How do buildings make you feel?

A film portrait of architect Christopher Alexander asks the question

Places for the Soul, Ruth Landy

Have you ever wondered why some places lift your spirits while others bring you down? Or considered how the built environment around you affects your feelings in the everyday?

I’ve obsessed over these questions for as long as I can remember. That’s what led me to make a film about Christopher Alexander — a quest for answers.

Places for the Soul is my half-hour intimate portrait of Alexander at work on two major commissions in Japan and California. It’s available for the first time in a digital restoration from the Video Project and streaming on Amazon Prime Video.

Here’s the backstory about an architect and thinker whose maverick approach continues to inspire reverence – and controversy.

Walking in their shoes. Women photojournalists break new ground.

Amy Toensing at Visa

What does visual storytelling through women’s eyes look like in these gender-focused times? Photojournalism is still a man’s world. But this is changing. Three award-winning women photojournalists share what it takes to shoot their complex and compelling subjects in the U.S. and around the world. Here’s my reporting on their remarkable imagery and perspectives gathered at Visa pour l’Image, France’s premier annual photojournalism festival. 

The world is failing breastfeeding moms. We can change that.

Breastfeeding

“What if governments had a proven, cost-effective way to save babies’ lives, reduce rates of malnutrition,
support children’s health, increase educational attainment and grow productivity?
They do: It’s called breastfeeding.”

Anthony Lake, UNICEF Executive Director

 

How many countries are supporting women to breastfeed, and protecting and promoting breastfeeding to international standards?

Zero. None.

That’s the shocking conclusion of a new UNICEF/WHO report released in observance of World Breastfeeding Week 2017:

  • Only 40 per cent of children younger than six months are breastfed exclusively – given no other liquids or food – according to a UNICEF/WHO Global Breastfeeding Scorecard.
  • An investment of just $4.70 per newborn could generate $300 billion economic gains by 2025, and save the lives of 520,000 children.

“Breastfeeding gives babies the best possible start in life,” said the new head of the World Health Organization Dr. Tedros Adhanom Ghebreyesus. “Breastmilk works like a baby’s first vaccine… giving them all the nourishment they need to survive and thrive.”

Given these extraordinary benefits why have global breastfeeding rates stagnated at 40 per cent for several decades?

UNICEF probed the global and nutrition communities for answers to this vital questions in a study I was privileged to undertake, Breastfeeding on the Worldwide Agenda.

Breastfeeding champions admitted to major struggles they faced, both external and internal to the community:

  • A lack of high-level leadership, champions and a unified agenda.
  • A David and Goliath effort to counter the growing influence of the breastmilk substitute industry whose sales are projected to hit $70 billion by 2019.  The industry spends more money marketing its products than governments do supporting women to breastfeed and protect them from aggressive marketing.

The community was unanimous in calling for a new advocacy drive for breastfeeding framed for a 21st century world.

Answering this call, the Global Breastfeeding Collective launched last week, a partnership of 20 international agencies focused on increasing political commitment and investment in breastfeeding worldwide.

To advance its ambitious agenda, the Collective must now answer these questions:

  • What decisions are we trying to influence and who has power over them?
  • What actors must we win over to advance our cause?
  • What leverage points will have most impact on these actors – evidence, communication channels, new alliances, high level events?
  • What can we learn from advocates who have shifted social attitudes on smoking in public places, for example, and those who have taken on formidable multinational industries?
  • How can we best place gender equality and women’s voices at the heart of our advocacy?

Savvy answers to these questions can have a transformative impact. It’s high time the flat line of 40% global breastfeeding coverage starts rising. If we can collectively bend it upward towards justice, we will have evidence the world is finally become a more breastfeeding-friendly place.

How women’s health advocates can win in 2017

Womens-March-illustration-by-Sarah-Walsh-2017a
In 2017, support for international development and global health is under serious threat following the election of Donald Trump as U.S. president. In Europe, the same forces that propelled Trump to the highest office also threaten to to bring populist, inward-looking governments to power.
Where does the maternal and child health community stand in this shifting global environment?  How can advocates turn this crisis into opportunity? Check out my answer here on The Guardian website.

2015 – in search of the killer app that will catalyze change

The year 2015 has had a mythic aura for me, for over a decade. That’s because it’s the target year for achieving the Millennium Development Goals (MDGs) – the world’s first global blueprint for ending extreme hunger and poverty.

Both carrot and stick, the MDGs framed all our advocacy work.

In a world with no shortage of bad news, it’s been exhilarating to see the dramatic progress towards the MDG targets, notably the three health goals. Today, child mortality has been cut in half, compared with the 1990 baseline. Fewer women are dying in childbirth, or passing HIV on to their infants. Access to clean drinking water has increased, and more girls are in school.

Our collective action really did move the needle – from the corridors of the G8 to the planet’s remotest villages – though much remains to be done of course.

Now the global community is scrambling to agree on a new compact to guide the world – the Sustainable Development Goals (SDGs). The UN-led consultation process is unfolding in a networked world unimaginable to us in the year 2000. It’s a process that’s both more inclusive – and a lot messier.

Whatever final SDG agenda world leaders adopt at the General Assembly this September, we know we’ll have to raise our game to realize it by the target date of 2030.

But how to do so?

Some early answers to this vital question may be emerging from a pioneering research program now underway in 120 public health facilities across Uttar Pradesh – one of India’s most disadvantaged states. The BetterBirth trial is testing WHO’s Safe Childbirth Checklist, which aims to reduce high levels of maternal and newborn deaths by improving care at the times of greatest danger.

Birth attendants on the frontline of childbirth delivery in India’s public hospitals work under challenging circumstances. One on one coaching is the core of a childbirth safety improvement trial involving these health care workers in the northern state of Uttar Pradesh. Source: PSI/Ariadne Lab

Birth attendants on the frontline of childbirth delivery in India’s public hospitals work under challenging circumstances. One on one coaching is the core of a childbirth safety improvement trial involving these health care workers in the northern state of Uttar Pradesh. Source: PSI/Ariadne Lab

How do you get underpaid and undervalued health workers working under conditions of chronic scarcity to change their behavior?

The checklist is the brainchild of Dr Atul Gawande, a leading physician and author who is overseeing the BetterBirth trial in collaboration with the Indian government, the Bill & Melinda Gates Foundation and other partners.

It’s been a privilege to collaborate with the principals in describing this remarkable experiment in real time – and to discover the surprising killer app catalyzing change under daunting circumstances. As we search for a North Star that will guide our future action, it’s an insight we have much to learn from.

Here is their story.

Why I do this work: the Linzer Torte connection

Communication is an alluring career choice when you grow up bridging differences from an early age.  It’s about making sense, making connections, making a difference. It’s about empathy – shifting your perspective to that of the other person, and learning to communicate from that point of view.

I soon learned the importance of framing as a documentary filmmaker – whether it was images, stories or issues.  As an advocate, I discovered that “reframing” a case could do wonders to advance a cause.

Communicating the change you want, then seeing it happen…that experience got into my blood early, and has stayed with me for the long term.

A ten-year-old girl in Nepal starts secondary school.  A village gains its first health worker in Ethiopia.  Laos’s government re-commits itself to immunization.  Global leaders prioritize women and children.

I’m grateful to have contributed in my small way to something big:  progress toward the UN Millennium Development Goals (MDGs), the world’s promise to end poverty and inequality.

It meant persuading decision makers, engaging media, telling stories, supporting communities, motivating teams – and building alliances.  It also meant politics, of course – but that comes with the territory.

Today we have a stunning array of communication options at our disposal in a networked universe in constant evolution. It’s altering power relationships and enabling truly global consultation; but it’s also requiring an unprecedented degree of strategic clarity, focused execution and collective action.

pie

RAMONA WEYDE-FERCH, JADEMOND.DE

“Work is love made visible”, my grandmother used to say.  She was thinking of the time it took to make a Linzer Torte:  fashioning the nutty, spicy dough; laying a delicate lattice pattern over raspberry jam; removing the cake from the oven at just the right moment. She had a recipe, but it was all in the execution: cooking as transformation, and food rapture.

I do this work because it’s the best way I know to give back, supporting change makers with knowledge, experience and creativity skills. The recipe changes with each project, but the commitment is constant.

This is a terrific time to learn from others so I’m devoting this blog to exploring how advocacy, media, data visualization and design are contributing to social impact, notably for health.

Look forward to dialoguing with on this new journey.