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This is an archived USAID document retained on this web site as a matter of public record.

THE PILLARS

In this section:
Clean Solar Energy Replaces Kerosene Lanterns
Rainforest Alliance Protects Forests
Afghan Women Report
Paraguay Community Pharmacies Provide Low-Cost Medicine


ECONOMIC GROWTH, AGRICULTURE, AND TRADE

Clean Solar Energy Replaces Kerosene Lanterns

Photo of U.S. East African high school students.

A group of U.S. and East African high school students stand on top of Tweyambe Boarding School in western Tanzania in August 2004. The group, through a USAID-funded project, had just installed solar light panels so that the school could switch from kerosene lamps.


Christina Keller, Environmental Resources Trust

KAMPALA, Uganda—Kakuuto Hospital in Rakai district, where AIDS was discovered in 1981, installed solar energy in 2004 to provide light and pure water with the help of USAID programs aiding hundreds of hospitals.

Solar Light for Africa (SLA), a faith-based NGO working with U.S. and African churches and governments to provide solar power in rural Africa, has helped hundreds of hospitals with a $300,000 grant from the Bureau for Economic Growth, Agriculture, and Trade (EGAT).

The group's primary project this year was to electrify Kakuuto with solar photovoltaic panels.

Pure water was provided, utilizing solar-powered pumps as well as piping to bring water over 3.2 kilometers to the hospital from a spring. Spigots were placed along the way so that nearby villages also had access to the water.

Before the project, the hospital had relied on kerosene lanterns for light and there was no supply of clean water. Hospital staff and villagers had to travel long distances to get water from a spring that was not clean and frequently caused illnesses.

SLA is installing 100 solar systems at rural health clinics, community centers, churches, and schools throughout Uganda and Tanzania during 2004. The group has installed 1,400 solar systems since it was founded in 1997 by retired Episcopal Bishop Alden Hathaway.

The Kakuuto Hospital project "is an excellent demonstration of the important role energy plays in a number of sectors, including health," said Kevin Warr of EGAT's energy team. "You can't refrigerate vaccines without electricity, you can't run a proper operating room. You have to sterilize equipment, and all of that takes electricity."

"So we don't look at energy as an end in itself, but as an important input to larger development issues," Warr added.

Nearly 40 percent of the adult population in Rakai district has died since HIV—the viral condition that precedes AIDS—made its first appearance.

But today Uganda is one of the few African countries with declining HIV rates. The infection rate ran as high as 30 percent in the early 1990s, but it is about 4.1 percent this year, according to the United Nations AIDS agency.

SLA runs its projects through groups made up of volunteer American and Ugandan solar engineers, doctors, dentists, students, and environment experts who monitor cuts in emission gases as solar energy replaces oil and wood fuels.

Electricity in Africa helps education and reduces environmental degradation by promoting a clean energy source and replacing the fumes of kerosene lanterns. Solar electricity also cuts deforestation and erosion by reducing burning of roots and other biomass.

"One of my fondest memories is of a young mother giving birth to her child in the dark of night, with the assistance of solar light," said Sherry Rainey, a former youth mission participant from Tallahassee, Fla.

"Had it not been for this solar installation at the birthing center, the midwife would have delivered the baby utilizing the meager light of one kerosene lantern that produces noxious black fumes. Instead, the baby's first breath was of pure air."


GLOBAL DEVELOPMENT ALLIANCE

Rainforest Alliance Protects Forests

Photo of Children standing on a pile of banana boxes

Children stand around a pile of boxes of Chiquita bananas. Some 75 percent of the plantations Chiquita contracts with are Rainforest Alliance-certified.


Raed Chris Wille, Rainforest Alliance

Although consumers and businesses increasingly want to buy wood and other forest products that are certified as being produced in an environmentally safe manner, it's become harder and harder to meet the growing demand.

Most of the forests where the wood, nuts, fruit, plants, and other materials are taken are in developing countries.

An $8.6 million USAID grant to the Rainforest Alliance, an international not-for-profit conservation organization, will help address this issue in Mexico and Central America by expanding certification efforts for coffee, timber, and bananas and linking these products with markets.

Private-sector partners include IKEA, Kraft, Procter & Gamble, and Chiquita, and their participation is valued at over $70 million. In addition to industry partners, local conservation groups are also participating in the three-year initiative.

The Certified Sustainable Products Alliance acts on several critical business, social, and environmental fronts in Mexico, Guatemala, Honduras, El Salvador, Nicaragua, Costa Rica, and Panama. Program areas include responsible business practices, improved wages and conditions for farm and forest workers, enhanced participation and income for farmer associations, and reduced environmental degradation in production.

"By increasing the supply of certified products, promoting conservation, and improving conditions for workers and communities that neighbor farms and forestry operations, communities and cooperatives will see an increase in income that will provide them with an added incentive to practice sustainable agriculture and forestry," said Tensie Whelan, executive director of the Rainforest Alliance.

With staff based in Latin America and the United States, the Rainforest Alliance can carry out both certification and market linkage.

The Alliance helps local farmers and loggers develop the ability to produce certified products. Rainforest Alliance-trained auditors visit thousands of farms in four regions in Central America and Mexico and assess each one according to a baseline of over 200 indicators. Assessment reports identify processes that must be rectified prior to certification. Other processes must be improved continually from year to year.

One farm, for example, was instructed to plant hedges between the settlements and fields in order to absorb any chemicals that might waft from the fields. Another farm was required to allow for natural habitat belts along road and waterways.

With headquarters in the United States, the Rainforest Alliance also conducts outreach to secure buyers for certified products. Gibson Musical Instruments, for example, has sourced its mahogany and other rare woods from a forest in Peten, Guatemala, through Rainforest Alliance outreach efforts.

Kraft recently committed to purchasing 5 million pounds of coffee in one year from Rainforest Alliance-certified farms. Procter & Gamble has introduced a line of its retail brand "Millstone," which contains sustainable coffee certified by the Rainforest Alliance. Chiquita reached 100 percent Rainforest Alliance certification from company-owned banana farms in 2000, and has increased its share of certified bananas from independent farms from 33 percent in 2001 to 75 percent currently.

The Guatemala and Central American Programs (G-CAP) office recognized the acute need to link "responsible buyers for certified products with responsible suppliers in global markets," said Glenn Anders, mission director for G-CAP.

The regional mission is contributing $6.6 million to complement $2 million in GDA funding for the Rainforest Alliance to expand its work with producer communities and private-sector buyers in North America and Europe.


DEMOCRACY, CONFLICT, AND HUMANITARIAN ASSISTANCE

Afghan Women Report

Photo of women handing out magazines

A woman hands out Morsal, a new national magazine that writes about women's issues


Afghanistan Transition Initatives, USAID

KABUL, Afghanistan—On assignment for a newly established independent news agency, journalist Zainab Mohammadi entered a bustling market to interview locals from an array of ethnic and socioeconomic backgrounds. She revealed her audio recording equipment and was soon surrounded by a group of men. Undeterred, Mohammadi kept her cool and got what she needed for her story.

"It is challenging to work with men in Afghanistan, but we women will struggle," she said. "I am sure we will make it; we will try to change them, to accept that women can do whatever they want."

Mohammadi is one of hundreds of women participating in media training courses and working for newspapers, magazines, and news agencies supported by USAID. Last year alone, the Agency spent $14 million on media-related programs in Afghanistan, many of them focused on women.

Under the Taliban rule from 1996 to 2001, women were forbidden to work and were forced to cover themselves from head to toe. But the newly adopted Afghan constitution says that "the citizens of Afghanistan—whether man or woman—have equal rights and duties before the law," and women have been allowed to return to work.

USAID funded extensive civic education activities to provide the Afghan public with information on key issues, such as the Emergency Loya Jirga national council held in mid-2002, the Constitutional Loya Jirga in December 2003, and the October presidential elections.

Projects have helped train more than 800 radio and print journalists, media managers, filmmakers, and staff from several university journalism schools. USAID is also supporting the establishment of the Tolo TV network, an independent commercial television station.

The Agency supports 41 state and private radio stations, 20 of which are community-run and four of which are managed by women.

Educational, news, and entertainment broadcasts are reaching not only remote Afghan regions but also areas of Iran and Pakistan that are home to large numbers of Afghan refugees. A newly created satellite distribution network keeps the local radio stations fresh on national news with a three-hour daily programming feed.

One project supported innovative and educational mobile cinemas that reach off-the-beaten track areas with films on health, education, human rights, civic education, and the October election.

The Agency has also supported seven print publications and media resource centers, two daily newspapers in Kabul, several independent publications focused on the establishment of democracy in a modern Islamic context, and two national news magazines. One of the national magazines, Morsal, covers women issues.

"Women who are working in media will bring a great change in society," said Mohammadi. "They can highlight the problems of other oppressed women who are inside their homes and have no choice or place to raise their problems."

Only 36 percent of Afghans can read or write. But while 51 percent of men are literate, that number among women is only 21 percent.



GLOBAL HEALTH

Paraguay Community Pharmacies Provide Low-Cost Medicine

Photo of a mother picking up medications

Cecilia Gonzalez, a young mother from the Itapua municipality, picking up medications from the community's pharmacy in October 2003. Gonzalez, who earns less than $1,500 a year, gets her medicines at half price.


Silvia Ocampos, CIRD

ASUNCION, Paraguay—Although sick people in the developing world often cannot afford or find medication, Cecilia Gonzalez gets cheap medicine from her community's "social pharmacy" in the southern area of Itapua.

Gonzalez, a young mother, is from one of 26,000 low-income families who have access to the community pharmacies, where drugs cost about 50 percent less than at commercial pharmacies. Gonzalez's income is less than $1,500 a year.

In 1996, USAID/Paraguay began working with local governments, health officials, and citizens to design the program. To date, the Agency has invested about $1 million in technical assistance to set up more than 100 pharmacies in four regions of southern and central Paraguay.

"Poor people now have access to low-cost medicines," said Graciela Avila, the health program officer for USAID/Paraguay.

Money for the pharmacies is channeled through a revolving fund that is managed by local health councils. The fund's managers are responsible for stocking the pharmacies. They select, purchase, and distribute pharmaceuticals and supplies.

Prices at the community pharmacies are kept low because the revolving fund allows local government to buy medicines in bulk from suppliers.

"In Itapua, we started the social pharmacy program with 50 million guaranies [about $7,500] provided by the departmental government and 18 basic medicines," said Victoria Baez, a voluntary coordinator of the program in Itapua. "Now we have more than 100 medicines and more than 300 million guaranies [about $44,000] in the revolving fund."

The pharmacies are typically housed within health posts or clinics run by the Ministry of Health. Some are also located in private houses.

They are run by volunteers who have some background in healthcare. Each community's pharmacy warehouse is also managed by volunteers who have the medical knowledge to administer pharmaceuticals.

Most communities in Paraguay suffer chronic shortages of drugs, contraceptives, and medical supplies. This often leads people to speculate on the causes and cures of what ails them and to self-medicate. Many people are also too poor to afford any drugs: Paraguayans annually spend only about 4.2 percent of their income for healthcare, according to the Ministry of Health.

The health ministry and donors such as the World Bank have expressed interest in replicating the USAID-funded community pharmacies program in other regions of the country.

Such pharmacies are just one way USAID has worked to improve access to affordable medicine for people in poor countries.

In Ghana, the Agency supported a program that developed a franchise to improve access to and use of essential medicines. And in Tanzania USAID funded a program that accredits non-pharmacy drug shops.

But programs supporting revolving drug funds, as in Paraguay, have proven particularly successful, said Anthony Boni, pharmaceutical management advisor with the Bureau for Global Health. USAID has supported a similar program in Nepal and Tajikistan.

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