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Jake Naughton, Pulitzer Center for Crisis Reporting
Pulitzer Center Launches Collaborative Reporting Project on Reproductive Health
›The original version of this article, by Jake Naughton, appeared on the Pulitzer Center for Crisis Reporting blog.
The Pulitzer Center launched its collaborative reproductive health-reporting project at this year’s International Conference on Family Planning (ICFP) in Dakar, Senegal. The project brings together four journalists from Africa and four from the United States who will collaborate to enhance local and international reporting about reproductive health across the continent.
The African journalists are Mae Azango of Liberia, Estelle Ellis of South Africa, Sam Olukoya of Nigeria, and Ken Opala of Kenya. Their U.S. counterparts are Christian Science Monitor correspondent Jina Moore; New Yorker editorial staffer Alexis Okeowo; and the Pulitzer Center’s managing director Nathalie Applewhite and visual media coordinator Jake Naughton.
More than two thousand reproductive health professionals and hundreds of journalists from all over the world participated in the conference, which sought to shine a spotlight on the unmet need for family planning services worldwide, and to focus on integrating family planning into general health services.
Continue reading on the Pulitzer Center for Crisis Reporting blog.
Video Credit: “Meet the Journalists: Dakar,” courtesy of the Pulitzer Center. -
Famine and Food Insecurity in the Horn of Africa: A Man-Made Disaster?
›This year’s drought in the Horn of Africa has been the region’s worst in decades and has exploded into a humanitarian catastrophe affecting millions. In Somalia, where the drought is layered on top of two decades of conflict and an extremely weak state, the impact of the drought has been most damaging. Somalia is the only country in the region where the UN has declared famine zones. And, even though the UN recently upgraded three of Somalia’s six famine areas to “lesser emergencies,” four million Somalis – more than half the country’s population – remain in urgent need of food and general humanitarian aid.
The drought may have been what sparked the current crisis, but other, longer-term factors, like a sustained lack of agricultural development, extreme rural poverty, and changing weather patterns, not to mention Somalia’s lack of functioning government, set the stage.
A Long-Term Crisis in the Making
“Lack of rainfall over several seasons is the most immediate and most visible cause of the current humanitarian crisis in the Horn of Africa,” said Jim Hansen of the Consultative Group on International Agricultural Research (CGIAR) in a brief video produced this summer by the International Research Institute for Climate and Society at Columbia University (watch above). Much of the Horn’s population “depends on rain-fed agriculture and pastoralism for their livelihoods and sustenance,” said Hansen. Already “quite poor and…locked in poverty for quite a long time,” environmental and resource degradation, paired with rapid population growth, have compounded their vulnerability to extreme events, he said.
Throughout the region, resilience to crises like the current drought has been weakened by decades of poor agricultural planning, “driven more by shifts in ideology than any real evidence among some of the key international development organizations,” said Hansen. That poor planning has made communities more dependent on humanitarian aid when poor weather hits, which in turn forces aid groups to redirect resources away from longer-term development and towards short-term disaster relief instead, Hansen said.
While these problems exist across the Horn of Africa, Hansen points out that the crisis has been most damaging in Somalia, which he attributes to the country’s weak governance and to international aid groups’ limited ability to operate in the country.
“Northern Kenya, southern Ethiopia, and Somalia have similar severity of drought, but the humanitarian crisis is much more severe – the loss of livelihood and life is greater in Somalia largely because the government is weaker,” he said.
The Government’s Role
Owen Barder, a senior fellow at the Center for Global Development, draws a more direct line between governance and famine in the Horn. “In Somalia…there’s a complete breakdown of government, and the consequence is the famine that we’re seeing,” said Barder during a Center for Global Development podcast. The country has been without a functioning government since 1991, when civil war broke out. It has since become “the most food-insecure nation in the world” and, as described by Foreign Policy, “the international community’s longest-running failure.”
Barder raised two points about the government’s role in famine. One, that access to information – in this case an early warning system monitoring drought conditions – can minimize the humanitarian impact of any given natural disaster; and two, that a country’s government must be able to translate that information into action in order for it to actually make a difference.
Barder is not alone in emphasizing the state’s role as a driver of the famine. Edward Carr, a AAAS science fellow with USAID, wrote in July, when the UN first declared famine in Somalia, that attributing the famine solely to drought is “a horrible abdication of responsibility for the human causes of this tragedy.”
Charles Kenny, also a senior fellow at the Center for Global Development, went even further on Foreign Policy, arguing that famine, or “mass starvation as an intentional act of governance,” should be categorized as a crime and prosecutable at the International Criminal Court.
Al Shabab and the Months Ahead
As of late November, the United Nations estimated that tens of thousands had died in Somalia alone since drought began this spring. Though USAID’s Famine Early Warning Systems Network (FEWSNET) reports that famine has now subsided in three of the six southern regions it initially struck, a quarter of a million Somalis remain at risk of “imminent starvation,” according to the UN.
According to FEWSNET, famine should not reappear in the foreseeable future, assuming aid groups can maintain current distribution levels – a key caveat. Ten days after FEWSNET issued its analysis, however, Al Shabab, the Al Qaeda-linked militant organization that controls much of southern Somalia, banned 16 aid groups, including UNICEF and the World Health Organization, from operating in the areas under its control. UNICEF spokesman Jaya Murthy told the BBC that the move would put “about 160,000 severely malnourished children…at imminent risk of death.”
Fighting in southern Somalia between Al Shabab and Kenyan and Ethiopian forces is adding another layer to the country’s humanitarian crisis. The UN Office of the High Commissioner for Refugees reported that, as of late November, the fighting had become the primary driver of internal displacement, replacing drought and famine as the key drivers during the first three quarters of the year. The UNHCR estimated that, between the drought and the conflict, 1.46 million Somalis have been displaced.
Meanwhile, the rainy season is picking up, and although that’s good news for farmers and pastoralists, it also means that Somalis will be vulnerable to diseases like measles, typhoid, and cholera, which can spread quickly through overcrowded, under-supplied IDP camps. Somalis still living under Al Shabab’s control are prohibited from getting vaccinations, amplifying their vulnerability to disease in the coming months.
These latest developments offer strong evidence that policy decisions can exacerbate the human toll of natural disasters. From Barder’s perspective, that is reason for optimism. “We have the information, we have the capacity to prevent it from happening,” he said.
For more on Somalia’s underlying demographic issues, see Elizabeth Leahy Madsen’s post “In Somalia, Beyond the Immediate Crises, Demography Reveals a Long-Term Challenge.”
Sources: AlertNet, Associated Press, BBC, Famine Early Warning Systems Network, Foreign Policy, Huffington Post, The New York Times, UNHCR, UN News Centre, Voice of America.
Video Credit: “Jim Hansen on Food Security in East Africa,” courtesy of the International Research Institute for Climate and Society on vimeo; image credit: FEWSNET/USAID. -
Can “Climate-Smart Agriculture” Help Feed Africa’s Growing Population?
›December 13, 2011 // By Brenda ZuluFood production needs to increase 70 percent by 2050 to meet the demands of a growing world population, said former UN Secretary-General Kofi Annan in a keynote address on “climate-smart agriculture” at a COP-17 event hosted by the World Bank and African Union. Annan, who is now chairman of the Alliance for a Green Revolution in Africa (AGRA), said this was a particular concern in Africa, where four out of five citizens are dependent on agriculture for their livelihoods.
One in seven people in the world do not have enough food to eat, Annan said, and climate change is expected to make this challenge more difficult to overcome. Climate-smart agriculture includes a wide variety of techniques that help increase the resilience of communities and protect them from extreme weather events, such as terracing to prevent soil erosion, improving weather forecasting, managing water runoff, and developing irrigation systems.
“Climate change affects us by undermining our resource base through water and soil degradation,” said Prime Minister of Ethiopia Meles Zenawi at the event. “There is need to protect the resources and to rehabilitate green areas of our land.” He said that since 70 percent of Africans are small-scale farmers and that most of the poor in Africa were farmers, there is no better way to fight poverty on the continent than through agriculture.
South African President Jacob Zuma said at the event that given that the UN projects a population of more than nine billion people in the world by 2050, agriculture should be a priority as it is more vulnerable to climate change than any other sector.
“Climate-smart agriculture includes proven practical techniques such as mulching, intercropping, conservation agriculture, integrated crop management and agro forestry, improved grazing, and innovative better weather management,” he said, all of which have the potential to help increase crop yields.
Mary Robinson, chair of the Global Leaders Council for Reproductive Health, said there could be no smart agriculture without integrating women’s issues, because climate change affects women disproportionately. “Women make the connection between climate-smart agriculture, food security, and gender,” she said.
“Our ability to feed the growing population under climate variability and change will require new expertise and harmonized efforts,” said Robinson.
Annan agreed, saying African women should be fully involved in early action that can support technical assistance, such as screening agriculture plans to ensure they are “climate smart” as well as integrating climate resilience and mitigation into ongoing poverty-reduction programs and testing new approaches.
But according to Brylyne Chitsunge, a farmer from Pretoria speaking on the panel, things will need to change considerably from the status quo. “The small-scale farmer remains very much marginalized in institutions,” she said. “They exist on paper but they really don’t exist.”
Brenda Zulu is a member of Women’s Edition for Population Reference Bureau and a freelance writer based in Zambia. Her reporting from the COP-17 meeting in Durban (see the “From Durban” series on New Security Beat) is part of a joint effort by the Aspen Institute, Population Action International, and the Wilson Center.
Sources: World Bank, World Food Programme.
Photo Credit: “Cultivated hillsides,” courtesy of flickr user coda (Damien du Toit). -
Sanitation and Water MDGs in the Middle East and North Africa: Missing the Target?
›Goal 7, Target 10 of the United Nations Millennium Development Goals (MDGs) is to “halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation.” The Joint Monitoring Programme (JMP), established by the UN to monitor progress towards this goal, has twice concluded (in 2008 and 2010) that the Middle East and North Africa (MENA) are in good shape to meet this target. However, a new article in Development and Change, “The Politics of Assessment: Water and Sanitation MDGs in the Middle East,” by Neda Zawahri, Jeannie Sowers, and Erika Weinthal, argues that the JMP’s “reliance on classifying ‘improved’ and ‘unimproved’ water and sanitation infrastructure, through infrequent household surveys, has produced misleading assessments that fail to capture the extensive water quality and sanitation problems plaguing the MENA.”
The authors compared the findings of the JMP with a variety of data sources – participatory assessments, reports from other UN agencies, donor projects, domestic ministries and agencies, and academic research – and found major contradictions between the progress reported by the JMP and the situation on the ground. In one example, the authors write that “while the JMP considers piped household water as an improvement in water coverage, it fails to differentiate between ‘full’ coverage and ‘partial’ coverage, that is, household water supplies available only a few hours a week.” And the authors point out that according to UN-Habitat, “the availability of piped water does not necessarily translate into safe drinking water, as water may become contaminated before it reaches the tap.”
As a result of the weakness of the indicators used by the JMP, household surveys conducted by the JMP in the MENA region “[do] not adequately capture the quality of drinking water,” the authors write, and efforts to address this inadequacy through more comprehensive testing of municipal water samples were deemed “too complex to be routinely employed through the world” and “prohibitively expensive.”
“International organizations and national leaderships in the MENA lack substantial incentives to adopt more accurate assessments for safe water and sanitation,” Zawahri et al. conclude. The need to generate comparable data across time and space has trumped the importance of “gauging access, quality, and affordability of water and sanitation.” -
Jeanne Nyirakamana, PHE Champion
Reaching Rural Rwandans With Integrated Health and Livelihood Messages
›This PHE Champion profile was produced by the BALANCED Project.
Rwanda is one of the most densely populated countries on the planet, with more than 11 million people in one of Africa’s smallest countries, most of whom depend on the land as subsistence farmers. The country has diverse mountain, lake, and savannah landscapes, and the Virunga Mountain chain in the northwest part of the country is home to one-third of the world’s threatened mountain gorilla population. At the same time, the population throughout the country suffers from high rates of unmet need for contraception, and three percent of the adult population lives with HIV/AIDS. In a land under such intense pressure on natural resources, rural livelihood initiatives are critical to ensuring people have options for meeting their daily health and well-being needs.
For the past three years, Jeanne Nyirakamana has served as head of the health program for the Sustaining Partnerships to Enhance Rural Enterprise and Agribusiness Development (SPREAD) Project. Supported by the U.S. Agency for International Development through Texas A&M; University, the SPREAD Project is integrating a dynamic coffee production and quality improvement program in Rwanda with health outreach to improve community well-being. The health component works to improve the lives of coffee farmers and cooperative members by providing them with health information and services related to family planning, maternal and child health, prevention of sexually-transmitted infections (including HIV), and water and sanitation.
Training Peer Educators
Working closely with the coffee program, Nyirakamana’s team has trained more than 540 men, women, and youth peer educators who have reached more than 95,000 coffee farmers with education and services. Key communication messages highlight the links between sound decision-making and health-seeking behaviors, productive farms and agribusinesses, and strong and healthy families.
The program also leverages and supports local health resources through referrals to existing public health services, organization of mobile clinics, and community-based distribution of a socially marketed water purification solution (Sur Eau) and condoms (Prudence). According to Nyirakamana, one of the project’s greatest successes is the increased acceptance of family planning by farmers and their families and the more than 7,500 farmers who have been tested for HIV. In order to draw in as many coffee farmers as possible, many of the health and livelihood activities take place at the stations where the coffee beans are washed, at other buildings used by the coffee farmer cooperative, or during combined community meetings or home visits. At the washing stations, Nyirakamana’s team supports local health center staff to provide voluntary counseling and testing (VCT) and de-worming services while at the same time SPREAD-trained peer educators and coffee/health extension agents disseminate family planning information.
The cooperatives’ buildings have clean water, hand-washing stations, and small kiosks where condoms and Sur Eau are sold. These community health agents work with SPREAD to ensure that the greater community, not just the coffee farmers, has access to health knowledge and services. They learn how to teach the community about a range of health issues and each month they submit reports showing how many people they reached and with what kinds of messages. They are also becoming increasingly engaged in coffee and agribusiness activities. Through the success of their health activities, these agents are seen as vital community resources.
Integrated Results
By implementing this integrated population, health and environment (PHE) approach, the SPREAD Project staff is ensuring the health of the people and environment and success of the agribusiness. “You cannot care for the environment without first caring for the people who live and use that environment, so when you transmit dual messages [agriculture and health] you are able to hit two birds with one stone,” said Nyirakamana.
According to a 2010 evaluation of the project, farmers and their families reported improvements in personal and household hygiene; an increase in understanding and acceptance of family planning; uptake of HIV and VCT services; and use of condoms and other local health services. As well, they noted shifts in gender norms affecting household revenue use, alcohol, and reproductive health. The agribusiness stakeholders value the integrated approach as a means to more holistically meet farmers’ goals of increased incomes and improved lives and livelihoods.
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: BALANCED Project. -
Book Review: ‘Plundered Nations? Successes and Failures in Natural Resource Extraction’
›The principal argument of Plundered Nations? Successes and Failures in Natural Resource Extraction is highlighted by the question mark in the title. In many resource rich countries, natural assets have not led to development. The book advances the hypothesis that “for the depletion of natural assets to be converted into sustained development, a series of decisions has got to be got sufficiently right” (p. 1). That series of decisions is examined in detail through case studies on Cameroon, Chile, Iran, Kazakhstan, Malaysia, Nigeria, Russia, and Zambia, produced by a diverse group of academic and practicing economists under the auspices of the Center for the Study of African Economies and the Oxford Center for the Economics of Resource Rich Countries (OxCarre).
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Reducing Urban Poverty: A New Generation of Ideas
›Download Reducing Urban Poverty: A New Generation of Ideas from the Wilson Center.
In 2008 the global population reached a remarkable turning point; for the first time in history, more than half of the world’s people were living in cities. Moving forward into the 21st century, the world faces an unprecedented urban expansion with projections for the global urban population to reach nearly five billion by the year 2030. Virtually all of this growth will occur in the developing world where cities gain an average of five million residents every month, overwhelming ecosystems and placing tremendous pressure on the capacity of local governments to provide necessary infrastructure and services. Failure to incorporate urban priorities into the global development agenda carries serious implications for human security, global security, and environmental sustainability.
Recognizing a need to develop and strengthen urban-focused practitioner and policymaking ties with academia, and disseminate evidence-based development programming, the Wilson Center’s Comparative Urban Studies Project, USAID’s Urban Programs Team, the International Housing Coalition, the World Bank, and Cities Alliance teamed up to co-sponsor an academic paper competition for graduate students studying urban issues. The first competition took place in the months leading up to the 5th World Urban Forum, held in Rio de Janeiro in March 2010.
This publication, Reducing Urban Poverty: A New Generation of Ideas, marks the second annual academic paper competition. “Reducing urban poverty” was chosen as the theme with each author focusing on one of three topics: land markets and security of tenure; health; and, livelihoods. A panel of urban experts representing the sponsoring institutions reviewed 70 submitted abstracts, from which 16 were invited to write full length papers. Of these, six were selected for this publication. We congratulate the graduate students who participated in this competition for their contribution to our understanding of the complex relationship between urbanization and poverty.
These papers highlight the new research and innovative thinking of the next generation of urban planners, practitioners, and policymakers. It is our hope that by infusing the dialogue on these issues between the academic and policy worlds with fresh perspectives, we will foster new and innovative strategies to reduce global urban poverty.
Sources: UNFPA, UN-HABITAT. -
Jotham Musinguzi on Investing in Family Planning for Development in Uganda
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“What we are seeing is not adequate, but we think we are seeing very good positive movement, and we want to build on that,” said Jotham Musinguzi, director of the African regional office for Partners in Population and Development (PPD) in Kampala, Uganda. Musinguzi is a public health physician by training who previously advised the government of Uganda on population and reproductive health issues. “We think that [the government] is now on a firm foundation to continue investing properly in family planning,” he said.
Family Planning for Development
Uganda’s high population growth rate (the country has a total fertility rate of 6.4 children per woman, according to the UN) presents a number of challenges, said Musinguzi, exerting pressure on education and health systems, as well as on basic infrastructure, particularly for housing and transportation. Additionally, high levels of poverty and unemployment can become a source of instability.
Policymakers in Uganda are beginning to recognize the urgency of the issue, however, particularly in regards to young people, said Musinguzi. “They don’t have access to jobs, they don’t have the skills, and therefore the challenges of poverty eradication become even more important.”
Nonetheless, the country’s contraceptive prevalence rate is low, at 24 percent, with 41 percent of married women expressing an unmet need for family planning services, according to the 2006 Demographic and Health Survey (DHS) for Uganda. Low levels of investment and lack of government involvement remain the primary obstacles, according to Musinguzi, in addition to socio-cultural and religious barriers.
Uganda historically depended primarily on donor finance, rather than government funding, to support family planning and reproductive health services, Musinguzi said. However, over the past two years, the Ugandan government has increased investment due to concerted efforts by PPD, as well as USAID, the UN Population Fund, and civil society groups. “Our point was that if the government does not fund family planning, then they are going to find that achievement of the Millennium Development Goals…is going to be very challenging,” he said.
“I think the low investment in family planning in Uganda is a thing of the past, and we are now looking forward to really better investment in this field,” Musinguzi said. “I am sure we are going to witness quite a big change [in the 2011 DHS] in terms of access as a result of the proper social investment that the government is trying to do now.”
South-South Collaboration
“I have a keen and strong interest in South-South collaboration in the field of reproductive health, family planning, population, and development,” Musinguzi said. Countries in the South have experience linking programming on population and development, and may face similar challenges, he said. For instance, Bangladesh and Vietnam had successful family planning programs that helped blunt rapid population growth rates.
“Countries, like Uganda, and others which haven’t gotten there yet, could learn from these other countries,” said Musinguzi, by sharing best practices and lesson learned, and replicating applicable solutions.
PPD also has a regional project reaching out to policymakers to increase commitment and accountability for family planning and reproductive health services. For instance, parliamentarians may not realize that they can play a significant role, but they have a unique function in providing government and budget oversight, Musinguzi said. Furthermore, they can create legal and administrative frameworks that prioritize family planning programs.
“We continue to make the case for more investment in family planning and reproductive health, but also making sure we hold leaders accountable, to show more commitment, and make sure they improve on the welfare of the people that they represent,” Musinguzi concluded.
The “Pop Audio” series is also available as podcasts on iTunes.
Sources: MEASURE DHS, UN Population Division.
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