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“Better Bang for the Buck”: Blogging From Ethiopia’s Population, Health, and Environment General Assembly
›March 18, 2011 // By Schuyler NullHello from Addis Ababa, where I am blogging from the 5th annual general assembly of the Population, Health, and Environment (PHE) Consortium of Ethiopia (see further coverage here). Along with the Philippines, Ethiopia is the largest PHE programmer in the world, both in terms of number of programs and people affected, and for good reason: The country combines dire need, willing donors, and a great deal of local capacity and will.
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Sam Rugaba, PHE Champion
Encouraging Childhood Education and Birth Spacing as an Approach to Conservation
›This PHE Champion profile was produced by the BALANCED Project.
Fifty-one-year-old Sam Rugaba is a dedicated teacher who loves his job at the Bujengwe Community Primary School. The school is the result of a community-based project located in the Bujengwe Parish of the Kayonza subcounty in the Kanungu district of Uganda – just 18 kilometers from the Bwindi Impenetrable National Park (BINP). The biodiversity-rich BINP is home to many rare species including the endangered mountain gorilla. Sam is also a Conservation Through Public Health(CTPH) community volunteer and community conservation health worker. -
Ruth Siyage, PHE Champion
Promoting Family Planning and Livelihoods for a Healthy Environment in Uganda
›This PHE Champion profile was produced by the BALANCED Project.
Meet 32 year old Ruth Siyage – a wife, mother, peasant farmer, shop owner, and population, health, and environment (PHE) champion. Ruth, her husband, Siyage Benon, and their three healthy daughters – ages 3, 6, and 11 – live about an hour from Bwindi Impenetrable National Park (BINP) in Uganda’s Kanungu District. The 33,000-hectare BINP is a World Heritage Site known for its exceptional biodiversity – with over 200 species of trees, 100 species of ferns, 350 species of birds, 200 species of butterflies, as well as many endangered species, including the mountain gorilla.
In addition to being a peasant farmer who grows potatoes, millet, beans, and groundnuts to feed her family, Ruth also has a small shop in the nearby trading center where she sells groceries and interacts with most of her friends. Ruth first learned of and embraced the PHE approach through a neighbor and local community volunteer, Mrs. Hope Matsiko – one of 29 PHE volunteers trained by the Conservation Through Public Health (CTPH) programs.
Ruth recalls:Hope used to approach us and tell us about family planning. Others refused to listen, but I took it up. Before, I used to refuse to go to Kajubwe Health Center for services and never got information because it was so far away. However, when Hope, the local volunteer, who is also my neighbor, visited me at home, I got more information about family planning. She also counseled me on the methods I could use, which was best for my health and how to use it. I now use family planning.
As a new champion, Ruth uses several ways to teach her community about family planning and PHE activities. One way is through face-to-face discussions with individuals attending village meetings. She focuses on women she sees often and who she knows have closely-spaced pregnancies. Recently, three of these women started using modern contraceptives.
Ruth also spreads her PHE messages through her work with the local women’s association, Kishanda Bakyara Twebiseho (Kishanda Women Livelihoods Association), as an active member of a local church, and as a local village council member. In the council, she is in charge of teaching about agriculture and the environment – a perfect opportunity to share her PHE messages about the linkages between population, health, and the environment. Ruth is a great model of the benefits of taking a PHE approach, with her well-spaced pregnancies – which have helped ensure her own reproductive health and that of her three daughters – and her teaching of others, from what she now knows about the need to keep ourselves and our environment healthy to the impacts of each on the other.
Ruth says she believes that through a PHE approach much can be done and has been done:By teaching people about safe water use, I believe that we can stop diarrhea diseases. And by teaching about sanitation, we can help prevent diseases such as malaria, tuberculosis, and worms. Now my neighbors seldom get sick. We have a fairly healthy life. When we are not sick, we do not have to sell our goats and land to buy medicine. And when we plan our families, we are better able to care for and educate our children. Through our community sensitization, people now even understand the importance of gorilla conservation.
Ruth is especially appreciative of the CTPH program, which first taught her about and then turned her into an advocate for the integrated PHE approach.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: Silverback mountain gorilla named Mwirima with a juvenille gorilla from the Rusguguar group near Bwindi Impenetrable National Park, and Ruth and her son in their shop in rural Uganda, courtesy of CTPH. -
ASRI’s Integrated Health and Conservation Programming in Borneo
›If you have a fever in the town of Sukadana in Indonesian Borneo, the locals might suggest you go to the ASRI clinic. It’s in a little house whose front yard is crowded with bicycles and motorbikes. In the waiting room, you examine a whiteboard that explains your payment options. ASRI accepts cash. But it looks like you can also pay with labor in the clinic’s organic garden or its reforestation site. If you own a goat, you can bring in its manure and pay with that. You can even pay with durian tree seeds!
Doctoring both humans and the environment is the raison d’etre of Alam Sehat Lestari (“healthy life everlasting” in Bahasa Indonesia, or ASRI for short), an NGO dedicated to the idea that human health is so intertwined with that of the environment that trying to fix one must include trying to fix the other. Located beside Indonesia’s Gunung Palung National Park, ASRI aims to protect the park’s irreplaceable rainforests by offering health care incentives to local people to stop illegal logging. We’re supported by our sister NGO in the United States, Health in Harmony.
For both people and the forest, the task is urgent. The island of Borneo was once famously covered by rainforest. But now only half of that canopy exists, and less than one-third will remain by 2020. Beginning in the mid-20th century, loggers, palm-oil plantation companies, and farmers logged, burned, and clear-cut their way through the island. Horrifyingly, much of this destruction has taken place in “protected” areas like national parks. The relentless loss of forest has devastated biodiversity in Borneo and severely reduced habitats for many organisms, including one of humanity’s closest relatives, the orangutan – as of 2005, there were about 55,000 left, a tenth of which live in Gunung Palung. Some experts predict the orangutan will be extinct within a few decades. Despite their protected status, Gunung Palung’s forests are continually threatened by illegal logging for valuable hardwood, poor implementation of management practices, and forest fires, many of which are started to clear land for new uses. Over 50,000 hectares of the 90,000-hectare national park’s forest cover are damaged or gone.
Contributing is the fact that Borneo’s economy is based largely on extractive industries; there simply aren’t many other job options. An ASRI survey found that in the Gunung Palung area the average cost of an emergency visit to the district or regional hospital was $460 – more than the average annual income. In fact, one-third of interviewees had faced a choice between health care and food. Financial pressures like that are what drive people to illegal logging. A four-meter board can go for R110,000, or about $10 – a little less than the average villager’s monthly income of $13. Working in a rice field, by contrast, pays about a dollar a day.
Sukadana, located so close to Gunung Palung, is a boom town for these industries. It was recently made a seat of the local regency. We watch new buildings go up every week – most of them built using illegal wood chopped straight out of the national park – and workers and money are flowing in.
As forest is converted to plantations, however, pesticides and fertilizers enter the watershed, which damage water and soil quality as well as human health. Watershed destruction from logging and land conversion leads to flooding which makes it harder to raise rice and can increase rates of flood-related diseases. Logging itself is dangerous work, and there are few or no worker protections. As well, seasonal, man-made forest fires, which this ecosystem is not adapted to and which can last for months, devastate both the natural habitat and respiratory health.
Enter ASRI: Our Sukadana clinic offers high-quality, low-cost medical care to all comers, with discounts for people living in villages that do not contribute to illegal logging (which the National Park office determines using air and ground patrols). This incentive system was devised in consultation with local leaders and is intended to take advantage of powerful social ties in this rural area. But given the complexity of the connections between poverty, health, and the environmental degradation here, ASRI also attacks these problems from other angles.
For one, patients and families can pay by eco-friendly, non-cash means – some of which actually end up providing further benefit to the patients. Many choose to do a stint of labor for ASRI in our organic garden. There they learn techniques that they can apply to their own crops. Some farmers have reported making a considerable profit selling their own organic produce with the skills they learned at ASRI, and some have sworn off traditional slash-and-burn agriculture, because as organic farmers they earn more money for less work. Others decide to work at ASRI’s reforestation site, which aims to restore several hectares of burned-over, degraded grassland to its original forested state. Patients can also bring in compost or manure; rainforest seeds and seedlings; or handmade grass mats, which are snapped up by clinic staff and volunteers.
ASRI’s other programs include Goats for Widows, in which impoverished widows receive a goat and give back its organic manure and one kid. Clinic staff teach townspeople and villagers about the links between the environment and health and include information about diseases like tuberculosis during “movie nights,” when they set up a projection screen and show educational videos. Crucially, ASRI also engages in capacity-building through its trained medical volunteers, who serve as consultants for Indonesian staff doctors who are fresh out of medical school.
On the horizon is a new eco-friendly “super-clinic” that will allow us to perform major surgery and house many more inpatients. We hope that as it goes up, people will learn ways to build with less wood, and that by offering even better health care to people living around the national park, we will gain enough leverage to slow or even stop illegal logging. For the community – everyone from the next generation of Sukadanans to the gibbons and durian trees – that would be a healthy change for all.
Jenny Blair, M.D., is a physician, writer, and long-term volunteer at ASRI, along with her husband, Roberto Cipriano, a LEED-accredited professional and architect who is helping to design ASRI’s newest clinic.
Sources: Center for International Forestry Research, Food and Agriculture Organization, Gunung Palung Orangutan Conservation Program, Mongabay.com, Rainforest Action Network, Tropics, World Rainforest Movement, World Wildlife Foundation
Video and Image Credit: “Conservation – Part 1,” courtesy of AlamSehatLestari, and “Ibu Nurdiah,” used with permission, courtesy of Roberto Cipriano. -
Minister Izabella Teixeira at the Wilson Center
A Review of Brazil’s Environmental Policies and Challenges Ahead
›Stressing the need for concrete, tangible institutional policies, Izabella Teixeira, Brazil’s Minister of the Environment, discussed the challenges and goals of her ministry at the Wilson Center on October 20. Sustainable development, not just conservation, must be the focus, and that requires bringing lots of different players to the table, taking into account not only environmental but also social and economic agendas. To do this, she argued, one must take the rather ephemeral and hypothetical notions of environmental stewardship and put them into the realm of a practicable, institutionalized framework, built on a social pact that engages all sectors of society.
The foundation of sustainable development and environmental policy must be biodiversity, according to Teixeira. Central concerns, such as food and energy security and combating climate change, all rely on a diverse array of natural resources. These need to be conserved, but they must also be developed in a responsible, sustainable way. A legal international framework toward this end, covering access to biodiversity and genetic resources, has yet to be implemented. Developing and developed countries need to find a middle ground on allocating the benefits that accrue from the use of genetic resources found in areas such as the Amazon, and this agreement must then be linked into existing political institutions.
Teixeira noted the strides Brazil has made toward protecting its environment – including having set aside the equivalent of 70 percent of all protected areas in the world in 2009 and the establishment of the Amazon Fund. Nevertheless, Brazil must continue to protect and maintain these nature preserves, not just establish them. Creating a program that pragmatically implements international goals in a national context is an ongoing process, and countries like Brazil now need to focus on the “how” of implementing these goals, rather than just the “what.”
Teixeira also highlighted the complexity of formulating environmental policy that integrates all the various points of view that must be taken into consideration. At recent meetings to discuss transitioning to a low-carbon economy, 17 different cabinet ministers had to be present to coordinate government positions and policies. The complexity is due in part to the need to create alternatives, not just to prevent certain activities. For example, one must not only use legal enforcement to stop illicit deforestation, but also create paths to legal, sustainable logging. Once again, attempting to balance environmental, social, and economic concerns is difficult, to say the least, but crucial for long-term effectiveness.
Also a unique challenge for Brazil is the natural diversity that exists within such a large country. While much of the attention paid to the environment goes (rightly so) to the Amazon, there are many other biomes and local environments that must be taken into consideration, Teixeira observed.
The cerrado, Brazil’s enormous savanna, requires a different strategy than the Amazon, which is different than the coastal Atlantic forest. Furthermore, urban areas need their own environmental policies that can take into account issues of human development and population density.
To illustrate the need for an inclusive, well-thought-out policy, Teixeira discussed–rather frankly–the controversy surrounding the recent proposed amendments to the Forest Code. She argued that the proposal makes blanket changes that do not take into consideration differences in biomes, differences between large agribusinesses and family farms, and between historic, settled communities and recent developments. The implications of this proposal, according to the minister, could have enormous social costs. Teixeira said she believes that it would be virtually impossible to enforce the amended Forest Code if it was approved by Congress. She used this example to underscore her role in offering legislative alternatives that seek to provide a more nuanced, and ultimately more effective, institutional framework that can use Brazil’s many natural resources to help its population to the greatest extent possible.
J.C. Hodges is an intern with the Brazil Institute at the Wilson Center; Paulo Sotero is the director of the Brazil Institute.
Photo Credit: “Rio Jurua, Brazil (NASA, International Space Station Science, 05/29/07),” courtesy of flickr user NASA’s Marshall Space Flight Center, and David Hawxhurst/Wilson Center. -
David Lawson, Wildlife Conservation Society
Afghanistan’s Non-Confrontational Conservation
›December 7, 2010 // By Wilson Center Staff
Excerpt from the Center for a Better Life:
Afghanistan is more than war and turmoil; it has a long and colorful history, strong cultures and a stunning landscape. It has enormous biodiversity, as it sits at the crossroads of what biologists call “biological realms.” The country, therefore, has plants and animals that also occur in Europe, northern Asia, India, south Asia and Africa. It has nine species of wild cats, which is the same as the whole of sub-Saharan Africa, as well as an estimated 800 plant species that occur nowhere else in the world. In other words, Afghanistan is worth attention in terms of its biodiversity alone.These natural resources are also critically important from the people’s perspective. After 30 years of conflict, more than 80 percent of Afghanistan’s population relies directly on natural resources for their livelihood. Most of the inhabitants are rural and desperately poor by world standards. Child mortality is the highest in the world, and their infrastructure is mostly broken down and inoperable. The economy is donor-dependent, and the Afghan government is still in its infancy. Outside the capital of Kabul, governance sometimes seems non-existent. As a result, movement away from the major population centers can be very risky due to the presence of various insurgent groups.
And yet, what is seldom mentioned in newscasts and media is that the Afghans are proud and resilient. They want what everyone else wants: education for their children, healthcare for the young and elderly, and reliable livelihoods to support their families. Then they want to get on with their lives in their own unique, culturally diverse way, free of violence and conflict.
Understanding Cultures
Understanding these things is one reason why the Wildlife Conservation Society (WCS) has been successful in Afghanistan. When hearing of the Society’s field work in this war-torn country, most people are surprised. They wonder how, with its pressing problems, Afghanistan can afford the time, let alone the resources, to conserve its remaining wildlife and wild places. But this is one of the core strengths of WCS – to offer assistance in conserving natural resources at a practical level within a country in need, like Afghanistan. As one of the oldest conservation organizations in the world, with more than 100 years of field conservation experience, the Society has extensive seasoning under extreme circumstances. Currently, WCS has more than 600 projects in place with 3,000 staff; and, many of these projects are in the most remote areas of the world.
Since 2006, USAID has supported WCS’s work in Afghanistan within three geographical areas – the northeast in Badakhshan Province’s Wakhan District, Bamiyan’s central province and the eastern, forested Nuristan province. Experts chose these areas because they believed they held the largest numbers of untouched remaining wildlife; this presumption generally proved correct. Through the years, WCS has created trust by having conservation teams on the ground and working year-round with local communities. Similar trust has been established with the relevant ministries by WCS’ central office, located in Kabul, through continuous presence and assistance.
Results are impressive. More than seven pieces of environmental legislation were enacted; 10,000 Afghans received conservation training; the first biological surveys in 30 years were completed (which doubled as crucial skills development exercises for Afghan scientists); the first wildlife/domestic stock disease assessments were accomplished, with corresponding human health effects, plus many more exemplary achievements. One of the more intriguing results was WCS’ ability to build local governance in the most remote communities, thus connecting communities that had seen no real government representatives for years. This link extended to district authorities then to provincial authorities, and finally to the Kabul central government. This extension of Afghanistan’s rule-of-law is paramount because it improves governance, which is one of the more crucial strategic needs in the country today.
How was a non-governmental conservation organization able to contribute to governance and rule-of-law? It is simple. Wildlife conservation is usually a non-confrontational issue, and most people, when exposed to the process, take an active interest and express opinions. Rural people have grown up with and are surrounded by wildlife everyday; they have local knowledge and feel comfortable discussing how things have changed. They want to be empowered to make natural resource decisions in the areas in which they live. WCS staff encourages local people to discuss species protection with their local and provincial governments. In some instances, WCS workers have taken government officers into communities that cannot recall ever seeing a government official. These processes and contacts evolve and can be used as basis for non-conservation related discussion. These processes and relationships become the building blocks for extending governance and empowering local communities. And, the process works.
Continue reading on the Center for a Better Life.
David Lawson is the Wildlife Conservation Society Afghanistan country director.
Photo Credit: “Bamiyan Band-e-Emir,” courtesy of flickr user USAID Afghanistan. USAID and WCS have been working in the Band-e-Amir lakes region since 2006 to create a national park. -
Meeting the Needs of Latin America’s Rural and Urban Populations
›October 14, 2010 // By Kayly OberThere are two Latin Americas according to demographers. In one of the most urbanized regions of the world, the population of some countries remains highly rural. While countries like Chile, Argentina, and Uruguay are close to 90 percent urbanized, much of Central America, as well as Ecuador, Paraguay, and Bolivia, are only about 50-60 percent urban.
Across the continent, Latin America’s total fertility rate has fallen from almost six children per woman in the 1960s to 2.2 children in 2005. Population growth rates are projected to continue to decline from 1.5 percent in 2010 to roughly 0.75 percent by 2020. But less-urbanized countries continue to experience high population growth in their rural areas, particularly among their large indigenous populations, who are not experiencing the same shifts from high to low fertility.
For example, since 1990, communities surrounding Guatemala’s Sierra de Lacandon National Park have grown by 10 percent each year, with birthrates averaging eight children per woman. These larger communities and households have led to agricultural expansion into the park, which has lost 10 percent of its forest canopy since 1990.
Rural-to-rural migration is also a key, but often overlooked, dynamic as migrants move to other rural areas in search of new land to farm. Between 1961 and 2001, Central America’s rural population increased by 59 percent. This increased population was accompanied by a 15 percent increase in deforestation, totaling some 13 million hectares.
Although many rural areas of Latin America have high fertility rates and expanding populations, they also have a high unmet demand for contraception. Indigenous populations are particularly underserved by health providers for many reasons, including cultural barriers, language, and accessibility. According to the Population Reference Bureau, an estimated 50 percent of indigenous women in the Ecuadorian Amazon do not want another child, yet 98 percent of them do not have access to a modern contraceptive method.
While reaching historically disadvantaged populations in rural communities is not easy, some programs have had considerable success—and saved money—by combining environmental and health efforts. For example, the Guatemalan NGO ProPeten trained more than 80 midwives and health promoters and developed a radio soap opera in both Spanish and Q’eqchi’ to deliver health services and environmental education to the communities living near the Maya Biosphere Reserve.
Given links between rural population growth and agricultural expansion, expanding access to family planning may not only be a cost-effective way to help women reach their desired family size, but also a smart investment in forest conservation and climate mitigation—and perhaps a down-payment on a more secure future for all. -
India’s Threat From Within
›Once a modest pro-peasant movement, India’s Maoist (or Naxalite) insurgency has become what New Delhi describes as the nation’s biggest internal security threat. The insurgency has spread to 20 of India’s 29 states, and across more than a third of the country’s 626 districts, most of them in the impoverished east. Earlier this summer, the Woodrow Wilson Center’s Asia Program, with assistance from the Environmental Change and Security Program, hosted, “The ‘Gravest Threat’ to Internal Security: India’s Maoist Insurgency,” to examine the insurgency’s main drivers, identify its prime tactics and strategies, and consider the best ways to respond.
Same Insurgency, Different Motivations
P.V. Ramana, a research fellow at the New Delhi-based Institute for Defense Studies and Analyses, discussed the motivations that draw people to the insurgency. Some people are aggrieved by the resource exploitations they witness in their villages. Others join the Maoist cause because of the “high-handedness” of Indian security forces. Still others do so because family members are already in the movement.
Ramana underscored a “serious disconnect” at play — people have such varied reasons for joining the insurgency, yet top Maoist leaders are inspired by one sole motivation: capturing political power. Ramana also highlighted the “increasing militarization” of the insurgency. Maoists have amassed an immense arsenal of weaponry, from “crude” tools to more sophisticated weapons such as rocket launchers and landmines. Their attacks increasingly target not only government security forces, but also national infrastructure such as power lines and railways.
Andhra Pradesh: Leading By Example
K. Srinivas Reddy, a Hyderabad-based deputy editor for The Hindu, offered a case study of the insurgency in his home state, Andhra Pradesh (AP), in southeastern India. He noted that New Delhi’s response to the insurgency in AP is often cited as a success story. This response, according to Reddy, can be attributed to an “attitudinal change” within the security ranks. From the 1970s through the mid-1990s — a period of mass Maoist recruitment and escalating insurgent violence — New Delhi’s counterinsurgency measures had been “panicky,” haphazard, and reactive, Reddy said. The “turning point” came in 1996, when a new “unity of thought” emerged within the government that emphasized better training of security forces, stronger intelligence, and greater attention to economic development. Later in the 1990s, security forces further softened their strategies and tactics, emphasizing “problem-solving rather than hunting Naxals.” As a result, in the early 2000s, popular support for Maoists in AP began to wane.
Is the Government Also to Blame?
Nandini Sundar, a professor of sociology at Delhi University, focused on the human impact of both the insurgency and the government’s response. Much of her presentation centered around Bastar, a sparsely populated, heavily forested, mineral-rich district of Chhattisgarh state — one of the areas hardest-hit by the insurgency. Maoist “entrenchment” is strong, she argued, because locals are treated so dreadfully by the government. “Very poor people are jailed” for committing minor forestry transgressions, Sundar explained, while “powerful people” get away with large-scale offenses. Additionally, the police are deeply unpopular and “a source of repression.” They also regularly rape women and extort money, she said.
Sundar identified and condemned a raft of repressive government policies — from throwing locals off their land to commandeering schools — and insisted that such repression constitutes the prime reason for recruitment to the insurgency. “Injustice more than inequality” explains why people join the Maoists, she said.
The panel was far from sanguine about the future. Ramana contended that immediate prospects for peace talks between the government and the Maoists are slim, and that civil society has been “quiet” and has offered little assistance. While he predicted that some sort of resolution could be reached in “7 to 10 years,” Sundar countered that the harsh nature of New Delhi’s response means that 7 to 10 years “could finish off” not just the Maoists, but also village populations.
Compounding the challenge is what Sundar described as “official contempt” toward the culture of the Adivasi, the tribal peoples of India whose homeland comprises the insurgency’s epicenter. Dehumanizing, anti-adivasi language from the government enables New Delhi to justify the waging of forceful counterinsurgency, Sundar argued.
Glimmers of Hope
Several speakers, however, gave reasons to be guardedly optimistic about the Maoist issue. Pointing to Maoist strategies in Andhra Pradesh, Reddy suggested that the insurgency’s poor policies could spell its demise. Maoists in this state chose to escalate violence, but their inability to spread their ideology along with this violence has cost them public support, particularly in urban areas. (A recent survey by The Times of India actually found that 58 percent of those in AP think Naxalism has been good for the area – a devastating poll for those in the government who thought they were winning there – Ed.)
Sundar, meanwhile, noted that much good would come out of simply implementing long-dormant constitutional protections for the rural poor in Maoist-affected areas. This, she concluded, would reflect rights-based development, which is necessary for success — as opposed to development based on “hand-outs” by the elite, which is destined to fail.
Michael Kugelman is a program associate with the Woodrow Wilson Center’s Asia Program.
For more on the resource conflict aspect of the insurgency see The New Security Beat’s, “India’s Maoists: South Asia’s ‘Other’ Insurgency.”
Sources: BBC, Foreign Policy, Times of India.
Photo Credit: Adapted from “CPI Flag (Andhra Pradesh),” courtesy of flickr user Shreyans Bhansali.
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