170 posts categorized "Health"

5 Questions for…Vanessa Daniel, Founder and Executive Director, Groundswell Fund

December 07, 2017

Vanessa_danielGroundswell Fund is the largest funder of the reproductive justice movement in the United States. In addition to its CatalystRapid Response, and Birth Justice funds, the organization created the Liberation Fund in the wake of the 2016 elections to support effective grassroots organizing efforts led by women and transgender people of color across the social justice sector. A joint project of the Groundswell Fund and the newly created 501(c)(4) Groundswell Action Fund, the Liberation Fund will announce inaugural grants next week to grassroots organizations selected with the help of women leaders of color, including Alicia Garza, Ai-Jen Poo, Mary Hooks, and Linda Sarsour. 

PND spoke with Vanessa Daniel, founder and executive director of the fund, about intersectionality in the context of reproductive justice and racial equity and her hopes for the Liberation Fund. Before founding the fund in 2010, Daniel worked in grassroots organizing, advocacy, and grantmaking at the Tides FoundationSEIU, the East Bay Alliance for a Sustainable Economy, and what is now Race Forward: The Center for Racial Justice Innovation.

Philanthropy News Digest: You founded Groundswell Fund after working to advance LGBTQ rights as well as economic and environmental justice at various organizations. Why did you decide to focus on reproductive justice for women of color, low-income women, and transgender people?

Vanessa Daniel: When I first learned about the reproductive justice (RJ) movement in 2005, I had been working in various social justice movements for ten years. The RJ movement had been founded a decade earlier by a group of black women and was on its way to becoming the largest force in the country in terms of engaging a multiracial base of women of color, low-income women, and LGBT people on reproductive issues and as grassroots organizers and activists. I was a young, twenty-something, queer, biracial woman of color from a working-class immigrant family on one side and raised by a second-wave white feminist single mother on the other.

I had, like many women of color, experienced what I lovingly refer to as a lot of bad "movement dates." Have you ever been on a date with someone who orders for you without asking what you want? Or people who talk about themselves the whole time without asking how your day was? Well, you can have the equivalent of that date with a social justice movement. It's not true for every organization, but for example, you have a lot of labor unions that invite women to the table but don't want to talk about reproductive issues, even though these issues are important to women. You have many immigrant rights groups that don't want to talk about LGBT rights, even though there are lots of LGBT people in the immigrant communities they are organizing. You have way too many white feminist organizations inviting women of color to the table and then not talking about race, even though racism is literally killing us. The reproductive justice movement was, quite simply, the best movement date I ever had, because it was the first time I had encountered a movement that didn't require me to leave any piece of myself or anyone I loved at the door in order to enter. I could be whole.

And here's why. There are three hallmarks of RJ: First, it's multi-issue. That means it says to people, yes, we are standing with you on the right to access abortion and contraception, but we are also standing with you to stop environmental pollution that is harming reproductive health; to stop mass incarceration and immigration detention and deportation that continues an ugly legacy of breaking up families of color that dates back to slavery and mission schools and immigration exclusion acts; to expand comprehensive sex ed in the public schools along with non-stigmatizing supports for young parents that don't shame and shut them out of their education; to expand access to birthing options like midwifery that are finally shifting racial disparities that have left black women four times more likely to die as a result of childbirth than white women in this country; to fight for LGBT rights. It's a holistic movement.

Second, it centers grassroots organizing as a strategy. It doesn't believe major social change trickles down from large organizations sitting "inside the beltway"; it believes it surges up from cities and states, from ordinary people holding their elected officials accountable in their home districts.

Third, it is a multiracial movement with significant leadership from women of color working alongside white women who are able to consider things through a racial justice lens. It is tactically impossible to move the needle on most social justice issues today without the leadership and engagement of communities of color, which, polls show us, vote in a more progressive direction down ballot on nearly every issue progressives care about.

The RJ movement exemplifies what it means to build a movement with the backbone to leave no one behind. And that, I believe, is the kind of movement that all social justice activists should be looking to build. RJ is shining a light on the path the larger progressive movement needs to walk in order to be successful.

PND: It's estimated that African-American women in the United States are three to four times more likely to die of childbirth-related complications than their white counterparts, while the infant mortality rate for babies of African-American mothers is more than twice that of babies of white mothers. What's behind these racial disparities?

VD: The data has perplexed many scientists, in part because when they control for education levels, economic status, diet and behavior, and other factors, the disparities still show up in the data. This means that middle-class, college-educated black women who take excellent care of their health are still dying at higher rates than low-income white women without a high school diploma. How does one explain that? There is a growing number of scientists, including epidemiologists who believe that racism itself is a major factor in these disparities. First, the racism and implicit bias of many medical practitioners often leads them to provide substandard care to women of color. Many studies back this up; one recent study, for example, shows that people of color, including children of color, are given significantly less pain medication than are white people.

Second, and very importantly, scientists are pointing to the impact that racism, experienced on a daily basis by people of color, has on the body. The midwifery and doula models of care we support are often run by women of color or by a multiracial staff that provides high-quality, culturally competent care. Our grantee Sacred Heart Birthplace in Espanola, New Mexico, has a 2 percent cesarean section rate, compared with a state average of 24 percent, and a 92 percent breastfeeding rate at six months post-delivery, compared with a state average of 26 percent. In Florida, our grantee Common Sense Childbirth has achieved a 0 percent preterm birth rate among black women, compared with the state average of 14.2 percent.

PND: Groundswell Fund believes that the people who are most directly affected by an issue are also the ones best able to develop strategies to address the issue. How do you envision the fund's work with respect to advancing racial equity more broadly?

VD: White supremacy is bad for all of us, and dismantling it and advancing racial justice is what will lift all boats. We cannot move forward or evolve as a country if we don't do this.

The strongest efforts to dismantle white supremacy in this country are being led by people of color. As a country we need to follow their lead. That is why 90 percent of our grantee organizations are led by women of color. If more of us had followed the lead of black women last year, when they voted 96 percent against Trump, none of us would be in the mess we find ourselves in. White people also have an important role to play in dismantling white supremacy, and we make sure that the white-led organizations we fund are actively doing this work in white communities. It's not an addendum to moving the needle on issues like reproductive justice or climate change or healthcare access — it's a requirement and an imperative.

PND: The Liberation Fund was created in the wake of the 2016 elections to support those who "bear the greatest burden of white supremacy and misogyny in the U.S. — women of color and transgender people of color." Why did you decide to focus on grassroots organizations? And what are your hopes for the first cohort of grantees?

VD: The list of organizations the Liberation Fund supports were curated by fifteen of the most prominent women of color leaders in the country. They have teamed with Groundswell to bridge a longstanding gap that exists between the funders in this country and the grassroots organizing work that is offering the boldest and most effective solutions to white supremacy and misogyny. Since the election, billions of dollars have flowed into progressive movements, and nearly all of it is going to large national organizations. While many of these organizations play an important role in the social change ecosystem, they cannot protect communities or advance bold change on their own. Most of us don't believe in trickle-down economics, so why do we fund trickle-down social justice? Elected officials are elected in their home districts and must be held accountable by people who live and vote in their districts. Groundswell's Liberation Fund has teamed with these fifteen advisors to provide an easy way for donors and foundations to move money to the strongest grassroots organizing efforts in the country led by women of color and trans people of color.

As we face the two-headed monster of misogyny and white supremacy, women of color, who have been battling that monster for hundreds of years for our very survival, have something to teach America about how to fight.

The path to large-scale progressive change in this country is one of bold, multi-issue, solidarity-based organizing. My greatest hope for this first cohort of grantees is that the Liberation Fund helps them turn up the powerful light they are already shining on the path that social movements writ large must travel in order to win, and that those movements and donors follow their lead.  

PND: What could other funders interested in supporting efforts to advance racial equity learn from your experience working at the intersection of reproductive, racial, and economic justice and LGBTQ rights?

VD: Fund multi-issue grassroots organizing work led by those most affected by injustice. Take steps to make people of color-led work that has a strong race/class/gender/decolonization lens the majority of your grant portfolio. Don't fund white-led organizations that lack a racial justice focus or demonstrated practice of standing in solidarity with communities of color against white supremacy. Given the fact that less than 7 percent of all domestic giving goes to communities of color — a number that hasn't increased in years — with even less going to grassroots organizing, philanthropy has its work cut out if it hopes to remain relevant to one of the most important fights for freedom in the history of this country.

-- Kyoko Uchida

Weekend Link Roundup (November 25-26, 2017)

November 26, 2017

Giving-TuesdayOur weekly roundup of noteworthy items from and about the social sector. For more links to great content, follow us on Twitter at @pndblog....

Giving

In the Bangor Daily News, Chris Gates, former president of the National Civic League and executive director of Philanthropy for Active Civic Engagement, argues that the House Republican plan to eliminate the estate tax "would hurt [the] country, and the people of Maine, in significant ways" — with charitable giving all but certain to be one of the biggest casualties.

Which state is the most generous? And which is the least? Mona Chalabi, data editor at the Guardian USand a columnist at New York magazine, has a state-by-state breakdown on the FiveThirtyEight site, for which she was previously a lead news writer.

Health

Here on PhilanTopic, the Robert Wood Johnson Foundation's Karabi Acharya shares some of the ways the foundation scours the globe for ideas with the potential to improve health and health care in the U.S.

International Affairs/Development

Yemen is on the brink of a terrible famine. Amanda Erickson reports for the Washington Post.

"[W]ithout the ability to conduct accurate, timely, and robust progress measurement," efforts "to advance human health and development...and the SDGs have an unaddressed Achilles heel," writes Philip Setel on the Devex site. But there is a way forward, says Setel. Because of technological advancements in data collection and processing, and a landmark investment from Bloomberg Philanthropies and the government of Australia, "for the first time in history it may be possible to count every human life and make the invisible visible."

On his Nonprofit Chronicles blog, Marc Gunther reports on the efforts of Village Enterprises, a small NGO headquartered in San Carlos, California, to fight poverty in East Africa with something called results-based financing.

Philanthropy

In an interview with HuffPo contributor and Ireland Council of State member Ruairí McKiernan, former Atlantic Philanthropies head Gara LaMarche argues that "[f]unders badly need to rethink their approach to philanthropy if they are serious about social justice."

Are Shark Tank-style competitions featuring nonprofits really an effective way to allocate scarce resources and deliver the disruptions and breakthroughs they often promise? In the Nonprofit Quarterly, Sheela Nimishakavi, a nonprofit finance and operations professional, says the evidence for such claims just isn't there. 

The mind-boggling news that auction house Christie's sold Salvator Mundi, believed to be the last known painting by Leonardo da Vinci in private hands, for $450 million, prompted the Artsy website to ask six luminaries from the world of arts, economics, bioethics, and development to share how they’d spend $450 million.

In The Atlantic, Helaine Olen profiles Resource Generation, "the almost 20-year-old nonprofit that works with wealthy people between the ages of 18 and 35 to encourage them to devote a portion of their financial assets to left-wing causes, including addressing the economic divides between the haves and the have-nots, and race and gender discrimination...."

PEAK Grantmaking (formerly the Grants Managers Network) and Foundation Center are interested in better understanding the practice of "grants management" and the role it plays in decision making at foundations. You can help by completing this short survey.

Public Affairs

In a post on the World Wide Web Foundation site, Sir Tim Berners-Lee, the inventor of the World Wide Web and the foundation's founding director, argues that the protection of net neutrality — "the fundamental principle that all content should be treated equally online — is vital "to individual empowerment, democracy, and economic growth."

Women/Girls

And in honor of International Day for the Elimination of Violence Against Women, which this year fell on November 25, the Hilton Prize Coalition, an independent alliance of the twenty-two winners of the Conrad N. Hilton Humanitarian Prize, is shining a spotlight on 2006 Hilton Humanitarian Prize laureate Women for Women International and the work that organization is doing with women who have been displaced by war and conflict in the Kurdistan region of Iraq and around the world.

That's it for this week. Got something you'd like to share? Drop us a line at mfn@foundationcenter.org.

Learning From Abroad: Philanthropy’s Role in Spreading Social Innovation

November 20, 2017

Four_idea_lightbulbsDid you know the toothbrush was first invented in China, or that the idea for kindergarten originated in Germany? The United States has benefited from great ideas from other countries for years. As grantmakers — whether a national philanthropy or a local funder — we can learn so much by embracing the notion that good ideas have no borders.

At the Robert Wood Johnson Foundation (RWJF), I direct an effort explicitly tasked with searching the globe for ideas with the potential to improve health and health care in the U.S. And as the foundation continues on its ambitious journey to build a national Culture of Health, my colleagues and I are casting a wide net with our own learning efforts to bring the best ideas and solutions forward.

Finding promising ideas from abroad isn't always easy. It requires time and commitment. Making global ideas accessible and adaptable so that the communities we serve can implement them successfully can be challenging. But I am optimistic. Our efforts to learn from abroad have led us to the work of many organizations and experts who are advancing ideas in areas as diverse as creating a new workforce to support frail elders, building new partnerships to disrupt community violence, and bringing disengaged youth back into the fold.

Our journey also has led us to efforts like ChangeX that are laser-focused on transforming communities with great ideas and social innovations.

Launched in Ireland in 2015, ChangeX International has inspired and supported hundreds of community-led innovations around the world, providing a roadmap for leaders to  drive change in their own neighborhoods. The ChangeX platform finds and packages proven ideas for local adaptation. For instance, Welcome Dinner is a program where residents of a community seek out newly settled refugees and immigrants to share a meal. Because of ChangeX, the idea, which originated in Sweden, has spread quickly throughout Europe and is now helping build social cohesion in communities in the U.S. Men's Shed, an Australian innovation, has become a global movement in ten countries that makes it possible for retired men to come together in dedicated community spaces to find meaning, new skillsets, and friendship. GirlTrek has turned a low-cost, high-impact solution — walking — into a health movement that activates thousands of black women to be change makers.

These are just a few of the many innovations ChangeX is spreading around the world.

With RWJF's support, last year ChangeX launched its first U.S. expansion in Minnesota, and to date more than a hundred local projects are up and running across the state. What's interesting to me is that some of the proven and promising solutions on the ChangeX platform emerged directly from local needs and local values. For example, Sambusa Sunday started in Minneapolis when local Somalis wanted to thank the many residents who supported them during a recent spike in anti-immigrant and anti-Muslim sentiment. Featuring free chai tea and Somali pastries called sambusas, these public events bring together neighbors of all backgrounds and nationalities. We're also finding that these innovations are easily adapted for use in other communities, provided local leaders are given the right resources and tools to move them forward.

ChangeX, and adapting global ideas to uniquely local circumstances, sometimes feels a bit like gardening: You take a cutting from a healthy, vibrant plant; root it; and transplant it in another locale, where, with proper care, support, and cultivation, it too can flourish.

As we — funders and grantmakers — look for ways to build stronger, more vibrant communities here in the U.S., we should explore what other countries are doing well. Platforms like ChangeX are a great place to start.

I invite you to join me and my colleagues at RWJF on this global learning journey. What spaces are you currently exploring that could be informed by looking outside our borders? What global efforts do you see holding promise for supporting U.S. communities?

Great ideas are out there. Let's work together to find them!

Headshot_karabi_acharyaKarabi Acharya directs the Robert Wood Johnson Foundation’s strategies for global learning as it identifies best practices in other countries and adapts them to improve the social determinants of health in communities in the United States. 

Weekend Link Roundup (November 4-5, 2017)

November 05, 2017

Article-flanagan1-1105Our weekly roundup of noteworthy items from and about the social sector. For more links to great content, follow us on Twitter at @pndblog....

Climate Change

Can you hear me now? From Reuters: "The amount of carbon dioxide in the earth's atmosphere grew...in 2016 to a level not seen for millions of years...." 

Giving

Do the wealthy "need" to give?  Do they give to make the world a better place, to give back to the community? Or is their charity motivated by reasons that are far less noble — peer pressure, social status, a version of conspicuous consumption? On the Foundation for Independent Journalism's Wire site, Jacob Burak explores the varied and complex motivations that drive charitable giving.

Heathcare

Open enrollment season for the Affordable Care Act opened November 1 and, this year, runs only through December 15. The Aspen Institute's Natalie Foster explains why, as the nature of work continues to change, the viability and success of the Affordable Care Act is increasingly important.

Here on PhilanTopic, the Campaign for Black Male Achievement's Shawn Dove and Phyllis Hubbard make the important point that people who do this kind of work also need to be sure to take care of themselves.

International Affairs/Development

On the WINGS blog, Debasish Mitter, India country director for the Michael & Susan Dell Foundation, notes that while "the nature and extent of development problems... have changed over the years... [p]hilanthropy has been changing and evolving, too," before listing half a dozen ways in which philanthropy is changing its approach to development work.

Journalism/Media

Investigative journalism around the world is under attack by illiberal and authoritarian forces. In a post on the Omidyar Network blog, Nishant Lalwani, director of ON's  Governance & Citizen Engagement initiative, explains why the organization has made a significant investment in Reporters Without Borders. For those interested in learning more about RWF's work, the organization has just announced the launch of its "Forbidden Stories" project.

"There are more than one hundred digital news nonprofits in the United States, and the vast majority are trying to diversify their revenue streams to become less reliant on these major gifts," writes David Westphal on the Columbia Journalism Review website. That said, adds Westphal, "some leaders in this industry are simultaneously coming to believe that philanthropy, particularly individual giving, has room to grow. Perhaps a lot of room."

Leadership

This speech by BoardSource president and CEO Anne Wallestad may be the best speech given by anyone, anywhere, in 2017.

Nonprofits

By 2025, philanthropists will contribute a record $500 billion to $600 billion annually to nonprofits, well above the $373 billion given in 2015. The bad news is the nonprofits will still come up short, by a couple of hundred billion dollars, in the funding they need. Which is why Stanford researchers Bill Meehan and Kim Starkey Jonker wrote Engine of Impact: Essentials of Strategic Leadership in the Nonprofit Sector.  

Philanthropy

Forbes' contributor Igor Bolsikovski checks in with a nice profile of 41-year-old Gerun Riley, the newly named president of the Eli and Edyth Broad Foundation. 

Public Policy

The list of nonprofit/philanthropic associations and infrastructure groups that have come out against the House Republican tax plan is long and includes the Council on Foundations, Independent Sector, the National Council of Nonprofits, and the National League of Cities.

Social Media

Last but not least, the New York Times' Farhad Manjoo and Kevin Roose asked nine tech experts what they would do to address the malign influence that Facebook increasingly has in our politics and civic discourse. Well worth a read.

That's it for this week. Got something you'd like to share? Drop us a line at mfn@foundationcenter.org.

To Close the Racial Health Gap, Philanthropy Must Itself Prioritize Wellness

October 31, 2017

In December 2009, the Campaign for Black Male Achievement (CBMA)  convened a cross-section of leaders working to improve life outcomes of black men and boys at a leadership retreat that included a session focused on strategies for healing and self-empowerment for leaders in the Black Male Achievement (BMA) field. At the time, the BMA field was still relatively new, having been launched by CBMA at the Open Society Foundations in June 2008. What the workshop revealed was both astounding and urgent: that the very leaders working vigilantly to support black men and boys in their communities were themselves in dire need of support and information with respect to how they addressed the myriad health and lifestyle challenges they, and an alarmingly large number of African Americans, face.

Young-black-man-with-head-007-2Then, in 2014, the BMA movement was dealt a tragic blow with the news that BMe Community leader Dr. Shawn White, a renowned academic working on public health matters, had died suddenly at the age of 42 of a stress-triggered seizure due to complications from severe hypertension, a preventable disease. There was and remains little doubt that the high levels of stress associated with doing racial equity work was a critical factor in the kinds of health issues faced by leaders such as Dr. White. There is also little doubt about how these issues are exacerbated by the insidious effects of interpersonal and institutional racism — psychological, physical, and emotional — on black people and communities.

The learnings that came out of that retreat nearly a decade ago have been given new life with the release of a report issued last week by National Public Radio, the Harvard T.H. Chan School of Public Health, and the Robert Wood Johnson Foundation. Titled Discrimination in America: Experiences and Views of African Americans, the report addresses the various types of individual and systemic discrimination that black Americans experience in a variety of arenas, including employment, buying a home, interactions with law enforcement, civic engagement, and access to health care. In each of these areas, African Americans reported frequent and consistent encounters with race-based discrimination — a finding that spans gender, education, political affiliation, geography, and socioeconomic status.

Among its most noteworthy discoveries, the report revealed that roughly a third of black Americans have felt they were discriminated against when seeking medical care from a doctor or health clinic. Equally disturbing is the finding that 22 percent of black respondents admitted to not seeking out medical care due to their past experiences with medical professionals. Considering the well-documented legacy of bias and outright violence against African Americans at the hands of the medical and scientific communities, it should come as no surprise that black people, particularly black men, would harbor a level of distrust and suspicion toward the medical community that ultimately poses a threat to their own health and well-being.

This is one of the several urgent reasons why the Campaign for Black Male Achievement created CBMA Health and Healing Strategies — an innovative and timely effort to empower Black Male Achievement leaders with the information, tools, and resources needed to monitor and maintain their personal health, healing, and wellness. Launched in 2016, the initiative aims to combat the racial health gap by promoting healthy behaviors and strengthening the wellness of leaders and caregivers, so that they, in turn, can create healthier environments for the young people of color they serve. One of the catalytic moments that spurred CBMA to launch Health & Healing Strategies occurred in 2015 during its annual Rumble Young Man, Rumble event in Louisville, Kentucky, where a number of leaders in attendance shared their own struggles with depression, poor health, and even suicide ideation. At that moment, CBMA knew it needed to be proactive in responding to this growing challenge, both in the BMA field and the broader black community.

With seed support from the California Endowment, Health and Healing Strategies has been implementing school and community-based strategies around the management and reduction of stress, pain, trauma, and other health challenges that disproportionately impact black people. The initiative also uses multi-media and storytelling to help increase awareness, promote dialogue, and change the narrative around these issues. With a focus on addressing the root causes of poor health and disease, and their frequent aggravation by inadequate and inequitable healthcare access and treatment (as highlighted by the report), CBMA seeks to instill a renewed and strengthened commitment to health and well-being in America’s black communities, today and into the future.

The California Endowment’s continued investment in Health and Healing Strategies (including an additional half a million dollars earlier this year to expand the initiative) demonstrates philanthropy’s critical role in cultivating the innovation and collective will needed to achieve positive health outcomes for black people. But in order to sustain them, efforts like Health and Healing Strategies need increased support from bold and courageous leaders at both the philanthropic and policy level, leaders who are unambiguously committed to eradicating racial and other biases from our healthcare, education, criminal justice, and political systems.

Shawn_dove_phyllis_hubbard_175x425At the same time, leaders in philanthropy and the BMA field must look in the mirror and ask themselves how they can set an example by integrating health, wellness, and self-care into their collective and organizational ethos and culture. Only by embodying the type of leadership we want others to exhibit will we successfully create the transformative change needed to close America’s racial health gap.

Shawn Dove serves as the CEO of the Campaign for Black Male Achievement (CBMA), a national membership organization dedicated to ensuring the growth, sustainability, and impact of leaders and organizations focused on improving the life outcomes of America’s black men and boys. Dr. Phyllis Hubbard is the director of CBMA's Health and Healing Strategies, a wellness program that seeks to improve the health and well-being outcomes of cross-sector leaders working on behalf of black men and boys.

Weekend Link Roundup (October 14-15, 2017)

October 15, 2017

California-fire-story7-gty-ml-171012_4x3_992Our weekly roundup of noteworthy items from and about the social sector. For more links to great content, follow us on Twitter at @pndblog....

Arts and Culture

We've always admired Herb Alpert — chart-topping musician, innovative record producer/executive, generous philanthropist — and are happy to pass on the news that his foundation has a brand brand new website.

Economy

"[F]or the first time since World War II, American children have only a 50-50 chance of earning more than their parents" — proof that our "economic system is broken," and why jobs and opportunity are America's most pressing challenge, writes Rockefeller Foundation president Rajiv J. Shah.

Giving

How might tax reform affect charitable giving? On the NPR site, Jonathan Meer, a professor at Texas A&M University and an expert on charitable giving, shares his analysis.

Cash-strapped though they may be, cause-driven millennials are finding ways to support causes and organizations aligned with their passions and concerns. Justin Miller, co-Founder and CEO of CARE for AIDS, a faith-based NGO that provides holistic care to families affected by HIV/AIDS in East Africa, explains.

Grantmaking

On the Center for Effective Philanthropy blog, Anthony Richardson, a program officer at the Nord Family Foundation in Ohio, argues that it is critically important for funders "to listen and be discerning about what may be most helpful — and what may indeed be unintentionally harmful — to organizations doing challenging work on the front lines."

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Once and for All: Lead-Free, Healthy Kids

September 26, 2017

Baby_mother_playing_400x300We want all our children to be safe and happy — that's why we have safeguards in place to protect them. Newborns are taken home from the hospital in car seats, kindergarteners must have all their vaccines to enter school, even playground equipment is closely regulated. Yet, despite these investments in their health and safety, children are still at risk in their own homes. While we are closer than ever to eliminating lead in homes, it's still all too prevalent, seeping into the lives of our children through peeling paint, unfiltered water from unsafe pipes, and other sources.

Even though lead poisoning is entirely preventable, 535,000 children under the age of six in the United States are exposed to the dangerous toxin each year through water, paint, soil, and other sources. According to the Centers for Disease Control and Prevention, "at least four million households have children living in them that are being exposed to high levels of lead." Lead exposure can lead to learning disabilities, speech delays, attention deficit disorder, reduced motor control and balance, and aggressive behavior. In fact, kids with lead poisoning are seven times as likely to drop out of school than their non-lead-poisoned peers, are six times as likely to become involved in the juvenile justice system, and as adults face increased risks of cardiovascular disease, hypertension, depression, and early mortality.

When the Flint water crisis became international news, it was easy to brush it aside as an anomaly — something that would never happen in your own town. But in 2016 a report by Reuters found three thousand localities across the country where at least 10 percent of children — double the rate of lead poisoning in Flint at the height of the crisis there — had elevated levels of lead in their blood. In some cities, "the rate of elevated [lead] tests over the last decade was 40 to 50 percent." Many of the affected communities are low-income and majority African-American and Latino populations, a sadly unsurprising fact given the stark racial disparities when it comes to addressing lead poisoning. In fact, African-American children are roughly five times more likely and Latino children nearly twice as likely to be poisoned by lead than their white peers.

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Weekend Link Roundup (July 15-16, 2017)

July 17, 2017

Roger-federerOur weekly roundup of noteworthy items from and about the social sector. For more links to great content, follow us on Twitter at @pndblog....

Climate Change

Cities are where most of the world's population lives. But with the climate warming at an alarming rate, just how hot will they be by the year 2100? An interactive map created by Climate Central and the World Meteorological Organization has the scorching results.

Education

Anyone who cares about public education in the U.S. will want to check out the longish piece by Chris Ford, Stephanie Johnson, and Lisa Partelow on the Center for American progress site detailing the "sordid" history of school vouchers in America.

Quartz has a nice profile of Maggie MacDonnell, the Canadian winner of this year's $1 million Global Teacher Prize.

Health

Just how does the health system in U.S. stack up against those in other developed countries? Using data from Commonwealth Fund surveys and other sources of standardized data, the fund's Mirror, Mirror 2017 report identifies seventy-two measures relevant to healthcare system performance and organizes them into five performance domains: Care Process, Access, Administrative Efficiency, Equity, and Health Care Outcomes.

The Kaiser Family Foundation's Cynthia Cox and Larry Levitt examined the individual insurance market in early 2017 and, contrary to Republican Party talking points, found no evidence that it was collapsing; indeed, Cox and Levitt discovered that health insurers are on track to have their best year since the Affordable Care Act was signed into law.

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President's Budget Proposal Targets Foundations

May 26, 2017

TargetWhile most of the media coverage of President Trump's proposed budget has focused on his plan to eliminate sixty-six programs and slash funding for hundreds more, until now one major aspect of the plan has escaped attention: the White House budget blueprint silently, yet effectively, targets private philanthropy as the fallback subsidy for government programs that would be downsized or eliminated.

For Fiscal Year 2018, which begins October 1, 2017, the Trump budget proposes to cut $54 billion from "non-defense" (mostly domestic) programs that provide jobs, food, housing, safety, health care, education, and more for tens of millions of individuals across the country. Yet, the president's Budget Message to Congress, Budget Summary, Major Savings and Reforms, and Appendices all fail to disclose how the budget would simultaneously cut government spending and address people's ongoing needs. Where will those tens of millions of people turn if these programs are cut on October 1?

As the Washington Post reports, "Trump's plan would put the onus on states, companies, churches and charities to offer many educational, scientific and social services that have long been provided by the federal government."

The White House cannot realistically expect the states to meet the markedly increased unmet human need caused by its proposed cuts to domestic spending. More than half the states have been in deficit mode during the last year, and more than half already are projecting budget shortfalls for their next fiscal year. Compounding the problem: the states, on average, receive 30.1 percent of their revenues from the federal government. When the federal government cuts domestic spending, that includes cuts to the states. For example, the FY2018 budget blueprint proposes eliminating the Community Development Block Grant ($2.9 billion) and Community Services Block Grant ($731 million) programs, which together provide funds for states and localities to spend on anti-poverty programs, emergency food assistance, affordable housing, public improvements, and public services. The proposed budget is rife with recommended cuts that the states cannot absorb, and which would leave tens of millions of people without a safety net.

Contrary to the Washington Post analysis above, anyone thinking that for-profit companies will step in to fill the gap is misguided. The very reason people in need turn to charitable nonprofits and governments is because they cannot afford what for-profit businesses charge.

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5 Questions for...Donna McKay, Executive Director, Physicians for Human Rights

May 12, 2017

Donna McKay is executive director of Physicians for Human Rights, a nonprofit organization dedicated to using science and medicine to prevent and investigate human rights abuses around the world — with a focus on torture, mass atrocities, rape in war, and the persecution of health workers. A joint recipient of the 1997 Nobel Peace Prize, PHR has unearthed forensic evidence from mass graves that helped convict former Bosnian Serb leader Radovan Karadzic for war crimes, genocide, and crimes against humanity; mapped attacks on healthcare workers in Syria; and led a campaign against the complicity of health professionals in the United States' post-9/11 torture program.

PND asked McKay about PHR's work, in the U.S. and elsewhere, to end human rights abuses as well as the role of physicians and science, medicine, and technology in advancing those efforts.

Donna_mckayPhilanthropy News Digest: Since you joined PHR as executive director in 2012, conflict and humanitarian crises have dominated the headlines — including the rise of Boko Haram and ISIS, violence against civilians in Burma, and the ongoing conflicts in Afghanistan, Syria, the Central African Republic, South Sudan, and Ukraine. Is conflict, and its attendant human rights abuses, on the rise globally?

Donna McKay: What's striking to me is how many of these crises actually began as human rights crises. In Burma, what started as the marginalizing of a minority group has ballooned into a humanitarian disaster. In Syria, after President Bashar al-Assad mercilessly suppressed an anti-government uprising, those who criticized his government were arrested, tortured, disappeared, and murdered — resulting in a massive refugee crisis. In South Sudan, fighting and forced displacement have caused the world's youngest nation to basically unravel. The list goes on. And each time, the international community has stood by while those human rights violations piled up and became some of the most vexing conflicts facing our generation. If you want to talk about conflict prevention, you have to talk about ending human rights violations and snuffing out larger crises before they begin.

What's heartening, though, is that while crises are on the rise, so too is the notion of human rights more generally. In a number of our trainings, health professionals from other parts of the world have told me that a generation ago, they didn't even have the language of human rights. Indeed, conflict is on the rise, but so is community activism. People are pouring into the streets, demanding their rights. I will never forget the joy I saw on the face of a friend and fellow activist from Egypt describing the first time he voted in an election. There's a thirst out there. And once people are exposed to human rights, you can't put the genie back in the bottle. They're just not going to give up.

PND: You have said that physicians in conflict zones bear witness to atrocities, that they believe in the power of evidence, and that medicine and science are about truth. PHR has documented nearly 800 attacks on medical workers and more than 450 attacks on medical facilities in Syria since 2011. Why are medical workers and facilities targeted in civil wars? And what should the international community be doing that it is not doing to better protect them?

DM: The numbers take your breath away. Doctors not only save lives — they are often on the front lines of human rights violations. Medical professionals adhere to some of the most robust ethical standards and treat those on all sides of a conflict, regardless of their identity, affiliations, or beliefs. They are also poised to speak credibly about the atrocities they see first-hand. Until fairly recently, the world had agreed that health professionals in conflict must be shielded. But we've allowed those longstanding norms to crumble. In Syria, we feared that attacks on hospitals and doctors would become the new normal — and sadly, they have. The conflict has been raging for over six years, and it's really only in the past year that the world has woken up to these atrocities. I think our work has played a part in that awakening.

Now that the awareness is growing, the international community must demand adherence to international law and must not let politics interfere with century-old norms that protect health professionals. At this point, no one can turn a blind eye and say this isn't happening. And yet so far, there has been no justice, no accountability. That must change. And that's why we at PHR are meticulously documenting these crimes. We're hopeful that our work can contribute to future prosecutions for attacks against medical personnel and facilities. It may seem impossible right now — but that's what naysayers said when we were gathering international support for a global landmine ban, an effort that led to the international landmine treaty and recognition by the Nobel Committee. We wouldn't do this work if we didn't have hope.

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Most Popular PhilanTopic Posts (April 2017)

May 03, 2017

For those in the Northeast, April was rainy, cool, and dreary. Here on the blog, though, things were hopping, with lots of new readers and contributors. The sun is back out, but before you head outside, check out the posts PhilanTopic readers especially liked over the last thirty days.

What have you read/watched/heard lately that got your attention, made you think, or charged you up? Feel free to share with our readers in the comments section below. Or drop us a line at mfn@foundationcenter.org.

10 Ways Technology Can Advance Family Planning

April 28, 2017

Dreamstimemedium_25330091Contraceptive social marketing used to be a straightforward, relatively low-tech affair. You would design an attractively packaged condom or contraceptive product and sell it to as many retail outlets as possible. To increase demand, you would create TV and radio advertisements and produce T-shirts, caps, and other promotional items to drive interest in your brands.

Times have changed. While my organization, DKT International, still uses those tactics, we now have new technologies at our disposal that enable us to reach more people than ever with information about family planning products and services.

According to the U.S. Global Leadership Coalition, 94 percent of people living in low- and middle-income countries now have access to mobile phones, up from 4 percent in 2000. That means more people in the world have access to mobile phones than electricity or clean water.

And, as almost everyone knows, social media has become an increasingly prominent communication platform. Eighty-nine percent of Internet users in Indonesia use social networking sites like Facebook and Twitter, according to a Pew Research Center survey in 2016.  This should come as no surprise, given the excellent 4G coverage in that country combined with the Indonesian penchant for community building. The statistics in other countries are equally impressive: 88 percent in the Philippines, 85 percent in Nigeria, 81 percent in Mexico, and 79 percent in Brazil. By comparison, only 71 percent of Internet users in the United States are on one or more social networking site.

These developments give family planning organizations a wealth of new opportunities and channels to share information about contraception.

With that in mind, here are ten innovative ways technology is being used to advance sexual reproductive health globally:

1. Sex info 24/7: Thanks to a new technology embedded in Facebook Messenger, DKT Brazil has launched "Prudence Advisor," a "chatbot" on the Prudence Condom Facebook page that can answer sex-related questions in real time.

2. Knowledge panels: Google has introduced knowledge panels, a handy way of accessing information about modern contraception (or anything else). When you search for the name of a contraceptive method, you'll see information regarding that method pop up on the right side of the search results. The potential to educate millions of young people with a simple mouse click is enormous. Thank you, Google!

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Saving the Affordable Care Act

April 21, 2017

Healthcare_reform_for_PhilanTopicThat was a close one. Twenty-four million Americans get to keep their health coverage — for now. Grassroots pressure undoubtedly influenced the decision of Speaker of the House Paul Ryan and the White House to pull the Obamacare repeal bill, but winning the first round of this battle is not grounds for complacency. Indeed, now more than ever, Americans need a robust political movement in support of affordable health care for all.

In the end, the American Health Care Act (AHCA), as the bill was called, failed because Republican members of the House who wanted to dismember the Affordable Care Act (ACA) could not agree among themselves how to do that. Ordinary Americans also were fortunate to have powerful stakeholders such as the American Hospital Association and American Medical Association on their side. There is no escaping the fact, however, that Republicans gained control of both chambers of Congress and the White House in the 2016 election by promising to repeal the ACA.

This makes the conspicuous lack of consumer-focused nonprofit organizations focused on health and policy all the more troubling. The situation is in stark contrast to the corporate healthcare sector, which spent $509 million in 2016 lobbying the federal government on behalf of drug makers, hospitals, providers, and insurance companies. In addition, most health nonprofits focus on a particular area of health care, such as insurance coverage or wellness or mental health, which contributes to the field's inability to build a unified movement for more affordable and accessible care.

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The Role of Philanthropy in Preventing Health Care Harm

April 18, 2017

Patient-safety-2Preventable harm in health care is a leading cause of death in America and must be tackled more comprehensively — as a public health crisis — than it has been to date. Philanthropy has a key role to play, and it's highlighted in a new call to action developed by the National Patient Safety Foundation.

The call to action builds on successful efforts to reduce health care-associated infections and is inspired by America's long history of coordinated public health responses to specific diseases and conditions. That history produced what arguably is the greatest advance in America in the twentieth century: an increase in the life expectancy of Americans of some thirty years.

Efforts to improve patient safety have been ongoing for several decades, but the improvement has been limited. What's needed now is a shift from reactive piecemeal interventions driven by individual organizations to a coordinated system-wide effort aimed at providing safe care delivery across all aspects of care. Philanthropy is essential to that shift, and its role should play out across several dimensions.

First, foundations and other funders are needed to help build a consensus around the importance of a coordinated national effort to eliminate preventable harm in health care. As a nation, we know how to create successful public health responses to crises. Preventing harm in health care certainly rises to that level, and because so much of that harm is preventable, failing to combat it comprehensively is nothing less than tragic.

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Weekend Link Roundup (April 15-16, 2017)

April 16, 2017

Glitter-eggs_2Our weekly roundup of noteworthy items from and about the social sector. For more links to great content, follow us on Twitter at @pndblog....

Advocacy

Our colleagues over at GrantCraft have put together an excellent suite of resources that captures the wisdom of philanthropic leaders who have participated in multi-party advocacy collaboratives. Check it out.

And Salsa Labs, a maker of integrated software for nonprofits, has released a a Nonprofit Advocacy Action kit that includes, among other thing, best practices and customizable advocacy templates. (Registration required.)

Climate Change

There's no denying that philanthropy is as industry that loves jargon — or that the use of jargon often undermines the effectiveness of our messaging and communications. With that in mind, Achieng' Otieno, a communications officer in the Rockefeller Foundation's Nairobi office, shares some tips about how to communicate the concept of "resilience" to non-experts.

Health

Here on Philantopic, the Robert Wood Johnson's Foundation John Lumpkin has some suggestions about what we can do to improve care for patients with complex needs.

Higher Education

On the Inside Philanthropy site, Mike Scutari examines the implications of a new Marts & Lundy report which finds that mega-gifts for higher education are rising while alumni giving overall is falling.

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