The high world food prices currently being experienced provide a chilling reminder of the vulnerability of large parts of sub-Saharan Africa and South Asia to hunger and undernutrition. Many children in these regions are vulnerable to poor growth, poor development and death. Topics covered in this paper include: child undernutrition in Africa; nutrition for mothers and children; the cost of hunger; why undernutrition is not a higher priority for donors; and public-private sector partnerships in responding to undernutrition.
Poverty and health
Improving the nutrition status of children and women
id21 insights 73, July 2008
Increased educational attainment and its impact on child mortality: A systematic analysis in 175 countries from 1970 to 2009
Gakidou E, Cowling K, Lozano R, Murray CJL: The Lancet 376(9745): 959-974, 18 September 2010
This paper considers previous systematic assessments of educational attainment, and estimated the contribution of improvements in women's education to reductions in child mortality in the past 40 years. The authors compiled 915 censuses and nationally representative surveys, and estimated mean number of years of education by age and sex. They found that the global mean number of years of education increased from 4.7 years to 8.3 years for men and from 3.5 years to 7.1 years for women. For women of reproductive age (15-44 years) in developing countries, the years of schooling increased from 2.2 years to 7.2 years. By 2009, in 87 countries, women aged 25—34 years had higher educational attainment than had men in the same age bracket. Of 8.2 million fewer deaths in children younger than five years between 1970 and 2009, the paper estimates that 4.2 million (51.2%) could be attributed to increased educational attainment in women of reproductive age. In conclusion, the substantial increase in education, especially of women, and the reversal of the gender gap have important implications not only for health but also for the status and roles of women in society. The continued increase in educational attainment even in some of the poorest countries suggests that rapid progress in terms of Millennium Development Goal 4 might be possible.
Increasing access to health services by poor people
Bishai D: Eldis Health Systems Reporter, 26 June 2009
Increasing the accessibility of health services to poor people requires overcoming the well-known obstacles of travel time, convenient hours and trust. These obstacles differ in importance for urban and rural poor people. For example, spatial obstacles to care are less important for urban poor people, but convenient hours matter more. In rural areas, solutions to increased travel time bring tradeoffs between more clinics in more locations and better clinics in fewer places. There are no universal solutions, but there are universal ways of finding them. Tracking the socioeconomic status of clients served is needed to make poor people were more visible in health system data, contributing to an understanding of how poverty interacts with epidemiology in the course of disease, and also how treatment is sought and complied with. This raises the importance of making solid measurements in future research to show where poor people are and what their barriers to health care access are.
Incrementum ad Absurdum: Global growth, inequality and poverty eradication in a carbon-constrained world
Woodward D: World Economic Review 4, February 2015
The paper seeks to assess the timeframe for eradication of poverty, defined by poverty lines of $1.25 and $5 per person per day at 2005 purchasing power parity, if pre-crisis (1993-2008) patterns of income growth were maintained indefinitely, taking account of the differential performance of China. On the basis of optimistic assumptions, and implicitly assuming an indefinite continuation of potentially important pro-poor shifts in development policies during the baseline period, it finds that eradication will take at least 100 years at $1.25-a-day, and 200 years at $5-a-day. While this could in principle be brought forward by accelerating global growth, global carbon constraints raise serious doubts about the viability of this course, particularly as global GDP would need to exceed $100,000 per capita at $1.25-a-day, and $1m per capita at $5-a-day. The clear implication is that poverty eradication, even at $1.25-a-day, and especially at a poverty line which better reflects the satisfaction of basic needs, can be reconciled with global carbon constraints only by a major increase in the share of the poorest in global economic growth, far beyond what can realistically be achieved by existing instruments of development policy – that is, by effective measures to reduce global inequality.
Indigenous and tribal peoples: an ethnic audit of selected Poverty Reduction Strategy papers
Tomei M: International Labour Office 2005
The incidence of extreme poverty is higher among Indigenous and tribal peoples than among other social groups and they generally benefit much less than others from overall declines in poverty. The audit of 14 countries include: Bangladesh, Bolivia, Cambodia, Guyana, Honduras, Kenya, Lao PRD, Nepal, Nicaragua, Pakistan, Sri Lanka, Tanzania, Viet Nam and Zambia. The ethnic audit shows that there are significant differences between regions and, within regions, between countries in terms of whether and how indigenous questions are addressed.
Indigenous peoples and the right to food in Kenya
Bailey J: Africa Initiative, Backgrounder 41, 25 September 2012
In this background paper, the author argues that the concept of the right to food is an invaluable in development policy as it recognises the links between food security, culture and resource rights, and as a legal principle, it requires a state to ensure that its people are free from hunger. In recent years, the right to food among Kenya’s indigenous peoples has been challenged by climate change and state interventions that have resulted in land loss and resettlement. Past policies aimed at pastoral development - such as the Maasai Group Ranches - have failed in light of their lack of economic, social and cultural viability. Ultimately, the effectiveness of right to food is not only predicated on claimants’ ability to make demands on the state, but also on the state’s compliance with international law, the author argues. In terms of policy, she points out that Kenya is bound by the International Covenant on Economic, Social and Cultural Rights (ICESCR) of 1976, which stipulates the right to food, as well as its new constitution, signed in August 2010, which includes a provision related to the right to food. This provision is a significant step at the national level in regards to addressing food security. The next step ultimately involves the development of legislation, policies and programs to ensure the principles of the right to food are realised at the local level.
Indigenous Sengwer minority in Kenya oppose EU-funded project
Sengwer Community Leaders: Pambuzuka News, November 2016
This article outlines the Sengwer Community Leaders position that a water towers project in their area is being implemented without free, prior and informed consent of the community. As a forest community, who have been subject to part evictions, there is fear of more violations under the current project. For instance, during Natural Resources Management Project, a World Bank funded project (2007-2013), Sengwer peoples living in Kapolet and Embobut forests had some community members arrested and taken to police custody and accused of trespass while they were within their ancestral, community land. They report further than a woman was shot by KFS guards in the same Kapolet Forest. In Embobut Forest, the Sengwer write that there have been arrests and evictions (burning of houses and destruction of property). Today, they say that the Sengwer are forced to live in caves, thick inside the forest...as aliens in their own ancestral lands and territory, despite the stipulation of Art. 63 (2) (d) ii of the Constitution of Kenya. This forced some members of the community to file a complaint with the World Bank Inspection Panel which went into full investigation. The authors call on the European Union to suspend the Water Towers Protection and Climate Change Mitigation and Adaptation Programme with immediate effect, carry out adequate, effective and efficient free prior and informed consent (FPIC) with members of Sengwer and let the community make decision after proper understanding of the Water Towers programme. The Singer fully support conservation programmes and projects that recognise, respect, protect and promote their rights as traditional forest indigenous peoples (hunters and gatherers) to live in and own their ancestral lands and territories their community land in forest/protected area sustainably on conservation conditions working closely with state agencies.
Inequalities in access to water and soap matter for the COVID-19 response in sub-Saharan Africa
Jiwani S; Antiporta D: International Journal for Equity in Health 19(82) doi: https://doi.org/10.1186/s12939-020-01199-z, 2020
This paper explored the inequalities in access to water and soap for the COVID-19 responses since December 2019. . Although access to clean water and soap is universal in high-income settings, it remains a basic need many do not have in low- and middle-income settings. according to data from Demographic and Health Surveys of 16 countries in sub-Saharan Africa, using the most recent survey since 2015. The authors propose that interventions such as mass distribution of soap and ensuring access to clean water, along with other preventive strategies should be scaled up to reach the most vulnerable populations.
Informality as an urban challenge
Interview with Gustave Massiah: UrbanAfrica.net, 16 November 2015
Agenda 2063 - The Africa We Want is a flagship campaign of the African Union. This policy argues for using the opportunity offered by urbanisation and the demographic shift to fulfil the vision of an African renaissance. With urbanisation firmly on the agenda across Africa there is a need for a constructive policy dialogue on what exactly urbanisation in Africa might mean. To support such a process the Cities Alliance secretariat has awarded a grant to the African Centre for Cities (ACC) at the University of Cape Town to establish an independent think tank dedicated to this issue. In this video Gustave Massiah, an Urban Specialist with the United Cities and Local Governments of Africa, discusses the key challenges facing African urbanisation in a post-industrial period. Gustave sees the main challenges of African urbanisation to be those faced by the continent as a whole: inequality, unemployment and the resistance of external exploitation. He proposes a new conception of informality based on the dynamism and power of the individual. With no obvious answer to informality, society then has to review its definition of informal and to better understand people's own experience of their conditions.
Innovations for health: Use of appropriate technologies in Primary Health Care in Zimbabwe - Report of an assessment
Training and Research Support Centre (TARSC); CBRT: TARSC, Harare, 2015
Zimbabwe has had a notable record of innovation and use of appropriate technologies in primary health care (PHC), particularly in environmental health. These technologies are generally defined as small-scale, decentralized, people centred, labour-intensive, energy-efficient, environmentally sound, and locally controlled. This pilot assessment aimed to explore and map specific appropriate technology innovations being developed and used at community level for health in rural and urban districts of Zimbabwe. The assessment looked at the technologies, their materials, purpose and use and related issues around their development and use, with the evidence gathered by community based researchers within three main themes (i) food safety and nutrition, (ii) water, sanitation, waste management and housing and (iii) prevention and control of diseases. The results are presented in tables, with pictures of the technologies. While noting the limited size of the sample, the results suggest the wealth of innovations and appropriate technologies that exist, and the possibilities that may be found from a more systematic and wider assessment.