-
Mia Foreman, Behind the Numbers
Serving the Reproductive Health Needs of Urban Communities in Nairobi
›The original version of this article, by Mia Foreman, appeared on the Population Reference Bureau’s Behind the Numbers blog.
Kenya’s population is growing rapidly, more than tripling from 10.9 million people in 1969 to 38.6 million in 2009. According to the United Nations, the annual population growth rate between 2010 and 2015 is 2.7 percent with 22.5 percent of the population residing in urban areas in 2011.
One area that has seen tremendous growth is Nairobi’s largest slum, Kibera. While experts have given estimates ranging from 270,000 to 2,000,000 residents, Kibera is a large area of informal settlements plagued by challenges such as the lack of electricity, job opportunities, and high levels of violence.
While it may be easier to focus on what is lacking in Kibera, there are also many services being provided in the community including affordable and quality reproductive health care by organizations such as Marie Stopes Kenya.
Marie Stopes Kenya was established in Kenya in 1985 as a locally registered nongovernmental organization. It is Kenya’s largest and most specialized sexual reproductive health and family planning organization and is known for providing a wide range of high-quality, affordable, and client-centered services to men, women, and youth throughout Kenya. In 1997, Marie Stopes Kenya opened its first clinic in Kibera and began offering reproductive health services at an affordable rate for residents.
Continue reading on Behind the Numbers.
Sources: UN Population Division.
Photo Credit: “The Kibera ‘river’,” courtesy of Dara Lipton and flickr user The Advocacy Project. -
Taking Stock of Past and Current Demographic Trends
›March 29, 2012 // By Kayly OberECSP is at London’s 2012 Planet Under Pressure conference following all of the most pertinent population, health, and security events.
“Demography is a science of assumptions,” said Sarah Harper, a demographer at the University Oxford, during a panel at the Planet Under Pressure conference. Thirty years ago, she said, demographers believed the world would reach 24 billion by 2050, now the latest UN median projections predict 10 billion. That means a lot of progress has been made for families and development as a whole, but there are some obstacles yet.
Harper stressed that the development community should focus on parts of the world with stubbornly high fertility rates, particularly sub-Saharan Africa. If total fertility rates came down there by 2050, below the expected four children per woman, the region could be home to as many as a billion fewer people than current projections. The earlier we acknowledge this growth, the easier it will be to offer interventions like family planning and reproductive health to hedge it, she said.
Additionally, demographers need worry about important changes in modern population and environment dynamics.
As Harper notes in an interview with ECSP (video below):There has been so much hype around population growth that I think we’ve ignored the other characteristics of population…that it’s changing in its density – we’re all becoming more urban; it’s changing in its distribution – we’re becoming more mobile; and it’s also changing in its composition – the world is getting older.
Sir John Sulston of the Royal Society agreed: population is a more-nuanced subject than many can digest. “Population has been much too ignored because it’s difficult,” he said.
I think it’s very clear that these changes are going to interact with the environment and be affected by environmental change but are also going to impact upon future environmental change.
Sulston urged us to look not just at the diversity of the world, but also the inequity. Today, there is “inequity in countries, between countries, and between generations.”
There is no silver bullet – the international community need to look at three components in concert if we want to make a difference, he said: first, bring down infant mortality; second, invest in family planning; and third, emphasize education for women.
“It’s not about surviving, it’s about flourishing,” Sulston said.
When the ECSP delegation isn’t attending plenary and breakout sessions here at the conference, we’re manning our Wilson Center information booth. And over the last few days, we’ve had the pleasure of introducing our work to a number of new faces, including curious faculty, energetic students, and hopeful doctoral candidates. If you’re attending please feel free to stop by.
Expect more updates from East London, including more short video interviews, in the next three days as ECSP highlights the unique perspectives coming out of the Planet Under Pressure conference.
Pictures from the event are available on our Facebook and Flickr pages, and you can join the conversation on Twitter (#Planet2012) or watch the livestream here.
Photo Credit: Sean Peoples/Woodrow Wilson Center, -
More People, Less Biodiversity? The Complex Connections Between Population Dynamics and Species Loss
›March 8, 2012 // By Laurie Mazur“For if one link in nature’s chain might be lost, another and another might be lost, till this whole system of things should vanish by piece-meal.”
~ Thomas Jefferson, 1799This much is clear: As human numbers have grown, the number of species with whom we share the planet has declined dramatically. While it took about 200,000 years for humanity to reach one billion people around 1800, world population has grown sevenfold since then, surpassing seven billion last year.
-
Elizabeth Grossman, Yale Environment 360
How a Gold Mining Boom Is Killing Children in Nigeria
›March 5, 2012 // By Wilson Center StaffThe original version of this article, by Elizabeth Grossman, appeared on Yale Environment 360.
In early 2010, while working in the impoverished rural region of Zamfara in northwestern Nigeria, the group Médecins Sans Frontières – Doctors Without Borders – encountered many young children suffering from fevers, seizures, and convulsions. An unusually high number of very young children, many under age five, were dying, and there were many fresh graves.
The doctors initially suspected malaria, meningitis, or typhoid, all common in the region. But when the sick children didn’t respond to anti-malarial drugs or other antibiotics, one of the physicians began to wonder if local mining activity might be implicated. Historically an agricultural area, Zamfara had been experiencing a small-scale gold rush, thanks to rapidly rising gold prices that encouraged the pursuit of even the most marginal sources of ore. Mining work was taking place in and around the villages and within many of the mud-walled compounds where families were using flour mills to pulverize lead-laden rocks to extract gold.
Médecins Sans Frontières (MSF) doctors sent children’s blood samples for testing and the results revealed acute lead poisoning. Many of the children had blood lead levels dozens, even hundreds, of times higher than international safety standards. Within a week, an emergency medical and environmental remediation team arrived and began to grapple with an epidemic of childhood lead poisoning that is being called unprecedented in modern times. In the past two years, more than 400 children have died in Zamfara, more than 2,000 have been treated with chelation therapy, and thousands more have been – and continue to be – severely poisoned by exposure to pervasive lead dust.
Continue reading on Yale Environment 360.
Photo Credit: “Conflict minerals 1,” courtesy of the ENOUGH Project/Sasha Lezhnev. -
Melanne Verveer and Others at Heinrich Böll Gender Equity and Sustainable Development Conference
›The Gender Equity and Sustainable Development conference, hosted last month by the Heinrich Böll Foundation, was a testament to the increasing importance of gender and sustainability within the international development community. Representatives from the U.S. government, UN, and countless international non-profits, aid organizations, and corporations demonstrated the vital need for collaboration and innovative action when working towards a more sustainable world.
The conference kicked off with an invigorating speech by the Honorable Melanne Verveer, U.S. Ambassador-at-Large for Global Women’s Issues, who called on the international community to acknowledge the “vital role that women can and must play in sustainable development.”
“Putting a spotlight on the critical role of women in stopping climate change will help to harness the immense human capacity of women worldwide,” said Verveer. By advocating for consideration of gender at every level – from grassroots organizing to policymaking – the ambassador painted a picture of a new era of sustainable development.
Step One: Recognize the Problem
A series of four panels followed the keynote address and focused on the intersections between gender inequity, the economy, trade, food and agriculture, and climate change.
There was clear consensus among all the participants that worldwide consciousness of gender inequity can lead to vast improvements in the status of women while also opening the door for new, innovative approaches to sustainable development. The 16 panel members represented numerous groups, from Oxfam America to Gender Action to the Stockholm Environment Institute, and all spoke to the importance of working for larger structural changes while simultaneously shifting more economic, social, and political power into the hands of women by any means possible.
The panelists described a world in which women represent a tremendous, untapped resource for change. Although women only own approximately one percent of titled land worldwide, they own close to 33 percent of business in the developing world and spend two-thirds of consumer dollars worldwide, which they tend to invest in sectors like health and education that benefit the larger community. Verveer said that data also shows women are more likely to pass environmental legislation and that forestry projects involving women have a higher rate of success.
Humanizing Climate Change
The big question of the conference seemed to be: in a world where women are disproportionately vulnerable to the effects of climate change, why aren’t women given more of a voice in the process of creating a more sustainable world?
Marie Brill, a senior policy analyst at Action Aid USA, pointed to the production of biofuels as a poignant example of a sustainable development plan that has had unintended negative consequences for women around the world. In the developing world, women are primarily responsible for food provisioning, yet many social and legal restrictions prevent women from owning land. If women had better access to land ownership and food insecurity would decrease, she said, and crops yields could increase by as much as 20 to 30 percent.
Foreign ownership of large tracts of land, common in the production of biofuels, makes land title even more difficult for women to acquire or maintain. The industry has also led to price spikes for staple crops like corn, said Brill, meaning poor women are sometimes unable to feed their families.
While biofuels provide an alternative fuel source, their production has been managed in a way that ignores the gender-specific implications of the process. By maintaining an awareness of gender, we can ensure that women do not become victims as we move towards a more sustainable world, Brill said.
Liane Schalatek, the associate director of the Heinrich Böll Foundation North America, suggested that a paradigm shift is needed regarding our approach to climate change.
Approaching climate change from a purely scientific and technological perspective is offensively simplistic, Schalatek said. “We need to humanize climate change and bring social equity into the discourse,” she said, emphasizing that “it is our obligation under international human rights objectives and vital to the success of sustainable development to take a rights-centered approach.”
Molly Shane was an intern for the Sierra Club’s Global Population and Environment Program.
Sources: Boston Consulting Group, Council on Foreign Relations, Food and Agriculture Organization of the United Nations, USAID, U.S. State Department, Women Deliver.
Photo Credit: “Climate Risk and Resilience: Securing the Region’s Future,” courtesy of the Asian Development Bank. -
USAID’s New Climate Strategy Outlines Adaptation, Mitigation Priorities, Places Heavy Emphasis on Integration
›February 29, 2012 // By Kathleen MogelgaardIn January, the U.S. Agency for International Development released its long-awaited climate change strategy. Climate Change & Development: Clean Resilient Growth provides a blueprint for addressing climate change through development assistance programs and operations. In addition to objectives around mitigation and adaptation, the strategy also outlines a third objective: improving overall operational integration.
The five-year strategy has a clear, succinct goal: “to enable countries to accelerate their transition to climate-resilient low emission sustainable economic development.” Developed by a USAID task force with input from multiple U.S. agencies and NGOs, the document paints a picture of the threats climate change poses for development – calling it “among the greatest global challenges of our generation” – and commits the agency to addressing both the causes of climate change and the impacts it will have on communities in countries around the world.
These statements are noteworthy in a fiscal climate that has put development assistance under renewed scrutiny and in a political environment where progress on climate change legislation seems unlikely.
Not Just Challenges, But Opportunities
To make the case for prioritizing action on climate change, the strategy cites climate change’s likely impact on agricultural productivity and fisheries, which will threaten USAID’s food security goals. It also illustrates the ways in which climate change could exacerbate humanitarian crises and notes work done by the U.S. military and intelligence community in identifying climate change as a “threat multiplier” (or “accelerant of instability” as the Quadrennial Defense Review puts it) with implications for national security.
Targeted efforts to address climate change, though, could consolidate development gains and result in technology “leap-frogging” that will support broader development goals. And, noting that aggregate emissions from developing countries are now larger than those from developed countries, the strategy asserts that assisting the development and deployment of clean technologies “greatly expands opportunities to export U.S. technology and creates ‘green jobs.’”
In addition to providing a rationale for action, the strategy provides new insights on how USAID will prioritize its efforts on climate change mitigation and adaptation. It provides a clear directive for the integration of climate change into the agency’s broader development work in areas such as food security, good governance, and global health– a strong and encouraging signal for those interested in cross-sectoral planning and programs.
Priorities Outlined, Tough Choices Ahead
President Obama’s Global Climate Change Initiative, revealed in 2010, focuses efforts around three pillars: clean energy, sustainable landscapes, and adaptation. USAID’s climate strategy fleshes out these three areas, identifying “intermediate results” and indicators of success – such as the development of Low Emission Development Strategies in 20 partner countries, greenhouse gas sequestration through improved ecosystem management, and increasing the number of institutions capable of adaptation planning and response.
In laying out ambitious objectives, however, the authors of the strategy acknowledge constrained fiscal realities. The strategy stops short of identifying an ideal budget to support the activities it describes, though it does refer to the U.S. pledge to join other developed countries in providing $30 billion in “fast start financing” in the period of 2010 to 2012 and, for those USAID country missions that will be receiving adaptation and mitigation funding, establishes “floors” of $3 million and $5 million, respectively.
The final section of the strategy lists over thirty countries and regions that have already been prioritized for programs, including Bangladesh, India, Kenya, Malawi, and Peru. But “we are unable to work in every country at risk from climate change impacts or with the potential for low carbon sustainable growth,” the strategy asserts. An annex includes selection criteria to guide further funding decisions, including emission reduction potential, high exposure to physical climate change impacts, a suitable enabling environment, coordination with other donors, and diplomatic and geographic considerations.
“Integration” Central to Strategy
The concept of integration figures prominently throughout the 27-page document. For those of us working in the large and growing space where the global challenges of climate change, food security, health, livelihoods, and governance overlap, this attention is heartening. While it may sometimes seem simply fashionable to pay lip service to the idea of “breaking out of stovepipes,” the strategy identifies concrete ways to incentivize integration.
“Integration of climate change into USAID’s development portfolio will not happen organically,” the strategy says. “Rather, it requires leadership, knowledge and incentives to encourage agency employees to seek innovative ways to integrate climate change into programs with other goals and to become more flexible in use of funding streams and administrative processes.”
To this end, USAID plans to launch a group of pilot activities. USAID missions must submit pilot program proposals, and selected programs will emphasize integration of top priorities within the agency’s development portfolio (including Feed the Future and the Global Health Initiative). Among other criteria, pilots must demonstrate buy-in from multiple levels of leadership, and will be selected based on their potential to generate integration lessons and tools over the next several years.
This kind of integration – the blending of key priorities from multiple sectors, the value of documented lessons and tools, the important role of champions in fostering an enabling environment – mirrors work carried out by USAID’s own population, health, and environment (PHE) portfolio. To date, USAID’s PHE programs have not been designed to address climate challenges specifically, and perhaps not surprisingly they aren’t named specifically in the strategy. But those preparing and evaluating integration pilot proposals may gain useful insights on cross-sectoral integration from a closer look at the accumulated knowledge of more than 10 years of PHE experience.
Population Dynamics Recognized, But Opportunities Not Considered
Though not a focus of the strategy, population growth is acknowledged as a stressor – alongside unplanned urbanization, environmental degradation, resource depletion, and poverty – that exacerbates growing challenges in disaster risk reduction and efforts to secure a safe and sufficient water supply.
Research has shown that different global population growth scenarios will have significant implications for emissions growth. New analysis indicates that the fastest growing populations are among the most vulnerable to climate change and that in these areas, there is frequently high unmet need for family planning. And we have also clearly seen that in many parts of the world, women’s health and well-being are increasingly intertwined with the effects of changing climate and access to reproductive health services.
In its limited mention of population as a challenge, however, the strategy misses the chance to identify it also as an opportunity. Addressing the linked challenges of population growth and climate change offers an opportunity to recommit the resources required to assist of the hundreds of millions of women around the world with ongoing unmet need for family planning.
The strategy’s emphasis on integration would seem to be an open door to such opportunities.
Integrated, cross-sectoral collaboration that truly fosters a transition to climate-resilient, low-emission sustainable economic development will acknowledge both the challenge presented by rapid population growth and the opportunities that can emerge from expanding family planning access to women worldwide. But for this to happen, cross-sectoral communication will need to become more commonplace. Demographers and reproductive health specialists will need to engage in dialogues on climate change, and climate specialists will need both opportunities and incentives to listen. USAID’s new climate change integration pilots could provide a new platform for this rare but powerful cross-sectoral action.
Kathleen Mogelgaard is a writer and analyst on population and the environment, and a consultant for the Environmental Change and Security Program.
Sources: FastStartFinance.org, International Energy Agency, Maplecroft, Population Action International, The White House, U.S. Department of Defense, USAID.
Photo Credit: “Displaced Darfuris Farm in Rainy Season,” courtesy of United Nations Photo. -
Assigning Value to Biodiversity, and the 2011 Human Development Report
›New research in the journal BioScience reports the aggregate economic benefits of conserving high priority biodiversity areas outweigh the opportunity costs of alternative land uses by a multiple of three (where priority is assigned according to a global index of the mapped distributions of 4,388 threatened terrestrial species). The authors of “Global Biodiversity Conservation and the Alleviation of Poverty,” led by Will Turner, estimate the value of highly diverse habitats to the global poor in terms of direct benefits and potential external payments for ecosystem services. They find these environmental flows in excess of $1 per person, per day, for 331 million of the world’s poorest individuals and conclude by arguing that, “although trade-offs remain…results show win-win synergies…and suggest biodiversity conservation as a fundamental component of sustainable economic development.” (For further discussion of development around biodiversity hotspots, see Population Action International’s work on population growth.)
The 2011 UNDP Human Development Report, Sustainability and Equity: A Better Future for All, builds from the understanding that a “failure to reduce…grave environmental risks and deepening social inequalities threatens to slow decades of sustained progress by the world’s poor majority.” A resilient thread in the report highlights the importance of working to ensure women’s equality and reproductive rights for sustainability, claiming that “meeting unmet need for family planning by 2050 would lower the world’s carbon emissions an estimated 17 percent below what they are today.” The report closes with a wide range of policy suggestions that work towards the goal of equating sustainability and equity, including a supportive discussion of a currency transaction tax as a novel and feasible method of providing climate financing.
These pieces address contradictions between environmentally sustainable behavior and the development imperative. Though both acknowledge that the traditional development model of high intensity economic growth has imperiled the environment upon which the livelihoods of many hundreds of millions depend, they suggest practical ways forward. The Human Development Report in particular adopts some of the strongest language yet, claiming that, “the message is clear: our development model is bumping up against concrete limits.” This honest attempt to work through, rather than around, the tension between development and sustainability is perhaps an indication that we are at last beginning to take seriously the concept of sustainable development. -
‘Marketplace’ and ‘NewsHour’ Highlight Population, Health, and Environment Program in the Philippines
›The Danajon reef is the only double barrier reef in the Philippines, “one of the richest marine biodiversity hot spots in the world,” and it’s being devastated as the country’s exploding population depends on its waters for their food and livelihoods, reported Sam Eaton in a recent two-part series on population, health, and environment issues in the Philippines broadcast last month for American Public Media’s Marketplace and the PBS NewsHour.
The report is part of joint project called Food for 9 Billion, with Homelands Productions, the Center for Investigative Reporting, APM, and PBS. Previous reports examined food security in East Africa and Egypt.
The Philippines “import more rice than any other country on the planet,” said Eaton. The “highest population growth rates in all of Southeast Asia” as well as dwindling natural resources – nearly 100 million people live in a land area the size of Arizona – have created a cycle of poverty. The first step to breaking that cycle, he said, is improving access to family planning.
Growing Families, Growing Poverty
The Canayong family, living on the edge of a garbage dump in a Manila slum, offers a vivid example of what poverty means in the Philippines. Clarissa Canayong has had 14 children – 4 died from measles and dengue fever, the remaining 10 spend their days alongside Clarissa, sifting through the dump for things they need and things they can sell. At the end of a good day, the family has earned around $7 to survive on. All in all, Clarissa’s “inability to provide enough food, and to pay for her children’s education, all but guarantees she and her family will remain poor,” said Eaton.
The archipelago adds about two million people every year, putting population on track to double in size sometime around 2080. “And that’s only if something is done to close the birth control gap,” said Eaton, as those projections build in an expectation that growth will slow.
“As cities all across the country expand, the displaced often end up migrating to urban slums,” he said. “Population growth among poor Filipinos is twice the national average,” meaning that once a family enters poverty, they end up in a cycle “that’s nearly impossible to break.”
The Difference Family Planning Can Make
If Clarissa had had access to family planning, she told Eaton, she would have wanted to have only two children. In Humayhumay, where residents have access to a community-based family planning distribution program started by PATH Foundation Philippines, Inc., families have that luxury of choice.
Working through local partners, the PATH Foundation identifies and trains community-based vendors to sell contraception – both pills and condoms, said Dr. Joan Castro, who began the program in Humayhumay. The idea is to make buying contraceptives “as easy as buying soft drinks or matches.”
Both Jason Bostero, a farmer and fisherman in Humayhuay, and his wife, Crisna, grew up in large families – so large, in Crisna’s case, that “sometimes, we would only eat once a day because we were so poor. We couldn’t go to school. I did not finish school because there were just so many of us,” she told Eaton.
Now that they have access to contraceptives, a smaller family size means their income is “just right” to feed everyone three times a day. For the community as a whole, smaller family sizes mean that the nearby fish stocks that provide the community with food and income have a chance to replenish themselves in the absence of overfishing.
“In just six years since the program was first established here,” reported Eaton, “family sizes have plummeted from as many as 12 children to a maximum of about 4 today.”
Exception to the Rule
Humayhumay is an exception to the rule in the Philippines. There is no state funding for birth control in the country, and over the past few years, major international donors like USAID and the United Nations have ended their family planning work in the country. More than a quarter of poor Filipinos have no access to any type of family planning service, and more than half of all pregnancies are unintended, said Eaton.
Family planning has long been a contentious issue in the country. Eaton spoke to Congressman Walden Bello, who has spent more than a decade trying to pass legislation to establish universal access to birth control and improve other family planning and reproductive services. The Catholic Church, said Bello, is a powerful (80 percent of Filipinos are Catholic) and consistent opponent. In October 2010, the Church went so far as to threaten President Benigno Aquino with excommunication after he voiced support for access to contraception.
Rather than limit population growth, the Church argues the country should increase food production. But land is limited, rice imports are already the highest in the world, and, “according to the World Bank, every major species of fish here shows signs of severe overfishing,” said Eaton.
Looking Forward and Abroad
Eaton pointed to the Philippines’ neighbors as examples to emulate: “A long history of government-supported family planning has…paved the way for Thailand to become one of the world’s biggest rice exporters” and helped to cut back poverty in the country, said Eaton.
Indonesia too, he pointed out, has largely avoided the population growth-resource depletion-poverty cycle, thanks in part to a state- and faith-backed family planning program. (As Elizabeth Leahy Madsen wrote in a recent New Security Beat post, the decision of Indonesia’s religious leaders to throw their support behind family planning in the 1960s was a key factor in success there.)
Considering the obstacles, the Philippines face an uphill battle before family planning services become similarly universal. But the political tides may already be turning: last April, the President said he would support the reproductive health legislation even if it meant excommunication.
Meanwhile, PATH Foundation’s Castro is hopeful that Humayhumay’s success story will lay the seeds for widespread public support for family planning. “The vision of the project is in this community you see more children educated who are able to become leaders and speak out for themselves in the future and be able to become stewards of their own sexuality and the future environment,” said Castro. “This is the legacy.”
Sources: BBC, Bloomberg News, Catholic News Agency, The Guardian, Population Reference Bureau, TIME Magazine, US Agency for International Development, U.S. Catholic.
Showing posts from category poverty.