Remittance from migrants reinforces forest recovery for China's reforestation policy.

Forests play a key role in the mitigation of global warming and provide many other vital ecosystem goods and services. However, as forest continues to vanish at an alarming rate from the surface of the planet, the world desperately needs knowledge on what contributes to forest preservation and restoration. Migration, a hallmark of globalization, is widely recognized as a main driver of forest recovery and poverty alleviation. Here, we show that remittance from migrants reinforces forest recovery that would otherwise be unlikely with mere migration, realizing the additionality of payments for ecosystem services for China's largest reforestation policy, the Conversion of Cropland to Forest Program (CCFP). Guided by the framework that integrates telecoupling and coupled natural and human systems, we investigate forest-livelihood dynamics under the CCFP through the lens of rural out-migration and remittance using both satellite remote sensing imagery and household survey data in two representative sites of rural China. Results show that payments from the CCFP significantly increases the probability of sending remittance by out-migrants to their origin households. We observe substantial forest regeneration and greening surrounding households receiving remittance but forest decline and browning in proximity to households with migrants but not receiving remittance, as measured by forest coverage and the Enhanced Vegetation Index derived from space-borne remotely sensed data. The primary mechanism is that remittance reduces the reliance of households on natural capital from forests, particularly fuelwood, allowing forests near the households to recover. The shares of the estimated ecological and economic additionality induced by remittance are 2.0% (1.4%∼3.8%) and 9.7% (5.0%∼15.2%), respectively, to the baseline of the reforested areas enrolled in CCFP and the payments received by the participating households. Remittance-facilitated forest regeneration amounts to 12.7% (6.0%∼18.0%) of the total new forest gained during the 2003-2013 in China. Our results demonstrate that remittance constitutes a telecoupling mechanism between rural areas and cities over long distances, influencing the local social-ecological gains that the forest policy intended to stimulate. Thus, supporting remittance-sending migrants in cities can be an effective global warming mitigation strategy.

Determinants of Pathogen Contamination of the Environment in the Greater Yangon Area, Myanmar.

Recent results from water, sanitation, and hygiene interventions highlight the need to better understand environmental influences on enteropathogen transmission. We quantified a range of viral, bacterial, and protozoal pathogens and one indicator, Enterococcus faecalis in soil and water from urban and rural sites in and around Yangon, Myanmar. We found that environmental characteristics associated with contamination differed by pathogens and substrates. In soil, bacterial pathogen gene counts were associated with elevation and drainage ditches (compared to stagnant water) (RR = 0.96, 95% CI 0.93, 0.99 and RR = 1.70, 95% CI 1.18, 2.45, respectively), while viral gene counts were associated with the presence of sanitation facilities within 50 m of the collection point (RR = 3.99, 95% CI 1.12, 14.24). In water, E. faecalis, total pathogen, and bacterial pathogen gene counts were associated with drainage ditches (RR = 1.86, 95% CI 1.27, 2.72, RR = 1.38 95% CI 1.09, 1.74, and RR = 1.38 95% CI 1.07, 1.77, respectively). E. faecalis, total pathogen, bacterial pathogen, and viral gene counts were associated with the presence of uncollected garbage within 50 m of the collection point (RR = 1.57, 95% CI 1.00, 2.47, RR = 1.52, 95% CI 1.16, 2.00, RR = 1.52, 95% CI 1.13, 2.06, and RR = 1.75, 95% CI 1.17, 2.61 respectively). Measuring the environment provides added specificity toward identifying important environmental pathways that require mitigation.

Systems Science Approaches for Global Environmental Health Research: Enhancing Intervention Design and Implementation for Household Air Pollution (HAP) and Water, Sanitation, and Hygiene (WASH) Programs.

BACKGROUND: Two of the most important causes of global disease fall in the realm of environmental health: household air pollution (HAP) and poor water, sanitation, and hygiene (WASH) conditions. Interventions, such as clean cookstoves, household water treatment, and improved sanitation facilities, have great potential to yield reductions in disease burden. However, in recent trials and implementation efforts, interventions to improve HAP and WASH conditions have shown few of the desired health gains, raising fundamental questions about current approaches. OBJECTIVES: We describe how the failure to consider the complex systems that characterize diverse real-world conditions may doom promising new approaches prematurely. We provide examples of the application of systems approaches, including system dynamics, network analysis, and agent-based modeling, to the global environmental health priorities of HAP and WASH research and programs. Finally, we offer suggestions on how to approach systems science. METHODS: Systems science applied to environmental health can address major challenges by a) enhancing understanding of existing system structures and behaviors that accelerate or impede aims; b) developing understanding and agreement on a problem among stakeholders; and c) guiding intervention and policy formulation. When employed in participatory processes that engage study populations, policy makers, and implementers, systems science helps ensure that research is responsive to local priorities and reflect real-world conditions. Systems approaches also help interpret unexpected outcomes by revealing emergent properties of the system due to interactions among variables, yielding complex behaviors and sometimes counterintuitive results. DISCUSSION: Systems science offers powerful and underused tools to accelerate our ability to identify barriers and facilitators to success in environmental health interventions. This approach is especially useful in the context of implementation research because it explicitly accounts for the interaction of processes occurring at multiple scales, across social and environmental dimensions, with a particular emphasis on linkages and feedback among these processes. https://doi.org/10.1289/EHP7010.

Smallholder responses to climate anomalies in rural Uganda.

Recent research suggests that sub-Saharan Africa will be among the regions most affected by the negative social and biophysical ramifications of climate change. Smallholders are anticipated to respond to rising temperatures and precipitation anomalies through on-farm management strategies and diversification into off-farm activities. Few studies have empirically examined the relationship between climate anomalies and rural livelihoods. Our research explores the impact of climate anomalies on farmers' on and off-farm livelihood strategies, considering both annual and decadal climate exposures, the relationship between on and off-farm livelihoods, and the implications of these livelihood strategies for agricultural productivity. To examine these issues, we link gridded climate data to survey data collected in 120 communities from 850 Ugandan households and 2,000 agricultural plots in 2003 and 2013. We find that smallholder livelihoods are responsive to climate exposure over both short and long time scales. Droughts decrease agricultural productivity in the short term and reduce individual livelihood diversification in the long term. Smallholders cope with higher temperatures in the short term, but in the long run, farmers struggle to adapt to above-average temperatures, which lower agricultural productivity and reduce opportunities for diversification. On and off-farm livelihood strategies also appear to operate in parallel, rather than by substituting for one another. These observations suggest that in order to sustain rural livelihoods, new strategies will be necessary if smallholders are to successfully adapt to climate change.

Early Adoption of an Improved Household Energy System in Urban Rwanda.

Cooking with solid fuels and inefficient cookstoves has adverse consequences for health, environment, and human well-being. Despite the promise of improved cookstoves to reduce these impacts, adoption rates are relatively low. Using a 2-wave sample of 144 households from the baseline and first midline of an ongoing 4-year randomized controlled trial in Rwanda, we analyze the drivers and associations of early adoption of a household energy intervention marketed by a private sector firm. Households sign an annual contract to purchase sustainably produced biomass pellets and lease a fan micro-gasification cookstove with verified emissions reductions in laboratory settings. Using difference-in-differences and fixed effects estimation techniques, we examine the association between take-up of the improved cooking system and household fuel expenditures, health outcomes, and time use for primary cooks. Thirty percent of households adopted the pellet and improved cookstove system. Adopting households had more assets, lower per capita total expenditures and cooking fuel expenditures, and higher per capita hygiene expenditures. Households with married household heads and female cooks were significantly more likely to adopt. Adjusting for confounders, we find significant reduction in primary cooks' systolic blood pressure, self-reported prevalence of shortness of breath, an indicator of respiratory illness, time spent cooking, and household expenditures on charcoal. Our findings have implications for marketing of future clean fuel and improved cookstove programs in urban settings or where stoves and fuel are purchased. Analysis of follow-up surveys will allow for estimation of long-term impacts of adoption of interventions involving pellets and fan micro-gasification cookstoves.

Implementation and scale-up of a biomass pellet and improved cookstove enterprise in Rwanda.

This paper reviews the experience of a for-profit firm in Rwanda promoting biomass pellets and a fan micro-gasification improved cookstove as a clean cooking alternative to charcoal. Consumers purchase locally produced biomass pellets and receive the improved cookstove on a lease basis. The cost of the pellets and stove(s) is lower than the cost of cooking with charcoal in the urban setting where our study takes place. Inyenyeri has been piloting its business model since 2012. Using data from an ongoing quantitative impact evaluation study, focus group discussions, and a series of key informant interviews, we chronicle the firm's experience with stove choice, pellet production, and marketing, highlighting lessons for the design of private sector led clean cooking interventions We find that 38% of households marketed to as part of our ongoing impact evaluation study adopted the pellet and stove system, but that approximately 45% of those who adopted suspended contracts after signing up. The firm's experience with stove choice, pellet production, pricing structures, and customer service strategies have influenced implementation, adoption rates, and scale-up. Customer preferences for specific stove attributes and willingness of stove manufacturers to modify stoves for local conditions have influenced both the firm's choice of stove and customer satisfaction. In 2015 the firm transitioned customers from the Philips stove to the Mimi Moto, a decision which created confusion among consumers, and affected adoption rates. Despite the challenge of establishing and scaling-up pellet production in central Africa, the firm increased production 400% between 2014 and 2017 to reach 800,000 kg/year. Importing and maintaining pelletizing equipment in Rwanda is costly, the supply of feedstock, and undercapitalization of the firm have affected production. With respect to marketing, after experimenting with a sign-up fee and a minimum monthly purchase of pellets, the firm has decided to transition to a pay-as-you-go system to reduce perceived risk by consumers. A high-level of customer service including in home visits, free in-home repair, and home delivery of pellets are major innovations. The long pilot phase and the evolutionary nature of the firm's activities illustrate both the complexity of building a market for clean cooking, and the time required to understand nascent markets and consumer demand.

A 'burning opportunity' for human rights: using human rights as a catalyst for policies to mitigate the health risk of household air pollution.

With over 3 billion people dependent on traditional cooking and heating technologies, efforts to address the health burden of exposure to household air pollution (HAP), as well as other sociodemographic impacts associated with energy poverty, are central to sustainable development objectives. Yet despite overwhelming scientific consensus on the health burden of HAP exposure, particularly harms to impoverished women and children in developing countries, advocates currently lack a human rights framework to mitigate HAP exposure through improved access to cleaner household energy systems. This article examines the role of human rights in framing state obligations to mitigate HAP exposure, supporting environmental health for the most vulnerable through intersectional obligations across the human right to health, the collective right to development, and women's and children's rights. Drawing from human rights advocacy employed in confronting the public health harms of tobacco, we argue that rights-based civil society advocacy can structure the multi-sectoral policies necessary to address the impacts of HAP exposure and energy poverty, facilitating accountability for human rights implementation through international treaty bodies, national judicial challenges and local political advocacy. We conclude that there is a pressing need to build civil society capacity for a rights-based approach to cleaner household energy policy as a means to alleviate the environmental health effects of energy poverty.

Barriers and facilitators to adoption and use of fuel pellets and improved cookstoves in urban Rwanda.

BACKGROUND: The environmental and health impacts of reliance on solid fuels and traditional cookstoves in low-income countries have motivated the promotion of household cooking energy systems that use cleaner burning fuels and cookstoves that lead to reduced exposure to harmful pollutants. Little is known about adoption and use of such systems from the users' perspective. METHODS: We explored the facilitators and barriers to adoption and use of a private sector marketed household cooking energy system that uses sustainably produced biomass pellets and the cleanest burning fan micro-gasification stove currently available. We conducted 48 in-depth qualitative interviews in Gisenyi, Rwanda with decision-makers and cooks in 16 households that adopted the improved cookstove system and 8 non-adopter households. RESULTS: Reported facilitators and barriers to adoption and non-adoption, as well as use and non-use were complex, and in some cases, contradictory. Some adopters noted that cleanliness and low smoke production were major facilitators to adoption and use, while other adopters and non-adopters said the cookstoves blackened and damaged cooking pots and produced excessive smoke. Our findings suggest that correct use of the stove mediates user experience. Cost was likewise reported as a facilitator among some adopters and a barrier among other adopters and non-adopters. Peer influence played a significant role as both a barrier and a facilitator to adoption and transcended other factors. Positive peer influence describing the cleanliness, affordability, and efficiency of the cookstove system encouraged adoption and use, while negative comments by peers regarding excessive smoke and damaged cooking pots discouraged adoption. Commentaries by some participants suggest that inadequate training and instruction may be primary causes of the discrepancies. CONCLUSION: Cost, cleanliness, communication among peer networks, and adequate training and instruction are important factors associated with the adoption and use of improved cookstoves and should be prioritized in the implementation of improved cookstove programs.

Impacts of China's Grain for Green Program on Migration and Household Income.

In the late 1990s, China's Yangtze and Yellow River Basins suffered devastating natural disasters widely attributed to the degradation of soil and water resources. The Government of China responded with a number of major environmental programs, the most expensive and influential of which, the Grain for Green (GfG) Program, was implemented widely from 1999. Under the GfG Program-also known as the Sloping Land Conversion or Conversion of Cropland to Forest Program-the central government compensates farmers to convert cropland on steep slopes or otherwise ecologically sensitive areas to forest or grassland. Its long-term success depends on households' ability to make sustainable changes to their household income streams and income diversification strategies. In this paper, we use a difference-in-difference estimation approach to examine the role of migration as a household-level response to the GfG Program, testing the extent to which individuals migrate following a reduction in land available for farming. Importantly, we exploit 15 years of data on migration decisions and establish that participating and non-participating households were on parallel migration paths before the program, thus refuting a key threat to causality in a difference-in-difference model. We find that participating families do, in fact, choose migration as an income diversification strategy more frequently than non-participants. The program effects varied over time but peaked post-Great Recession in 2011 when migration rates in GfG households exceeded those of non-GfG households by 5.9% points (p = 0.003) or about 26%. Our findings should encourage policymakers that families are making long-term adjustments to their livelihood strategies to avoid poverty in anticipation of the eventual withdrawal of government supports.

Household air pollution (HAP), microenvironment and child health: Strategies for mitigating HAP exposure in urban Rwanda.

Exposure to household air pollution (HAP) from cooking and heating with solid fuels is major risk factor for morbidity and mortality in sub-Saharan Africa. Children under five are particularly at risk for acute lower respiratory infection. We use baseline data from randomized controlled trial evaluating a household energy intervention in Gisenyi, Rwanda to investigate the role of the microenvironment as a determinant of children's HAP-related health symptoms. Our sample includes 529 households, with 694 children under five. We examine the association between likelihood of HAP-related health symptom prevalence and characteristics of the microenvironment including: dwelling and cooking area structure; distance to nearest road; and tree cover. We find that children residing in groups of enclosed dwellings, in households that cook indoors, and in households proximate to tree cover, are significantly more likely to experience symptoms of respiratory infection, illness with cough and difficulty breathing. On the other hand, children in households with cemented floors and ventilation holes in the cooking area, are significantly less likely to experience the same symptoms. Our findings suggest that in addition to promoting increased access to clean cooking technologies, there are important infrastructure and micro-environment related interventions that mitigate HAP exposure.

Looking for medium-term conservation and development impacts of community management agreements in Uganda's Rwenzori Mountains National Park.

We evaluate the impact of collaborative management agreements (CMAs) designed to protect forests and raise incomes for smallholders living adjacent to Rwenzori Mountains National Park (RMNP), Uganda. We use a quasi-experimental study design to estimate changes in several income measures, as well as land cover using three waves (2003, 2007, and 2012) of household survey and remote sensing data. Overall, we find no significant impact of CMAs on any of our income measures. However, when disaggregating households by income quartile, we find that access to forest resources in RMNP may have had an income stabilizing effect for poor households. Forest income grew significantly faster among the poorest quartile of treatment relative to control households, partially because poor households recorded very low income from forests at baseline. The effect of CMAs on forest cover is minimal, although we find that conversion of woody savanna and savanna to cropland is more pronounced in villages with CMAs. These findings suggest that in the medium-term, CMAs have failed to deliver conservation or development benefits related to enhancing livelihoods or conserving forests near RMNP. Practitioners should consider different CMA models or other strategies for improving welfare and forest health outcomes in communities neighboring protected areas.

Building the evidence base for REDD+: Study design and methods for evaluating the impacts of conservation interventions on local well-being.

Climate change mitigation in developing countries is increasingly expected to generate co-benefits that help meet sustainable development goals. This has been an expectation and a hotly contested issue in REDD+ (reducing emissions from deforestation and forest degradation) since its inception. While the core purpose of REDD+ is to reduce carbon emissions, its legitimacy and success also depend on its impacts on local well-being. To effectively safeguard against negative impacts, we need to know whether and which well-being outcomes can be attributed to REDD+. Yet, distinguishing the effects of choosing particular areas for REDD+ from the effects of the interventions themselves remains a challenge. The Global Comparative Study (GCS) on REDD+ employed a quasi-experimental before-after-control-intervention (BACI) study design to address this challenge and evaluate the impacts of 16 REDD+ pilots across the tropics. We find that the GCS approach allows identification of control groups that represent the counterfactual, thereby permitting attribution of outcomes to REDD+. The GCS experience belies many of the common critiques of the BACI design, especially concerns about collecting baseline data on control groups. Our findings encourage and validate the early planning and up-front investments required to evaluate the local impacts of global climate change mitigation efforts with confidence. The stakes are high, both for the global environment and for local populations directly affected by those efforts. The standards for evidence should be concomitantly high.

Fuel Efficiency and Air Pollutant Concentrations of Wood-Burning Improved Cookstoves in Malawi: Implications for Scaling-up Cookstove Programs.

National governments and other key stakeholders in developing countries are grappling with how to reduce household air pollution (HAP) resulting from cooking with solid fuels using traditional cooking technologies. Recent studies have shown that improved cookstoves may offer reductions in fuel use and harmful emissions of carbon monoxide (CO) and fine particulate matter (PM2.5), yet there is little quantitative evidence collected in a "real-world" setting showing how improved stoves perform directly compared to traditional cooking technologies. Our simulated kitchen study takes place in a semi-controlled, "real-world" setting in Malawi and was designed to quantify the fuel efficiency improvements and air pollutant concentration reductions capabilities of two improved stoves currently marketed in the country. In this study, we perform a Water Boiling Test (WBT) to compare the air pollutant concentrations (CO and PM2.5) and fuel efficiency of the traditional three-stone fire stove and two improved cookstoves: a locally produced clay stove known as the Chitetezo Mbaula (CM) and a Philips gasifying stove. We find that the Chitetezo Mbaula uses 53% of the fuel used by the traditional three-stone fire, and produces 59% of CO, and 50% of PM2.5 of the three-stone fire. The Philips gasifying stove uses 31% of the fuel, and produces 38% of CO, and 22% of PM2.5 of the traditional three-stone fire. We consider the potential for the wide-scale adoption of each of these technologies given their relative costs and conclude that lower-cost, intermediate quality cookstoves are an important and realistic first step toward reducing household air pollution.

Social capital, collective action, and communal grazing lands in Uganda.

Recent scholars have found that collective action can be harnessed to sustainably manage common property, contrary to longstanding hypotheses that without effective external regulation community members will exploit communal resources. Researchers have also found that social capital, in addition to biophysical conditions and community attributes, is an important element of successful collective action. However, few studies exploring this topic have specifically examined communal grazing land, which is a critical component of rural livelihoods in many parts of the developing world. To address this gap, we explore the role that collective action plays in maintaining communal grazing lands through bridging, bonding, and linking social capital. In cases where the community does have communal grazing lands, we also explore the role of social capital in determining the condition of the land and the inclusiveness of access. Our analyses draw upon a community-level dataset composed of Uganda RePEAT survey data linked with high resolution gridded socio-environmental data. We observe that strong community bonds are associated with higher odds of successful collective action. However, increased links to external market forces may decrease the odds of successful collective action. These findings provide additional evidence for the complex relationship between social capital, collective action, and common property natural resource management.

Biomass Cooking Fuels and Health Outcomes for Women in Malawi.

In sub-Saharan Africa, biomass fuels account for approximately 90% of household energy consumption. Limited evidence exists on the association between different biomass fuels and health outcomes. We report results from a cross-sectional sample of 655 households in Malawi. We calculated odds ratios between hypothesized determinants of household air pollution (HAP) exposure (fuel, stove type, and cooking location) and five categories of health outcomes (cardiopulmonary, respiratory, neurologic, eye health, and burns). Reliance on high- or low-quality firewood or crop residue (vs. charcoal) was associated with significantly higher odds of shortness of breath, difficulty breathing, chest pains, night phlegm, forgetfulness, dizziness, and dry irritated eyes. Use of high-quality firewood was associated with significantly lower odds of persistent phlegm. Cooks in rural areas (vs. urban areas) had significantly higher odds of experiencing shortness of breath, persistent cough, and phlegm, but significantly lower odds of phlegm, forgetfulness, and burns. With deforestation and population pressures increasing reliance on low-quality biomass fuels, prevalence of HAP-related cardiopulmonary and neurologic symptoms will likely increase among cooks. Short- to medium-term strategies are needed to secure access to high-quality biomass fuels given limited potential for scalable transitions to modern energy.

Stoves or Sugar? Willingness to Adopt Improved Cookstoves in Malawi.

Malawi has set a target of adoption of two million improved cookstoves (ICS) by 2020. Meeting this objective requires knowledge about determinants of adoption, particularly in rural areas where the cost of traditional cooking technologies and fuels are non-monetary, and where people have limited capacity to purchase an ICS. We conducted a discrete choice experiment with 383 households in rural Malawi asking them if they would chose a locally made ICS or a package of sugar and salt of roughly equal value. Six months later, we assessed adoption and stove use patterns. Sixty-six percent of households chose the ICS. We find that having a larger share of crop residues in household fuel supply, awareness of the environmental impacts of woodfuel reliance, time the primary cook devotes to collecting fuelwood, and peer effects at the village-level increase the odds of choosing the ICS. Having a large labor supply for fuelwood collection and experience with a non-traditional cooking technology decreased the odds of choosing the ICS. In a rapid assessment six months after stoves were distributed, we found 80% of households were still using the ICS, but not exclusively. Our findings suggest considerable potential for wide-scale adoption of ICS in Malawi.

Land use and household energy dynamics in Malawi.

Interventions to mitigate household air pollution (HAP) from cooking with solid fuels often fail to take into account the role of access to freely available woodfuels in determining fuel choice and willingness to adopt clean cooking technologies, key factors in mitigating the burden of HAP. We use national-scale remote sensing data on land use land cover change, and population representative data from two waves of the Malawi Living Standards Measurement Survey to explore the relationship between land use change and the type of fuel households use, time spent collecting fuel, and expenditures on fuel, hypothesizing that land use dynamics influence household-level choice of primary cooking fuel. We find considerable heterogeneity with respect to regeneration and deforestation/degradation dynamics and evidence of spatial clustering. We find that regeneration of forests and woodlands increases the share of households that collect fuelwood, whereas deforestation and degradation lead households to purchase fuelwood. We also find that relatively large share of land under woody savannah or degraded forest (vs. fully stocked forest) increases fuel collection time. Areas with regeneration happening at broader scale experience increases in fuel expenditures. Our findings have implications for the spatial targeting of interventions designed to mitigate household air pollution.

Taxes and Bribes in Uganda.

Using data from 433 firms operating along Uganda's charcoal and timber supply chains we investigate patterns of bribe payment and tax collection between supply chain actors and government officials responsible for collecting taxes and fees. We examine the factors associated with the presence and magnitude of bribe and tax payments using a series of bivariate probit and Tobit regression models. We find empirical support for a number of hypotheses related to payments, highlighting the role of queuing, capital-at-risk, favouritism, networks, and role in the supply chain. We also find that taxes crowd-in bribery in the charcoal market.

Land Use Change, Fuel Use and Respiratory Health in Uganda.

This paper examines how biomass supply and consumption are affected by land use change in Uganda. We find that between 2007 and 2012 there was a 22% reduction in fuelwood sourced from proximate forests, and an 18% increase in fuelwood sourced from fallows and other areas with lower biomass availability and quality. We estimate a series of panel regression models and find that deforestation has a negative effect on total fuel consumed. We also find that access to forests, whether through ownership or proximity, plays a large role in determining fuel use. We then explore whether patterns of biomass fuel consumption are related to the incidence of acute respiratory infection using a cross-sectional data set of 1209 women and 598 children. We find a positive and significant relationship between ARI and the quantity of fuelwood from non-forest areas; a 100 kilogram increase in fuelwood sourced from a non-forest area results in a 2.4% increase in the incidence of ARI for children. We find the inverse effect of increased reliance on crop residues. As deforestation reduces the availability of high quality fuelwood, rural households may experience higher incidence of health problems associated with exposure to biomass burning.