Showing posts from category Kenya.
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Making ‘Beyond Seven Billion’: Reporting on Population, Environment, and Security
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“When I embarked on this series, I approached it as an environmental reporter: What does a growing number of us and growing consumption mean for our planet?” said Los Angeles Times reporter Ken Weiss at the Wilson Center on October 9. Weiss, along with photographer Rick Loomis, recently completed a five-part series and multimedia presentation on global population that was the culmination of a year of research and travel through more than six countries. [Video Below]
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Social Interaction Key to Urban Resilience, Says Harvard’s Diane Davis
›November 7, 2012 // By Payal Chandiramani“Resilience is the capacity of individuals and institutions to cope and adapt in the stress of chronic violence in ways that allow them room for maneuver and hope for the future,” said Diane Davis, Harvard professor of urbanism and development, in an interview at the Wilson Center.
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Water and Land Conflict in Kenya in the Wake of Climate Change
›Earlier this month, there was a flurry of stories about brutal mass killings in clashes between the Pokomo and Orma communities over water and land in southeast Kenya’s Tana River County. The Kenyan media reported that about 30 people, including eight security personnel, had been killed and scores wounded, and reports on the death toll since last month are more than 100.
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Nile Basin at a Turning Point as Political Changes Roil Balance of Power and Competing Demands Proliferate
›September 4, 2012 // By Carolyn LamereIn 1979, Egyptian President Anwar Sadat famously said that “the only matter that could take Egypt to war again is water.” Sadat’s message was clear: the Nile is a matter of national security for Egypt.
Indeed, Egypt relies on the Nile for 95 percent of its water. But it is not the only state with an interest in the world’s longest river. There are 11 states in the Nile River basin, which stretches from Africa’s Great Lakes region – Tanzania, Uganda, Kenya, Rwanda, Burundi, and the Democratic Republic of the Congo – to the Ethiopian and Eritrean highlands through South Sudan, Sudan, and Egypt to the Mediterranean Sea.
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Changing Cities: Climate, Youth, and Land Markets in Urban Areas
›The number of urban slum dwellers worldwide is staggering. According to UN-Habitat, 827.6 million people live in slums around the world. Despite meeting a Millennium Development Goal to significantly improve the lives of at least 100 million slum dwellers by 2020, the total number of people living in these areas still increased by 55 million between 2000 and 2010. By 2020, the world slum population is projected to reach 889 million. With the majority of people now living in cities, urban priorities are synonymous with human security and environmental sustainability and must be accounted for in the global development agenda.
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Michael Kugelman, Sustainable Security
The Global Land Rush: Catalyst for Resource-Driven Conflict?
›July 31, 2012 // By Wilson Center StaffThe original version of this article, by Michael Kugelman, appeared on SustainableSecurity.org.
On May 11, the UN approved new international rules to govern how land is acquired abroad. These Voluntary Guidelines (VGs), the outcome of several years of protracted negotiations, are a response to growing global concern that nations and private investors are seizing large swaths of overseas agricultural land owned or used by small farmers and local communities for food, medicinal, or livelihood purposes. FAO head Jose Graziano da Silva describes the VGs as “a starting point that will help improve the often dire situation of the hungry and poor.”
It’s hard to quibble with the intent of the guidelines. They call for, among other things, protecting the land rights of local communities; promoting gender equality in land title acquisition; and offering legal assistance during land disputes.
Unfortunately, however, any utility deriving from the VGs will be strictly normative. As their name states explicitly, they are purely optional. A toothless set of non-obligatory rules will prove no match for a strategy that is striking both for its scale and for the tremendous power of its executioners.
Oxfam estimates that nearly 230 million hectares of land (an area equivalent to the size of Western Europe) have been sold or leased since 2001 (with most of these transactions occurring since 2008). According to GRAIN, a global land rights NGO, more than two million hectares were subjected to transactions during the first four months of 2012 alone. One of the largest proposed deals – an attempt by South Korea’s Daewoo corporation to acquire 1.3 million hectares of farmland in Madagascar – failed back in 2009. Still, even larger investments are being planned today, including a Brazilian effort to acquire a whopping six million hectares of land in Mozambique to produce corn and soy (Mozambique offered a concession last year).
Continue reading on SustainableSecurity.org.
Sources: BBC, Food and Agriculture Organization, GRAIN, MercoPress, Oxfam, Reuters.
Photo Credit: “Garde armé,” courtesy of flickr user Planète à vendre. -
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. -
Family Planning and Results-Based Financing Initiatives
›“Family planning means healthier moms and kids – and it’s good for development too,” said Lindsay Morgan, a senior health analyst at Broad Branch Associates, a healthcare advocacy group. But any number of hurdles can keep women from accessing family planning services. Morgan spoke at a May 21 discussion about results-based financing (RBF) programs, which aim to address hurdles on both the supply and demand sides of the equation in developing countries by incentivizing the provision of a variety of quality services while removing barriers to access for women in need of those services.
Removing Barriers to Providing and Using Family Planning Services
Incentives in RBF programs can come in a variety of forms – like subsidies or fees paid to clinics or vouchers sold to women, said Morgan. In Burundi, for example, under a pilot program rolled out across three provinces in 2006, health facilities receive payments for each patient that uses a modern method of contraception. In 2009, the government and international partners began scaling up the program to a nationwide level. In addition to expanding the program’s geographic reach, the scale-up incorporated new payment criteria to better incentivize quality of care (as opposed to just quantity) and longer-lasting methods of contraception.
Since the RBF pilot began, maternal and child health indicators have improved. The number of children being fully immunized is up, as is contraceptive prevalence, said Morgan. Additionally, those immediate results can lead to a slew of additional benefits down the line. For instance, improving modern contraceptive prevalence is one of the most cost-effective interventions available for reducing maternal death, she said.
In nearby Kenya, the health ministry leads a voucher system across four districts and two Nairobi slums to help some of the country’s poorest women afford maternal healthcare, family planning, and gender-based violence services.
The program is “written into large policy documents [and] strategic pieces,” including Vision 2030, a long-term government-wide strategy document “unveiled in 2008 as a way to reach middle-income country status by 2030,” said Ben Bellows, a reproductive health associate at Population Council Kenya. The government’s emphasis on the voucher program as more than just a health initiative is an acknowledgment of the downstream impact that improved maternal and reproductive health can have on the country’s development, he said.
“An Equity Gap in Family Planning”
However, the fact that the voucher program is needed at all is evidence of “an equity gap in family planning,” Bellows said. Access to family planning services can be significantly skewed depending on a woman’s income level, he said, pointing to a recent article in The Lancet assessing health inequalities in 12 different maternal and child health services across 54 priority Millennium Development Goal countries.
The equity gap reflects “an interesting problem with development,” said Bellows: Though low-income countries are converging with higher income countries, in terms of economic growth rates and income levels “the benefits of growth aren’t being evenly distributed.” The Africa Progress Panel’s annual report, released last month, echoes that point, he said.
“Governments are failing to convert the rising tide of wealth into opportunities for their most marginalized citizens,” the report concludes, and “unequal access to health, education, water and sanitation is reinforcing wider inequalities.”
Kenya’s voucher system is designed to help shrink that gap. Among the poorest of the poor – those benefitting from the system – inequalities are dropping, even if on a broader scale, inequity still exists between poor and wealthy Kenyans. “We’re seeing lower inequalities of service in areas exposed to the voucher,” said Bellows.
“RBF supports progress on a path towards universal health coverage,” said Beverly Johnston, the senior policy advisor at USAID’s Office of Population and Reproductive Health. And within the context of family planning “the whole idea is to level the playing field” so that all contraceptive methods are equally readily available to the women seeking them.
“A Catalyst for Change” in Family Planning
In addition to addressing equal access concerns, RBF programs can serve as “a catalyst for change…to stimulate quality of care and quality of family planning counseling in particular,” said Johnston.
A commonly cited hurdle to better family planning access is social norms that support large family sizes or otherwise limit a woman’s ability to space or limit her pregnancies. Given community health workers’ unique roles within their communities – “often on the front lines…where many of these social taboos and barriers exist,” as Morgan described – simply strengthening their training, and in turn improving the quality of care that women receive, can help counter norms that might otherwise prohibit access to family planning.
As more women receive higher quality care, norms dissipate even further, said Morgan. “There is evidence that [quality of care] is strongly associated with a woman’s decision to choose a method to use, to continue to use it, and to recommend it to others.”
“Rights Are Tantamount”
One trap RBF programs need to be aware of is over-incentivizing expansion of coverage to the detriment of quality or individual women’s concerns about what makes sense for them, said Johnston.
“Rights are tantamount,” she said. In order to ensure that rights are upheld, programs must reflect and be sensitive to local histories and local needs – particularly given the fact that some countries have had “a history of coercive programs and policies.”
Ultimately, “we really look at RBF as just one tool,” said Johnston. “RBF is not for every place and every context,” and neither is family planning’s place in RBF programming.
As one tool of many, RBF programs are gaining prominence as a way to meet MDGs related to maternal and child health. Bellows sees RBF’s importance lasting long past that 2015 deadline, though.
“The high inequity that we witness across many low-income countries, and the ability of targeted mechanisms [like Kenya’s voucher program] to address that, suggest that this may be a kind of generalized solution,” he said. “Obviously it will be context specific in the way in which it is rolled out, but the strategy of incentivizing clients and providers suggests that there’s some sort of globalized solution that could be considered for this widespread challenge.”
Event Resources
Photo Credit: Sean Peoples/Wilson Center.
