Building Global Health Resilience: Pursuits in Haiti and Bangladesh

ND-GAIN focuses on building resilience to climate change as a critical component to better prepare humans and their environment for the next 100 years.  Our mission lies in enhancing the world’s understanding of the importance of adaptation and of facilitating private and public investments in vulnerable communities. For the 2014 Annual Corporate Adaptation Prize, we received 20 applicants, either multinational corporations or local enterprises working on a project in a country ranked below 60 on the ND-GAIN index and collaborating with local partners. Applications are judged on their measurable adaptation impact, scalability and market impact. Here is a brief view of two projects our applicants are employing to improve human health in Haiti and Bangladesh:

Abbott, Partners in Health & the Abbott Fund

Source Abbott

Abbott has teamed with Partners in Health (PIH) and the Abbott Fund to alleviate malnutrition in Haiti’s Central Plateau—the country’s poorest region, which also is prone to severe and deadly natural disasters. Based on ND-GAIN data, Haiti is the 15th most vulnerable country and the 30th least ready country. The country’s score has trended upward over the past 10 years, from 41 in 2005 to its peak at 46 in 2010, but has dropped slightly to 45 after the 2010 earthquake.

Source Abbott 

The partnership has built and opened a new facility operated by Haitians to produce Nourimanba, PIH's free and life-giving treatment for severe malnutrition in children. The partnership's agricultural development program also is helping local farmers supply the facility with high-quality peanuts, while raising farmers’ incomes. Today, the facility concentrates on producing Nourimanba and is assessing options to produce fortified peanut butter that can be sold in Haiti. They seek to create a self-sustaining social enterprise that supports facility operations and helps drive local economic activity.

BASF Grameen Limited 

Source BASF

To date, the facility has produced more than 60,000 kgs of Nourimanba and has treated about 6,000 patients. It has more than 40 Haitians on staff, with additional staff hired as the plant expands. In 2014, the project hopes to increase farmers’ income by 300 percent. The partnership is working with non-profit TechnoServe to provide nearly 300 local farmers with tools such as financing for seeds, supplies, and services to increase quality, and yield by 33 percent. The Abbott Fund has provided more than $6.5 million in funding, and the facility is owned by PIH, which works together with its sister organization, Zanmi Lasante. Visit the Abbott Fund website to learn more, and view this 2012 New York Times article on the PIH website.

BASF Grameen Limited is improving human health by preventing the spread of mosquito-borne diseases in Bangladesh.  It has established a joint venture social business with Grameen Healthcare Trust, a nonprofit organization created by the Nobel Laureate Professor Muhammad Yunus, to help manufacture and distribute sturdy mosquito nets to vulnerable communities. The goal is to help the country achieve its UN Millennium Development Goals. Bangladesh has a gain score of 47.3 and has been steadily improving since 2005. The project hopes to further improve Bangladesh’s mortality index and external health dependency index.

With an initial investment from BASF of €200,000, the joint venture social business employs local community members in Bangladesh and sources from local suppliers where available.

The Interceptor mosquito net was the first product of this venture, which aims to reduce mosquito-borne disease, thus contributing to achieve key U.N Millennium Development Goals related to health. In 2011, BASF Grameen provided Interceptor nets to students from Dhaka University, the largest public institute in Bangladesh. Since then, BASF Grameen has constructed a plant within Bangladesh to make and distribute these nets to communities in need. According to the WHO, the protection provided by these nets against the mainly night-active vector mosquitoes is the most effective means of preventing malaria infections. The decrease in cases of malaria in Bangladesh by 70 percent over the past five years can be attributed, in large part, to the long-lasting insecticidal mosquito nets, which retain their protective properties for up to 20 washes, depending on local conditions.

Despite Bangladesh’s upward trend on the ND index, it maintains a high vulnerability and low readiness and needs investment and innovations to continue to improve. BASF Grameen Limited’s vision for the future is to scale up its operations within Bangladesh and also address similar issues in other vulnerable countries. Visit the Grameen Creative Lab and Yunus Social Business websites for more details and to learn about their other projects. This information was compiled with the help of Sophia Chau, Intern, ND-Global Adaptation

Ten Point Checklist for Making Corporations Resilient

The United Nations International Strategy for Disaster Reduction has published an interesting guide:  Making Cities Resilient:  My City is Getting Ready. Its ten-point checklist for making cities resilient begs for a companion list.  I’ve added my two cents by developing a “Ten Point Checklist for Making Corporations Resilient.” http://www.unisdr.org/english/campaigns/campaign2010-2015/documents/campaign-kit.pdf

Ten-Point Checklist
	For Making Cities Resilient (UNISDR)	For Making Corporations Resilient
1	Put in place organization and coordination to understand and reduce disaster risk, based on participation of citizen groups and civil society. Build local alliances. Ensure that all departments understand their role regarding disaster risk reduction and preparedness.	Include climate adaptation in a member of the C-suite’s job description. Establish a cross-function climate adaptation working group and connections with local and regional governments in key geographies in your enterprise – especially operations and supply chain.  Consider collaborating with key members of your supply chain, industry peers and neighboring businesses on climate adaptation planning and execution. Ensure that all departments understand their role regarding disaster risk reduction and preparedness.
2	Assign a budget for disaster risk reduction and provide incentives for homeowners, low-income families, communities, businesses and the public sector to invest inreducing the risks they face.	Include budget lines for both proactive adaptation measures and recoup from extreme event.  Include climate adaptation in performance reviews for the C-suite, lieutenants and managers.
3	Maintain up-to-date data on hazards and vulnerabilities; prepare risk assessments; and use these as the basis for urban development plans and decisions. Ensure that this information and the plans for your city’s resilience are readily available to the public and fully discussed with them.	Include climate adaptation in your emergency preparedness and continuity plans initially, with annual updates.  Ensure that this information and the plans for your corporation’s resilience are readily available to your leadership team and fully discussed with them.
4	Invest in and maintain critical infrastructure that reduces risk, such as flooddrainage, adjusted where needed to cope with climate change.	Invest in and maintain critical infrastructure that reduces risk, such as flood drainage, snow removal, vector-borne disease prevention, and heat mitigation for workers and machinery, adjusted where needed to cope with climate change. Consider supply chain and building decisions with these risks in mind.
5	Assess the safety of all schools and health facilities and upgrade these asnecessary.	Assess the safety of all facilities, especially those in locations vulnerable to extreme weather events (coastal, arid) and upgrade or move.
6	Apply and enforce realistic, risk-compliant building regulations and land-use planning principles. Identify safe land for low-income citizens and develop upgrading of informal settlements, wherever feasible.	Engage with local governments to ensure that climate adaptation regulations protect residents and economic growth. Identify your most vulnerable employees (age, income, tasks, geography) and plan especially for their safety.
7	Ensure education programs and training on disaster risk reduction are in place in schools and local communities.	Ensure education programs and training on disaster risk reduction are in place throughout your enterprise, not just for disaster preparedness, but also for heat exhaustion, vector-borne disease, and the like.
8	Protect ecosystems and natural buffers to mitigate floods, storm surges and other hazards to which your city may be vulnerable. Adapt to climate change by building on effective risk-reduction practices.	Protect and enhance ecosystems and natural buffers in and near your holdings to mitigate floods, storm surges, extreme heat and other hazards.
9	Install early warning systems and emergency management capacities in your city and hold regular public preparedness drills.	Install early-warning systems and emergency-management capacities in your enterprise and hold regular preparedness drills.
10	After any disaster, ensure that the needs of survivors are placed at the center of reconstruction with support from them and their community organizations to design and help implement responses, including rebuilding homes and livelihoods.	After any disaster, ensure the needs of survivors are placed at the center of reconstruction.  See http://climateadaptationexchange.com/crisis-communications-are-you-ready-for-a-climate-related-crisis-in-your-business/ for communications guidelines.

HEAT!

I spoke at the National Oceanic and Atmospheric Administration's (NOAA) Coastal Zone Management conference recently and gleaned from the audience of scientists that executives are more likely to engage if they understand climate science.  This blog strives to relay some climate science through charts that I find particularly compelling.

Climate scientists will tell you the hot summer we are experiencing reflects weather, not climate change; but this is what a climate changed environment will feel like. Projections show that, by the end of the century, Chicago will experience more than 70 heatwaves (in the higher emissions scenario) like the one in 1995 that claimed more than 600 lives.The following data are from Katherine Hayhoe, a climate scientist at the Texas Tech University.

Hayhoe et al. 2010. Journal of Great Lakes Research

Such heat waves, should they occur, will have an impact on morbidity, unless we adapt adapt.  Among the  steps that can be taken include decreasing the urban heat island effect, increasing the functionality of cooling centers and improving communications to the public.

In addition to heat-related illness, extreme heat triggers wide-ranging impacts.  One we can quantify:  the increased demand for cooling.  Dr. Hayhoe illuminates the increased demands placed on a Chicago region electric utility in a climate changed environment.

Among other impacts, public health is likely to suffer, even in the developed world. A fascinating document from Climate Health and Change: Framing the Issue (Accenture, GlaxoSmithKline, and Oxford) helps to describe these health impacts.

For instance, climate change will exacerbate current vector-borne disease through increased infection rate, increased geographical coverage, and increased rate of breeding.

Climate change will harm air quality and increase ground-level ozone, particularly in urban areas, leading to an increase in cardiorespiratory disease and cancer.

Young children, the elderly and those with preexisting health conditions are particularly vulnerable.

Executives - engage!