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Bhutan

Promoting better nutrition in Bhutan

Izabela Leao's picture
 Izabela Leao / World Bank
School children singing and dancing in Samtse Dzongkhag. Photo Credit: Izabela Leao / World Bank

Bhutan is no ordinary place.

A landlocked Himalayan kingdom tucked in a mostly rugged mountainous terrain between India and China, it measures prosperity by assessing its citizens’ level of happiness by way of a Gross National Happiness index.

Equally striking, Bhutan’s constitution mandates that 60 percent of its national land be preserved under forest cover, making Bhutan the world’s only carbon-negative country.

Bhutan’s geography – with land rises ranging from 200 meters in the southern foothills to 7,000 meters in the high northern mountains – consists of three major agro-ecological zones that allow for a rich biodiversity and seasonal foods.

This natural wealth, however, comes with its caveats as Bhutanese living in isolated rural areas can’t access a reliable diverse diet throughout the year.

"Many families in rural Bhutan practice two meals rather than three meals a day," reports Ms. Kinley Bidha, Tarayana Foundation Field Officer in Samtse Dzongkhag. "Some for cultural reasons, others due to a shortage of food, others due to a shortage of land too farm," she adds.

Overall socio-economic development in the last three decades has led to a rapid improvement in health and nutrition outcomes in Bhutan – the country’s infant mortality rate declined to 30 per 1,000 live births in 2012 down from 90 per 1,000 in 1990; while the rate of stunting in children under 5 years declined 24 percent from 1986 levels.

Nonetheless, the lack of variety of foods in diet remains a key concern, especially for pregnant and nursing women as well as young children. And while most families feed their children complementary food, fewer than a quarter of parents provide them nutritious meals essential to their health.

In addition, 67 percent of Bhutanese adults consume less than the recommended five servings (or 400 grams) of fruits and/or vegetables per person a day [National Nutrition Survey (NNS) 2015].

When consumed, vegetables consist for the most part of two national staples, potatoes and chilies, which hardly provide essential vitamins and minerals.

Keeping regional variations in mind, between 16 and 34 percent of children under 5 are stunted—or too short for their age—seven percent of children are underweight, 35 percent of children of age 6-59 months and 44 percent of women of reproductive age are either anemic or iron deficient. Exclusive breastfeeding rates for six-month-old children remain at a low 50 percent (NNS, 2015).  

Damages caused by malnutrition during pregnancy and the first years of a child’s life are irreversible and contribute to stunting and lower immunological and cognitive development, and predispose to adult-onset diseases (including metabolic syndrome).

Thankfully, the negative impact of malnutrition on Bhutan’s economy is now better understood and has become a priority to promote its national development.

Encouraging more women to take part in regional trade

Mandakini Kaul's picture

Across South Asia, women represent a hugely underutilized source of growth. In fact, the South Asia region has some of the world’s lowest rates of female labor force participation - only 36%. Even where women work, they are mostly confined to less-remunerative low-skill jobs, and remain excluded from most trading activity. To make it easier for more women to work in all fields of endeavor, World Bank projects in the region have begun to look at development projects through a more gender-focused perspective.
 
One such area is regional trade and connectivity. After a long hiatus, the political momentum for cooperation within the eastern region is growing, especially in the Bangladesh Bhutan India Nepal (BBIN) corridor.  The Indian government’s Act East Policy, combined with the new Motor Vehicles Act that allows vehicles to cross the BBIN border with ease, represent a unique opportunity to reimagine inclusive growth by enabling more of the region’s women to benefit from this corridor.
 


Accordingly, the South Asia Regional Trade Facilitation Program (SARTFP), an Australian government-funded program being implemented by the World Bank, seeks to improve the conditions for women to trade between these nations and to create more remunerative livelihoods.

Regional cooperation in conservation: South Asia shows the way

Andrew Zakharenka's picture
Illegal trade in wildlife and conservation often were not considered high priority for countries of the South Asia Region. In the first ever attempt, the governments of Bangladesh, Nepal, and Bhutan joined forces to strengthen regional cooperation for wildlife conservation. And it was a successful one.

The regional project assisted the governments in building and enhancing shared capacity and institutions to tackle illegal wildlife trade across their borders and invest in habitat and wildlife conservation of critically endangered species. It was clear from the onset that these issues would require both national leadership and regional coordination.
 
Launched in 2011, the project initially had a delayed start. Yet, by December 2016, when the project ended, it became clear that governments coordinated efforts successfully. The three countries participated in regular joint action planning and practice-sharing meetings, signed protocols for and cooperated in transboundary actions, as well as held consultations and public events at the local, national, and international levels.
 
The project supported conservation programs of dozens of endangered species, including crocodiles being released here into the wild. Sundarban area, 2014

Voices of Youth: A Hope for One South Asia from Young Economists at Students' Meet

Nikita Singla's picture
Young economists from South Asia at South Asia Economics Students’ Meet (SAESM) 2018, Chittagong, Bangladesh
Young economists from South Asia at South Asia Economics Students’ Meet (SAESM) 2018, Chittagong, Bangladesh
Photo Credits: Nikita Singla/World Bank

At the 14th South Asia Economic Students’ Meet (SAESM), more than 100 top economics undergraduates and faculties from seven countries in South Asia convened in Chittagong, Bangladesh to discuss how greater regional integration in South Asia can help countries achieve the Sustainable Development Goals (SDGs). As these young economists engaged in vigorous academic competitions and research presentations on South Asia’s development opportunities, they also created fond memories and built lifelong friendships. Was SAESM 2018 a new hope for #onesouthasia? Let’s hear it from the students themselves.

“With the momentum built up, the stage set, with a banner that in all its glory was decorated with the flags of the seven South Asian states, we sat in our respective country groups to embark on a three-day long journey that was to change my perception of South Asia forever. The dis-embarkment on this passage saw us divided by geographical boundaries, as India and Pakistan made sure to sit the farthest away from each other. The end to this voyage, however, painted a story not many foresaw – twenty Indians and Pakistanis crammed together in a single bus, discussing our common history with a fondness anew to most, accompanied by bursts of people from either side breaking into rounds of Antakshari. At that point, we were one!" – Alizeh Arif, Lahore School of Economics

Moving towards gender equality in Bhutan

Tenzin Lhaden's picture
Accompanying rapid economic development, Bhutan has greatly reduced gaps in gender equality.
Photo Caption: Sonam 'Sherlock' Phuntsho/World Bank

“…never did I imagine that I would live to see this day, when a woman would be serving at this level,” said my 86-year-old grandmother with her eyes beaming while watching the inauguration ceremony of the first female Minister of Bhutan.

Bhutan is a small country nestled in the eastern Himalayas between China and India, has managed to maintain its rich and unique cultural heritage in this modern-day age, partly due to its relative isolation during much of the last century. Bhutan is one of the smallest but fastest-growing economies in the world and a success story in poverty reduction.

Accompanying rapid economic development, Bhutan has greatly reduced gaps in gender equality. The net primary enrolment rate, that is the percentage of children attending school in 2016 was 98.8% for girls compared to 97% for boys. There has also been an increasing representation of girls at the higher secondary level although the lag continues at the university level.

Gender gaps in labor markets and job quality was identified as one of the main areas of gender gaps in the 2013 World Bank Gender Note Policy. Although tremendous progress has been made, - 58% of Bhutanese women working for pay or looking for jobs - the female labor force participation saw a slight decline compared to men in 2016. It remains one of the highest in the region[1].

رفاه در حوزه جنوب آسیا مستلزم سهم بیشتر زنان با پرداخت معاش کافی در نیروی کار

Annette Dixon's picture
Also available in: English

Women in the Work Force
جنوب آسیا شاهد رشد اقتصادی ٦ در صدی طی ٢٠ سال گذشته بوده، که این امر در نتیجه سبب کاهش فقر و بهبود در عرصه صحت و تعلیم و تربیه گردیده است. ما در حالیکه از این پیشرفتها در روز جهانی زن تجلیل می کنیم، بهتر میبود اگر زنان بیشتر با دریافت مزد کافی شامل نیروی کار میبودند. زنان در جنوب آسیا فقط ٢٨ درصد نیرو کار و یا انعده شان که در جستجوی کار هستند، را تشکیل میدهند. در مقایسه  با حوزه خاورمیانه و شمال آفریقا که در انجان ٢١ درصد نیرو کار را مردان تشکیل میدهند در حوزه جنوب اسیا مردان ٧٩ درصد نیرو کار هستند، که این دومین کمترین میزان در جهان است.
 
 نیروی بالقوه انکشاف  جنوب آسیا با بزرگترین جمعیت کار در حال رشد، در طبقه متوسط قرار دارد؛ اما کمبود زنان در مشاغل و مشارکت اقتصادی، منعکس دهنده فرصت های از دست رفته است. ده ها میلیون زن در هند و سریلانکا، در طول بیست سال گذشته از نیروی کار کنار رفته اند.
 
 از جمله بسیاری از عوامل باز دارنده، یکی هم بیسوادی است که تقریبا نیمی از زنان بالغ  در جنوب آسیا را دربر میگیرد که دخترانشان از بالاترین میزان سوء تغذی در جهان رنج می برند. میزان خشونت علیه زنان و مرگ و میر مادران در بالاترین میزان در جهان باقی مانده است. همه این عوامل مشارکت کم، بیکاری بیش از حد  و تفاوت های مزد مستمر برای زنان است، که در بازار کار را نشان می دهد.
 
 چه کاری می توانیم انجام دهیم تا به وجه احسن، زنان را تشویق کنیم تا در نیروی کار شرکت کنند؟ این کار، با شروع ارزش قایل شدن به ارزشهای دختران برابر فرزندان است - دسترسی آنها به غذاهای مغذی و سرمایه گذاری در آموزش و پرورش آنها برای دستیابی به توانایی هایشان فراهم می شود. بیایید علاقۀ دختران جوان را در موضوعاتی مثل علم و ریاضیات جلب کنیم و آنها را متقاعد سازیم که آنها به همان اندازه پسران توانایی دارند و میتوانند در مهندسی، تحقیقات علمی، فناوری اطلاعات و دیگر زمینه هایی که توسط کارفرمایان تقاضا می شود، شغل ایجاد کنند. ما همچنین باید توجه فرزندانمان را به احترام دختران و زنان افزایش دهیم و روشن کنیم که برای خشونت مبتنی بر جنسیت، هیچ مجال باقی نمانده است.

South Asia’s prosperity will require more women to work for pay

Annette Dixon's picture
Also available in: دری

Women in the Work Force

South Asia has enjoyed a growth rate of 6 percent a year over the past 20 years. This has translated into declining poverty and improvements in health and education. While worthy of celebration as we mark International Women's Day, the success could have been more dramatic if more women worked for pay. Only 28 percent of women in South Asia have a job or are looking for one, compared to 79 percent of men. This is the second lowest in the world, after the Middle East and North Africa region at 21 percent.

With the largest working-age population and growing middle class, South Asia’s development potential is vast. But the lack of women in employment and economic participation reflects lost potential. In India and Sri Lanka, tens of millions of women have dropped out of the work force over the last twenty years.

Many factors are holding them back. Almost half of South Asia’s adult women are illiterate and its girls suffer from the highest malnutrition rates in the world. Rates of violence against women and maternal mortality remain among the highest in the world. All these factors translate into a labor market characterized by low participation, high unemployment and persistent wage gaps for women.

What can be done to better prepare and encourage women to participate in the work force? It starts with valuing our daughters as much as our sons – providing them with the same access to nutritious foods and investing in their education for them to reach their potential. Let’s spark the interest of young girls in subjects like science and mathematics, and convince them that they are just as capable as boys –that they too can build careers in engineering, scientific research, IT, and other fields that are in demand by employers. We must also raise our sons to respect girls and women, and make it clear that there is zero-tolerance for gender-based violence.

Improving Agricultural Systems and Raising Prosperity in Rural Bhutan

Izabela Leao's picture
Tara Nidhi, farmer and beneficiary of the Remote Rural Communities Development Project
Tara Nidhi, farmer and beneficiary
of the Remote Rural Communities
Development Project (RRCDP) in Bhutan.
Photo Credit: Izabela Leao/World Bank

“I never thought I would see a road passing by my house in this lifetime,” says Tara Nidhi, a 70-year old farmer who lives in a remote community of Samtse Dzongkhag in Southwest Bhutan. A beneficiary of the Remote Rural Communities Development Project (RRCDP), he and his family have benefitted from the construction of a new farm road and protection from landslides through RRCDP support – a project that promotes the increasing of agricultural productivity and development of communities’ access to markets, irrigation, agricultural technologies, and community infrastructure in 26 Gewogs (village groups) under six Dzongkhags (districts) in Bhutan: Chhukha, Dagana, Haa, Samtse, Trongsa, and Wanduephodrang.

Driving Prosperity through Access to Rural Roads

Coming to completion in May 2018, RRCDP has improved road access to markets to at least 11 project Chiwogs (hamlets) in Samtse and Trongsa Dzongkhags – building 22.9 kilometers of farm roads and benefitting about 299 households. With the construction of new farm roads, the most commonly marketed agricultural and livestock products amongst farmers in project areas have been cardamom, vegetables, butter, cheese, and citrus, and to a lesser extent, rice, potatoes, and eggs. Additionally, beneficiaries have also reported a significant reduction in the time of travel between their households and markets – up to 8 hours in some cases! The majority of the Bhutanese population live in remote rural areas – hours, sometimes days of walking from the nearest road. They walk their children through dense forests and rivers to reach schools and health clinics; they carry their agricultural and livestock products to nearby markets on their backs – an average load of 30kg. A horse carrying a 50kg load costs approximately Nu.5 per kilogram.

Now, with road accessibility, farmers use pick-up trucks at the cost of Nu.2 per kilogram. After a RRCDP farm road construction in Samtse, for example, four households bought pick-up trucks and ten individuals bought motorcycles – mainly benefitting the transport of cardamom. Better road accessibility through RRCDP have also fostered the construction of concrete flush toilets outside households and the construction of new concrete-built homes, as well as the expansion of irrigation schemes. Finally, road accessibility has also impacted social dynamics in rural areas benefitted by the project. While in the past mostly men would go to the nearest town markets on their own, today, all family members, including women and children can go to the market in the morning and return to their homes in the evening. Some women have even reported that they are learning to drive.[1]

The project has also supported beneficiaries in 88 Chiwogs with access to community and marketing infrastructure, such as power tiller tracks, power tiller machinery, and food bridges – with a total of 3,597 households benefitted. In Norgaygang Gewog, for example, with support from the project, the construction of 4 kilometers of power tiller track in 2016, has brought multiple benefits to the community, such as easier access to schools and healthcare in case of emergency.

When technology meets agriculture in Bhutan

Yoichiro Ishihara's picture
Commercial Agriculture is important for Bhutan's Development
Based in eastern Bhutan, Mountain Hazelnuts has developed innovative uses of ICT for its commercial agriculture operations. Photo Credit: Bryan Watts/World Bank

Bhutan is a challenging environment in which to develop commercial agriculture. The country has limited areas for agriculture, and its geography and road conditions make logistics and market access costly.

Therefore, commercial agriculture is critical to increase productivity, which will help create jobs and access to more and better food. This can be achieved not only through focusing on high-value products and investing in traditional infrastructure such as irrigation, but also through using information and communication technology (ICT). Based in eastern Bhutan, Mountain Hazelnuts has developed innovative uses of ICT for its commercial agriculture operations.

Climate-smart agriculture is “common-sense agriculture”

Martien van Nieuwkoop's picture
 Neil Palmer / CIAT
Climate-smart agriculture profiles for Bhutan, Pakistan and Nepal provide an important step forward in creating a sustainable food system in South Asia. Photo: Neil Palmer / CIAT


According to a recent study published in Science Advances, climate change is projected to hit South Asia especially hard.
 
Impacts will be particularly intense in the food and agriculture sector. A region inhabited by about one-fifth of the world’s people, South Asia and its densely populated agricultural areas face unique and severe natural hazards. Its food system is particularly vulnerable. Climate-smart agriculture (CSA)-- which is an integrated approach to managing landscapes that is focused on increasing agricultural productivity, improving resilience to climate change, and reducing agricultural greenhouse gas emissions—is part of the solution.
 
The World Bank is working to mainstream climate smart agriculture in South Asia with a series of Climate-Smart Agriculture or “CSA” Country Profiles for Bhutan, Nepal and Pakistan, that were launched recently in collaboration with Governments and relevant stakeholders. The findings in the profiles are specific to national contexts, but there is a common thread.  We learned that for South Asia, climate change adaptation and mitigation pose major challenges and opportunities for agriculture sector investment and growth.  
 
The farmers, Government representatives and other stakeholders I met during the CSA Country Profile launches expressed huge interest in learning how they can put CSA into practice.  Farmers especially were interested in making CSA part of their daily farming routines.  As interest grows, so does momentum to take the CSA agenda forward, from research institutions and high level gatherings into farmer’s fields. As one farmer I met in Pakistan said, “Climate-smart agriculture is Common-sense agriculture.
 
Pakistan
 
Climate change is already impacting Pakistan, which often experiences periods of severe droughts, followed by devastating floods. In the aftermath of the 2010 floods, one fifth of the country’s land area was submerged, damaging the economy, infrastructure and livelihoods, and leaving 90 million people without proper access to food. Moving forward, changes in monsoons and increased temperatures will further challenge the agricultural sector, particularly northern Pakistan where vulnerability to climate change is already high.
 
At the same time, CSA offers attractive opportunities for strengthening Pakistan’s agricultural sector. Innovative, technological practices like laser land leveling and solar powered irrigation systems and management changes like crop diversification, proper cropping patterns and optimized planting dates could put Pakistan’s food system onto a more climate-smart path. Investments in research to develop high-yielding, heat-resistant, drought-tolerant, and pest-resistant crop varieties as well as livestock breeds could also make a difference.

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