As global leaders converge in Sharm el-Sheikh, Egypt, for the UN’s annual climate summit, researchers, advocates and the United Nations itself are warning the world is still wildly off-track on its goal to halt global warming and prevent the worst consequences of the climate crisis.
Over the next two weeks, negotiators from nearly 200 countries will prod each other at COP27 to raise their clean energy ambitions, as average global temperature has already climbed 1.2 degrees Celsius since the industrial revolution.
They will haggle over ending the use of coal, the dirtiest fossil fuel, which has seen a resurgence in some countries amid the war in Ukraine, and try to come up with a system to funnel money to help the world’s poorest nations recover from devastating climate disasters.
But a flood of recent reports have made clear leaders are running out of time to implement the vast energy overhaul needed to keep the temperature from exceeding 1.5 degrees Celsius, the threshold scientists have warned the planet must stay under.
Reports from the United Nations and the World Meteorological Association show carbon and methane emissions hit record levels in 2021, and the plans countries have submitted to slash those emissions are beyond insufficient. Given countries’ current promises, Earth’s temperature will climb to between 2.1 and 2.9 degrees Celsius by 2100.
Ultimately, the world needs to cut its fossil fuel emissions nearly in half by 2030 to avoid 1.5 degrees, a daunting prospect for economies still very much beholden to oil, natural gas and coal.
“No country has a right to be delinquent,” US Climate Envoy John Kerry told reporters in October. “The scientists tell us that what is happening now – the increased extreme heat, extreme weather, the fires, the floods, the warming of the ocean, the melting of the ice, the extraordinary way in which life is being affected badly by the climate crisis – is going to get worse unless we address this crisis in a unified, forward-leaning way.”
Here are the top issues to follow at COP27 in Egypt.
A fight over ‘loss and damage’
Developing and developed countries have for years tussled over the concept of a “loss and damage” fund; the idea which suggests countries causing the most harm with their outrageous planet-warming emissions should pay poorer countries, which have suffered from the resulting climate disasters.
It has been a thorny issue because the richest countries, including the US, don’t want to appear culpable or legally liable to other nations for harm. Kerry, for instance, has tiptoed around the issue, saying the US supports formal talks, but he has not given any indication of what solution the country would sign on to.
Meanwhile, small island nations and others in the Global South are shouldering the impact of the climate crisis, as devastating floods, intensifying storms and record-breaking heat waves wreak havoc.
The deadly flooding in Pakistan this summer, which killed more than 1,500 people, will surely be an example the countries’ negotiators point to. And since September, more than two million people in Nigeria have been affected by the worst flooding there in a decade. At this very moment, Nigerians are drinking, cooking with and bathing in dirty flood water amid serious concerns over waterborne diseases.
Loss and damage will have space on the official COP27 agenda this year. But beyond countries committing to meet and talk about what a potential loss and damage fund would look like, or whether one should even exist, it is unclear what action will come out of this year’s summit.
“Do we expect that we’ll have a fund by the end of the two weeks? I hope, I would love to – but we’ll see how parties deliver on that,” Egypt’s chief climate negotiator Ambassador Mohamed Nasr recently told reporters.
Former White House National Climate Adviser Gina McCarthy told CNN she thinks loss and damage will be the top issue at the UN climate summit this year, and said nations including the US will face some tough questions about their plans to help developing nations already being hit hard by climate disasters.
“It just keeps getting pushed out,” McCarthy said. “There’s need for some real accountability and some specific commitments in the short-term.”
A tense US-China relationship
People will be watching to see if the US and China can repair a broken relationship at the summit, a year after the two countries surprised the world by announcing they would work together on climate change.
The newfound cooperation came crashing down this summer when China announced it was suspending climate talks with the US as part of broader retaliation for House Speaker Nancy Pelosi’s visit to Taiwan.
Kerry recently said the climate talks between the two countries are still suspended and will likely remain so until China’s president Xi Jinping gives the green light. Kerry and others are watching to see whether China fulfills the promise it made last year to submit a plan to bring down its methane emissions or updates its emissions pledge.
The US and China are the world’s two largest emitters and their cooperation matters, particularly because it can spur other countries to act, too.
Can the world raise enough money?
Separate from a potential loss and damage fund, there is the overarching issue of so-called global climate finance; a fund rich countries promised to push money into to help the developing world transition to clean energy rather than grow their economies with fossil fuels.
The promise made in 2009 was $100 billion per year, but the world has yet to meet the pledge. Some of the richest countries, including the US, UK, Canada and others, have consistently fallen short of their allocation.
President Joe Biden promised the US would contribute $11 billion by 2024 toward the effort. But Biden’s request is ultimately up to Congress to approve, and will likely go nowhere if Republicans win control of Congress in the midterm elections.
The US is working on separate deals with countries including Vietnam, South Africa and Indonesia to get them to move away from coal and toward renewables. And US officials often stress they want to also unlock private investments to help countries transition to renewables and deal with climate effects.
Countries are straight up off-track
COP27 is intended to hold countries’ feet to the fire on fossil fuel emissions and gin up new ambition on the climate crisis. Yet reports show we are still off-track to keep global warming under 1.5 degrees Celsius.
A UN report which surveyed countries’ latest pledges found the planet will warm between 2.1 and 2.9 degrees Celsius. Average global temperature has already risen around 1.2 degrees since the industrial revolution.
Records were set last year for all three major greenhouse gases: carbon dioxide, methane, and nitrous oxide, according to the World Meteorological Organization.
There is a spot of encouraging news: the adoption of renewable energy and electric vehicles is surging and helping to offset the rise in fossil fuel emissions, according to a recent International Energy Agency report.
But the overall picture from the reports shows there is a need for much more clean energy, deployed swiftly. Every fraction of a degree in global temperature rise will have stark consequences, said Inger Andersen, executive director of the United Nations Environment Program.
“The energy transition is entirely doable, but we’re not on that pathway, and we have procrastinated and wasted time,” Andersen told CNN. “Every digit will matter. Let’s not say ‘we missed 1.5 so let’s settle for 2.’ No. We must understand that every digit that goes up will make our life and the life of our children and grandchildren much more impacted.”
The clock is ticking in another way: Next year’s COP28 in Dubai will be the year nations must do an official stocktake to determine if the world is on track to meet the goals set out in the landmark Paris Agreement.
This story has been updated.
Source: cnn.com Original Media SourceShare this news
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Inside Tanzania’s Life-Saving Birthcare Model
Tanzania is winning the battle against maternal and newborn deaths, as the latest numbers reveal a significant decline.
“Tanzania is committed to reducing maternal and newborn mortality and ensuring safe deliveries as part of the national development plan. The Safer Births Bundle of Care is one of the key strategies supporting this effort,” said Dr. Benjamin Kamala, the Senior Research Scientist at Haydom Lutheran Hospital and Principal Investigator for the program, leading its implementation across five regions in Tanzania.
A groundbreaking study published in the New England Journal of Medicine shows that the innovative health program in Tanzania – centered on regular, on-the-job training for healthcare workers – reduced maternal deaths by 75% and early newborn deaths by 40%. The three-year study, conducted across 30 high-burden healthcare facilities in Tanzania, tracked approximately 300,000 mother-baby pairs under the Safer Births Bundle of Care (SBBC) programme. The programme focuses on improving care for mothers and babies during the day of birth, the critical time when a woman goes into labor and delivers her baby.
Maternal health is a key focus of the United Nations Sustainable Development Goals (SDGs), specifically Target 3.1, which aims to reduce the global maternal mortality ratio to fewer than 70 deaths per 100,000 live births by 2030.
Tanzania’s program combines continuous, simulation-based training for frontline healthcare workers alongside innovative clinical tools to improve labour monitoring (fetal heart rate monitoring) and newborn resuscitation.It also uses data to drive ongoing improvements, ensuring that healthcare workers have the skills, confidence, and competence to manage birth-related complications for both mothers and newborns.
“We work closely with healthcare workers, equipping them with the necessary tools to improve the quality of care, ensuring they can effectively manage both mothers and babies during and after childbirth,” Dr. Kamala said, which helps them build on over a decade of innovative research and collaboration to improve care during childbirth.
“To give you a sense of the scale of the burden of maternal and newborn mortality in Tanzania when the Safer Births Bundles of Care program was in early development in 2015/16, there were around 556 maternal deaths per 100,000 live births and 25 neonatal deaths per 1,000 live births,” he said.
The published study demonstrates the “transformative impact” of the Safer Births Bundle of Care program conducted across 30 hospitals in five high-burden regions of Tanzania, where there were about 300,000 mother-baby pairs.
Maternal deaths at the start of the program were recorded at 240 per 100,000 live births, with postpartum hemorrhage and hypertensive disorders being the leading causes of death, he said. Over the 24-month study period, this number dropped to approximately 60 per 100,000 live births, representing a 75% reduction. The number of newborn deaths – which are primarily due to breathing difficulties and complications related to prematurity – declined by 40% – from 7 deaths per 1,000 live births to 4 deaths per 1,000 live births.
“These results are remarkable,” Dr. Kamala said.
According to Dr. Kamala, the 75% reduction in maternal deaths was not expected, and a key lesson was the important role of the in-situ team simulations – including for postpartum bleeding – with reflective debriefings that trained facilitators led.
“This seems to be a major part of the success of the program,” he said. “We are delighted by these results and hope that other countries adopt and scale the Safer Births Bundle of Care program… Beyond the numbers, the Safer Births Bundle of Care program has fostered a dramatic culture shift in our healthcare system,” he said. “Healthcare workers are now more confident and better equipped to handle birth-related complications for both mothers and babies.”
Maternal death drop
Dr. Kamala attributed the 60-70% reduction in newborn deaths in Geita and Manyara to several factors.
“Firstly, Manyara was the first site for implementation, giving the region more time to adapt and experience the impact of the program. Most importantly, both regions had a high burden of stillbirths and neonatal deaths, making them ideal targets for focused intervention. As a result, newborn deaths decreased by 60-70%, showcasing a clear positive impact on newborn survival,” he said.
Dr. Kamala said another possible explanation is the differences in the culture of practices, where some health facilities reported inaccurate data due to the fear of blame and shame. However, with the project’s implementation, reporting became more accurate after mplementation. Some regions, such as Tabora, reported an increase in the number of referrals to the study hospitals from other care centers after the program was implemented. These were more likely to be late admissions, which increase the likelihood of poor health outcomes, he said.
After the implementation of the program, there was a 40% decrease in newborn deaths within the first 24 hours after birth, according to the study.
Dr. Kamala said Tanzania’s remarkable progress in reducing maternal mortality by 80% is driven by strategic investments and innovative programs focused on improving maternal and child survival rates.
“Over 2,000 new healthcare facilities have been developed, free health services are being provided to expectant mothers and children under the age of five, and emergency obstetric care – including better transport to hospitals in rural areas are helping to ensure timely, life-saving interventions.
“Most importantly, the Ministry of Health works in collaboration with healthcare workers, hospitals, and development partners to strengthen the skills of frontline healthcare workers, which has been a key factor in driving this progress.
“Political leadership, alongside strategic partnerships and financing, has been crucial in driving progress in maternal and newborn health,” he said.
The program was made possible by the support of the Global Financing Facility for Women, Children, and Adolescents, Norad, UNICEF, and Laerdal Global Health, as well as the Ministry of Health and Haydom Lutheran Hospital. Their partnership and investment enabled the scaling of the Safer Births Bundle of Care to 30 hospitals and supported the research. “The government has now scaled the program to over 150 sites, and there are plans for further expansion to three regions this year and then nationally,” he said.
Dr. Kamala outlined key policy recommendations for other governments can adopt to prioritize maternal health.
“Firstly, it focuses on cost-effective and relatively simple interventions that are essential to preventing maternal and newborn deaths. For example, stronger primary healthcare that is delivered in the community and a well-trained healthcare workforce are also critical. Additionally, working in close collaboration with national, regional, and local health authorities is key.”
He said Tanzania’s approach, where the Safer Births Bundle of Care program was successfully scaled and sustained by aligning the initiative with national guidelines for obstetrical and newborn care. In addition, the creation of mentorship programs and regular supervision has helped to sustain the results.
Looking ahead
Tanzania now plans to expand to three new regions in 2025, followed by a nationwide rollout.
The success of the program has attracted interest from other countries, with Botswana, Ethiopia, Lesotho, and Namibia expressing interest in adapting the program to their healthcare system. In Nigeria, the program has already been launched in two states, Gombe and Borno, marking a significant step in its scaling.
Source: allafrica.com
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