Population, Health and Environment (PHE) Piloting in Nepalese Himalayas: A Lesson for Developing Climate Resilience at Grassroots

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Population, Health and Environment (PHE) Piloting in Nepalese Himalayas: A Lesson for Developing Climate Resilience at Grassroots Rishi Bastakooti rishibastakoti@hotmail.com Vanier Scholar, University of Calgary Co-founder of RIMS Nepal

Small landlocked country in South Asia Rich in biological diversity (118 ecosystem, 35 forest type) Total forest cover: 39.6% (including 10.6 % shrub land) Total population: 26.5 million (CBS, 2011) Population density: 180 person/ Sq km Population growth rate: 1.35% Per capita GDP: US$562 One of the poorest countries in South Asia About 25% population living below poverty 80% of poor live in rural area

Life expectancy: 66.6 years (CBS, 2011) Average fertility rate: 3.1 (NDHS, 2006) 40 % of girls are married by age 15 Unmet Family Planning need still high in rural area Almost 50% under five children malnourished Under five mortality rate: 52.9 (2011) and 91.2 (2001) Infant mortality: 31 (2011) and 40.5 9(2001)

Dependency on Forest Farming system interlined with forests Approximately 84% households use fuel wood for cooking Fuel wood demand outsets the supply by 1.5 million tons (Kanel, 2012) Nepali traditional hearth are energy inefficient and source of indoor pollution Timber demand deficit by 0.17 million cubic meter Deforestation rate: 1.63% during 1990-2005 (FAO, 2005)

Major Drivers of Deforestation and Forest Degradation Mountain Hills Terai Fuel wood Forest fire Grazing Hydropower Fuel wood Rural roads Forest fire Mining Illegal logging Forest fire Encroachment Road Mining Grazing

Climate Change Vulnerability in Nepal One of the most vulnerable countries Impacts both upland and low land ecosystem threatening the vital biodiversity, water, energy and food security Major implication: flood, Aridity/drought, forest fire People living in the mountain and in poverty are more vulnerable to extreme weathers

Community Forestry in Nepal One of the most successful approaches in Global South A high-priority program of Nepal Government s Ministry of Forestry and Soil Conservation CFUGs strong grass-root organizations with resources 1.71 million hectares of national forest handed over to 18,324 CFUGs (as of June 2014) Total household 2,260,688 (0.76ha/HH) Wider scope of integrating other programs

Ecological Restoration 2005 Governance & SDC Collective Action Forest Product Supply SDC

Income Generation Women Empowerment Environmental Services Democratic Rights

Resource Identification and Management Society Nepal (RIMS Nepal) Local NGO developed from USAID supported NRM Project Special focus Participatory resource management Livelihoods Biodiversity conservation Climate change mitigation, adaptation, resilience building Policy advocacy

Livelihood Improvement PHE Biodiversity Conservation Why RIMS integrated PHE in Forestry Program

Working area: 82 CFUGs of Dhading District Total Beneficiaries: 5,945 HH Integrated with USAID supported SAGUN Program

Theory of Change

Goal and Objectives Goal Improved quality of life in forest corridors and ecosystems Objectives Improved health outcome of people Enhanced capacity of CFUG to promote human and ecosystem health using community-based and integrated PHE approaches Increased support in forest user groups for sustainable PHE approaches

Intervention: Awareness and Education

Intervention: Local Human Resource Development

Institutional Support Monitoring support for Female Community Health Volunteers(FCHVs) Supporting FCHVs and Outreach clinic jointly with government Service delivery strengthening workshop Facilitating resource leverage for PHE at local level Revision of CFOP integrating PHE agenda

Intervention: Institutional Support

Outcome Indicator Contraceptive Prevalence Rate- Modern Methods Base value Projected result Actual result 44% 55% 63.1% ARI Case Referral 55% 5.5% Households using clean energy FOP incorporating PHE Value of resources leveraged for PHE (US$ equivalent) 21% 30% 37.2% 0 18 25 0 46,888

40 35 37 30 25 20 15 10 5 21 27 0 Pre-project Year 1 (2006/2007) Year 2 (2007/2008) Clean Energy 60 50 55.5 43 40 30 20 16 10 5.5 0 Oct 06-Mar 07 Apr 07-Sep 07 Oct 07- Mar 08 Apr 08- Sep 08 ARI Case Referral

ICS for less energy consumption and less indoor pollution

ISSUE OF SCALING UP

Lessons Learned Having manageable family size and access to basic health services is strategically important for secured livelihood and ecosystem health CFUGs make excellent entry point for integrated programming in conservation, FP/health and livelihood improvement Local volunteers are the key for the success of PHE ICS promotion is proven as effective means for ecosystem health, human health and wellbeing Using traditional media and humor to promote PHE and reinforce the work of peer educators and change agents is effective in rural area Maltistakeholders collaboration increases the chance of leverage and collective ownership

PHE in Connection to Climate Change PHE approach is relevant for climate change mitigation, adaptation and resilience building CFUG is one of the best lowest units to initiate climate change adaptation (however there are policy challenges yet to be addressed) Multi-sectoral, multi-stakeholders approach is always better for mainstreaming, leveraging and sustainability of the program

Acknowledgement USAID Camp Dresser and McKee International Leona D Agnes Woodrow Wilson International Center for Scholars/Environmental Change and Security Program ADRA International Government of Nepal People of the project area