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Saturday, 1 December 2007

Ending Famine, Simply by Ignoring the Experts


LILONGWE, Malawi — Malawi hovered for years at the brink of famine. After a disastrous corn harvest in 2005, almost five million of its 13 million people needed emergency food aid.

But this year, a nation that has perennially extended a begging bowl to the world is instead feeding its hungry neighbors. It is selling more corn to the United Nation’s World Food Program than any other country in southern Africa and is exporting hundreds of thousands of tons of corn to Zimbabwe.

In Malawi itself, the prevalence of acute child hunger has fallen sharply. In October, the United Nations Children’s Fund sent three tons of powdered milk, stockpiled here to treat severely malnourished children, to Uganda instead. “We will not be able to use it!” Juan Ortiz-Iruri, Unicef’s deputy representative in Malawi, said jubilantly.

Farmers explain Malawi’s extraordinary turnaround — one with broad implications for hunger-fighting methods across Africa — with one word: fertilizer.

Over the past 20 years, the World Bank and some rich nations Malawi depends on for aid have periodically pressed this small, landlocked country to adhere to free market policies and cut back or eliminate fertilizer subsidies, even as the United States and Europe extensively subsidized their own farmers. But after the 2005 harvest, the worst in a decade, Bingu wa Mutharika, Malawi’s newly elected president, decided to follow what the West practiced, not what it preached.

Stung by the humiliation of pleading for charity, he led the way to reinstating and deepening fertilizer subsidies despite a skeptical reception from the United States and Britain. Malawi’s soil, like that across sub-Saharan Africa, is gravely depleted, and many, if not most, of its farmers are too poor to afford fertilizer at market prices.

“As long as I’m president, I don’t want to be going to other capitals begging for food,” Mr. Mutharika declared. Patrick Kabambe, the senior civil servant in the Agriculture Ministry, said the president told his advisers, “Our people are poor because they lack the resources to use the soil and the water we have.”

The country’s successful use of subsidies is contributing to a broader reappraisal of the crucial role of agriculture in alleviating poverty in Africa and the pivotal importance of public investments in the basics of a farm economy: fertilizer, improved seed, farmer education, credit and agricultural research.

Malawi, an overwhelmingly rural nation about the size of Pennsylvania, is an extreme example of what happens when those things are missing. As its population has grown and inherited landholdings have shrunk, impoverished farmers have planted every inch of ground. Desperate to feed their families, they could not afford to let their land lie fallow or to fertilizer it. Over time, their depleted plots yielded less food and the farmers fell deeper into poverty.

Malawi’s leaders have long favored fertilizer subsidies, but they reluctantly acceded to donor prescriptions, often shaped by foreign-aid fashions in Washington, that featured a faith in private markets and an antipathy to government intervention.

In the 1980s and again in the 1990s, the World Bank pushed Malawi to eliminate fertilizer subsidies entirely. Its theory both times was that Malawi’s farmers should shift to growing cash crops for export and use the foreign exchange earnings to import food, according to Jane Harrigan, an economist at the University of London.

In a withering evaluation of the World Bank’s record on African agriculture, the bank’s own internal watchdog concluded in October not only that the removal of subsidies had led to exorbitant fertilizer prices in African countries, but that the bank itself had often failed to recognize that improving Africa’s declining soil quality was essential to lifting food production.

“The donors took away the role of the government and the disasters mounted,” said Jeffrey Sachs, a Columbia University economist who lobbied Britain and the World Bank on behalf of Malawi’s fertilizer program and who has championed the idea that wealthy countries should invest in fertilizer and seed for Africa’s farmers.

Here in Malawi, deep fertilizer subsidies and lesser ones for seed, abetted by good rains, helped farmers produce record-breaking corn harvests in 2006 and 2007, according to government crop estimates. Corn production leapt from 1.2 billion metric tons in 2005, to 2.7 billion in 2006 and 3.4 billion in 2007, the government reported.

“The rest of the world is fed because of the use of good seed and inorganic fertilizer, full stop,” said Stephen Carr, who has lived in Malawi since 1989, when he retired as the World Bank’s principal agriculturalist in sub-Saharan Africa. “This technology has not been used in most of Africa. The only way you can help farmers gain access to it is to give it away free or subsidize it heavily.”

The government has taken the bull by the horns and done what farmers wanted,” he said. Some economists have questioned whether Malawi’s 2007 bumper harvest should be credited to good rains or subsidies, but an independent evaluation, financed by the United States and Britain, found that the subsidy program accounted for a large share of this year’s increase in corn production.

The harvest also helped the poor by lowering food prices and increasing wages for farm workers. Researchers at Imperial College London and Michigan State University concluded in their preliminary report that a well-run subsidy program in a sensibly managed economy “has the potential to drive growth forward out of the poverty trap in which many Malawians and the Malawian economy are currently caught.”

Farmers interviewed recently in Malawi’s southern and central regions said fertilizer had greatly improved their ability to fill their bellies with nsima, the thick, cornmeal porridge that is Malawi’s staff of life.

In the hamlet of Mthungu, Enelesi Chakhaza, an elderly widow whose husband died of hunger five years ago, boasted that she got two ox-cart-loads of corn this year from her small plot instead of half a cart.

Last year, roughly half the country’s farming families received coupons that entitled them to buy two 110-pound bags of fertilizer, enough to nourish an acre of land, for around $15 — about a third the market price. The government also gave them coupons for enough seed to plant less than half an acre.

Malawians are still haunted by the hungry season of 2001-02. That season, an already shrunken program to give poor farmers enough fertilizer and seed to plant a meager quarter acre of land had been reduced again. Regional flooding further lowered the harvest. Corn prices surged. And under the government then in power, the country’s entire grain reserve was sold as a result of mismanagement and corruption.

Mrs. Chakhaza watched her husband starve to death that season. His strength ebbed away as they tried to subsist on pumpkin leaves. He was one of many who succumbed that year, said K. B. Kakunga, the local Agriculture Ministry official. He recalled mothers and children begging for food at his door.

“I had a little something, but I could not afford to help each and every one,” he said. “It was very pathetic, very pathetic indeed.”

But Mr. Kakunga brightened as he talked about the impact of the subsidies, which he said had more than doubled corn production in his jurisdiction since 2005.

“It’s quite marvelous!” he exclaimed.

Malawi’s determination to heavily subsidize fertilizer and the payoff in increased production are beginning to change the attitudes of donors, say economists who have studied Malawi’s experience.

Britain’s Department for International Development contributed $8 million to the subsidy program last year. Bernabé Sánchez, an economist with the agency in Malawi, estimated the extra corn produced because of the $74 million subsidy was worth $120 million to $140 million.

“It was really a good economic investment,” he said.

The United States, which has shipped $147 million worth of American food to Malawi as emergency relief since 2002, but only $53 million to help Malawi grow its own food, has not provided any financial support for the subsidy program, except for helping pay for the evaluation of it. Over the years, the United States Agency for International Development has focused on promoting the role of the private sector in delivering fertilizer and seed, and saw subsidies as undermining that effort.

But Alan Eastham, the American ambassador to Malawi, said in a recent interview that the subsidy program had worked “pretty well,” though it displaced some commercial fertilizer sales.

“The plain fact is that Malawi got lucky last year,” he said. “They got fertilizer out while it was needed. The lucky part was that they got the rains.”

And the World Bank now sometimes supports the temporary use of subsidies aimed at the poor and carried out in a way that fosters private markets.

Here in Malawi, bank officials say they generally support Malawi’s policy, though they criticize the government for not having a strategy to eventually end the subsidies, question whether its 2007 corn production estimates are inflated and say there is still a lot of room for improvement in how the subsidy is carried out.

“The issue is, let’s do a better job of it,” said David Rohrbach, a senior agricultural economist at the bank.

Though the donors are sometimes ambivalent, Malawi’s farmers have embraced the subsidies. And the government moved this year to give its people a more direct hand in their distribution.

The village of Chembe gathered one recent morning under the spreading arms of a kachere tree to decide who most needed fertilizer coupons as the planting season loomed. They only had enough for 19 of the village’s 53 families.

“Ladies and gentlemen, should we start with the elderly or the orphans?” Samuel Dama, a representative of the Chembe clan, asked.

Men led the assembly, but women sitting on the ground at their feet called out almost all the names of the neediest, gesturing to families rearing children orphaned by AIDS or caring for toothless elders.

There were more poor families than there were coupons, so grumbling began among those who knew they would have to watch over the coming year as their neighbors’ fertilized corn fields turned deep green.

Sensing the rising resentment, the village chief, Zaudeni Mapila, rose. Barefoot and dressed in dusty jeans and a royal blue jacket, he acted out a silly pantomime of husbands stuffing their pants with corn to sell on the sly for money to get drunk at the beer hall. The women howled with laughter. The tension fled.

He closed with a reminder he hoped would dampen any jealousy.

“I don’t want anyone to complain,” he said. “It’s not me who chose. It’s you.”

The women sang back to him in a chorus of acknowledgment, then dispersed to their homes and fields.

Malawi’s HIV/Aids prevalence rate still high

Although Malawi saw a decline in HIV/Aids prevalence rates from 18 percent in 1997 to 14 percent in 2005, the numbers still are relatively high for the sub-Saharan African country, according to a recent study conducted here.
The 2006 Poverty and Vulnerability Assessment (PVA) done jointly by the World Bank and Malawi’s National Statistics Office said that Aids remained the leading cause of death among people aged 20-49 years in the country.

As a result, Malawi’s life expectancy has dropped to 37 years due to the pandemic that has no known cure. Without the epidemic, life expectancy would have been 55 in the country.

The Director for HIV/Aids and Nutrition in the President’s Office, Mary Shawa, told journalists in Lilongwe ahead of World Aids Day on 1 December levels of HIV/Aids awareness in Malawi are very high despite the setback in fighting it.

Shawa said almost 100 percent of those sampled in the Ministry of Health’s 2000 Malawi Demographic and Health Survey (MDHS) reported that they had heard about the pandemic and how it was caused.

But « government has put in place a number of strategies to reduce the levels of the pandemic in the country, » she added.

For instance, she said, through the National Aids Commission a lot of programmes were being implemented from the household, community, district and national levels in order to reduce the deadly disease.

Other Southern African countries with HIV/Aids prevalent rates higher than 14 percent include Swaziland, Botswana, Lesotho, South Africa, Zimbabwe, and Zambia, the study showed.

Drama out of a crisis

As we pull up outside the offices of the British Council in Lilongwe, Malawi, a cheerful huddle of sex workers wave and welcome us to their workshop. It's an extraordinary moment, as the women down their babies and link us into their circle to begin the session. Samuel Atiemo and Eric Saforo, our two Ghanaian facilitators, introduce Natasha Freedman and I as new collaborators from Complicite, "a theatre company in England". The women nod and smile at us respectfully, but the workshop sparks into life when they break into song and we are dancing, clapping and improvising for the next three hours.

Encouraged to share their experiences with each other, the invisible lives of these women gradually takes fragile theatrical shape in their weekly meetings. When one of the women enacts the silent suicide of her character on discovering her diagnosis as HIV positive, the women cluck, tut and chuckle their recognition at the veracity of the improvisation. "How could her situation have been changed?" asks Atiemo, inviting us to unpick the events leading up to the suicide. "Who needs our help?"

These questions echo throughout the 10-day trip to Malawi. We are here as the guests of Theatre for a Change (TfaC), a company dedicated to promoting behaviour change and self-advocacy via the theatre-making process. Like Complicite, Theatre for a Change devise their stories using games, music and improvisation. Patrick Young, the director of TfaC, set up the charity five years ago in Ghana as a response to that country's fight against HIV/Aids. Using theatre he has been able to reach audiences normally excluded from the decision-making process and allow them to understand the dynamics of their daily lives: "Performance opens up a space where roles can be shifted, where the audience can see how things may have ended differently. The audience find their own solutions by considering the questions the drama provokes."

Now Young has decamped to Lilongwe with Atiemo and Saforo to begin their process here. The Aids crisis in Malawi is even more grave. The statistics are mind-boggling. According to the Malawian health minister, the country loses 10 people to Aids every hour. The disease continues to jeopardise the fragile infrastructure of the country by robbing it of its key workers. USAID cites a ratio of one doctor per 117,647 citizens - the worst ratio in the world. The World Bank estimates that in some urban areas up to 40% of teachers have died of Aids-related illnesses, two a day in some areas. It is one of the tragic ironies of the Aids crisis in Malawi that the very teachers who might promote changes in sexual behaviour are often themselves at greatest risk. Like soldiers, the police and truck drivers, teachers in Malawi are part of a mobile workforce disconnected from their homes and the community framework that might stabilise their sexual behaviour.

TfaC are addressing this education crisis at its root. In September they began a seeding project which will deliver 18 facilitators trained to use theatre and open debate to address ignorance and prejudice. Two facilitators will be assigned to each of Malawi's nine teacher-training colleges, so by this time next year the facilitators will have begun training 700 teachers each. When they graduate, the impact of those teachers will be exponential across the country. The facilitators will continue to monitor their graduates' practice in much the same way as they themselves are currently monitored by Atiemo and Saforo. The strategy is to spawn a counter virus of clear, permanent and self-sustainable "behaviour change " across the nation. If those teachers can reach children between the ages of eight and 12, the so-called "window of hope", then there will be a widespread change in the health and behaviour of the country as a whole. Young is convinced that a major shift in the sexual behaviour of Malawi's next generation of teachers is three years away.

As I proceeded to work with this group of facilitators, I began to share Young's confidence. Under the inspirational leadership of Atiemo and Saforo, the current group of 22 trainees has begun to undergo the same transformative process that they will subsequently take into the colleges. Few of them had ever performed before September yet already they have acquired the ability to assert themselves vocally and physically. These performance skills will enable them to both facilitate their meetings and the theatre they have begun to create. The rampant spread of HIV has several causes, and the gap between information and behaviour change plays a crucial part. The crucial area of change has been in their gender behaviour.

"Here in Malawi, we are bombarded with information. People aren't ignorant but they choose not to pay attention," explains trainee Villa Ezala. Change will only come about if there is a shift in gender behaviour, a shift that is particularly urgent in sub-Saharan Africa. Women's rights to determine what happens to their bodies, the right to negotiate on use of a condom or to say no to sex can only be asserted once they have learned to assert themselves. Villa believes theatre helps her to "put a face on" the realities of Malawi's struggle with HIV and Aids. Furthermore the men in the group openly confront their own prejudices - Chifatso Ulaya smiles ruefully as he admits he used to assume that women were ignorant and without opinion.

The theatre that they have devised reveals the challenge of their mission. All the stories are rooted in the trainees' own direct experience of HIV. They are stories of casual rape, of enforced prostitution, of betrayal and ignorance. The authenticity of the content is unquestionable and the trainees' emotional engagement with the material is startling. The aim is to match this content with innovative and engaging theatrical form. Here the work of TfaC overlaps with the theatre of Complicite. I spend the week encouraging the trainees to open their stories out to the audience, to complement the grim fates of their characters with the optimism of their voice and movement.

No one underestimates the scale of the challenge that faces TfaC. It is a simple fact that one or two of these trainees may not survive to complete their work. Yet the quality of this project lies in its emphasis on the empowerment of its audience. Natasha Freedman, director of education at Complicite, envisages a long-term relationship with TfaC through ongoing training and exchange of ideas. At Theatre for a Change, the audience is invited to get involved in the performance, to change the story for the better. To use Augusto Boal's phrase, "it is a rehearsal for reality". If that reality is to change, then these teachers and the theatre they are creating need our urgent support.