Showing posts from category poverty.
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Reducing Urban Poverty: A New Generation of Ideas
›Download Reducing Urban Poverty: A New Generation of Ideas from the Wilson Center.
In 2008 the global population reached a remarkable turning point; for the first time in history, more than half of the world’s people were living in cities. Moving forward into the 21st century, the world faces an unprecedented urban expansion with projections for the global urban population to reach nearly five billion by the year 2030. Virtually all of this growth will occur in the developing world where cities gain an average of five million residents every month, overwhelming ecosystems and placing tremendous pressure on the capacity of local governments to provide necessary infrastructure and services. Failure to incorporate urban priorities into the global development agenda carries serious implications for human security, global security, and environmental sustainability.
Recognizing a need to develop and strengthen urban-focused practitioner and policymaking ties with academia, and disseminate evidence-based development programming, the Wilson Center’s Comparative Urban Studies Project, USAID’s Urban Programs Team, the International Housing Coalition, the World Bank, and Cities Alliance teamed up to co-sponsor an academic paper competition for graduate students studying urban issues. The first competition took place in the months leading up to the 5th World Urban Forum, held in Rio de Janeiro in March 2010.
This publication, Reducing Urban Poverty: A New Generation of Ideas, marks the second annual academic paper competition. “Reducing urban poverty” was chosen as the theme with each author focusing on one of three topics: land markets and security of tenure; health; and, livelihoods. A panel of urban experts representing the sponsoring institutions reviewed 70 submitted abstracts, from which 16 were invited to write full length papers. Of these, six were selected for this publication. We congratulate the graduate students who participated in this competition for their contribution to our understanding of the complex relationship between urbanization and poverty.
These papers highlight the new research and innovative thinking of the next generation of urban planners, practitioners, and policymakers. It is our hope that by infusing the dialogue on these issues between the academic and policy worlds with fresh perspectives, we will foster new and innovative strategies to reduce global urban poverty.
Sources: UNFPA, UN-HABITAT. -
Jotham Musinguzi on Investing in Family Planning for Development in Uganda
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“What we are seeing is not adequate, but we think we are seeing very good positive movement, and we want to build on that,” said Jotham Musinguzi, director of the African regional office for Partners in Population and Development (PPD) in Kampala, Uganda. Musinguzi is a public health physician by training who previously advised the government of Uganda on population and reproductive health issues. “We think that [the government] is now on a firm foundation to continue investing properly in family planning,” he said.
Family Planning for Development
Uganda’s high population growth rate (the country has a total fertility rate of 6.4 children per woman, according to the UN) presents a number of challenges, said Musinguzi, exerting pressure on education and health systems, as well as on basic infrastructure, particularly for housing and transportation. Additionally, high levels of poverty and unemployment can become a source of instability.
Policymakers in Uganda are beginning to recognize the urgency of the issue, however, particularly in regards to young people, said Musinguzi. “They don’t have access to jobs, they don’t have the skills, and therefore the challenges of poverty eradication become even more important.”
Nonetheless, the country’s contraceptive prevalence rate is low, at 24 percent, with 41 percent of married women expressing an unmet need for family planning services, according to the 2006 Demographic and Health Survey (DHS) for Uganda. Low levels of investment and lack of government involvement remain the primary obstacles, according to Musinguzi, in addition to socio-cultural and religious barriers.
Uganda historically depended primarily on donor finance, rather than government funding, to support family planning and reproductive health services, Musinguzi said. However, over the past two years, the Ugandan government has increased investment due to concerted efforts by PPD, as well as USAID, the UN Population Fund, and civil society groups. “Our point was that if the government does not fund family planning, then they are going to find that achievement of the Millennium Development Goals…is going to be very challenging,” he said.
“I think the low investment in family planning in Uganda is a thing of the past, and we are now looking forward to really better investment in this field,” Musinguzi said. “I am sure we are going to witness quite a big change [in the 2011 DHS] in terms of access as a result of the proper social investment that the government is trying to do now.”
South-South Collaboration
“I have a keen and strong interest in South-South collaboration in the field of reproductive health, family planning, population, and development,” Musinguzi said. Countries in the South have experience linking programming on population and development, and may face similar challenges, he said. For instance, Bangladesh and Vietnam had successful family planning programs that helped blunt rapid population growth rates.
“Countries, like Uganda, and others which haven’t gotten there yet, could learn from these other countries,” said Musinguzi, by sharing best practices and lesson learned, and replicating applicable solutions.
PPD also has a regional project reaching out to policymakers to increase commitment and accountability for family planning and reproductive health services. For instance, parliamentarians may not realize that they can play a significant role, but they have a unique function in providing government and budget oversight, Musinguzi said. Furthermore, they can create legal and administrative frameworks that prioritize family planning programs.
“We continue to make the case for more investment in family planning and reproductive health, but also making sure we hold leaders accountable, to show more commitment, and make sure they improve on the welfare of the people that they represent,” Musinguzi concluded.
The “Pop Audio” series is also available as podcasts on iTunes.
Sources: MEASURE DHS, UN Population Division. -
Twin Challenges: Population and Climate Change in 2050
›With global population reaching 7 billion, a lot of attention has been paid to the question of how to sustainably support so many people, much less the 9 billion expected by 2050, or the 10 billion possible by 2100. Add in the environmental variability projected from climate change and the outlook for supporting bigger and bigger populations gets even more problematic. Two new maps – one by the Population Reference Bureau (PRB), the other by McGill University PhD candidate Jason Samson – show how the world might change over the next 40 years in the face of these twin challenges.
Nine Billion in 2050
PRB’s map, built using their DataFinder tool, shows the world in 2050 in terms individual country growth rates between now and then. Japan, Russia, and countries in Eastern Europe are set to grow more slowly than anywhere else, and some of that group will actually shrink by 10 to 20 percent of their current size. Western, Central, and Eastern Africa will be home to the highest increases. Niger’s 2050 population is expected to be 340 percent its 2011 size – the largest growth of any country.
The map is based on country-level data pulled from a number of sources: the UN Population Division’s latest “World Population Prospects,” the UN Statistics Division’s “Demographic Yearbook 2008,” the U.S. Census Bureau’s International Database, and PRB’s own estimates. It’s unclear what numbers come from which sources, though it is clear that PRB’s 2050 estimates span the UN’s range of medium, high, and constant-fertility variants. In spite of these variations, none of PRB’s estimates come anywhere near the UN Population Division’s low variant estimates.
PRB’s map, echoing its 2011 World Population Data Sheet, shows a world where sub-Saharan Africa will bear the brunt of population growth. The average country in Africa in 2050 is projected to be slightly more than twice its 2011 size; the average European country is expected to barely break even. Africa is home to more countries whose populations are estimated to least double (34) or triple (4) than any other continent. Europe, meanwhile, is home to more countries whose populations will stagnate (8), or even shrink (19), than anywhere else. Interestingly, the Caribbean is a close second in terms of countries whose populations are projected to stay the same (seven to Europe’s eight), and Asia is second to Europe in terms of countries whose populations are projected to shrink (Georgia, Japan, Armenia, South Korea, and Taiwan).
More People, More Climate Change, More Vulnerability
Samson’s map takes on the same time period but projects where people will be most vulnerable to the effects of climate change. Since his map takes into account population growth (measuring where people are most vulnerable, remember), unsurprisingly, Africa, the Middle East, Southeast Asia, and central South America are covered in bright red dots, indicating high vulnerability. Conversely, North America, Europe, and much of Central Asia are in shades of blue.Samson built his index using four environmental predictors – annual mean temperature, mean temperature diurnal range, total annual precipitation, and precipitation seasonality – taken from WorldClim’s 2050 forecasts, and 2005 sub-national population data from Columbia’s Center for International Earth Science Information Network. In spite of the sub-national population data, Samson makes a point to justify his use of supranational climate data in order to best reflect “the scale at which climate conditions vary.” He writes that localized issues like urbanization and coastal flooding “are probably best investigated with targeted regional models rather than by attempting to modify global models to include all factors of potential regional importance.”
Samson’s research shows that, generally, people living in places that are already hot will be more vulnerable to climate change over time, while people in more temperate climates will feel a negligible impact. Though he projects the largest real temperature changes will happen in temperate climates like North America and Europe, the comparatively smaller changes in Africa, the Middle East, Southeast Asia, and central South America are expected to have a greater impact because those regions are already very hot, their natural resources are stressed, and they are expected to bear the brunt of population growth over the next few decades.
These findings reflect a disparity between those responsible for climate change and those bearing the brunt of it, which, although not surprising, “has important implications for climate adaptation and mitigation policies,” said Sampson, discussing the map in a McGill press release.
Sub-National Data “Present a Very Different Picture”
Though they offer a useful approximate glimpse at what the world might look at in 2050, both of these maps fall prey to over-aggregation. By looking at national rather than sub-national data, we miss how nuanced population growth rates can be within a country. Stimson Center Demographer-in-Residence Richard Cincotta wrote in a recent New Security Beat post that “national level comparisons of total fertility rates tend to communicate the false impression of a world with demographically homogeneous states.” Sub-national data, including differences between urban and rural areas and minority-majority fertility rates, “present a very different picture.”
And that difference matters. When it comes to looking at how population interacts with other issues, like the environment, poverty, and conflict, the importance of a sub-national approach becomes evident. In its 2011 data sheet, PRB writes that “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.”Edward Carr, an assistant geography professor at the University of South Carolina currently serving as a AAAS science fellow with USAID, argues that national-level data obscures our ability to understand food insecurity as well. The factors that drive insecurity “tend to be determined locally,” writes Carr in a post on his blog, and “you cannot aggregate [those factors] at the national level and get a meaningful understanding of food insecurity – and certainly not actionable information.”
The same is true when it comes to climate vulnerability. In a report from The Robert S. Strauss Center’s Climate Change and African Political Stability Program, authors Joshua Busby, Todd Smith, and Kaiba White write that “research announcing that ‘Africa is vulnerable to climate change,’ or even ‘Ethiopia is vulnerable,’ without explaining which parts of Ethiopia are particularly vulnerable and why, is of limited value to the international policy community.”
“It is of even less use to Africans themselves, in helping them prioritize scarce resources,” add Busby et al.
Understanding the joint problems of climate change and population growth on a global level helps frame the challenges facing the world as it moves toward 8, 9, and possibly 10 billion. But knowing the ins and outs of how these issues interact on a local level will be a necessary step before policymakers and others can hope to craft meaningful responses that minimize our vulnerability to these challenges over the coming decades.
Sources: Center for International Earth Science Information Network at Columbia University, Climate Change and African Political Stability Program at the Robert S. Strauss Center, McGill University, Population Reference Bureau, UN Population Division, UN Statistics Division, U.S. Census Bureau, University of South Carolina, WorldClim.
Image Credit: “2050 Population As a Multiple of 2011,” courtesy of PRB; CDVI map used with permission, courtesy of McGill University; Sub-national total fertility rates in Southern Africa, courtesy of MEASURE DHS, arranged by Schuyler Null. -
STATcompiler: Visualizing Population and Health Trends
›World population is growing – earlier this week, the global community symbolically marked the arrival of the seven billionth person. But the unprecedented growth in global population over the last few decades has not affected everyone equally – in 1950, 68 percent of the world’s population lived in developing regions; today that number is 82 percent. MEASURE’s latest version of their STATcompiler tool helps visually highlight areas simultaneously experiencing the most demographic change and poor health indicators.
The revised STATcompiler – released in September – provides new ways for users to visualize data by generating custom data tables, line graphs, column charts, maps, and scatter plots based on demographic and health indicators for more than 70 countries. Users can select countries or regions of interest, and relevant indicators, including for family planning, fertility, infant mortality, and nutrition. Tables can be further customized to view indicators over time, across countries, and by background characteristics, such as rural or urban residence, household wealth, or education. In some cases, sub-national data is available. User-created tables and images are then exportable so that they may be easily used in papers or presentations.
Since STATcompiler is still in active development, certain functions are still being added. HIV data has not yet been integrated into the program, nor has the express viewer function, with customizable, ready-made tables for quick access. Additionally, updated information is not available for all countries, in all categories – for instance, the most recent data available for Mexico comes from a 1987 survey. If preferred, the legacy version remains available to users in the meantime.
MEASURE DHS – the Monitoring and Evaluation to Assess and Use Results Demographic and Health Surveys project – provides technical assistance for data collection on health and population trends in developing countries. Their demographic and health surveys, funded by USAID, provide data for a wide range of monitoring and impact evaluation indicators at the household level in the areas of population, health, and nutrition. They have become a staple data source for researchers, and the addition of better analysis functions and dissemination tools, via STATcompiler, will hopefully help advance understanding of demographic and health trends.
Image Credit: Map from STATcompiler, arranged by Schuyler Null. -
Health and Harmony: Population, Health, and Environment in Indonesia
›Borneo’s Gunung Palung National Park is a microcosm of both the island’s ecological wealth and vulnerability. More than half of the park is undisturbed forest; the remainder, however, “is being torn down day after day” at an alarming rate, said Health in Harmony’s Nichol Simpson at an event on integrated approaches to population, health, and environment (PHE) programs in Indonesia. Alene Gelbard of the Public Health Institute’s Company-Community Partnerships for Health Indonesia (CCPHI) program joined Simpson on September 29 at the Wilson Center. Both speakers emphasized that no matter what issue a group works on, engaging local communities is essential for success.
The Destructive Cycle: Poor Health, Poor Environment
For Simpson, “the intersection between human and environmental health” is at the heart of Health in Harmony’s work. Health in Harmony opened Clinic ASRI in 2007, aiming to provide improved healthcare to villagers throughout Gunung Palung National Park while ending their dependence on illegal logging as a means of financial survival.
The area’s inhabitants were all too easily trapped in what Simpson called “the destructive cycle.” When faced by an unexpected medical emergency, families would go into debt to pay their medical bills. Health in Harmony found that of 232 local households surveyed, 13 percent had recently experienced a major medical emergency, at an average cost of $360. Most households in the area only hold around $260 in emergency savings, so to make up the difference, about a third turned to illegal logging to pay down their debt.
By deforesting the park, illegal logging worsens the health of nearby communities. For example, Simpson said that Clinic ASRI has seen a rise in cases of malaria and tuberculosis in the surrounding communities, in part because deforestation has increased the level of mosquito activity. The link between human and environmental health is clear, said Simpson: the people ASRI serves are “living it every day. They know the cause of this. And…they want it to stop.”
Protecting Natural Resources By Improving Health
The Health in Harmony clinic located in Sukadana, a small village sandwiched between Borneo’s coast and Gunung Palung Park, helps break the destructive cycle by treating patients regardless of their ability to pay. If patients do not have cash, they can barter for their care. In one case, a girl named Yani came to ASRI after her family incurred $500 over two months of visiting hospitals and traditional healers, none of whom could treat her condition. ASRI diagnosed and treated Yani for scabies. In exchange, her mother signed a pledge to protect Gunung Palung from logging and made the clinic a floor mat to cover the $1.50 bill.
By providing affordable, high-quality healthcare that is contingent upon pledging to protect the environment, Clinic ASRI improves human and environmental health in one fell swoop, said Simpson. “Because the infant mortality rate has decreased and you’re not overcompensating,” said Simpson, families can choose to have fewer children, using free birth control provided by ASRI.
“When you have fewer and healthier children, you’re investing in your education,” said Simpson. “When you’re investing in your education, you’re investing in your country and your community. This is the virtuous cycle. I didn’t invent it, but we are proving it in Sukadana.”
The communities around the clinic have embraced ASRI’s work, partnering with them to expand their services to address additional community needs, like training farmers in more productive organic methods and providing mated pairs of goats for widows, who pay ASRI back with kid goats and manure for fertilizer.
All but one of the 23 villages that ASRI services have been consistently free of illegal logging, according to monitors who visit them on a regular basis. “We’re proving the theory that we can protect natural resources by improving health,” Simpson said.
“Health Is Key to Sustainable Development”
Gelbard took a step back to talk about CCPHI’s experience establishing multi-sector partnerships among NGOs and corporations by building trust and enabling dialogue between the communities.
With corporate responsibility becoming more popular, “everyone’s talking about partnerships these days, and everybody’s partnering with everyone,” said Gelbard. “I don’t care what they call it – I care what they’re doing” and what results they achieve, she said. A successful partnership involves “all partners doing something more than just giving money.”
Gelbard said the 2004 tsunami reinforced the notion of corporate responsibility for a lot of companies operating in Indonesia. They saw that unless they branched out beyond their own walls and “did things to help strengthen communities,” efforts at corporate responsibility simply “would not benefit them in the long-run,” she said.
Through CCPHI, companies and NGOs have partnered on a wide range of efforts, including improving access to and funding for reproductive health services, improving sanitation by increasing access to water, and combating human trafficking by empowering girls and women.
Achieving the Millennium Development Goals will require increasing access to health care in a manner that reflects the needs of communities, she said. At its core, CCPHI’s work and the partnerships it facilitates are “based on the knowledge that health is key to sustainable development,” said Gelbard.
Event Resources
Sources: Alam Sehat Lestari, American Journal of Tropical Medicine and Hygiene, Company-Community Partnerships for Health Indonesia, ExxonMobil, The Guardian, Health in Harmony, National Geographic, PBS News Hour, Public Health Institute, Republic of Indonesia Ministry of Forestry, United Nations, World Wildlife Fund
Photo Credit: Used with permission courtesy of ASRI and Nikki See, Under-told Stories. -
Population and Development, Scarcity and Fairness
›Monica Das Gupta, John Bongaarts, and John Cleland’s World Bank working paper, “Population, Poverty, and Sustainable Development: A Review of the Evidence,” analyzes the evidence so far on three questions: 1) Does high fertility affect low-income countries’ prospects for economic growth and poverty reduction?; 2) Does population growth exacerbate pressure on natural resources?; and 3) Are family planning programs effective at lowering fertility, and should they be publicly funded? They find the answers to these questions mainly to be “yes,” but more so in low-income countries with “poor policy environments,” where reducing fertility can lessen the pressure on natural resources – the management of which frequently faces “deep challenges” – and allow economic growth. Gupta et al. highlight sub-Saharan Africa in particular as a region that could gain from these policy levers.Resource Scarcity, Fair Shares and Development, a discussion paper by Alex Evans of the Center on International Cooperation at New York University, published in cooperation with WWF and Oxfam, tackles what Evans writes is an oft-ignored issue in relation to resource scarcity: the notion of fairness in a world of environmental limits. The need to advocate for “fair shares” will become a major issue for poor people and poor countries, and is therefore an important part of the development agenda, he writes. “Scarcity isn’t just relevant to specialists in environment, climate and rural livelihoods,” writes Evans. “On the contrary, resource scarcity will become increasingly central to governance, economics, social development and conflict advisers, and should be incorporated into training and professional development across these areas.” -
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. -
Life on the Edge: Climate Change and Reproductive Health in the Philippines
›July 18, 2011 // By Hannah MarquseeHigh population growth and population density have placed serious stress on natural resources in the Philippines. No one lives far from the coast in the 7,150-island archipelago, making the population extremely dependent on marine resources and vulnerable to sea-level rise, flooding, and other effects of climate change. The coastal megacity of Manila – one of the most densely populated in the world – is beset by poor urban planning, lack of infrastructure, and a large population living in lowland slums, making it particularly vulnerable to increased flooding and natural disasters. [Video Below]
The Philippines is now home to 93 million people and by 2050 is expected to reach 155 million, according to the UN’s medium fertility variant projections. Development programs in the country have made great strides towards increasing access to family planning and reproductive health services as well as improving management of marine resources, but the underlying trends remain troubling.
The Battle Over Reproductive Health
Since 1970, the government’s Commission on Population has been addressing population growth, reproductive health, and family planning. “The impact of the high rate of population growth is intricately linked to the welfare and sustainable development for a country like the Philippines, where poverty drives millions of people to overexploit their resource base,” wrote the commission. As a result of these efforts and others, total fertility rate has dropped from 6.0 children per woman in 1970, to the present 3.2.
The Philippines has also made great gains towards achieving Millennium Development Goal targets, “particularly in the alleviation of extreme poverty; child mortality; incidences of HIV/AIDS, tuberculosis, and malaria; gender equality in education; household dietary intake; and access to safe drinking water,” according to the United Nations Development Program (UNDP). Yet, “glaring disparities across regions persist,” UNDP states.
One of the poorest regions in the country, the Autonomous Region of Muslim Mindanao, is also home to a violent separatist movement. With limited access to health services, fertility and population growth rates are the highest in the country. Women in Mindanao average 4.2 children per woman; one in four married women has an unmet need for contraception; and 45 percent of households live in poverty (compared to 24 percent nationally).
Nationally, “serious challenges and threats remain with regard to targets on maternal health, access to reproductive health services, nutrition, primary education, and environmental sustainability,” according to UNDP–in particular, indicators on maternal health are “disturbing” and of all the MDGs, are labeled “least likely to be achieved.”
Out of three million pregnancies that occur every year, half were unplanned and one-third of these end in abortions, according to a 2006 report of the Allan Guttmacher Institute conducted in the Philippines. Induced abortion was the fourth leading cause of maternal deaths, and young women accounted for 17 percent of induced abortions. Over half of births occurred at home and one-third of them were assisted by traditional birth attendants. Around 75 percent of the poorest quintile did not have access to skilled birth attendants compared to only 20 percent of the richest quintile.
The politically influential Catholic Church recently blocked passage of a reproductive health bill, despite support by President Benigno Aquino and a majority of Filipinos. The bill seeks to provide universal access to contraception and would make sex education required from fifth grade onwards, a provision that has angered Church officials.
Manila Under Water
The Philippines’ combination of high population growth and limited land area (nearly all of which is near the coast) makes the country extremely vulnerable to the effects of climate change. Sixty-five percent of Filipinos live in coastal areas and 49 percent live in urban areas. Paul Hutchcroft, in Climate Change and Natural Security, writes that “even in the best of times, the frequency of typhoons, floods, earthquakes, and volcanic eruptions makes the Philippines one of the most disaster-prone countries in the world” (p. 45).
Population growth, climate change, and deforestation will only increase the severity of these disasters, he concludes. Hutchcroft points out that by 2080, projected temperature increases of between 1.2 to 3.9 degrees Celsius could raise sea levels by an estimated 0.19 to 1.04 meters – a scary thought for the 15 million living within a one-meter elevation zone (p. 46).
In 2009, metropolitan Manila, currently home to 11 million people (18,650 per square kilometer) and projected to grow to 19 million by 2050, was hit by tropical storms that caused devastating flooding – at their peak, waters reached nearly seven meters, according to a World Bank report. “More than 80 percent of the city was underwater,” write the authors, “causing immense damage to housing and infrastructure and displacing around 280,000-300,000 people.”
“Even if current flood infrastructure plans are implemented, the area flooded in 2050 will increase by 42 percent in the event of a 1-in-100-year flood,” says the World Bank report. Climate change could also increase the cost of flooding as much as $650 million, or 6 percent of GDP. Only by considering climate-related risks in urban planning can the Philippines hope to mitigate the effects of climate change, the report concludes.
Integrated Development: One Piece of the Puzzle?
Population, health, and environment (PHE) programs that integrate family planning and natural resource management are one way to help the majority of Filipinos that live in densely populated and resource-stressed coastal areas.
In ECSP’s FOCUS Issue 15, “Fishing for Families: Reproductive Health and Integrated Coastal Management in the Philippines,” Joan Castro and Leona D’Agnes explain how Path Foundation Philippines, Inc.’s IPOPCORM project – which ran from 2000 to 2006 – helped “improve reproductive health and coastal resource management more than programs that focused exclusively on reproductive health or the environment – and at a lower total cost.” A recent peer-reviewed study, co-authored by Castro and D’Agnes and published in Environmental Conservation, proved the same point with rigorous analysis.
“When we started IPOPCORM, there was really nothing about integrating population, health, and environment,” said Castro in an interview with ECSP. IPOPCORM provided some of the first evidenced-based results showing there is value added to implementing coastal resource management and family planning in tandem rather than separately. In part due to the success of the IPOPCORM, the Philippines have become one of the major PHE development implementers in the world.
Creating sustainably managed marine sanctuaries while improving access to family planning provides a way forward for many coastal communities. However, the Philippines’ urban woes – 44 percent of urban dwellers live in slums, according to the Population Reference Bureau – internal divisions, and natural vulnerability will likely make it difficult to dodge considerable climate-related effects in the near future. Already the archipelago’s vast biodiversity is in crisis, according to studies over two thirds of native plant and animal species are endemic to the islands and nearly half of them are threatened; only seven percent of its original old-growth less than 10 percent of the islands’ original vegetation remains; and 70 percent of nearly 27,000 square kilometers of coral reefs are in poor condition.
Sources: CIA, Conservation International, Field Museum, The Guardian, The Huffington Post, Philippines National Statistics Office, Population Reference Bureau, United Nations, U.S. Census Bureau, World Bank, World Wildlife Fund.
Photo Credit: “Climate Risk and Resilience: Securing the Region’s Future” courtesy of Flickr user Asian Development Bank.
