Kenyans struggle to come to terms with abortion and its impact on maternal health

This was originally published on The Huffington Post on Oct. 17, 2012.
 
NAIROBI, Kenya -- The abortion issue in Kenya is raucous, rancorous and highly emotional and political, just like in the U.S., but there is one major difference: In Kenya, abortion rights have been liberalized in certain cases in a Constitution approved in a public referendum two years ago.

I spent four weeks in Kenya this year working with the Reproductive Health and Rights Alliance, a coalition of six Kenyan organizations committed to improving maternal health, to communicate better to key groups the nature of those changes. I talked to some 40 doctors, gynecologists, nurses, lawyers, government bureaucrats and technocrats and non-governmental workers and journalists. And a few taxi drivers.

The issue of abortion is so sensitive and taboo in Kenya that it almost derailed the constitution-making process. I discovered that even though the debate was heavily covered by the Kenyan media leading up to the August 2010 referendum, there's still a lot of misinformation on what exactly the Constitution changed, or didn't change -- even among health providers. Some think the Constitution legalized abortion on demand. Others think it changed nothing and abortion remains virtually illegal. The truth lies somewhere in the middle.

Using sexiness to stop unsafe sex

Sexy condom ads like this helped DKT increase condom sales in Brazil.

This article was published originally by Fast Company's Co.EXIST blog on October 5, 2012.

Sex and sexuality have long been used to market a variety of consumer products in wealthy countries. But when it comes to HIV prevention and family planning in developing countries, global health practitioners have mostly shied away from using the titillating strategies so effective in the commercial world.

The Pleasure Project and a small group of like-minded nonprofit partners are trying to change that, by shaking up an international reproductive health community that tries to promote safer sexual behavior by influencing the most intimate aspects of the lives of people in developing countries. With their motto, “Putting the sexy back into safer sex,” the Pleasure Project is spreading that message far and wide. At the XIX International AIDS Conference in Washington, D.C., this summer, they held a session entitled “Pleasure at AIDS 2012: Everything You Wanted to Know About Pleasurable Safer Sex but Were Afraid to Ask” that explored whether pleasure and eroticism can be harnessed to enhance HIV prevention. The conclusion was that they can indeed, even though most campaigns don’t even try.

Faith-based organizations believe in family planning

British Prime Minister David Cameron speaking at the London Summit.

This article was originally published on Impatient Optimists on July 19, 2012.
 
Faith-based organizations (FBOs) were well represented at last week’s London Summit on Family Planning thanks to the summit organizers, the Bill & Melinda Gates Foundation and the British government. Ten faith leaders participated and, like most of the delegates, they thought the summit was a smashing success by securing financial commitments to reach an additional 120 million women and girls with voluntary family planning services.

Gary Darmstadt, head of the foundation’s Family Health Division, made clear his belief that FBOs are “critical to family planning” in a post-summit blog, pointing out that FBOs “provide up to 40 percent of the total healthcare in many countries in Africa.” It may be even higher than that in some countries.

“The only way the ambitious goals in child health and family planning can be reached is to mobilize the faith community along with other stakeholders, an ‘all hands-on-deck’ approach,” said Ray Martin, executive director of Christian Connections for International Health (CCIH) . “Often the hardest-to-reach populations in rural areas and the urban poor are the ones most likely to be reachable by FBOs.”

Faith-based organizations hope to have a positive impact at London Family Planning Summit

Three African presidents and Melinda Gates at Family Planning Summit.

This article was originally published in the "On Faith" section of the Washington Post on July 10, 2012. 

When the British government and the Bill & Melinda Gates Foundation bring together governments, donors, civil society, the private sector and the research and development community in London on July 11 for a major summit that hopes to rekindle the neglected embers of family planning, there will be one constituency there that might surprise some people — people of faith, including Christians (Catholics, mainline Protestants, and evangelicals), Muslims and other faiths.

These religious leaders are working to mobilize the faith community to work with governments, donors and other secular partners to bring family planning back as a major force in maternal, child and community health, something that has been downplayed the past two decades, in part because AIDS and other health issues took precedence, and in part because of the religious and political sensitivities to sexuality and family planning.

This faith support for family planning ranges from progressive Christians to Catholics and evangelicals.

In management of G8 and G20 summits, Mexican performance was vastly superior to U.S.

NGOs meeting at Los Cabos to prepare for their first press conference.

NOTE: This was originally published on the Huffington Post on July 2, 2012.
 
This year's G8 Summit took place at the secluded Camp David presidential retreat in the mountains of northern Maryland. The G20 Summit took place in Los Cabos, Mexico, the beach resort area at the southern tip of Baja California, where American tourists partied in clubs and frolicked on the beaches while 26 heads of state grappled with the world's most pressing problems.

Apart from the striking difference in venues, there was another huge contrast in the American and Mexican summits -- the level of transparency and the manner in which the two governments managed the process of consulting outside groups, including non-governmental organizations (NGOs), otherwise known as civil society. Guess which country had a very transparent and inclusive process, with multiple opportunities for civil society engagement, and which made used a dedicated website and a suite of social media tools, including Twitter, Facebook, You Tube and others, to share information.

If you guessed the United States, you'd be wrong. As a member of the G8/G20 Global Task Force, a group of international NGOs advocating for their issues in the two summits, I saw firsthand that the Obama Administration's management of the G8 process was none of that:

In advancing food security at G20, civil society can learn from business

NOTE: This was originally published on the Impatient Optimists of the Bill & Melinda Gates Foundation on June 20, 2012.
 
LOS CABOS, Mexico — One of the remarkable developments of this G20 Summit is the meteoric rise of the B20 (Business-20) and its championing of an issue that is also a priority for non-governmental organizations (NGOs) — food security and nutrition.

The B20 describes itself as “an international forum aimed at fostering dialogue between G20 governments and the global business community,” with a main objective of providing heads of state with meaningful recommendations from business.

Food security and nutrition might not have achieved the prominence they have at this summit if not for the B20. And they have achieved prominence—if not many concrete results — as evidenced by Mexican President Felipe Calderón’s op-ed in the Financial Times Monday entitled “Why food security comes first:”

We will have failed if we manage to get the richest nations back on track while the poorest still experience famine. That is why my country insisted on placing food security at the top of the G20 agenda, alongside the restoration of economic growth and global financial reform.

What NGOs want from the Mexico G20 on food security and nutrition

NGOs holding one of our two press conferences at the G20 at Los Cabos.

NOTE: This was originally published on the Huffington Post on June 18, 2012.
 
LOS CABOS, Mexico -- On the eve of the G20 Summit, which opens here on June 18, I've been looking into what nongovernmental organizations (NGOs) want to get out of the G20 Mexico on an issue that is a priority to NGOs as well as the Mexican presidency of the G20 -- "enhancing food security and addressing commodity price volatility," in the words of the Mexican government.

And I discovered that the biggest NGOs and NGO coalitions here in Los Cabos are advocating for many of the same food security and nutrition issues, but also have some differences.

In its paper titled Food Security: A G20 Priority, the Mexican government defines food security "not only as an increase in production, but also the availability of, and access to, food by the population."

In a sense, that is one of the highest priorities of NGOs advocating on this issue at Los Cabos -- to ensure that the G20 not only takes steps to increase food production but also to make sure that the most vulnerable, especially women and children, have access to it.