Stanford welcomes Cousin, a global hunger expert, to the Center on Food Security and the Environment.
The Freeman Spogli Institute for International Studies (FSI) at Stanford University is pleased to announce that former U.S. Ambassador and World Food Programme (WFP) Director Ertharin Cousin will serve as this year’s Frank E. and Arthur W. Payne Distinguished Lecturer and Visiting Fellow at the Center on Food Security and the Environment (FSE).
Cousin brings over 25 years of experience addressing hunger and food security strategies on both a national and international scale. As U.S. Ambassador to the United Nations Agencies for Food and Agriculture, she focused on advocating for longer-term solutions to food insecurity and hunger, and at WFP she addressed the challenges of food insecurity in conflict situations.
“Dr. Cousin’s outstanding leadership at the WFP and extensive experience in public service exemplifies the attributes we seek for Payne Lecturers,” says FSI Director Michael McFaul. The Payne Distinguished Lectureship is awarded to scholars with international reputations as leaders, with an emphasis on visionary thinking, practical problem solving, and the capacity to clearly articulate an important perspective on the global political and social situation. Past Payne Lecturers include Bill Gates, Nobel Laureate Mohamed El Baradei, UNAIDS Executive Director Peter Piot, and novelist Ian McEwan.
As a visiting fellow with FSE, Cousin will be working to further her research focus on global food security and humanitarian efforts. In November 2015, FSE welcomed Cousin as the featured speaker in their Food and Nutrition Symposium series, where she presented her paper “Achieving food security and nutrition for the furthest behind in an era of conflict and climate change.” FSE Director, Roz Naylor, sees Cousin’s appointment as a pivotal opportunity for FSE and FSI to advance a global agenda on food security and human rights. “Ertharin Cousin is one of the most inspirational leaders we could ever hope to attract to Stanford as a year-long visitor,” Naylor says.
“This is a truly humbling, yet exciting prospect,” says Cousin. “This position provides an opportunity for scholarly work and dialogue with distinguished academics across Stanford's schools and policy institutes. I also look forward to the opportunity to convene thought leaders from a broad variety of backgrounds, who can help us explore some of the intractable issues plaguing humanitarian and development practitioners today.”
Following the completion of her term with the WFP, Cousin accepted an appointment as a Distinguished Fellow with The Chicago Council on Global Affairs, which conducts research on food and agriculture, global cities, economics, energy, immigration, security, public opinion, and water. Cousin hopes her appointments can provide a unique collaborative opportunity to expand her work on food security and nutrition issues.
“In my career I have never before been given the opportunity of pursuing intellectual inspiration. Just thinking about the ‘what’s possible’ gives me genuine pleasure,” Cousin said.
About FSE
The Center on Food Security and the Environment (FSE) is a research center at Stanford University, jointly funded by the Freeman Spogli Institute for International Studies and the Stanford Woods Institute for the Environment.
Using agricultural and economic characteristics in African nations as test cases, new research by David Lobell and Marshall Burke demonstrates the use of satellite data to address the long-standing problem of accurate data collection in developing countries. An often cited challenge in achieving development goals aimed at poverty and hunger reduction is the lack of reliable on-the-ground data. Limited or insuffiient data makes it difficult to establish baseline conditions and to assess effectiveness of various aid programs. In the past, researchers and policymakers had to rely on ground surveys, which are expensive, time-consuming, and rarely conducted. This has led to large data gaps in mapping sustainable development goal progress, such as in agricultural and poverty statistics.
Women empowerment (WE) is increasingly viewed as an important strategy to reduce maternal and child undernutrition,1–3 which continues to be a major health burden in low- and middle-income countries causing 3.5 million preventable maternal and child deaths, 35% of the disease burden in children younger than 5 years, and 11% of total global disability-adjusted life years.4,5Global data show that one of the worst affected regions is sub-Saharan Africa (SSA), where about 20% of children are malnourished.6,7 Benin is no exception, as the prevalence of stunting, wasting, and underweight was 37%, 5%, and 17%, respectively, among children aged 6 to 59 months in the 2006 Benin Demographic and Health Survey (DHS),8 while 9% of women had chronic energy deficiency in the 2012 DHS.9 Greater rates were observed in rural areas where stunting was found in 40% of children, underweight in 19%, and wasting in 5%, while 10% of women had chronic energy deficiency.8,9 Additionally, Beninese women and children have a limited dietary diversity score (DDS), with diets predominately composed of starchy staples with little or no animal products and few fresh fruits and vegetables.10,11 Government, United Nation agencies, and nongovernmental organizations in Benin recognize that the state of maternal and child undernutrition requires multiple types of interventions.12
However, women’s low empowerment status in Benin can hinder the improvement in women’s and children’s undernutrition. Indeed, although females accounted for 47% of the economically active population in 2014,13 social and civil legislation is strongly influenced by tradition and customs, as women continue to be required to seek their husband’s authorization in certain areas such as family planning or health services.14 Rural women provided labor to the families’ commercial plots, were responsible for household food production and processing, and also had to work in the cooperative structures set up by the state in addition to their household tasks.14 In a more recent study of productivity differences by gender in central Benin, researchers noted that female rice farmers are particularly discriminated against with regard to access to land and equipment, resulting in significant negative impacts on their productivity and income.15 As in other areas of West Africa, women also have the responsibility of caring for children and preparing food for the household,16 but they may be vulnerable to food insecurity owing to unequal intrahousehold food distribution and their willingness to forego meals in favor of children during times of scarcity.17 Finally, no study to date has examined links between women’s empowerment and nutrition in Benin.
In addition, the evidence backing the effect of women’s empowerment on maternal and child undernutrition is inconsistent.18 Using the Women’s Empowerment in Agriculture Index (WEAI), Malapit et al19 reported positive and significant association between women’s group (WG) membership, control over income, overall empowerment, and women’s health (as measured by body mass index [BMI] and DDS) in Nepal. However, in Ghana, women’s aggregate empowerment and participation in credit decisions were positively correlated with women’s DDS, but not BMI.20 Mixed findings were also observed between women’s empowerment and child anthropometry. Moestue et al21 found a positive association between maternal involvement in social groups and length-for-age z score of 1-year-old children, but De Silva and Harpham22showed a negative association in 6- to 18-month-old children. Shroff et al23 found positive association between decision-making and child weight-for-age z score (WAZ), but Begum and Sen’s24 analysis of Bangladesh DHS data did not reveal any significant associations. Therefore, information about which domains of WE are associated with nutritional status is limited,20 and this lack of knowledge constrains the set of policy options that can be used to empower women and improve nutrition.
In addition to a limited set of studies in SSA, examinations of the effects of WE on nutrition outcomes are constrained due to interstudy differences in population characteristics, settings, or methods/conceptualizations of WE.25–27 For example, despite recognition of the complex, multidimensional, and culturally defined nature and influence of empowerment on nutrition,20,26,28,29 only a few studies considered the multidimensional structure of empowerment domains in Africa or examined the varied relationships between each measure of WE and maternal and child nutrition status.30,31 Furthermore, in 2012, the International Food Policy Research Institute developed WEAI constructed from 5 prespecified domains of empowerment,32which may not be equally relevant in all areas. In contrast, in 2015, the United Nations adopted the Sustainable Development Goals (SDG), but the specific indicators for the SDG empowerment targets are largely equality metrics.33 To address the need for multidimensional and contextual examinations of WE and its influence on maternal and child health outcomes, we draw from the concepts put forward in the WEAI and the SDGs but took an approach more along the lines of the World Bank which gathers indicators, both equity and empowerment related, that can be used in contextually appropriate ways.34 The aims of this study were therefore to first explore the structure and domains of WE in Kalalé district of northern Benin and then to examine the effects of these constructs on nutritional status of women and their children in the region.
In a shack that now sits below sea level, a mother in Bangladesh struggles to grow vegetables in soil inundated by salt water. In Malawi, a toddler joins thousands of other children perishing from drought-induced malnutrition. And in China, more than one million people died from air pollution in 2012 alone.
Around the world, climate change is already having an effect on human health.
In a recent paper, Katherine Burke and Michele Barry from the Stanford Center for Innovation in Global Health, along with former Wellesley College President Diana Walsh, described climate change as “the ultimate global health crisis.” They offered recommendations to the new United States president to address the urgently arising health risks associated with climate change.
Bangladeshi children make their way through flood waters.
The authors, along with Stanford researchers Marshall Burke, Eran Bendavid and Amy Pickering who also study climate change, are concerned by how little has been done to mitigate its effects on health.
There is still time to ease — though not eliminate — the worst effects on health, but as the average global temperature continues to creep upward, time appears to be running short.
“I think we are at a critical point right now in terms of mitigating the effects of climate change on health,” said Amy Pickering, a research engineer at the Woods Institute for the Environment. “And I don’t think that’s a priority of the new administration at all.”
Health effects of climate change
Even in countries like the United States that are well-equipped to adapt to climate change, health impacts will be significant.
“Extremes of temperature have a very observable direct effect,” said Eran Bendavid, an assistant professor of medicine and Stanford Health Policy core faculty member.
“We see mortality rates increase when temperatures are very low, and especially when they are very high.”
Bendavid also has seen air pollutants cause respiratory problems in people from Beijing to Los Angeles to villages in Sub-Saharan Africa.
“Hotter temperatures make it such that particulate matter and dust and pollutants stick around longer,” he said.
In addition to respiratory issues, air pollution can have long-term cognitive effects. A study in Chile found that children who are exposed to high amounts of air pollution in utero score lower on math tests by the fourth grade.
“I think we’re only starting to understand the true costs of dirty air,” said Marshall Burke. “Even short-term exposure to low levels can have life-long effects.”
Low-income countries like Bangladesh already suffer widespread, direct health effects from rising sea levels. Salt water flooding has crept through homes and crops, threatening food sources and drinking water for millions of people.
“I think that flooding is one of the most pressing issues in low-income and densely populated countries,” said Pickering. “There’s no infrastructure there to handle it.”
Standing water left over from flooding is also a breeding ground for diseases like cholera, diarrhea and mosquito-borne illnesses, all of which are likely to become more prevalent as the planet warms.
On the flip side, many regions of Sub-Saharan Africa — where clean water is already hard to access — are likely to experience severe droughts. The United Nations warned last year that more than 36 million people across southern and eastern Africa face hunger due to drought and record-high temperatures.
Residents may have to walk farther to find water, and local sources could become contaminated more easily. Pickering fears that losing access to nearby, clean water will make maintaining proper hygiene and growing nutritious foods a challenge.
Climate change will affect health in all sectors of society.
All of these effects and more can also damage mental health, said Katherine Burke and her colleagues in their paper. The aftermath of extreme weather events and the hardships of living in long-term drought or flood can cause anxiety, depression, grief and trauma.
Climate change will affect health in every sector of society, but as Katherine Burke and her colleagues said, “….climate disruption is inflicting the greatest suffering on those least responsible for causing it, least equipped to adapt, least able to resist the powerful forces of the status quo.
“If we fail to act now,” they said, “the survival of our species may hang in the balance.”
What can the new administration do to ease health effects?
If the Paris Agreement’s emissions standards are met, scientists predict that the world’s temperature will increase about 2.7 degrees Celsius – still significant but less hazardous than the 4-degree increase projected from current emissions.
The United States plays a critical role in the Paris Agreement. Apart from the significance of cutting its own emissions, failing to live up to its end of the bargain — as the Trump administration has suggested — could have a significant impact on the morale of the other countries involved.
“The reason that Paris is going to work is because we’re in this together,” said Marshall Burke. “If you don’t meet your target, you’re going to be publicly shamed.”
The Trump administration has also discussed repealing the Clean Power Plan, Obama-era legislation to decrease the use of coal, which has been shown to contribute to respiratory disease.
“Withdrawing from either of those will likely have negative short- and long-run health impacts, both in the U.S. and abroad,” said Marshall Burke.
Scott Pruitt, who was confirmed today as the head of the Environmental Protection Agency (EPA), is expected to carry out Trump’s promise to dismantle environment regulations.
Despite the Trump administration’s apparent doubts about climate change, a few prominent Republicans do support addressing its effects.
Secretary of State Rex Tillerson, the former chairman and CEO of Exxon Mobile, supports a carbon tax, which would create a financial incentive to turn to renewable energy sources. He also has expressed support for the Paris Agreement. It is possible that as secretary of state, Tillerson could help maintain U.S. obligations from the Paris Agreement, though it is far from certain whether he would choose to do so or how Trump would react.
More promising is a recent proposal from the Climate Leadership Council. Authored by eight leading Republicans — including two former secretaries of state, two former secretaries of the treasury and Rob Walton, Walmart’s former chairman of the board — the plan seeks to reduce emissions considerably through a carbon dividends plan.
Already an issue, malnutrition will increase with droughts in Sub-Saharan Africa.
Their proposal would gradually increase taxes on carbon emissions but would return the proceeds directly to the American people. Americans would receive a regular check with their portion of the proceeds, similar to receiving a social security check. According to the authors, 70 percent of Americans would come out ahead financially, keeping the tax from being a burden on low- and middle-income Americans while still incentivizing lower emissions.
“A tax on carbon is exactly what we need to provide the right incentives and induce the sort of technological and infrastructure change needed to reduce long-term emissions,” said Marshall Burke.
Pickering added, “This policy is a ray of hope for meaningful action on climate.”
It remains to be seen whether the new administration and congress would consider such a program.
What can academics do to help?
Meanwhile, academics can promote health by researching the effects of climate change and finding ways to adapt to them.
“I think it’s fascinating that there’s just so little data right now on how climate change is going to impact health,” said Pickering.
Studying the effects of warming on the world challenges traditional methods of research.
“You can’t create any sort of experiment,” said Bendavid. “There’s only one climate and one planet.”
The scholars agree that interdisciplinary study is a critical part of adapting to climate change and that more research is needed.
“If ever there was an issue worthy of a leader’s best effort, this is the moment, this is the issue,” said Katherine Burke and her colleagues. “Time is short, but it may not be too late to make all the difference.”
By using high-res images taken by the latest generation of compact satellites, Stanford scientists have developed a new capability for estimating crop yields from space. Measuring yields could improve productivity and eventually reduce hunger.
Stanford researchers have developed a new way to estimate crop yields from space, using high-resolution photos snapped by a new wave of compact satellites.
The approach, detailed in the Feb. 13 issue of Proceedings of the National Academy of Sciences, could help estimate agricultural productivity and test intervention strategies in poor regions of the world where data are currently extremely scarce.
“Improving agricultural productivity is going to be one of the main ways to reduce hunger and improve livelihoods in poor parts of the world,” said study-coauthor Marshall Burke, an assistant professor of Earth system science at Stanford’s School of Earth, Energy & Environmental Sciences. “But to improve agricultural productivity, we first have to measure it, and unfortunately this isn’t done on most farms around the world.”
Improved satellites
Earth-observing satellites have been around for over three decades, but most of the imagery they capture has not been of high enough resolution to visualize the very small agricultural fields typical in developing countries. Recently, however, satellites have shrunk in both size and cost while simultaneously improving in resolution, and today there are several companies competing to launch into space refrigerator- and shoebox-sized satellites that take high-resolution images of Earth.
“You can get lots of them up there, all capturing very small parts of the land surface at very high resolution,” said study-coauthor David Lobell, an associate professor of Earth system science. “Any one satellite doesn’t give you very much information, but the constellation of them actually means that you’re covering most of the world at very high resolution and at very low cost. That’s something we never really had even a few years ago.”
Accurate predictions
In the new study, Burke and Lobell set out to test whether the images from this new wave of satellites are good enough to reliably estimate crop yields. The pair focused on an area in western Kenya where there are a lot of smallholder farmers that grow maize, or corn, on small, half-acre or one-acre lots. “This was an area where there was already a lot of existing field work,” Lobell said. “It was an ideal site to test our approach.”
The scientists compared two different methods for estimating agricultural productivity yields using satellite imagery. The first approach involved “ground truthing,” or conducting ground surveys to check the accuracy of yield estimates calculated using the satellite data, which was donated by the company Terra Bella. For this part of the study, Burke and his field team spent weeks conducting house-to-house surveys with his staff, talking to farmers and gathering information about individual farms.
“We get a lot of great data, but it’s incredibly time consuming and fairly expensive, meaning we can only survey at most a thousand or so farmers during one campaign,” said Burke, who is also a Center Fellow at the Stanford Woods Institute for the Environment. “If you want to scale up our operation, you don’t want to have to recollect ground survey data everywhere in the world.”
For this reason, the team also tested an alternative “uncalibrated” approach that did not depend on ground survey data to make predictions. Instead, it uses a computer model of how crops grow, along with information on local weather conditions, to help interpret the satellite imagery and predict yields.
“Just combining the imagery with computer-based crop models allows us to make surprisingly accurate predictions, based on the imagery alone, of actual productivity on the field,” Burke said.
The researchers have plans to scale up their project and test their approach across more of Africa. “Our aspiration is to make accurate seasonal predictions of agricultural productivity for every corner of sub-Saharan Africa,” Burke said. “Our hope is that this approach we’ve developed using satellites could allow a huge leap in in our ability to understand and improve agricultural productivity in poor parts of the world.”
Funding for the study, titled “Satellite-based assessment of yield variation and its determinants in smallholder African systems,” was provided by AidData at the College of William and Mary, the USAID Global Development Lab and the Center for Effective Global Action.
Objective: To identify the magnitude of anaemia and deficiencies of Fe (ID) and vitamin A (VAD) and their associated factors among rural women and children.
Design: Cross-sectional, comprising a household, health and nutrition survey and determination of Hb, biochemical (serum concentrations of ferritin, retinol, C-reactive protein and α1-acid glycoprotein) and anthropometric parameters. Multivariate logistic regression examined associations of various factors with anaemia and micronutrient deficiencies.
Setting: Kalalé district, northern Benin. Subjects: Mother–child pairs (n 767): non-pregnant women of reproductive age (15–49 years) and children 6–59 months old.
Results: In women, the overall prevalence of anaemia, ID, Fe-deficiency anaemia (IDA) and VAD was 47·7, 18·3, 11·3 and 17·7%, respectively. A similar pattern for anaemia (82·4 %), ID (23·6%) and IDA (21·2%) was observed among children, while VAD was greater at 33·6%. Greater risk of anaemia, ID and VAD was found for low maternal education, maternal farming activity, maternal health status, low food diversity, lack of fruits and vegetables consumption, low protein foods consumption, high infection, anthropometric deficits, large family size, poor sanitary conditions and low socio-economic status. Strong differences were also observed by ethnicity, women’s group participation and source of information. Finally, age had a significant effect in children, with those aged 6–23 months having the highest risk for anaemia and those aged 12–23 months at risk for ID and IDA.
Conclusions: Anaemia, ID and VAD were high among rural women and their children in northern Benin, although ID accounted for a small proportion of anaemia. Multicentre studies in various parts of the country are needed to substantiate the present results, so that appropriate and beneficial strategies for micronutrient supplementation and interventions to improve food diversity and quality can be planned.
Recent reviews of dietary intake data from Benin showed that recommended daily intakes of key micronutrients, such as vitamin A and Fe, were not met( 1 – 4 ). At the sub-national level, in northern Benin, macronutrient intakes are also too low( 5 , 6 ). Lack of dietary diversity is a particularly severe problem in Benin where diets are based predominantly on starchy staples with little or no animal products and few fresh fruits and vegetables( 1 , 2 , 7 ). According to the last Demographic and Health Survey (DHS) carried out in 2012, only 28 % of rural children satisfied the minimum diversity criterion of eating at least four out of seven food groups and 14 % consumed the minimum acceptable diet. In addition, the prevalence of stunting, wasting and underweight was respectively 40, 5 and 19 % among children aged 6–59 months, while 9 % of rural women had chronic energy deficiency (BMI<18·5 kg/m2)( 7 ). To improve the nutrition situation of women and children in Benin, the Ministry of Health has undertaken several interventions through its Strategic Plan for Food and Nutrition Development, comprising the supplementation of three major nutrients (vitamin A, Fe and iodine) and other promotive activities, such as exclusive breast-feeding, appropriate complementary feeding, and improved maternal and child nutrition( 8 ).
Despite the efforts of the line ministry and its stakeholders, Beninese women aged 15–49 years (41 %) and children aged 6–59 months (58 %) are significantly affected by anaemia with greater prevalence in rural areas( 7 ). Other nutritional data, such as Fe and vitamin A status, however, were not documented in the Benin 2012 DHS. In the 2006 Benin DHS, vitamin A deficiency (VAD) as measured by serum retinol <20 μg/dl was estimated to affect 66·0 % of children aged 12–71 months while the prevalence of night blindness was 11·8 % among pregnant women( 9 ). The few studies of micronutrient deficiencies among rural populations were conducted in specific localized groups and revealed greater prevalence rates of VAD among 12–71 month-old children (82 %) and pregnant women (14 %) in northern Benin( 9 ), while 33–49 % of children under 5 years of age were Fe deficient( 10 ). Until now, to our knowledge, there have been no population-based studies permitting generalization about the epidemiology of anaemia and its principal determinants in non-pregnant women, despite the problem being among the top ten causes of morbidities in the country( 11 , 12 ). The only study that identified anaemia risk factors among Beninese children was carried out in 2007 and found that incomplete immunization, stunted growth, recent infection, absence of a bednet, low household living standard, low maternal education and low community development index increased the risk of anaemia( 13 ).
As such, identifying the magnitude of anaemia and deficiencies of Fe and vitamin A and their determinants in high-risk groups, such as women of childbearing age and children, is essential for evidence-based intervention modalities, particularly in rural areas, where women and children may suffer not only from micronutrient deficiencies but also a shortage of food( 14 ). The present study is a very important step forward to avail of evidence-based information on the distribution of anaemia and micronutrient deficits and their predisposing diet and health factors among rural women and children in northern Benin. It will help understand the contemporary health profile of the rural populations of the study area in terms of dietary, socio-economic and environmental factors.
Temperature data are commonly used to estimate the sensitivity of many societally relevant outcomes, including crop yields, mortality, and economic output, to ongoing climate changes. In many tropical regions, however, temperature measures are often very sparse and unreliable, limiting our ability to understand climate change impacts. Here we evaluate satellite measures of near-surface temperature (Ts) as an alternative to traditional air temperatures (Ta) from weather stations, and in particular their ability to replace Ta in econometric estimation of climate response functions. We show that for maize yields in Africa and the United States, and for economic output in the United States, regressions that use Ts produce very similar results to those using Ta, despite the fact that daily correlation between the two temperature measures is often low. Moreover, for regions such as Africa with poor station coverage, we find that models with Ts outperform models with Ta, as measured by both R2 values and out-of-sample prediction error. The results indicate that Ts can be used to study climate impacts in areas with limited station data, and should enable faster progress in assessing risks and adaptation needs in these regions.
It is widely recognized that an “African green revolution” will require greater use of inorganic fertilizers. Often-made comparisons note that fertilizer use rates in Africa are just 10–20% of those in Asia, Europe and the Americas. Most attempts to explain relatively low-adoption of fertilizer assume yield responses to inorganic fertilization warrant higher application rates and hypothesize that observed use rates are limited by market-based factors. Another explanation may be that application rates are low because African yields are less responsive to inorganic fertilizer than yields in other regions, and less responsive than analysts perceive. Examining the case of Zambia, we evaluate whether yield response to fertilizers could explain adoption and application rates. A model of yield response is constructed and a combination of estimators is employed to mitigate potential biases related to correlation between fertilizer use and unobserved heterogeneity as well as stochastic shocks. Results indicate higher fertilization rates would be marginally profitable or unprofitable in many cases given commercial fertilizer and maize prices. Phosphoric fertilizer is particularly unprofitable on acidic soils, which are common in Zambia and other areas of sub-Saharan Africa. We propose feasible recommendations for diversifying the current government strategy to enhance crop productivity.
Bangladeshi children make their way through flood waters.
Climate change will affect health in all sectors of society.
Already an issue, malnutrition will increase with droughts in Sub-Saharan Africa.