Showing posts from category video.
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Certification: The Path to Conflict-Free Minerals from Congo
›This summer, the Wilson Center’s Africa Program, in co-sponsorship with the Enough Project, assembled a panel of experts from American, British, and Congolese governments, private industry, and the NGO community to discuss the deplorable situation in the eastern Democratic Republic of the Congo (DRC) involving conflict minerals and certification as a way forward.
After introductory remarks by Wilson Center President Jane Harman, Africa Program Director Steve McDonald introduced John C. Bradshaw, executive director of the Enough Project, who moderated the panel discussion. [Video Below]
Under Secretary of State Robert D. Hormats began by saying the “extremely traumatic” humanitarian situation in the restive areas of the eastern DRC requires “a bold, resolute, and morally inspired response by the United States and other countries.”
Sasha Lezhnev, policy consultant for the Enough Project, explained how the demand for tin, tantalum, tungsten, and gold – for use in batteries, circuit boards, and screens in computers and cellphones – are, in effect, driving the conflict in the DRC.
However, Ambassador to the United States from the DRC Faida Mitifu pointed out that a significant 70 percent of the economy in the eastern regions of the country depends on mining, thus any initiative would have to take into account the livelihoods of the people. In order to assist those communities while a process is formulated, Lezhnev called for targeted development projects in the most affected regions.
The Kimberley Process: A Potential Model?
“If we want to have a lasting impact, we’re going to need a certification process,” Lezhnev said, and we must learn lessons from the Kimberley Process (KP) in order to implement a suitable framework in the DRC.
Clive Wright, who served as the diplomatic negotiator for the KP and head of the foreign policy team for the British High Commission in Ottawa, described the intricacies of the process and its genesis. Under the provisions of the KP, the trade of rough diamonds is permissible, provided that there is a certificate from the country of origin and complementary legislation is in place in the importing country. This agreement was made through consultations and dialogue between the private sector and civil society.
Though successful in certain respects, Wright listed several shortcomings of the KP: it is not legally binding, therefore there are no levers to pull that compel government action; the process is void of an independent monitoring mechanism; and a consensus clause allows one government to block any action which clears the way for the status quo to prevail.
To implement a policy similar to the KP that guarantees legitimate minerals trade in the DRC, Under Secretary Hormats highlighted four key actors that have critical roles independently and collaboratively: 1) regional governments; 2) industry; 3) civil society; and 4) the U.S. government.
Regional Governments
Governments in the region face considerable challenges, said Hormats, as rebel groups trade across borders and evade efforts to rein in the commerce of precious gems, minerals, and arms. The states surrounding the Great Lakes – including Uganda, Rwanda, Burundi, Zambia, Kenya, and the DRC – have coalesced around these issues and developed a plan that will require effective coordination to ensure credibility. Some countries have already established traceability schemes, which are crucial for states that share borders with the DRC, since smuggling is incessant.
With regard to rebel factions, Kinshasa has occasionally participated in joint operations with the governments of Rwanda and Uganda “to stabilize [and] contain the activities of armed groups,” said Ambassador Mitifu. Progress, though slow, has also been made in demilitarizing the mining areas in the Kivu provinces as well as Maniema and in weakening the Congrès National pour la Défense du Peuple’s (CNDP) parallel administration.
The government in Kinshasa has made significant steps toward a certification framework and taken punitive action against military personnel who have engaged in illicit trade, said Ambassador Mitifu. She outlined the efforts the Kabila administration has made to address the issue, including initiatives to put in place a credible certification system so that clean minerals can be exported. In conjunction with MONUSCO – the UN peacekeeping mission in the DRC – the Congolese government has introduced centers where miners can bring their products and feed them into a legitimate supply chain. Finally, Kinshasa is working closely with the private sector, international organizations, and local NGOs to minimize fraud and enhance cooperation. Nevertheless, governance and corruption represent a formidable roadblock in the implementation of any certification process.
Industry Responsibility
Tim Mohin, the director of corporate responsibility for Advanced Micro Devices – one of the largest semiconductor manufacturers in the world – argued that industry can positively influence the supply chain by creating conflict-free smelter programs and a due diligence bulwark where anyone along the supply chain can trace their resources back to a certified smelter.
Customers, Mohin said, are going to have to insist that businesses comply with this tracking system. Under Secretary Hormats agreed with this sentiment, saying that companies that look into the origin of their minerals send a powerful message to the region and the world. He also expressed hope that “companies [would] work to find ways to adhere to legislation [Dodd-Frank] and honor their obligations to their shareholders without shunning the region’s minerals entirely.”
The most difficult stretches along the supply chain are getting buy-in from the miners and the smelters; overcoming the constraints of socio-economic realities on the ground and geo-politics; and the lack of a sustainable tracing system that spans the spectrum of the supply chain. In addition to shored-up U.S. involvement, Mohin called for increased public-private sector partnerships with incentives reminiscent of the Fair Trade system, development aid to assist displaced people, and enhanced security for artisanal miners and their businesses.
Civil Society and Government
Hormats commended the pivotal role civil society has played and must continue to play in highlighting the humanitarian issues at stake, as governments and companies have been only “dimly aware of the link between human rights abuses and the minerals trade.” Furthermore, Wright encouraged civil society’s participation because it serves as a “great policeman” that monitors the bad behavior of governments, especially when the allure of profiteering seeps into deliberations. Moving forward on boosting security for civil society on the ground in the Congo will be essential.
The U.S. government, Hormats asserted, has to do its part to support initiatives on the table to create conflict-free supply chains. If more revenue is invested in legitimizing supply chains, a substantial portion of the problem would be solved. USAID and the State Department are working with civil society to take action against those responsible for illegitimate trade and exacerbating the conflict. Of course there remains work to be done, but as Under Secretary Hormats indicated “this is the most significant moral issue of our time.”
Derek Langford is a program assistant with the Wilson Center’s Africa Program.
Photo Credit: “Aerial View of Camps for People Displaced by Conflict,” courtesy of flickr user United Nations Photo. -
What’s in a Name? Watch Don Lauro on PHE, HELP, and HELPS
›Population, health, and environment (PHE) expert Don Lauro has worked on integrated projects for decades as a scholar, an implementer, a donor, and an evaluator. He recently visited the USAID-funded BALANCED Project in Tanzania as part of a wider look at this integrated approach. In an interview with ECSP, Lauro said the effort “made me think more broadly…about this area that we call population, health, and environment and what’s really in a name like that.”
“We commonly say PHE, and we all know what we’re talking about,” Lauro said of the population and development community, “but when you look deeply into these projects – or even not so deeply – you see that there’s other things going on as well.”
For example, Lauro pointed to the focus on livelihoods that many PHE programs have: “In the project I saw in Tanzania, there were many microcredit groups on the ground – mostly women – taking small loans for developing little enterprises that they had, like baking bread, raising bees, buying a cow…little enterprises to make their lives a little bit better.”
“Some people don’t use the term ‘PHE’…maybe it’s a ‘HELP’ project; that is health, environment, livelihoods, and population,” Lauro said. “Other people would say it’s maybe something even longer, ‘HELPS’ – health environment, livelihoods, population, and sustainability (or ‘security’ – Ed.).” When he was at the Wilson Center, Gib Clarke coined the “HELP” term in ECSP’s FOCUS Issue 20, arguing that livelihoods is such a critical component that it ought to be more formally recognized.
But, said Lauro, “on the ground they don’t use these terms – they say things like, ‘this is a healthy community program’ or ‘this is a green community program.’”
“I think it’s very important for us to realize what happens on the ground is lot different, and maybe more real, than how we talk about it.” -
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. -
International River Basins: Mapping Institutional Resilience to Climate Change
›Institutions that manage river basins must assess their ability to deal with variable water supplies now, said Professor Aaron Wolf of Oregon State University at the July 28 ECSP event, “International River Basins: Mapping Institutional Resilience to Change.” “A lot of the world currently can’t deal with the variability that they have today, and we see climate change as an exacerbation to an already bad situation.”
Wolf and his colleagues, Jim Duncan of the World Bank and Matt Zentner of the U.S. Department of Defense, discussed their efforts to map basins at risk for future tensions over water, as identified in their coauthored World Bank report, “Mapping the Resilience of International River Basins to Future Climate Change-Induced Water Variability.” [Video Below]
Floating Past the Rhetoric of “Water Wars”
Currently, there are 276 transnational water basins that cross the boundaries of two or more countries, said Wolf. “Forty percent of the world’s population lives within these waters, and interestingly, 80 percent of the world’s fresh water originates in basins that go through more than one country,” he said. Some of these boundaries are not particularly friendly – those along the Jordan and Indus Rivers, for example – but “to manage the water efficiently, we need to do it cooperatively,” he said.
Wolf and his colleagues found that most of the rhetoric about “water wars” was merely anecdotal, so they systematically documented how countries sharing river basins actually interact in their Basins at Risk project. The findings were surprising and counterintuitive: “Regularly we see that at any scale, two-thirds of the time we do anything over water, it is cooperative,” and actual violent conflict is extremely rare, said Wolf.
Additionally, the regions where they expected to see the most conflict – such as arid areas – were surprisingly the most cooperative. “Aridity leads to institutions to help manage aridity,” Wolf said. “You don’t need cooperation in a humid climate.”
“It’s not just about change in a basin, it’s about the relationship between change and the institutions that are developed to mitigate the impacts of change,” said Wolf. “The likelihood of conflict goes up when the rate of change in a basin exceeds the institutional capacity to absorb the change.”
Expanding the Database for Risk Assessment
Oregon State University’s Transboundary Freshwater Dispute Database (TFDD) tracks tabular and spatial information on more than 680 freshwater treaties along 276 transboundary river basins, said Jim Duncan. The team expanded the database to include recent findings on variability, as well as the impacts of climate change on the future variability of those basins. “We have a lot more information that we are able to work with now,” Duncan said.
Analyzing the institutional vulnerability of treaties along with hydrological hazards, they found the risk of tension concentrated in African basins: The Niger, Congo, and Lake Chad basins “popped out,” said Duncan. When predicting future challenges, they found that basins in other areas, such as Southeastern Asia and Central Europe, would also be at risk.
Duncan and his colleagues were able to identify very nuanced deficiencies in institutional resilience. “Over half of the treaties that have ever been signed deal with variability only in terms of flood control, and we’re only seeing about 15 percent that deal with dry season control,” said Duncan. “It’s not the actual variability, but the magnitude of departure from what they’re experiencing now that is going to be really critical.”
Beyond Scarcity
“Generally speaking, it’s not really the water so much that people are willing to fight over, but it’s the issues associated with water that cause people to have disagreements,” said Matt Zentner. Water issues are not high on the national security agendas of most governments; they only link water to national security when it actively affects other sectors of society, such as economic growth, food availability, and electric power, he said. Agricultural production – the world’s largest consumer of water – will be a major concern for governments in the future, he said, especially in developing countries economically dependent on farming.
Some experts think that current international treaties are not enough, said Zentner. Peter Gleick of the Pacific Institute has said that “the existing agreements and international principles for sharing water will not adequately handle the strain of future pressures, particularly those caused by climate change.”
How transboundary water treaties fare as the climate and consumption rates change is not as simple as measuring flow; the strength of governing institutions, the parties involved, and other variables all play major roles as well, said Zentner. “When you have flexibility built within [a treaty], it allows it to be a living, breathing, and important part of solving those [water] problems.”
Download the full event transcript here.
Sources: Oregon State University, Pacific Institute.
Photo Credit: “Confluence of the Zanskar and Indus,” courtesy of Flickr user Sanish Suresh. -
PRB’s Population Data Sheet 2011: The Demographic Divide
›August 9, 2011 // By Kellie Furr“Today, most population growth is concentrated in the world’s poorest countries – and within the poorest regions of those countries,” write the authors of the 2011 Population Data Sheet, an analysis tool published annually by the Population Reference Bureau (PRB). The population projections between poor and rich countries are “stark and very sad,” said Carl Haub Haub, senior demographer at PRB, at the July 28 web-based launch of the Data Sheet: “We call it the demographic divide. It shows the vast difference that has developed between the rich and poor countries of the world.”
The Population Data Sheet offers insight on global population trends using detailed statistical information along 18 demographic, population, health, and environment indicators for more than 200 countries and regions. The data sheet is based on the latest projections of the UN Population Division. Carl Haub and James Gribble of PRB discussed the long-term implications of the data sheet’s projections during web-based launch that included open questions.
Conflicting Trends
“Even though the world population growth rate has slowed from 2.1 percent per year in the late 1960s to 1.2 percent today, the size of the world’s population has continued to increase – from 5 billion in 1987, to 6 billion in 1999, and to 7 billion in 2011,” write the authors in PRB’s July Population Bulletin, “The World at 7 Billion.” To put those population totals into perspective, it took from the inception of human existence until the year 1800 – a total of approximately 50,000 years – to reach the first billion.
Fortunately, the recent (relative) decline in global growth rate has already curbed what could have been a considerable surge in the world’s population: “If the late 1960s population growth rate of 2.1 percent – the highest in history – had held steady, world population would have grown by 117 million annually, and today’s population would have been 8.6 billion,” said PRB President Wendy Baldwin in a press release. However, the world’s population still grows significantly at 77 million people annually, according to the UN, and we’re slated to reach 8 billion in just another 12 years. How can this dichotomy of large population totals in the face of lowered fertility be explained?
The Phases of Demographic Transition
“To understand global, we actually have to think local,” said PRB in their film short, “7 Billion and Counting,” released alongside the data sheet. Individual countries go through demographic transitions at different times, and the disparity in where countries are along in their progression varies greatly.
A demographic transition essentially hinges on two trends: the decline of birth and death rates over time. These trends do not necessarily change simultaneously however, resulting in most cases, first, a natural increase (when mortality rates decline but birth rates remain high) followed by a natural decrease in population (when birth rates also decline). Though the timing and magnitude of these trends differ from place to place, there are broad similarities across countries which have been conceptualized as phases by demographers, such as Carl Haub and James Gribble.Phase one is characterized by high birth rates and fluctuating death rates, found in countries such as Niger, Afghanistan, and Uganda; typically only death rates decline in this phase. Phase two, encompassing mostly lower-middle income countries such as Guatemala, Ghana, and Iraq, is marked by a continued decline in death rates but only slightly lower birth rates. The potential for large population growth exists in these countries, as they still possess a large youth population.
Countries in phase three have yet lower birth and death rates and overall total fertility rates close to the widely-accepted replacement level of 2.1 children per woman; these countries are home to approximately 38 percent of the world’s population and include India, Malaysia, and South Africa. Phase three countries often still possess a disproportionately large working age population as an echo of their previous growth, which allows them to take advantage of the “demographic dividend.”
Finally, phase four countries have the lowest birth and death rates, with some even seeing negative growth as total fertility rate falls at or below the natural replacement rate; countries in this phase include most of Europe and other developed countries, such as Japan and the United States (though relatively high levels of immigration keeps overall growth higher).
The data sheet shows that most developing countries still remain in the earlier phases of demographic transition, especially those in sub-Saharan Africa and the Middle East. Relatively recent public health improvements in these countries have decreased death rates at a rapid rate, and though total fertility rates (TFR) have declined as well, they have not kept the same pace: “This lag between the drop in death rates and the drop in birth rates produced unprecedented levels of population growth,” wrote Haub and Gribble in the Population Bulletin.
A Tale of Two Worlds
The data sheet authors observe that poverty is strongly associated with countries which are stalled in their progression through the demographic transition:Poverty has emerged as a serious global issue, particularly because the most rapid population growth is occurring in the world’s poorest countries and, within many countries, in the poorest states and provinces…Relatively high population growth rates make it more difficult to lift large numbers of people out of poverty.
In her primer video on demographic security for ECSP, demographer Elizabeth Leahy Madsen said, “we are in an era of unprecedented demographic divergence,” and characterized the phenomenon of population trends moving simultaneously in different directions as “rapid” and “unprecedented.”
Haub used Italy and the Democratic Republic of Congo (DRC) as an example to illustrate the divide. Although both countries currently sit at around 60 million people each, Italy is only projected to grow by 2 million through 2050, while the DRC is projected to reach a staggering 149 million people. Italy has a gross national income per capita of about $35,000, whereas DRC has only $180 per capita, according to the World Bank.
This observation has been corroborated by other demographers: “In 1950, 68 percent of the world’s population resided in developing regions. Today that’s up to 82 percent. But in the year 2050, it’s projected to be 86 percent,” said demographer David Bloom on NPR’s global health blog, Shots.
Demography ≠ Destiny
A poor country is not necessarily tethered to its projections, which are based on assumptions, said the authors, “but when, how, and whether [the demographic transition] actually happens cannot be known.”
Low development indicators do not always dictate that a country will lag in a demographic transition. “Government commitment to a policy to lower [birth rates] has succeeded quite well in countries with a low level of development,” said Haub in a 2008 PRB discussion on the demographic divide. Bangladesh and Iran are two examples of countries that significantly affected their demographic trajectories in the 20th century with targeted programs.
Proactivity certainly plays a role, as the PRB “7 Billion and Counting” video puts it (see above): “Understanding how and why the world’s population is growing will help nations better plan for the future…and for future generations.”
Sources: NPR, Population Reference Bureau, UN-DESA, UNICEF, World Bank.
Video and Image Credit: “7 Billion and Counting,” courtesy of PRB’s Youtube channel, and stages of demographic transition courtesy of PRB’s 2011 Population Data Sheet. -
Watch: Aaron Wolf on the Himalayan and Other Transboundary Water Basins, Climate Change, and Institutional Resilience
›When Aaron Wolf, professor in the Department of Geoscience at Oregon State University, and his colleagues first looked at the dynamics behind water conflict in their Basins at Risk study, they found that a lot of the issues they’d assumed would lead to conflict, like scarcity or economic growth, didn’t necessarily. Instead they found that “there is a relationship between change in a [water] basin and the institutional capacity to absorb that change,” said Wolf in this interview with ECSP. “The change can be hydrologic: you’ve got floods, droughts, agricultural production growing…or institutions also change: countries kind of disintegrate, or there are new nations along basins.”
However, these changes happen independently. “Whether there is going to be conflict or not depends in a large part to what kind of institutions there are to help mitigate for the impacts of that change,” explained Wolf.
“If you have a drought or economic boom within a basin and you have two friendly countries with a long history of treaties and working together, the likelihood of that spiraling into conflict is fairly low. On the other hand, the same droughts or same economic growth between two countries that don’t have treaties, or there is hostility or concern about the motives of the other, that then could lead to settings that are more conflictive.”
Wolf stressed the importance of understanding hydrologic variability in relation to existing treaties around the world. After carefully examining hundreds of treaties, he and his colleagues created a way of measuring their variability to try to find potential hotspots.
“We know how variable basins are around the world; we know how well treaties can deal with variability. You put them together and you have some areas of concern: You may want to look a little closely to see what is happening as people try to mitigate these impacts,” said Wolf.
“We know that one of the overwhelming impacts of climate change is that the world is going to get more variable: Highs are going to be higher, and lows are going to be lower,” Wolf said.
Wolf used the Himalayan basins to illustrate the importance of overseeing the potential effects of climate change and institutional capacity. “There are a billion and half people who rely on the waters that originate in the Himalayas,” he pointed out. Because of climate change, the Himalayas may experience tremendous flooding, and conversely, extreme drought.
Unfortunately, Wolf said, “the Himalayan basins…do not have any treaty coverage to deal with that variability.” Without treaties, it is difficult for countries to cooperate and setup a framework for mitigating the variability that might arise. -
Maternal Health Challenges in Kenya: What New Research Evidence Shows
›“Although there have been improvements in the recent past, the status of maternal health care has not met the required international standards,” said Professor at the University of Nairobi Geoffrey Mumia Osaaji during a live video-conference from Nairobi on July 12.
As part of the 2011 Maternal Health Dialogue Series the Woodrow Wilson Center’s Global Health Initiative is partnering with the African Population and Health Research Center to convene a series of technical meetings on improving maternal health in Kenya. The 20 Kenyan experts attending the workshop in Nairobi also shared their strategies and action points with a live audience in Washington, DC during a video conference discussion. [Video Below]
Osaaji was joined by panelists Lawrence Ikamari, director of Population Studies and Research Institute (PSRI), and Catherine Kyobutungi, director of Health Systems and Challenges at the African Population and Research Center to discuss new maternal health research in Kenya. Panelists also shared recommendations for moving the maternal health agenda forward that came out of discussions during the two-day, in-country workshop with Kenyan policymakers, community health workers, program managers, media, and donors. Following the panelists’ presentations, Dr. Nahed Mattta, senior maternal and newborn health advisor at U.S. Agency for International Development (USAID) and John Townsend, vice-president of reproductive health program for Population Council provided reflecting remarks from the Woodrow Wilson Center during the live webcast.
Maternal Health Challenges in Rural Kenya
“Maternal mortality in rural Kenya is still very high,” said Ikamari. “Rural women in Kenya need to have increased access to maternal health services.” Ikamari discussed a number of factors that contribute to high rates of maternal mortality in rural Kenya, including lack of access to quality care and skilled birth attendants, the high burden of HIV/AIDS, and an unmet need for family planning.
Though nearly 90 percent of women in rural Kenya seek antenatal care, according to the UNFPA, many wait until the second or third trimester, limiting the benefits. Additionally, a majority of women in rural Kenya give birth outside of health facilities, oftentimes without the care of a skilled birth attendant, said Ikamari. In a recent survey, many rural women indicated that transportation to often distant health facilities prevented them from seeking adequate maternal health care, he added.
Additionally, “the burden of HIV is really felt in rural Kenya,” said Ikamari. Survey results show that HIV/AIDS prevalence is about seven percent in rural Kenya and because the majority of the Kenyan population lives in rural areas, this adds yet another layer of complications.
“Family planning saves lives,” said Ikamari, stressing the importance of contraception on maternal health outcomes. Only 35 to 40 percent of currently married Kenyan women use family planning, according to the last demographic and health surveys, and unmet need remains particularly high in rural areas. Promoting institutional delivery systems, improving antenatal and postnatal care, and finding other ways to increase access to family planning can help to improve maternal health outcomes and reduce preventable deaths in rural Kenya, concluded Ikamari.
Comparison of Urban and Rural Areas
“The interventions to address maternal health are well known: family planning, increased access to safe abortion services, skilled health workers, health facilities that are accessible, as well as referral systems that work,” said Kyobutungi. “Yet urban averages [of maternal mortality] are becoming either close or worse than rural averages.”
“As much as we appreciate the rural-urban divide that exists for most health indicators, the urban-urban divide (the fact that there are huge intra-urban differences) needs attention”
“Teenage pregnancy is a failure of family planning,” said Kyobutungi. Studies indicate that there are three times more teenagers that are pregnant among the urban poor, compared to the urban rich.
As in rural Kenya, access to quality health facilities and care is also limited in cities. “Health facilities are few and far between and the referral systems are weak,” said Kyobutungi, and “when you remove Nairobi from the numerator, the number of skilled physicians per population is in the decimals.”
Moving forward, there is a need to promote effective integration and improvement of health worker training and monitoring but also development of performance-based incentives to ensure successful programs are properly funded. “It’s not all gloom and doom in urban areas,” concluded Kyobutungi.
Innovative Ideas for Better Results
“By year 2025 there will be 25 percent more people [in Kenya],” said Townsend. “What that means is, when we are planning…we have to think about the scale of solutions that we are proposing in 2025 and 2050.” Therefore, it is essential to acquire new models of data and evidence to better predict future population growth and maternal needs, he suggested.
In addition to expanding services to meet the needs of a growing population, the panelists in Washington emphasized the need to support integration at all levels. Trends are moving in the right direction: Within the Obama administration’s Global Health Initiative, “there is a strong push and recommendation for integration among the health sectors,” said Matta.
But integration is not a magic bullet to improve maternal health, warned the panelists. “Integration is a terrific issue, but when the health sectors are weak, putting more burden on a local community health worker does not usually make sense; we have to think about smart integration,” said Townsend.
Focusing on Kenya’s health sector from all aspects, both at the private and public level, and improving family planning, institutional delivery care, as well as antennal care will help Kenya overcome its maternal health barriers. Additionally, thinking of ways to utilize new models of data and integrating the various sectors will yield substantial benefits, concluded Matta and Townsend.
Following the technical meeting, a public dialogue was held on July 13 in Nairobi to share the recommendations and knowledge gaps identified with members of Kenya’s Parliament, including Hon. Sofia Abdi, parliamentary health committee member; Hon. Ekwee Ethuro, chair of the parliamentary network for population and development; and Hon. Jackson Kiptanui. They joined a group of more than 50 maternal health experts, program managers, members of the media, and donors – such as the UK Department for International Development (DFID) – to identify real solutions and action points for improving maternal health in Kenya.
The formal report from the in-country technical meeting will be available in the near future.
See also the Maternal Health Task Force’s coverage of the event, here and here.
Sources: Kenya National Bureau of Statistics, UNFPA.
Photo Credit: Jonathan Odhong, African Population and Health Research Center. -
Cynthia Brady, USAID
The Specter of “Climate Wars”
›July 29, 2011 // By Wilson Center StaffThe original version of this article, by Cynthia Brady, appeared in the June/July 2011 edition of USAID’s Frontlines.
In 2007, many in the advocacy community rushed to categorize the conflict in the Darfur region of Sudan as a “climate war” in the wake of a compelling United Nations report that emphasized the ways climate change and environmental degradation can drive conflict.
In 2009, international media focused significant attention on an academic study that analyzed historical linkages between civil war and temperatures in sub-Saharan Africa and suggested there would be a 54-percent increase in armed conflicts by 2030. [Video Below]
In both cases, subsequent research and analyses conducted by prominent scholars countered those original claims of such direct climate and conflict connections, at least based on existing evidence. Those studies are two examples of the recent spate of analyses on the subject and serve as cautionary tales against alarmism and overly simplistic assumptions about specific connections between climate change and stability.
The reality is far more complicated.
The science and practice of analyzing the interaction of climate change risk and conflict risk is new and still evolving. As a result, there is little certainty over exactly how climatic change will manifest in specific locations and what the consequences will be for economic development, political stability, and peace and security.
Around the world, climate change likely will create both risks and opportunities, making it critical that development and relief organizations like USAID consider climate change not as a monolithic threat but rather as an important influence within a complex web of environmental and social factors.
Responding to climate change effectively means taking action to reduce the threats. It also means harnessing opportunities by helping people and institutions to effectively cope with and adapt to change – environmental or otherwise. Climate-focused interventions, if conducted strategically and with sensitivity to local context, can produce outcomes for conflict prevention and sustainable development as well.
For example, recent USAID-funded research in the conflict-prone Karamoja region of northeastern Uganda found that engaging local communities in the design and implementation of climate change adaptation activities – for example, promoting shared grazing areas and creating small-scale irrigation systems – holds considerable potential to reduce conflict by building social cohesion and addressing feelings of marginalization and disempowerment among local community members.
Since 2008, USAID has invested in research to better understand how specific climate factors contribute to the risk of conflict and affect the resilience of social structures and institutions. The goal is to build a deeper understanding that will enable the agency and its partners to respond most effectively to climate-related stress, reduce the risk of violent outcomes, and maximize the potential for U.S. foreign assistance to prevent conflict and promote stability.
This knowledge also will help USAID make wise investments as part of meeting U.S. Government commitments under the Global Climate Change Initiative as described in President Barack Obama’s September 2010 Presidential Policy Directive on Global Development.
Climate Change and Conflict Prevention
The research thus far points to climate change as an exacerbating factor in situations where political, economic, and social stresses already exist. The risk of conflict is greatest where there is poor governance and low institutional capacity.
The agency, through its Office of Conflict Management and Mitigation (CMM), has identified two basic scenarios under which climate change could combine with other variables and potentially lead to conflict.
First, climate change could intensify existing environmental or resource problems. For example, a series of droughts could reduce the available local water supply, aggravating competition between farmers and pastoralists in already arid regions. Second, climate change could create new environmental or resource problems that contribute to instability. Changing rainfall patterns, for instance, could damage agricultural production in formerly fertile areas, decimating local livelihoods and causing food insecurity.
There is a third area of potential risk for USAID and other donors as well: namely, that climate-related financing, policies, and programs which have not adequately considered local conflict dynamics and context could produce serious unintended negative consequences.
Climate change-related interventions such as incentive payments to stop deforestation – particularly in fragile states and conflict-affected areas – must recognize that both the money and the power to allocate benefits may inadvertently reinforce the social status quo, shift local power balances, or expose governance failures.
In her field work in Nepal, Janani Vivekananda, a researcher with USAID partner International Alert, recently illustrated how certain types of assistance might inadvertently do harm. She explained how a now-defunct village water tap installed in an effort to mitigate the effects of climate variability, did not appropriately consider the local social, political, and conflict context or even basic environmental parameters. In the end, it contributed to local grievance.
The community had requested the tap to be installed during a period of water stress and three consecutive years of drought. The Government of Nepal sponsored the project just before the elections.
Vivekananda explained: “These people are hand-to-mouth farmers. They didn’t know and they wouldn’t know that ground water levels were falling. They wouldn’t know the negative impacts of uncontrolled surface water extraction and so they chased about this tap, and within three months it ran dry. That was the only cash that was injected into the community for development purposes, and it had no impact whatsoever apart from being a stark reminder that the government itself isn’t doing what it ought to.”
This story highlights the reality that local context will define the outcome of peace or conflict and, thus, as CMM’s discussion paper “Climate Change, Adaptation, and Conflict: A Preliminary Review of the Issues” noted, there remains a pressing need for a more robust, fine-grained understanding of the interaction between climate change and the political, social, and economic realities of conflict-prone areas.
To help fill this information gap, USAID is supporting field-based climate change and conflict research in Peru, Uganda, Ethiopia, and the Niger River Basin in West Africa. At the global level, the agency is improving its ability to integrate climate change considerations into conflict early warning models. It is also establishing academic and practitioner partnerships that explore a wide range of environment and security issues.
Today, close to 60 percent of the State Department’s and USAID’s foreign assistance goes to 50 countries that are in the midst of, recovering from, or trying to prevent conflict or state failure. A significant amount of that assistance is slated for Global Climate Change mitigation and adaptation programming. Yet, as CMM’s conflict early warning specialist, Kirby Reiling, observed, “much of that money could be a lost investment if those countries fall into armed conflict.”
With conflict-sensitive development assistance and with smart climate change policies and programs, vulnerable countries will have enhanced opportunities to build stronger societies and more resilient institutions for sustainable development, peace, and security.
Cynthia Brady is a senior conflict advisor in USAID’s Office of Conflict Management and Mitigation.
Photo Credit: Afghan farmers plow a field guarded by U.S. Marines, courtesy of flickr user isafmedia.
