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IPPF and Partners Connect Reproductive Rights With the Environment and Development
›A new framework for sexual and reproductive health is needed, argued panelists in a recent event at the Wilson Center, and the Rio+20 conference on sustainable development would have been the place to start. An international consensus around women’s human rights was developed at the International Conference on Population and Development in Cairo in 1994, but Carmen Barroso, director of the International Planned Parenthood Federation’s Western Hemisphere Region, said there has been slow implementation, little funding, and furthermore the world has changed significantly since then.
Barroso was joined by Latanya Mapp Frett, vice president of Planned Parenthood Global, as well as two representatives of Planned Parenthood partner organizations, Marco Cerezo of FUNDAECO and Ben Haggai of Carolina for Kibera.
New challenges to the reproduce rights landscape include the rapid spread of HIV/AIDS and decreased funding for international programs. But new opportunities include rapid dissemination provided by the internet and globalization and a subsequent mobilization of youth. “Young people are the largest cohort in history,” Barroso said in an interview with ECSP, both in absolute numbers and in percent of the population. “We have a historical opportunity [to incorporate] them in these decision-making processes.” Additionally, gender and health issues are incresaingly seen by many as linked with the environment and development.
Intersection of Health and the Environment
Marco Cerezo’s FUNDAECO (Foundation for Ecodevelopment and Conservation) is an example of Planned Parenthood’s partnership with other organizations. Based, in rural Guatemala, they shifted from primarily focusing on conservation and sustainable development to incorporating women’s health after finding a vicious cycle of poverty, high fertility, and environmental degradation in the places they worked.
Women’s health was so dire it was holding development back, Cerezo said. “Sustainable community development will not be possible without the education, empowerment, and support to rural women,” they write in their mission statement.
FUNDAECO now acts as a model for the intersection between reproductive health and the environment. Cerezo reported that once women are healthy and empowered through clinics established by FUNDAECO, they become more active in all aspects of the community, including ecological preservation.
Building Healthy Communities
Ben Haggai, who works in Nairobi’s biggest slum, Kibera, further reiterated the need for integrated programs. Carolina for Kibera has a number of programs to improve the quality of life for residents, he said, and has a particular focus on youth with sports associations and education programs.
Youth are the best reproductive health educators, Haggai said, as they are able to talk frankly with their peers. The NGO trains peer youth educators to reach out to community members about reproductive health and other issues like substance abuse. Since the young people work as volunteers, Haggai said, they are motivated only by a desire to improve their communities.
A Natural Intersection
Latanya Mapp Frett agreed that sexual and reproductive health aligns quite naturally with issues of sustainability. “We try to work in the countries overseas in Latin America and Africa where we focus particularly on non-traditional health sectors,” she said in an interview with ECSP following the panel. “One of those sectors is the environment.”
While emphasizing that contraceptive use is a cost-effective way to ensure sustainable development, Mapp Frett cautioned against framing sexual and reproductive health only in the context of reducing fertility. While this may have been common in the past, she noted, it’s important to ensure that women have the right to make childbearing choices for themselves.
Mapp Frett also urged policymakers in the United States to look to developing countries for intersections between development, the environment, and reproductive health. She said that Planned Parenthood’s partner organizations, including FUNDAECO and Carolina for Kibera, have found these connections and successfully partnered with already existing networks like churches to more effectively reach the community.
Translating Into Effective Action
Each member of the panel spoke about the challenge of articulating the need for sexual and reproductive health programs to people outside the field. Barroso mentioned research conducted by Brian O’Neill which found that meeting the current unmet need for contraception would slow population growth enough to reduce emissions by 17 percent.
Cerezo emphasized the importance of consensus among the staff of a given organization, saying it is difficult to make a case to agronomists and farmers if a culture clash exists within the institution. Haggai agreed, adding that focusing on reproductive issues is an important measure of prevention which helps protect both the environment and the health of women in a community.
For Mapp Frett, women’s reproductive and sexual health is indivisible from other aspects of development. “As you talk about sustainable development, you talk about ensuring that women are empowered to make sure that our earth is sustainable,” she said.
Assessing Rio+20
The panel took place before the UN Conference on Sustainable Development got underway in Rio. Participants had high hopes for a renewed focus on gender and reproductive rights at the conference. Unfortunately, language on reproductive rights was first weakened and then omitted entirely from the final outcome document (see the account written by ECSP’s Sandeep Bathala at Rio for more on the conference).
While pressure from the Vatican and the G-77 kept reproductive health out of the outcome document, it was not entirely forgotten at the conference. A number of side events highlighted the importance of reproductive rights, especially in the context of the environment and development.
Hillary Clinton also re-affirmed U.S. commitment to access to contraception and reproductive health care. “Women must be empowered to make decisions about whether and when to have children,” she said at the conference on Friday. “And the United States will continue to work to ensure that those rights are respected in international agreements.”
Clinton shared the urgency expressed by the panelists at the Wilson Center. “There is just too much at stake, too much still to be done,” she said. “We simply cannot afford to fail.”
Event Resources:Sources: FUNDAECO, UN Conference on Sustainable Development, U.S. Department of State.
Photo Credit: Sean Peoples/Wilson Center. -
Pop at Rio+20: Reproductive Rights Missing From Outcome Document – Assessing the Disappointment
›June 22, 2012 // By Sandeep BathalaAs heads of state get ready to sign on to the outcome document here in Rio, all eyes are on next steps – especially for the reproductive health and integrated development communities, which have seen their hopes of mainstreaming their issues with the sustainable development agenda dashed.
The final outcome document can be found here. USA Today reports that opposition from a group of countries in the 11th hour stripped the text of critical reproductive rights language:An initial draft of this conference’s outcome document stated, “We are committed to ensure the equal access of women and girls to education, basic services, economic opportunities, and health care services, including addressing women’s sexual and reproductive health and their reproductive rights.”
Absent entirely is any explicit connection between reproductive rights, population dynamics, and sustainable development.
In the final draft, the stronger wording “We are committed to ensure the equal access” was switched to the weaker “We are committed to promote the equal access.” The reference to reproductive rights was deleted altogether, after opposition from the G-77, a negotiating bloc of developing countries at the United Nations, and the Holy See.
But others, as we have heard repeatedly throughout the conference, insist that gender issues and reproductive rights have a strong and vital connection to sustainable development. Yesterday, USAID, the Aspen Institute, and the Center for Environment and Population held a discussion in the U.S. tent on this very issue, titled “Making Population Matter: The Demographic Dividend and Sustainable Development.”
As Vicky Markham of the Center for Environment and Population reports on RH Reality Check, the side-event aimed to demonstrate the effects of population dynamics, both positive and negative:We have the largest youth demographic ever in the history of the world, and most developing nations have a “youth bulge.” This can be seen as a challenge, or opportunity, particularly if the focus is on providing development programs for child survival, family planning, reproductive health, and education. The importance of women’s empowerment was also central. But it’s not a given; it’s an opportunity only if we pay attention to these issues to increase the benefits of the “demographic dividend.”
The demographic dividend, as described by USAID Deputy Administrator and panelist Donald Steinberg in blog post earlier this week, “is an opportunity that arises when a country transitions from high to low rates of fertility and child and infant mortality.” But it’s not just about ensuring access to family planning and reproductive health; youth-focused economic and education policies are also needed: “Maximizing the dividend requires social and economic policies that reinforce inclusion, equity, and opportunity across the entire population,” he writes. USAID is making a point of creating youth-focused policies for this reason, he said in Rio.
Carmen Barroso, regional director of the International Planned Parenthood Federation’s Western Hemisphere Region, pointed out that Latin American countries could not take advantage of the demographic dividend before recent societal changes occurred, including decreased fertility, increased urbanization (which leads to smaller families), and greater schooling and employment of women.
Seventy percent of world population growth is likely to be generated by Africa this century, said Eliya Msiyaphazi Zulu, executive director of the African Institute for Development Policy – and it is the only continent projected to continue to grow in the next century, he said. He called for redefining growth as more than GDP as that measure does not consider environmental degradation and its costs: “We must have other means to measure development.”
As heads of state and negotiators consider their positions at this conference – which many were hoping would make a much stronger statement – they might do well to ponder today’s comments from Secretary of State Hillary Clinton:While I am very pleased that this year’s outcome document endorses sexual and reproductive health and universal access to family planning, to reach our goals in sustainable development we also have to ensure women’s reproductive rights. Women must be empowered to make decisions about whether and when to have children. And the United States will continue to work to ensure that those rights are respected in international agreements.
Sources: RH Reality Check, UN, U.S. Department of State, USA Today, USAID.
Now none of this is an abstract discussion. There is just too much at stake, too much still to be done. And many of you visited the U.S. Center here in Rio and saw practical solutions related to some of the work I’ve discussed and other goals we hold in common. We believe solutions require action by all of us. Governments, yes; let’s do our part. Let’s do more than our part.
Photo Credit: YouthPolicy.org. -
The Global Water Security Assessment and U.S. National Security Implications
›“Water security is about much more than access to H2O,” said Jane Harman, director, president, and CEO of the Wilson Center at the May 9 meeting, “Global Water Security: The Intelligence Community Assessment.” The event – part of the Wilson Center’s National Conversation Series – brought together a number of experts to discuss a recently released intelligence community assessment of global water security. [Video Below]
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Global Water Security Calls for U.S. Leadership, Says Intelligence Assessment
›March 26, 2012 // By Schuyler NullAlongside and in support of Secretary Clinton’s announcement of a new State Department-led water security initiative last week was the release of a global water security assessment by the National Intelligence Council and Director of National Intelligence. The aim of the report? Answer the question: “How will water problems (shortages, poor water quality, or floods) impact U.S. national security interests over the next 30 years?”
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Is Foreign Aid Worth the Cost?
›“Is foreign aid worth the cost? That’s not really the question unless you’re Ron Paul,” quipped Carol J. Lancaster, dean of the School of Foreign Service at Georgetown University, at the Wilson Center on January 23. “The real questions are: What do we want to accomplish with our foreign aid? Where should it go? And in what form?” [Video Below]
Lancaster noted that following World War II, foreign aid became “a two-pronged instrument – one as an instrument of the Cold War and the other as an extension of American values.” It has been a very “intense marriage” between the two, he said, “with one side up and the other side down at different times, as any marriage tends to be.” Truman convinced Congress to provide aid to Greece and Turkey in 1948 to combat communism, and he was able to gain approval for the Marshall Plan by “scaring the wits out of Congress” about the communist threat.
Aid Under Fire
Congressman Donald Payne (N.J.), who is the ranking Democrat on the House Foreign Affairs Committee’s Subcommittee on Africa, agreed that the Cold War was the principal reason for our foreign aid programs after World War II, as we provided hundreds of billions of dollars in aid to our supporters around the world. But, “It’s different today,” he added. “Since the end of the Cold War, more funds are going for humanitarian and development assistance, but it is still directly linked to our national interests. One in five American jobs are tied to U.S. trade, and the growth of our trading partners is our growth as well.”
Payne cautioned that there is “a new group in the House of Representatives who think we should step out of the world. They’ve told their constituents they are going to cut the budget, and foreign aid is an easy target.” Payne noted that polls show the American people think one-quarter or more of the federal budget goes to foreign aid when it is little more than one percent.
Nevertheless, there has been bipartisan support for former President Bush’s HIV/AIDS initiative in Africa which is showing remarkable results in reducing deaths from the disease. Payne added that aid to Africa is showing results in the number of economies that are doing well despite the global economic downturn.
Payne expressed frustration with the inability to enact a foreign aid authorization bill in the last several Congresses because the measures became weighted down with all manner of policy riders that were both partisan and controversial. Consequently, our foreign relations operations are solely dependent on the annual appropriations bills which tend to become encumbered as well with troublesome riders.
The Dangers of “Nation Building”
Charles O. Flickner, Jr., a 28-year Republican staff member on the Senate Budget Committee and then the Foreign Operations Appropriations Subcommittee in the House, presented a more skeptical view, saying foreign aid is not worth the $35 billion it is costing us each year, even though some of the programs have been successful and should be continued. The biggest problem in recent years, he said, has been the amount of money wasted on projects in Iraq and Afghanistan without adequate planning or execution. Money was being virtually shoveled out the door in amounts the host countries did not have the capacity to absorb, said Flickner, and as a consequence we have witnessed a lot of failed projects and corruption.
Smaller projects, which the U.S. government and private aid donors are better at, have a greater chance for success because they do not overwhelm the capacities of host countries. He cited some of the scholarships and technical training programs available for foreign nationals as being among the most worthwhile in building internal leadership capacity for the future in developing countries.
Rajiv Chandrasekaran agreed on the amount of wasted aid dollars being spent in Iraq and Afghanistan, which he has covered as a foreign correspondent for The Washington Post. He told the story of a small, dirt-poor town in Afghanistan he visited in where the bazaar was bustling with new shops and goods, and people were freely spending money on modern electronics, motor bikes, and clothes. The town was the beneficiary of a massive U.S. aid program that provided seed money for farmers to grow crops and created day labor jobs for the residents of the area. A contractor was authorized to spend $30 million on the economic development of the town during the U.S. counterinsurgency surge and that came to roughly $300 per person. It was clear to the USAID official on the ground and to the reporter that the experiment would not be sustainable over the long-term, even though there was a temporary sense of economic activity and prosperity.
Future Vulnerabilities
The panel seemed to agree that it was unfair to blame USAID for these failures since they were thrown into situations overnight they were not prepared to manage in countries that were not capable of absorbing the assistance being directed at them – all in the midst of ongoing conflict. The real test of whether the new directions being charted by the Obama Administration will work will be on the smaller, more manageable projects in which the host countries have a greater role in shaping and implementing.
Lancaster listed four vulnerabilities in the future course of U.S. foreign aid that should be avoided, including trying to merge our various interests through the State and Defense Departments with our aid programs in countries like Pakistan, where the institutions are weak and corrupt; the danger of creating an entitlement dependency through funding of HIV/AIDS drugs, where we will be guilty of causing deaths if we reduce funding; the danger of attempting to undertake too many initiatives at once, such as food aid, global health, climate change, and science and technology innovations, while simultaneously trying to reform the infrastructure of USAID; and trying too hard to demonstrate results from aid given the difficulty of disentangling causes and effects and gauging success over too short a time frame.
Event Resources:
Don Wolfensberger is director of the Congress Project at the Wilson Center. -
Panetta: Diplomacy and Development Part of Wider Strategy to Achieve Security; Will They Survive Budget Environment?
›Leon Panetta – newly minted secretary of defense and former director of the CIA – gave one of his first public policy addresses yesterday at the Woodrow Wilson Center addressing national security priorities amidst a constrained budgeting environment (see video here). Under the debt ceiling agreement recently agreed to by Congress, the Pentagon is expected to achieve around $450 billion in spending cuts over the next 10 years.
Most of Secretary Panetta’s speech focused on “preserving essential capabilities,” including the ability to project power and respond to future crises, a strong military industrial base, and most importantly, a core of highly trained and experienced personnel.
But he also touched on the other two “D” s besides defense – diplomacy and development: “The reality is that it isn’t just the defense cuts; it’s the cuts on the State Department budget that will impact as well on our ability to try to be able to promote our interests in the world,” Panetta said in response to a question from ECSP Director Geoff Dabelko:National security is a word I know that we oftentimes use just when it comes to the military, and there’s no question that we carry a large part of the burden. But national security is something that is dependent on a number of factors. It’s dependent on strong diplomacy. It’s dependent on our ability to reach out and try to help other countries. It’s dependent on our ability to try to do what we can to inspire development.
Panetta’s backing of diplomacy and foreign aid as an extension of U.S. national security strategy is a continuation of vocal support by former Chairman of the Joint Chiefs of Staff Mike Mullen, former Secretary of Defense Bob Gates, and others at the Pentagon, but the bigger issue remains convincing Congress, where the State Department has become a popular target for budget cutters.
If we’re dealing with Al Qaeda and dealing with the message that Al Qaeda sends, one of the effective ways to undermine that message is to be able to reach out to the Muslim world and try to be able to advance their ability to find opportunity and to be able to seek…a better quality of life. That only happens if we bring all of these tools to bear in the effort to try to promote national security.
We’ve learned the lessons of the old Soviet Union and others that if they fail to invest in their people, if they fail to promote the quality of life in their country, they – no matter how much they spend on the military, no matter how much they spend on defense, their national security will be undermined. We have to remember that lesson: that for us to maintain a strong national security in this country, we’ve got to be aware that we have to invest not only in strong defense, but we have to invest in the quality of life in this country.
Perhaps the more useful question going forward is one of priorities. Clearly there will be (and already is) less money to go around, and the Defense Department is one of the largest outlays, while State is much smaller – the military’s FY 2012 budget request was $670.9 billion; the State Department’s, $50.9 billion. So the question is: when push comes to shove, will Secretary Panetta be able to sustain his support for diplomacy and development budgets if it means larger cuts at DOD?
Sources: Government Executive, Politico, U.S. Department of Defense, U.S. Department of State.
Photo Credit: David Hawxhurst/Wilson Center. -
Debts, Deficits, and Development
›The debates surrounding the U.S. national debt and deficit bring with them implications for both overall U.S. development policy and the budgets of USAID and the Department of State. These implications were the focus of the Wilson Center on the Hill event that took place on August 2, “Debts, Deficits, and Development,” moderated by Wilson Center Senior Scholar John Sewell. Sewell said that Congressional action on deficit reduction could potentially reduce funding for development-related initiatives just as the U.S. government “for the first time…is taking development and the notion of development very seriously.”
After an introduction from Sewell, Gordon Adams, distinguished fellow at the Henry L. Stimson Center, began by talking about the lack of attention that international affairs and the civilian side of U.S. international engagement usually receive in the government budget. He noted the growth in personnel and funding at USAID and the Department of State over the past ten years as a success, adding that a fair amount of this growth was related to the conflicts in Iraq and Afghanistan and the global effort against terrorist organizations.
“Foreign policy, development, foreign assistance, [and] diplomacy have increasingly been viewed as a key part of a broadly defined security budget,” said Adams. The first Quadrennial Diplomacy and Development Review had the potential to restructure the Department of State and USAID in line with these goals, he said, but lacked the force to prioritize programs and allocate funds effectively.
In post-conflict environments, Adams emphasized the need to build the capacity to govern effectively, efficiently, and accountably first. “Where we fall down,” added George Ingram, co-chair of the Modernizing Foreign Assistance Network, “is in rushing too much money in right as the conflict ends for two or three years and then getting distracted by other crises from year five to ten; when the country’s built up a capacity and probably could use the assistance, our interest falls off.” In his opinion, that sequencing should be reversed.
Focus on Priorities
Adams continued to emphasize the need for goals and priorities when he addressed the topic of belt-tightening at USAID or the Department of State. According to Adams, the four categories to consider in allocating resources are: security assistance; the individual priorities of foreign assistance and development funds; conflict prevention and resolution; and better preparation and training of personnel. He lauded the military’s commitment to training its servicemen and women throughout their careers and suggested a similar program for members of the Foreign Service. To coordinate these priorities, however, a coherent U.S. development strategy (currently lacking) is essential, said Ingram.
Focusing on how the current budget environment is impacting development, Ingram said that the decade of growth in the international affairs budget for development may have just hit a brick wall. He described the FY 2012 budget as “skewed heavily toward reducing the development accounts and protecting the security accounts,” resulting in an 11 percent overall cut from 2011 levels and some development accounts being reduced by 20 or 30 percent.
Ingram noted that USAID’s overall operating expenses were cut by 27 percent from FY 2011 levels. This operating expense reduction will likely halt planned increases in USAID staff and may ultimately lead to staff cuts. The failure to build up staff at USAID will reduce its ability to manage key development programs and slow the Department of Defense’s efforts to shift responsibilities for development work to civilian hands.
Adams added that in light of shrinking resources, legislators will probably ask supporters of development about the tangible outcomes of investment in development and about the link between development and American interests, so they should be prepared with answers. Ingram cited the successes of U.S. aid over the last decades – such as the Green Revolution and oral rehydration – and noted how they benefited from a long-term perspective rather than approaching development on a project-by-project basis.
Given the tumult in the Middle East since the start of the Arab Spring, the need for expertise in governance is high, said Adams. “The problem of governance in failing, fragile, weak, brittle authoritarian states,” he said, “is a great risk to stability.”
Event Resources:Erica Pincus is an intern at the Wilson Center’s Program on America and the Global Economy.
Image Credit: “Foreign Aid Spending,” courtesy of visual.ly user maggie, published by USAID. -
‘Dialogue’ TV: Revisiting Mr. Y and “A National Strategic Narrative”
›“We are, what I would call, very non-linear thinkers,” said U.S. Navy Captain Wayne Porter about the white paper he co-authored with U.S. Marine Colonel Mark Mykelby, “A National Security Narrative,” launched by Woodrow Wilson Center President Jane Harman at the Center in April. “We’re almost incapable of restricting ourselves to defense and security in isolation from a much larger perspective,” he told Dialogue TV.
“I think maybe that’s why Admiral Mullen has kept me around – I can offer a perspective that maybe he wouldn’t get from conventional strategists or from conventional planners,” said Porter, who served three out of four tours with the current chairman of the Joint Chiefs of Staff as a special assistant for strategy.
Dialogue host John Milewski sat down with Captain Porter and Robert Litwak, director of International Security Studies and vice president for programs at the Wilson Center, for a discussion about the white paper – published under the pseudonym “Mr. Y” (echoing George Kennan’s seminal “X” article) – and its contention that the United States should move away from an outmoded Cold War-era model of containment, deterrence, and control towards a “strategy of sustainability.”
The narrative has been well received, Porter said: “I think there is an appreciation that it’s a very complex strategic environment that we live in now and that maybe we need to re-look at all of the tools that we could use as a nation to pursue our enduring national interest.”
Inflection Points in History
“The timing of such conversations is cyclical,” said Litwak. “The original ‘X’ article emerged from the end of the Second World War and the advent of the Soviet threat, which required a new conception of international relations that Kennan articulated, as well as the National Security Act of 1947 to line up the U.S. government with this new environment.”
There have also been periods of concern about American decline. “I think what one sees in the current era are both of those trends coming together,” Litwak said:The system is changing – it’s a debatable proposition that the United States is in decline – but we see in the international system rising powers, notably China, as well as transnational trends that are beyond the sovereign control of any single state, which have called into question the nature of the international system…as well as a sense that…there’s something qualitatively different about this recession than the typical economic, cyclical recession and that has to do with the domestic sources of American strength.
These conditions, as well as the source of argument – coming from the military – combined to give particular resonance to the piece, Litwak said.
The Information/Globalization Age
“I think the thing that has changed materially to us is that the information age has brought about an awareness that our environment is completely interconnected,” Porter said. “There’s a complexity to this that can’t be analyzed linearly, that has to have new tools applied.”
“I’d honestly characterize it as significant as the Enlightenment in the 1600s,” he said.
“Certainly we’ve thought in silos and debates have been too often compartmentalized,” Litwak said. “One of the strengths of this piece is that it is truly synthetic – working across the continuum of instruments of power – and talks in a really powerful way about how hard power…has its place, but that the non-military dimensions of American power have been neglected.”
But, Porter said, it’s important to focus on being proactive, rather than reactive:The thing that bothered us most about the strategies that we see every day in our jobs on our side of the river and across the river is that they are almost universally based on anticipating and countering known risk and threat, and our sense is that we have entered an age in which we need to overcome that sense of fear and seize the opportunity to shape the environment of the future as opposed to simply being resilient to it.
As Litwak points out, Secretaries Gates (now former) and Clinton – in the form of the Quadrennial Defense Review, Quadrennial Diplomacy and Development Review, and numerous speaking engagements – have both called for closer integration between State and Defense, more resources for non-military levers of power, and more holistic concepts of security. But unfortunately the greater integration called for in these documents remains unrealized.
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