Showing posts from category global health.
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John Donnelly, Global Post
A Call for Young People to “Get Angry” About Global Warming
›January 18, 2012 // By Wilson Center StaffThe original version of this article, by John Donnelly, appeared on Global Post.
The elder called on the younger generation to speak up.
At a session on climate change and family planning Thursday, Mary Robinson, the former president of Ireland, said that she keeps hoping that more young people will demand action on global warming.
“Maybe there’s a need to link the more thoughtful aspects of the Occupy movement with this, to get some of that more radical thinking,” she said. “As younger people increasingly understand the issues, I would say, ‘get angry’ so that we feel the need to do something more urgent. Let us know this is your future and for goodness sake it is absolutely urgent.”
She spoke at a session called “The Road to Rio: Climate Change, Population and Sustainability,” part of the Aspen Institute’s “7 Billion: Conversations that Matter” roundtable series (watch above). The discussion, organized by Aspen Global Health and Development, focused on strategies leading up to the Rio+20 United Nations Conference on Sustainable Development Summit in June – as well as what should be happening beyond Rio.
Continue reading on Global Post.
Video Credit: The Aspen Institute. -
Iran: A Seemingly Unlikely Setting for World’s Fastest Demographic Transition
›January 11, 2012 // By Elizabeth Leahy MadsenThis is the second post in a series profiling the process of building political commitment in countries whose governments have made strong investments in family planning. Read the first post, on Rwanda’s recent rapid demographic changes, here.
To date, only 11 countries outside of the developed world, China, and a handful of small island states have reached the end of the demographic transition, with fertility rates declining from more than four children per woman to replacement level or lower.* Of these, only two countries have completed the transition in 15 years or less – and both might surprise you. One is Cuba, whose government dispensed family planning services to its relatively small population in the 1970s through accessible primary health care facilities and legalized safe abortion eight years before the United States did. The other: Iran.
Following the 1979 revolution, Iran’s new theocracy adopted a socially conservative, pro-natalist outlook. Half of the population lived in rural areas, which typically constrains access to health services. In addition, abortion was illegal in most circumstances. According to the UN, Iranian women had an average of 6.5 children each in the early 1980s and the population was growing nearly four percent annually, a rate high enough for it to double in 19 years.
But, by the early 2000s, Iran’s fertility rate had dropped below two children per woman. The swift changes can be attributed to the efforts of government officials concerned about meeting the employment needs of a growing population, supported by public health experts who wanted to rebuild the eroded family planning program.
A Dramatic Policy ShiftThe turning point came after the end of Iran’s eight-year war with Iraq in 1988. With military demands high – several hundred thousand people were killed during the war – population growth was viewed positively. But as the war ended, policy directives did an about-face.
Although public health officials had framed the need for reinvigorated family planning programs in health-related terms for years, the motivation for government officials to change policy appears to have been economic. The national budget agency informed the prime minister that after nearly a decade of conflict, the country lacked adequate funding to both rebuild and to meet the needs of its people. The prime minister responded quickly, directing that demographic factors be integrated into the new development plan and stating that “Iranians’ standard of living was being eroded by the growth of the country’s population.”
“Pragmatism Has Prevailed Over Pure Ideology”
After convincing their superiors, Iranian government officials who supported family planning faced the added challenge of garnering the backing of the influential religious establishment. Shortly after the revolution, Ayatollah Khomeini officially sanctioned the use of contraception, though his perspective was not universal among clerics. Once the prime minister decided to introduce a national family planning program, officials sought support from additional religious authorities. Opposition was minimal after two key institutions offered endorsements. The High Judicial Council determined that there was “no Islamic barrier to family planning” in late 1988, and the Expediency Council approved the government’s plans soon after.
By late 1989, a new family planning program had been officially introduced. The program’s aims were to lengthen spacing between births; limit pregnancies in the early and late reproductive years; and lower fertility by educating the population and ensuring access to free and diverse contraceptive methods. By the mid-1990s, the government had fully integrated family planning into the existing primary health system.
Iran thus followed the example of other majority-Muslim countries where religion was not an impediment to family planning, including Egypt, Indonesia, Jordan, and Oman. Just as in countries where highly Catholic populations have low fertility rates (Italy, Poland, Spain, and many others), religious guidance has been interpreted in varying ways in different settings and is not necessarily a central factor in individual fertility decisions. As Akbar Aghajanian and Amir H. Merhyar write in a summary of Iran’s family planning program, “Pragmatism has prevailed over pure ideology when necessary.”
The Contributions of Women’s Education and a Strong Health System
A new policy orientation was the critical first step, but successful implementation was necessary for Iran’s demographic trajectory to change in response. Fortunately, the government had some advantages in rolling out its new program, namely a strong existing health system, a history of past efforts to promote family planning, and an educated female population among whom demand for contraception was high.Rural development became a priority of the government after the revolution and resulted in improved access to an array of services. In rural areas, community health workers receive two years of training to provide family planning services along with other preventative care and treatment. Services are also available at rural health “houses,” urban clinics, and higher-level centers around the country.
The status of women has also played a major role. A research exercise conducted by IIASA estimated that improvements in educational attainment among women were responsible for about one-third of Iran’s fertility decline between 1980 and 2005. Women’s literacy was already rising during the period of the revolution and reached 74 percent by 1996, while attitudes toward female employment became more supportive. By the late 1990s, new classes of university students included more women than men. The response to the 1989 program indicated that women clearly had an unmet demand for family planning. Use of modern contraception jumped from 31 percent in 1989 to 51 percent just five years later, then rose more slowly over the subsequent decade.
A Dividend Squandered?
The rapid changes in Iran’s age structure, thanks to declining fertility, have opened a window of opportunity for the country to boost economic growth through lower dependency ratios – a phenomenon called the demographic dividend. However, the dividend is not an automatic bonus, and Iran’s capacity to capitalize on its demographic change is questionable.
The unemployment rate among young people today is over 20 percent, indicating that the economy is not generating sufficient jobs, which is a prerequisite to improving productivity. This inopportune climate may even contribute to a further decline in the fertility rate: Some observers have suggested that the country’s economic troubles and rising costs of living have motivated young people to delay marriage and have smaller families. “Unemployment and high costs of living, coupled with social and political restrictions, have made [life] increasingly difficult for young Iranians,” Farzaneh Roudi of the Population Reference Bureau (PRB) explained in a blog post last year.
Given Iran’s challenges in producing adequate jobs and other economic benefits for its population, President Mahmoud Ahmadinejad’s recent unusual pronouncements on population issues are especially puzzling. Last year, Ahmadinejad introduced a pro-natalist policy offering direct payments to each child born, continuing until they reach adulthood, and later suggested that girls should marry at age 16 or 17.
But despite a high level of international media attention, most observers expect the policy to have little impact. Widespread adoption of family planning has become entrenched in society: 60 percent of Iranian women now use a modern contraceptive method. As PRB’s Roudi wrote in response to Ahmadinejad’s proposal, “Iranian women and men have gotten used to exercising their reproductive rights and would expect to be able to continue to do so.”
*The 11 countries that have achieved replacement fertility or lower outside of developed regions, China, and small island states are Brazil, Chile, Costa Rica, Cuba, Iran, Lebanon, Myanmar, Thailand, Tunisia, and the United Arab Emirates.
Elizabeth Leahy Madsen is a consultant on political demography for the Wilson Center’s Environmental Change and Security Program and senior technical advisor at Futures Group.
Look for related analysis on the political implications of Iran’s changing age structure by Richard Cincotta on New Security Beat soon.
Sources: Abbasi-Shavazi, Lutz, Hosseini-Chavoshi and Samir (2008), Abbasi-Shavazi (2002), Aghajanian and Merhyar (1999), Christian Science Monitor, GlobalSecurity.org, The New York Times, Noble and Potts (1996), Population Reference Bureau, Roudi-Fahimi (2002), UN Population Division, World Bank.
Image Credit: “بیست و پنجم خرداد ۸,” courtesy of flickr user Recovering Sick Soul (Nima Fatemi); charts arranged by Sean Peoples and Elizabeth Leahy Madsen. -
Engaging Faith-Based Organizations on Maternal Health
›“Faith-inspired organizations have many different opportunities [than non-faith-based NGOs]. The point that is often reiterated is that religions are sustainable. They will be there before the NGOs get there and will be there long after,” said Katherine Marshall, executive director of the World Faiths Development Dialogue at the Wilson Center on November 16. Marshall noted in her opening remarks that maternal health should be an easy issue for all groups, regardless of religious tradition, to stand behind. Yet, in reality, maternal health is a topic that “very swiftly takes you into complex issues, like reproductive health, abortion, and family planning,” she said.
As part of the Advancing Dialogue on Maternal Health series, the Woodrow Wilson International Center for Scholars’ Global Health Initiative collaborated with the World Faiths Development Dialogue and Christian Connections for International Health to convene a small technical meeting on November 15 with 30 maternal health and religious experts to discuss case studies involving faith-based organizations in Bangladesh, Nigeria, Pakistan, and Yemen. The country case studies served as a springboard for group discussion and offered a number of recommendations for increasing the capacity of faith-based organizations (FBOs) working on maternal health issues.
Engaging Religious Leaders in Pakistan
“When working with religious leaders to improve maternal health there are some do’s and don’ts,” said Nabeela Ali, chief of party with the Pakistan Initiative for Mothers and Newborns (PAIMAN). Ali described a PAIMAN project that worked with 800 ulamas (religious leaders) to increase awareness about pregnancy and promote positive behavior change among men.
One of the “do’s” highlighted by Ali was the need to build arguments for maternal health based on the Quran and to tailor terminology according to the ulamas preferences. The ulamas who worked with PAIMAN did not want to utilize the word “training,” so instead they called their education programming “consultative meetings.” More than 200,000 men and women were reached during the sermons and the strategy was been picked up by the government as one of the best practices written into in the Karachi Declaration, signed by the secretaries of health and population in 2009.
Despite the successes of the program, Ali warned against having unrealistic expectations for religious leaders interfacing with maternal health. She stressed the importance for having a long-term “program” approach to the issue, as opposed to a short-term “project” framework.
Behavior Change in Yemen
“Religion is a main factor in decisions Yemeni people make about most issues in their lives and religious leaders can play a major role in behavior change,” said Jamila AlSharie a community mobilizer for Pathfinder International.
Eighty-two percent of Yemeni women say the husband decides if they should receive family planning and 22 percent say they do not take contraception because they belief it is against their religion and fertility is the will of God, said AlSharie. Therefore, the adoption of healthy behavior change requires the involvement of key opinion leaders and the alignment of messages set in religious values. Trainings with religious leaders included family planning from an Islamic perspective, risks associated with early pregnancy, nutrition, education, and healthcare as a human right.
Male Participation a Key Strategy
“As a faith-based organization we believe it is a God-given right to safe health care and delivery so we mobilize communities to support pregnant women to address their needs, educate families about referrals and existing services in the community,” said Elidon Bardhi, country director for the Bangladesh arm of the Adventist Development and Relief Agency (ADRA).
Through female-run community organizations, ADRA educates men and women about the danger signs of labor and when to seek care. For example, many men in Bangladesh hold the belief that women should eat less during pregnancy to ensure a smaller baby is born, thereby making delivery easier, said Bardhi. ADRA addressed such misconceptions through a human rights-based approach and emphasized male participation as a key strategy, ensuring there were seven male participants for every one female.
A Culturally Nuanced Approach in Nigeria
The Nigerian Urban Reproductive Health Initiative (NURHI) is a public-private partnership that identifies and creates strategies for integrating family planning with maternal health. According to Kabir Abduallahi, team leader of NURHI, “family planning” is not as acceptable a term as “safe birth spacing” in Nigeria, so the project highlighted how family planning can help space births and save lives.
Religion and culture play an important role in the behavior of any community. The introduction of a controversial healthcare intervention (such as family planning) in a religiously conservative community requires careful assessment of the environment and careful planning for its introduction, said Abduallahi. Baseline surveys and formative research data helped NURHI understand the social context and refine intervention strategies.
Ten Ways to Increase the Capacity of FBOs
Faith-based organizations’ close links to communities provide them with an opportunity to promote behavior change and address other cultural factors contributing to maternal mortality rates such as early marriage and family planning.
Working in collaboration with FBOs and other stakeholders is critical to promoting demand for maternal and reproductive health services; however, there is limited knowledge about faith-based maternal healthcare and FBOs are often left off the global health agenda. In conclusion, Marshall noted 10 areas the group identified as areas to focus on:- Move projects to programs: Projects are often donor driven and limited in scope and duration. Donors and policymakers should move from project-oriented activities to local, regional, and national-level advocacy programs to build sustainable change.
- Coordinate, coordinate, coordinate: Significant resources are wasted due to a lack of coordination between FBOs and development agencies. A country-level coordinating mechanism should be developed to streamline efforts not only between agencies but also across faiths.
- Context, context, context: A thorough understanding of the local culture and social norms is imperative to successful program implementation.
- Terminology is important: In Pakistan, religious leaders redefined sensitization meetings around family planning and maternal and child health as “consultative meetings” not “trainings.” In Nigeria, the culture prefers “child birth spacing” over “family planning.” In Yemen, it’s “safe age of marriage” instead of “early childhood marriage.”
- Most religious leaders are open and with adequate information can produce behavior and value changes. Utilizing the Quran, Hadith, and Bible can support arguments and emphasize the issue of health and gender equity.
- Relationship building: Winning the trust of religious leaders can be difficult and time-consuming but is necessary for opening doors to patriarchal societies.
- Rights-based approach: A human rights-based approach can be a very powerful agent of change for addressing negative social structures such as violence against women, but it can also create controversy. In Bangladesh, ADRA utilized the approach to educate men about nutrition, dowry and child marriage, and education of women.
- Networks: There is a significant need to create forums that bring together the various FBO and global development communities in order to share knowledge and enhance advocacy messages. Networks are needed to streamline resources and inventory existing research, projects, and faith-based models that work.
- Monitoring and evaluation systems: There is a striking lack of data about the impact and outcomes of FBOs. Increasing the monitoring and evaluation skills of FBO workers can improve evaluation systems and meet the demand for new data.
- There needs to be greater political will for engaging the faith-inspired community.
Event ResourcesPhoto Credit: David Hawxhurst/Wilson Center. -
IRP Editors Cover Rwanda’s Population, Health, and Environment Challenges
›The original version of this article appeared on the International Reporting Project website.
The International Reporting Project (IRP) and 12 senior editors and producers from across the United States traveled to Rwanda this year to learn about issues affecting Rwanda and other countries in Africa and to help them improve their news organizations’ international coverage. Some of the editors focused on Rwanda’s extensive population, health, and environmental challenges:
Nicholas Aster, founder and publisher of San Francisco’s Triple Pundit, covered sustainable development in Kigali, coffee’s empowerment potential, and eco-tourism sites like Volcanoes National Park. Aster also became interested in Rwanda’s efforts to avert disaster by corralling Lake Kivu’s CO2 reserves into a power supply. At the close of his trip, Aster reflected on Rwanda’s sustainability goals in a photo essay.
Tom Paulson, host and reporter for KPLU’s Humanosphere, discovered the positive side of aid and development in Rwanda, including girls’ education initiatives and coffee farming improvements. Moreoever, Paulson documented the Gatekeepers’ trip to Volcanoes National Park, including a visit from a mountain gorilla who became a little too friendly. Paulson has also posted several questions the Gatekeepers asked President Paul Kagame when they met with him, including his policies on restricting free speech, curbing population growth, and preventing another genocide. At the close of the trip, Paulson composed a photo slideshow that shows a growing, vibrant Rwanda, and he also outlined 10 reasons why the complex and sometimes contradictory country can’t be described in a sound-bite.
Sue Horton, op-ed and Sunday Opinion editor of the Los Angeles Times, began chronicling her trip with a survey of Rwanda’s history on genocide, governance, and gorillas. On the road to meet Rwanda’s famed gorillas, Horton noted Rwanda’s strengths and challenges: its ambitious vision for the future encourages a growth in infrastructure and the country has showed impressive gains in healthcare provision and access, but Kigali is relocating residents who don’t fit the image.
The deputy managing editor of Global Post, Andrew Meldrum, also found a note of optimism in witnessing how far Rwanda has come since the genocide, particularly after hearing the testimonies of the genocide’s youngest victims: children born of sexual violence during the genocide. And his Global Post colleague Jon Rosen delves into the country’s population growth and the government’s approach to family planning.
In addition to the Gatekeeper Editor Trips, the IRP offers individual Fellowships to U.S. reporters to travel overseas on five-week reporting trips. In 2009, IRP Fellow Perry Beeman discovered a Rwanda similar to that which the Gatekeepers encountered: a country that has made much progress, but still has many challenges ahead. Beeman, who also was a public policy scholar at the Woodrow Wilson Center, created a multimedia series, “Renewal in Rwanda”, for The Des Moines Register; his reporting garnered him an Overseas Press Club citation for Best Reporting in 2010.
Rwandans, Beeman found, are dedicated to conservation. President Kagame is committed to the environment and is driven to develop clean, sustainable power and to convert from subsistence agriculture to a stronger, more diversified economy. But everyone has a hand in this effort, including schoolchildren who report on conservation in song, dance, and dramatic arts. Beeman also examined efforts to preserve the Gishwati Forest, including gorilla and chimpanzee preservation efforts from villagers to businessmen to researchers. Beeman emphasized the importance of immersing oneself in an environment in order to report on it, and he did so by, among other things, tracking wild chimpanzees in the forest.
For more information about IRP’s Fellowships and Gatekeeper Editor trips, visit their website at InternationalReportingProject.org.
Photo Credit: “The Broadsheet in Kyovu, Kigali,” courtesy of flickr user noodlepie (Graham Holliday). -
In Somalia, Beyond the Immediate Crises, Demography Reveals a Long-Term Challenge
›December 21, 2011 // By Elizabeth Leahy MadsenIn the nearly 20 years since the infamous intervention that resulted in the deaths of dozens of American and UN peacekeeping soldiers on the streets of Mogadishu, Somalia has become the epitome of a “failed state.” Neighboring countries, global bodies, and aid agencies are rushing to respond to the country’s rapidly evolving political, security and humanitarian crises.
Diplomatic attention has focused on decentralized, weak governance that is divided among the Al Shabab insurgency, clan warlords, and a hamstrung and largely ineffective Transitional Federal Government, whose control does not extend beyond the capital. Foreign militaries have had to devote naval resources to curtailing daring and far-reaching acts of piracy against civilian and military vessels from networks based in Somalia. Aid groups have been stymied in their efforts to stem famine as access to populations in the hardest-hit areas has been cut off by Al Shabab and food aid has been stolen. Most recently, Kenyan and, reportedly, Ethiopian forces have crossed the border, extending the reach of the country’s political crisis. Hundreds of thousands of have fled conditions of hunger, illness, and violence into neighboring countries.
Perhaps the deepest woe of a “failed state” is that its problems are deep-seated and cannot be solved during the brief span of a UN meeting or the news cycle following the latest terrorist attack. Amid the extraordinary efforts to battle the country’s crises, one of the most important underlying structural factors is often overlooked: the country’s unusual demographic picture.
A Demographic Outlier
Somalia is a global outlier in demographic terms, with rates of fertility (6.4 children per woman), infant mortality (107 deaths per 1,000 births), and maternal mortality (1,200 deaths per 100,000 live births) all above the already-high averages for sub-Saharan Africa. These demographic indicators are both a reflection of the abysmal state of health care in the country and a warning that its economic and security challenges are unlikely to be easily resolved.Research shows that where at least 60 percent of the population is younger than 30 years old, countries are more prone to outbreaks of civil conflict, and the risk increases as the proportional size of the “youth bulge” grows. In Somalia, 70 percent of the population is younger than 30, a level comparable to Iraq and the Palestinian Territories. With little to no improvements in health care, Somalia’s age structure has remained unchanged over the past 40 years. Unlike dozens of other countries where fertility has declined significantly in recent decades, Somali women have nearly as many children on average today as they did in the 1970s. The current total fertility rate of 6.4 children per woman is only a 12 percent decline from the 1970 rate.
Despite high infant mortality – more than 10 percent of children die before turning one – this sustained high fertility rate has generated rapid population growth, with each successive generation larger than the next. Somalia’s population has almost tripled since 1970, from 3.6 to 9.3 million, although population density remains low (one-third the world average). If the fertility rate remains constant at the current level – not an unreasonable projection considering how stagnant it has been over past decades – Somalia would be home to 33 million people by 2050. Even if the fertility rate drops to near four children per woman, as projected in the UN’s medium variant, the population would still triple to 28 million by mid-century given the demographic momentum of decades of high fertility.The fertility decline built into the UN’s medium variant projection – which would still place Somalia among the highest total fertility rates in the world by 2050 – is unlikely without steady and major improvements in the country’s health system, particularly women’s health. But with decades of conflict, weak governance and little investment, the environment for reproductive health services is dire.
A recent World Health Organization assessment described “unacceptable levels of unmet need, extreme inequities in access…slow progress…[and] underinvestment and poorly coordinated actions.” Pregnancy and childbirth are major risks to women’s well-being. Somali women have a one in 14 chance of dying from maternal causes over their lifetimes, the second-highest risk in the world. Funding to improve reproductive and maternal health care remains too low to meet demand. The United Nations Population Fund reports that donors spent about $6 million on population and reproductive health programs in 2008, about one-third as much as was spent in Benin and Burundi, which have smaller populations.
The Future for Youth
Instability and violence have become entrenched in Somalia; according to the Armed Conflict Dataset, civil conflict occurred in 12 of the past 20 years. The direct causes of the conflict are typically recorded as struggles for power and resources among competing clans. But in considering the underlying causes of conflict, demographic security scholars have suggested that very young age structures such as Somalia’s can create both motive and opportunity for recruitment into a violent uprising. As ever-growing numbers of young people face adulthood with few prospects for employment, hopelessness or desperation can make them vulnerable to the promise of well-being and identity offered by a political faction or rebel group.
There are 1.7 million people between the ages of 15 and 24 in Somalia today, with another 2.5 million following in the next ten-year age cohort. With opportunities for education, jobs, and equitable participation in society, these youth would represent a promising future for their country. Unfortunately, such opportunities are not afforded to most of them. A United Nations survey found that the secondary school enrollment rate is just six percent, with poverty and early marriage keeping many young people out of school. World Bank data from 2002 show that two-thirds of urban working-age adults and 41 percent of those in rural areas were unemployed. Nearly half of the population lives on less than $1 per day.
Youth Education, Economic Opportunities Could Increase Stability
While global attention centers on the government’s commitment to a new roadmap for peace and the efforts of the African Union’s peacekeeping forces to drive Al Shabab out of Mogadishu, development agencies have recognized demographic security as an important component of Somalia’s future.
The United Nations Children’s Fund is supporting schools for displaced children in Mogadishu, saying in a press release that “providing them with learning opportunities in a safe environment is critical for the country’s long-term stability and growth.”
The U.S. Agency for International Development (USAID) has announced plans for a new program called the Somali Youth Leaders Initiative, which aims to improve young people’s access to secondary education and economic opportunities and to increase their civic participation. In designing the program, USAID noted “the recruitment of boys and men by extremist organizations and piracy networks” and “the common perception that an increasing youth population is a potentially destabilizing force.”
As the October 4 bombing at the Education Ministry in Mogadishu showed, young people are often the victims of the country’s instability. Programs such as those of UNICEF and USAID that empower young people to capitalize on their potential should be a greater focus among initiatives to address Somalia’s long-term future as well as its immediate crises.
Elizabeth Leahy Madsen is a consultant on political demography for the Wilson Center’s Environmental Change and Security Program and former senior research associate at Population Action International.
Sources: BBC, Population Action International, The New York Times, UCDP/PRIO, UNICEF, UNESCO, UN Population Division, UN Population Fund, Urdal (2006), USAID, World Bank, World Health Organization.
Image Credit: “Somalia Suffers from Worst Drought in Century,” courtesy of flickr user United Nations Photo/Stuart Price; charts arranged by Elizabeth Leahy Madsen, data from the UN Population Division and World Health Organization. -
From Dakar: Explaining Population Growth and Family Planning to Environmentalists
›December 19, 2011 // By Sandeep Bathala“There is a growing recognition that population is a key driver of environmental, development, governance, and security challenges; however, family planning is not a traditional tool, nor is it often considered an ‘appropriate’ one, for responding to food, water, climate, or conflict,” said Roger-Mark De Souza at a November 30 panel discussion at the 2011 International Conference on Family Planning in Dakar, Senegal. “This presents a challenge for us: How can we change perceptions of family planning so that it becomes part of the solution to wider problems, including natural resource scarcity, lack of economic development, gender inequity, and instability?”
De Souza, vice president of research and director of the climate program at Population Action International (PAI), was joined by Sandeep Bathala, program associate with the Wilson Center’s Environmental Change and Security Program; Robert Engelman, president of Worldwatch Institute; and Daisy Magaña, fellow with the GoJoven Program, for a session on “Reaching Out at Rio: Explaining Population Growth and Family Planning to Environmentalists.”
Population Dynamics Part of Climate Vulnerability
“Advocates…need to communicate that empowering women to make their own reproductive choices will improve both their individual well-being and our collective environment,” said Engelman. According to research conducted on behalf of Americans for UNFPA, messages that focus on women – their health or empowerment – resonate well with American environmentalists, as they do with broader audiences.
PAI’s interactive mapping website shows that high levels of unmet need for family planning and rapid population growth rates are common in countries with low levels of resilience to climate change and high levels of projected decline in agricultural production, said De Souza. “Family planning services can be one element of a multi-pronged strategy to reduce especially women’s vulnerability to these interlocking vulnerabilities,” he said.
“Currently, population growth is viewed as a challenge to addressing climate change-related vulnerabilities, but family planning services are commonly left out of conversations about ways to reduce these vulnerabilities.” This is a lost opportunity, said De Souza: “We can integrate family planning into wider environmental, development, and peace-building efforts.”
At the recent UN Climate Change Conference in Durban, a side event on reproductive health and climate was well-attended. However, as panelist Esther Agbarakwe of the Africa Youth Initiative on Climate Change noted, population was not part of the conference‘s official discussion, due to lack of knowledge and fears of population control. PAI is currently working with UNFPA to produce a series of training modules on population and climate change that will help environmentalists, climate change activists, and researchers better understand and explore these connections.
Tapping the Youth Base
Bathala, formerly the Sierra Club’s Global Population and Environment Program director, discussed how the Sierra Club, one of the only major grassroots conservation organizations with a population program, uses youth outreach to raise awareness on the links between the environment, reproductive health, and women’s rights.
Because young people constitute over half of the world’s population, the Sierra Club focuses on empowering youth leaders to make the connection between environmental issues and sexual and reproductive health and rights. The Population and Environment Program reaches youth directly by organizing summits and multi-state campus tours featuring young people from around the world sharing compelling stories with their peers.
“The program provides youth and adult activists with materials, communication strategies, and leadership training,” Bathala said. “With these tools, the activists then educate their community members, campus, and decision-makers about the need for measures that increase access to family planning while addressing poverty, women’s empowerment, and environmental protection.”
In April, fellow panel member and Belize-native Daisy Magaña joined one of the Sierra Club’s U.S. tours to discuss the GoJoven program, which convenes and support youth reproductive health champions throughout Latin America. Through GoJoven, Magaña has worked to expand adolescent reproductive and sexual health choices, services, policies, and programs in Belize.
In a blog post, Magaña discussed how her message was simple: Don’t give up. “If you think being active on environmental and sexual rights issues is hard to do here, imagine doing it in a deeply conservative [Catholic] country like mine,” she told U.S. students.
Sierra Club also leads story tours to functioning population, health, and environment programs in the field, including a 2009 trip to Guatemala and Belize in conjunction with GoJoven. Through visits to 10 project sites, two U.S.-based youth advocates witnessed first-hand the challenges and opportunities associated with community-based sexual and reproductive health programs, significantly enhancing their ability to be pro-active messengers in their own communities. The tour helped the Sierra Club build an international network of young people committed to social and policy change in their countries.
Looking Forward: Finding Ways To Highlight Integration
While recognition of the connections between population growth and environmental impacts is growing, the experience of the panelists shows that it takes innovative methods to reach both the environmental and family planning communities. A similar panel later this winter at the Wilson Center will include representatives of Americans for UNFPA discussing their research on talking to environmentalists about reproductive health and population growth.
With the UN Conference on Sustainable Development (Rio+20) coming in June of next year, highlighting successful strategies is crucial in order to pave the way for better integration in the future.
Event ResourcesImage Credit: Roger-Mark De Souza/Population Action International. -
Jake Naughton, Pulitzer Center for Crisis Reporting
Pulitzer Center Launches Collaborative Reporting Project on Reproductive Health
›The original version of this article, by Jake Naughton, appeared on the Pulitzer Center for Crisis Reporting blog.
The Pulitzer Center launched its collaborative reproductive health-reporting project at this year’s International Conference on Family Planning (ICFP) in Dakar, Senegal. The project brings together four journalists from Africa and four from the United States who will collaborate to enhance local and international reporting about reproductive health across the continent.
The African journalists are Mae Azango of Liberia, Estelle Ellis of South Africa, Sam Olukoya of Nigeria, and Ken Opala of Kenya. Their U.S. counterparts are Christian Science Monitor correspondent Jina Moore; New Yorker editorial staffer Alexis Okeowo; and the Pulitzer Center’s managing director Nathalie Applewhite and visual media coordinator Jake Naughton.
More than two thousand reproductive health professionals and hundreds of journalists from all over the world participated in the conference, which sought to shine a spotlight on the unmet need for family planning services worldwide, and to focus on integrating family planning into general health services.
Continue reading on the Pulitzer Center for Crisis Reporting blog.
Video Credit: “Meet the Journalists: Dakar,” courtesy of the Pulitzer Center. -
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.
