Communities cannot thrive without good health, but sadly, good health can be elusive for communities on the margins of society. Even before covid, tribal and indigenous people all over the world have routinely experienced lower life expectancies, poor maternal and child health, and higher rates of both infectious and non-communicable diseases.
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The coronavirus pandemic—food insecurity, isolation, and loss of income that have followed—have only exacerbated these trends and pushed vulnerable tribal and indigenous populations further to the margins.
But India is particularly well placed to reverse these trends. As home to 28% of the world’s tribal people, developing holistic bottom-up strategies to improve health and well-being in local settings. India can become the forerunner of new initiatives to improve tribal health, creating a model for the rest of the world to empower indigenous communities.
By working with local leaders to bridge knowledge gaps, strengthening last mile service delivery and leveraging the potential of new technologies and partnerships, India can vastly improve the well-being of its 104 million tribal citizens and help the world reach its Sustainable Development Goals for 2030.
To be clear, this task will not be easy. Due to a variety of factors, the life expectancy of tribal and indigenous people worldwide is up to 20 years lower than the rest of the population. More than half of indigenous adults over 35 suffer from type-2 diabetes.
In India, while there is limited data, sources suggest that a tribal woman is twice as likely to die during pregnancy and childbirth. India’s tribal population also accounts for 50% of malaria deaths in the country, and tuberculosis is five times more prevalent.
Nonetheless, India has both the ability and responsibility to transform how its most vulnerable citizens and communities receive healthcare. Doing so is critical not only to India’s future, but to that of tribal and indigenous populations all over the world.
The challenge of improving tribal health and nutrition can be tackled with a three-pronged approach. First, there must be enough available knowledge and tribal de-segregated data to make evidence-based policy decisions. Complicated problems cannot be solved without an in-depth understanding of the root causes.
India is not a homogenous population; linguistic barriers, coupled with generally poor or no data, might further lead to a lack of context-specific policies and interventions. Thus, it becomes imperative to create and disseminate knowledge around tribal health and nutrition, both to inform policy and help address myths within communities that might discourage people from accessing healthcare if and when available.
Second, working alongside governments at every level, we must strengthen health service delivery in the last mile. While universal access to healthcare has remained elusive to date, the government is making its best attempts to bridge the gap with tribal focused plans, including by operationalizing health and wellness centres in remote and tribal areas.
In past, be it in the aspirational districts of India or working in other parts of the world, affordable and accessible healthcare does not become a reality unless both the delivery of health services and health-seeking behaviour of the community work towards each other. In other words, to achieve the audacious goal of impacting 104 million people, both the demand and supply sides of health services will have to be bolstered in parallel.
Finally, leveraging new technologies and partnerships can improve both decision-making and patient care. New digital innovations, especially mobile apps and platforms, can connect people longitudinally, vertically, and horizontally.
Introducing point-of-care devices can improve data collection and accountability throughout the health services sector. The national digital health mission is an important step in the right direction and can help expedite this digital transformation.
Similarly, bringing together multiple partners around the shared vision of improving tribal health can focus efforts for positive change. Several philanthropic organizations (including the Piramal Foundation and Bill & Melinda Gates Foundation) and civic groups working in the tribal health space have recently come together to create the Tribal Health Collaborative.
This unique and exciting initiative has set an ambitious goal of ending all preventable diseases among India’s tribal communities in the next decade. If successful, it will improve the lives of 100 million of India’s most marginalized citizens and save more than 5 million lives from disease.
Through data, delivery, innovation, and partnership—guided by a spirit of sewa, or selfless service—we can help reduce the burdens of disease, malnutrition, and poor health for millions of people in India and around the world.
Creating robust knowledge infrastructure could enhance policymaking, effective implementation at the last mile can ensure the optimal use of healthcare services, and new technology platforms could help knit these aspects together and close the tribal health and nutrition loop.
This tripartite model of knowledge, implementation, and technology can help us realize our collective goal of a more equitable society. If we commit ourselves to it and invest now in improving tribal health and nutrition, we can make a world of difference to those in need.
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- Lowering Emissions by Accelerating Forest Finance (LEAF) Coalition, a collective of the United States, United Kingdom and Norway governments, came up with a $1 billion fund.
- LEAF is supported by transnational corporations (TNCs) like Unilever plc, Amazon.com, Inc, Nestle, Airbnb, Inc as well as Emergent, a US-based non-profit.
- The world lost more than 10 million hectares of primary tropical forest cover last year, an area roughly the size of Switzerland.
- Ending tropical and subtropical forest loss by 2030 is a crucial part of meeting global climate, biodiversity and sustainable development goals. Protecting tropical forests offers one of the biggest opportunities for climate action in the coming decade.
- Tropical forests are massive carbon sinks and by investing in their protection, public and private players are likely to stock up on their carbon credits.
- The LEAF coalition initiative is a step towards concretising the aims and objectives of the Reducing Emissions from Deforestation and Forest Degradation (REDD+) mechanism.
- REDD+ was created by the United Nations Framework Convention on Climate Change (UNFCCC). It monetised the value of carbon locked up in the tropical forests of most developing countries, thereby propelling these countries to help mitigate climate change.
- It is a unique initiative as it seeks to help developing countries in battling the double-edged sword of development versus ecological commitment.
- The initiative comes at a crucial time. The tropics have lost close to 12.2 million hectares (mha) of tree cover last year according to global estimates released by Global Forest Watch.
- Of this, a loss of 4.2 mha occurred within humid tropical primary forests alone. It should come as no surprise that most of these lost forests were located in the developing countries of Latin America, Africa and South Asia.
- Brazil has fared dismally on the parameter of ‘annual primary forest loss’ among all countries. It has lost 1.7 mha of primary forests that are rich storehouse of carbon. India’s estimated loss in 2020 stands at 20.8 kilo hectares.
- Between 2002-2020, Brazil’s total area of humid primary forest reduced by 7.7 per cent while India’s reduced by 3.4 per cent.
- Although the loss in India is not as drastic as in Brazil, its position is nevertheless precarious. For India, this loss is equivalent to 951 metric tonnes worth carbon dioxide emissions released in the atmosphere.
- It is important to draw comparisons between Brazil and India as both countries have adopted a rather lackadaisical attitude towards deforestation-induced climate change. The Brazilian government hardly did anything to control the massive fires that gutted the Amazon rainforest in 2019.
- It is mostly around May that forest fires peak in India. However, this year India, witnessed massive forest fires in early March in states like Odisha, Uttarakhand, Madhya Pradesh and Mizoram among others.
- The European Union’s Copernicus Atmospheric Monitoring Service claimed that 0.2 metric tonnes of carbon was emitted in the Uttarakhand forest fires.
- Implementation of the LEAF Coalition plan will help pump in fresh rigour among developing countries like India, that are reluctant to recognise the contributions of their forest dwelling populations in mitigating climate change.
- With the deadline for proposal submission fast approaching, India needs to act swiftly on a revised strategy.
- Although India has pledged to carry out its REDD+ commitments, it is impossible to do so without seeking knowledge from its forest dwelling population.
Context:-
At the recently concluded Leaders’ Summit on Climate in April 2021, Lowering Emissions by Accelerating Forest Finance (LEAF) Coalition, a collective of the United States, United Kingdom and Norway governments, came up with a $1 billion fund plan that shall be offered to countries committed to arrest the decline of their tropical forests by 2030.
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Why LEAF Coalition?
Brazil & India
According to the UN-REDD programme, after the energy sector, deforestation accounts for massive carbon emissions — close to 11 per cent — in the atmosphere. Rapid urbanisation and commercialisation of forest produce are the main causes behind rampant deforestation across tropical forests.
Tribes, Forests and Government
Disregarding climate change as a valid excuse for the fires, Indian government officials were quick to lay the blame for deforestation on activities of forest dwellers and even labelled them “mischievous elements” and “unwanted elements”.
Policy makers around the world have emphasised the role of indigenous tribes and local communities in checking deforestation. These communities depend on forests for their survival as well as livelihood. Hence, they understand the need to protect forests. However, by posing legitimate environmental concerns as obstacles to real development, governments of developing countries swiftly avoid protection of forests and rights of forest dwellers.
For instance, the Government of India has not been forthcoming in recognising the socio-economic, civil, political or even cultural rights of forest dwellers. According to data from the Union Ministry of Tribal Affairs in December, 2020 over 55 per cent of this population has still not been granted either individual or community ownership of their lands.
To make matters worse, the government has undertaken systematic and sustained measures to render the landmark Scheduled Tribes and Other Traditional Forest Dwellers (Recognition of Forest Rights) Act, 2006 ineffective in its implementation. The Act had sought to legitimise claims of forest dwellers on occupied forest land.
Various government decisions have seriously undermined the position of indigenous people within India. These include proposing amendments to the obsolete Indian Forest Act, 1927 that give forest officials the power to take away forest dwellers’ rights and to even use firearms with impunity.
There is also the Supreme Court’s order of February, 2019 directing state governments to evict illegal encroachers of forest land or millions of forest dwellers inhabiting forests since generations as a measure to conserve wildlife. Finally, there is the lack of data on novel coronavirus disease (COVID-19) deaths among the forest dwelling population;
Tardy administration, insufficient supervision, apathetic attitude and a lack of political intent defeat the cause of forest dwelling populations in India, thereby directly affecting efforts at arresting deforestation.
Way Forward
Tuntiak Katan, a global indigenous leader from Ecuador and general coordinator of the Global Alliance of Territorial Communities, aptly indicated the next steps at the Climate Summit:
“The first step is recognition of land rights. The second step is the recognition of the contributions of local communities and indigenous communities, meaning the contributions of indigenous peoples.We also need recognition of traditional knowledge practices in order to fight climate change”
Perhaps India can begin by taking the first step.