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Mapping World Bank-Funded Projects
›The World Bank recently released their interactive “Mapping for Results Platform” that allows users to see where and how World Bank funding is being spent. Users can view project costs and expenditures by sector at sub-national levels and overlay this with human development data such as poverty, population, and health indicators. In the current beta version, interactive maps and downloadable data are available for Kenya, Bolivia, and the Philippines.
The example map shown above shows all of the World Bank’s 38 active water and sanitation, health, and agricultural projects in Kenya, as well as malnutrition rates by district. Clicking on any of the projects on the map displays the project name, financing amount, and exact location of the program.
Presumably, in the final version, all 2,669 active World Bank projects and 15,246 project locations – accounting for $136.91 billion – will be included.
Image Credit: World Bank Mapping for Results Platform. -
Tamara Kreinin on Women’s Empowerment, Population Growth, and Sustainability
›“We know that when that when we empower women – whether it’s giving them control over their bodies and access to family planning or whether it’s by including them in planning around climate change – their agency can make huge leaps for us,” said Tamara Kreinin, executive director of women and population at the UN Foundation, in this interview with ECSP.
Seventy percent of the world’s poor are women and they’re also the members of the household most likely to be responsible for food, water, and firewood collection.
“At the same time, we know that women are often not at the table,” she said. “They’re not at the table in country when countries are creating aid to adaptation strategies around the environment and climate change, and they’re not at the table at places like Copenhagen and some of the big climate change meetings.”
The “Pop Audio” series is also available as podcasts on iTunes. -
Mobile Phones for Maternal Health in the Developing World
›With rising use in the developing world, cell phones and mobile technologies can create “connected and coordinated health systems that save more lives,” said Josh Nesbit at the GHI event “New Applications for Existing Technologies to Improve Maternal Health,” on October 27. Capitalizing on these new technologies could increase efficiency, cost-effectiveness, and efficacy of public health programs. Nesbit, executive director of FrontlineSMS: Medic, was joined by Alain Labrique, assistant professor at the Johns Hopkins School of Public Health, and David Aylward, executive director of the mHealth Alliance at the United Nations Foundation, to discuss the role of Information and Communication Technologies (ICTs) in the prevention of maternal mortality.
Collaborations for mHealth
While “cell phones can’t save lives, the lack of information does kill,” said Aylward. Using technology that many people already own and use, mobile technology is an appropriate tool for disseminating health data and information. Existing technologies such as mobile phones and SMS text messaging can revolutionize healthcare by improving data collection and disease tracking, expanding patient diagnostics, and advancing education and awareness among health workers and patients.
With 64 percent of all mobile phone users located in the developing world, the use of mobile devices to improve health services in low-income countries is especially promising.
Aylward hopes that mobile health technology (mHealth) will help combat maternal mortality in the developing world. With approximately 350,000 women dying in childbirth each year, and only marginal progresses towards achieving Millennium Development Goal 5, finding such innovative solutions to improve maternal health is crucial.
Public-private partnerships are particularly important when considering the long-term sustainability of mHealth programs. “This didn’t happen because of the World Bank, it happened because people who are very poor voted with their very limited funds to have access to information,” said Aylward.
Aylward is hopeful that government and donor support will continue to become more supportive of mobile technology and coordinated in their implementation of mHealth programs globally.
Mobile Health Solutions in the Developing World
“Through mobile tools, we can act as quickly as possible to improve access to skilled birth attendants, emergency obstetric care, and access to reproductive health commodities,” said Nesbit.
Nesbit’s organization, FrontlineSMS: Medic, is working to eliminate barriers created by the lack of resources and infrastructure in the developing world using mobile health technology. Now working in 20 countries, the organization uses free software “that enables large-scale, two-way text messaging using only a laptop, a GSM modem, and inexpensive cell phones,” explained Nesbit.
“One of the best measures is whether people continue to use your tools, and they will if it impacts their lives positively and they won’t if it doesn’t—sometimes it’s as simple as that,” said Nesbit on why communities in the developing world are eagerly embracing mobile technology.
Moving forward, Nesbit hopes to “scale and replicate, both vertically and horizontally, models that we’ve shown can work, but also to build new tools” and work with the health community “to help identify the needs and the gaps in these systems.”
However, Nesbit stresses that “these are very much tools and not solutions; they become solutions when they are paired with people on the ground who use them.”
Compressing the Time Between Crisis and Care
“The opportunities for mobile phones to act synergistically with existing health systems in low- to middle-income countries are many,” said Labrique. The current challenge is to harness this technology to improve health outcomes in the developing world, where disease burden is disproportionately high.
In the developing world, “decisions influenced by the lack of resources, such as poverty, or lack of information have led to highly convoluted patterns of care-seeking,” said Labrique.
“Delayed decision-making compounded by delayed transport can have tragic consequences for maternal mortality,” said Labrique, and the most immediate use of mobile technology is “getting the necessary care, on time, to where these deaths are taking place.” Cell phones can help women, their families, and local health workers to seek timely, appropriate medical help for an obstetric emergency.
“Addressing equity and access to phones when evaluating the impact or success of mHealth interventions is critical,” Labrique said. Although cell phone use is high and steadily increasing, social and cultural norms in some countries might prevent women from using them. Further, Labrique notes, in Bangladesh, cell phone use among the poorest families is noticeably less than those with higher socioeconomic status.
“ICT and mHealth solutions have tremendous promise to improve maternal health in resource limited settings; however, it’s important not to let the technology guide the public health agenda,” said Labrique. More data is needed to determine how these tools might strengthen and enhance health systems and a clearer research agenda can help ensure evidence-based solutions guide programming.
For more from David Aylward and mHealth, be sure to see “Watch: David Aylward on How Wireless Technology is Changing Global Health and Empowering Women.”
Sources: Lancet, United Nations Foundation.
Photo Credit: “‘SMS till you drop’ — mobile phone ad on van in Kampala, Uganda,” courtesy of flickr user futureatlas.com. -
Rape, Resource Management, and the UN in Congo: What Can Be Done?
›Rape as a weapon of war is not unique to the Democratic Republic of Congo (DRC), but the scope and degree to which it occurs in this part of the world, especially in the resource-rich eastern provinces – an epicenter of violence during the war – is alarming and unprecedented.
Walikale, the site of a recent scourge of rapes and violence is not unlike several other cities and villages in the Kivus and in the DRC in general. Rich in both tin and gold, Walikale is beset by a convergence of several opposing military factions: the rebel Congrès National pour la Défense du Peuple, (CNDP), whose members have supposedly been reintegrated into the official Congolese army; the FARDC, who have been accused of crimes as egregious as those committed by rebel armies; the Rwandan FDLR; Tutsi rebel factions; and numerous other smaller rebel groups and non-Congolese military groups.
The raping of more than 300 women, children, and men that occurred between July 31 and August 2 in the area of Walikale and the village of Ruvungi has made international news headlines and caused an uproar about the role and responsibilities of the United Nation mission in the DRC – MONUSCO (formerly MONUC) – and their capacity to actually keep the peace. UN peacekeepers, stationed about 30 kilometers away from the attacks, were reportedly aware of rebel activity in the area, but were not aware of the mass raping until after the crimes had been committed. Officials went on a fact-finding mission several days later once the rapes were reported by the International Medical Corps. Some, however, argue that officials should have acted differently, dispatching peacekeepers to the Walikale area as soon as they were made aware of rebel activity.
UN workers and other international organizations may have known about the rapes while they were occurring, and in retrospect the international community can criticize their inaction during the perpetration of this massive atrocity, but there are larger questions that loom: Why has the DRC become the “rape capital of the world?” And what can we do to enable UN peacekeeping forces to actually keep the peace?
More than two months after these crimes were perpetrated, rapes are no doubt still occurring across the region. The UN has declared that militias will be charged for the crimes in Walikale, arrests have already been made, and there are people doing good work to help the victims of sexual crimes after the fact. But despite these efforts and the ongoing presence of MONUSCO and efforts to integrate and train the FARDC as a legitimate army that protects the citizens of the country, sexual violence against civilians, and especially against women, has continued at an outrageous level.
The mandate of MONUSCO, carried over in part from its predecessor, MONUC, is to both protect civilians and backstop the efforts of the FARDC – a sometimes conflicting mandate. Designed to keep the peace and monitor the implementation of the ceasefire agreement, to “facilitate humanitarian assistance and human rights monitoring, with particular attention to vulnerable groups including women, children and demobilized child soldiers” (emphasis added), the UN mission has clearly not been able to successfully fulfill this mandate, even after almost 12 years on the ground. While the UN charter does not explicitly include the word “peacekeeping,” and there are those who argue that it is not properly structured to act as a peacekeeping body, the UN has more than 60 peacekeeping missions under its belt since its first mission in 1948 and the DRC is its largest ever. Still, the weak record of success of MONUC and of its successor MONUSCO together with the unreliability of the FARDC does not inspire confidence for the safety or security of civilians in the DRC.
Why the rapes continue and why neither MONUSCO nor the Congolese authorities are unable to stop them are complicated questions. Explanations range from political complications preventing peacekeepers from becoming involved in day-to-day human security to a simple lack of mission resources. The rapes in Walikale occurred in an area with abundant tin deposits and some of the largest gold mines in the country. The DRC, and the east in particular, is ripe with resources, and historically, underdeveloped regions characterized by such a heavy concentration of natural resources are often more cursed than they are blessed. The competition over resources and violence spurred by an unequal distribution of rents is perhaps part of the reason for such intense violence; it does not, however, explain why rape has become a weapon of choice, why women have become a target of war crimes in general, or why the level of violence against women in the DRC in particular has risen to such a horrifying level.
Justine Lindemann is program assistant with the Africa Program at the Woodrow Wilson Center.
Sources: AFP, AFRICOM, AllAfrica, BBC, Congo Siasa, IPS News, The New York Times, Panzi Hospital of Bukavu, UN, UN Office of the High Commissioner for Human Rights, VII Photo Agency.
Photo Credit: “Congo kivu,” courtesy of flickr user andré thiel. -
Barbara Crossette on UNFPA State of the World Population 2010 Report
›“Particularly when you go into a society that’s been broken by war or conflict or is so impoverished that is has nowhere to start climbing up, there have to be integrated programs and they have to work with people in mind,” said former New York Times foreign correspondent Barbara Crossette in an interview with The New Security Beat. “The people themselves will solve a lot of the problems around them if they’re just given the tools to do so.”
Crossette is one of the lead authors of the UN Population Fund’s latest State of the World Population Report, “From Conflict and Crisis to Renewal: Generations of Change,” set to launch this Wednesday, October 20th. She spoke to us particularly about the challenges of women around the world and the unique storytelling aspect of this year’s report.
The “Pop Audio” series offers brief clips from ECSP’s conversations with experts around the world, sharing analysis and promoting dialogue on population-related issues. Also available on iTunes. -
The “Condom King” speaks at TEDxChange on Poverty Reduction and a “9th MDG”
›“We have now found the weapon of mass protection,” said Mechai Viravaidya (a.k.a. the “Condom King”) at the recent TEDxChange event in New York. Viravaidya is the founder and chairman of the Population and Community Development Association and a former senator of Thailand. He spoke about his innovative approaches to addressing Thailand’s once high rates of poverty, child mortality, and HIV through the promotion of family planning and condom use.
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India’s Threat From Within
›Once a modest pro-peasant movement, India’s Maoist (or Naxalite) insurgency has become what New Delhi describes as the nation’s biggest internal security threat. The insurgency has spread to 20 of India’s 29 states, and across more than a third of the country’s 626 districts, most of them in the impoverished east. Earlier this summer, the Woodrow Wilson Center’s Asia Program, with assistance from the Environmental Change and Security Program, hosted, “The ‘Gravest Threat’ to Internal Security: India’s Maoist Insurgency,” to examine the insurgency’s main drivers, identify its prime tactics and strategies, and consider the best ways to respond.
Same Insurgency, Different Motivations
P.V. Ramana, a research fellow at the New Delhi-based Institute for Defense Studies and Analyses, discussed the motivations that draw people to the insurgency. Some people are aggrieved by the resource exploitations they witness in their villages. Others join the Maoist cause because of the “high-handedness” of Indian security forces. Still others do so because family members are already in the movement.
Ramana underscored a “serious disconnect” at play — people have such varied reasons for joining the insurgency, yet top Maoist leaders are inspired by one sole motivation: capturing political power. Ramana also highlighted the “increasing militarization” of the insurgency. Maoists have amassed an immense arsenal of weaponry, from “crude” tools to more sophisticated weapons such as rocket launchers and landmines. Their attacks increasingly target not only government security forces, but also national infrastructure such as power lines and railways.
Andhra Pradesh: Leading By Example
K. Srinivas Reddy, a Hyderabad-based deputy editor for The Hindu, offered a case study of the insurgency in his home state, Andhra Pradesh (AP), in southeastern India. He noted that New Delhi’s response to the insurgency in AP is often cited as a success story. This response, according to Reddy, can be attributed to an “attitudinal change” within the security ranks. From the 1970s through the mid-1990s — a period of mass Maoist recruitment and escalating insurgent violence — New Delhi’s counterinsurgency measures had been “panicky,” haphazard, and reactive, Reddy said. The “turning point” came in 1996, when a new “unity of thought” emerged within the government that emphasized better training of security forces, stronger intelligence, and greater attention to economic development. Later in the 1990s, security forces further softened their strategies and tactics, emphasizing “problem-solving rather than hunting Naxals.” As a result, in the early 2000s, popular support for Maoists in AP began to wane.
Is the Government Also to Blame?
Nandini Sundar, a professor of sociology at Delhi University, focused on the human impact of both the insurgency and the government’s response. Much of her presentation centered around Bastar, a sparsely populated, heavily forested, mineral-rich district of Chhattisgarh state — one of the areas hardest-hit by the insurgency. Maoist “entrenchment” is strong, she argued, because locals are treated so dreadfully by the government. “Very poor people are jailed” for committing minor forestry transgressions, Sundar explained, while “powerful people” get away with large-scale offenses. Additionally, the police are deeply unpopular and “a source of repression.” They also regularly rape women and extort money, she said.
Sundar identified and condemned a raft of repressive government policies — from throwing locals off their land to commandeering schools — and insisted that such repression constitutes the prime reason for recruitment to the insurgency. “Injustice more than inequality” explains why people join the Maoists, she said.
The panel was far from sanguine about the future. Ramana contended that immediate prospects for peace talks between the government and the Maoists are slim, and that civil society has been “quiet” and has offered little assistance. While he predicted that some sort of resolution could be reached in “7 to 10 years,” Sundar countered that the harsh nature of New Delhi’s response means that 7 to 10 years “could finish off” not just the Maoists, but also village populations.
Compounding the challenge is what Sundar described as “official contempt” toward the culture of the Adivasi, the tribal peoples of India whose homeland comprises the insurgency’s epicenter. Dehumanizing, anti-adivasi language from the government enables New Delhi to justify the waging of forceful counterinsurgency, Sundar argued.
Glimmers of Hope
Several speakers, however, gave reasons to be guardedly optimistic about the Maoist issue. Pointing to Maoist strategies in Andhra Pradesh, Reddy suggested that the insurgency’s poor policies could spell its demise. Maoists in this state chose to escalate violence, but their inability to spread their ideology along with this violence has cost them public support, particularly in urban areas. (A recent survey by The Times of India actually found that 58 percent of those in AP think Naxalism has been good for the area – a devastating poll for those in the government who thought they were winning there – Ed.)
Sundar, meanwhile, noted that much good would come out of simply implementing long-dormant constitutional protections for the rural poor in Maoist-affected areas. This, she concluded, would reflect rights-based development, which is necessary for success — as opposed to development based on “hand-outs” by the elite, which is destined to fail.
Michael Kugelman is a program associate with the Woodrow Wilson Center’s Asia Program.
For more on the resource conflict aspect of the insurgency see The New Security Beat’s, “India’s Maoists: South Asia’s ‘Other’ Insurgency.”
Sources: BBC, Foreign Policy, Times of India.
Photo Credit: Adapted from “CPI Flag (Andhra Pradesh),” courtesy of flickr user Shreyans Bhansali. -
Women, Water and Conflict as Development Priorities Plus Some Geoengineering Context
›September 24, 2010 // By Geoffrey D. DabelkoHere are some useful links to environment, population, and security work that recently crossed my desk.
• NYU’s Richard Gowan dissects UK development minister Andrew Mitchell’s encouraging speech identifying conflict-affected states as special DFID priorities. Gowan pulls out highlights from the speech and parses NGO reaction to it on Global Dashboard.
• Council on Foreign Relations’ Isobel Coleman provides five practical suggestions for tapping into women as the “new global growth engine,” on Forbes.
• The Aspen Institute announced its Global Leaders Council for Reproductive Health this week. Their goal: meeting unmet demand for family planning services by 2015 on the MDG schedule. That is over 200,000,000 women who want services but do not have access.
• I’m heartened to see the U.S. Senate pass the Senator Paul Simon Water for the World Act. Hoping the House will follow suit. Last time Congress passed legislation on water, sanitation, and health priorities, the 2005 Senator Paul Simon Water for the Poor Act enjoyed overwhelming bipartisan support.
• Colby historian Jim Fleming, writing in Slate, puts the increasing fascination with geoengineering as a climate response “option” in some sobering historical context. “Weather as a Weapon: The Troubling History of Geoengineering” is the short read. Tune in to hear Jim present the book length version, Fixing the Sky, at the Wilson Center, October 6th at 10:30 am EST.
Follow Geoff Dabelko (@geoffdabelko) and The New Security Beat (@NewSecurityBeat) on Twitter for more population, health, environment, and security updates.
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