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Beat on the Ground
Coffee Farmer and Extension Manager Promotes Improved Health and Livelihoods in Rwandan Coffee Communities
MORE
This PHE Champion profile was produced by the BALANCED Project.
Mr. Pascal Gakwaya Kalisa has produced coffee in the densely populated country of Rwanda for the past nine years. A proud member of the 1,200 member Maraba Coffee Cooperative in Huye District in the Southern Province of Rwanda, Kalisa knows that a larger income alone does not ensure a better quality of life for his fellow coffee farmers and their families. He also knows that a successful coffee growing/exporting enterprise depends on preserving the fragile Rwandan soils, as well as on the health and well-being of farming families and communities. Therefore, Kalisa and other cooperative members treat the land and trees with a level of personal care that is necessary for optimum organic production and soil preservation.
Kalisa and the community have set up small, garden-sized coffee farms that are more productive than usual. Cooperative washing stations have enabled the small-scale farmers to improve product quality, and the cooperatives themselves are learning to negotiate better coffee prices with international buyers. Through such efforts and the support of many international donors and industry partners, Rwanda has become a producer of high quality specialty coffee since 2005, and its coffees are being marketed through renowned coffee roasters and importers in the United States, Europe, and Japan. In just six short years, Rwandan farmers have doubled their incomes and created 2,000 jobs, and the first renowned specialty coffee competition Cup of Excellence in Africa was held in Rwanda in 2008.
SPREAD: A Community Partnership
Recognizing the broad-based health, social, and economic needs of coffee farmers and their families in this part of East Africa, the U.S Agency for International Development initiated the Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development project (SPREAD) to provide rural cooperatives and enterprises involved in high-value commodity chains with both appropriate technical assistance and access to health-related services and information. It is this combination of technical assistance and health-related outreach and services that has resulted in increased and sustained incomes and improved livelihoods.
Kalisa and other members of various cooperatives that SPREAD supports recognize that not only should farmers and their families preserve the land, but they must also preserve their own health in order to perform the labor needed to farm the crop that will produce the steady stream of high quality coffee upon which their livelihoods depend. Initiating community dialogues around issues such as protected sex, gender roles, and how coffee revenue is spent within households has also been crucial to project success among both youth and adults.
In his role as coffee zone coordinator for the SPREAD project, Kalisa works with coffee cooperatives to implement improved agricultural practices that improve the quality of their crop. This includes using cleaner environmental practices during coffee processing, such as introducing composting of coffee cherry pulp. Kalisa also helps disseminate integrated health and coffee messages through a weekly coffee talk-show produced by the National University of Rwanda’s Radio Salus, called Imbere Heza (“Bright Future”). In one show, for example, a man explained to a fellow farmer that to get good coffee cherries, he should thin his trees to renew his plantation.
Integrating Healthy Lives
Kalisa has also helped the SPREAD project’s health team deliver integrated messages on family planning, maternal and child health, alcohol, nutrition, gender issues, and the linkages between these. He uses examples such as the one about tree thinning to explain that families that space their children tend to be healthier, as they can plan the number of children to better fit with the financial and natural resources at hand.
Kalisa sees the benefits of using community agents to deliver integrated health, environment, and livelihood messages. This includes training extension agents to discuss environmental and human health issues in the context of coffee growing. Also, having coordinators from the coffee program and the health program go hand-in-hand to the field saves time, fuel, and other project costs. Kalisa believes that this campaign to educate coffee farmers and their families on the linkages between human health, a healthy environment, and strong livelihoods will lead to long-term change in their behavior, attitudes, and knowledge – change that will help them live better lives today and into the future.
This PHE Champion profile was produced by the BALANCED Project. A PDF version can be downloaded from the PHE Toolkit. PHE Champion profiles highlight people working on the ground to improve health and conservation in areas where biodiversity is critically endangered.
Photo Credit: “Rwanda photos 060,” courtesy of David Dewitt/counterculturecoffee. -
Eye On
STATcompiler: Visualizing Population and Health Trends
MOREWorld population is growing – earlier this week, the global community symbolically marked the arrival of the seven billionth person. But the unprecedented growth in global population over the last few decades has not affected everyone equally – in 1950, 68 percent of the world’s population lived in developing regions; today that number is 82 percent. MEASURE’s latest version of their STATcompiler tool helps visually highlight areas simultaneously experiencing the most demographic change and poor health indicators.
The revised STATcompiler – released in September – provides new ways for users to visualize data by generating custom data tables, line graphs, column charts, maps, and scatter plots based on demographic and health indicators for more than 70 countries. Users can select countries or regions of interest, and relevant indicators, including for family planning, fertility, infant mortality, and nutrition. Tables can be further customized to view indicators over time, across countries, and by background characteristics, such as rural or urban residence, household wealth, or education. In some cases, sub-national data is available. User-created tables and images are then exportable so that they may be easily used in papers or presentations.
Since STATcompiler is still in active development, certain functions are still being added. HIV data has not yet been integrated into the program, nor has the express viewer function, with customizable, ready-made tables for quick access. Additionally, updated information is not available for all countries, in all categories – for instance, the most recent data available for Mexico comes from a 1987 survey. If preferred, the legacy version remains available to users in the meantime.
MEASURE DHS – the Monitoring and Evaluation to Assess and Use Results Demographic and Health Surveys project – provides technical assistance for data collection on health and population trends in developing countries. Their demographic and health surveys, funded by USAID, provide data for a wide range of monitoring and impact evaluation indicators at the household level in the areas of population, health, and nutrition. They have become a staple data source for researchers, and the addition of better analysis functions and dissemination tools, via STATcompiler, will hopefully help advance understanding of demographic and health trends.
Image Credit: Map from STATcompiler, arranged by Schuyler Null. -
Seven Ways Seven Billion People Affect the Planet
October 31, 2011 // By Geoffrey D. DabelkoMORESeven billion people now live on earth, only a dozen years after global population hit six billion. But the seven billion milestone is not about sheer numbers: Demographic trends will significantly impact the planet’s resources and peoples’ security.
Growing populations stress dwindling natural resource supplies while high levels of consumption in both developed countries and emerging economies drive up carbon emissions and deplete the planet’s resources. And neglected “youth bulges” could bolster extremism in fragile states like Somalia and destabilize nascent democracies like Egypt.
Here are seven ways seven billion people affect the planet, according to recent research:
Security: Nearly 90 percent of countries with very young and youthful populations had undemocratic governments at the end of the 20th century. Eighty percent of all new civil conflicts between 1970 and 2007 occurred in countries where at least 60 percent of the population is under age 30, says demographer Elizabeth Leahy Madsen. According to research by demographer Richard Cincotta, these countries may achieve democracy, but are less likely to sustain it.- Richard Cincotta: Tunisia Predicted: Demography and the Probability of Liberal Democracy in the Greater Middle East
- Elizabeth Leahy Madsen: Demographic Security 101
Water: By 2025, 1.8 billion people will be living in countries with water scarcity, and fully two-thirds will be living in conditions of water stress. People are using groundwater faster than it can be naturally replenished, putting us in danger of “peak water,” says MacArthur “Genius” Fellow Peter Gleick. “We cannot talk about water without also understanding the enormously important role of population dynamics and population growth.”- Peter Gleick: Population Dynamics Key to Sustainable Water Solutions
Forests: The growing demand for energy has helped devastate tropical forests, as more than two billion people depend on wood for cooking and heating, particularly in developing countries. Projects in Indonesia, Nepal, and Uganda are fighting deforestation by providing alternative energy and incomes along with health and family planning services.- Indonesia: Health in Harmony
- Nepal: Forests for the Future
- Uganda: Sharing the Forest
Future Growth: By 2050, the UN says global population could range anywhere from 8 billion to 11 billion – and where it ends up depends in large part on the status of women in developing countries. “Even if fertility rates remain constant at current levels (which is unlikely), developing regions would grow from 5.7 billion in 2010 to 9.7 billion in 2050, but the total population of developed countries would remain essentially unchanged,” writes Madsen.- Elizabeth Leahy Madsen: How Did We Arrive at 7 Billion – and Where Do We Go From Here? [Part One] [Part Two]
There are no quick solutions to these seven problems. But meeting the unmet need for contraception of more than 200 million women is an effective and inexpensive way to start.
Sources: Population Action International, UN, World Health Organization.
Image Credit: Used with permission courtesy of Scott Woods, The University of Western Ontario. -
Guest Contributor
Day of 7 Billion Puts Future Generations in Spotlight
MOREThis month, our small planet’s population will hit seven billion. Reproductive health and environmental groups worldwide are raising awareness about the exact day – the “Day of Seven Billion” – when we’re estimated to hit that number next week, calling for sustainability and women’s empowerment. But the future trajectory of the world’s population projections – and all that they entail for human and environmental wellbeing – depends on decisions we make now.
Let’s start with the more than 215 million women worldwide – including many in our home countries, the United States and Kenya – who do not want to get pregnant but are not using modern contraception. Our world looks very different in 2050 if these women’s needs are met.
Research from the Futures Group shows that meeting women’s needs results in a significantly slowed population trajectory, with world population topping out at eight billion in 2050. According to recently revised UN estimates, without this intervention population could rise to 10 or even 12 billion by century’s end. Meeting this need is also a smart investment: Our research estimates that access to modern contraception for all who want it would cost $3.7 billion per year. Others have estimated the savings in health care costs of providing contraception to all who want it at $5.1 billion per year. Family planning is cost-effective; it has been estimated that a dollar spent on family planning can save between $15 and $20 in education, health, housing, and other socio-economic support costs, making the achievement of the Millennium Development Goals cheaper for developing countries.
The health and environmental benefits are also enormous: a one-third reduction in maternal mortality; a one-fifth reduction in child mortality; a major reduction in the greenhouse gas emissions. Recent research shows that carbon emissions slow when we slow our population trajectory in an effect similar to increasing the world’s use of wind power forty-fold. In Nigeria it was recently estimated that providing universal access to family planning would result in a reduction of carbon emissions equivalent to eight years from current sources.
These investments also provide more than big numbers: By enabling couples and women to choose when and how many children they’ll have, women can continue their educations longer, participate more in the workforce, and contribute to household decisions that benefit the family.
Giving women what they want and need to plan their pregnancies is one of the most obvious, yet most overlooked solutions to many of the most pressing problems we face, from maternal and child mortality to climate change. International family planning funding has stagnated for over 10 years and the results have been predictable: In Kenya, and in many countries, unmet need – with all its human costs – has increased.
Today, the largest generation of young people ever is coming of age. The aspirations and health of the millennial generation – as well as all those in the future – are on the line.
Pamela Onduso, MPH, is a Kenyan reproductive health advocate and program adviser with Pathfinder International’s Kenya office based in Nairobi. Dr. Scott Moreland is a senior researcher at the Futures Group, and leads demographic work in countries around the world.
Sources: African Institute for Development Policy, Futures Group, Guttmacher Institute, Health Policy Initiative, PNAS, Population Services International, UN Population Division, World Health Organization.
Photo Credit: Adapted from “Tea picker and son,” courtesy of flickr user ROSS HONG KONG.Topics: demography, environment, family planning, gender, global health, Guest Contributor, Kenya, population, U.S., youth -
How Did We Arrive at 7 Billion – and Where Do We Go From Here? [Part One]
October 26, 2011 // By Elizabeth Leahy MadsenMOREThe United Nations Population Division has estimated world population will reach seven billion on Monday. Which changes in demographic trends led us to this milestone? What do the past and present tell us about how human numbers will change in the future?
The “Day of Seven Billion” was announced this spring following the release of the latest revision of UN population projections. Although the seven billionth person will not be precisely identified, this estimate is based on careful demographic modeling. Every two years, the UN revises its projections to incorporate the latest trend data and modify its assumptions, as seemingly small changes can make a huge difference demographically.The UN estimates that the seven billionth person alive today will be born on October 31. Demographer Elizabeth Leahy Madsen explains how we got to that number, its significance, and where our demographic path might take us from here. Read part two here.
The United Nations Population Division has estimated world population will reach seven billion on Monday. Which changes in demographic trends led us to this milestone? What do the past and present tell us about how human numbers will change in the future?
The “Day of Seven Billion” was announced this spring following the release of the latest revision of UN population projections. Although the seven billionth person will not be precisely identified, this estimate is based on careful demographic modeling. Every two years, the UN revises its projections to incorporate the latest trend data and modify its assumptions, as seemingly small changes can make a huge difference demographically.
Demography Is Driven by Fertility and Population Momentum
Since world population reached three billion in 1959, the rate of growth has increased, peaked, and begun to slow. Each succeeding milestone was reached more quickly than the last: It took 15 years to reach four billion, 13 years to hit five billion, and only 11 years to get to six billion at the end of 1998. The interval leading to seven billion was slightly longer, at 13 years, as the global rate of population growth has slowed.
Although mortality and migration also affect population trends, the factor with the greatest influence by far is fertility – the average number of children born to each woman. The decline in the global fertility rate from an average of nearly 5 children per woman in the early 1960s to 2.5 children today has in turn slowed the pace of world population growth. However, demographic momentum from previous generations of high fertility can drive population growth for decades to come. Even if Nigeria reached replacement-level fertility today, its population would still grow by one-third by 2050 as the number of births continued to exceed the number of deaths.
Assumptions Matter
Population projections consider: 1) current data about fertility and 2) assumptions about the ways fertility will change in the future. These assumptions vary depending on the source, so how much of a difference do they make? As it turns out, quite a lot.
Projections of world population in 2050 range from 8.1 billion (if fertility rates fall to a global average of 1.7 children per woman) to 10.9 billion (if they remain unchanged). The gap of nearly three billion between those possibilities is greater than the combined populations of China and India today.
Estimates vary even more widely for the end of the century, with the UN projecting that by 2100 world population could total anywhere between 6 billion (if total fertility falls to an average of 1.55 children per woman) and 27 billion (if every country’s fertility rates remain constant at today’s levels).
While demographers parse the details of the projections, policymakers would like to know which of these scenarios is more likely. After all, the economic, environmental, and political consequences of a population of 8 or 11 billion two generations hence are not the same, and a world of 27 billion is difficult for anyone to fathom.
If we simply projected past trends into the future at a steady rate, the population estimates on the low end of the fertility spectrum seem more likely. The global fertility rate has fallen from 4.5 children per woman in the early 1970s to 2.5 today, a decline of 43 percent, so the 14 percent decline projected in the medium-fertility variant between now and 2050 seems reasonable at first glance, perhaps even conservative. The medium-fertility variant assumes that all countries’ fertility rates will begin moving towards replacement level, around 2.1 children per woman, regardless of whether they are currently above or below that number.
However, even a 14 percent decline in fertility assumes that areas where fertility rates remain stalled at high levels will soon begin rapid declines, paralleling the past experience of other regions. As Population Reference Bureau demographer Carl Haub writes, “the assumption that the developing world will necessarily follow the path of the industrialized world…is far from a sure bet.”
In the last 40 years, fertility rates in the Caribbean, northern and southern Africa, Latin America, and all of Asia declined by 50 percent or more. The pace of decline in sub-Saharan Africa, while still notable, was much slower, at 23 percent. In order to meet the UN medium-variant projections, the region’s fertility rate would need to fall by nearly 40 percent by mid-century.
Some of the largest, fastest-growing populations in the developing world would need to experience a major acceleration from recent trends. In Nigeria, fertility edged down by 15 percent between 1970 and 2010, but the medium variant projection depends on a decline of 37 percent over the next four decades; Ethiopia’s fertility rate will need to fall by half.
Gender Matters, Too
The great irony of fertility trends is that gender inequities play an important role at both ends of the scale. In countries with the highest fertility rates, women tend to have less education than men and less autonomy. Their fertility choices may be greatly affected by the preferences of their husbands or other family members. In Niger, which has the highest fertility rate in the world, married men would, on average, like three more children than married women. In Uganda, where women average more than six children each, 60 percent of men report that domestic violence is justified.
By contrast, in countries with the lowest fertility rates, women have achieved equal access to education and the labor market, with more autonomy about how to earn income and what to do with it. Yet cultural expectations that place the burden for child and elder care and housework almost entirely on women can make marriage an unappealing option. In Japan, which is among the 10 lowest fertility countries in the world, more women are choosing to stay single: The marriage rate has fallen by almost half since the 1970s. Japanese women who do marry are waiting until their late 20s and tend not to give birth until they are 30, both of which result in lower average family size.
Even at this end of the demographic spectrum, the assumptions embedded within population projections seem optimistic. Japan’s fertility rate was last above replacement level in the early 1970s; it has fallen steadily to 1.3 children per woman today. The UN projections assume that fertility will immediately reverse track and begin rising to over 1.8 children per woman in 2050, rebounding above two children per woman before the end of the century.
The stalled high fertility rates in much of sub-Saharan Africa and parts of the Middle East, together with unprecedented low fertility in Eastern Europe and parts of East Asia, indicate that we are currently in an era of remarkable demographic diversity, despite the UN’s projection of future convergence.
Continue reading part two here.
Elizabeth Leahy Madsen is a consultant on political demography for the Wilson Center’s Environmental Change and Security Program and former senior research associate at Population Action International.
Sources: Boling (2008), Haub (2011), Japan Statistics Bureau, Measure DHS, UN Population Division, UN Population Fund, Washington Post.
Image Credit: Chart data from UN Population Division, arranged by Elizabeth Leahy Madsen.Topics: Asia, demography, development, Europe, family planning, Japan, Niger, Nigeria, population, Uganda, UN, video -
On the Beat
People and Wildlife Compete in East Africa’s Albertine Rift
MOREThe original version of this article, by Robert Draper, appeared on National Geographic.
The mwami remembers when he was a king of sorts. His judgment was sovereign, his power unassailable. Since 1954 he, like his father and grandfather before him, has been the head of the Bashali chiefdom in the Masisi District, an undulating pastoral region in eastern Democratic Republic of the Congo (DRC). Though his name is Sylvestre Bashali Mokoto, the other chiefs address him as simply doyen – seniormost. For much of his adult life, the mwami received newcomers to his district. They brought him livestock or other gifts. He in turn parceled out land as he saw fit.
Today the chief sits on a dirty couch in a squalid hovel in Goma, a Congolese city several hours south of Masisi. His domain is now the epicenter of a humanitarian crisis that has lasted for more than a decade yet has largely eluded the world’s attention. Eastern Congo has been overtaken by thousands of Tutsi and Hutu and Hunde fighting over what they claim is their lawful property, by militias aiming to acquire land by force, by cattlemen searching for less cluttered pastures, by hordes of refugees from all over this fertile and dangerously overpopulated region of East Africa seeking somewhere, anywhere, to eke out a living. Some years ago a member of a rebel army seized the mwami’s 200-acre estate, forcing him, humiliated and fearing for his safety, to retreat to this shack in Goma.
The city is a hornet’s nest. As recently as two decades ago Goma’s population was perhaps 50,000. Now it is at least 20 times that number. Armed males in uniform stalk its raggedy, unlit streets with no one to answer to. Streaming out of the outlying forests and into the city market is a 24/7 procession of people ferrying immense sacks of charcoal on bicycles or wooden, scooter-like chukudus. North of the city limits seethes Nyiragongo volcano, which last erupted in 2002, when its lava roared through town and wiped out Goma’s commercial district. At the city’s southern edge lies the silver cauldron of Lake Kivu – so choked with carbon dioxide and methane that some scientists predict a gas eruption in the lake could one day kill everyone in and around Goma.
The mwami, like so many far less privileged people, has run out of options. His stare is one of regal aloofness. Yet despite his cuff links and trimmed gray beard, he is not a chief here in Goma. He is only Sylvestre Mokoto, a man swept into the hornet’s nest, with no land left for him to parcel out. As his guest, a journalist from the West, I have brought no gifts, only demeaning questions. “Yes, of course my power has been affected greatly,” the mwami snaps at me. “When others back up their claims with guns, there is nothing I can do.”
Continue reading on National Geographic.
Photo Credit: “Aerial View of Goma,” courtesy of UN Photo/Marie Frechon.Topics: Africa, agriculture, Burundi, conservation, development, DRC, environment, environmental security, forests, land, On the Beat, population, Rwanda, security, Uganda -
From the Wilson Center
Health and Harmony: Population, Health, and Environment in Indonesia
MOREBorneo’s Gunung Palung National Park is a microcosm of both the island’s ecological wealth and vulnerability. More than half of the park is undisturbed forest; the remainder, however, “is being torn down day after day” at an alarming rate, said Health in Harmony’s Nichol Simpson at an event on integrated approaches to population, health, and environment (PHE) programs in Indonesia. Alene Gelbard of the Public Health Institute’s Company-Community Partnerships for Health Indonesia (CCPHI) program joined Simpson on September 29 at the Wilson Center. Both speakers emphasized that no matter what issue a group works on, engaging local communities is essential for success.
The Destructive Cycle: Poor Health, Poor Environment
For Simpson, “the intersection between human and environmental health” is at the heart of Health in Harmony’s work. Health in Harmony opened Clinic ASRI in 2007, aiming to provide improved healthcare to villagers throughout Gunung Palung National Park while ending their dependence on illegal logging as a means of financial survival.
The area’s inhabitants were all too easily trapped in what Simpson called “the destructive cycle.” When faced by an unexpected medical emergency, families would go into debt to pay their medical bills. Health in Harmony found that of 232 local households surveyed, 13 percent had recently experienced a major medical emergency, at an average cost of $360. Most households in the area only hold around $260 in emergency savings, so to make up the difference, about a third turned to illegal logging to pay down their debt.
By deforesting the park, illegal logging worsens the health of nearby communities. For example, Simpson said that Clinic ASRI has seen a rise in cases of malaria and tuberculosis in the surrounding communities, in part because deforestation has increased the level of mosquito activity. The link between human and environmental health is clear, said Simpson: the people ASRI serves are “living it every day. They know the cause of this. And…they want it to stop.”
Protecting Natural Resources By Improving Health
The Health in Harmony clinic located in Sukadana, a small village sandwiched between Borneo’s coast and Gunung Palung Park, helps break the destructive cycle by treating patients regardless of their ability to pay. If patients do not have cash, they can barter for their care. In one case, a girl named Yani came to ASRI after her family incurred $500 over two months of visiting hospitals and traditional healers, none of whom could treat her condition. ASRI diagnosed and treated Yani for scabies. In exchange, her mother signed a pledge to protect Gunung Palung from logging and made the clinic a floor mat to cover the $1.50 bill.
By providing affordable, high-quality healthcare that is contingent upon pledging to protect the environment, Clinic ASRI improves human and environmental health in one fell swoop, said Simpson. “Because the infant mortality rate has decreased and you’re not overcompensating,” said Simpson, families can choose to have fewer children, using free birth control provided by ASRI.
“When you have fewer and healthier children, you’re investing in your education,” said Simpson. “When you’re investing in your education, you’re investing in your country and your community. This is the virtuous cycle. I didn’t invent it, but we are proving it in Sukadana.”
The communities around the clinic have embraced ASRI’s work, partnering with them to expand their services to address additional community needs, like training farmers in more productive organic methods and providing mated pairs of goats for widows, who pay ASRI back with kid goats and manure for fertilizer.
All but one of the 23 villages that ASRI services have been consistently free of illegal logging, according to monitors who visit them on a regular basis. “We’re proving the theory that we can protect natural resources by improving health,” Simpson said.
“Health Is Key to Sustainable Development”
Gelbard took a step back to talk about CCPHI’s experience establishing multi-sector partnerships among NGOs and corporations by building trust and enabling dialogue between the communities.
With corporate responsibility becoming more popular, “everyone’s talking about partnerships these days, and everybody’s partnering with everyone,” said Gelbard. “I don’t care what they call it – I care what they’re doing” and what results they achieve, she said. A successful partnership involves “all partners doing something more than just giving money.”
Gelbard said the 2004 tsunami reinforced the notion of corporate responsibility for a lot of companies operating in Indonesia. They saw that unless they branched out beyond their own walls and “did things to help strengthen communities,” efforts at corporate responsibility simply “would not benefit them in the long-run,” she said.
Through CCPHI, companies and NGOs have partnered on a wide range of efforts, including improving access to and funding for reproductive health services, improving sanitation by increasing access to water, and combating human trafficking by empowering girls and women.
Achieving the Millennium Development Goals will require increasing access to health care in a manner that reflects the needs of communities, she said. At its core, CCPHI’s work and the partnerships it facilitates are “based on the knowledge that health is key to sustainable development,” said Gelbard.
Event Resources
Sources: Alam Sehat Lestari, American Journal of Tropical Medicine and Hygiene, Company-Community Partnerships for Health Indonesia, ExxonMobil, The Guardian, Health in Harmony, National Geographic, PBS News Hour, Public Health Institute, Republic of Indonesia Ministry of Forestry, United Nations, World Wildlife Fund
Photo Credit: Used with permission courtesy of ASRI and Nikki See, Under-told Stories. -
PHE Is One Great Idea That Won’t Be On the Rio Agenda, Says Roger-Mark De Souza
October 17, 2011 // By Sean PeoplesMORE“I am now serving as an example to other women in the community because I am not having any more children. I have received training in sustainable agricultural practices, I’m generating income, and I’m educating others,” said Berhane Ferkade, an Ethiopian farmer, to Population Action International’s Roger-Mark De Souza earlier this year. The 39-year-old mother of 11 become one of the community’s model farmers after working with LEM Ethiopia – a local population, health, and environment (PHE) development organization.
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