Showing posts from category PHE.
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Geoff Dabelko on the Evolution of Integrated Development and PHE
›August 27, 2012 // By Schuyler Null“Population-health-environment [PHE] connections have really been a focus of ours here at the Wilson Center for the last 15 years,” said outgoing ECSP Director Geoff Dabelko in an interview at the Wilson Center. The goal of ECSP’s project – HELPS (health, environment, livelihoods, population, and security) – is “really trying to understand these issues together.”
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From Youth Bulge to Food and Family Planning, Los Angeles Times’ ‘Beyond 7 Billion’ Series Synthesizes Population Challenges
›Over the next 40 years, the world is set to add 2.3 billion people. Millions more will join the middle class, pushing consumption upwards and further straining the world’s natural resources. Variables like climate change and political instability will exacerbate that strain and complicate efforts to bolster peaceful and stable development. Los Angeles Times correspondent Kenneth Weiss and photographer Rick Loomis examine these numerous and interconnected challenges in a five-part series on population growth and consumption dynamics.
Speaking to demographic and health experts (including a number of New Security Beat regulars, like Richard Cincotta, Jon Foley, and Dr. Joan Castro), Weiss provides a thorough, astute, and compelling assessment of population dynamics in a rapidly changing world. The series starts with a basic introduction to population, climate, and consumption dynamics and progresses through to discuss political demography, global food security, and detailed looks at two important case studies, China and the Philippines.
Part One: A Population Primer
Population growth alone poses a number of challenges as cities become more crowded and demand for basic resources like water and food outpaces supply. Climate change and the unpredictable and sometimes extreme weather that is its hallmark “will make all of these challenges more daunting,” writes Weiss. And “population will rise most rapidly in places least able to handle it.” Africa, the Middle East, and South Asia, already expected to bear the brunt of climate change with rising sea levels, shorter growing seasons, and increasingly variable weather patterns, will also have to support the bulk of the world’s population growth by mid-century. Populations in Europe, North America, and East Asia are expected to stay stable or decline in numbers.
The magnitude of growth in Africa, the Middle East, and South Asia, however, is uncertain. What happens from here “hinges on the cumulative decisions of hundreds of millions of young people around the globe,” Weiss writes. And yet, “population growth has all but vanished from public discourse.” Family planning in particular remains hamstrung by “erratic funding and unpredictable crosscurrents.” The result, he writes, is that even “under the best conditions, it’s hard to get contraceptives into the hands of impoverished women who want them.”
Part Two: The Arc of Instability
Drawing on work from demographer Richard Cincotta, George Mason University’s Jack Goldstone, Population Action International, and others, part two of Weiss’ series examines youth bulges and the so-called “arc of instability,” stretching across the disproportionately youthful countries of Africa, the Middle East, and South Asia.
When a large youth population is mixed with other societal conditions, like “religious and ethnic friction, political rivalries, economic disparities, or food shortages,” youth can be “the kindling” for a spark that ignites simmering tensions, writes Weiss. Afghanistan is a case in point, where unemployed young men are often turning to the Taliban not out of extremist fervor, but out of a desperate need to support themselves and their families. “It’s too hard to employ this many people and too easy to recruit them into violence,” Cincotta told Weiss.
And Afghanistan is just the beginning, according to Goldstone. “We are literally going to see one billion young people come into the populations in the arc of instability over the next two decades,” he said. “We can’t fight them. We have to figure a better way to help them.”
Part Three: Feeding a Growing Population
As the world’s population continues to grow, and as more families join the middle class, world food production will have to double by mid-century in order to meet future demand. “What that actually means,” says World Wildlife Fund’s Jason Clay, an agriculture specialist, “is that in the next 40 years we need to produce as much food as we have in the last 8,000.”Jon Foley on how to feed nine billion and keep the planet
Weiss presents the Horn of Africa and Punjab as microcosms of the problems facing global food production in the 21st century. Desertification and urbanization are eating away at potential cropland, while harmful farming techniques leech essential nutrients from soil, rendering it useless for future use. Insufficient infrastructure means that food spoils as it’s shipped from where it’s produced to where it’s needed, while extreme and widespread poverty means that those most in need can’t afford enough to feed their families.
Stuck between growing demand and restricted supply, the University of Minnesota’s Jonathan Foley said the challenge of the century is straightforward: “How will we feed nine billion people without destroying the planet?”
Part Four: Population and Consumption in China
China has “a greater collective appetite – and a greater ecological impact – than any other country,” writes Weiss, making it a prime example of “how rising consumption and even modest rates of population growth magnify each other’s impact on the planet.”
The country’s one-child policy slowed population growth rapidly, cutting fertility almost in half in less than a decade. Over time, a large working-age cohort with few dependents emerged, and helped China reap a demographic dividend. The resulting economic prosperity has come at a cost, however, as rising incomes and increasing consumption, spread across 1.3 billion people, have wreaked havoc on the country’s environment on a scale not seen anywhere else in the world.
Because of that scale, what happens in China will have global repercussions. Climate scientists “say that in order to avoid a potentially catastrophic rise in global temperatures, worldwide carbon dioxide emissions must be cut in half by 2050,” Weiss writes. “For that to happen, China’s emissions would have to peak by 2020” – 15 years earlier than official government projections. The government remains opposed to further limits on emissions, arguing that such limits would “cripple” economic growth – an unfair impediment considering that developed countries were able to “pollute their way to prosperity, their argument goes.”
Part Five: Family Planning in the Philippines
Weiss ends the series with an in-depth look at family planning in the Philippines – a country at the forefront of the global debate over access to contraception. Lawmakers in the 80-percent-Catholic country have steadfastly refused to fund family planning services, while support from the international community all but vanished when USAID, “the major donor of contraceptives to the Philippines,” said in 2008 that it would end its contraceptive program.
Today, half of all pregnancies in the Philippines are unintended. Lawmakers are considering a “reproductive health bill…call[ing] for public education about contraceptives and government subsidies to make them available to everyone,” but a powerful opposition, including Church leadership, has stalled the bill for 14 years, Weiss writes.Joan Castro on population-environment programing in the Philippines
Public officials, including the former Manila mayor who ended the city’s contraceptive program 12 years ago, portray unbridled population growth as an economic asset, saying that “when you have more people, you have a bigger labor force.” For the millions of Filipinos who live in poverty, however, the lack of affordable family planning services leaves them with little control over family size and puts the Philippines on track to grow from 96.4 million people today to 154.9 million by mid-century. At that rate, the Philippines would be Asia’s third fastest growing country, behind Timor Leste and Afghanistan.
Not everything in the series is dire – there are side columns highlighting population, health, and environment programming in Uganda, Iran’s successful family planning program, and Dr. Joan Castro’s family planning and marine conservation work in the Philippines. But Weiss is not naïve about the challenges ahead. Under any of the United Nation’s population projections, “living conditions are likely to be bleak for much of humanity,” he writes. “Water, food, and arable land will be more scarce, cities more crowded, and hunger more widespread.”
“Even under optimistic assumptions, the toll on people and the planet will be severe.”
But while the population challenges facing the world are many, Weiss, like many before him, makes one argument clear: providing family planning services to the 222 million women who want to control the number of children they have but cannot would go a long way towards minimizing future strain.
Be sure to check out the photo and video features accompanying the “Beyond 7 Billion” series on the feature site.
Note: The sentence beginning with “When a large youth population…” was corrected.
Sources: Los Angeles Times, UN Population Division.
Video Credit: “The Challenge Ahead,” used with permission courtesy of the Los Angeles Times; Photo: “Dharavi,” used with permission courtesy of Rick Loomis/Los Angeles Times; Jon Foley video: TEDx. -
Linking Water, Sanitation, and Biodiversity Conservation in Sub-Saharan Africa
›July 25, 2012 // By Kate DiamondWater, poverty, and the environment are “intrinsically connected,” and the development programs targeting them should be as well, writes David Bonnardeaux in Linking Biodiversity Conservation and Water, Sanitation, and Hygiene: Experiences From sub-Saharan Africa, a new Africa Biodiversity Collaborative Group briefing. In a review of 43 programs across sub-Saharan Africa, including four in-depth case studies, Bonnardeaux finds that natural synergies between water, sanitation, and hygiene (WASH) programming and conservation work provide opportunities for greater effectiveness in addressing both.
Integrating WASH and Conservation: A Natural Match
“WASH interventions are generally reliant on natural resources and processes, whether indirectly or directly,” he writes, and “WASH services produce outputs that are potentially detrimental to the environment if not managed properly.” At the same time, poor ecosystem management can “threaten biodiversity and jeopardize the vital services that these ecosystems in turn provide to humanity, in the form of regulation of stream flow, erosion prevention, water filtration, aquifer recharge, carbon sequestration, wildlife habitat, outdoor recreation, and flood abatement.”
Given the connections between the two, WASH and conservation efforts would benefit from programmatic integration, according to Bonnardeaux. To bring the two closer together, he recommends three tools for policymakers and development programmers: integrated river basin management and basin planning; payments for watershed services (also known as payments for environmental services); and population, health, and environment (PHE) programming.
A Whole-of-Basin Perspective
“The causal link between WASH and ecosystem health and integrity is most accentuated when
dealing with freshwater ecosystems,” writes Bonnardeaux.
In Tanzania’s Pangani River Basin, one of his in-depth case studies, a growing reliance on hydropower, urbanization, and increased agricultural demand is altering a valuable ecosystem marked by endemism and iconic landscapes, including Mount Kilimanjaro.
In response, the government and international organizations are partnering through the Pangani River Basin Management Project to developing a greater understanding of the basin’s hydrology and ecosystem, how local populations interact with that ecosystem, and how potential development scenarios could impact the basin in the future. That knowledge, paired with an intensive training program for local water officials, is enabling stronger integrated resource management, which in turn could lay the groundwork for integrating WASH and conservation interventions, writes Bonnardeaux.
Economic incentives – in this case, payments for watershed services – offer another valuable tool for building support for conservation efforts, especially when upstream communities bear a disproportionate burden of safeguarding watersheds.
In South Africa, another case study country, “increased economic development and urbanization have taken its toll on” the country’s wetlands, while unemployment and poverty have remained a persistent problem in slum areas, writes Bonnardeaux. Through the government-run Working for Wetlands program, both the environmental and socioeconomic problems of development are being targeted for improvement. The program hires “the most marginalized from society” to clear wetlands of invasive plants in order to improve its natural filtration capabilities and, in turn, improves the quality of water feeding the burgeoning urban areas.
Although Working for Wetlands, now 17 years old, has been “hugely successful,” Bonnardeaux warns that such economic incentive programs are, more often than not, extremely difficult to carry out effectively. “While there is great potential for this incentive-based conservation approach,” Bonnardeaux notes, “the reality is there are many barriers to its effective implementation.”
Building Long-Term Support for Conservation With Near-Term PHE Successes
Building support for conservation can be a difficult task. The impacts of conservation programming are “often undervalued,” Bonnardeaux writes, in part because results tend to become apparent only over the longer term. By pairing conservation efforts with nearer-term programming, like PHE efforts targeting immediate health needs, development workers can foster the kind of local support that is essential for pursuing long term goals.
The Jane Goodall Institute’s Lake Tanganyika Catchment Reforestation and Education Project (TACARE), in northwest Tanzania, offers a case in point. Established in 1994, TACARE began as a conservation program meant to protect the areas around Gombe National Park, where Goodall first began her chimpanzee research in the 1960s. Local communities, however, were more interested in better health, “with an emphasis on clear water and reduction in water-borne diseases like cholera,” writes Bonnardeaux.
By adopting local health and poverty priorities, he writes, TACARE was able to establish trust and goodwill with the communities it served, which in turn enabled it to pursue longer-term conservation goals aimed at protecting the region’s natural biodiversity.
Bonnardeaux’s work shows that regardless of how policymakers choose to combine WASH and conservation goals, well-implemented integration can yield immense benefits for practitioners, funders, and local communities.
“Linking various sectors such as WASH, forestry, agriculture, population, and community development,” he writes, “can result in cost and effort sharing which in turn can increase the effectiveness of the project including improved conservation and improved livelihoods and health.”
Sources: Bonnardeaux 2012.
Photo Credit: “Intaka Island towards Table Mountain,” courtesy of flickr user Ian Junor. -
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. -
An Update on PRB’s Population, Health, and Environment Project Map
›As reproductive rights advocates reflect on their disappointment with the outcome of last week’s Rio+20 summit, it is encouraging to see that population, health, and environment (PHE) projects – which fundamentally connect women’s health with sustainable development – continue to sprout up around the world. The Population Reference Bureau (PRB) launched their community-supported PHE Project Map in March 2010, and since then, the map has grown to include 76 projects across three continents, and has been viewed more than 82,000 times.
The goal of the map is to show which organizations are doing what PHE work where and when. While the map highlights expected hotspots like Ethiopia, Madagascar, and the Philippines, it also brings into focus countries that may not necessarily come to mind when thinking about PHE – South Africa, Venezuela, and Vietnam being among them. The map is updated on a rolling basis, and has grown substantially during its first two years.
These numbers should offer encouragement to reproductive rights and sustainable development advocates. Even if world leaders are still struggling to integrate these issues into a global development framework, NGOs, local nonprofits, and development agencies across the world are moving full-speed ahead to improve healthcare, strengthen ecosystems, and empower women and men across Latin America, sub-Saharan Africa, and South Asia.
To add a project to the map, contact PRB’s Rachel Yavinksy at ryavinsky@prb.org. -
PHE and Community-Based Adaptation to Climate Change: Stronger Together
›Over the past several years, community-based adaptation has emerged alongside national and regional climate change initiatives as a strategic, localized approach to building resilience and adaptive capacity in areas vulnerable to climate change.
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Bringing Environment and Climate to the 2012 Population Association of America Annual Meeting
›June 5, 2012 // By Sandeep BathalaOver 2,100 participants attended the 2012 Population Association of America (PAA) annual meeting in San Francisco this May. PAA was established in 1930 to research issues related to human population. This year, for the first time, the meeting featured a notable contingent of demographers, sociologists, and public health professionals working on environmental connections.
I followed as many of the environment-population discussions on newly published or prospective research papers as possible (about 20 in total). I found four papers particularly noteworthy for the connections made to women, family planning, and climate change adaptation.
Samuel Codjoe of the University of Ghana spoke about adaptation to climate extremes in the Afram Plains during one of the population, health, and environment (PHE) panels organized by Population Action International. Although developed nations are historically the major contributors of greenhouse gases due to comparatively high levels of consumptions, developing countries are the most vulnerable to the consequences of climate change – in part because of continued population growth. As a result, adaptation strategies in countries like Ghana are particularly important; and given women’s often-outsized role in water and natural resource issues, a focus on gender-specific adaptation even more so.
Codjoe presented an analysis of preferred adaptation strategies to flood and drought, broken down by gender and three common occupations – farming, fishing, and charcoal production). He said he hopes his assessment – part of a collaborative research effort with Lucy K.A. Adzoyi-Atidoh of Lincoln University – will aid in the selection and implementation of successful adaptation options for communities and households in the future.
“Understanding differences in the priorities that women place on adaptation may prove to be important in the effectiveness of climate change adaptation – and the sustainability of communities,” he said.
David López-Carr of the University of California, Santa Barbara, speaking on behalf of a group of researchers with World Wildlife Fund, teased out the gender dynamic further when he presented on ways to help the conservation sector determine next steps for existing PHE projects. Practitioners from seven of the eight PHE projects currently implemented by conservation organizations (defined by having been involved for at least three years in bringing family planning to local communities) recently said the links to women’s empowerment were among the most important aspects of successful projects.
López-Carr therefore emphasized the need for additional research on how PHE projects can support and empower women, both economically and socially. He also noted, like Codjoe, the potential impact women often have on the management of their community’s natural resources, saying this was another area where research on the empowering effect of PHE programs can provide further backing for integrated programs.
Karen Hardee of Futures Group spoke about how the experiences of integrated PHE projects, despite most not being designed to respond to climate change specifically, have lessons to offer climate change efforts. Her work was done in partnership with the Population Reference Bureau, Population Action International, and U.S. Agency for International Development. She concluded that community-based adaptation approaches should consider population dynamics in vulnerability assessments. Meeting unmet need for family planning, she said, can assist communities adapting to climate change by building resilience. And as result, “PHE approaches should be able to qualify for funding under community-based adaptation programs.”
Shah Md. Atiqul Haq of the City University of Hong Kong presented research he conducted in Bangladesh that found that women tended to feel that a large family size was not advantageous during floods. This, he said, was indicative of their increased understanding of vulnerability and an endorsement of providing knowledge and access to family planning services as part of climate change adaptation strategies.
The inclusion of more environment, and particularly PHE, related presentations at this year’s conference was good to see – perhaps a sign that demography is becoming a more complex and comprehensive field, with a focus more on population structure and its interactions with other issues, rather than a singular fascination with growth.
In particular, panelists showed that the nexus between demography, gender equity, and climate change continues to grow in importance, both in the research and practitioner communities.
Photo Credit: Tribal women and children in Kerala state, India, courtesy of flickr user Eileen Delhi. -
Philippines’ Bohol Island Demonstrates Benefits of Integrated Conservation and Health Development
›In March 2012, I participated in a study tour to the island of Bohol, near the unique Danajon double barrier reef ecosystem – the only one of its kind in the Philippines and one of only three in the Indian and Pacific Oceans. Nowhere is the connection between population dynamics and biodiversity more evident than in the Philippines, one of the most densely-populated countries on the planet, with more than 300 people per square kilometer. Nearly every major species of fish in the region shows signs of overfishing, according to the World Bank.
