Showing posts from category Beat on the Ground.
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Ravao’s Story: A Health and Environment Champion From Madagascar’s Mikea Forest
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The original version of this article, by Vik Mohan, appeared on Blue Ventures’ blog.
I recently spent a hectic and intense couple of weeks in the village of Andavadoaka, where Blue Ventures’ community health project is based, during my annual visit to Madagascar. Although I founded our Safidy (meaning “choice”) health program several years ago, each return visit brings new and inspiring stories and lessons from our team on the ground.
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Clean Cookstoves and PHE Champions on Tanzania’s Northern Coast
›As our ferry slowly made its way across the Pangani River along the northern coast of Tanzania, I sat next to a woman whose child held her hand tightly. The boy and I exchanged smiles, but we mainly admired the view. The late morning sun was behind us as the royal blue river met the cloudless sky.
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Education as a Conservation Strategy – Really?
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The original version of this article appeared in The Nature Conservancy’s October issue of their Science Chronicles newsletter.
It seems like everywhere you turn recently, you hear how the planet’s population is headed to 10 billion. And obvious questions follow: How can we balance far more people with the natural resources needed for their survival? How will we get more food? How will we get more energy?
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PHE and Community-Based Adaptation to Climate Change: Stronger Together
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Over the past several years, community-based adaptation has emerged alongside national and regional climate change initiatives as a strategic, localized approach to building resilience and adaptive capacity in areas vulnerable to climate change.
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Mia Foreman, Behind the Numbers
Serving the Reproductive Health Needs of Urban Communities in Nairobi
›The original version of this article, by Mia Foreman, appeared on the Population Reference Bureau’s Behind the Numbers blog.
Kenya’s population is growing rapidly, more than tripling from 10.9 million people in 1969 to 38.6 million in 2009. According to the United Nations, the annual population growth rate between 2010 and 2015 is 2.7 percent with 22.5 percent of the population residing in urban areas in 2011.
One area that has seen tremendous growth is Nairobi’s largest slum, Kibera. While experts have given estimates ranging from 270,000 to 2,000,000 residents, Kibera is a large area of informal settlements plagued by challenges such as the lack of electricity, job opportunities, and high levels of violence.
While it may be easier to focus on what is lacking in Kibera, there are also many services being provided in the community including affordable and quality reproductive health care by organizations such as Marie Stopes Kenya.
Marie Stopes Kenya was established in Kenya in 1985 as a locally registered nongovernmental organization. It is Kenya’s largest and most specialized sexual reproductive health and family planning organization and is known for providing a wide range of high-quality, affordable, and client-centered services to men, women, and youth throughout Kenya. In 1997, Marie Stopes Kenya opened its first clinic in Kibera and began offering reproductive health services at an affordable rate for residents.
Continue reading on Behind the Numbers.
Sources: UN Population Division.
Photo Credit: “The Kibera ‘river’,” courtesy of Dara Lipton and flickr user The Advocacy Project. -
Papua New Guinea Youth Conflict Study Reveals Effects of Civil War on Young Men
›Demographic security is fast becoming a central concept in discussions about the relationship between youth and violence, and, although quantitative work has been the normal mode of research in the field, recent evidence from Papua New Guinea’s autonomous region of Bougainville shows the value of understanding local-level nuance.
Policies to support youth in post-conflict situations are important for building peace, particularly given the “youth bulge” thesis that suggests that large cohorts of marginalized young people are contributing to a demographic “arc of instability” across the developing world. However, the statistical evidence showing correlations between youth bulges and an increased risk of instability has been criticized for failing to account for the agency of youth themselves. For instance, Marc Sommers points out that there is “scant information on how and why most marginalized African youth resist engagement in violence even when it would seem to provide immediate benefits.” This lack of detailed, evidence-based knowledge can frustrate efforts to develop effective youth policies, particularly in post-conflict settings, where the risk of the persistence or even return of violence, is arguably increased by the presence of youth bulges.
Bougainville’s “Crisis Generation”
Hoping to address this lack of knowledge about how and why young people engage in peace or violence in post-conflict settings, I recently spent several weeks in Bougainville. My aim was to study how young men make lives for themselves in the social circumstances that exist nine years on from a civil war that lasted more than a decade and claimed more lives than any Pacific conflict since World War II. The qualitative evidence I collected on these pathways informed analysis in an article co-authored with Jon Barnett in the Journal of Political Geography, “Localising Peace: The Young Men of Bougainville’s ‘Crisis Generation’” (subscription required).
With a 2010 median age of just 20.4 years (projected to remain less than 25 until at least 2030) and more than 60 percent of its population less than 30 years old, Papua New Guinea is among the world’s youngest states, according to UN population data. Despite a wealth of natural resources, the state faces severe challenges to providing education, jobs, and security for a young population whose growth has for many years severely outpaced the capacity of its formal institutions. Papua New Guinea, and the region of Bougainville within it, is a state where demographic strains are reasonably expected to continue to pose risks to an already fragile state.
Bougainville’s 18-to-30-year olds, known among their peers and elders as the “crisis generation,” are those with living memory of the violence but who were too young to have fought on either side. They continue to face challenges with trauma, accessing education and work, achieving social standing, and escaping from histories of violence. These sometimes impede their capacity to participate meaningfully in local society and can lead them towards sporadic acts of violence.
Understanding the Pathways to Violence
For many young men in Bougainville, achieving critical social measures of success – such as amassing the wealth required for marriage – has become nearly impossible due to high unemployment and restricted access to education. Marriage matters, since land rights in Bougainvillean societies are generally derived matrilineally, and therefore young men who are unable to marry tend to lack secure access to land.
Education is a critical institution for young men in Bougainville. Unfortunately, the formal sector that might employ young men upon completing secondary education is very small, and therefore much of the time and money spent pursuing that education is wasted. The education system itself lacks the resources to meet the needs of all those who seek secondary education. To cope with the demand, youth are asked to sit for exams in grade 8 and again in grade 10, a practice which creates high failure rates and whittles down the student cohort from several thousand at primary level to only a few hundred at the completion of secondary schooling (few of whom then receive meaningful employment). For many, this failure to obtain a return on years of school fees places significant strain on the relationships between youth and their familial and social networks.
Some adapt to these challenges by “upgrading” their poor education through distance learning or by seeking out vocational training as a way to obtain skills relevant for rural life. But some are seen as wedged between a set of unworkable options: “Many of them are existing in a vacuum,” said one civil society leader. “They see things outside but they cannot grab them and they cannot ground themselves.”
As a result, many turn to homebrew alcohol and marijuana and a select few seek social standing by adopting displays and acts of violence that imitate the personas of former rebels. Of these choices, the first attracts the stigma of “lazy,” and the second, “dangerous.” In both cases, these stigmas risk overshadowing the legitimate challenges facing young men by distilling the complexity of the world into a simple morality crisis that itself creates divides both between and within generations.
Building Policy Prescriptions
Unfortunately, the sorts of life and trauma counseling services capable of engaging these young men remain under-supported. As one youth worker claimed of the youth who have no memory of life before the war, “They don’t know how it was before the Crisis. They think things have always been this way; that this is normal.”
In a more southern district, one young man explained of his more notorious peers, “It’s these guys roaming around, mixing with ladies and drinking, they cannot reason so they use the gun, the knife – offensive weapons. And when they are sober they regret. These people spoil the peace process here in Bougainville.”
Providing viable alternatives to these lifestyles is crucial and can only be achieved by asking young men themselves about their world, about the challenges they face, and about the strategies they take to maneuver through them. By understanding the social, cultural, and geographical specifics of a local context, this form of analysis provides a valuable starting point for determining and evaluating policy interventions that statistics alone cannot provide.
In Bougainville’s case, an expansion of vocational training and the provision of trauma counseling, regardless of whether a person was a combatant or not, are two desperately needed interventions that have the potential to increase the capacity of young men to achieve success through peaceful means.
Sources: Conciliation Resources, The Sydney Morning Herald, UN Population Division.
Photo Credit: “Mekamui/Panguna” and crossing from Buka to Bougainville, courtesy of flickr user madlemurs. -
Watch: Dr. Vik Mohan on Integrating Family Planning and Conservation in Madagascar
›The integration of population, health, and environment programming “enables us to create synergies that mean we are more effective at achieving both health and conservation goals,” said Dr. Vik Mohan, director of sexual and reproductive health programming for Blue Ventures, in an interview with ECSP at the 2011 International Conference on Family Planning.
After Blue Ventures established their first clinic in 2007 in the village of Andavadoaka, on Madagascar’s southwest coast, “we felt immense pressure to scale up our intervention,” said Mohan. “We started with one clinic in one village, and now we have a multi-site service covering all 40 villages that we partner with for our community-based conservation work,” he said.
According to data compiled by Blue Ventures, the average total fertility rate in the region is 6.7 children per woman. The London-based eco-tourism-turned health and environment NGO offers a variety of family planning services to meet local demand, including mobile outreach clinics and community-based distribution of contraceptives. They also partner with Marie Stopes International to offer long-acting and permanent methods of contraception for those that want it.
“This Model Can Be Taken to Scale”
By integrating conservation and reproductive health messaging and service delivery, “we are getting greater buy-in from the community because they all see the added value of the breadth of things that we offer them,” Mohan said. “Men who came to hear about fisheries management get to hear about family planning technologies, practically for the first time in their lives.”
The fishermen are able to see the links between food security and population growth through their own experience, he added. “We believe very passionately this model can be taken to scale,” Mohan said. “This is something that could be easily replicated in other regions. Definitely in other coastal regions, but almost certainly in other remote areas – perhaps areas of high biodiversity where there are existing projects, perhaps conservation projects – but where there is an unmet need for healthcare and family planning in particular.”
“My advice to other organizations, whether you are doing healthcare or whether you are doing conservation, is just think holistically,” said Mohan. “If you are a conservation organization that recognizes that there is an unmet healthcare need for the communities that you work with, then…don’t be afraid to ask those questions, and don’t be afraid to build capacity to meet the need, if you find one. Or, don’t be afraid to partner with health NGOs to enable that need to be met.”
For more on Blue Ventures’ integrated efforts, see also ECSP FOCUS Issue 23, “To Live With the Sea: Reproductive Health Care and Marine Conservation in Madagascar,” co-authored by Vik Mohan. -
New Population, Health, and Environment Program for Lake Victoria
›With some of Africa’s highest population densities, ethnic diversity, and biodiversity, the Great Lakes region is one of the most volatile intersections of human development and the environment. A new population, health, and environment (PHE) initiative from Pathfinder International, announced Monday at the International Conference on Family Planning in Senegal, aims to help address these issues by supporting sustainable resource management and women’s right to choose when and how often they have children.
Jointly funded by the David and Lucile Packard Foundation and the John D. and Catherine T. MacArthur Foundation, with additional support from USAID’s Office of Population and Reproductive Health, the project will focus on Ugandan and Kenyan sections of the Lake Victoria basin.
Lake Victoria is the second largest freshwater source in the world, a biodiversity hotspot, and an important regional waterway, but regional population growth among the highest in Africa and economic development have led to declining water quality, reduced fish stocks, and industrial pollution. The basin as a whole supports upwards of 35 million people.
“This new project is a welcome development for many reasons,” said ECSP Director Geoff Dabelko. “It brings the integrated PHE approach to one of the world’s greatest lakes, it enables respected health NGO Pathfinder to pursue PHE efforts, and marks the return of a leading private donor, the MacArthur Foundation, to a group of foundations willing to support this innovative approach.”
Sono Aibe, senior advisor for strategic initiatives at Pathfinder emphasized the integrated challenges facing the region. “In these remote, resource dependent areas of the world, the interconnectedness between the health of people and the health of the environment is undeniable,” she said in a press release. “When women are empowered to participate in the sustainable management of natural resources alongside men and youth, as well as have access to sexual and reproductive health care services, their lives will improve and so will the condition of the ecosystems that they depend on.”
The project’s objective, according to Pathfinder, is to reduce threats to biodiversity, conservation, and ecosystem degradation by increasing access to family planning and sexual/reproductive health services. The project plans to develop scalable approaches that can be adopted by communities, local governments, and national governments. Technical support is to be provided by the BALANCED Project, ExpandNet, and the Population Reference Bureau.
“Lessons learned from this new project will help us better develop and design projects for vulnerable communities in fragile ecosystems, while simultaneously advocating for increased government support for integrated programs throughout the Lake Victoria Basin,” said Lucy Shillingi, Pathfinder’s country representative for Uganda.
The Lake Victoria effort will build upon the experiences of other integrated PHE efforts in the region, such as Rwanda’s SPREAD Project, Uganda’s Conservation Through Public Health, and Tanzania’s TACARE and Coastal Management Partnership.
Sources: Lake Victoria Basin Commission, Pathfinder International, UNEP.
