US Lagging Behind on Funding International Family Planning & Reproductive Health — Global Issues

Midwives Lucie Banionia and Lydie Mawelo help deliver the future at the General Reference Hospital in Kinshasa, Democratic Republic of the Congo, one of the world’s fastest-growing countries. Credit: UNFPA/Junior Mayindu
  • Opinion by Maniza Habib (washington dc)
  • Inter Press Service

The Biden-Harris FY2024 budget request proposes to invest $619.43 million for bilateral FP/RH programs plus $57.5 million for the United Nations Population Fund (UNFPA)– a total of $676.8 million. That’s 11% more than Congress appropriated last year, and it’s one of the only proposed funding increases in the global health sector this year, yet it’s still just a fraction of what’s needed.

The fair-share U.S. contribution, i.e. what it would need to contribute proportionately to ensure the all women of reproductive age in low- and middle-income countries (LMICs) have their modern contraception needs met, is calculated to be $1.736 billion.

Family planning gives people control over their own bodies and futures. At its core, it’s about empowering individuals to make informed decisions about their sexual and reproductive lives, including if, when, and how many children to have, and how far apart to space births.

Access to family planning enables women to pursue their education and participate more meaningfully in economic and political life.

These are all necessary components of gender equality. Yet U.S. funding for international FP/RH has stayed flat for a decade while global population, reproductive health needs, and barriers to access have been growing. It is high time for the U.S. to meet its responsibility to help close the gap.

There are 923 million women of reproductive age in LMICs who want to avoid pregnancy. About a quarter of those (218 million) have an unmet need for modern contraception. They want to avoid pregnancy but are not using a modern method. Reasons for this vary from government restrictions on accessing contraceptives to service providers refusing to distribute them to having to travel daunting distances to the nearest clinic.

These hurdles are compounded by gender-based discrimination. For example, stigma surrounding contraceptives and sex make it particularly difficult for young, single women to access services.

Marginalized groups face discriminatory attitudes in clinics, including in the U.S., where members of the LGBTQ+ community, immigrants, and Black, indigenous, and other people of color are often denied services and resources to meet their family planning needs.

The world needs much more robust support from the U.S. to overcome these obstacles and pave the way to achieving global gender equality. Due to the lack of sufficient investment to dismantle barriers to sexual and reproductive health and rights (SRHR) worldwide, U.S. support for overarching gender equality goals will inevitably be weakened, a new Population Institute report finds.

Some governments are showing they understand this problem and are changing policies accordingly. For example, President Xiomara Castro of Honduras just lifted a 14-year ban on emergency contraception, which will revolutionize access to FP/RH services. Beginning April 1, the provincial government of British Columbia will provide prescription contraception at no charge.

The U.S. has a responsibility to lead on global SRHR but ceded its leadership in recent years and is getting left behind. U.S. bilateral and multilateral FP/RH programs have been under attack, especially in the wake of Trump-era restrictive policies.

The modest increase in FP/RH funding in the current budget proposal shows the Biden-Harris administration recognizes the importance of global SRHR. But it doesn’t reflect the urgency or level of commitment needed.

At the same time, it undercuts SRHR by including the Helms Amendment, an outdated prohibition on using U.S. foreign assistance funding for abortion as a method of family planning. In practice, implementing the Helms Amendment has meant denying abortions even in instances of rape or incest, or in cases where it would save a woman’s life.

Failure to aim at U.S. fair-share levels of FP/RH funding in the latest budget proposal is a missed opportunity. Let’s not miss any more. Global population recently passed the 8 billion mark, and the need is growing.

We can meet the moment by recognizing the fundamental connections between SRHR, gender equality, and sustainable development, and accepting the obligation of the U.S. to lead on achieving them.

Maniza Habib is Research Associate at the Population Institute, a nonprofit based in Washington, D.C. that supports reproductive health and rights.

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A Plan for the Gulf States to Power a Low-Emissions Revolution — Global Issues

Building renewables plants across the Global South is a preferable alternative to generate fewer emissions — but the international community has to date been unwilling to provide the substantial funding needed to construct this type of additional generation capacity at the level developing countries require. Credit: Isaiah Esipisu/IPS
  • Opinion by Philippe Benoit (washington dc)
  • Inter Press Service

Unfortunately, the UAE and other Gulf states can’t easily export their solar resources to developing countries. However, they can export their natural gas to support affordable low-emissions power production in poorer countries if combined with donor-financed carbon capture, utilization and storage (CCUS)-equipped gas-fired power plants.

The lead-up to COP 28 provides an opportunity to explore this mechanism to support low-emissions economic growth in poorer countries — a “gas for poverty and climate” power proposal.

As I noted in an earlier opinion piece, the decisions by the G-7, China and others to halt overseas financing for coal power plants serve important climate goals but do not eliminate developing countries’ need for more electricity at affordable prices. According to a February Reuters report, the Pakistan government has decided, in the face of high and volatile natural gas prices, to pivot from building gas-fired plants to more affordable coal-fired ones notwithstanding the higher emissions.

This shift is all the more unsettling given the devastation Pakistan suffered last year from massive flooding with an intensity potentially exacerbated by climate change.

The decision to build more coal power plants reflects the difficult dilemma faced by many poorer countries: They are the most vulnerable to the impacts of climate change and yet they do not feel they can afford to forestall investing in affordable power generation and the shorter-term economic benefits it provides, even if this means building high-emitting coal power plants.

The upcoming COP 28 context might provide a way out, one that leverages the hosting of the event in the gas-rich Gulf region, with the stated interest of wealthier countries and multilateral development banks to support poorer countries in the energy transition.

The proposal has two basic elements: an undertaking by a Gulf producer to provide natural gas at a preferential low price to new “low-emitting” gas-fired power plants built with concessional climate finance in partnering developing countries.

The preferential pricing builds off of three interrelated Gulf state dynamics: the abundance in the region of gas resources, Gulf programs to contribute to the economic development of poorer countries and efforts to lower emissions from petroleum, such as the application of carbon capture technologies. The sales price would be fixed at a concessional level — e.g., notionally at (or even potentially below) the cost of production, liquefaction and transport, rather than generating typical market returns.

The subsidy embedded in this structure would be recognized as a financial contribution by the gas-supplying country to both international development and global climate efforts. This structure could potentially also be used by wealthy gas countries from other regions, such as possibly Norway, interested in simultaneously supporting development and tackling climate change.

The second element is the use of this natural gas in gas-fired power plants equipped with “carbon capture, utilization and storage” technologies to produce “low-emissions” electricity.

Many countries have looked to expand the use of gas-fired plants in part because they emit less than half the carbon dioxide (CO2) per kilowatt hour (kWh) of a coal plant. But their emissions are still consequential, potentially in the order of 350 grams of CO2/kWh according to one estimate —  a significant level when considering the “net zero emissions” targets put out by various countries or embedded in the climate modeling of the International Energy Agency.

CCUS is one tool to substantially further reduce these emissions by 90 percent or more. The potential result is CO2 emissions per kWh that are so low they might even be termed “near-zero emissions.”

Although CCUS technologies have been developed and tested for many years on power plants, they have yet to be deployed at a large scale. One reason is that they are expensive per ton of reduced CO2 emissions. Consequently, their cost would undermine a developing country’s electricity affordability objective.

To overcome this hurdle, the CCUS-equipped gas-fired plant would need to be financed in large part through highly concessional climate funding, to be provided notably by the international donor community. There may also be an opportunity to tap into carbon markets to fund both capital and operating expenditures given the lower (i.e., avoided) emissions from the CCUS-equipped plant as compared to the alternative of a new coal-fired power plant or a gas-fired one without CCUS.

There are, of course, additional complexities to explore. For example, the plant would need to be able to access reasonably priced options for CO2 use or storage. In addition, the greenhouse gases (including methane) emitted in producing and delivering the natural gas to the plant would need to be limited to ensure the produced electricity remains “low emissions” when considering the full value chain.

Further analysis would also be needed on the pricing and other terms to make this structure attractive for the natural gas supplier, the donor community funding the CCUS-equipped plant and the developing country’s electricity consumers.

Building renewables plants across the Global South is a preferable alternative to generate fewer emissions — but the international community has to date been unwilling to provide the substantial funding needed to construct this type of additional generation capacity at the level developing countries require. And, as noted earlier, the technologies don’t yet exist for the Gulf states to export their abundant solar power resources, notwithstanding current discussions about green hydrogen.

The hosting of COP 28 in the Gulf provides an opportunity to think creatively about how to mobilize the gas resources of that region (and elsewhere) to better support both the development needs of poorer countries and the global climate effort. This COP 28 “gas for poverty and climate” power proposal might provide some elements.

(First published in The Hill on March 8, 2023)

Philippe Benoit has over 25 years of experience working in international energy and sustainability, including prior management positions at the World Bank and the International Energy Agency.  He is currently adjunct senior research scholar at Columbia University’s Center on Global Energy Policy and  research director at Global Infrastructure Analytics and Sustainability 2050.

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Pressure from the Taliban has Contributed to Rise in Underage Marriages in Afghanistan — Global Issues

The life of women has become extremely restricted in Afghanistan since the Taliban took over in August 2021. 
  • by Anonymous
  • Inter Press Service

A combination of poverty and the fear of girls being forced to marry the islamist fighters of the Taliban movement are the main reasons behind the increasing rate of teenage marriages in the country.

In order to save them from the Taliban, a group that violates their basic human rights, parents would rather marry off their underage daughters elsewhere.

Forced marriage of underage girls has been practiced in Afghanistan before but it has increased significantly since the return of the Taliban to power in 2021, twenty years after they were ousted by the U.S troops.

The Taliban have forcefully married dozens of girls, often using intimidation, coercion, and death threats. Also, the covid pandemic, closing of schools, the disappearance of employment opportunities for women and the harsh economic situation has forced families to marry off their teenage daughters in order to cope. The dowry received from the marriage helps to feed the rest of the family for some time.

According to the UN Childrens’ Fund UNICEF, girls are sold into marriage even as babies. UNICEF estimates that 28 per cent of girls are forced into marriage before they turn 18.

“I have even seen girls married off at the age of 14 in one of the northern provinces”, says Zainab (name changed), a woman activist. She is deeply concerned about girls marrying under-age, saying it is violence against teenage girls.

The Taliban have resorted to kidnapping girls and threatening them with forced marriage. Besides, the Taliban gather information on the number of unmarried girls in a family and if there are any, they want them for marriage.

They send forms to be filled out in the mosques, particularly requesting for information on girls aged between 13 and 18, according to Zainab. Families would therefore give up their daughters to relatives for marriage rather than let them fall into the hands of strangers.

In Kabul and in other provinces, members of Taliban have even threatened to kill family members of under-age girls who refuse to give their daughters up for marriage and have forced teenage girls to marry men with two or three wives. Young and educated girls have had haunting experience from such cases.

“My friend is 15 years”, narrates Maria (name changed), “a Taliban commander of over 50 years, and already married to two wives came and proposed to her. She turned him down. The girl’s family had to flee in the night to a hiding place without even taking their belongings”.

In another case, Marwa (name changed) in Kabul said a member of the Taliban had sent her first wife to her family to propose to a 10th grade girl, threatening to kill their son if they refuse to give up their daughter for marriage. The teenage girl’s father had no option but to hand her over. She was 30 years younger than the man.

This story was produced by Learning Together, a voluntary network of Finnish female journalists. The author is an Afghanistan-based female journalist, trained with Finnish support before the Taliban take-over. Her identity is withheld for security reasons.

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Burkina Faso Home to Almost Half of Closed Schools in Central & West Africa — Global Issues

  • Opinion by Marine Olivesi (ouagadougou, burkina faso)
  • Inter Press Service

Nearly one out of four schools country-wide are now out of service due to rampant insecurity and violence, which has forced close to two million people into displacement.

On the eve of the high-level conference on Education in Emergencies, organised by the European Commission and the United Nations Children’s Fund in Brussels, the Norwegian Refugee Council together with the Education Cluster in Burkina Faso and the FONGIH, two umbrella entities representing 87 national and international organisations operating in the country, called for increased access to education for children left behind, whether they are internally displaced or live in enclaved areas.

“Only about a quarter of the children driven out-of-school have been given new classrooms. The majority are left without access to education, robbing them of their childhood and of their chance to become independent adults and citizens,” said Hassane Hamadou, NRC’s country director in Burkina Faso.

“The longer this situation drags on, the graver it becomes, the harder it will be to reverse this trend and protect their futures. The authorities in Burkina Faso as well as humanitarian and development organisations must urgently renew their efforts to stop this educational hemorrhage.”

Out of eight schools, only two are operational in the blockaded town of Pama in the East region, one of the three regions with the highest number of school closures along with Sahel and Boucle du Mouhoun. Six teachers and a few volunteers are currently serving over 1,000 children in Pama.

“For those of us who are still here, it’s a very personal decision to stay,” explained a teacher. “Education is a universal right, so we feel it’s our duty to carry on. But fear doesn’t go away easily. Often, we have to stop classes because we hear gunshots here or there.

Threats loom large, and conditions are tough, but we can and must overcome challenges to assist children who never wished to be put in this situation.”

Over 31,000 teachers have been affected by the education crisis nationwide, of which about 6,300 have been redeployed so far in schools hosting large numbers of internally displaced students. The reopening or relocation of around 300 schools since January marks a welcome step in the right direction.

However, it is now crucial to increase the use of “double shifts approach” in operating schools, to set-up more classrooms wherever possible, and to accelerate the reassignment of teachers to new sites in displacement areas.

This crisis has disproportionately impacted girls. A study conducted by Plan International revealed that girls are 2.5 times more at risk of being driven out of schools than boys in a crisis situation. Meanwhile, ongoing efforts to help teachers meet the growing psycho-social needs of students often traumatized by displacement and conflict must be sustained and increased nationwide.

“Insecurity is a big part of why so many schools close, but food insecurity in the Sahel and East regions is also a driver of school dropouts,” said Tin Tua’s director, Yembuani Yves Ouoba. “Guaranteeing that schools and non-formal education centers provide meals and children are being fed are effective ways of keeping them in the system.”

“We are witnessing an accelerating assault on education. Teachers are threatened and parents are frightened. Children are paying the heaviest price. When a child is not at school, he is more at risk of being exploited, being a victim of violence and trafficking, or even being recruited by armed groups,” said the Representative of UNICEF in Burkina Faso, Sandra Lattouf.

“We welcome the effective partnership and collaboration with the Ministry of National Education, Literacy, and Promotion of National Languages, which is strengthening access to education in challenging contexts. We must act now to not lose the next generation and renew efforts to strengthen emergency and alternative education solutions.”

Parties to the conflict must do more to protect school infrastructures from attacks and not occupy academic buildings. We welcome the upcoming inter-ministerial order to set up national and regional committees in charge of the implementation of the Safe School Declaration and hope they help make schools safe for all Burkinabè children.

    • At the end of February 2023, 6,134 schools were closed in Burkina Faso, a 44% increase since May 2022 (4,258). This represents 24% of all academic structures in the country. (Source: Ministry of Education’s statistical monthly report on Education in Emergencies from February 28, 2023)
    • Number of closed schools in other West and Central African countries due to insecurity: 3,285 in Cameroon, 1,762 in Mali , 1,344 in the Democratic Republic of Congo, 878 in Niger, 181 in Nigeria, 134 in Chad and 13 in Central African Republic (Source: Unprecedented School Closures Jeopardise the Future of Millions in West and Central Africa, NRC, UNHCR, UNICEF, Education Cannot Wait, March 2023).
    • The regions of Boucle du Mouhoun, East and Sahel in Burkina Faso are the most impacted by school closures and each hosts between 1000 and 1200 closed schools. (Source: Ministry of Education’s statistical monthly report on Education in Emergencies from February 28, 2023)
    • School closures impact 1,050,172 students as well as 31,077 teachers. 262,388 of these children have so far reintegrated a formal classroom. (Source: idem)
    • Girls are 2,5 times more at risk of being driven out of school than boys in a crisis situation according to a 2020 study conducted in Mali and Burkina Faso (Adolescent girls in crisis, voices from the Sahel, Plan International, August 2020)
    • Two schools out of eight are currently operational in Pama, with 6 teachers and 6 volunteers serving over 1,000 children. (Source: NRC interviews of teachers in Pama, March 2023)

Marine Olivesi, is Advocacy Manager for Norwegian Refugee Council in Burkina Faso

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Cash Transfers, Poverty Alleviation Assists with Mental Health Study — Global Issues

Governments low- and middle-income countries are encouraged to take note of a new story that finds cash transfers help with mental health of those living in poverty. Credit: Annie Spratt/Unsplash
  • by Francis Kokutse (acra)
  • Inter Press Service

An example of these poverty alleviation programmes is the Livelihood Empowerment Against Poverty (LEAP), under Ghana’s ministry of gender, children and social protection for extremely poor and vulnerable households. This is made up of orphaned children, persons with severe disabilities without productive capacity as well as elderly persons who are 65 and above.

The aim is to improve, among other things, basic household consumption, and nutrition among children below two years of age and the aged. It is also intended to increase access to health care services among children below five years of age.

The study found more than 20,000 Africans, out of 26,794 people receiving these cash transfers under poverty alleviation programmes in six countries across Africa, admitted that this financial assistance does have some effect on their mental health.

A co-author of the study, Clara Wollburg, affiliated with the department of social policy and intervention, University of Oxford, Oxford, told IPS, “13 out of the 17 studies were conducted in Sub-Saharan Africa. Of those studies, four were located in Malawi, four in Kenya, two in South Africa, and one each in Zambia, Mali, and Uganda.”

The World Health Organization defines mental health as “a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community.” And in Africa, StrongMinds Uganda says “despite the high prevalence of mental illnesses across the continent, mental health remains under prioritized in many African countries.”

The study, “Do cash transfers alleviate common mental disorders in low- and middle-income countries? A systematic review and meta-analysis,” published in PLOS One journal on February 22, 2023, said their “findings lend weight to the hypothesis that poverty alleviation can play a role in strengthening psychological health of people living in poverty in Low and Middle-Income Countries (LMICs.)”

It said their “analysis shows that providing populations living in poverty with cash transfers leads to improvements of depression and anxiety disorders. However, these benefits may not be sustained once the financial support ends,” the authors said.

Nigerian-born associate professor in psychiatry living in the US, Andrews O Newton, said the recent Central Bank of Nigeria (CBN) decision that has denied a lot of people access to cash could lead to depression. “Depression is the commonest form of mental illness. However, most people do not know because sufferers are not seen outside. The chronic stress caused by governmental policies makes it more severe, and one terrible consequence is suicide,” Newton said. The CBN has since been legally obliged to delay its deadlines to redesign the currency.

He said, “extreme poverty dehumanizes,” adding that such a situation is likely to lead to “feeling sad and empty, poor concentration, lack of drive and motivation, poor sleep as well as lack of energy.

The study focused on people living in poverty, who are recipients of cash transfers, and participants in inactive control groups, who received no transfers or were enrolled at a later stage, served as a comparison group. Active control groups receiving alternative interventions were not included, as this makes a causal inference about the effects of the transfers difficult.

They included conditional and unconditional cash transfer programmes (CTPs) targeted at households living in poverty in LMICs but did not apply an absolute low-income/poverty threshold, relying only on the relative threshold for grant eligibility applied by the organizations administering the transfers.

“Our findings have important implications for policymakers in Africa as they show that providing cash transfers to people living in poverty not only improves poverty indicators and school attendance, for example, but also meaningfully impacts depression and anxiety outcomes of beneficiaries. This is especially true for unconditional cash transfers,” Wollburg said.

She said they analyzed cash transfer programs that were specifically targeted to low-income and/or deprived households as indicated by, e.g., low monthly household expenditure and consumption, inability to meet basic needs, food insecurity, low educational attainment and high HIV risk.

Esenam Abra Drah, a mental health advocate in the Ghanaian capital, Accra, said, “from personal experience if you don’t have money, it can be frustrating.” Esenam understands this because she was diagnosed with bipolar disorder in August 2015 at the time she was studying Bachelor of Arts degree in French and Linguistics at the University of Ghana.

Currently serving as an executive member of Psychosocial Africa, a grassroots mental health support group set up by, and for people with lived experience of mental illness, Drah admitted as the study showed that her situation affected her schoolwork though she was able to graduate.

The study cautioned that policies aiming to address the poverty-mental health cycle should consider unconditional, longer-term support to populations living in poverty.

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The Vampiric Draining and Poisoning of Lifeblood: Water — Global Issues

“Drop by drop, this precious lifeblood is being poisoned by pollution and drained by vampiric overuse, with water demand expected to exceed supply by 40% by decade’s end” Credit: Bigstock.
  • by Baher Kamal (madrid)
  • Inter Press Service

And that groundwater already provides half of the volume of water withdrawn for domestic use by the global population, including the drinking water for the vast majority of the rural population who do not get their water delivered to them via public or private supply systems.

Also that around 25% of all water withdrawn for irrigation, being this a major cause of the fast depletion and pollution of this vital source.

There are two main reasons behind such a dangerous over-exploitation and poisoning of the world’s groundwater:

Vampiric draining…

The industrial agriculture and food supplies systems, imposed by giant private corporations for the sake of increasing their profits, leads to the “vampiric” draining of the world’s groundwater.

Such money-making systems also lead to a growing, deadly poisoning of water, through the irrational abuse of chemicals in intensive agriculture.

… and deadly poisoning

Coinciding with World Water Day, the United Nations inaugurated in its headquarters in New You a two-day Water Conference (22-24 March), which warns that decades of “mismanagement and misuse” have intensified water stress, threatening the many aspects of life that depend on this crucial resource.

According to a joint report by the Food and Agriculture Organization of the United Nations and the International Water Management Institute, human settlements, industries and agriculture are the major sources of water pollution.

Much so that, globally, 80% of municipal wastewater is discharged into water bodies untreated.

Learn also that:

Industry is responsible for dumping millions of tonnes of heavy metals, solvents, toxic sludge and other wastes into water bodies each year.

Agriculture, which accounts for 70% of water abstractions worldwide, plays a major role in water pollution. Farms discharge large quantities of agrochemicals, organic matter, drug residues, sediments and saline drainage into water bodies.

The level of water poisoning has largely increased since this joint report was issued in 2017.

The resultant water pollution poses demonstrated risks to aquatic ecosystems, human health and productive activities.

FAO further reports that in most high-income countries and many emerging economies, “agricultural pollution has already overtaken contamination from settlements and industries as the major factor in the degradation of inland and coastal waters.”

Nitrate from agriculture is the most common chemical contaminant in the world’s groundwater aquifers.”

In addition to poisoned crops, billions of people around the world still lack access to water. It is estimated that more than 800.000 people die each year from diseases directly attributed to unsafe water.

More alarm bells

No wonder then that the United Nations Secretary-General, António Guterres, has sounded the following alarm bells in his message on the occasion of this year’s World Water Day (22 March):

“Water is the lifeblood of our world. From health and nutrition to education and infrastructure, water is vital to every aspect of human survival and wellbeing, and the economic development and prosperity of every nation.”

”But drop by drop, this precious lifeblood is being poisoned by pollution and drained by vampiric overuse, with water demand expected to exceed supply by 40% by decade’s end.”

“Meanwhile, climate change is wreaking havoc on water’s natural cycle. Greenhouse gas pollution continues to rise to all-time record levels, heating the world’s climate to dangerous levels,” warns the UN Chief.

“This is worsening water-related disasters, disease outbreaks, water shortages and droughts while inflicting damage to infrastructure, food production, and supply chains.”

Key facts

Perhaps a look at some of the key facts and figures about this grim picture, which have been released by major international specialised organisations, would suffice to realise the pernicious dimensions of such a war.

See what they report on the occasion of the 2023 World Water Day:

  • A quarter of the global population – 2 billion people – use unsafe drinking water sources. Half of humanity – 3.6 billion people – live without safely managed sanitation.
  • More than 1 in 3 people lack basic hand washing facilities at home. For at least 3 billion people, mostly in developing countries, the quality of the water they depend on is unknown because the data is not collected routinely.
  • Almost half of the schools in the world do not have proper handwashing facilities with soap and water. Every day, more than 700 children under the age of five die from diarrhoea linked to unsafe water, sanitation and poor hygiene.
  • Eight out of 10 people who lack even basic drinking water service live in rural areas, and about half of them live in least developed countries. In 2019, more than 733 million people lived in countries with high and critical levels of water stress.
  • Water-related hazards have increased in frequency over the past 20 years. Since 2000, flood-related disasters have increased by 134 per cent, and the number and duration of droughts also increased by 29 per cent.
  • Agricultural and untreated wastewater pose two of the gravest threats to environmental water quality globally. With a well-developed monitoring system, water-quality issues could be identified at an early stage, allowing mitigation measures to be introduced before severe deterioration occurs.
  • The number of city inhabitants lacking safely managed drinking water has increased by more than 50% since 2000. While 86% of people in urban areas have safely managed drinking water services, only 60% of people in rural areas have them.

Survival of the innocent victims

Meanwhile, the drilling of local wells to meet the vital needs of the world’s impoverished communities, in particular areas, who suffer the devastating impacts of severe, long-standing droughts, heat waves, unprecedented floods caused by climate emergencies that they have not caused.

Did you know that one of the continents most hit by such devastation is Africa, which contributes to greenhouse gas emissions with a negligible 3%, while bearing the brunt of 80% of its consequences?

What else to say?

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BRAC International Signs MoU with Rwanda to Empower People in Extreme Poverty — Global Issues

Jean Claude Muhire, Rwanda Program Director of BRAC Ultra-Poor Graduation Initiative, a flagship program at BRAC International, and Samuel Dusengiyumva, Permanent Secretary of the Ministry of Local Government sign the MoU in Kigali, Rwanda. Credit BRAC UPGI.
  • by Joyce Chimbi (kigali)
  • Inter Press Service

A story that lays bare Rwanda’s innovative approaches to empowering her people, for an estimated half of the population still lives in poverty. In the 2022 Global Hunger Index, Rwanda ranked 102nd out of 121 countries with sufficient data to calculate last year’s global hunger index score.

Within this context, BRAC International signed a Memorandum of Understanding (MoU) with the Government of Rwanda under the Ministry of Local Government (MINALOC) to support efforts to empower people in extreme poverty to develop sustainable livelihoods and break the poverty trap long term. This is part of the Government’s broader efforts to eradicate extreme poverty by 2030.

“I am delighted to see the Government of Rwanda take a leadership role in addressing extreme poverty,” said Greg Chen, Managing Director of BRAC Ultra-Poor Graduation Initiative (UPGI), a flagship program at BRAC International.

The MoU was signed on Tuesday, March 14, 2023, by Jean Claude Muhire, Rwanda Program Director of BRAC UPGI, and Samuel Dusengiyumva, Permanent Secretary of the Ministry of Local Government.

BRAC International is a leading nonprofit organization with a mission to empower people and communities in poverty, illiteracy, disease, and social injustice, touching the lives of more than 100 million people in the last five decades. And now seeks to touch even more lives in the land of a thousand hills through this partnership.

“We are happy to serve as a partner in advancing the Government of Rwanda’s new National Strategy for Sustainable Graduation (NSSG) and to accelerate the reduction of poverty and extreme poverty,” said Muhire.

The MoU positions BRAC International as a key partner in advancing the Government of Rwanda’s new National Strategy for Sustainable Graduation (NSSG), recently approved by Cabinet in November 2022 to accelerate the reduction of poverty and extreme poverty in Rwanda and contribute to the achievement of the targets set out in the National Strategy for Transformation, 2017 to 2024.

“We are committed to combating extreme poverty by scaling the multifaceted, evidence-based Graduation approach through governments across Africa and Asia and reaching millions more people,” Chen said.

Similar to BRAC’s Graduation approach, which was established in Bangladesh in 2002, the NSSG defines Graduation as a two-year program for households to benefit from inclusive livelihood development programs, multifaceted interventions, access to shock-responsive social protection services, and market access that creates an enabling environment for households to “graduate” out of extreme poverty.

To date, BRAC’s Graduation program has reached more than 2.1 million people in Bangladesh alone and supported the expansion of Graduation in 16 additional countries, including Afghanistan, Egypt, Guinea, India, Kenya, Lesotho, Liberia, Pakistan, Philippines, Rwanda, South Africa, South Sudan, Tanzania, Tunisia, Uganda, and Zambia.

Leveraging 20 years of experience implementing, testing, and iterating the Graduation approach, BRAC International is extending support in the design, delivery as well as evaluation of the Graduation program to Rwanda, supporting the Ministry of Local Government in critical areas.

Areas such as providing technical capacity and expertise in the implementation of the Graduation strategy and making available necessary communication, advocacy, and technical resources to ensure smooth implementation of the Graduation strategy.

Equally important, collaborating with the Ministry will ensure the scale-up of an inclusive, holistic Graduation strategy that includes all Graduation essentials. In all, efforts will focus on the four essential components identified as fundamental to implementing Graduation successfully.

These essential components include meeting participants’ day-to-day needs such as nutrition and healthcare, providing training and assets for income generation, financial literacy and savings support, and social empowerment through community engagement and life skills training – all facilitated through coaching that calls for regular interactions with participants. Rigorous research by Nobel Laureates Abhijit Banerjee and Esther Duflo proves that the combination of support and resources provided through this multifaceted approach is critical for long-term impact.

Overall, the Graduation approach is grounded in the conviction that people living in vulnerable situations can be agents of change if they are empowered with the tools, skills, and hope they need to change their lives.

With such people-centred concerted efforts, it is only a matter of time before Rwanda is known for much more than its scenic beauty and as home to the cleanest city in Africa. It will also make history by defying all odds to become one of the first countries on the continent to establish a sustainable path out of extreme poverty by 2030.

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World Bank Must Respond — Global Issues

  • Opinion by the Editorial Board (washington dc)
  • Inter Press Service

Pakistan, which makes up less than 1 percent of the world’s carbon footprint, had a third of its territory under water in last year’s floods. Parts of Kenya, Ethiopia and Somalia are experiencing the worst drought in 70 years of record-keeping, threatening millions with famine, even though the entire continent of Africa contributes less than 4 percent of global carbon emissions.

Small island developing countries such as Papua New Guinea account for less than 1 percent of global carbon emissions, yet they stand to lose the most when sea levels rise.

The World Bank and the donor countries that control it can do more to step up and tackle this generational challenge. To make the World Bank and other multilateral lending institutions fit for purpose in the 21st century, leaders need to figure out how to raise and leverage the massive amounts of capital that are going to be necessary in the coming years to help countries adapt to and mitigate a changing climate.

For years, climate financing took a back seat to the bank’s twin goals of reducing extreme poverty and promoting shared prosperity. Today, it is integral to achieving those goals. Helping the poorest of the poor will increasingly mean ensuring access to drought-resistant seeds and access to water as lakes dry up. In middle-income countries, promoting shared prosperity will increasingly mean expanding access to reliable, affordable clean energy.

The World Bank has played an active role in making progress in those areas. It has begun to help countries incorporate climate change into their overall economic development plans and should continue this necessary work.

Climate-related funding has already grown in importance at the bank; in fact, some of the poorest countries are already worried that it will cut into funding for basics like education and health care. That’s why additional funding is needed to assure them that taking global action on climate won’t come at the expense of their development.

About 36 percent of the money the World Bank lent last year was classified as climate related, although questions have been raised about how classifications are made. That comes to nearly $32 billion — a big jump from previous years, but still far short of what is needed.

In 2009, donor countries promised to mobilize $100 billion a year by 2020 to help lower income countries with mitigation and adaptation. They only mustered $83 billion, $36.9 billion of which came from multilateral development banks and climate funds, in 2020.

Those unfulfilled promises haven’t gone unnoticed. According to Ephraim Mwepya Shitima, chair of the African Group of Negotiators on climate change, many developing countries, including those in Africa, have put forth ambitious plans to curb emissions in the future, but have been “hampered by the pledged financial support, which are falling short of expectations.”

Although Covid, inflation and the energy crisis related to the war in Ukraine have strained government budgets everywhere, it would be shortsighted to ignore the significance and potential of investing in climate financing.

According to Devesh Kapur, a professor at Johns Hopkins and co-author of a history of the World Bank, raising an additional $100 billion in lending capacity for the World Bank could require donors to put up about $20 billion in cash. The cost to the United States, which holds 16 percent of shares, would be $3.2 billion, an amount that could be paid out over five years.

Getting new money in the door is important, but it’s not enough. The bank also should adopt new strategies and new rules that will allow it to funnel money more quickly to where it is needed the most and will be used most effectively.

For instance, some small island states have per capita incomes that are too high for concessional loans according to World Bank rules, despite their acute vulnerability to climate change. Those rules should be revisited, in some cases, to make sure that climate financing is prioritizing the areas that will make the biggest difference.

The bank should also provide more grants and below-market financing related to climate, as Senator Ed Markey of Massachusetts has called for. The World Bank and multilateral development banks provided only 15 percent of their adaptation finance and less than 5 percent of mitigation finance through grants — a fraction he called “shockingly low.”

By comparison, Green Climate Fund, a multilateral climate fund, issued grants 41 percent of the time for adaptation and mitigation projects.The transformation that is required at the World Bank will not be easy.

But the departure of its former president, David Malpass, who says he will resign in June, might help build confidence in the bank’s climate work. Mr. Malpass, who was nominated by the Trump administration in 2019, has been the subject of controversy since his bewildering public refusal last year to acknowledge the role of human activity in extreme weather resulting from climate change.

Ajay Banga, the former chief executive of Mastercard, is President Biden’s nominee to lead the bank, and is likely to be confirmed next month. The leadership change presents an opportunity to clarify the bank’s role and lay out an ambitious vision for its future. Mr. Banga, who has recently visited several African countries, has said that he sees the bank’s goals of addressing poverty, shared growth and climate as “intertwined.”

Treasury Secretary Janet Yellen, who has been at the forefront of calls to overhaul the bank and to elevate the issue of climate, also noted the need for more concessional financing in a recent speech at the Center for Strategic and International Studies.

The bank was designed to lend to individual countries to spur economic growth within their own borders, but that model doesn’t work to address global problems like climate change, she said, because the benefits “stretch far beyond the borders of the country where a given project takes place.”

If the benefits of investing in climate change adaptation and mitigation are shared, so should the costs.

The Center for Global Development works to reduce global poverty and improve lives through innovative economic research that drives better policy and practice by the world’s top decision makers.

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Protecting and Managing the High Seas — Global Issues

  • Opinion by Daud Khan, Stephen Akester (rome / london)
  • Inter Press Service

The agreement of the new treaty, the result of decades of work and lobbying, is something to celebrate. However, a review of other international laws and treaties suggests that enthusiasm needs to be tempered with realism. Commonly, developed countries, due to their superior technology and financial heft, are the biggest economic beneficiaries of open access resources such the high seas, the atmosphere and outer space. They are also the worst culprits in terms of damage caused due to pollution and overuse. Getting these benefiting countries to change behavior has proved difficult.

The case of the 1982 Convention on the Law of Sea (UNCLOS) is illustrative. . Some of the provisions of Part VII of UNCLOS, which deals with the high seas, work well. For example those related to piracy – maybe because keeping shipping lanes safe is of interest to big countries with large fleets. However, the provisions related to fisheries work much less well.

Similarly the International Seabed Authority was set up to oversee and manage the exploitation of the resources on or under the seabed including oil, gas and minerals. However, there is no requirement to carry out any detailed environmental or ecological assessment; no royalties are to be paid; and no requirement for sharing of benefits with the poorer countries that lack the technologies to mine these resources.

The situation is even worse with regard to the disposal of waste in the high seas where there are virtually no regulations. This has resulted in increasing plastic and chemical pollution, much of which emanates from developed countries. Even spent fuel from nuclear power plants and radioactive water from the Fukushima power plant disaster have been dumped there.

The new treaty for the high seas aims to address many of these issues. However, it is essential that developing countries are fully involved in drafting the detailed implementation and enforcement arrangements; and defining responsibilities, as well as sanctions in the case of violation of rules and procedures. Developing countries should also continue to call into question the fact that new treaty does not cover ongoing exploitation of the high seas.

The high seas are common property of mankind and all countries need to be involved in how they are managed. The European Union has already pledged €40m to facilitate the formal ratification of the treaty and its early implementation. This will certainly give them a big say on the evolution of the detailed institutional and regulatory architecture. In order to counter this, developing countries must at least match this amount, with the larger developing countries taking in lead in provision of funding and technical skills.

Daud Khan works as consultant and advisor for various Governments and international agencies. He has degrees in Economics from the LSE and Oxford – where he was a Rhodes Scholar; and a degree in Environmental Management from the Imperial College of Science and Technology. He lives partly in Italy and partly in Pakistan.

Stephen Akester is an independent fisheries specialist working in Indian Ocean coastal countries for past 40 years.

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Its Time for Women to Lead the Sector — Global Issues

  • Opinion by Roopa Dhatt, Ebere Okereke (washington dc / london)
  • Inter Press Service

Despite five years of ad hoc commitments, our new report The State of Women and Leadership in Global Health shows few and isolated gains, while overall progress on women’s representation in global health governance has remained largely unchanged.

The report, launched on March 16, assessed global data together with deep dives into country case studies from India, Nigeria and Kenya. It found that women lost significant ground in health leadership during the COVID-19 pandemic.

A Women in Global Health study calculated that 85% of 115 national COVID-19 task forces had majority male membership. At global level, during the World Health Organisation’s Executive Board meeting in January 2022 just 6% of government delegations were led by women (down from a high point of 32% in 2020).

It appears that during emergencies like the pandemic, outdated gender stereotypes resurface with men seen as ‘natural leaders’.

A key and disturbing finding in the report was that women belonging to a socially marginalized race, class, caste, age, ability, ethnicity, sexual orientation, gender identity or with migrant status, face far greater barriers to accessing and retaining formal leadership positions in health.

Without women from diverse backgrounds in decision-making positions, health programs lack insight and professional experience from the women health workers who largely deliver the health systems in their countries.

Expanding the representation of diverse leaders in health is not just a matter of fairness, it also contributes to better decision-making by bringing in a wider range of knowledge, talent and perspectives.

Further, the report shows there is a ‘broken pipeline’ between women working in national health systems and those working in global health. As long as men are the majority of health leaders at national level and systemic bias against women continues, the global health leadership pipeline will continue to funnel more men into positions with global decision-making power.

The issues women face in national health systems are then reproduced at the global level where women are excluded from political processes and marginalized from the most senior appointments.

A deep dive of case studies in India, Nigeria and Kenya confirms that women are held back from health leadership by cultural gender norms, discrimination and ineffectual policies which don’t redress historic inequalities.

The similarities in the barriers faced by women health workers from very different socio-economic and cultural contexts are marked, indicating widespread systemic bias right across the global health workforce.

The consequences of locking women out of leadership represents a moral and justice issue, and also a strategic loss to the health sector. Through the pandemic, we saw how safe maternity and sexual and reproductive health services were deprioritized and removed from essential services in some countries, with catastrophic consequences for women and girls.

We saw women health workers unpaid or underpaid, and we saw dangerous conditions escalate as community health workers were sent to enforce lockdown, do contact tracing or provide services in unsafe conditions with no forethought given to providing security.

The findings of our report show that systemic change goes beyond numbers in gender parity leadership. What is needed is a transformative framework for action involving all genders from institutional, to national and global level.

Recommendations to drive transformative approaches include:

    ? Men must ‘lean out’ and become visible role models in challenging stereotypes to make way for qualified women
    ? Normalization of paternity leave to shift gender norms and reduce the burden of care of women
    ? Governments taking targeted actions to fast track the number of diverse women in health leadership roles through quotas and all-women shortlists, particularly for senior global health leadership roles that have never been held by a woman
    ? Institutions must be intentional about creating and maintaining a pipeline for women to move into leadership
    ? Measurable actions such as mentorship, shadowing / pairing and deputizing opportunities should be created and monitored to ensure women are visible for promotion opportunities
    ? A zero tolerance of discrimination towards pregnancy
    ? Supported flexible working options for all parents and carers

Investing in women is not only the right thing to do, but it also makes good business sense. When we get it right, we can unlock a “triple gender dividend in health” that includes more resilient health systems, improved economic welfare for families and communities, and progress towards gender equality.

The lessons of the pandemic have taught us much about the value of the health workforce and even more about the value of health workers. They are mostly women. It’s time for them to take their rightful roles in leadership.

Dr Roopa Dhatt is Executive Director and Co-Founder Women in Global Health, Washington, DC and Dr Ebere Okereke is Snr Health Adviser Tony Blair Institute London & incoming CEO Africa Public Health Foundation, Nairobi

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