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What Are the Most Important Factors in the Failed States Index?
›Last week, the Fund for Peace issued its eighth annual Failed States Index (FSI). The index gives 177 countries a score between 1.0 and 10.0 for 12 indicators, ranging from the legitimacy of the state and the security apparatus to demographic pressure and uneven development (high being bad, low being good – see full descriptions of the indicators here). But which of these indicators has the biggest impact? We did a quick analysis of the Failed States Indexes published from 2006 to 2012 to show which of the indicators correlate most with a high score. (We skipped 2005 since the roster of analyzed countries was significantly smaller.)
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IPPF and Partners Connect Reproductive Rights With the Environment and Development
›A new framework for sexual and reproductive health is needed, argued panelists in a recent event at the Wilson Center, and the Rio+20 conference on sustainable development would have been the place to start. An international consensus around women’s human rights was developed at the International Conference on Population and Development in Cairo in 1994, but Carmen Barroso, director of the International Planned Parenthood Federation’s Western Hemisphere Region, said there has been slow implementation, little funding, and furthermore the world has changed significantly since then.
Barroso was joined by Latanya Mapp Frett, vice president of Planned Parenthood Global, as well as two representatives of Planned Parenthood partner organizations, Marco Cerezo of FUNDAECO and Ben Haggai of Carolina for Kibera.
New challenges to the reproduce rights landscape include the rapid spread of HIV/AIDS and decreased funding for international programs. But new opportunities include rapid dissemination provided by the internet and globalization and a subsequent mobilization of youth. “Young people are the largest cohort in history,” Barroso said in an interview with ECSP, both in absolute numbers and in percent of the population. “We have a historical opportunity [to incorporate] them in these decision-making processes.” Additionally, gender and health issues are incresaingly seen by many as linked with the environment and development.
Intersection of Health and the Environment
Marco Cerezo’s FUNDAECO (Foundation for Ecodevelopment and Conservation) is an example of Planned Parenthood’s partnership with other organizations. Based, in rural Guatemala, they shifted from primarily focusing on conservation and sustainable development to incorporating women’s health after finding a vicious cycle of poverty, high fertility, and environmental degradation in the places they worked.
Women’s health was so dire it was holding development back, Cerezo said. “Sustainable community development will not be possible without the education, empowerment, and support to rural women,” they write in their mission statement.
FUNDAECO now acts as a model for the intersection between reproductive health and the environment. Cerezo reported that once women are healthy and empowered through clinics established by FUNDAECO, they become more active in all aspects of the community, including ecological preservation.
Building Healthy Communities
Ben Haggai, who works in Nairobi’s biggest slum, Kibera, further reiterated the need for integrated programs. Carolina for Kibera has a number of programs to improve the quality of life for residents, he said, and has a particular focus on youth with sports associations and education programs.
Youth are the best reproductive health educators, Haggai said, as they are able to talk frankly with their peers. The NGO trains peer youth educators to reach out to community members about reproductive health and other issues like substance abuse. Since the young people work as volunteers, Haggai said, they are motivated only by a desire to improve their communities.
A Natural Intersection
Latanya Mapp Frett agreed that sexual and reproductive health aligns quite naturally with issues of sustainability. “We try to work in the countries overseas in Latin America and Africa where we focus particularly on non-traditional health sectors,” she said in an interview with ECSP following the panel. “One of those sectors is the environment.”
While emphasizing that contraceptive use is a cost-effective way to ensure sustainable development, Mapp Frett cautioned against framing sexual and reproductive health only in the context of reducing fertility. While this may have been common in the past, she noted, it’s important to ensure that women have the right to make childbearing choices for themselves.
Mapp Frett also urged policymakers in the United States to look to developing countries for intersections between development, the environment, and reproductive health. She said that Planned Parenthood’s partner organizations, including FUNDAECO and Carolina for Kibera, have found these connections and successfully partnered with already existing networks like churches to more effectively reach the community.
Translating Into Effective Action
Each member of the panel spoke about the challenge of articulating the need for sexual and reproductive health programs to people outside the field. Barroso mentioned research conducted by Brian O’Neill which found that meeting the current unmet need for contraception would slow population growth enough to reduce emissions by 17 percent.
Cerezo emphasized the importance of consensus among the staff of a given organization, saying it is difficult to make a case to agronomists and farmers if a culture clash exists within the institution. Haggai agreed, adding that focusing on reproductive issues is an important measure of prevention which helps protect both the environment and the health of women in a community.
For Mapp Frett, women’s reproductive and sexual health is indivisible from other aspects of development. “As you talk about sustainable development, you talk about ensuring that women are empowered to make sure that our earth is sustainable,” she said.
Assessing Rio+20
The panel took place before the UN Conference on Sustainable Development got underway in Rio. Participants had high hopes for a renewed focus on gender and reproductive rights at the conference. Unfortunately, language on reproductive rights was first weakened and then omitted entirely from the final outcome document (see the account written by ECSP’s Sandeep Bathala at Rio for more on the conference).
While pressure from the Vatican and the G-77 kept reproductive health out of the outcome document, it was not entirely forgotten at the conference. A number of side events highlighted the importance of reproductive rights, especially in the context of the environment and development.
Hillary Clinton also re-affirmed U.S. commitment to access to contraception and reproductive health care. “Women must be empowered to make decisions about whether and when to have children,” she said at the conference on Friday. “And the United States will continue to work to ensure that those rights are respected in international agreements.”
Clinton shared the urgency expressed by the panelists at the Wilson Center. “There is just too much at stake, too much still to be done,” she said. “We simply cannot afford to fail.”
Event Resources:Sources: FUNDAECO, UN Conference on Sustainable Development, U.S. Department of State.
Photo Credit: Sean Peoples/Wilson Center. -
Poor Planning, Population Boom Stress Abuja’s Water System, Says Pulitzer Center
›June 26, 2012 // By Graham NorwoodNigerian journalist Ameto Akpe, who recently spoke as part of the Wilson Center’s “Nigeria Beyond the Headlines” event, has published a new article on water scarcity in Abuja, Nigeria’s capital city, for the Pulitzer Center on Crisis Reporting’s “Waiting for Water” series.
Abuja faces acute shortages due to insufficient government planning and a major population boom, she writes:The FCT [Federal Capital Territory] has seen an unprecedented population growth in the last 10 to 15 years. In 2006, population growth rate was pegged at 9.3 percent, the highest rate in the country and way above what the city’s planners envisaged. Recently, increased migration to the city has been spurred by terrorism attacks in the North, numerous incidences of kidnappings in the South, and the generally high unemployment rate in the country as millions of young graduates pour into the city in search of the very elusive promise of a “government job.”
Read the full article on the Pulitzer Center website.
Jibril Ibrahim, the Director of the FCT water board, the agency solely responsible for the production and supply of water in the territory, admits that the authorities did not see this coming. He says this unexpected population growth has overwhelmed existing water infrastructure and ruined the careful plans for water service delivery in the territory.
“This is what has made nonsense of the design we have in the city,” Ibrahim says. “Nobody believed that we were going to have this huge number of people and not even within this space of time.”
Patience Achakpa, executive secretary for the Women’s Environment Programme, believes that the government should have foreseen the potential attraction a city like Abuja presents to the urban migrant and should have put in place more efficient plans.
This lack of foresight means there is no pipe reticulation in many districts, particularly in peripheral areas. Even government housing projects are routinely built without being connected to the grid, simply lacking the crucial distribution network that would bring water to individual homes. Thus each household is forced to sink its own borehole, which in the long run has obvious implications on ground water.
Photo Credit: A water point in Gishiri, Abuja, courtesy of Ameto Akpe/Pulitzer Center. -
Laurie Goering, AlertNet
Pop at Rio+20: Brazil a Model for Slowing Population Growth, Say Experts
›June 21, 2012 // By Wilson Center StaffThe original version of this article, by Laurie Goering, appeared on AlertNet.
Rosimere Lopes knows what she does not want in life.
The 23-year-old, who lives in Cachoeirinha, a hillside slum in Rio’s gritty North Zone, was born when her mother was just 16, and grew up taking care of her five younger brothers and sisters while her mother worked.
As a result of missing so much education, she’s still trying to finish high school. But she has accomplished one important thing – she has no children of her own yet, despite having a regular boyfriend.
“My mother got pregnant at 16 so I know the consequences. I don’t want that,” she said. “I want to do better.”
In the last decade, Brazil has undergone a family planning revolution. In 2000, the country’s birthrate was 2.4 children per woman, already dramatically down from decades past. Today it has dropped to 1.9 children, below replacement level and on a par with many developed countries.
That slowdown, built on making available better information and contraceptives, and on growing urbanization, is increasingly looked at as a model by experts around the world trying to find ways to dampen population growth and consumption – both linked to accelerating climate change and resource scarcity.
Continue reading on AlertNet.
Sources: UN Population Division.
Photo Credit: A grandmother, mother, and child in Brasilia, courtesy of flickr user babasteve (Steve Evans). -
Vicky Markham, RH Reality Check
Pop at Rio+20: Favelas and Protests
›June 20, 2012 // By Wilson Center StaffThe original version of this article, by Vicky Markham, appeared on RH Reality Check.
This morning I ventured the opposite direction from Rio Centro where the UN Rio+20 negotiations are taking place, and travelled with colleagues to the Cachoeirinha (I was told it means “waterfall”) favela in Rio de Janeiro. These shantytowns are quite common in Rio, well over one million strong, located within and around the city limits. This particular one has 37,000 residents.
We made the trip to visit the Brazilian Society for Family Welfare (BEMFAM) reproductive health and family planning clinic there, and were treated to a gathering of youth already discussing the facts of life, and more, with a BEMFAM counselor. This is especially poignant because youth in Brazil, similar to youth worldwide, are key to the issues we are debating here at the UN Rio+20 meetings just a few miles away. The Brazilian youth demographic, and the world’s, is the largest ever in history – it’s called the “youth bulge” – and from favelas, to cities, suburbs and rural areas everywhere, they represent the decision makers for the world’s future at all levels.
Here at the BEMFAM clinic, an affiliate of the International Planned Parenthood Federation’s array of family planning clinics worldwide, youth have weekly meetings and can come in daily if needed for their reproductive health needs. We entered to find about 25 adolescents sitting in a circle in very animated discussion about how they viewed sexuality, reproductive health, being young, their feelings and emotions about this period in their life. Through translators we learned so much from these adolescents and young adults, and once revealed I can’t help but feel how similar they are to our own youth. They cared about their friends, family, (how much their parents don’t know), going to college, getting jobs, raising families, school, and having fun. One glaring difference that emerged however is accessibility to many of their hopes and dreams – resources to come by any of their plans are scarce, and few will likely see college or even jobs from what they told us. This however did not make them dour or negative; they were bright, committed, compelling, cheerful, very well-spoken, and passionate about all they relayed to us.
Continue reading on RH Reality Check.
Photo Credit: “Riocinha Favela – Rio de Janeiro Brazil,” courtesy of flickr user David Berkowitz. -
Pop at Rio+20: Cairo, Rio, and Beyond
›June 18, 2012 // By Sandeep BathalaGreetings from Rio de Janeiro! I will be blogging from the UN Conference on Sustainable Development throughout the week, tracking the inclusion of reproductive health and rights in the agenda.
Population dynamics have significant influence on sustainable development but the two have not always been seen as connected.
This year’s conference is the follow-on to the original UN Earth Summit held in Rio in 1992 (thus Rio+20). The resulting documents from that conference – Agenda 21, the Rio Declaration on Environment and Development, and the Statement of Principles for the Sustainable Management of Forests – were adopted by more than 178 governments and have done much to set the sustainable development agenda over the last two decades. Population dynamics were largely left off the table and instead were taken on separately, and in parallel, at the International Conference on Population and Development in Cairo in 1994.
This year, watchers from across the spectrum are eager to see these two issues talked about in a more integrated fashion. The official proceedings don’t start until the 20th, but side events have already begun.
At the first of Population Action International’s side events, appropriately named “From Rio to Cairo to Rio…and Beyond,” Eliya Zulu, executive director of the African Institute for Development Policy, said that virtually all development policies in sub-Saharan Africa cite population growth as an inhibitor to sustainable development and efforts to alleviate poverty, ensure food security, and preserve the environment. Furthermore, climate change is increasingly seen as a major threat to sustainable development in Africa. Policymakers in the region recognize the linkages between population, climate change, and sustainable development; however, little integration of these issues – operationally or conceptually – has been achieved.
Michael Herman, a technical adviser on population and economic development at the United Nations Population Fund, reminded audience members that demographic projections, like those predicting 10 billion by mid-century, are not destiny: population growth or decline is affected by policies, which should include human rights-based access to voluntary family planning.
Doris Mpoumou, an international policy officer at International Planned Parenthood Federation’s Western Hemisphere Regional Office, concluded the event by describing efforts to ensure that the Rio+20 outcome document being negotiated recognizes several key points. First, that population dynamics influence production and consumption rates; second, that population dynamics are relevant to the management of resources and sustainable development planning; and third, that population dynamics should be carefully integrated into development strategies and environmental planning with a focus on human rights.
Stay tuned here for more updates from Rio+20 and follow us on Twitter. I’ll be at every population-environment event I can get to and will also be visiting a favela with IPPF to see first-hand the ways Brazilians cope with the challenges of sustainable development.
Photo Credit: View of Rio de Janeiro from a mountain in Tijuca National Forest, courtesy of Michos Tzovaras/UN Photo. -
Nancy Lindborg, The Huffington Post
For Yemen’s Future, Global Humanitarian Response Is Vital
›June 12, 2012 // By Wilson Center StaffThe original version of this article, by Nancy Lindborg, appeared on The Huffington Post.
This weekend in Sana’a, I had dinner with a group of young men and women activists who are on the forefront of Yemen’s historic struggle for a better future. They turned out for change with great courage last year, and at dinner, with great eloquence they outlined for me the many challenges facing Yemen during this critical transition period: conflict in the north and south, weak government institutions, cultural barriers to greater women’s participation, an upended economy, and one of the world’s highest birthrates. And, as one man noted, it is difficult to engage the 70 percent of Yemeni people who live in rural areas in dialogue about the future when they are struggling just to find the basics of life: food, health, water.
His comment makes plain the rising, complex humanitarian crisis facing Yemen. At a time of historic political transition, nearly half of Yemen’s population is without enough to eat, and nearly one million children under the age of five are malnourished, putting them at greater risk of illness and disease. One in 10 Yemeni children do not live to the age of five. One in 10. This is a staggering and often untold part of the Yemen story: a story of chronic nationwide poverty that has deepened into crisis under the strain of continuing conflict and instability.
Unfortunately, in communities used to living on the edge, serious malnutrition is often not even recognized in children until they are so acutely ill that they need hospitalization.
Continue reading on The Huffington Post.
Nancy Lindborg is the assistant administrator of the Bureau for Democracy, Conflict, and Humanitarian Assistance at the U.S. Agency for International Development.
Sources: U.S. Department of State.
Photo Credit: Informal settlements near the Haddjah governorate, courtesy of E.U. Humanitarian Aid and Civil Protection. -
Family Planning and Results-Based Financing Initiatives
›“Family planning means healthier moms and kids – and it’s good for development too,” said Lindsay Morgan, a senior health analyst at Broad Branch Associates, a healthcare advocacy group. But any number of hurdles can keep women from accessing family planning services. Morgan spoke at a May 21 discussion about results-based financing (RBF) programs, which aim to address hurdles on both the supply and demand sides of the equation in developing countries by incentivizing the provision of a variety of quality services while removing barriers to access for women in need of those services.
Removing Barriers to Providing and Using Family Planning Services
Incentives in RBF programs can come in a variety of forms – like subsidies or fees paid to clinics or vouchers sold to women, said Morgan. In Burundi, for example, under a pilot program rolled out across three provinces in 2006, health facilities receive payments for each patient that uses a modern method of contraception. In 2009, the government and international partners began scaling up the program to a nationwide level. In addition to expanding the program’s geographic reach, the scale-up incorporated new payment criteria to better incentivize quality of care (as opposed to just quantity) and longer-lasting methods of contraception.
Since the RBF pilot began, maternal and child health indicators have improved. The number of children being fully immunized is up, as is contraceptive prevalence, said Morgan. Additionally, those immediate results can lead to a slew of additional benefits down the line. For instance, improving modern contraceptive prevalence is one of the most cost-effective interventions available for reducing maternal death, she said.
In nearby Kenya, the health ministry leads a voucher system across four districts and two Nairobi slums to help some of the country’s poorest women afford maternal healthcare, family planning, and gender-based violence services.
The program is “written into large policy documents [and] strategic pieces,” including Vision 2030, a long-term government-wide strategy document “unveiled in 2008 as a way to reach middle-income country status by 2030,” said Ben Bellows, a reproductive health associate at Population Council Kenya. The government’s emphasis on the voucher program as more than just a health initiative is an acknowledgment of the downstream impact that improved maternal and reproductive health can have on the country’s development, he said.
“An Equity Gap in Family Planning”
However, the fact that the voucher program is needed at all is evidence of “an equity gap in family planning,” Bellows said. Access to family planning services can be significantly skewed depending on a woman’s income level, he said, pointing to a recent article in The Lancet assessing health inequalities in 12 different maternal and child health services across 54 priority Millennium Development Goal countries.
The equity gap reflects “an interesting problem with development,” said Bellows: Though low-income countries are converging with higher income countries, in terms of economic growth rates and income levels “the benefits of growth aren’t being evenly distributed.” The Africa Progress Panel’s annual report, released last month, echoes that point, he said.
“Governments are failing to convert the rising tide of wealth into opportunities for their most marginalized citizens,” the report concludes, and “unequal access to health, education, water and sanitation is reinforcing wider inequalities.”
Kenya’s voucher system is designed to help shrink that gap. Among the poorest of the poor – those benefitting from the system – inequalities are dropping, even if on a broader scale, inequity still exists between poor and wealthy Kenyans. “We’re seeing lower inequalities of service in areas exposed to the voucher,” said Bellows.
“RBF supports progress on a path towards universal health coverage,” said Beverly Johnston, the senior policy advisor at USAID’s Office of Population and Reproductive Health. And within the context of family planning “the whole idea is to level the playing field” so that all contraceptive methods are equally readily available to the women seeking them.
“A Catalyst for Change” in Family Planning
In addition to addressing equal access concerns, RBF programs can serve as “a catalyst for change…to stimulate quality of care and quality of family planning counseling in particular,” said Johnston.
A commonly cited hurdle to better family planning access is social norms that support large family sizes or otherwise limit a woman’s ability to space or limit her pregnancies. Given community health workers’ unique roles within their communities – “often on the front lines…where many of these social taboos and barriers exist,” as Morgan described – simply strengthening their training, and in turn improving the quality of care that women receive, can help counter norms that might otherwise prohibit access to family planning.
As more women receive higher quality care, norms dissipate even further, said Morgan. “There is evidence that [quality of care] is strongly associated with a woman’s decision to choose a method to use, to continue to use it, and to recommend it to others.”
“Rights Are Tantamount”
One trap RBF programs need to be aware of is over-incentivizing expansion of coverage to the detriment of quality or individual women’s concerns about what makes sense for them, said Johnston.
“Rights are tantamount,” she said. In order to ensure that rights are upheld, programs must reflect and be sensitive to local histories and local needs – particularly given the fact that some countries have had “a history of coercive programs and policies.”
Ultimately, “we really look at RBF as just one tool,” said Johnston. “RBF is not for every place and every context,” and neither is family planning’s place in RBF programming.
As one tool of many, RBF programs are gaining prominence as a way to meet MDGs related to maternal and child health. Bellows sees RBF’s importance lasting long past that 2015 deadline, though.
“The high inequity that we witness across many low-income countries, and the ability of targeted mechanisms [like Kenya’s voucher program] to address that, suggest that this may be a kind of generalized solution,” he said. “Obviously it will be context specific in the way in which it is rolled out, but the strategy of incentivizing clients and providers suggests that there’s some sort of globalized solution that could be considered for this widespread challenge.”
Event Resources
Photo Credit: Sean Peoples/Wilson Center.
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