Showing posts from category Yemen.
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Water and Population: Limits to Growth?
›February 3, 2012 // By Laurie Mazur
Water – essential, finite, and increasingly scarce – has been dubbed “the new oil.” Experts debate whether human societies are approaching “peak water,” beyond which lies a bleak future of diminishing supplies and soaring demand. Others observe that, for many, the water crisis has already arrived.
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Move Beyond “Water Wars” to Fulfill Water’s Peacebuilding Potential, Says NCSE Panel
›January 26, 2012 // By Schuyler NullOne of the best talks of last week’s NCSE Environment and Security Conference was thewater security plenary on Friday. Moderator Aaron Salzberg, who is the special coordinator for water resources at the Department of State, led with a provocative question: how many in attendance think there will be war over water in the future?
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Do High Food Prices Cause Social Unrest?
›In March 2011, a senior Brookings Institution official wrote that “the crux of the food price challenge is about price volatility, rather than high prices per se” and that “[i]t is the rapid and unpredictable changes in food prices that wreak havoc on markets, politics, and social stability.”
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Engaging Faith-Based Organizations on Maternal Health
›“Faith-inspired organizations have many different opportunities [than non-faith-based NGOs]. The point that is often reiterated is that religions are sustainable. They will be there before the NGOs get there and will be there long after,” said Katherine Marshall, executive director of the World Faiths Development Dialogue at the Wilson Center on November 16. Marshall noted in her opening remarks that maternal health should be an easy issue for all groups, regardless of religious tradition, to stand behind. Yet, in reality, maternal health is a topic that “very swiftly takes you into complex issues, like reproductive health, abortion, and family planning,” she said.
As part of the Advancing Dialogue on Maternal Health series, the Woodrow Wilson International Center for Scholars’ Global Health Initiative collaborated with the World Faiths Development Dialogue and Christian Connections for International Health to convene a small technical meeting on November 15 with 30 maternal health and religious experts to discuss case studies involving faith-based organizations in Bangladesh, Nigeria, Pakistan, and Yemen. The country case studies served as a springboard for group discussion and offered a number of recommendations for increasing the capacity of faith-based organizations (FBOs) working on maternal health issues.
Engaging Religious Leaders in Pakistan
“When working with religious leaders to improve maternal health there are some do’s and don’ts,” said Nabeela Ali, chief of party with the Pakistan Initiative for Mothers and Newborns (PAIMAN). Ali described a PAIMAN project that worked with 800 ulamas (religious leaders) to increase awareness about pregnancy and promote positive behavior change among men.
One of the “do’s” highlighted by Ali was the need to build arguments for maternal health based on the Quran and to tailor terminology according to the ulamas preferences. The ulamas who worked with PAIMAN did not want to utilize the word “training,” so instead they called their education programming “consultative meetings.” More than 200,000 men and women were reached during the sermons and the strategy was been picked up by the government as one of the best practices written into in the Karachi Declaration, signed by the secretaries of health and population in 2009.
Despite the successes of the program, Ali warned against having unrealistic expectations for religious leaders interfacing with maternal health. She stressed the importance for having a long-term “program” approach to the issue, as opposed to a short-term “project” framework.
Behavior Change in Yemen
“Religion is a main factor in decisions Yemeni people make about most issues in their lives and religious leaders can play a major role in behavior change,” said Jamila AlSharie a community mobilizer for Pathfinder International.
Eighty-two percent of Yemeni women say the husband decides if they should receive family planning and 22 percent say they do not take contraception because they belief it is against their religion and fertility is the will of God, said AlSharie. Therefore, the adoption of healthy behavior change requires the involvement of key opinion leaders and the alignment of messages set in religious values. Trainings with religious leaders included family planning from an Islamic perspective, risks associated with early pregnancy, nutrition, education, and healthcare as a human right.
Male Participation a Key Strategy
“As a faith-based organization we believe it is a God-given right to safe health care and delivery so we mobilize communities to support pregnant women to address their needs, educate families about referrals and existing services in the community,” said Elidon Bardhi, country director for the Bangladesh arm of the Adventist Development and Relief Agency (ADRA).
Through female-run community organizations, ADRA educates men and women about the danger signs of labor and when to seek care. For example, many men in Bangladesh hold the belief that women should eat less during pregnancy to ensure a smaller baby is born, thereby making delivery easier, said Bardhi. ADRA addressed such misconceptions through a human rights-based approach and emphasized male participation as a key strategy, ensuring there were seven male participants for every one female.
A Culturally Nuanced Approach in Nigeria
The Nigerian Urban Reproductive Health Initiative (NURHI) is a public-private partnership that identifies and creates strategies for integrating family planning with maternal health. According to Kabir Abduallahi, team leader of NURHI, “family planning” is not as acceptable a term as “safe birth spacing” in Nigeria, so the project highlighted how family planning can help space births and save lives.
Religion and culture play an important role in the behavior of any community. The introduction of a controversial healthcare intervention (such as family planning) in a religiously conservative community requires careful assessment of the environment and careful planning for its introduction, said Abduallahi. Baseline surveys and formative research data helped NURHI understand the social context and refine intervention strategies.
Ten Ways to Increase the Capacity of FBOs
Faith-based organizations’ close links to communities provide them with an opportunity to promote behavior change and address other cultural factors contributing to maternal mortality rates such as early marriage and family planning.
Working in collaboration with FBOs and other stakeholders is critical to promoting demand for maternal and reproductive health services; however, there is limited knowledge about faith-based maternal healthcare and FBOs are often left off the global health agenda. In conclusion, Marshall noted 10 areas the group identified as areas to focus on:- Move projects to programs: Projects are often donor driven and limited in scope and duration. Donors and policymakers should move from project-oriented activities to local, regional, and national-level advocacy programs to build sustainable change.
- Coordinate, coordinate, coordinate: Significant resources are wasted due to a lack of coordination between FBOs and development agencies. A country-level coordinating mechanism should be developed to streamline efforts not only between agencies but also across faiths.
- Context, context, context: A thorough understanding of the local culture and social norms is imperative to successful program implementation.
- Terminology is important: In Pakistan, religious leaders redefined sensitization meetings around family planning and maternal and child health as “consultative meetings” not “trainings.” In Nigeria, the culture prefers “child birth spacing” over “family planning.” In Yemen, it’s “safe age of marriage” instead of “early childhood marriage.”
- Most religious leaders are open and with adequate information can produce behavior and value changes. Utilizing the Quran, Hadith, and Bible can support arguments and emphasize the issue of health and gender equity.
- Relationship building: Winning the trust of religious leaders can be difficult and time-consuming but is necessary for opening doors to patriarchal societies.
- Rights-based approach: A human rights-based approach can be a very powerful agent of change for addressing negative social structures such as violence against women, but it can also create controversy. In Bangladesh, ADRA utilized the approach to educate men about nutrition, dowry and child marriage, and education of women.
- Networks: There is a significant need to create forums that bring together the various FBO and global development communities in order to share knowledge and enhance advocacy messages. Networks are needed to streamline resources and inventory existing research, projects, and faith-based models that work.
- Monitoring and evaluation systems: There is a striking lack of data about the impact and outcomes of FBOs. Increasing the monitoring and evaluation skills of FBO workers can improve evaluation systems and meet the demand for new data.
- There needs to be greater political will for engaging the faith-inspired community.
Event ResourcesPhoto Credit: David Hawxhurst/Wilson Center. -
Michael Kugelman, Foreign Policy
Pakistan’s Demographic Dilemma
›July 15, 2011 // By Wilson Center StaffThe original version of this article, by Michael Kugelman, appeared on Foreign Policy’s AfPak Channel.
Pakistan’s 2011 census kicked off in April, but less than three months later, it is embroiled in controversy. Several members of the Sindh Census Monitoring Committee have rejected as “seriously flawed” the recently completed household count. They allege that census workers, directed by an unspecified “ethnic group,” have counted Karachi’s “inns, washrooms, and even electric poles” as households in an effort to dilute the city’s native “Sindhi” presence.
These Census Monitoring Committee members are not the only Pakistani politicians to be concerned about the census. Pakistan is experiencing rapid urbanization; while a third of the country’s people have long been rurally based, at least 50 percent of the population is expected to live in cities by the 2020s. Pakistan’s political leadership draws much of its power from rural landholdings, power that could be greatly reduced if a census confirms this migration toward cities.
This politicization underscores the perils of census-taking in Pakistan. In many other nations, it is a routine process completed regularly. Yet in Pakistan, myriad factors – from catastrophic flooding and insufficient funding to the turbulent security situation and intense political opposition – have conspired to delay it for three consecutive years, making the country census-less since 1998.
Accurate census data enables governments to make decisions about how to best allocate resources and services. In Pakistan, such decisions are critical. Consider that its current population, estimated at about 175 million, is the world’s sixth-largest. It has the highest population growth, birth, and fertility rates in South Asia – one of the last regions, along with sub-Saharan Africa, still experiencing young and rapidly rising populations. Additionally, with a median age of 21, Pakistan’s population is profoundly youthful. Two-thirds are less than 30 years old, and as a percentage of total population, only Yemen has more people under 24.
Continue reading on Foreign Policy.
Michael Kugelman is a program associate for the Asia Program at the Woodrow Wilson Center and co-editor of Reaping the Divided: Overcoming Pakistan’s Demographic Challenges.
Sources: UN Population Division.
Photo Credit: “Pakistan Diaster Relief,” courtesy of flickr user DVIDSHUB. -
Yemen Beyond the Headlines: Losing the Battle to Balance Water Supply and Population Growth
›Part three of the “Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions” event, held at the Wilson Center on May 18.
Overlooked in most news coverage of Yemen’s crisis is the country’s struggle to manage its limited natural resources – particularly its rapidly depleting groundwater – in the face of soaring population growth. At the recent Wilson Center event, “Yemen: Beyond the Headlines,” Yemen’s ambassador to Germany, Mohammed Al-Eryani, and Daniel Egel of the RAND Corporation outlined Yemen’s shaky prospects for economic development without more sustainable agricultural practices and more efficient water management. [Video Below]
With a population of more than 24 million and a total fertility rate (TFR) of 5.5 – nearly double the average TFR for the region – Yemen’s population is projected to grow to 36.7 million by 2025 and jump further to 61.6 million by mid-century, according to the latest UN projections. While those figures may not seem large by global standards, given Yemen’s already limited stocks of arable land and groundwater, the country’s rapid rate of growth may quickly outpace its resources.
“Already in a Crisis”: The Groundwater Deficit
Yemen’s per capita water supply is falling fast in the face of booming population growth and agricultural consumption, said Al-Eryani, a water engineer who founded Yemen’s Ministry of Water and the Environment. While the commonly accepted threshold for water scarcity is 1700 cubic meters or less per capita, Yemen’s per capita renewable water availability is now in the neighborhood of 120 cubic meters, he said.
Meanwhile, water scarcity has been exacerbated by erratic precipitation that has hit rainfall-dependent farmers especially hard. In a country with no real rivers or perennial streams, rainfall harvesting has long enabled agricultural production, as evidenced by the country’s many intricately terraced hillsides – “the food baskets of Yemen,” said Al-Eryani.
Yemenis have coped with shifting precipitation patterns by drawing more groundwater for irrigation and other domestic uses. While drilling wells has provided some short-term relief, the practice is unsustainable in the long term, creating a “water deficit,” Al-Eryani said, that continues to grow each year.
In the populous Sanaa basin, home to the Yemeni capital, consumption outweighs the aquifer’s natural rate of recharge by a factor of five to one and groundwater levels have been plummeting at six meters per year, he said. With only minimal government regulation of drilling, the country’s groundwater situation is poised to worsen, one of the reasons Al-Eryani declared his country is “already in a crisis.”
Stalled Economic Development
Yemen’s stalled economic development is particularly pronounced outside of urban areas, “where the resources are,” said Daniel Egel, citing the country’s failure to build modern transportation infrastructure and develop other economic activities besides farming. He called for the international development community to focus on creating jobs in rural areas, particularly by increasing the financing available for non-agricultural businesses and by improving secondary roads. In addition, he warned development actors to be aware of how gender inequality and local social structures, such as tribes, affect development efforts.
Given the country’s dependence on agriculture, water scarcity poses a threat to Yemen’s food security and its economic development. Three out of every four Yemeni villages depend on rainfall for irrigation, Egel said, making them highly vulnerable to unexpected climate change-induced shifts in precipitation patterns. Water scarcity also weakens the financial stability of Yemeni households, with the cost of water “accounting for about 10 percent of income during the dry season,” he said.
Averting a “Domino Effect”
Al-Eryani asserted that water management policies will “have to be designed in piecemeal fashion,” as no one single action will avert a catastrophe. He suggested a number of steps to alleviate the country’s growing water crunch, including:- Focus on the rural population, which makes up 70 percent of the population, has the highest fertility rates, and are the most reliant on agriculture;
- Move development efforts outside of Sanaa to other regions of the country;
- Increase investment in desalination technology for coastal areas;
- Increase water conservation in the agricultural sector; and,
- Exploit fossil groundwater aquifers in Yemen’s sparsely populated eastern reaches.
“The battle to strike a sustainable balance between population growth and sustainable water supplies was lost many years ago,” Al-Eryani said. “But maybe we can still win the war if we can undertake some of these measures.”
See parts one and two of “Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions” for more from this Wilson Center event.
Sources: UN Population Division, World Bank.
Photo Credit: “At the fountain,” courtesy of flickr user Alexbip. -
Yemen Beyond the Headlines: Governance, State Capacity, and the U.S.
›Part two of the “Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions” event, held at the Wilson Center on May 18.
“Moving beyond Ali Abdullah Saleh has proved to be very challenging, not only for the Yemeni people, but for the neighboring countries and for the international community as a whole,” said former U.S. Ambassador to Yemen Edmund Hull, one of a number of speakers on governance and future challenges during the all-day conference, “Yemen Behind the Headlines: Population, Health, Natural Resources, and Institutions,” at the Woodrow Wilson Center. [Video Below]
Don’t Throw Out the Good With the Bad
Yemen’s protest movement is different than those of Egypt or Tunisia because neighboring countries, such as those in the Gulf Cooperation Council, are actively involved. “[They] don’t have the luxury of saying this is a purely Yemeni affair,” said Hull. “They have to identify where their national interests are and then they have to come up with a legitimate and effective way of protecting those interests.” Included in those national interests is dealing with the presence of Al-Qaeda in the Arabian Peninsula.
But, Hull said, “It would be a shame if, as part of this revolution, what was good in Yemen gets tossed out with what was bad.” Among the institutions that should be protected are the Social Fund for Development, a government development initiative designed to reduce poverty , and the Central Security Forces, “still a very necessary institution and one that has to be protected if other challenges in Yemen are to be met,” he said.
“It’s a mistake to over-focus on the end of a regime – yes, it’s important to get a transfer of power, but I would argue [that it is] equally important to institutionalize the forces that have led to this, as a safeguard against the counter revolution and as an impetus to meeting those many, many political challenges that Yemen faces.”
Going forward, Hull said that elections will be key: Yemen had good electoral experiences in 2003 and 2006 but the system has since suffered some “backsliding,” he said. He also emphasized the importance of letting the youth participate, protecting social networking systems and NGOs, instituting legal requirements to promote transparency, and freeing up and protecting the media. “Unless you have a media spotlight, abuses are going to accumulate,” he said.
Not a “Basket-Case”
“Yemen is not a basket case,” said Charles Schmitz, an associate professor at Towson University. “There have been substantial achievements that I think we need to take into account.” Among these achievements, he highlighted Yemen’s growth in life expectancy, literacy rates, and gross domestic product. The country’s population growth rate has also slowed over the past two decades, though its total fertility rate remains one of the highest in the region.
These gains were fuelled by two resource booms, Schmitz explained: mainly, remittances from the construction boom in the 1970s and oil production. However, oil production dropped off dramatically after peaking around 2001, and remittances have not been able to keep up with the growth of the economy.
“Yemen is in a very severe crisis,” Schmitz said. “The oil has stopped… the balance of payments has been going negative for the last couple of years… and the government appears to be dipping into the central bank.” As a result, he said there is a “very real” possibility of the currency – the riyal – collapsing. The currency represents trust in the government, of which there is none right now, he said.
An Opportunity for New Thinking
“The key variable to the future of the Yemeni economy is state capacity, and this is something Yemen has not done well thus far, largely because of the political crisis,” Schmitz said.
“I think we must be attuned to the reality around us,” said Jeremy Sharp, a specialist in Middle Eastern affairs with the Congressional Research Service. “Quite frankly, Yemen needs a lobby in this country. Yes we have a tight budget environment, but it’s also an opportunity for new thinking.”
“The degree and extent of U.S. engagement with Yemen…is based primarily on the perceived terrorist threat there,” said Sharp. “Our policy toward Yemen always seems to be one horrific terrorist attack away from public outcries for deeper U.S. involvement – i.e., military involvement.”
A Cycle of Transitions?
“We may be looking at cycles of transition in Yemen over the coming decades,” said Ginny Hill, an associate fellow with the Middle East and North Africa Programme at Chatham House. “Stable political settlements take time.” The street protestors are not going to get what they want in the short term, “but just two or three of them sitting in government or being involved in the negotiation process… is going to change the dialogue in Yemen,” she said.
The United States has difficult questions to answer, said Sharp: Who will control Yemen’s security forces down the line? How will the next leader deal with the U.S.-Yemen partnership? Will power be fragmented between civilian and military leaders? Will the next leader play the nationalist card and reduce cooperation with the United States to bolster their own public standing?
“In the absence of the degree of engagement that we need, the [U.S. government] aims high rhetorically,” said Sharp. “We speak about these things while pursuing our own national security goals on the ground. Perhaps this path is unsustainable and events will force the U.S. to pay even more attention to Yemen. Or perhaps we will continue to muddle along this path and never quite reach the brink, precipice, or impending crisis that is so routinely predicted in the media.”
See parts one and three of “Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions” for more from this Wilson Center event.
Sources: UNICEF, World Bank.
Photo Credit: “Even small children…,” courtesy of flickr user AJTalkEng. -
Yemen Beyond the Headlines: Women’s Health and Well-Being, Foundations of a Fragile State
›Part one of the “Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions” event, held at the Wilson Center on May 18.
“Ultimately, whether Yemen is able to achieve its goals for social and economic development, will to a large extent depend on its future population growth and size,” said Gary Cook, senior health advisor at the U.S. Agency for International Development, in his opening address on Yemen’s population and development challenges at the Woodrow Wilson Center. [Video Below]
Cook was joined on the opening panel of the all-day conference, “Yemen Behind the Headlines: Population, Health, Natural Resources, and Institutions,” by Dalia Al-Eryani, former project officer for Pathfinder International’s Safe Age of Marriage Project, and T.S. Sunil, professor of sociology at the University of Texas San Antonio, to discuss issues related to population, reproductive health, and child marriage. Drawing speakers and participants form the Middle East, Europe, and the United States, the conference was part of the Wilson Center’s HELPS Project, a multi-year effort to deepen understanding of links among health, environment, livelihoods, population and security.
Yemen’s Population and Development Challenges
Since 1950, the population of Yemen has increased from 4.3 million to 24 million, with an annual population growth rate above three percent, Cook said. High fertility drives Yemen’s rapid population growth, with an average total fertility rate (TFR) of 5.5 births per woman. Rates are even higher in rural areas and among women with limited or no education, he said.
Future population growth will have tremendous impacts on the country’s economy, education, health, and natural resources, said Cook, and “there is a very large gap between the high fertility assumption and the low fertility assumption.”
An additional 1.5 million new people will be added to the labor force and 29 percent less income per person will drop by 29 percent by 2035 if current fertility rates persist, said Cook. Though Yemen has a national population policy that outlines TFR targets of 3.3 in 2025 and 2.1 by 2035, the latest UN Population Division projections suggest these expectations are optimistic. Education and health demands and expenditures will increase greatly, while per capita arable land and water will decrease, exacerbating ongoing land and water scarcity in Yemen.
“We do not have enough local and external resources to address the needs of a rapidly expanding population,” said Cook. “Helping couples who want to limit and space their births will also help the nation,” he added.
Law, Culture, and Child Marriage
“Enforced by law and culture alike,” early marriage in Yemen is common, said Al-Eryani, with over 50 percent of Yemeni women married before they are 17 years old, and 14 percent before they turn 14. Opponents of child marriage argue that children are neither emotionally nor physically ready for marriage and that the practice increases health risks and lowers educational opportunities for girls.
Currently, Yemen has no minimum age for marriage law, and recent attempts to pass such a law have failed, said Al-Eryani. “The practice never really has been questioned.”
“There is a belief that child marriage is a good thing – both for the girl and for the family,” she said. Early marriages are a way to build family honor and tribal ties, and many poor families see opportunity for financial gain in the form of a dowry. “These families see no socially acceptable alternatives for the girl…and all of this is supported by the belief that Islam condones child marriage,” she said.
Through awareness sessions, health fairs, and school plays, the community-based Safe Age of Marriage Project has helped to change social norms around child marriage in two districts in Yemen.
After participating in the program, community members were significantly more likely to believe that delaying marriage gives girls more educational opportunities, empowers them to make decisions, and promotes healthy pregnancy and children, Al-Eryani said. Child marriage was banned in one of the communities, and the marriages of 53 girls and 26 boys were canceled as the result of the project. In the future, she hopes involving more religious and local leaders could further increase the program’s impact.
Youth and “The Reproductive Health Transition”
“When we talk about fertility transition, we only talk about the number of children born,” said Sunil. “A reproductive health transition takes into account not just total fertility rate, but a number of different dimensions.”
Women should have the freedom to decide if, when, and how often to reproduce, said Sunil, through access to safe, effective, affordable, and acceptable family planning methods. They also should have access to quality maternal health care throughout pregnancy and birth, he said.
“It’s a popular belief that Islamic societies with poor and limited resources are not compatible with a reproductive health transition,” said Sunil. “But the onset of a reproductive health transition is underway in Yemen.”
While the transition in Yemen is progressing more slowly than in other countries in the region, many positive trends can be seen among the country’s youth, said Sunil. Trends indicate a drop in fertility rates, especially among younger women; marriage of girls under 15 years old has declined; and contraceptive use among young women age 15 to 24 has increased significantly.
Government and international donor agencies “must capture the growing momentum among the younger cohort” and meet demands for better education, postponement of marriage, and healthcare services, said Sunil. Continued focus on adolescent reproductive health will be the key to achieving the reproductive health transition, he concluded. “From an economic and human perspective, the growing young population in Yemen is potentially a tremendous asset.”
See parts two and three of “Yemen Beyond the Headlines: Population, Health, Natural Resources, and Institutions” for more from this Wilson Center event.
Sources: Population Reference Bureau, UNICEF, U.S. Agency for International Development.
Image Credit: “Young girl with her mom – Sanaa,” courtesy of flickr user fveronsei1.
