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Five Questions for Population, Health, and Environment Projects in Ethiopia
›Since the integrated population, health, and environment (PHE) approach is relatively new in international development, donors, partners, and implementers want to know how it’s improving people’s lives. In the PHE community, we believe that combining efforts to address natural resource management, reproductive health, and livelihoods is making a difference in places where rapid population growth combines with poverty and environment degradation. But to know for sure and be able to convince others, we need to have data to support those beliefs.
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Stronger Evidence Base Needed to Demonstrate Added Value of PHE
›It is well known that public health issues that affect the world’s most vulnerable populations – food insecurity, maternal and child health, water- and sanitation-related disease, and resource scarcity – are inextricably linked. Where these linkages are strongest, experience on the ground has shown that community-based integrated approaches to development provide more effective and sustainable solutions over vertical, sector-based programs. But so far, there are very few comprehensive evaluations providing strong quantitative evidence of this advantage.
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New Support for International Family Planning: The Significance of the London Summit
›December 21, 2012 // By Carolyn LamereAt a major summit in London this summer the Bill and Melinda Gates Foundation launched one of the most significant efforts yet to revitalize commitments around the world towards providing universal access to family planning. More than 220 million women around the world – mostly in developing countries – want to delay or avoid pregnancy but are not using effective methods of contraception. Meeting the unmet needs of these women could save the lives of hundreds of thousands of mothers and millions of infants, not to mention significantly impact the future of human development. But the last decade has been a period of relative neglect by international donors.
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Gwen Hopkins, Next Billion
Family Planning as an Investment? The Aspen Institute at the 2012 Social Capital Markets Conference
›October 16, 2012 // By Wilson Center StaffTwo weeks ago, 1,600 venture capitalists, philanthropists, and entrepreneurs gathered at the 2012 Social Capital Markets Conference (SOCAP) to discuss the question at the heart of impact investing: How can investments do well while also doing good? Consistent with the in-depth nature of SOCAP, panels examined every aspect of capital flows, including how to structure a business, how to move an idea from a prototype to scale, and where to invest for maximum impact. The resulting conversations gave rise to multiple technical suggestions – and one paradigm shift. In order to do well and do good, multiple conference participants argued, investors must incorporate a gender lens into their portfolio.
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Maintaining the Momentum: Highlights From the 2012 London Summit on Family Planning
›This summer, 26 countries and private donors met at the London Summit on Family Planning to pledge $2.6 billion to expand family planning services to 120 million more women in the poorest countries around the world. But while the summit renewed focus on reproductive health with its ambitious target, “we’re now at that point where we have to really sit down and work through” how to achieve that goal, said Julia Bunting of the UK’s Department for International Development at the Wilson Center on September 17. [Video Below]
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Lawrence K. Altman, The New York Times
A World Without AIDS, Still Worlds Away
›August 6, 2012 // By Wilson Center StaffThe original version of this article, by Lawrence K. Altman, appeared on The New York Times.
Is the world on the verge of ending the AIDS epidemic and creating an AIDS-free generation, even though a cure and a vaccine are still distant hopes?Yes, roared enthusiasts among the nearly 24,000 participants at the 19th International AIDS Conference here last week. Their hopes are based on the extraordinary scientific gains made since the conference was last held in the United States, 22 years ago, when an AIDS diagnosis was a sure death sentence.
Among those gains: antiretroviral drug combinations for women to prevent infection of their newborns; drugs to treat and prevent infection with HIV, the virus that causes AIDS, among adults; and evidence that voluntary male circumcision can reduce the risk of female-to-male transmission by 50 to 60 percent.
Today, HIV has become a chronic disease that, if treated appropriately, can be held at bay in a newly infected young adult for decades — if the patient adheres to the rigid daily drug regimen.
Continue reading on The New York Times.
Lawrence K. Altman is a senior scholar for the Woodrow Wilson Center’s United States Studies Program.
Photo Credit: “Secretary of State Hilary Rodham Clinton speaks at the International AIDS Conference,” courtesy of Roxana Bravo/World Bank. -
Pop at Rio+20: Despite Failure Narrative, Progress Made at Rio on Gender, Health, Environment Links
›July 13, 2012 // By Sandeep BathalaA month ago this weekend I boarded a plane to Rio de Janeiro for the UN Conference on Sustainable Development. Over the past few weeks, I have had some time to reflect on the amazing (and exhausting) experience afforded to me. Unfortunately, the final Rio+20 outcome document (considered by some to be misnamed as “The Future We Want”) failed to recognize the connections between reproductive rights and sustainability. However, since I returned I’ve also found myself in conversations with colleagues eager to celebrate the successes of the conference.
Jason Bremner, program director at Population Reference Bureau, reminds me that the initial “zero draft document” that was circulated prior to Rio had absolutely no mention of reproductive health, family planning, or population. “Though the ultimate conference document wasn’t a success by many measures, I commend the efforts of the many advocacy organizations that resulted in the inclusion of reproductive health and family planning as a key aspect of sustainable development,” he said.
Other wins were recognized at Rio as well. On a panel organized by the International Planned Parenthood Federation, Brazilian Minister of Policies for Women Eleonora Menicucci de Oliveira pointed out that the presence of women this year was much stronger than at the 1992 conference. And she stressed that the overall importance placed on the reduction of poverty will have a big impact for women.
Though the official language was weakened in the final outcome document, there was much more support expressed at side events and off the record conversations. Speaking at the same event as Oliveira, Christian Friis Bach, Minister for Development Cooperation in Denmark, said that “one leader after another has stood up for reproductive rights, and we’ve started a campaign which will go on until ICPD+20.”
In fact, as the Wilson Center’s Brazil Institute Director Paulo Sotero points out, there was a great deal of progress made by non-government representatives alongside the main conference:I left Rio more hopeful about the future than the official part of Rio+20 would allow. As governments clearly fumbled in the face of the complex challenges of imagining and building a more equitable and sustainable economic growth model in the decades ahead, I saw senior business executives and leaders of civil society engaged in intelligent and productive dialogue about difficult issues at hundreds of thematic panels held at the Corporate Sustainability Forum and other sessions held in Rio.
I felt the same energy. And many groups there seemed to already be planning for next steps.
On the first day of side events I attended, members of the Population and Climate Change Alliance discussed strategies to ensure that in the post-2015 (i.e. post-Millennium Development Goals) international development agenda sexual and reproductive health and rights are explicitly recognized as core to sustainable development. The panel included Mialy Andriamahefazafy of Blue Ventures Madagascar, Joan Castro of PATH Foundation Philippines, Inc., and Negash Teklu of PHE Ethiopia Consortium, who all shared examples of efforts in their countries to integrate reproductive health with other sustainable development programs.Joan Castro on PATH Foundation’s work in the Philippines
The Rio+20 conference was, at the very least, a re-affirmation of the tenets set down by the ‘92 Earth Summit – that is, that there is middle ground between full-tilt economic development and uncompromising environmentalism, called “sustainable development,” and we ought to be moving towards it. It was also a fantastic gathering place for disparate groups of people to come together on to similar issues and to build momentum and networks on their issues.
For those hoping to see a stronger link recognized between reproductive rights, population, and the environment, the good news is that elsewhere, awareness and momentum seems to be growing. Just this week, The Bill and Melinda Gates Foundation joined the United Kingdom, United States, France, Germany, the Netherlands, South Korea, Norway, Sweden, and Australia to pledge more than $2.6 billion towards meeting global unmet for contraceptives. And the connection to development was explicit: “Contraceptives are one of the best investments a country can make in its future,” reads the summit website.
Coincidence to have followed so closely behind a “disappointing” Rio outcome? Perhaps not.
Sources: The Bill and Melinda Gates Foundation, Estado, UN Conference on Sustainable Development.
Photo Credit: “UN Women Leaders Forum at Rio+20,” courtesy of UN Women. -
Gates Foundation Spearheads London Summit on Family Planning
›July 12, 2012 // By Carolyn Lamere“Given the option, [women in developing countries] will have fewer children,” said Melinda Gates in a TEDxChange talk in April. “The question is: are we going to commit to helping them get what they want now? Or are we going to condemn them to some century-long struggle, as if this were still revolutionary France and the best method was still coitus interruptus?”
Wednesday, The Bill and Melinda Gates Foundation followed through on Gates’ pledge, helping to raise more than $2.6 billion at the London Summit on Family Planning as part of an ambitious goal of helping 120 million additional women in developing countries gain access to contraception by 2020. The summit was co-hosted by the UK Department for International Development and garnered support from other foundations and governments, including the United States, France, Germany, the Netherlands, South Korea, Norway, Sweden, and Australia.
To quote the Population Institute’s Robert Walker on Dot Earth, this is a big deal:Many of the challenges that we face (hunger, severe poverty, energy, food, carbon emissions) are seemingly intractable. Population growth, which is a challenge multiplier, is not intractable. Far from it. There are proven highly cost-effective means of lowering fertility rates: providing access to contraceptives, keeping girls in school, ending child marriage practices, and changing social norms (including attitudes toward women and desired family size) through entertainment media.
The focus on family planning for the Gates Foundation – one of the largest philanthropic organizations in the world – is relatively new (though their commitment to global health and development is not). Melinda Gates announced a commitment to maternal health in 2010, and the foundation first issued a family planning strategy in April of this year.
The move has been unwelcome by some, particularly some Catholic institutions who object to family planning. But Gates has been adamant that contraceptives “should be a completely non-controversial topic.” She argues that 90 percent of Americans find contraceptives “morally acceptable,” including herself and many other Catholics, so there is no reason for the taboo around international aid for family planning to continue.
“We’re not going to agree about everything, but that’s OK,” said Gates in a recent interview with CNN.
In the TEDxChange talk, which helped launch this year’s push, she credits her upbringing for instilling a strong sense of social justice. During her travels with the Gates Foundation, one woman from a slum in Nairobi told her, “I want to bring every good thing to this child before I have another.” That statement resonated with Gates: “We all want to bring every good thing to our children,” she said. “But what’s not universal is our ability to provide every good thing for our children.” Gates pointed to contraception as a way for families to plan for their future and manage their resources. She recognized the controversial history of family planning as population control, but argued that this new initiative is about providing choices to individuals, not imposing values.
Gates remains confident that as long as the foundation makes its mission clear, people will rally behind the cause.
“We’re not talking about abortion. We’re not talking about population control. What I’m talking about is giving women the power to save their own lives, to save their children’s lives, and to give their families the best possible future.”
Sources: BBC, The Bill and Melinda Gates Foundation, CNN, Catholic Family and Humans Rights Institute, Catholics For Choice, Dot Earth.
Video Credit: TEDxChange.
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