Posts Tagged ‘Ghana’

The Week of #AfricaHealth – African #PublicHealth Association Launches

Sunday, October 2nd, 2011

(Image credit: thisispublichealth.org)

This week saw a number of exciting advances in dealing with health worker shortages as well as building the capacity of developing health systems. Africa now has its own association for public health, schools of medicine are working to meet the need for professional health workers, new state of the art hospital facilities are built in northern Rwanda, young people ask for more information and more sexual education, and African countries still work to meet the need for their health systems to deal with infectious diseases as well as non-communicable diseases.

Africa Federation of Public Health Associations Launched

Public Health is a growing field across the African continent. The WHO Regional Director for Africa, Dr Luis Sambo said the launch of the African Federation of Public Health Associations provides a useful platform to harness complementary capabilities and resources for better public health outcomes in the region. He said it will facilitate exchange of information and experiences among national public health associations and promote inter country cooperation.

Partners in Health completes Butaro District Hospital

With extensive research and architectural design efforts, the Burera District in northern Rwanda now has a state of the art hospital. PIH expanded the existing health center to grow into this pinnacle of treatment since 2007.

Safe Sex – Out of Fashion?

In a study published on World Contraception Day with support from the International Planned Parenthood Foundation (IPPF), young people in 29 different countries said that they needed more sexual health education and information. ”Sexuality is often a politically loaded subject which governments don’t want to burn their fingers on,” says Henk Rolink of Dutch sexual health and rights organisation Rutgers WPF. ”What’s more, health care budgets are often very low. Family Planning gets a low priority. In many other countries sex education mainly concentrates on abstinence. This is often the case in Western countries too, but of course it doesn’t square with reality. Young people do have sex.”

Obesity is Contagious 

This article’s title comes from research that shows individuals with close friends who are obese are more likely to also be overweight. Nigeria’s health system works to address NCDs, particularly obesity, as growing health concerns. At the gathering of health experts during the International Conference Centre in Abuja for the 2nd International Conference of the Federation of African Nutrition Societies (FANUS), the focus was on series of health concerns particularly the growing global obesity epidemic.

Hospital Turns Back Doctors Amid Doctor Shortage

In one of the more developed countries of Africa, there are still significant shortages in health workers and doctors. In scenes that can be replicated in many burdened health systems, one of Ghana’s port cities’ hospitals has closed its doors because there aren’t enough medical doctors. Director of Health Services Dr. Irene Agyepong said that actions had been taken to return the hospital to normal operations.

354 Students Enrolled in Orota School of Medicine

It is no doubt that increasing programs for medical education will be key to meeting the shortage of health workers across Africa as well as building the capacity of health systems. With the increases in enrollment at the Orota School of Medicine, Eritrea has seen the patient burden on the health system decrease from 29,000 people per doctor to 20,000 people per doctor. The school has a goal of school of having a doctor for 6000 every people in the year 2020.

Tuesday Talks: Health insurance for Africa

Tuesday, November 2nd, 2010

With the growth of health sectors across the world one of the most critical areas moving forward is how to pay for health care. South Africa’s NIH is facing resistance with its national health care scheme. A few years ago Ghana was working on a similar national health insurance plan. In many countries there are innovative micro-health insurance programs some like Mpesa that are available on your mobile phone. What will be the future of health financing in Africa. This video from a Kenyan news agency looks into the meeting of African Health Ministers talking about health insurance for Africa.

The Week of Health in Africa

Friday, October 8th, 2010

The Mo Ibrahim Prize for African Leadership hasn’t been given out since 2008, but the Mo Ibrahim Foundation has launched the Ibrahim Index as a measure for African countries and their progress. This is an interesting and important development as a number of the indicators for the index focus on health. Check out other interesting news from across the continent. Check it out for yourself!

Reducing poverty with water!

“Water is more valuable than oil, more precious than gold,” said Amy LoPresti, co-founder of Africa Water is Life. “It is the essential ingredient of our life, our culture, our history, and our future. Yet, 1.2 billion people in the world do not have access to clean, consumable water.” Unsafe water and a lack of basic sanitation cause an estimated 80 percent of all diseases in the developing world and together kill more people than all forms of violence, including war.

Modified bananas to fight child and maternal mortality

This is a story that really invokes our organization’s name. High rates of chronic malnutrition and micronutrient deficiencies of Vitamin A and iron among women and children remain Uganda’s most common malnutrition problems. However, an edible banana could solve this problem.

How fight against Guinea Worm was won

Africa Water News highlights a CNN article that suggests we are close to eradicating the disease. Once called the “forgotten disease for a forgotten people” the Carter Center believes that every country in Africa except Sudan will be rid of the disease.

Healthcare is a Moral Obligation

The ANC’s National Health Insurance scheme has yet again opened up the deep economic divisions in South Africa. The economic divisions are best represented by access and quality of health care. Doctors are very difficult to find in poor, crowded townships and settlements, but major towns with many wealth have centers for plastic surgery. 60% of funds for health services are directed at the 15% of the population which is covered by private health insurance. Only 40% of the funds are used to pay for the public sector that serves 85% of the population.

Medical Education in Africa to receive $1.3million in American Grants

Over the next five years and in partnership with the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the department is awarding grants to African institutions in a dozen countries under its Medical Education Partnership Initiative (MEPI), which works with U.S. medical schools and universities to form a network that includes about 30 regional partners, country health and education ministries, and more than 20 U.S. collaborators.

Ghanaian belief and Healthcare

This article is being featured because of the subject matter. Voice of America (VOA) has a habit of generalizing, especially in Africa and about African people. I suggest reading the interview transcript on how traditional beliefs guide health practices in Ghana, something that I studied during a 6 week study abroad covering disparities in health care. The US health care system could learn a thing or two from the Ghanaian health system.

Hope Expanded Protection Against TB

With a vaccine and drugs available to treat tuberculosis (TB), you would think that it should no longer be a problem. 1.3 million people worldwide died from TB in 2008, according to the World Health Organization most lived in Africa and Southeast Asia. Is this becoming another “forgotten disease for a forgotten people?”

In the (RED)

Monday, December 29th, 2008

What exactly is Product (RED)? According to the official website,

“Product (RED) is not a charity. It is not a cause. It is an idea.”

Launched by Bono and Bobby Shriver in 2006, the (RED) campaign defines itself as a business model which is designed to raise awareness and a sustainable flow of funds to the The Global Fund to Fight AIDS, Tuberculosis and Malaria. Private corporations agree to donate a portion of profit made on the sale of specific (RED) products directly to the Global Fund. These funds will then be used for the specific purpose of providing access to education, nutrition, counseling, medical services, and anti-retroviral medicine in Africa. Currently Product (RED) allocates it’s funds only to projects in Ghana, Lesotho, Rwanda and Swaziland, but there are plans to broaden their reach. Many popular businesses are already partners including American Express (UK only), Converse, Gap, Emporio Armani, Dell, Windows, Apple and Hallmark, with many more vying to get involved.

The basic idea is that for the same price of a comparable good, a consumer can purchase what they want and the company will make a contribution to the Global Fund. The percent of profit donated varies by partner and product. For example, at the Gap, 50% of sales on (RED) products, such as t-shirts that read, “Inspi(RED),” is donated. For every (RED) laptop computer sold, Dell and Windows will donate $50. Some companies are less specific about the percentage of sales that is actually donated but the philosophy remains the same throughout the stores: ‘lives can be saved through shopping.’ Buy a pair of shoes, save a life. Buy an iPod, save a life. The idea is not completely unappealing or inherently wrong. To date (RED) partners have generated more than $110 million for the Global Fund, money that would have otherwise just gone to the corporations. Still there are some unsettling aspects of this business model.

Product (RED) buys into contemporary feelings of wanting to get something for what we give and of wanting it to be convenient. It makes fighting AIDS trendy. The newest partner, Starbucks, is donating $.05 for every one of its three special seasonal beverages sold between December 1, 2008 and January 2, 2009. The Starbucks website states “It’s easy to do good”. And it is! All you have to do is spend $3.50 on a small peppermint mocha. You’ll get a sticker to place on a map of Africa to show your contribution and go on with your day feeling good about your 5 cent donation. 5 cents is nothing to scoff about. With as many drinks as Starbucks sells, it adds up, but what is the real message being sent? Who is really benefiting? Companies get to make a minimal donation and make themselves look really good. Consumers get to feel even better about their coffee and new clothes. It’s possible that a few of these consumers will be motivated to find out more about the AIDS epidemic in the developing world. They may visit a website and educate themselves, possibly making a larger donation in the future or just spreading their new knowledge to others. But how many purchasers of (RED) products will do this? How many others will feel they have done their part by purchasing their Product (RED) iPod, instead of a blue one?

Product (RED) is not necessarily a bad thing. I myself have purchased two (RED) iPods and love them. Funds are being raised to fight the AIDS epidemic in Africa. Still, I find this whole idea misses the point. Money is being donated while ignoring the root of the problem. Product (RED) uses the promotion of excessive consumerism to fight a problem that has been partially caused by excessive consumerism. It does not lead United States and European citizens to question global stratification and what their role in it might be. Instead it allows them to feel like they are doing something to help by shopping, rather than motivating them to make real changes. Money can always be given, but it’s hard to imagine any real improvements in the quality of living for everyone around the world without real changes to the economic and cultural systems we live in, including changes in how people think and act and view themselves as members of their neighborhood, country and world. A change between buying a Product (RED) t-shirt at the Gap or the plain gray shirt next to it on the shelf is not this kind of change. Product (RED) has the potential to raise awareness and make people think about global issues, but it also has the potential to make them feel satisfied with the way things are and the small part they are doing by purchasing a gingerbread latte at Starbucks. So for Product (RED) and other business models aspiring to follow it’s example, rather than a green, go for it, I give a yellow: use sparingly and with caution.

By Ruth Berger, VP MSU Chapter

Definition of Development (revisited): beauty in the palm of your hand

Wednesday, October 22nd, 2008

Last summer I wrote about the definition of development after having a conversation with an incredible Peace Corps volunteer in Ghana who was really making the most of his time and abilities. The conversation that we had really made me think about the term ‘development’ and what it really means. Before that conversation and since I have been working to create my own definition, or rather I have been working to make the term stand for what I believe development should be all about.

This is what I wrote from Ghana on 7 June 2007:

This discussion with Alex really made me think about ‘development’ as the word was thrown around a lot that night. Alex has said that he really likes the Peace Corps model because it deals with integration. A volunteer is placed in a village or area and works with the people to improve their situation. This as opposed to some large organization or institution just giving out money to big plans they believe will work. But, what is the definition of development? Who gets to determine what development is? Who is allowed to call one developed or developing or underdeveloped? Is development all based on a desire or push to become Western? Yes, I think in the very recent past it was and really still is to a degree, but for me development holds a different definition. Development for me mirrors positive progress in people’s lives. Development should be based on getting and giving people their basic needs (rights) for survival and life. Even in this regard the almighty ‘West’ needs development.

Now my development studies have become more involved and I will apply certain paradigms of thought and different theories of development from many different minds. Before I get into theory I want to begin by tackling the continuously difficult task of writing a definition of development.

Development is a loaded term and cannot be the way that we approach others in need. From President Truman’s “launch” (Wolfgang Sachs, 2) of the idea of development in 1949 during his inauguration speech in which he declared “underdeveloped areas,” the West began a long blinding road on which the US would always be number one with no need for ‘development.’ Development in this sense creates an inferior to superior relationship between those who need help and those who have the resources. This is where the idea of the ‘third world’ comes in. Two years ago I wrote on the idea of the ‘third world’ and how the term’s use perpetuates bad ideas in development. The notion of being better because of circumstance is an extreme detriment in development work. In actuality the West is developing just as much as those we deem ‘underdeveloped.’

We are developing the way we see the world and how we react or act to the different situations that various people face. We are developing our ability to care and show compassion, the most basic human action, to those who need our help. We need to start developing a process to assist those who most need our help. We need to develop our government’s actions to fit the size of its big words and statements. The world’s people need to recognize that we are not separated by very much anymore, except maybe our prejudices and false perceptions. We are not so distant as to claim we live in different worlds any longer. The distance is only in our minds.
From: new world discovered 3 September 2006

Development and its Uses

Truman called others ‘underdeveloped’ and what we have now seen is the disparity between rich and poor has grown exponentially. The ‘underdeveloped’ were not able to come closer to the ‘developed.’ We began calling some countries ‘developing’ as they adopted our ideas for governance, economy, liberalized markets, and modernity. This began the ‘era of development’ and Wolfgang Sachs provides us with an excellent quote:

“Like a towering lighthouse guiding sailors towards the coast, ‘development’ stood as the idea which oriented emerging nations in their journey through post-war history. No matter whether democracies or dictatorships, the countries of the South proclaimed development as their primary aspiration, after they had been freed from colonial subordination. Four decades later, governments and citizens alike still have their eyes fixed on this light flashing just as far away as ever: every effort and and every sacrifice is justified in reaching the goal, but the light keeps on receding into the dark.” (Thomas, Ch. 1)

Here is where we can draw on a theme of ‘development of the mind.’ This idea has been grown on the backs of the very people that ‘development’ seeks to assist. Born of colonization which promoted a certain nihilism of colonized populations and modernization as a result of capitalist systems imposed on those populations, the development of the mind made people think that they weren’t good enough and that they did not have the capacity to do for themselves. This is also a mentality that can be found within the slave and Black populations of the US. When a people is subjugated it takes a long time to redevelop the thinking that is not rooted in subordination. Everything was made simple and efficient for the imperial masters to control and capitalise on stolen wealth. Esteva importantly notes that for people to embrace ‘development’ they have to first perceive themselves to be ‘underdeveloped.’ (7) In this sense development negates the very person seeking to improve their life through ‘development’ because, “it undermines confidence in oneself and one’s own culture.” (Esteva, 8.) The nature of ‘development’ almost always forgets about history and culture. Economists come at development with the idea of a level playing field that just needs to be built upon, but that is never the case. Histories of colonization which spurred war and violent conflict cannot be sliced out of development work. Colonized populations often had their histories and cultures re-written. In the case of Rwanda a homogeneous people were divided and pitted against one another. In South Africa culture was bound by ‘bantustans.’ In every corner of the globe a system focusing on mass production and the attainment of ‘wealth’ was imposed on traditional ways of life, cultures were and are altered as a result – sometimes even discarded. The “standardization of desires and dreams” (Wolfgang Sachs, 4) resulted and now we have ‘development.’

What we also can look back and see is the use of ‘development’ as a “weapon in the competition between political system.” (Wolfgang Sachs, 2) The Cold War led to a widespread allocation of ‘rogue aid,’ that is aid that is given without restriction and without being tied to a government or ‘development’ agency. This ‘rogue aid’ was given to win over world leaders to the side of the US or Soviet Union. Development as a weapon has created long-term effects that can still be seen as countries fell to dictators and authoritarian regimes fueled by ‘rogue aid’ and their militarization by Cold War powers. The ‘era of development can also be called the ‘era of the Cold War.’ (Wolfgang Sachs, 4) Our privilege and ‘wealth’ does not give us a free ticket to ‘develop’ the rest of the world or tell them that they are living poorly. If the world was to be ‘developed’ entirely we, as a global society, would be reduced to a dead population living on top of each other on a barren planet devoid of all nature because we exploited both ourselves and our habitat. In some areas of ‘development’ I would even say that the West has taken irrational steps backwards.

Paradigms

There are three non-distinct paradigms or theories of development. The first is what we have seen for the past four decades since Truman’s statement on underdevelopment. Development as Modernization puts forth the idea that the “modern money economy should and would overcome the traditional subsistence economy.” (Ruonavaara, 2000) This is where ‘development’ has acted as a “Westernization of the world” (Wolfgang Sachs, 4) and the beginnings of a failed system that does not serve people’s needs.

In the 1980s Alternative Development came into fashion to deal with the failure of Development as Modernization. The problem here was a misuse of privilege. Scientific knowledge was favored over all as professionals and experts came in as ‘facilitators.’ The positive of Alternative Development was the greater focus on people and ‘including the excluded.’ Women, minority groups, and the actual people being ‘developed’ were engaged in their own development. The failure of this paradigm was the hierarchical structure of facilitator and underdeveloped community, the lack of agency given in development, and the focus on modern and scientific knowledge as the only way to go.

Now there is the paradigm of Alternatives to Development or what some call Post-Development. This is an absolute “rejection and the replacement of the Development as Modernization model.” (Ruonavaara) Alternatives to Development employs re-membering people into society, a step further than ‘including the excluded,’ participatory and cooperative practices, as well as allowing “professionals and non-professionals to talk about development in new ways.” (Ruonavaara)

I say these paradigms are non-distinct because it is often difficult to specifically define approaches to development in reality as one paradigm or the other. Often it is easy to place certain development practices within the paradigms, but not the actions of an entire agency or organization.

Definitions

Alan Thomas tells us that the term ‘development’ is used in three main ways:

1. as a vision, description or measure of the state of being of a desirable society;
2. as an historical process of social change in which societies are transformed over long periods;
3. as consisting of deliberate efforts aimed at improvement on the part of various agencies, including governments, all kinds of organizations and social movements.

Chambers (1997, from Thomas, Ch. 2) defined development as just ‘good change.’ Thomas breaks this down excellently in his second chapter and the important concept to note is the ambiguity of ‘development.’ People have different ideas of what change is, of what progress entails, and especially of how we should get to that good change from where we are now. The nature of the defining is how ‘development’ happens in reality.

Cowen and Shenton write, “The burden of development was to compensate for the negative propensities of capitalism through the reconstruction of social order. To develop, the, was to ameliorate the social misery which arose out of an immanent process of capitalist growth.” (Thomas, Ch. 2) If capitalism is to be a working system of self-regulating markets then everything must become a commodity. The problem here is that everything cannot be a commodity: life, mind, dignity, equality – these cannot be bought, sold, and produced or regulated by any market.

Jeffrey Sachs talks about development (economic) in relation to a ladder, (Sachs, 18) where once you reach the first rung you are set on your path to development. This falls in line with the Development as Modernization approach. The problem with Sachs’ definition is that he creates a linear model that does not work in reality, people are often moving up and down the ladder – or not even on it because development can not focus solely on the economic. The political, social, and cultural must also be taken into account. Sachs’ other problem arrives when he defines poverty as a trap. This definition takes out all history and accountability in relation to one’s poverty. It discounts how one got into poverty in the first place or how a country or community lives in poverty.

Wolfgang Sachs defines development as, “an amoeba-like concept, shapeless but ineradicable. Its contours are so blurred that it denoted nothing – while it spreads everywhere because it connotes the best of intentions. The term is hailed by the IMF and Vatican alike, by revolutionaries carrying their guns as well as field experts carrying their Samsonites. Though development has no content, it does possess one function: it allows any intervention to be sanctified in the name of a higher goal.”(4)

Responsible Development- My definition:

Therefore all past implementations of development as intervention, as hegemonic control, as a political weapon, as a ladder, as Westernization, as capitalist, and as modernization have led to a more underdeveloped world where people are not valued and all that matters is the production and perpetuation of the current system for those are the forefront. Wolfgang Sachs says, “The idea of development stands like a ruin in the intellectual landscape” and “its time to dismantle this mental structure.” (Thomas, Ch. 1) I already wrote about the idea of development of the mind and so now how does someone from the West who wants to help those in need around the world engage in ‘development’ that will actually produce the desired results for people?

My definition of development falls along the lines of the ‘alternatives to development’ paradigm. I believe very strongly in people-centered development that is needs based. Where there is a focus on individuals as part of the whole and not on just numbers of people assisted, growth of GDP, or increase in production. I want to see development that uses what works and not just what looks good. Development that strengthens local communities and connects them to others, that evaluates itself often, that doesn’t ‘other,’ that spreads a cooperative mentality of interdependence, that believes in the co-evolution of people with nature, that does not feel guilty, but responsible, that uses unsustainable development to adopt sustainable practices. Development should be a resource for people who have historically and systematically been subjugated and oppressed so that they may have agency and actualize their own development. I am a strong believer in a communal and cooperative living style, this is a ‘modern’ idea based in practices of traditional societies. My definition of development is not an ideology, but rather it draws on wisdom from historical experience.

Development should be a vision that is defined by the community as a whole. I believe strongly in empowerment where the ‘developer’ does not act as an overseer or facilitator, but a resource and a support. This is where development needs to become a redistribution of power and resources that will transform the way institutions have worked. Along with empowerment comes the idea of participation. Both the ‘developer’ and those to ‘develop’ need to be participants on equal footing in the development process. In this way communities are able to develop themselves and take into account their social and cultural practices without being controlled by an outsider. Development as we have seen pushed for a conformity of global society – development should instead embrace diversity and equality in difference.

My economics mirrors the ideas of E.F. Schumacher where he focuses on economics as if people mattered. Schumacher uses Buddhism as an example of people and nature centered development practice. He writes:

“Simplicity and non-violence are obviously closely related. The optimal pattern of consumption, producing a high degree of human satisfaction by means of a relatively low rate of consumption, allows people to live without great pressure and strain and to fulfill the primary injunction of Buddhist teaching: ‘Cease to do evil; try to do good.’” (62)

He also writes about production at the local level for the local level and how that lessens human consumption as a “rational way of economic life.” Schumacher notes that now (1973, even more now) the human population lives parasitically on the earth, the market is an institution of individualism and severs all responsibility. (46) Development needs to be about wellbeing of both the individual and the world around them.

The examples of subsistence and traditional communities are excellent, ’small’ examples of how development should work.

“A world of ‘humanized’ production, based on a small scale but modern and scientific technology, a world of co-operation in villages and small towns, a world of enriched social relationships growing out of a process of production and exchange that is under human control rather than ‘alienated’. . .” (Kitching, 1982, p.179 from Thomas, 35)

There are many examples of this and even now practices within the ‘developed’ world are moving towards subsistence and small scale, cooperative and local. Within the ‘developed’ world there is a growing number of local farmer’s markets, organic growers, and alternative organizations focused on serving people’s needs. Even Barbara Kingslover’s latest book, Animal, Vegetable, Miracle is based on locally grown, locally purchased food as a way to develop a more environment friendly and people friendly society. This local food movement is growing fast.

Some may try and say that it is just a phenomena as food and fuel prices soar, but really it is a long held style of living rooted in historic, traditional knowledge which we are finally returning to: a method of living that is more holistic and accounts for the co-evolution of humans and nature. Evidence of these traditional practices is still seen today. There have been attempts to return to a historically sustainable way of life through movements like Kibbutz in Israel, Ujamaa in Tanzania, Revolutionary Inter-Communalism within the Black Panther Party of the US, as well as implementations of communes, cooperatives and collectives in the Western world – some that begin as far as 200 years ago. There are distinct reasons why these models have failed to achieve widespread results, but the most detrimental effect brings us back to the idea of ‘development of the mind.’People are too often trapped in a system’s way of thinking and living that it is too difficult to cut out un-necessary desire or it creates an inability to see beyond the current status quo and way of life.

One example of a community that was self-sufficient, sustainable, and at peace with others and its environment was the Ladakh in northern most point of India next to Kashmir. The Ladakh were a traditional indigenous community that operated on communal living. They lived with no strain on the natural environment. There was no pollution, excessive noise, or a lack of resources. People worked on their own time and used what would be called ‘primitive technology.’As soon as modernity and ‘development’ entered the scene the sustainable way of life of the Ladakh disappeared. Modern society claimed to understand and control the natural order, with energy and capital intensive, consumptive, and environmentally unfriendly practices. The elderly no longer had a role in the community with the creation of Western schools and business because of this young people did not learn tolerance and responsibility at an early age. Modern society broke down family and community ties. Agriculture was no longer an acceptable business, pollution grew, the status of women fell as men felt more and more insecure in the ‘modern world.’ A community where there were no constraints, no stresses, no violence, no capital or pollution was turned into what we now see on a worldwide scale with the propagation of capitalism. Polluted environments, where everyone is in a rush, and once you can no longer produce you have no place in society. We now live as parasites on the earth as opposed to co-evolving partners with the earth. We now value products and productivity above people. There are many related examples across the globe of communities like the Ladakh. Now the Ladakh Development Foundation exists to empower the community to improve itself.

It seems with all this understanding of history, ‘development’ should become a simplifying of life. We should re-learn traditional values of these communities and apply them to our own lives. Living non-hierarchically, with community consensus, subsistence, and holistically. There are too many broken people, we need to reverse our practices and rewrite our theories. There are many efforts now developing across the globe to spur a “green economy,” one that attempts to place the environment at the core of our societal progression. It has had mixed results, but the majority good. Where gardens are established on roofs (green roofs), community parks take the place of abandoned factories, and bringing people out of poverty is the norm. The Green for All organization is working to build an inclusive “green” economy that will assist and benefit everyone.

Green For All believes a shift to a clean, green economy can improve the health and well-being of low-income people, who suffer disproportionately from cancer, asthma and other respiratory ailments in our current pollution-based economy. Such a shift can also create and expand entrepreneurial, wealth-building opportunities for American workers who need new avenues of economic advance. In other words: we believe that the national effort to curb global warming and oil dependence can simultaneously create well-paid green-collar jobs, safer streets and healthier communities.

The notion of a growing or strong nation or country by way of its GDP or economic output does not give a comprehensive definition of the development of a country when people are a means to an end. And so ‘development’ at national and state levels is irrelevant when there are people who still live without their basic necessities at the small-scale, local and community level.

Previously posted on the When not in Africa. . . blog.