- Urban Development
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- Sri Lanka
Encouraging healthy habits to reduce the risk of non-communicable diseases
Each time I visit local hospitals in Sri Lanka, my confidence in the public health service is renewed. I see a selfless commitment by both doctors and nursing staff towards their patients, often going beyond their call of duty. I wonder if it is their religious faith of caring for the sick which is considered a meritorious act, that make them go that extra mile.
My visit to the Base Hospital in Horana, in the Kalutara District reinforced this belief. My colleague and I learned first-hand about systems and processes in place to encourage behavioral change to reduce the Non Communicable Disease (NCD) burden that is becoming a silent killer. The fact that seventy percent of the deaths in Sri Lanka are due to NCDs is scary; especially when a sizable portion of the deaths are under sixty five. As the country transitions into a more affluent society, poor food choices and less active lifestyles are exacerbating the situation. Most Chronic NCDs are preventable and if not, its onset can be delayed if risk factors such as smoking, alcohol, chewing beetle leaves, obesity, unhealthy diet, high salt, sugar, trans fats, processed foods and sedentary lifestyles are addressed.
Components of the newly established RFID-based LMS system
The library of any academic institution plays a key role in providing knowledge-based support to its faculty members, researchers and students. In recent years, the ‘digital library’ has emerged as a novel concept. It allows the access to and sharing of literary information and resources in digital and non-digital forms within the local and global communities. However, for Bangladesh a ‘digital library’ was only a dream until the Academic Innovation Fund (AIF) under the Higher Education Quality Enhancement Project (HEQEP) intervened. The Central Library of the Bangladesh University of Engineering & Technology (BUET) has now been digitized. The library is now a role model for other universities in Bangladesh.
“This dengue has become a calamity,” Saad Azeem said in September 2011. He wasn’t exaggerating. Azeem, a 45 year-old police officer, was “at home suffering from the fever and mourning the death of his elderly father.”
Sadly this wasn’t the case just for Azeem. Everyone was affected in Lahore, the capital of Punjab, the most populous province of Pakistan. The fever didn’t discriminate. Dengue mosquitoes were affecting the poor and the rich, the old, and the young. Out of more than 12,000 people who were infected in Pakistan, at least 10,000 resided in Lahore.
It was a disaster.
We often think of amenities such as quality streets, squares, waterfronts, public buildings, and other well-designed public spaces as luxury amenities for affluent communities. However, research increasingly suggests that they are even more critical to well-being of the poor and the development of their communities, who often do not have spacious homes and gardens to retreat to.
Living in a confined room without adequate space and sunlight increases the likelihood of health problems, restricts interaction and other productive activities. Public spaces are the living rooms, gardens and corridors of urban areas. They serve to extend small living spaces and providing areas for social interaction and economic activities, which improves the development and desirability of a community. This increases productivity and attracts human capital while providing an improved quality of life as highlighted in the upcoming Urbanization in South Asia report.
Despite their importance, public spaces are often poorly integrated or neglected in planning and urban development. However, more and more research suggests that investing in them can create prosperous, livable, and equitable cities in developing countries. UN-Habitat has studied the contribution of streets as public spaces on the prosperity of cities, which finds a correlation between expansive street grids and prosperity as well as developing a public space toolkit.
It started with data!
In 2007-08, an evaluation by Catalyst Management Services of a tribal livelihoods initiative for the State Planning Commission of Madhya Pradesh showed that agriculture as a livelihoods option was unproductive and for small tribal farmers; leaving them without a profitable livelihood option. But it wasn’t because of prices, or barriers to entry. Instead, it was because crucial services and government schemes were not reaching those who needed them most.
According to the data, only 10-12% of small producers were able to access vital extension schemes and a mere 7-8% of other government schemes. The evaluation found that large farms were crowding out the smaller farmers from accessing key subsidies and benefits. So the State Planning Commission posed a challenge: find a way to reach these marginalized tribal farmers in Madhya Pradesh.
We started with a standard warm-up question as Gangi Devi, our first respondent, sat in anticipation. “Tell me a little bit about your society. What is distinctive about the Himachali way of life?” A smile lined up a face creased otherwise with wrinkles. “We are a peaceful society,” she said after thinking a little. “People here are good to one another, we stand by each other.” A person sitting next to her added for good measure, “We Himachalis are very innocent people.”
For those working in the development space in India, the state of Himachal Pradesh, a small state ensconced in the Himalayas with a population of 7 million, is an outlier for many reasons, not least of which is Gangi Devi’s near puritan response.
Gangi Devi lives near a tourist centre close to Shimla, the state capital, which has seen increasing tourist footfall in recent years. Even as her community is debating the costs and benefits of increased activity around their village, Gangi Devi and her neighbours trust that the state government would keep people’s interests in mind and address adverse impacts, if any, of increased tourism on the environment.
Their belief in the government is supported by real actions. Himachal Pradesh is the first state in India to ban the use of plastic bags. Smoking in public spaces in the city of Shimla is punishable by law.
Governance in Himachal Pradesh looks doubly impressive when considered against an enviable development record.
In the village of Aharkandhi in northeastern Bangladesh, life has changed since homeowners began installing solar panels on their roofs. At night, families gather at the local grocery store to watch TV, which boosts business. Children study longer than before.
This is due in part to a World Bank-financed electrification project to promote off-grid electricity in rural communities. This year, the project became the first renewable energy program in Bangladesh to be issued carbon credits for lowering greenhouse gas emissions and the world's first Programme of Activities for solar home systems under the UNFCCC’s Clean Development Mechanism (CDM) to generate carbon credits.
With access to electricity, people are finding new ways to increase their income, and the word is spreading quickly across villages.