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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. -
Watch: Dennis Taenzler on Four Key Steps for REDD+ to Avoid Becoming a Source of Conflict
›The UN Program on Reducing Emissions from Deforestation and Forest Degradation (REDD) provides financial incentives to developing countries to conserve their forests and invest in low-carbon pathways to sustainable development. However, it may also be a potential new source of conflict, says Dennis Taenzler, a senior project manager at adelphi in Berlin, who works on climate and energy policies as well as peace and conflict issues.
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Remembrance: Wangari Maathai, Nobel Peace Prize Winner, Linked Environment and Conflict
›September 26, 2011 // By Schuyler NullSad news today as Wangari Maathai, the first African woman and the first environmentalist to win the Nobel Peace Prize, has passed away in Nairobi. The Green Belt Movement, which Maathai founded in 1977, has planted over 30 million trees and advocates for what Maathai called the three essential components of a stable society: sustainable environmental management, democratic governance, and a culture of peace. [Video Below]
“Almost every conflict in Africa you can point at has something to do with competition over resources in an environment,” said Maathai during her visit to the Wilson Center in 2009:Unless you deal with the cause, you are wasting your time. You can use all the money you want for all the years you want; you will not solve the problem, because you are dealing with a symptom. So we need to go outside that box and deal with development in a holistic way.
Maathai’s message was molded from her experiences in Kenya and across sub-Saharan Africa in general. She was not shy about condemning African leaders and advocating for women in the political space. In ECSP Report 12, she wrote, “I come from a continent that has known many conflicts for a long time. Many of them are glaringly due to bad governance, unwillingness to share resources more equitably, selfishness, and a failure to promote cultures of peace.”
Importantly, though, Maathai advocated for addressing these issues in concert, not separately. She said at the Wilson Center:I can’t say, ‘Let us deal with governance this time, and don’t worry about the resources.’ Or, ‘Don’t worry about peace today, or conflicts that are going on; let us worry about management of resources.’ I saw that it was very, very important to use the tree-planting as an entry point.
A Message to the World
Some raised questions when Maathai won the Nobel Peace Prize in 2004 – the first awarded to someone from the environmental field – but the recognition was more than deserved, wrote Environmental Change and Security Program (ECSP) Director Geoff Dabelko on Grist:Maathai is on the front lines of the struggle over natural resources that fuels conflicts across the world. While there is no dramatic footage of tanks rumbling across borders or airplanes flying into buildings, the everyday fight for survival of those who depend directly on natural resources – forests, water, minerals – for their livelihoods is at the heart of the battle for peace and human security.
Maathai explained in Report 12 that she thought her winning of the prize was intended as a message to the world to “rethink peace and security.”
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Elevating such a strong Southern voice – and one whose elephant’s skin bears the scars of the fight for peace – is a noble choice.
The Nobel Committee “wanted to challenge the world to discover the close linkage between good governance, sustainable management of resources, and peace,” she wrote. “In managing our resources, we need to realize that they are limited and need to be managed more sustainably, responsibly, and accountably.”
Sources: Grist, The New York Times.
Photo Credit: David Hawxhurst/Wilson Center. -
IRP and TIME Collaborate on Indonesia’s Palm Oil Dilemma
›“Everything the company does goes against my conscience. But the question remains, who should work from the inside to inform everyone? Who should be pushing that these things are right, these things are acceptable, and these things are not?” says Victor Terran, in this video by Jacob Templin for TIME and the International Reporting Project (IRP). Templin traveled to Indonesia as part of IRP’s Gatekeeper Editor program in May 2011.
Terran is a resident of a village west of Borneo in the Kalimatan province, where he works as a field supervisor for one of the largest palm oil companies in Indonesia. Although the industry has supplied his village with much-needed employment and economic development, he worries that the influx of jobs has come at the expense of the health of the forests, agriculture, and clean rivers that sustain his village. “It’s not just about the money,” he says. “Will they sincerely keep the regulations and be fair to our community?”
An Industry with a Checkered Past
Terran’s skepticism of the industry is justified – palm companies, such as Sinar Mas, have a nasty track record of “abusing local labor and pilfering forests” for what they call “liquid gold,” says Templin.
Greenpeace released a report, “How Sinar Mas is Pulping the Planet,” in 2010 that alleged that Sinar Mas cut down important wildlife preserves, illegally planted on peat lands, and that these actions resulted in the release of considerable amounts of carbon into the atmosphere and loss of critical wildlife habitat.
As a result, the company lost major contracts with Unilever, Kraft, and Nestle. Sinar Mas CEO Franky Widjaya tells Templin that the company is taking definitive steps to prevent such instances from happening again, but that change will not happen overnight.
Akhir bin Man, a manager for another palm oil company, PT Kal, says he does not want to experience a public relations nightmare similar to Sinar Mas, so his company is seeking certification from the internationally recognized Roundtable on Sustainable Palm Oil (RSPO). The RSPO certification requires PT Kal to conserve nearly half of its land, use safer pesticides, and negotiate profit-sharing agreements with villagers.
Global Benefits
“These are not only vast forest landscapes which are home to species such as orangutans, elephants, and rhinos, but they’re also some of the globally most important reservoirs of carbon,” Adam Tomasek, director of the WWF Heart of Borneo Initiative, tells Templin.
Due to the wide-scale implications of disrupting such a substantial carbon sink, Tomasek and his colleagues see the destruction of these habitats as not just a local problem: “Sustainably managing the forest and carbon stocks that they contain here in Indonesia is not only important locally, not only important regionally, but an extremely important critical in the global approach to dealing with climate change,” he says.
Resisting the Juggernaut
Recognizing the inherent value of their natural resources, some villages are fighting to keep palm companies off of their land. Pak Bastarian is the head of such a village: “In my opinion, [palm] plantations are only owned by certain groups of people, and they don’t necessarily bring prosperity,” he tells Templin.
Bastarian is a reformed environmentalist whose hesitance toward the palm industry is a by-product of his own experiences – in the 1990s he worked for years running a timber company that illegally cut down trees. “I don’t know how many trees I cut down…a countless number.” Now, he uses his elected power to preserve trees like the ones he once cut down.
However, keeping the companies out of his village is an uphill battle, Templin explains. Bastarian says he faces mounting pressure from governmental officials, who make threats, and many villagers, who would rather have the jobs. He tells Templin that he even received bribes from PT Kal (an accusation they deny).
Bastarian’s position may cost him though – with elections right around the corner, he said does not know how much longer he can keep the palm companies out.
“My worry is that if our forests are cleared, our children will not be able to see what protected wood looks like, or what protected animals look like,” he tells Templin. When the palm oil companies first came, he chose to wait and see how the other villages fared before allowing them to come in. “To this day,” he says, “I’ve never changed my mind.”
Video Credit: “Indonesia’s Palm Oil Dilemma: To Cash In or Fight for the Forests?,” courtesy of the International Reporting Project. -
Backdraft: Minimizing Conflict in Climate Change Responses
›“What are the conflicts or risks associated with response to climate change?” asked ECSP Director Geoff Dabelko at the Wilson Center on July 18. “How we respond to climate change may or may not contribute to conflict,” he said, but “at the end of the day, we need to do no harm.”
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Nepal to East Africa: Population, Health, and Environment Programs Compared
›“Practice, Harvest and Exchange: Exploring and Mapping the Global, Health, Environment (PHE) Network of Practice,” by the University of Rhode Island’s Coastal Resources Institute and the USAID-supported BALANCED Project, explores the successes and challenges of their global population, health, and environment (PHE) network (with a heavy presence in East Africa). In order to increase support of the nascent PHE approach, the network seeks to shorten the “collaborative distance” between “PHE champions,” so they can develop a stronger body of evidence for the links between population, health, and the environment. In their analysis, the authors write that the network has facilitated the development of independent, information-sharing relationships between “champions.” However, they also observed shortfalls in the network, such as its limited reach into less technologically advanced yet more biodiverse regions, its bias toward BALANCED meet-up event participants, and its exclusion of those experts unlikely to be included in published works.
In “Linking Population, Health, and the Environment: An Overview of Integrated Programs and a Case Study in Nepal” from the Mount Sinai Journal of Medicine, Sigrid Hahn, Natasha Anandaraja, and Leona D’Agnes provide both a broad survey of the structure and content of programs using the PHE method and an in-depth case study of a successful initiative in Nepal. Hahn et al. praise the Nepalese program for simultaneously addressing deforestation from fuel-wood harvesting, indoor air pollution from wood fires, acute respiratory infections related to smoke inhalation, as well as family planning in Nepal’s densely populated forest corridors. “The population, health, and environment approach can be an effective method for achieving sustainable development and meeting both conservation and health objectives,” the authors conclude. In particular, one benefit of cross-sectoral natural resource and development programs is the inclusion of men and adolescent boys typically overlooked by strictly family planning programs. -
Scott Wallace, National Geographic
A Death Foretold
›June 23, 2011 // By Wilson Center StaffThe original version of this article, by Scott Wallace, appeared on National Geographic News Watch.
Late last month the Brazilian Congress passed a bill that if it becomes law would ease restrictions on rain-forest clearing and make it easier than ever to mow down the Amazon. That same day, 800 miles north of the parliamentary chamber in Brasilia, assailants ambushed and killed a married couple whose opposition to environmental crimes had placed them in the crosshairs of those who most stand to gain from the new legislation.
It’s a nauseatingly familiar story. Over the past 20 years, there have been more than 1,200 murders related to land conflict in Brazil’s Amazon region. Most of the victims, like the married activists Zé Claudio Ribeiro and Maria do Espírito Santo, were defenders of the rain forest – people seeking sustainable alternatives to the plunder-for-profit schemes that characterize much of what passes for “development” in the Amazon.
The state of Pará – where Zé Claudio and Maria were ambushed on their motorbike as they crossed a rickety bridge – holds an especially notorious reputation for environmental destruction and organized violence. Pará is the bloodiest state in Brazil, accounting for nearly half of all land-related deaths in recent decades. It sprawls across an area larger than the states of Texas, Oklahoma, and New Mexico combined. Picture a tropical version of the Wild West, stripped of the romance, where loggers and ranchers muscle their way onto public land as though they own the place and impose a law of the jungle with their hired thugs. Those who have the nerve to protest soon find themselves the targets of escalating threats. If they persist, they find themselves staring down the gun barrels of those come to make good on the threats.
Continue reading on National Geographic.
Photo Credit: “Toras,” courtesy of flickr user c.alberto. -
Book Launch: ‘Human Population: Its Influence on Biological Diversity’
›Measurements of “human population density and growth can be used to identify changes in the viability of native species, and more directly, in changes in ecological systems or habitat quality,” said Richard Cincotta, consultant at the Environmental Change and Security Program and demographer-in-residence at the Stimson Center, speaking at the book launch of Human Population: Its Influence on Biological Diversity.
Cincotta was joined by coeditor L.J. Gorenflo, associate professor of landscape architecture at Penn State University, and contributing author Christopher Small, research professor at the Lamont-Doherty Earth Observatory and adjunct professor at Columbia University, to discuss the book’s objectives, its diverse and multidisciplinary contributors, and its policy implications. [Video Below]
Establishing a Handbook for the Field
“Human Population: Its Influence on Biological Diversity establishes a handbook for the field,” said Cincotta. While the scientific volume is specifically geared towards researchers and conservation managers rather than policymakers, “there are a few Washington-type policy messages that are useful,” he added.
Human population affects biological diversity in multiple ways. While population density alone can be strongly indicative of the viability of different populations of native species, human activities and their chemical and energetic byproducts can also have a strong impact, even when human population density is low, said Cincotta.
Conserving Biodiversity in Different Settings
“Planned solutions, based on strategic actions, increasingly are essential,” said Gorenflo, a professor at Penn State University. “The days of letting nature take care itself are probably gone.” Gorenflo presented results from the two chapters he worked on: “Human Demography and Conservation in the Apache Highlands Ecoregion, U.S.-Mexico Borderlands” and “Exploring the Association Between People and Deforestation in Madagascar.”
“Population density seems to be a reasonably good indicator of biodiversity loss,” said Gorenflo. Data from the Apache Highland Ecoregion (a 12 million-hectare area located along the U.S.-Mexico border) indicate that biodiversity tends to drop off at population densities of more than 10 people per square kilometer. Conservation efforts in areas within the ecoregion that are at, or close to, this density threshold will likely encounter challenges to maintaining biodiversity, he said.
Human mobility is a major consideration, said Gorenflo: “Whereas high fertility can create population growth over generations, high mobility can create population growth in a matter of months or years.” In the Apache Highlands, for example, the 40 percent increase in population between 1990 and 2000 was largely caused by migration into U.S. cities in the region.
In Madagascar, Gorenflo and colleagues examined whether population growth and poverty were systematically driving deforestation and loss of biodiversity. Using data from the 1990s, they found that higher population density only slightly raises rates of deforestation and large increases in income only modestly decrease deforestation.
Not surprisingly, they found that the likelihood of deforestation decreased dramatically in protected areas. In addition, proximity to roads or footpaths was associated with significantly higher rates of deforestation. “Roads, footpaths, and protected areas are all policy decisions,” Gorenflo pointed out. “So when bilateral or multilateral organizations decide to invest in development in a place like Madagascar, they can look at these sorts of investments as being important.”
While there are some similarities to be drawn between regions’ experience with population and biodiversity, said Gorenflo, “every locality likely has a slightly different story; you need to do context-specific studies to get a real handle on what is going on.”
The Human Habitat
In his chapter, “The Human Habitat,” Christopher Small of the Lamont-Doherty Earth Observatory said his goal was “to set the stage for some of the more detailed studies by taking a look at the global distribution of human population.”
Using census data and satellite-derived maps of night lights to serve as a “proxy for development,” Small found that “people are everywhere, but they are not evenly distributed.”
At least half the world’s population lives on less than three percent of the inhabitable land, and most people live at densities between 100 and 1000 people per square kilometer. At both local and global scales, population density and city size are dominated by extremes: There are large numbers of small groups of people, and small numbers of large groups of people, he said.
“The environments where people live are more strongly correlated with features of the landscape than they are with climatic parameters,” said Small. While humans have effectively adapted to a range of climates, the majority of people tend to cluster close to rivers, at low elevations, and close to coastlines. Although it was once thought that three-quarters of the world’s population lived in coastal regions, Small’s results show that the actual number is close to half of these previous assumptions.
Understanding the spatial and environmental distribution of population and managing population growth may therefore help minimize negative impacts on specific habitats and biomes, said Small.
Image Credit: “View from a Madagascar Train,” courtesy of flickr user cr01.
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