is the virtuous cycle. I didn’t invent it, but we are proving it in Sukadana.”
The communities around the clinic have embraced ASRI’s work, partnering with them to expand their services to address additional community needs, like training farmers in more productive organic methods and providing mated pairs of goats for widows, who pay ASRI back with kid goats and manure for fertilizer.
All but one of the 23 villages that ASRI services have been consistently free of illegal logging, according to monitors who visit them on a regular basis. “We’re proving the theory that we can protect natural resources by improving health,” Simpson said.
“Health Is Key to Sustainable Development”
Gelbard took a step back to talk about CCPHI’s experience establishing multi-sector partnerships among NGOs and corporations by building trust and enabling dialogue between the communities.
With corporate responsibility becoming more popular, “everyone’s talking about partnerships these days, and everybody’s partnering with everyone,” said Gelbard. “I don’t care what they call it – I care what they’re doing” and what results they achieve, she said. A successful partnership involves “all partners doing something more than just giving money.”
Gelbard said the 2004 tsunami reinforced the notion of corporate responsibility for a lot of companies operating in Indonesia. They saw that unless they branched out beyond their own walls and “did things to help strengthen communities,” efforts at corporate responsibility simply “would not benefit them in the long-run,” she said.
Through CCPHI, companies and NGOs have partnered on a wide range of efforts, including improving access to and funding for reproductive health services, improving sanitation by increasing access to water, and combating human trafficking by empowering girls and women.
Achieving the Millennium Development Goals will require increasing access to health care in a manner that reflects the needs of communities, she said. At its core, CCPHI’s work and the partnerships it facilitates are “based on the knowledge that health is key to sustainable development,” said Gelbard.
Event Resources
Sources: Alam Sehat Lestari, American Journal of Tropical Medicine and Hygiene, Company-Community Partnerships for Health Indonesia, ExxonMobil, The Guardian, Health in Harmony, National Geographic, PBS News Hour, Public Health Institute, Republic of Indonesia Ministry of Forestry, United Nations, World Wildlife Fund
Photo Credit: Used with permission courtesy of ASRI and Nikki See, Under-told Stories.
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