Last month I wrote about the coalition of rich and poor countries, of foundations and nonprofits that delivered family planning to 46 million women—FP2020. Its successor, FP2030, has continued the same work, but with some changes.
One of the involved nonprofits, the Margaret Pyke Trust (MPT), has introduced a new direction for FP2030. It has connected the growth of the human population with the decrease in biodiversity, and is doing something about it.
Population, Health and Environment (PHE) programs are not new. The recent book “Walking with Gorillas” was written by the first wildlife veterinarian in Uganda, Dr. Gladys Kalema-Zikusoka. The growing human population threatens wildlife in at least two ways. People take over the habitat of the animals, and some human diseases, such as scabies, were passed to animals. Of course, wildlife also threaten people! As humans push into areas where the animals had lived, the animals sometimes attack humans or destroy their gardens. They also have introduced diseases to humans, such as Ebola. Kalema-Zikusoka was so concerned about conflict between wildlife and humans that she started a PHE program which provides basic healthcare, contraception and environmental education, to the farmers.
Several years ago, I wrote about a PHE program on the bank of the Amazon River. It had a small health clinic with educational programs. Their family planning program was unique. There are no roads in the area—all transportation is by boat. Because the clinic worked on a shoestring budget, a long-acting contraceptive method would be advantageous. Villagers couldn’t afford a trip to the clinic except for an emergency. The solution was to have a boat go up and down the river 4 times a year. A health worker gave DepoProvera shots (which last 3 months) to women who wanted birth control.
The Margaret Pyke Trust is a British organization that specializes in education about reproductive health and contraception. Their new campaign, “Thriving Together”, started recently and already has over 150 organizations supporting it. Its goal is to build a movement recognizing “…that family planning is critically important not only women and girls, but also for the environment.” Furthermore, the head of MPT wrote: “…the existence of barriers to family planning is the most important ignored environmental challenge of our day.”
I cannot agree more! I remember when two of the top environmental nonprofits in the USA (National Audubon Society and the Sierra Club) recognized the effect of overpopulation on the environment and had active population groups. Now, the Center for Biological Diversity is the only major organization with that recognition; there are 6 people on its Population and Sustainability Team.
Although MPT will not provide clinical services as a part of FP2030, they will probably have a greater impact than if they did. Instead, they will be working with national governments to develop policies. Specifically, they plan to work with all the countries that have signed the UN Convention on Biological Diversity, which requires each state to have a biodiversity plan. MPT will offer their expertise with a new document “Reproductive choice in national biodiversity policy”.
One of the goals of this MPT program is to increase reproductive choice knowledge for several thousand people working in the fields of biodiversity and climate. They have made this possible by joining a number of international organizations, including the United Nations Framework Convention on Climate Change. They are the first and only group in these organizations with reproductive health expertise.
To me, one of the best parts of the MPT is that they talk about “removing barriers to family planning”; they are careful to not pressure people into using contraception. Moreover, they are working to slow the extinction crisis.
©Richard Grossman, MD