Pakistan
Birth kits: An immediate solution to lowering maternal deaths
Countries: Afghanistan, Brazil, Cambodia, Dominican Republic, Egypt, Ethiopia, Guatemala, Haiti, India, Iraq, Pakistan

Bringing one life into the world shouldn't mean sacrificing another. While the developing world scrambles to secure funding for midwifery services, there's a cheap, short-term solution: birth kits.
The risk of death due to pregnancy or childbirth is 1 in 8,000 in developed countries, as opposed to 1 in 17 in developing countries, according to the organization Unite For Sight. Yearly, approximately 57 million women give birth in their home without the help of a trained professional, increasing the risk of complications.
Midwives are an essential player in lowering maternal deaths. "Midwives can save women's and newborns' lives if they are properly trained and equipped, and if a support network is available," writes the World Health Organization. Worldwide, the WHO estimates, there is a shortage of 350,000 midwives. But training 350,000 new midwives won't happen overnight. In the meantime, birth kits could fill the gap.
Birth kits provide the tools for a safer and sanitary delivery, including soap to wash hands, razors and ties for the umbilical cord, plastic sheets for a clean surface, and an instruction sheet.
The impact of birth kits can be life-saving but their success depends on acceptability within the community where it is introduced. At times, modifications might be needed such as redesigning the instruction sheet to use images instead of words, considering low literacy rates. PATH, an international organization which focuses on global health and well-being, has produced kits used in Bangladesh, Egypt and Nepal. Cutting the umbilical cord on a coin is considered good luck in Nepal. To adhere to traditional customs, PATH created a kit that includes a plastic rupee.
Another common problem: Cutting the umbilical cord with unsanitary, used razor blades. Disposable razor blades or an illustrated instruction sheet encouraging woman and midwives to sterilize reusable blades after every use could reduce this problem. The Janma clean delivery birthing kit by AYZH is making modifications to its current scalpel handle design to discourage reuse.
Though midwives are the ideal choice for safe births, families can't always afford their services. Government and non-profit programs that subsidize midwifery programs aren't economically sustainable in the long run. A model pursued by the Midwifery Association of Pakistan involves changing public perceptions of the midwife's role in health care, advocates for government-set standards for midwifery education, and lobbies for professional rights.
Until midwifery is economically viable and publicly understood, we need an affordable stop-gap solution to save lives. Maternal mortality will continue to rise if birth kits—and, eventually, midwifery services—aren’t accessible to the women who need them now.
The history of the modern world, told with moving dots
Countries: Bangladesh, Brazil, China, India, Indonesia, Pakistan, United States
If you are interested in the health of the world economy, it helps to know a bit about its history. But conceptualizing the global economy over long periods of time can be daunting. Until now.
Check out the above video, in which Hans Rosling plots the "wealth and health of nations" over the last 200 years. Then see his interactive website, gapminder.org, which lets you dig into his data yourself.
Post-Disaster Economies: Putting the Pieces Back Together, Better
Countries: Colombia, Haiti, Pakistan, United States

In minutes, everything was gone.
The funnel clouds from one of the United States’ worst tornado seasons in years destroyed homes, bridges, schools, and anything else in their path. While the loss is catastrophic, the reconstruction period that follows a natural disaster can create interesting economic niches and opportunities for those seeking to put the pieces back together.
This kind of destruction is not unique to the U.S. Catastrophes around the globe cause economic shifts. Sometimes this means a transformation in a country’s economic structure, but on occasion, disaster can spark positive changes.
In an example of structural transformation, massive winter flooding in Colombia recently put millions of acres of land underwater — having disastrous effects on the country’s dairy, agricultural, and cut flower industries. Colombia had planned to transform its eastern plains into the country’s primary agricultural sector, doubling the amount of land under cultivation, but the flooding presented a major roadblock. “...[I]n just a few hours we are losing what has been 35 years in the making,” one dairy farmer told Reuters.
Last year’s floods in Pakistan, the earthquake in Haiti, and Hurricane Katrina (to name a few) disrupted millions of lives and wiped out or severely destroyed local and national economies. Recovery may take decades.
But disasters have also spurred interesting new economic developments. The floods in Pakistan washed away thousands of miles of roads and railway lines, many bridges, almost 10,000 schools, and 1.7 million houses. Rebuilding them represents an enormous business opportunity. It is also a chance to introduce more resource-efficient practices in industries like agriculture, livestock, and dairy farming that were wiped out by the floods, Pakistan’s High Commissioner to the UK, Wajid Shamsul Haman, told Reuters.
Indeed, the destruction of infrastructure and existing institutions sometimes represents an opportunity to rebuild in new and improved ways. In March 2010, the Haitian government unveiled a plan to rebuild the nation that seeks to redistribute a large portion of the population to smaller, less disaster-prone cities, according to the New York Times. Building up the infrastructure in these smaller communities should create an economic incentive for people to stay. Planners hope that a decrease in Port-au-Prince’s population will help to alleviate many of the social problems related to overcrowding that it faced before the earthquake.
New Orleans experienced massive job loss following Hurricane Katrina, but by 2008 it had regained 99 percent of its pre-storm total thanks to thousands of new jobs in construction and government, says the New York Times. Some companies and nonprofits incorporated green building practices as part of the rebuilding process, according to the Christian Science Monitor. In fact, the New Orleans school system, which was in many ways failing before the hurricane, is ranked as the most reform friendly city for education by the Thomas B. Fordham Institute, says the Christian Science Monitor. Test scores and graduation rates are both up. In some ways, the city is experiencing a rebirth.
A natural disaster is, of course, still a disaster. Even the best-laid reconstruction plans may never materialize. This is especially true in the developing world, where the wounds left by a disaster are more severe and take longer to heal. Scientists predict the world will experience more severe natural disasters in greater numbers in the coming century, says The Guardian. That means more floods, more hurricanes, and more tornadoes like the one that recently ripped through Joplin, Missouri. It also means that now, more than ever, we need to understand how to create positive economic change in a disaster's aftermath.
Empowering Women in the Recovery from Pakistan’s Floods
Countries: Pakistan

Severe weather has proven to be a catalyst for women’s rights in rural Pakistan.
In July 2010, floods submerged nearly one-fifth of Pakistan, washing away cattle, infrastructure, and over 2 million hectares of crops. In a feudal country where landlords have strong influence, landless farmers face great difficulty in recovering their livelihoods. Because landlords have so much power, farmers have been forced to pay high interest rates while receiving small returns from crops. This system places many into a constant cycle of debt.
To help rural families overcome this debt, the provincial government of Sindh has recovered 95,000 acres of its own land from the flood, distributing it to roughly 5,800 peasants. In an effort to target gender inequality, the government will allot another 92,000 acres solely to women.
While women are legally allowed to own land, Pakistan’s social obstacles have discouraged women from realizing these rights. In 2008, the Sindh government launched an initiative to advance the legal rights of women through land distribution. It would have been an important step in addressing gender inequality — but male opposition largely prevented the project from moving forward.
Now, Pakistan is trying again. Although women have generally been excluded from land ownership, flood recovery is prompting the government to take action. Equitable land distribution, the government and farmers hope, will allow more families to pay off their debts.
Despite Pakistan’s unsuccessful 2008 initiative, this new effort is showing hints of success.
“People realize they are receiving this because of the women,” Amil Khan, a spokesman from the charity Oxfam, explained to the Christian Science Monitor. As families receive the opportunity to achieve economic independence and a real prospect of debt relief, goals of shifting attitudes towards women don’t seem far off.
Although women’s rights remain controversial within a male-dominated society, the government may be learning from its disappointing 2008 failure to empower women. Hopefully this time around, Pakistan will successfully deliver greater economic opportunity to the country’s women, particularly during this vital time of recovery.
To Aid or Trade?
Countries: Pakistan, United States

After environmental disasters, nations often rush to pledge relief aid. But how well-meaning are these donations? If countries were truly acting altruistically, they might also consider amending their trade policies, as Pakistani textile manufacturers argue in the Wall Street Journal.
In Pakistan, textiles are a major part of the economy. “The country's textile sector directly employs 3.5 million people, accounting for 40 percent of urban factory jobs,” writes the Journal. Overall, textile-product exports account for over half of Pakistan's total exports, so any restrictions placed on the sector have a significant impact on the entire economy.
As a result, the cost to Pakistani textile producers from U.S. barriers to trade is considerable, reports the Journal.
Abolishing American tariffs, which currently stand at an average 17 percent on cotton pants and shirts from Pakistan, would boost the nation's textile exports by $5 billion annually, government officials and factory owners estimate.
This sizable loss in income and the effect it has on the economy is integral to reforming Pakistan's economy. Neither the aid that Pakistan receives, in general, nor pledged aid in response to recent flooding, will be enough to lift Pakistan out of poverty, advocates say.
The recent flooding has profoundly impacted Pakistan and made this an opportune time to highlight grievances over the use of aid versus trade. Advocates for lowering trade tariffs are using the inflows of aid and heightened focus on rebuilding Pakistan’s soggy economy to show that most countries’ donations are inadequate.
The crux of their complaints is that the U.S and other donor nations could do far more to help countries such as Pakistan recover if they would stop restricting trade, allowing manufacturers and merchants to prosper and help the economy recover.
When put into perspective, using aid donations to signal support for development does ring a bit hollow, as these numbers cited by Global Issues demonstrate.
The total cost to developing countries of restrictions on textile imports into the developed world has been estimated to be some $50 billion a year. This is more or less equivalent to the total amount of annual development assistance provided by Northern governments to the Third World.
So, as the article continues on to say, “we take back with our left hand every cent we give with our right," a practice that has been understandably met with criticism in the developing world.
Surely the aid given to help ensure there is adequate food, water, and sanitation for flood victims doesn't go unappreciated. However, looking to the future — a necessary response to any disaster — some Pakistanis are calling on donor countries to reevaluate policy, not just pull out their pocketbooks.
Where Cell Phones Are Required for Class

Roughly 44 percent of women in Pakistan are literate, according to 2008 figures from the Pakistani government. After leaving school many women have little opportunity to practice and struggle to retain the ability to read and write. But a literacy program recently profiled by NPR is working to help these women regain their skills by using text messages, rather than textbooks.
This program, started by the Bunyad Foundation in partnership with UNESCO, targets prospective mothers with the idea that the reading and writing skills they acquire will help at home and at work, as well as improve the likelihood that their own children will be literate.
Women enrolled in the Mobile Based Post-Literacy Programme first attend a class where they become at least semi-literate. Then, they're given a cheap cell phone, which they use to practice their writing skills over text messages. After they complete the program they are given the option to buy their cell phone at a discounted price.
The program’s achievements go far beyond its original goals, according to NPR. In rural areas of Pakistan, where women are often barred from society by patriarchal tradition, these women are taking a risk. They can face contempt from their family, which may not see the value of female education. Regardless of how their families feel, these women are proud, says the NPR correspondent.
They are clearly proud of their achievement and it is no surprise to me that every single one of them has brought [a certificate of completion] with them to show to us, not the cell phone, which has been immediately given up to others in the family.
The UN and development experts agree that positive correlations exist between female literacy, lower birth rate, lower infant mortality rate, and increased health, which proves just how important literacy is. The women in this program may be taking a risk, but they are the pioneers in their community that could improve both their lives and shape those of future generations.
Facebook Apps, Meet Your Testers Around the World

Students around the world face a particular paradox these days: what's the good of an education if there's no work to be found afterward?
Samasource — a small non-governmental organization based in San Francisco, California — is hoping to change this. They are partnering with U.S. companies and connecting them with people looking for work in places like Kenya and Pakistan using a several different methods, among them crowd sourcing website called CrowdFlower through which workers are paid small amounts for tiny increments of work (such as a few cents for filling in one blank in a spreadsheet).
As Samasource tells it, it’s a win-win situation: the cheap labor allows U.S. firms to cut costs, while providing higher wages for their 500 or so beneficiaries than they would likely have earned otherwise. So far, Samasource has focused on work in developing countries like Kenya (where the organization works with Somali refugees), Zambia and Pakistan — but also plans to expand into Mississippi, the poorest state in the U.S., notes the web magazine Reality Sandwich.
In all cases, Samasource's efforts hinge on the idea that work — not handouts — is what changes lives. "When you look at what the developing world really needs, it's a connection to markets," says Janah on the blog "Boing Boing." Markets provide an outlet for skills like English and computer literacy that students around the world have worked hard to obtain, and a livelihood for those who can put them to use.
India and Pakistan Race to Complete Competing Hydroelectric Projects
Countries: India, Pakistan

India and Pakistan have both vowed to build hydroelectric dams along an upper branch of the Indus river, only 70 kilometers apart from each other. Two new hydroelectric power sources would seem like good news for these energy-hungry economies, but there's a catch. According to the terms of the 1960 Indus Water Treaty between the two countries, there's only space for one hydroelectric plant in this part of the long-disputed Jammu and Kashmir valley —
and that's the plant that's completed first.
As the race heats up — India has forecast completion for 2016, and Pakistan one year later — Pakistan hopes to edge past India's projected finish line by hiring on Chinese companies to speed up progress.
So what else is at stake in this standoff? Experts, on the condition of anonymity, recently told The Rising Kashmir Daily Newspaper that Pakistan is reaching out to China to give them an edge over India and compensate for their geographical disadvantage, saying,
Pakistan, being the lower riparian state, faces geographical disadvantage. It fears that India's Kishenganga project will have a devastating effect on its hydro-power plans, besides adversely affecting 1,33,209 hectares of agricultural land in Pakistan administered Kashmir. To stem these fears it has signed up with Chinese companies to complete the project and secure priority rights for the river.
A recent Ground Report article regarding SAAMA News correspondent Ibrahim Malick’s report that at least 20 different UN bodies concur that India and Pakistan are the two likeliest combatants for any near-future water war further illuminates what's at stake in the ongoing Indo-Pak water disputes. Ground Report is quick to point out that these two countries are both nuclear-armed, making the situation, and the potential global consequences, all the more serious.
Telltale precursors to this potential water war are already abundant on both sides of the border, including the unambiguous recommendation by the Pakistani Urdu press for war as a solution to the problem. India, in a more circuitous approach, is enforcing "punishment through water"on Pakistan for their lack of action regarding the recent terrorism attacks in India. Clearly, the prospect for a quick, effective resolution is grim.
As Indus water commissioners from India and Pakistan continue to meet in hopes of resolving issues relating to water resources and hydroelectric power generation in the region, the true losers in the South Asian water wars may end up being the forgotten residents of the very valleys the Indus River and its tributaries flow through.
According to The Bombay News,"electricity remains a distant dream for the residents of the Gurez valley of Jammu and Kashmir despite ample water resources existing in the region." Even though the Kishenganga hydroelectric plant is being built in the Gurez valley, the power from the plant will be transmitted to other, more populous and politically influential Indian states such as Himchal Pradesh, Punjab, and Uttar Pradesh.
Shazia Tabasum, a student and Gurez valley resident, told The Bombay News, "[t]here is so much water here. The government has to take steps to put an end to the power crisis. The electricity is supplied through diesel generators. As long as diesel is there we get electricity, but if the diesel goes out of stock, we live in dark and have to wait for fifteen days to one month for the next stock to reach our place."
Unless the Indian government responds to pleas like these from local residents, they'll have to continue getting by with two to three hours of diesel-generated electricity a day. And by the looks of it, the government has its hands full making the power available in the first place.
UPDATE: Returning to Swat Valley

As the Pakistani Army continues to defend the Swat Valley against Taliban insurgents, some of the millions of displaced residents are beginning to return home.
NPR's Julie McCarthy and Junaid Kahn report mixed feelings from those interviewed at the sweltering Jalozai camp. Some are excited to leave, looking forward to returning home with family and friends. The sister of Shaukat Ali, to modest to give her real name, is among those elated to settle back in Swat. She has "not spent a single contented day... Life here is nothing but helplessness."
But the majority of refugees aren't quite as elated to leave the relative security of the camp for the chaotic welcome they could to receive upon returning to their villages, reports the BBC. Earlier today I spoke with Holden Basch, Mercy Corps' Emergency Response leader in Pakistan, who reported that that in Buner, a district in the Northwest Frontier Province of Pakistan, police officers and government officials aren't back to work yet.
Others aren't leaving until they receive their $300 check, a government stipend promised to all camp residents. Akhtar Muhammad is among those waiting for the money. He told NPR reporters that "If the government hasn't given us the resources here where the situation is normal, how can I expect them to give it to us in the middle of that confusion back home?"
The future of these refugees is still unknown — the Taliban that are reportedly still in hiding in the Swat are unhappy with the families who fled the area. According to the BBC, security outside of the central city of Mingora is uncertain, with potential for guerrilla attacks by the Taliban. But for some, home is preferable to cramped quarters, extreme heat, and limited food at the refugee camp, and so those who are ready board buses for an uncertain home in Swat Valley.
The Economic Fallout From Pakistan's Taliban Troubles

Pakistan’s Swat Valley is currently at the epicenter of an armed conflict between the Pakistani military and the Taliban insurgents. While the Pakistani government predicts victory is imminent, the economic and humanitarian impact of this violence is likely to be felt for years to come.
Refugees from Pakistan’s Swat Valley have been leaving the embattled North West Frontier Province for many months. The situation reached a breaking point last December when Pakistani forces lost control of the region to Taliban fighters. Approximately 2.4 million are currently displaced, numbers that prompted the UN to warn that the situation is becoming "the world's most dramatic displacement crisis since the Rwandan genocide of 1994."
Such a massive human exodus has served to compound the already growing economic trouble in Pakistan. Inflation rates jumped from 7.7 percent in 2007 to 24.4 percent in 2008, paralleled by a shrinking rate of economic growth. (It's projected to be 2.5 percent in 2009, compared to about 6 percent for each of the last four years.)
The Swat Valley itself accounts for nearly 10 percent of Pakistan’s economy, stemming mainly from its large mining industry and the notoriously beautiful region’s tourist attractions. Since the conflict exploded last winter, tourism in the region has stopped altogether and industry has almost completely shut down. In addition, the China Post reports that instability in the region has led to a substantial decrease in small-business lending over the last few years because of the region’s instability.
The Swat Valley also borders the Sindh and Punjab provinces — the two most important revenue sources for the Pakistani government. In order to protect these areas, the government has placed nearly 70 percent of their military around their borders with the North Western Frontier Province, where the Swat Valley is located.
The Wall Street Journal notes that the armed conflict has already cost Pakistan about $35 billion. And the UN High Commission for Refugees estimates that at least $543 million is needed to maintain minimum health standards for those currently displaced.
TIME notes that when the humanitarian costs are tallied up with the costs of weapons, ammunition and the economic toll the conflict has taken on business and tax revenue, the hill Pakistan has to climb is incredibly steep.
Economic Crisis Fueling Social Unrest
Countries: China, Greece, Iceland, Latvia, Pakistan, Somalia, United States

It’s a lot worse than just about everyone thought. By some estimates, the economic crisis could cost 50 million jobs worldwide. That's a catastrophic number, and even their potential loss is already fueling some discontent and sounding alarms.
Worried about the ripple effects of widespread unemployment, the U.S. Central Intelligence Agency recently added the state of the economy to the agency's list of top security threats. Retired Admiral Dennis Blair, the U.S. Director of National Intelligence, warned that "economic crises increase the risk of regime-threatening instability if they persist over a one-to-two-year period."
On the international stage, United Nations Secretary-General Ban Ki-moon voiced his concern: "If not handled, today’s financial crisis will become tomorrow’s human crisis. Social unrest and political instability will grow, exacerbating all other problems."
Violent flare-ups over the economic recession and resulting unemployment are already occurring all over the globe.
In Pakistan, chronic power outages have forced many textile factories to close down for hours at a time, triggering thousands of angry protesters to set fire to the state-owned power company's office. Government cuts in Lithuania’s social programs prompted protesters to pelt the parliament building with eggs and rocks ; at least 14 people were injured and 84 detained. Chinese police officers are now undergoing special training to deal with expected social unrest over factory closings that have left millions of migrant workers out of a job.
Iceland and Latvia serve as extreme examples of the devastating consequences from the declining state of the worldwide economy: both countries’ respective governments collapsed under the pressure of the economic crisis.
However, security experts are concerned about other forms of collateral damage that extend beyond protests. Bruno Tertrais, a strategic and security expert at the Foundation for Strategic Research in Paris tells Time Magazine that he believes the biggest threat to international security is "the collapse of regimes vital to maintaining international order." Tertrais cites Somalia as an example — a place where, after the collapse of its government, piracy has gained a foothold and severely disrupted shipping routes along the horn of Africa.
Extreme poverty has always posed a threat, especially in the world’s emerging economies. However, the breadth and force of the current global economic crisis poses a threat to all nations, whether rich or poor.
India-Pakistan Economic Thaw on Hold

India and Pakistan have a violent history since partition in 1947. Relations remained fragile even prior to last month's attacks in Mumbai. But they were getting better, at least on the economic front.
A year ago freight trains started to carry goods across their borders for the first time since partition. Bilateral trade had grown to $2 billion per year. And leaders had scheduled expanded trade talks in early 2009.
Now the question is whether the Mumbai bombings — thought to be the work of Pakistani militants — will ratchet up tensions high enough to overturn gains made in economic relations.
Jairam Ramesh, India’s Junior Minister for Commerce, told the The New York Times: “Four years of sincere and bold initiatives from both sides have been put on pause mode. The momentum is badly affected."
Genuine Leather Made by...Children?
Move over Italy. Developing countries are the up-and-coming leaders of the leather market, boasting cheaper production costs and fewer environmental regulations.
There is a good chance that your soccer ball, leather belt or aviator jacket was tanned in one of Pakistan’s 2,500 leather factories in the industrial centers of Karachi, Kasur, and Sialkot. The factories mostly employ poor people from neighboring areas, especially young children who will work for cheap wages. In one town alone, Kasur, more than 700 children worked in leather-tanning factories, according to the International Labor Organization.
NPR's Marketplace recently profiled a 17-year-old Pakistani boy, Mohmen, who's worked in the tanning industry since he was 13.
Like so many of Pakistan’s child workers, Mohmen has sacrificed his childhood to support his family. He has toiled in a hazardous leather tanning factory for four years. Six days a week Mohmen moves animal skins from a cart to a conveyor belt.
His heavy workload is not the only thing in the factory that will begin to take a toll on Mohmen. A 1996 Swedish study found that leather tannery workers experience an increased risk of cancer due to their exposure to toxic chemicals.
Mohmen would like to leave and go home to his family but he knows that he cannot. “How can I go home if I have to keep paying somebody? I keep paying what my family owes.” He is just a kid, but he is in an adult world where there is no rest from poverty's harsh realities.
From the Archives
India's Burning Example for Pakistan
Countries: Pakistan, India
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