Development Asia—From Aceh to Tacloban: May 2014
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Development Asia—From Aceh to Tacloban - Asian Development Bank
CONTRIBUTORS
SAAD HAMMADI is a Bangladeshi journalist based in Dhaka who covers social, economic, and political developments for international publications including The Guardian and The Christian Science Monitor. Saad takes a special interest in covering the country’s progress on development challenges. He is also an editor for the weekend supplement of leading national daily, New Age. On p.38, Saad writes about a cash transfer program to keep Bangladeshi girls in school.
SUNSHINE LICHAUCO DE LEON was one of the few international journalists in the Philippines when Typhoon Haiyan hit last November. Her network of local contacts proved invaluable as foreign news outlets clamored for news. Sunshine has worked for several years as a freelance journalist in the Philippines, writing for publications including The Guardian and CNN.com, and producing for television and radio. Her story on the Philippines’ FAiTH initiative can be found on p.31.
MOHAMMAD RAKIBUL HASAN is a documentary photographer based in Bangladesh. His work focuses on development, social, and environmental issues, and has appeared in numerous international magazines and been exhibited in several countries. He has been nominated for the UNICEF Photo of the Year, and shortlisted in the Sony World Photography Awards. Hasan studied film and video at the University of Sydney, and photojournalism on scholarship at the Konrad Adenauer Asian Center for Journalism, Ateneo De Manila University, in the Philippines. His work appears on p.54.
SITUATION
REPORT
EMPOWERING MYANMAR
Myanmar is in the early throes of an economic transformation. The economy is growing, but electricity shortages are emerging as an obstacle to further growth.
Only 28% of Myanmar’s 60 million people have access to electricity, with just one in five households linked to a leaky power grid. In Yangon, less than three-quarters of residents have electricity. Blackouts are a fact of life, forcing many to rely on noisy power generators.
Doubling electricity output over the next 5 years would only meet today’s needs, according to New Energy Architecture: Myanmar, a report by the World Economic Forum in collaboration with Accenture and the Asian Development Bank (ADB). This would still fall far short of future needs expected to rise by 12% a year. The needs are stark, but solutions are emerging. ADB extended a $60 million loan to Myanmar last September to improve electricity distribution for nearly 500,000 residents. The World Bank is supporting the construction of a modern power plant at Mon State in the east. The government has invited foreign and local private firms to set up hydro and thermal power plants.
But perhaps the most far-reaching shift is ADB’s partnering with the Government of Norway to update electricity sector regulations dating back to the 1980s. A draft of the new law mandates an electricity regulatory body to establish clear policies, and permits small-scale private power projects not connected to the national electricity grid. The measures may pave the way for further vital reforms to enhance the effectiveness of the power sector such as unbundling of generation, transmission, and distribution.
Jong Inn Kim, ADB’s lead energy specialist, says the new rules are needed to develop the industry and deliver electricity to the vast number of citizens who currently go without.
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CROWDFUNDING CARE
Surgeons at Bayalpata Hospital in remote western Nepal are busier than ever. They performed nearly 100 extra surgeries last year—all funded by clicks of a computer mouse.
Bayalpata—a public hospital managed since 2006 by Nyaya Health, a nongovernment organization based in the United States (US)—treats 50,000 patients annually; all of whom are residents of surrounding districts who sometimes travel long distances for treatment.
Nyaya has partnered with the Government of Nepal to address the country’s shortage of health care services. It has an intense focus on innovation, and has teamed up with US companies Watsi and Kangu to fund rural referral treatment (where patients are sent to other facilities for follow-up care) and safe pregnancy and delivery care.
This approach is called crowdfunding, and Nyaya (justice
in Nepali) believes it is among the first organizations to use such an approach for rural referral care. Through Watsi, 183 patients have been fully funded with a total of $178,840 (as of April 2014), while nearly $23,000 raised through Kangu has provided safe births for 65 women.
Patient profiles are placed online, and donors can give as little or as much as they like—receiving e-mail updates on their patient’s status. Ganga Kumari, 7, is scheduled for plastic surgery treatment of her severe burns after 32 donors donated $1,415. The successful foot surgery of Dammara, a 26-year-old mother-of-three, was made possible by a single donor who contributed $965.
Without doubt, this has been life-saving,
Nyaya’s executive director Mark Arnoldy tells Development Asia. Most patients for whom we crowdfund care wouldn’t otherwise have had access to treatment.
Even so, poor patients can be reluctant to leave home for treatment due to work or family demands. Some die despite receiving care. Many survive, however, and the crowdfunding model has enabled Nyaya to build referral relationships with several city hospitals across Nepal.
We see enormous room for growth in Nepal,
says Arnoldy. And we’re sharing our experience with other organizations so they can build referral care in their countries.
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WEIGHTY ISSUES
Many Asians are going hungry; yet a rising number are eating too much for their own good. In fact, says the Overseas Development Institute (ODI), the number of overweight or obese Asians tripled to 500 million between 1980 and 2008. Some 20% of Asia’s adult population is overweight, up from 12% in 1980.
While this prevalence is lower than that in the rest of the world, the trends are worrying. Indicators of unhealthy eating—(being) overweight and obesity—are rising in Asia,
ODI research officer Sharada Keats tells Development Asia.
In the People’s Republic of China (PRC), the daily food plate has more than doubled in size to 2,100 grams over the past 50 years, with a tenfold increase in consumption of animal products like meat. While this isn’t all bad, since 1980, the incidence of overweight and obese people in the PRC has doubled to 25% of the adult population.
In its Future Diets report released in January, the ODI put the number of overweight and obese adults in developing countries at more than 900 million—almost twice as many as in rich countries. This apparent paradox is due to rising incomes in the developing world, greater availability of processed foods, and less active lifestyles.
Keats says this trend is likely to continue unless governments take stronger measures against unhealthy eating.
The sheer diversity of Asian diets suggests a fatty future is not inevitable.
Thais eat more fruit than animal products. Most of India’s animal product consumption comes in the form of milk rather than meat. And in Southeast Asia, seafood consumption has soared, says Keats, owing not only to growth in capture fisheries, but also to the rise of aquaculture.
Keats counsels against complacency. "The numbers are almost