Showing posts from category Philippines.
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“There Is No Choice:” Climate, Health, Water, Food Security Must Be Integrated, Say Experts
›August 9, 2010 // By Russell SticklorBureaucratic stovepipes plague international development efforts, and aid for pressing environmental and human security concerns—such as climate change, food shortages, fresh water access, and global health threats—rarely matches the reality on the ground in the developing world, where such health and environmental problems are fundamentally interconnected.
Instead, development efforts in the field—whether spearheaded by multilaterals, bilaterals, or NGOs—are commonly devoted to single sectors: e.g., the prevention and treatment of a single disease; the implementation of irrigation infrastructure in a specific area; or the introduction of a new crop in a certain region. The reasons for such a narrow focus can come from multiple sources: finite resources, narrowly constructed funding streams, emphasis on simple and discrete indicators of success, and institutional and professional development penalties for those who conduct integrated work. But some experts argue that integrating problem-solving initiatives across categories would not only improve the efficacy of development efforts, but also better improve lives in target communities.
As part of the USAID Knowledge Management Center‘s 2010 Summer Seminar Series, a recent National Press Club panel on integration featured a frank discussion of both the opportunities and challenges inherent in breaking down barriers within and between development agencies. Panelists from the World Bank’s Environment Department, the White House Council on Environmental Quality, and the Woodrow Wilson Center’s Environment Change and Security Program weighed in on the prospects for cross-sectoral integration.
Addressing the impacts of a global problem like climate change “requires multilevel approaches,” and necessitates that we “think multisectorally along the lines of agriculture, water, transportation, energy, [and] security,” said Loren Labovitch of the White House Council on Environmental Quality. The four topics under discussion—climate change, food security, water, and health—are all Obama administration priorities, as reflected by dedicated programs and special initiatives. Finding ways to practically integrate these interrelated challenges (through efforts like the Feed the Future Initiative or the Global Health Initiative) is getting more attention from policy analysts and policymakers with each passing year.
Integration in Practice: Success Stories
While there may be an emerging willingness to discuss and even experiment with holistic programming, what does it actually look in practice? Panelist Geoff Dabelko, director of the Woodrow Wilson Center’s Environmental Change and Security Program, singled out integrated development programs in the Philippines, the Democratic Republic of Congo, and Asia as examples.
Philippines: The PATH Foundation Philippines’ Integrated Population and Coastal Resource Management (IPOPCORM) initiative uses an integrated approach to address health and environmental concerns in coastal communities. Their “basket of services” includes establishing a locally managed protected marine sanctuary to allow local fish stocks to recover, promoting alternative economic livelihoods outside of the fishing industry, and improving access to local health services and commodities, said Dabelko. To date, IPOPCORM has yielded several notable improvements, among them reduced program costs and improved health and environmental outcomes as compared to side-by-side single sector interventions. A forthcoming peer-reviewed article will appear in Environmental Conservation, and will detail the controlled comparison study of the IPOPCORM project.
Democratic Republic of Congo: Mercy Corps has also successfully pursued cross-sectoral programming as part of a larger effort to be more holistic in its humanitarian and development responses. In war-torn eastern DRC, Mercy Corps brought practitioners with expertise in natural resource management into the fold of what has historically been an emergency relief mission. In particular, the Mercy Corps mission has fused humanitarian assistance with longer-term development efforts such as enhanced environmental stewardship. For example, promoting the use of fuel-efficient cookstoves eases pressure on local forest resources by lowering the need for firewood, and improves respiratory health by lowering air pollution. The project scaled up the effort through resources from further integration, with carbon credits from avoided emissions being sold through a local broker to the European cap and trade market. These resources in turn helped finance more cook stoves, which now total 20,000 for this project.
“The lesson is we have no excuse for not doing this anywhere in the world and saying some place is too unstable,” Dabelko said. “If we can do it [integrated projects] in eastern DRC, we should be able to do it anywhere.”
Asia: Tackling programmatic integration starts with better understanding the interconnections between environmental and health challenges. Dabelko cited a recent effort of the environment and natural resources team within USAID’s Asia Bureau as an example of breaking out of narrow bureaucratic stovepipes.
USAID staff recognized that a wide set of climate, energy, economic, governance, and conflict issues affected their core biodiversity and water portfolios, even if they did not have the time, expertise, or resources to investigate those issues in detail. Trends that appeared to be in the periphery were not viewed as peripheral to planning and designing programs for long-term success.
Working with the Woodrow Wilson Center, the USAID Asia Regional Bureau engaged experts on a diverse set of topics normally considered outside their portfolios. The resulting workshop series and report led to a deeper understanding of the possible impacts of increased Himalayan glacier melt and Chinese hydropower plans on food security and biodiversity programs in the lower reaches of the Mekong River. Bringing analysis from these topically and geographically remote areas into local-level development planning is a process that will require a similar willingness to go outside the typical bounds of one’s brief.
More Integration Ahead?
These case studies provide a glimpse of what integrated programming can look like on the ground. Still, significant hurdles remain standing in the way of regular and effective integration. Cross-sectoral programming demands that old problems be addressed in innovative and perhaps unfamiliar ways, requiring the addition of new capacity in development organizations and better coordination within and between agencies. That can be a complicated process, noted Dabelko, since efforts to pursue greater programming integration can be “hamstrung by earmarks and line items.”
Integration can also prove tricky because it requires a greater willingness to accept multiple indicators of success unfolding over different time frames—health gains may occur quickly, for example, while progress on environmental conservation may unfold less speedily. This means existing programs might need to be reshaped and reoriented to accommodate these divergent time frames, which could prove somewhat difficult. “Integration can be a challenge, both from a programming perspective and from an organizational perspective,” acknowledged moderator Tegan Blaine, climate change advisor for USAID’s Africa Bureau.
Further, the temptation remains strong among appropriators and implementers alike to maintain control over authority and resources in their traditional portfolios. Getting long-time practitioners in particular issue areas to willingly cede some of their turf in the pursuit of greater integration has historically been the “real world” that stands in the way of such integrated work.
But, as shown by the standing-room-only crowd at the seminar, momentum is slowly starting to build in pursuit of breaking down old programming walls and finding new approaches to addressing emerging challenges in human and environmental security.
“There is no choice” but to fuse development agendas with climate change adaptation efforts, asserted Warren Evans, director of the World Bank’s Environment Department. “It can’t be a parallel process anymore.”
Photo Credit: “2010 Summer Seminar Series – July 15th Panel Discussion on Food Security, Climate Change, Water and Health,” used courtesy of USAID and the National Press Club. -
Philippines’ Bohol Province: Elin Torell Reports on Integrating Population, Health, and Environment
›For 10 years, I have been working on marine conservation in Tanzania with the University of Rhode Island’s Coastal Resources Center. As part of that effort, I’ve helped forge links between HIV/AIDS prevention in vulnerable fishing communities and marine conservation. However, family planning and reproductive health (FP/RH) were relatively new to me. But a recent study tour of an integrated Population, Health, and Environment (PHE) program in the Philippines helped me understand that combining family planning services and marine conservation can help reduce overfishing and improve food security.
Together with developing country representatives from seven African and Asian countries, I spent two weeks in February visiting three PHE learning sites and a marine protected area in Bohol province in the central Philippines, as part of a South-to-South study tour sponsored by the USAID-funded BALANCED Project, for which I work. The tour focused on the activities of the 10-year-old Integrated Population and Coastal Resource Management Initiative (IPOPCORM) project, which is run by PATH Foundation Philippines, Inc. (PFPI).
IPOPCORM has garnered a wealth of lessons learned and best practices to share with PHE newbies like me. Its integrated programs train people to be community-based distributers (CBDs) of contraceptives and PHE peer educators, as well as work with local and regional government officials to build support for family planning as a means to improve food security.
I was most impressed with the ways in which PFPI identifies and cultivates dynamic and motivated local leaders–men, women, and especially youth–to reach out to the members of their community who are highly dependent on marine resources for their survival. My Tanzanian colleagues and I would like to foster the volunteer spirit and “can do” attitudes we experienced through our work in East Africa. (Similar PHE peer educators are successfully working in Ethiopia’s Bale Mountains, as reported by Cassie Gardener in a previous edition of the “Beat on the Ground.”
My favorite part of the tour was a trip to the Verde Island Passage to see PFPI’s efforts in this fragile hotspot. The insights my Tanzanian colleagues and I gained from talking to the field practitioners in the Verde Islands helped us refine our ideas for translating some of the PHE techniques used in the Philippines to the Tanzanian cultural context, including an action plan for strengthening our existing PHE efforts with CBDs and peer educators.
Thanks to the study tour, I now have a better understanding of how to address population pressures in the context of conservation. Overall, my Tanzanian colleagues and I were inspired by the successes we saw firsthand and hope to emulate them to some degree in our own projects.
Elin Torell is a research associate at the Coastal Resources Center at the University of Rhode Island. She is the manager of CRC’s Tanzania Program and coordinates monitoring, evaluation, and learning within the BALANCED project. -
Population, Health, and Environment
›The WWF and Equilibrium Research released a report on the interplay between the environment and human health. Vital Sites: The Contribution of Protected Areas to Human Health documents the environmental-human health connection, provides case studies from both the developed and developing worlds, and offers recommendations to enhance the health outcomes that can be gained from environmental good governance. “[P]rotected areas are not a luxury but are key sites to protect not only biodiversity, but also ecosystem services and our wider well-being,” the World Bank’s Kathy MacKinnon writes in the foreword.“Family Planning and the Environment: Connected Through Human and Community Well-Being,” part of PATH‘s Outlook series, details the importance of family planning-environmental projects to communities living in remote and ecologically vulnerable areas. Designed for practitioners, the article aims to promote cross-discipline dialogue and offers case studies from the Philippines and Uganda. The article concludes that “more collaborative family planning and environmental efforts aimed at reducing inequities would better ensure sustainable community development as well as the right of individuals to achieve what they value.” -
Lessons from the Field: Focusing on Environment, Health, and Development to Address Conflict
›“Even in the hardest moments of conflict there are opportunities for cooperation, and they need to be seized,” said Juan Dumas, senior advisor of Fundación Futuro Latinamericano during the Pathways to Peace: Stories of Environment, Health, and Conflict roundtable event co-hosted by the Wilson Center’s Environmental Change and Security Program and the Fetzer Institute on January 13th.
“Even as you were talking about the conflict potential,” said Aaron Wolf, professor of Geoscience at Oregon State University, “everywhere you looked there were people talking about water uniting together across boundaries and being able to share… [and] people being willing to talk about water when they wont talk about anything else.”
Dumas and Wolf were joined by Gidon Bromberg, co-director of Friends of the Earth Middle East (FoEME); Shewaye Deribe, project coordinator for the Ethio Wetlands and Natural Resources Association (EWNRA); and Joan Regina L. Castro, executive vice president of the PATH Foundation Philippines, Inc. (PFPI) to discuss work that demonstrates the positive impact multi-dimensional development and peacebuilding programs can have on environmental conflict arenas.
Water as an Entry Point“In the academic world, there’s a growing documentation about the coming wars of the 21st century are going to be about water resources,” said Wolf, discussing how water resources are inherently intertwined with the Arab-Israeli and other regional conflicts. His research, however, suggests the opposite. In recent history, he said, cooperation for the resource, not conflict, was observed in nearly two-thirds of the world’s cross-boundary watersheds.
“Water is a wonderful way to have regional dialogue,” he continued, discussing how technical data and modeling are only part of any successful water conflict resolution. “A language that people have in common, and when we talk about water—because it’s connected to everything we do—we end up talking about our shared vision of the future.”“We came out with a vision that is a shared vision,” echoed Bromberg in describing the Good Water Neighbors (GWN) project—a FoEME program seeking to improve water scarcity and quality in the Jordan River watershed by fostering cooperation between Israeli, Palestinian, and Jordanian leaders. “The Jordan office advocates that vision to the Jordanian government, the Israeli office to Israeli government, the Palestinian office to the Palestinian authority. That’s proven to be very effective because it’s the same vision.”
While hesitant to say the program could lead to or be a model for peace in the Middle East, Bromberg did underscore how multi-dimensional methods used in GWN could productively serve future peacebuilding efforts in the region.
“By empowering young people to go out and improve their own water reality with their own hands [through rainwater harvesting and grey water collection] they learn together, and then they build the facilities within their own communities,” said Bromberg. “…Not only does it empower the youths but it helps create peacemakers.”
Integrated PHE and Conflict Avoidance“Water is common for all of us because it is the base of our life, of our survival,” said Deribe, linking ENWRA’s integrated population, health, and environment (PHE) wetland restoration program in Ethiopia to the greater discussion. “I think it is a lack of altruism, a lack of mutualistic thinking which leads us to this kind of conflict.”
Castro, pointing to her own PHE experience with PFPI, found that multi-sectoral programs promote improved environmental quality and community stability. In the Philippines, her program targeted local youth, fishermen, and policymakers to promote food security through sustainable resource management, improved medical and family planning services, and expanded livelihood training.
Castro found that a PHE program could continue even after funding ran out. “A project can be sustained and can be owned by the local governments and local communities if they are provided the capacity to be able to continue to implement the programs and that they see the value of the programs that they do,” she said.
Lessons in Conflict Resolution
Funding, said Dumas, is the biggest limiting operating factor for organizations that facilitate dialogue in environmental conflict areas. The ability to travel across Latin America on short notice to help resolve conflict has been extremely beneficial to Dumas’ organization; but in an arena where funders require full proposals with specific outcomes and indicators, such availability over the long-term is “not financially sustainable.”
Dumas did, however, suggest ways to reduce the need for conflict resolution while opening accessibility to funding. He recommended that institutions mainstream environmental considerations into all sectors of decision-making, thereby improving capacity to respond to environmental conflicts within the given population. He also suggested the creation of “early action funds” – pools of money that his and other organizations can use on short notice for dialogue facilitation support. -
‘DotPop: ’ New Toolkit for Population, Health, and Environment
›December 29, 2009 // By Wilson Center StaffThe PHE Toolkit, launched by Building Actors and Leaders for Advancing Community Excellence in Development (BALANCED), is a new source of information and resources on Population, Health, and Environment (PHE).
The interactive online library of documents, videos, and other resources will provide “one-stop shopping” for the target audience of program managers working on health, family planning, development, and conservation programs—as well as policymakers, researchers, academics, and educators. All users can contribute resources and participate in discussions through the toolkit.
The Environmental Change and Security Program, along with several PHE partner organizations, helped build the framework and will contribute its PHE resources to the toolkit. ECSP is also a member of the PHE Gateway, which can be accessed through the toolkit.
The PHE toolkit is one of five public toolkits housed on the Knowledge for Health (K4Health) website, which is supported by USAID’s Bureau of Global Health. Together, the current and forthcoming toolkits will form an updated and vibrant community for information on health, including family planning, HIV/AIDS, and reproductive health.
The PHE toolkit is made possible through the collaboration of Johns Hopkins University Center for Communication Programs (JHU/CCP) and the BALANCED Project. BALANCED is spearheaded by the Coastal Resources Center (CRC) at the University of Rhode Island and its partners, PATH Foundation Philippines Inc. and Conservation International. -
How Family Planning Meets Development Goals
›“Knowing is not enough; you must act and let your government know that family planning is a right and saves lives,” said Maurice Middleberg of the Global Health Council at a recent event in Chapel Hill.
The other panelists at “How Can Family Planning Efforts Help Us Achieve the Millennium Development Goals?” (Dr. Martha Carlough of UNC, Dr. Ward Cates of Family Health International, and Pape Gaye of IntraHealth International) all provided compelling statistics demonstrating the effectiveness of family planning as an intervention that addresses the Millennium Development Goals (MDGs).
MDGs 4, 5, and 6 – reducing child mortality; improving maternal health; and combating HIV/AIDS, malaria, and other diseases, respectively – all have obvious connections to health and woman’s reproductive health. An unmet need for family planning, which is measured as the percentage of women of reproductive age who desire to space or limit their births but are not using contraception, can undermine the achievement of these goals.
For example, very early motherhood not only increases the risk of dying in childbirth, it also jeopardizes the well-being of surviving mothers—and their children, too. A child born to an adolescent mother has a greater risk of dying in infancy or childhood.
“Contraception is the best-kept secret in HIV prevention,” said Dr. Cates, who cited research that found that “current contraceptive use in sub-Saharan Africa prevents an estimated 577,200 unplanned births to HIV-infected mothers” and thus prevents the birth of an estimated 173,000 HIV-infected infants each year.
Family planning can help meet the other MDGs, including ending poverty and hunger (Goal 1); providing universal primary education (Goal 2); and promoting gender equity (Goal 3). Young mothers frequently miss out on education and socio-economic opportunities. Being able to make their own decisions about family planning and reproductive health can empower women and improve gender equity. When women are given equal opportunities for education, health, and employment, they are more likely to invest in the education and care of their children. This helps them break the cycle of poverty, hunger, and disease.
Although the MDGS don’t include any formal targets for sexual and reproductive health, the UN Millennium Project has stated that the MDGs cannot be achieved in low-income countries without access to sexual and reproductive health services, including family planning. The panelists agreed that family planning is a cost-effective intervention that provides broader positive benefits for development.
But the real strength of their presentations lay in the personal stories behind the statistics. Middleberg closed the discussion with a story about a woman in Latin America who told him that she loves her husband but was afraid of him every time he touched her. Now, after having undergone sterilization, she no longer worries and can love her husband with no fear of becoming pregnant.
A mother of six interviewed in a 2009 news article about the Philippines’ new family planning bill said, “How can one keep on having children? We don’t earn enough to feed them, much less send them to school.” New York Times columnist Nicholas Kristof interviews a Haitian woman with 10 children in a dramatic video interview, “Saving Lives with Family Planning.”
Underlying all of these facts and stories is the belief that one’s health and well-being, including access to family planning, is a right. But as Middleberg said, believing is not enough.
EngenderHealth, an international reproductive health organization working to improve the quality of health care in the world’s poorest communities, is asking Americans to create a video explaining why we should care about international family planning. Contribute your thoughts on YouTube’s Video Volunteers project.
Lisa Basalla, MPH, is a research associate with the Carolina Population Center. She graduated from Case Western Reserve University with a MPH focusing on reproductive and adolescent health. She has worked with Johns Hopkins University’s Center for Communications Programs on its reproductive health knowledge management project as well as a HIV-prevention behavior change communication project in Malawi.
Photo: A billboard promoting family planning in Phnom Pehn, Cambodia. Courtesy flickr user olerousing. -
Land Grab: The Race for the World’s Farmland
›The world is experiencing a grain rush. With increasing frequency, wealthy, food-importing, and water-scarce countries—particularly the Arab Gulf states and the rich countries of East Asia—are investing in farmland overseas to meet their food-security needs. Similarly, the private sector is pursuing farmland deals abroad, with many investors perceiving land as a safe investment in an otherwise-shaky financial climate.
These investments are sparking both hope and fear. Some believe the deals can boost global agricultural productivity and farm yields, thereby bringing down global grain costs. Others, however, point to the land acquisitions’ negative impacts on small-scale farmers. On May 5, the Asia Program and four other Wilson Center programs hosted a half-day conference that considered the implications for investors, host countries, and food security, highlighting case studies from Asia, Africa, Europe, and the former Soviet Union.
Global Trends
The private sector—including private firms, agribusiness and trading houses, and sovereign wealth funds—now plays a key role in overseas land investment, noted David Hallam of the Food and Agriculture Organization. These investors come from China, the Arab Gulf states, South Korea, and Japan, and they have mainly targeted Africa. Hallam asserted that these investors could potentially benefit developing countries through asset and advanced-technology transfers, employment opportunities, and economic and infrastructure development.
Alexandra Spieldoch of the Institute for Agriculture and Trade Policy examined the “lopsided” power relations that prevail in foreign land acquisitions. Smallholders in poor countries like Sudan, Ethiopia, Madagascar, Zimbabwe, and Pakistan “have no political voice,” making them vulnerable to exploitation. The loss of land invites political conflict and violence, as exemplified by the public outcry in Madagascar over that country’s proposed land deal with South Korea’s Daewoo. Gary R. Blumenthal of World Perspectives, Inc., acknowledged that displacing small farmers in favor of large agribusiness activities generates “social push-back,” but contended that modern farms and private-sector funding are necessary to feed the world’s hungry and growing population.
Ruth Meinzen-Dick of the International Food Policy Research Institute discussed prospects for a “code of conduct” to regulate foreign land deals. She proposed that such a code have teeth and be modeled after the European Union’s code of conduct on bribery. Meinzen-Dick argued that questions regarding land use, land tenure, property rights, environmental concerns, and transparency should be settled before finalizing land deals. She also underscored the key role of governments in safeguarding and monitoring people’s rights, and of the media and civil society in increasing transparency and keeping up the pressure against “unjust expropriations.”
Case Studies: Asia, Africa, Europe
Raul Q. Montemayor noted that in Asia, some local people are facilitating land deals on behalf of foreign investors. In the southern Philippines, “goons and rogue elements” have been “let loose” to terrorize farmers, compelling the latter to lease their land—or evacuate. Montemayor argued that Asian farmers stand to benefit little financially from leasing their land to agribusiness enterprises. Those who have done so are receiving rental payments between 50 cents and a dollar per day. Yet he argued that any Asian farmer with his or her own standard two-hectare plot can generate the same, if not higher, daily income without renting out land.
Chido Makunike, a Senegalese agricultural commodities exporter, declared that without understanding local conditions, agribusiness investments in Africa are destined to fail. Like Spieldoch, he singled out the deal between Daewoo and the Malagasy government, which would have given Daewoo a 99-year lease on 1.3 million hectares of land—with Madagascar receiving little in return. The deal collapsed after it triggered political unrest. “It’s not enough to look at risk factors,” Makunike argued. “You must look at the sentiments of the people.” In Africa, far from being perceived as a mere “economic resource,” land has cultural, sentimental, and political meanings, and its loss was “one of the strongest symbols of dispossession” during the colonial era.
Carl Atkin of Bidwells Agribusiness highlighted investment opportunities in Central and Eastern Europe and the former Soviet Union. Land in these areas boasts high-performing and resilient soil, and production costs are low. However, there are also considerable challenges. Infrastructure is lacking, and grain storage is problematic. Obtaining land titles can be “complex,” and land tenancy laws can be “very archaic.” According to Atkin, however, the biggest challenge is local management: “Can people on the ground get things done?”
Though they indicated varying levels of support for overseas farmland acquisitions, all panelists agreed that international investment in agriculture can be a good thing—if done the right way.
While Meinzen-Dick and others lobbied for an international code of conduct to govern the transactions, other panelists insisted that foreign land investment must respect regulations in host countries. Montemayor, for example, called for “clear rules consistent with national policy goals,” and implored foreign investors to respect local laws.
Michael Kugelman is a program associate with the Wilson Center’s Asia Program; and Susan L. Levenstein is a program assistant -
VIDEO: Leona D’Agnes on Population, Health, and Environment
›April 15, 2009 // By Wilson Center StaffIntegrated population-health-environment (PHE) programs “are very cost-effective ways” to develop “community capacity—to strengthen their know-how, and bring…in some additional appropriate technologies” to promote livelihoods, says Leona D’Agnes in this short expert analysis from the Environmental Change and Security Program.
“It doesn’t require a lot of money, but it does require capacity building and being able to motivate communities and help them to understand that it is not just the government that’s responsible for their development. Their own food security and environmental security rests with their abilities to manage their assets, their natural resources, to plan their families, and make sure their children finish school.”
In this expert analysis, D’Agnes, currently a consultant to CDM International on PHE and forestry in Nepal, discusses the linkages between population, health, and environment involved in her work as a technical adviser for PATH Foundation Philippines and its IPOPCORM project.
To learn more about population, health, and environment issues, please visit our PHE page.
“Even in the hardest moments of conflict there are opportunities for cooperation, and they need to be seized,” said 
“In the academic world, there’s a growing documentation about the coming wars of the 21st century are going to be about water resources,” said 
“We came out with a vision that is a shared vision,” echoed 
“Water is common for all of us because it is the base of our life, of our survival,” said 
“Knowing is not enough; you must act and let your government know that family planning is a right and saves lives,” said Maurice Middleberg of the Global Health Council at a recent 
