New York Times columnist Nick Kristof is likely a well-known voice to New Security Beat readers. His ground-level development stories from around the world expose a range of neglected issues that usually struggle for mainstream media coverage: maternal health, microcredit, human trafficking, family planning, sanitation, micronutrients, and poverty, among others.

Kristof brought many of these threads together Half the Sky, a book he coauthored with his wife Sheryl WuDunn. I asked about the challenges of addressing these connected problems when I interviewed the couple and two frontline White Ribbon Alliance maternal health practitioners this fall at the Wilson Center.

While the negotiators failed to reach a comprehensive agreement in Copenhagen, the population and reproductive health community might find a silver lining in the stormclouds that derailed COP-15.

Developing countries’ strong protests of their lack of culpability for the climate problem, on one hand, and the dramatic examples of their vulnerability on the other, have focused the world on the problems of poor people—and on potential solutions, including family planning.

The second week of negotiations here in Copenhagen has been marked by dramatic events, as the deadline for a new global agreement to address climate change approaches.

Blocs of negotiators from developing countries have walked out, and returned. Thousands of NGO representatives who have been denied access to the proceedings are shivering in the cold. Observers inside the Bella Center have staged sit-ins. And yet slivers of hope remain for some form of a global deal that is fair, ambitious, and binding as negotiators prepare for the arrival of more than 100 heads of state on Friday.

“Incorporating environment, population, and health is a timely issue. Unless we focus on integrated approaches, our Ethiopian Millennium Development Goals cannot be achieved,” says Negash Teklu, executive director of the Consortium for Integration of Population, Health, and Environment (CIPHE), in this short video.

A new interactive map, developed by the Center for Environment and Population (CEP) and Clean Air-Cool Planet (CACP), lists state-level data on population, energy consumption, CO2 emissions, and vehicle-miles traveled. Accompanying the U.S. Population, Energy, & Climate Change report, the map depicts the sub-national, local level analysis necessary to help policymakers focus on the areas with the potential for the greatest gains.

A new survey of Pakistani youth shows why the country is Exhibit A for taking seriously the potent combination of demography and lack of education and employment. Funded by the British Council, the survey shows how Pakistan’s “youth bulge” can be both threat and opportunity.

The Center for Global Development’s latest report, Start With A Girl: A New Agenda For Global Health, sheds light on the risks of ignoring the health of adolescent girls. Like other reports in the Girls Count series, it links broad social outcomes with adolescent health. “Adolescence is a critical juncture for girls. What happens to a girl’s health during adolescence determines her future–and that of her family, community, and country,” state coauthors Miriam Temin and Ruth Levine.

Between childhood and pregnancy, adolescent girls are largely ignored by the public health sector. At the same time, programs and policies aimed at youth do not necessarily meet the specific needs of girls. Understanding the social forces that shape girls’ lives is imperative to improving their health.

Like recent books by Michelle Goldberg and Nicholas Kristof, the report argues for increased investment in girls’ education to break down the social and economic barriers that prevent adolescent girls from reaching their full potential. Improving adolescent girls’ health will require addressing gender inequality, discrimination, poverty, and gender-based violence.

“For many girls in developing countries, well-being is compromised by poor education, violence, and abuse,” say Temin and Levin. “Girls must overcome a panoply of barriers, from restrictions of their movement to taboos about discussion of sexuality to lack of autonomy.” The report points to innovative government and NGO programs that have successfully changed negative social norms, such as female genital cutting and child marriage. However, the authors urge researchers to examine the cost-effectiveness and scalability of these programs.

In the last five years, the international community has become increasingly aware of the importance of youth to social and economic development. Some new programs are focused on investing in adolescent girls, such as the World Bank’s Adolescent Girls Initiative and the White House Council on Women and Girls, but significant additional investment and support is needed.

“Big changes for girls’ health require big actions by national governments supported by bilateral and multilateral donor partners, international NGOs…civil society and committed leaders in the private sector,” maintain Temin and Levin. They offer eight recommendations:
1. Implement a comprehensive health agenda for adolescent girls in at least three countries by working with countries that demonstrate national leadership on adolescent girls.
2. Eliminate marriage for girls younger than 18.
3. Place adolescent girls at the center of international and national action and investment on maternal health.
4. Focus HIV prevention on adolescent girls.
5. Make health-systems strengthening and monitoring work for girls.
6. Make secondary school completion a priority for adolescent girls.
7. Create an innovation fund for girls’ health.
8. Increase donor support for adolescent girls’ health.

“We estimate that a complete set of interventions, including health services and community and school-based efforts, would cost about $1 per day,” say the authors of Start With a Girl. There is no doubt in my mind that this small investment would indeed have a high return for the entire global community.

In a meeting with business leaders in Lahore in late October, Secretary of State Hillary Rodham Clinton pointedly warned of the potential economic impacts of Pakistan’s rapidly growing population: “There has to be…in any plan for your own economic future, a hard look at where you’re going to get the resources to meet these needs. You do have somewhere between 170 and 180 million people. Your population is projected to be about 300 million as the current birth rates, which are among the highest in the world, continue,” she said.

Pakistan is ranked 141 (out of 182 countries) in the Human Development Index. High rates of unemployment are compounded by low levels of education and human capital. Clinton noted that Pakistani women are more vulnerable to poverty; only 40 percent are literate, compared to 68 percent of men.

The Secretary’s emphasis on the need to provide adequate education, jobs, and resources to motivate economic growth and improve well-being is welcome. But demography also has important political consequences. U.S. policymakers and the Pakistani government should consider the impact of population dynamics on the country’s intensifying instability.

As Pakistan’s population grows rapidly, it is maintaining a very young age structure: in 2005, two-thirds of its population was younger than age 30. Research by Population Action International has shown that countries with very young age structures are three times as likely to experience outbreaks of civil conflict than those with a more balanced age distribution.

The members of a “youth bulge” are not inherently dangerous, but when governments are unable to foster employment opportunities or the prospects of stability, a young age structure can serve to exacerbate the risks of conflict, as recently noted by John O. Brennan, assistant to the president for Homeland Security and Counterterrorism, in a speech on “A New Approach to Safeguarding Americans.”

As Secretary Clinton and her colleagues consider the complex barriers to achieving peace and stability for Pakistan’s people, their humanitarian and development strategies should include demographic issues. When couples are able to choose the number and timing of their children, very young age structures like Pakistan’s, can change.

Family planning and reproductive health services are fundamental human rights, but remain out of reach for many in Pakistan, where one-quarter of all married women (and 31 percent of the poorest) have an unmet need for family planning.

Greater access to family planning would lower fertility rates and increase the share of working-age adults in the population. In this transition, countries can harness the “demographic dividend”—a change that could turn Pakistan’s age structure into an economic opportunity.

However, funding from the United States—the world’s largest single donor for international family planning—has declined by one-third over the past 15 years. The foreign assistance funding priorities of the Obama administration should reflect this recognition of the linkages between population, development, and stability.

By addressing the high unmet need for family planning and reproductive health services of women in countries like Pakistan, the United States could help to create a more balanced age structure in future generations—and promote stability at the same time.

Elizabeth Leahy Madsen is a research associate at Population Action International (PAI). She is the primary author of the 2007 PAI report The Shape of Things to Come: Why Age Structure Matters to a Safer, More Equitable World..