The Famine Next Time
By SAMUEL LOEWENBERG
Published: November 30, 2011
Cambridge, Mass.
* THIS past summer I came across a camel that had lost its hump. After
a long journey in search of pasture, the beast was swaying beside a brackish
well, its ribs and hip bones showing. The hump hung flaccid off its back
like a deflated balloon.
I was in northern
<
http://topics.nytimes.com/top/news/international/countriesandterritories/ke
nya/index.html?inline=nyt-geo> Kenya, which is suffering through the worst
drought to hit the Horn of Africa in 60 years. The toll of deprivation is
everywhere. In the village of Kursin, emaciated livestock are collapsing in
the middle of town; the local headmaster, Ismael Ali, told me they've "had a
problem with dead carcasses around the school." Attendance dropped sharply
since the beginning of the year, as many families left the parched region
with their flocks, some even crossing into war-torn
<
http://topics.nytimes.com/top/news/international/countriesandterritories/so
malia/index.html?inline=nyt-geo> Somalia in search of food.
American attention to the hunger crisis has focused on the dire conditions
of Somalis, but they account for just about a third of the 13 million people
affected. According to the United Nations, hunger afflicts 4.5 million
people in
<
http://topics.nytimes.com/top/news/international/countriesandterritories/et
hiopia/index.html?inline=nyt-geo> Ethiopia and 3.75 million people in Kenya,
which has about half of Ethiopia's population. An estimated half a million
Kenyan children and pregnant or breast-feeding women suffer acute
malnutrition.
The drought has been mounting for a year, but it wasn't until the crisis
peaked over the summer that the news media and most international donors
took notice. It's a familiar cycle: first come the news media pictures of
emaciated infants, followed by conferences on how to do better next time,
visits from top-level government officials and large financial commitments
from international organizations and even donors like China and the Ikea
Foundation. The United States Agency for International Development and the
Ad Council have even begun a celebrity public service campaign with the
actors Uma Thurman and Josh Hartnett.
This is good news; the assistance is badly needed. Yet the mismatch in
timing raises a question that bedevils aid agencies. Unlike earthquakes or
<
http://topics.nytimes.com/top/reference/timestopics/subjects/h/hurricanes_a
nd_tropical_storms/index.html?inline=nyt-classifier> hurricanes, droughts
and food price increases take time to develop, and the resulting hunger
crises are forecast well in advance. From water harvesting to livestock
support to cash assistance, there are a plethora of steps that could have
significantly ameliorated the current crisis. Why weren't they taken?
This year's drought followed two failed rainy seasons, leaving farmers and
herders fragile. When coupled with skyrocketing food and fuel prices,
catastrophe loomed. The Famine Early Warning Systems Network, financed by
U.S.A.I.D., anticipated it as early as August 2010, and by January the
American ambassador to Kenya had declared a disaster and called for urgent
assistance.
Although the United States began stockpiling emergency food in the region,
that wasn't enough. On June 7, the warning network announced, "This is the
most severe food security emergency in the world today, and the current
humanitarian response is inadequate to prevent further deterioration." At
that time, there were 7 million people in jeopardy. Now, the number is 13
million.
A common misconception is that hunger crises are about a lack of food. Yet
there is food in Kenya and Ethiopia, and even in many parts of Somalia. The
real issue is poverty. The people affected are poor to begin with; when
things turned bad, they had no recourse. In April the World Bank reported
that 44 million people worldwide were pushed over the edge by skyrocketing
<
http://topics.nytimes.com/top/reference/timestopics/subjects/f/food_prices/
index.html?inline=nyt-classifier> food prices.
Such a perspective is largely missing in our food-aid program. It's like a
health insurance system that waits until someone has a full-blown illness
before he or she can get treatment. By the end of June, with the crisis in
full swing, the United States had committed a total of about $64 million to
Kenya, much of it in the form of food supplies (this doesn't include relief
for the Somali refugees). But
<
http://topics.nytimes.com/top/reference/timestopics/subjects/f/food_aid/ind
ex.html?inline=nyt-classifier> food aid loses at least half of its value,
according to the Government Accountability Office, because we ship actual
food instead of sending cash for local purchase, like most countries. And
only $5 million was allocated to agriculture, nutrition, water and
sanitation - about $1.33 per hungry person - things that would have helped
people during lean times.
Blame politics. Medium- and long-term planning is often the first thing to
be cut from an aid budget. After the food price crisis of 2008, when hunger
riots erupted around the globe, President Obama got the Group of 8 to
promise $22 billion for agricultural development and food security. But many
of those commitments have not been met. Meanwhile, this summer Congressional
Republicans voted to cut the foreign food aid budget by a third, and more
cuts are planned.
And, of course, there is the matter of optics: donors want to see dead
babies before they provide significant assistance, one frustrated aid worker
told me.
Blame also lies with the Kenyan and Ethiopian governments. In the northern
district of Wajir, for instance, by July the central government provided
only about half the food assistance that local governments requested, while
Ethiopia, according to the BBC, misused aid for political purposes. It is an
old story: sending emergency aid is clumsy, and often fraught with problems.
As I was leaving a village that depended entirely on delivered water, I
passed the water truck the villagers were waiting for, broken down by the
side of the road.
Aid officials say they realize that prevention is better than reaction. "We
know how to do this," Rajiv Shah, the head of U.S.A.I.D., told me during a
trip he made in July to Kenya's Dadaab refugee camp. "It is one-tenth the
cost to provide effective agricultural support and help communities gain
food security than it is to provide food aid at a time of famine."
Our shortsighted response also highlights a misunderstanding about foreign
assistance and prevention. "We are not investing in relatively obvious
solutions," said Christopher Barrett, an expert on food aid at Cornell
University. Those mundane but vital interventions include shoring up the
water supply and helping to bolster markets and transportation so that
economies continue during lean times. The best assistance, people in Wajir
told me, would be a decent road to the south, which would cheapen imports
and give them a market for their animals.
DRIVING through Wajir's sandy, arid landscape, we turned the corner to an
amazing sight: a green oasis - a farm, a greenhouse, a well, a water pump, a
windmill. Running around were the first happy, healthy-looking children I
had seen. This is the Kutulo Farm, a women's cooperative in Wagberi, where
they grow kale, cabbage and peppers. They received money for the well from
the European Union, but otherwise have done everything on their own. They
would like to expand, said Adey Issack, one of the founders, but have no
access to credit.
Programs like the Kutulo Farm are significantly cheaper to start and
maintain than sending mounds of food aid at the last minute, in large part
because they leverage the skills and knowledge of local residents to do the
work. The current crisis is a painful demonstration of how well such an
approach works: those few communities that received small, well-designed
assistance are weathering the drought relatively well.
While recent rain has eased the pressure, much of it will be lost because of
a lack of water-collection facilities. And experts warn that so many in
Kenya are weakened and destitute that the cycle is expected to start up
again in May. In other words, droughts cannot be stopped. But the economics
that link drought and famine can be upended, so that next time, the people
of Wajir, and dozens of countries around the world, might be able to avoid
untold, and unnecessary, suffering.
Samuel Loewenberg is a Nieman Foundation global health reporting fellow at
Harvard. The Pulitzer Center on Crisis Reporting provided a travel grant for
the reporting of this essay.
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Received on Wed Nov 30 2011 - 15:53:06 EST