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	<title>Rozella Kennedy, Author at Camber Collective</title>
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	<link>https://cambercollective.com/author/rozellakennedy/</link>
	<description>A consultancy for a regenerative and equitable world.</description>
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	<title>Rozella Kennedy, Author at Camber Collective</title>
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		<title>Relative Impact of 28 Life Experiences that Drive Economic Mobility in the United States</title>
		<link>https://cambercollective.com/2024/02/26/28-experiences/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Mon, 26 Feb 2024 20:25:54 +0000</pubDate>
				<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[Shared Prosperity]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6917</guid>

					<description><![CDATA[<p>Our new research series Mobility Experiences, published in partnership with the Bill and Melinda Gates Foundation, examines some key factors influencing US economic mobility. </p>
<p>The post <a href="https://cambercollective.com/2024/02/26/28-experiences/">Relative Impact of 28 Life Experiences that Drive Economic Mobility in the United States</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<figure class="wp-block-image size-large"><img fetchpriority="high" decoding="async" width="1024" height="646" src="https://cambercollective.com/wp-content/uploads/2024/02/mobility-1024x646.jpg" alt="" class="wp-image-6918" srcset="https://cambercollective.com/wp-content/uploads/2024/02/mobility-1024x646.jpg 1024w, https://cambercollective.com/wp-content/uploads/2024/02/mobility-980x618.jpg 980w, https://cambercollective.com/wp-content/uploads/2024/02/mobility-480x303.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p>In our new research series <em>Mobility Experiences</em>, published in partnership with the Bill and Melinda Gates Foundation, we tackle some of the most foundational questions pertaining to economic mobility in the United States, including:</p>



<ul class="wp-block-list">
<li><em>What drives upward, downward or no mobility for most Americans?</em></li>



<li><em>What narratives or perceptions of economic mobility do Americans hold?</em></li>



<li><em>How can resources be better deployed to address structural barriers to economic mobility for all Americans?</em></li>



<li><em>What is the impact on income of interventions that promote certain life experiences?</em></li>
</ul>



<p>Foundational to economic mobility is the prospect of experiencing economic success, being valued in one’s community, and having the power and autonomy over one’s life path. For many Americans, economic mobility has been replaced by perpetual economic precarity. Many are often just one unforeseen expense away from falling into poverty, whether that be getting evicted, experiencing a major health crisis, or incurring a car repair cost, a majority of Americans will experience poverty at some point in their lives.<a id="_ftnref1" href="#_ftn1">[1]</a> Poverty rates remain stubbornly high in the United States compared to other OECD countries. For the vast majority of Americans, the United States is not by most indicators a “land of opportunity” where one can assuredly expect upwards mobility in their lifetimes.</p>



<p>In the first report of our Mobility Experiences research series, we summarize a meta-analysis of more than 230 academic studies, along with a survey of 4,000+ Americans, to provide a holistic understanding of what drives economic mobility. Key findings reveal the relative impact that 28 important life experiences have on lifetime income. These “mobility experiences” span across nearly every aspect of a person’s life, from education, career, and finances to health, community, and relationships. Economic mobility is partially shaped before a person is ever born and influenced by systemic and structural factors which often outweigh the impact of personal actions and endeavors.</p>



<figure class="wp-block-image aligncenter size-large is-resized"><img decoding="async" width="766" height="1024" src="https://cambercollective.com/wp-content/uploads/2024/03/Camber_Brief1_Exhibit-2-2-1-copy-766x1024.jpg" alt="" class="wp-image-6930" style="width:531px;height:auto"/></figure>



<p>Through this research, we have found evidence of value across these 28 experiences, with Americans experiencing them in unique ways across their lifetimes, leading to varying economic trajectories. Though each of these experiences has important impacts on economic mobility, four experiences in particular were found to have significant evidence of average impact on lifetime earnings greater than 20%. These experiences include:</p>



<ol class="wp-block-list">
<li>Pursuing/completing postsecondary education</li>



<li>Graduating with a degree in a high-paying field of study</li>



<li>Receiving mentorship during adolescence</li>



<li>Obtaining a first full-time job that offers opportunity for advancement</li>
</ol>



<figure class="wp-block-image aligncenter size-large"><img loading="lazy" decoding="async" width="1024" height="747" src="https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-1024x747.png" alt="" class="wp-image-6933" srcset="https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-1024x747.png 1024w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-600x438.png 600w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-768x561.png 768w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-1080x788.png 1080w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-1280x934.png 1280w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-980x715.png 980w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1-480x350.png 480w, https://cambercollective.com/wp-content/uploads/2024/03/Screenshot-2024-03-11-at-11.38.33 AM-1.png 1422w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></figure>



<p>For the first time, we have been able to quantify the relative impacts of certain life experiences on economic mobility. We hope these findings are affirming for practitioners in the field, while also adding to our collective evidence base. This knowledge is not only critical to aligning stakeholders around a fact-base, but also to supporting calls for funding, policymaking, and scaling interventions that will have the greatest impact on advancing mobility and opportunity across the country. When we build systems that allow people to access critical supports—and basic human rights—like healthcare, education, high quality jobs, and thriving communities, people have the power to live the lives to which they aspire. &nbsp;</p>



<p>We anticipate that stakeholders across the economic mobility field will benefit from <em>Mobility Experiences</em> research in four primary ways:</p>



<ol class="wp-block-list">
<li>Frontline service organizations can utilize the findings to demonstrate the potential impact of their interventions when seeking funding support</li>



<li>Funders can utilize the findings to prioritize investments in economic mobility</li>



<li>Local decision makers can utilize the findings to prioritize policymaking and identify high potential interventions</li>



<li>Communication organizations can utilize the findings to shift widely held narratives about the drivers of economic mobility in the United States</li>
</ol>



<p>Throughout 2024, Camber Collective and the Bill and Melinda Gates Foundation will be releasing three&nbsp;reports as part of the <em>Mobility Experiences</em> research series. The reports will explore both the quantified impact of life experiences on lifetime income as well as the perspectives of thousands of Americans on what matters to advance individual and collective economic mobility in the United States. We will also dive into the current state of funding for economic mobility and common features of successful interventions.</p>



<p>The research can be found on the Mobility Experiences website. We encourage you to sign up for updates to stay up to date with upcoming releases. <a href="https://www.mobilityexperiences.org/">Read the Report</a></p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p><a href="#_ftnref1" id="_ftn1">[1]</a> Mark Robert Rank, Lawrence M. Eppard, and Heather E. Bullock, <em>Poorly Understood: What America Gets Wrong About Poverty</em>, Oxford Academic, 20 May 2021. https://doi.org/10.1093/oso/9780190881382.003.0001</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p><a id="_msocom_1"></a></p>
<p>The post <a href="https://cambercollective.com/2024/02/26/28-experiences/">Relative Impact of 28 Life Experiences that Drive Economic Mobility in the United States</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>Finding Prosperity for More: What Contributes to Lifetime Income?</title>
		<link>https://cambercollective.com/2024/02/24/impact-prosperity/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Sat, 24 Feb 2024 19:49:42 +0000</pubDate>
				<category><![CDATA[Shared Prosperity]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6813</guid>

					<description><![CDATA[<p>The post <a href="https://cambercollective.com/2024/02/24/impact-prosperity/">Finding Prosperity for More: What Contributes to Lifetime Income?</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<p>In 2023, Camber Collective and the Economic Mobility &amp; Opportunity team at the Bill &amp; Melinda Gates Foundation (BMGF) partnered to publish and disseminate a first-of-its-kind meta-analysis of life experiences that contribute to lifetime income—and the different ways in which Americans perceive the impact of these life experiences.</p>



<p>In the United States and in absolute intergenerational terms, economic mobility has been declining for decades. While plenty of research has been conducted to understand the different causes and manifestations of this decline, few have looked at the <strong>relative importance of diverse experiences along the life path</strong>, nor <strong>integrated the beliefs and experiences of people across the country</strong> at such scale. Applying these prisms availed an opportunity to fill the evidence gaps; bring data to inform investments, programs, and policies; and begin to challenge common misbeliefs around the largely systemic drivers of economic prospects.</p>



<p>The study identifies the relative economic impact of 28 different life experiences from birth through adulthood, drawing upon a meta-analysis of peer-reviewed academic literature, program evaluations, expert consultations, and a first-of-its kind survey of 4000 Americans to provide important lived experience insights. We are excited to expand upon, and disseminate, our findings throughout 2024 as part of Camber’s new research series <em>Mobility Experiences: A Research Series on Pathways to Economic Mobility. </em>Key insights will be made available to technical user groups such as funders, local decision-makers, and direct service delivery organizations at the community level, alongside a broader push to embed findings within the general public discourse via media and website dissemination.</p>



<p>When we <strong>center people in research</strong>, our insights are consistently richer—supplementing the ‘what’ with the ‘why’ and the ‘how’. The <em>Mobility Experiences </em>research not only strengthens the evidence base of what is already shown to contribute to economic mobility, it also highlights opportunities for further investigation to strengthen evidence on the impact of life experiences we known to be critical, but for which evidence is currently less abundant. Moreover, this research helps to <strong>start shed light on the biases and inequities of traditional academic methods where the experiences of marginalized communities are often erased</strong> in data.</p>



<p>As a firm, we are hopeful this report activates greater, and more effective, investment toward research and integrated interventions that eliminate barriers and enhance access to important experiences across the life course for more Americans. We look forward to providing follow-on support to organizations who express interest in applying these findings, via more sustained technical assistance.</p>
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			</div><p>The post <a href="https://cambercollective.com/2024/02/24/impact-prosperity/">Finding Prosperity for More: What Contributes to Lifetime Income?</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>COP28: Adaptation, and Intersectionality</title>
		<link>https://cambercollective.com/2023/12/05/cop-2023/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Tue, 05 Dec 2023 18:53:31 +0000</pubDate>
				<category><![CDATA[Climate & Environment]]></category>
		<category><![CDATA[Perspectives]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6283</guid>

					<description><![CDATA[<p>The 28th Conference of the Parties (COP28) kicked off in Dubai on November 30th, providing an opportunity for key stakeholders from UN member states, NGO’s, environmental experts, and the private sector to come together to address our current climate crisis. Here are some of what was top of mind as we headed there.</p>
<p>The post <a href="https://cambercollective.com/2023/12/05/cop-2023/">COP28: Adaptation, and Intersectionality</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color has-link-color wp-elements-9608b31ce51c4e2363a048a322e91fa6"><strong>What our team anticipates around the year’s biggest climate event</strong></h3>


<p>The 28<sup>th</sup> Conference of the Parties (COP28) kicked off in Dubai on November 30<sup>th</sup>, providing an opportunity for key stakeholders from UN member states, NGO’s, environmental experts, and the private sector to come together to address our current climate crisis. Here are some of what was top of mind as we headed there.</p>


<h2 class="wp-block-heading">The COP28 agenda focus is on adaptation efforts and the intersectionality of the current climate crisis</h2>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="800" height="533" src="https://cambercollective.com/wp-content/uploads/2023/12/landscape-of-square-dip-net-or-yo-thai-language-ma-2022-12-16-03-10-58-utc.jpg" alt="" class="wp-image-6291" srcset="https://cambercollective.com/wp-content/uploads/2023/12/landscape-of-square-dip-net-or-yo-thai-language-ma-2022-12-16-03-10-58-utc.jpg 800w, https://cambercollective.com/wp-content/uploads/2023/12/landscape-of-square-dip-net-or-yo-thai-language-ma-2022-12-16-03-10-58-utc-480x320.jpg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 800px, 100vw" /></figure>



<p>Where COP27 had several key achievements, perhaps most notably agreement to establish the long-debated Loss &amp; Damage Fund, COP28 is set to cover an even more ambitious set of topics. In addition to the Global Stocktake (GST), the COP Presidency has announced the Presidency’s Action Agenda which places a clear emphasis on adaptation, an important acknowledgment that mitigation efforts alone are insufficient to address the deleterious effects of climate change. Included in the agenda’s priorities are the intersections between climate and other key social issues—particularly health, food systems, and economic mobility.</p>



<p></p>



<p>Our firm’s deep experience working at intersections such as these has many on our team eagerly awaiting this year’s event, with many of our internal conversations being around key areas where we expect significant decisions and agreements.</p>



<h2 class="wp-block-heading"><strong>Three key areas to pay attention to at COP28</strong></h2>



<p>Building on momentum from COP27, the focus on adaptation support for developing contexts is expected to yield more clarity on how the long-awaited Loss and Damage Fund will be operationalized. Additionally, significant emphasis has also been placed on two key areas of climate’s intersectionality with social impact outcomes—health and food systems.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color has-link-color wp-elements-5e44d7969dcc710efecea281144ca7a3"><em><strong>Loss and Damage Fund</strong></em></h3>



<p>Since the early 1990s, small island nations and other developing contexts disproportionately impacted by climate change have been asking for help dealing with climate-related “loss and damage” incurred due to both acute disasters and ongoing long-term climate effects. Negotiations about loss and damage culminated with the formal creation of a Loss and Damage Fund at the close of COP27. The fund acknowledges the responsibility of developed countries to support lower income countries in addressing acute physical challenges related to the changing climate and represents a major milestone in global climate finance. By supporting developing countries to weather the most acute effects of climate change, the Loss and Damage fund will support developing economies and ensure vulnerable countries are able to continue developing in the face of the climate crisis.</p>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="600" height="366" src="https://cambercollective.com/wp-content/uploads/2023/12/young-group-of-demonstrators-on-road-from-differen-2021-09-02-09-29-31-utc.jpg" alt="" class="wp-image-6292" srcset="https://cambercollective.com/wp-content/uploads/2023/12/young-group-of-demonstrators-on-road-from-differen-2021-09-02-09-29-31-utc.jpg 600w, https://cambercollective.com/wp-content/uploads/2023/12/young-group-of-demonstrators-on-road-from-differen-2021-09-02-09-29-31-utc-480x293.jpg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 600px, 100vw" /></figure>



<p>With less than a month before COP28 opens, the committee tasked with developing implementation recommendations for the fund collectively agreed to temporarily house the fund at the World Bank despite considerable opposition from developing countries given the heavy historical influence of developed nations in the Bank’s governance.The committee also agreed to an initial target size for the fund of $500m—significantly below the trillions of dollars expected to be needed to address future climate disasters.&nbsp;Conversations are expected to continue around the issues of funding mechanisms, eligibility, and the scale of financing required. Loss and Damage is a critical mechanism for furthering equity in the response to climate change and ensuring that the many developing countries who have historically contributed the least to climate change are equipped to help their populations adapt to its impacts.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color has-link-color wp-elements-7a708313e5fa5b6d21bf641029f393ef"><em><strong>Climate Health Ministerial</strong></em></h3>



<p>Our changing climate presents both short-term and long-term threats to human health. Floods, heatwaves, and storms cause immediate injury and loss of life, while persistently higher temperatures expand the spread of vector-borne diseases. Our recent work with the WHO exploring the intersection of immunization and climate showed how immunization systems are already facing strain due to climate effects while simultaneously being a major emitter of carbon dioxide, globally contributing as much as 3 kg of CO2 per immunized child. It also showed how gender equity is a critical consideration when it comes to health, with women bearing disproportionate vulnerability to both climate impacts and immunization inequities.</p>



<p>The intersection of health and climate is slated to be a point of focus during COP28. COP’s first-ever climate health ministerial aims to solidify investments and policy priorities focusing on the new and rapidly shifting threat to population health imposed by our changing climate. In continuation of the adaptation theme, a wide range of government officials are expected to set out a roadmap and opportunities for action to address the increasing burden of climate change on healthcare systems. Discussions will also include the socio-economic benefits that can result from better health through climate action, highlighting not just the intersectionality of climate and health but their inherent connection to sustainable global development and prosperity.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color has-link-color wp-elements-acb5756d7338efcdbdc41686f831238e"><em><strong>Food Systems and Agriculture Agenda</strong></em></h3>



<p>Food systems are inherently connected to the issue of climate change. Contributing one-third of global greenhouse gas emissions, food system decarbonization is a critical consideration in reducing global GHG emissions. Additionally, rising global temperatures and changing precipitation patterns are destroying crops and threatening food security.&nbsp;Our team saw this firsthand in an engagement where we created a novel systems map to understand the nexus of food systems and climate change in Sub-Saharan Africa. This project showed how food loss and waste and general inefficiencies exacerbate the climate problem, but also how those same climate effects disrupt the food system, accelerate food insecurity, and drastically impact nutrition for vulnerable populations.</p>



<p>COP28 has set the stage for food systems to be a central focus. The COP28 Presidency has put forward the “leader-level Emirates Declaration on Sustainable Agriculture, Resilient Food Systems, and Climate Action”, which includes a voluntary commitment to incorporate food systems and agriculture into NDCs and NAPs by 2025. Additionally, the World Climate Action Summit, a side event for the main conference, will showcase countries that will put forward concrete plans to implement the declaration.</p>



<h2 class="wp-block-heading">The future of climate-related impact work is intersectional</h2>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="600" height="450" src="https://cambercollective.com/wp-content/uploads/2023/12/charging-up-an-EV.jpg" alt="" class="wp-image-6293" srcset="https://cambercollective.com/wp-content/uploads/2023/12/charging-up-an-EV.jpg 600w, https://cambercollective.com/wp-content/uploads/2023/12/charging-up-an-EV-480x360.jpg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 600px, 100vw" /></figure>



<p>COP28 is set to bring awareness to the intersectionality of our current climate crisis, and the proposed agenda sets the stage for conversations about how climate-related interventions are also working to create impact on other important social issues. Awareness alone, however, will not create meaningful impact for communities most impacted by climate change.</p>



<p>The hard work of addressing climate change must include intersectional approaches and interventions, and those who are implementing interventions must consider the wide-ranging implications of their work to effectively maximize impact and improve outcomes.</p>



<p>Camber brings a wealth of experience and expertise to support clients in understanding and addressing the intersectional nature of climate work. Whether it’s bringing a climate lens to existing social impact initiatives or a health or shared prosperity lens to existing climate initiatives, Camber is well positioned to help clients maximize the impact of their strategies and interventions.</p>



<p>To learn more about the intersectionality of climate change, check out these additional perspectives:</p>



<ul class="wp-block-list">
<li><a href="https://cambercollective.com/2021/01/21/building-a-climate-resilient-food-system-in-sub-saharan-africa/">A Climate-Resilient Food System for Sub-Saharan Africa</a></li>



<li><a href="https://cambercollective.com/2023/09/07/climate-emissions-health/">Emissions, Climate Change, and Health</a></li>



<li><a href="https://cambercollective.com/2023/03/07/climate-africa-challenges-solutions/">Climate Change and Infectious Disease in Africa</a></li>



<li><a href="https://cambercollective.com/2022/12/19/just-transition/">Just Transition: A Climate Imperative</a></li>
</ul>



<p><em>Based in Washington state, <strong>Zack Henderson</strong> brings over 10 years of strategy development, investment evaluation and operational effectiveness experience in climate change, global health and development, and financial technology. Zack’s prior strategic work served a range of philanthropic funders, government agencies, multilateral organizations, and for-profit organizations across a broad range of topics including go-to-market planning, impact modeling and portfolio optimization. He began his career with Camber in 2013 where he focused on a broad range of topics from nutrition and maternal and child health to education and climate change, then bridging his career to the technology sector where he led strategy and operations workstreams for a late-stage tech startup focused on financial inclusion. Zack has returned to Camber with a focus on climate change and as a recent graduate of the Terra.do Learning for Action program. He earned his BA in Finance from the University of Washington in Seattle. A Northwest convert from his childhood in the San Francisco Bay Area, Zack spends as many waking hours as possible in Washington’s mountains and forests either on a bicycle, skis, or on foot. He has a passion for learning how things work, is a do-it-yourselfer to a fault, and loves experimenting with cooking and eating.</em></p>



<p><em><strong>Christopher Chang</strong> brings extensive experience supporting clients in measuring and advancing their social impact goals. He has worked with foundations and non-profit organizations on a wide range of issues including K-12 education, early childhood learning, hunger alleviation, journalism and democracy, and workforce development.&nbsp;Chris brings experience in qualitative and quantitative data collection and analysis methodologies, crafting measurement frameworks, and developing and implementing strategic plans. Chris holds an MBA from the University of Washington’s Michael G. Foster School of Business with a Management Science specialization and ESG certificate. Chris is an avid outdoorsman, angler, and amateur mechanic; when not working he can be found out in the mountains or working on the vehicles that get him there.</em></p>
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<!-- /wp:post-content --><p>The post <a href="https://cambercollective.com/2023/12/05/cop-2023/">COP28: Adaptation, and Intersectionality</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>A Macroeconomic Barrier: US Mental Health Workforce Shortages</title>
		<link>https://cambercollective.com/2023/11/13/mental-health-barrier-1/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Tue, 14 Nov 2023 04:27:03 +0000</pubDate>
				<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[US Health]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6265</guid>

					<description><![CDATA[<p>Despite the fact that the U.S. spends approximately 18% of GDP on healthcare—almost twice as much as the average Organization for Economic Cooperation and Development (OECD) country—our healthcare system is riddled with problems, from widespread inequities to poor outcomes to barriers to care. First in a three-part series.</p>
<p>The post <a href="https://cambercollective.com/2023/11/13/mental-health-barrier-1/">A Macroeconomic Barrier: US Mental Health Workforce Shortages</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<p><em>Despite the fact that the US spends approximately 18% of GDP on healthcare—almost twice as much as the average Organization for Economic Cooperation and Development (OECD) country—our healthcare system is riddled with problems, from widespread inequities to poor outcomes to barriers to care. In this three-part series, we discuss three specific types of barriers to care for those living with a serious mental illness—macroeconomic, legislative, and caregiver capacity—examining the nature of these access barriers and how they impact overall outcomes. </em></p>



<p><em>This first installment in the series is an exploration of a powerful macroeconomic barrier to mental healthcare in the US:&nbsp; an extreme workforce shortage driven by the fact that provider capacity is unable to meet the growing demand for services. We propose implementing an apprenticeship model as one way to help address the mental health workforce gap, though given the severity of the problem, it is important to note that a portfolio of solutions will be required.</em></p>



<h1 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The Mental Health Crisis</h1>



<p>Mental health is an entrenched and growing public health crisis in the United States. Nearly one in four adults—approximately 58 million people—live with a mental illness.<a id="_ednref1" href="#_edn1">[i]</a> Of those, over 14 million live with a serious mental illness (see Figure 1). Mental illnesses are disorders that affect a person’s thoughts, mood and/or behavior, and can range from mild to severe, whereas serious mental illnesses (SMI) substantially interfere with or limit a person’s daily life and ability to function<a id="_ednref2" href="#_edn2">[ii]</a>. </p>



<p>Many point to the 1963 Community Mental Health Act as the catalyst to the crisis, when people living with SMI were moved out of inpatient psychiatric facilities and into the community for care. Despite the well-meaning intentions of this act, community facilities were—and continue to be—vastly underfunded, leaving millions without the necessary support. Almost a third of all adults with a mental illness report that they are unable to receive the treatment they need.<a id="_ednref3" href="#_edn3">[iii]</a> Key barriers to access include cost, insurance coverage and regulations, stigma, and workforce shortages. In this piece we will dive deeper into the workforce shortage challenge.</p>



<p><strong><em>Figure 1. Prevalence of Mental Illness among US Adults</em></strong></p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/11/1-1-1024x576.png" alt="" class="wp-image-6274" srcset="https://cambercollective.com/wp-content/uploads/2023/11/1-1-980x551.png 980w, https://cambercollective.com/wp-content/uploads/2023/11/1-1-480x270.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: National Institute of Mental Health (NIMH). “Mental Illness,” March 2023. <a href="https://www.nimh.nih.gov/health/statistics/mental-illness">https://www.nimh.nih.gov/health/statistics/mental-illness</a>.</em></p>



<h1 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Demand is Outpacing Supply of New Entrants to the Workforce</h1>



<p>The mental health workforce includes a wide range of providers, including the following:</p>



<ol class="wp-block-list" style="list-style-type:1">
<li>Licensed professionals, including psychiatrists, psychologists, and social workers</li>



<li>Clinical support workers, such as aides and behavioral health counselors</li>



<li>Community care workers, such as peer counselors and community health workers</li>



<li>Frontline workers, such as law enforcement and emergency medical staff</li>
</ol>



<p>Two forces are stretching provider supply: 1) growing demand for mental health services and 2) inadequate supply of new entrants into the workforce. Nearly half of all Americans live in mental health provider shortage areas.<a id="_ednref1" href="#_edn1">[iv]</a> </p>



<p>As the US population has grown and the need for care has increased due to crises like the COVID-19 pandemic and substance use epidemic, mental health workforce growth has not kept pace. By 2026, the US will need approximately 900,000 mental health workers across all provider types to meet the demand for care, a 10% increase over current demand.<a id="_ednref2" href="#_edn2">[v]</a> </p>



<p>While approximately half of states are projected to meet this demand, the other half are expected to experience a total shortfall of 55,000 workers—and this figure does not include the projected social worker shortages which we will turn to in the next paragraph. As the current workforce reaches retirement age or experiences burnout leading to a high churn rate, new entrants are not joining the workforce quickly enough to replace those exiting the field.</p>



<p>Shortages are particularly acute among licensed providers. Between 2009 and 2014, the number of psychiatrists relative to the population declined in 45 states, with this trend expected to continue through 2030.<a id="_ednref3" href="#_edn3">[vi]</a> <a id="_ednref3" href="#_edn3">[vii]</a> Similarly, shortages of social workers are emerging as they more frequently take on the behavioral care of clients, which increases caseloads without adequate workforce expansion.<a id="_ednref5" href="#_edn5">[viii]</a> &nbsp;By 2030, 30 states will experience social worker shortages, totaling a shortfall of 200,000 nationwide.<a id="_ednref6" href="#_edn6">[ix]</a></p>



<p>Licensed providers such as psychiatrists and social workers must contend with expensive education, years of training, and high workloads. The growth of these professions is stymied by funding barriers and faculty retention challenges in training programs, which limit expansion and pose risks for existing programs.<a id="_ednref7" href="#_edn7">[x]</a> Other positions that provide critical mental health support including psychiatric aides and community health workers, have fewer barriers to entry but often offer salaries so low that a family of four would qualify for Medicaid, which limits the pool of interested candidates.<a id="_ednref8" href="#_edn8">[ixi]</a> <a id="_ednref8" href="#_edn8">[ixii]</a></p>



<p>For Americans living outside of major metropolitan regions, access to providers is even more limited. Rural counties have as little as one-third of the supply of psychiatrists and half the supply of psychologists compared to their urban counterparts (<em>see Figure 2</em>).<a id="_ednref10" href="#_edn10">[xiii]</a> &nbsp;The lack of incentives to pursue a career in mental healthcare is exacerbated in rural areas. Barriers to rural provider recruitment include both lower salaries and limited benefits as well as place-based issues, such as incompatibility with the rural community culture and lack of infrastructure and amenities.<a id="_ednref11" href="#_edn11">[xiv]</a> Inequities in availability of care intensify vulnerabilities already faced by people in these areas.</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p><strong><em>Figure 2. Psychiatrists and Psychologists per 100,000 People in Metropolitan vs. Non-Metropolitan Counties</em></strong></p>



<figure class="wp-block-image size-large is-resized"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/11/2-1-1024x576.png" alt="" class="wp-image-6275" style="width:983px;height:553px" srcset="https://cambercollective.com/wp-content/uploads/2023/11/2-1-980x551.png 980w, https://cambercollective.com/wp-content/uploads/2023/11/2-1-480x270.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: Variation in the Supply of Selected Behavioral Health Providers.” American Journal of Preventive Medicine, The Behavioral Health Workforce: Planning, Practice, and Preparation, 54, no. 6, Supplement 3 (June 1, 2018): S199–207. https://doi.org/10.1016/j.amepre.2018.01.004.</em></p>



<p>Along with an overall shortage of providers, there are inequities in racial and ethnic diversity among provider types, with higher paid roles like psychologists most often being held by white providers. The limited diversity of providers is concerning given that client-provider race and ethnicity concordance has been shown to lead to better treatment effectiveness in people experiencing SMI.<a id="_ednref1" href="#_edn1">[xv]</a> While Black providers are strongly represented as social workers, counselors, and aides, the vast majority of psychologists and psychiatrists in the US are white (see Figure 3).<a id="_ednref2" href="#_edn2">[xvii], [xviii].</a> </p>



<p>For People of Color, financial and educational barriers and workplace discrimination make entering or advancing in the field challenging. Furthermore, People of Color are more likely to remain in entry-level or lower paying jobs in healthcare and are underrepresented across healthcare profession schools both as students and faculty.<a id="_ednref4" href="#_edn4">[xviii]</a> Expensive education, limited representation of People of Color in faculties, lack of culturally sensitive training and support programs, and biased licensure exams disadvantage students of color at every step along the education-to-career pipeline.<a id="_ednref5" href="#_edn5">[xix]</a> </p>



<p>Expanding the mental health workforce, both in terms of sheer numbers and diversity, is critical to maximizing patient choice as well as the benefits from receiving care.</p>



<p><strong><em>Figure 3. Mental Health Occupation by Race/Ethnicity</em></strong></p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/11/3-1-1024x576.png" alt="" class="wp-image-6277" srcset="https://cambercollective.com/wp-content/uploads/2023/11/3-1-980x551.png 980w, https://cambercollective.com/wp-content/uploads/2023/11/3-1-480x270.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: US Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. “Sex, Race, and Ethnic Diversity of US Health Occupations (2011-2015),” 2017. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/diversity-us-health-occupations.pdf.</em></p>



<h1 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Impact of Mental Health Provider Shortages</h1>



<p>The impacts of the mental health workforce shortages are profound, including the exacerbation of inequities, suboptimal patient outcomes, and higher costs for both individuals and the broader economy. </p>



<p>Already-long wait times for new appointments will continue to grow; a 2022 study found that the median wait time for a new patient mental health appointment was 67 days.<a id="_ednref1" href="#_edn1">[xx]</a> Furthermore, out of pocket costs for patients often exceed their ability to pay, a situation intensified by the fact that too few providers accept insurance.<a id="_ednref2" href="#_edn2">[xxi]</a> These limitations result in poorer outcomes for patients, as mild symptoms that go untreated may transform into severe presentations of mental illness. Downstream effects will likely emerge as untreated mental illnesses often lead to worse educational outcomes, lower earnings, and higher suicide rates. People of Color and people in rural areas will continue to be unduly impacted by premature mental-health related deaths because of inaccessibility of treatment.<a id="_ednref3" href="#_edn3">[xxii]</a>&nbsp;</p>



<p>Serious mental illnesses were estimated to cost the US economy $318 billion in earnings losses, healthcare expenditures, and disability benefits in 2002.<a id="_ednref6" href="#_edn6">[1]</a> <a id="_ednref6" href="#_edn6">[xxiii]</a> While this figure is now more than twenty years old, the economic cost has likely only grown in recent years as a result of the increasing demand for and limited access to mental healthcare, in part driven by workforce shortages. </p>



<p>The US government spent $280 billion on direct mental health services in 2020.<a id="_ednref5" href="#_edn5">[xxiv]</a> This number balloons when we consider the costs of treating comorbidities among people experiencing mental illness, which are estimated to be up to three times higher than for people without mental illness.<a id="_ednref6" href="#_edn6">[xxv]</a> </p>



<p>Furthermore, myriad costs are not captured in this estimate of the economic impact of mental illness, as untreated mental health conditions also levy an undue burden on other systems, including social services, emergency departments, and law enforcement. The mental health workforce shortages will increase long-term costs as untreated mental illnesses grow more severe; sequelae  (secondary conditions) develop, such as substance use disorders; and more people are unable to work because of their illness.</p>



<h1 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Addressing Mental Health Workforce Shortages</h1>



<p>Increasing the number of new entrants to the field is critical to addressing the mental health labor force shortages, a stressor which is driving worsening mental health outcomes across the country. Expanding the mental health labor force will require both incentivizing professionals to enter the field and upskilling the workforce to increase capacity across provider types.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Proven Approaches: Training Capacity and Incentive Programs</h2>



<p>Many states are moving quickly to update policies and deploy initiatives to address the workforce shortages, both across the system as a whole and specifically within mental health. </p>



<p>The Resident Physician Shortage Reduction Act of 2021 aimed to increase the number of residency positions for physicians, with a specific focus on increasing psychiatry positions. States like Pennsylvania and California have explored loan repayment and forgiveness programs for mental health providers to incentivize entrants and recruit to areas experiencing shortages.<a id="_ednref1" href="#_edn1">[xxvi]</a>, <a id="_ednref1" href="#_edn1">[xxvii]</a> </p>



<p>Financial incentive programs have been shown to be effective at significantly increasing the number of healthcare providers working in underserved regions.<a id="_ednref3" href="#_edn3">[xxviii]</a> These programs are especially useful for professions in which years of education and low- or unpaid clinical training are required, such as physicians and social workers. Standardizing incentive programs and expanding them nationwide is a critical next step to building the mental health workforce across multiple professional designations.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">A More Novel Approach: Apprenticeship Programs</h2>



<p>In addition to incentivizing new entrants through financial mechanisms and increasing residency training availability for physicians, a key solution to add to the quiver of options is an apprenticeship model for attracting, training, and employing additional mental healthcare workers. </p>



<p>Apprenticeship models for workforce development are used successfully across the globe.<a id="_ednref1" href="#_edn1">[xxix]</a> Despite the fact that apprenticeships have existed in the US for some time, the system is often conflated with internships or assumed to apply only to trades rather than industries like healthcare.<a id="_ednref2" href="#_edn2">[xxx]</a> </p>



<p>An apprenticeship model can increase mental health workforce recruitment and retention as well as candidate diversity. Through the removal of the financial barrier to education by compensating training, upskilling workers to enhance future compensation and workload capacity, and intentionally rolling out programming in rural and underserved areas, a mental health apprenticeship program could help address current and future workforce capacity constraints.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">What is an Apprenticeship Program?</h2>



<p>Apprenticeship programs can enhance mental health workforce recruitment and retention through the provision of high-touch, paid training. The basic structure of an apprenticeship program includes the vocational school, employer, and student. Students learn the theory and science of care work in the classroom and gain practical experience by directly applying what they have learned through a paid, supervised position (<em>see Figure 4)</em>. A key benefit of apprenticeships is that they do not require prior tertiary education. Instead, education and workplace training are combined.</p>



<p>The apprenticeship model can be applied to a range of professional designations in the mental health workforce, especially upskilling clinical supports like behavioral health aides and community care workers like peer counsellors and community health workers. These roles can work in both the acute and emergent settings to address mental health crises and in long-term, ongoing care models such as group homes, homeless shelters, and residential visitation programs. </p>



<p>Some states are already implementing apprenticeship models, such as Washington’s program for behavioral health technicians and peer counselors.<a id="_ednref1" href="#_edn1">[xxxi]</a> Others are offering apprenticeship programs adjacent to the mental health space, such as community health worker apprenticeships focused on populations that are unhoused.<a id="_ednref2" href="#_edn2">[xxxii]</a> While the outcomes of these programs are not yet available, healthcare apprenticeship programs have shown promise in their ability to improve recruitment and retention of the provider workforce.<a id="_ednref3" href="#_edn3">[xxxiii]</a></p>



<p><strong><em>Figure 4. Apprenticeship Components</em></strong></p>



<figure class="wp-block-image size-large is-resized"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/11/4-1-1024x576.png" alt="" class="wp-image-6278" style="width:975px;height:548px" srcset="https://cambercollective.com/wp-content/uploads/2023/11/4-1-980x551.png 980w, https://cambercollective.com/wp-content/uploads/2023/11/4-1-480x270.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: The Workforce Connection. “Apprenticeships,” n.d. https://www.theworkforceconnection.org/apprenticeships/</em></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">An Apprenticeship Model Can Improve Mental Health Outcomes while Reducing the Burden on Providers</h2>



<p>A robust apprenticeship program could address the mental health workforce shortages and increase access to care through three key mechanisms:</p>



<ol class="wp-block-list" style="list-style-type:1">
<li><strong>Volume of providers:</strong> By incentivizing workers to enter training and integrating students immediately into the workforce, the number of providers available will increase.</li>



<li><strong>Diversity of providers: </strong>Apprenticeship programs can be designed to recruit candidates from diverse racial and ethnic backgrounds and across geographies to promote equitable representation of People of Color in the workforce and increase the number of providers practicing in rural and underserved areas.</li>



<li><strong>Task shifting: </strong>Training clinical support providers and community-based care workers to provide specific mental healthcare services can offload care work typically handled by psychiatrists, psychologists, and social workers where their expertise is not needed, thereby reducing wait times and costs.</li>
</ol>



<p>Addressing the mental health workforce shortages will require a range of strategies to enhance capacity and improve provider diversity. Apprenticeships could rapidly and effectively increase the number of trained workers who can fill the gaps in care availability, thereby improving patient outcomes and reducing long-term costs. A strong mental healthcare workforce is key to ensuring people can manage mental illness and live their lives in a state of the best possible health and well-being.</p>



<p>Read <a href="https://cambercollective.com/2024/02/26/legislative-barrier/">Part Two</a></p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p><em><strong>Kim Langenhahn</strong>&nbsp;draws on more than 15 years of consulting, operational, and startup experience in the domestic and international health and nonprofit sectors to help organizations navigate complex issues, operate more effectively, and deliver greater impact. During the course of her career, Kim has helped numerous healthcare organizations tackle a variety of strategic challenges such as scaling Terrapin Pharmacy’s remote medication adherence system, launching a MENA-focused healthcare incubator, devising system-wide strategy for the Saudi Arabian Ministry of Health as part of PwC’s consulting practice, and developing a market forecast for a pharmaceutical company alongside her L.E.K. Consulting colleagues.&nbsp; She is also the Cofounder of a small social enterprise that she runs with her family</em></p>



<p><em>Kim earned a Master of Business Administration and a Master of Public Policy from the University of Chicago as well as a Master of Science in Quantitative Management and a Bachelor of Arts from Duke University.&nbsp; An avid traveler, reader, bread baker, ice cream churner, and (aspiring) cheese maker, she also enjoys helping her husband tend to their rooftop garden and vermiculture operation.&nbsp; She currently resides in Washington, D.C.</em></p>



<p><em><strong>Morgan de Luce</strong> is driven by a passion for health equity, human-centered design, and trust-based philanthropy. She has over seven years of experience working with nonprofits to improve access to healthcare and education for vulnerable populations. Prior to joining Camber, she led fundraising and operations for OASIS (Organizing to Advance Solutions in the Sahel) as well as managed the organization’s reproductive health medicines research portfolio. Prior to that, she worked in Kenya to improve children’s education access and career success with the organization Flying Kites.</em></p>



<p><em>Morgan received her Master of Public Health in Health and Social Behavior from the Harvard T.H. Chan School of Public Health, where she concentrated in Maternal and Child Health. Morgan also holds a Bachelor degree in Sociology from Boston College. In her free time, Morgan loves to practice yoga, experiment in the kitchen, and explore California’s many beautiful state parks.</em></p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong>Endnotes</strong></h2>



<p><a href="#_ednref1" id="_edn1">[i]</a> National Institute of Mental Health (NIMH). “Mental Illness,” March 2023. <a href="https://www.nimh.nih.gov/health/statistics/mental-illness">https://www.nimh.nih.gov/health/statistics/mental-illness</a>.</p>



<p><a href="#_ednref2" id="_edn2">[ii]</a> Ibid.</p>



<p><a id="_edn3" href="#_ednref3">[iii]</a> Mental Health America. “The State of Mental Health in America,” 2023. https://mhanational.org/issues/state-mental-health-america.</p>



<p><a id="_edn1" href="#_ednref1">[iv]</a> Health Resources and Services Administration. “Health Workforce Shortage Areas,” October 2023. https://data.hrsa.gov/topics/health-workforce/shortage-areas.</p>



<p><a id="_edn2" href="#_ednref2">[v]</a> Bateman, Tanner, Sean Hobaugh, Eric Pridgen, and Arika Reddy. “US Healthcare Labor Market.” Mercer, 2021. https://www.mercer.com/content/dam/mercer/assets/content-images/north-america/united-states/us-healthcare-news/us-2021-healthcare-labor-market-whitepaper.pdf.</p>



<p><a id="_edn3" href="#_ednref3">[vi]</a> Mann, Sarah. “AAMC Research Confirms Looming Physician Shortage.” AAMC, September 2016. https://www.aamc.org/news/aamc-research-confirms-looming-physician-shortage.</p>



<p><a id="_edn4" href="#_ednref4">[vii]</a> National Center for Health Workforce Analysis. “Behavioral Health Workforce Projections, 2017-2030.” Health Resources and Services Administration, n.d. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/bh-workforce-projections-fact-sheet.pdf.</p>



<p><a id="_edn5" href="#_ednref5">[viii]</a> National Center for Health Workforce Analysis. “Behavioral Health Workforce Projections, 2017-2030.” Health Resources and Services Administration, n.d. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/bh-workforce-projections-fact-sheet.pdf.</p>



<p><a id="_edn6" href="#_ednref6">[ix]</a> Lin, Vernon W., Joyce Lin, and Xiaoming Zhang. “ US Social Worker Workforce Report Card: Forecasting Nationwide Shortages.” Social Work 61, no. 1 (January 2016): 7–15. https://doi.org/10.1093/sw/swv047.</p>



<p><a id="_edn7" href="#_ednref7">[x]</a> Pheister, Mara, Deborah Cowley, William Sanders, Tanya Keeble, Francis Lu, Lindsey Pershern, Kari Wolf, Art Walaszek, and Rashi Aggarwal. “Growing the Psychiatry Workforce Through Expansion or Creation of Residencies and Fellowships: The Results of a Survey by the AADPRT Workforce Task Force.” Academic Psychiatry 46, no. 4 (2022): 421–27. https://doi.org/10.1007/s40596-021-01509-9.</p>



<p><a id="_edn8" href="#_ednref8">[xi]</a> US Bureau of Labor Statistics. “Occupational Employment and Wage Statistics: May 2022 Occupation Profiles,” 2022. https://www.bls.gov/oes/current/oes_stru.htm.</p>



<p><a id="_edn9" href="#_ednref9">[xii]</a> HealthCare.gov. “Federal Poverty Level (FPL) &#8211; Glossary,” 2023. https://www.healthcare.gov/glossary/federal-poverty-level-fpl.</p>



<p><a id="_edn10" href="#_ednref10">[xiii]</a> Andrilla, C. Holly A., Davis G. Patterson, Lisa A. Garberson, Cynthia Coulthard, and Eric H. Larson. “Geographic Variation in the Supply of Selected Behavioral Health Providers.” American Journal of Preventive Medicine, The Behavioral Health Workforce: Planning, Practice, and Preparation, 54, no. 6, Supplement 3 (June 1, 2018): S199–207. https://doi.org/10.1016/j.amepre.2018.01.004.</p>



<p><a id="_edn11" href="#_ednref11">[xiv]</a> Schwartz, Malaika, Davis Patterson, and Rachelle McCarty. “State Incentive Programs That Encourage Allied Health Professionals to Provide Care for Rural and Underserved Populations.” Center for Health Workforce Studies, University of Washington, December 2019. https://depts.washington.edu/fammed/chws/wp-content/uploads/sites/5/2019/12/State-Incentive-Programs-Allied-Health-FR-2019.pdf.</p>



<p><a id="_edn1" href="#_ednref1">[xv]</a> Chao, Puihan J., John J. Steffen, and Elaine M. Heiby. “The Effects of Working Alliance and Client-Clinician Ethnic Match on Recovery Status.” Community Mental Health Journal 48, no. 1 (February 1, 2012): 91–97. https://doi.org/10.1007/s10597-011-9423-8.</p>



<p><a id="_edn2" href="#_ednref2">[xvi]</a> US Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. “Sex, Race, and Ethnic Diversity of US. Health Occupations (2011-2015),” 2017. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/diversity-us-health-occupations.pdf.</p>



<p><a id="_edn3" href="#_ednref3">[xvii]</a> Wyse, Rhea, Wei-Ting Hwang, Awad A. Ahmed, Erica Richards, and Curtiland Deville. “Diversity by Race, Ethnicity, and Sex within the US Psychiatry Physician Workforce.” Academic Psychiatry 44, no. 5 (October 1, 2020): 523–30. https://doi.org/10.1007/s40596-020-01276-z.</p>



<p><a id="_edn4" href="#_ednref4">[xviii]</a> Wilbur, Kirsten, Cyndy Snyder, Alison C. Essary, Swapna Reddy, Kristen K. Will, and Mary Saxon. “Developing Workforce Diversity in the Health Professions: A Social Justice Perspective.” Health Professions Education 6, no. 2 (June 1, 2020): 222–29. https://doi.org/10.1016/j.hpe.2020.01.002.</p>



<p><a id="_edn5" href="#_ednref5">[xix]</a> Cottonham, Danielle, and Amber Herrera. “What’s Causing the Shortage of Diverse Mental Health Providers?” Lyra Health, December 20, 2022. https://www.lyrahealth.com/blog/whats-causing-the-shortage-of-diverse-mental-health-providers/.</p>



<p><a id="_edn1" href="#_ednref1">[xx]</a> Sun, Ching-Fang, Christoph U. Correll, Robert L. Trestman, Yezhe Lin, Hui Xie, Maria Stack Hankey, Raymond Paglinawan Uymatiao, et al. “Low Availability, Long Wait Times, and High Geographic Disparity of Psychiatric Outpatient Care in the US.” General Hospital Psychiatry 84 (September 1, 2023): 12–17. https://doi.org/10.1016/j.genhosppsych.2023.05.012.</p>



<p><a id="_edn2" href="#_ednref2">[xx]</a> Bishop, Tara F., Matthew J. Press, Salomeh Keyhani, and Harold Alan Pincus. “Acceptance of Insurance by Psychiatrists and the Implications for Access to Mental Health Care.” JAMA Psychiatry 71, no. 2 (February 1, 2014): 181. https://doi.org/10.1001/jamapsychiatry.2013.2862.</p>



<p><a id="_edn3" href="#_ednref3">[xxii]</a> Satcher Health Leadership Institute, Eugene S. Farley, Jr. Health Policy Center, and Robert Graham Center. “The Economic Burden of Mental Health Inequities in the United States Report,” September 2022. https://satcherinstitute.org/wp-content/uploads/2022/09/The-Economic-Burden-of-Mental-Health-Inequities-in-the-US-Report-Final-single-pages.V3.pdf.</p>



<p><a id="_ftn1" href="#_ftnref1">[1]</a> At the time of publication, no comprehensive figure for the current economic cost of mental health could be found.</p>



<p><a id="_edn4" href="#_ednref4">[xxiii]</a> Insel, Thomas R. “Assessing the Economic Costs of Serious Mental Illness.” American Journal of Psychiatry 165, no. 6 (June 2008): 663–65. https://doi.org/10.1176/appi.ajp.2008.08030366.</p>



<p><a id="_edn5" href="#_ednref5">[xxiv]</a> The White House. “Reducing the Economic Burden of Unmet Mental Health Needs,” May 31, 2022. https://www.whitehouse.gov/cea/written-materials/2022/05/31/reducing-the-economic-burden-of-unmet-mental-health-needs/.</p>



<p><a id="_edn6" href="#_ednref6">[xxv]</a> Melek, Stephen, Douglas Norris, Jordan Paulus, Katherine Matthews, Alexandra Weaver, and Stoddard Davenport. “Potential Economic Impact of Integrated Medical-Behavioral Healthcare.” Milliman, January 2018. https://www.milliman.com/-/media/milliman/importedfiles/uploadedfiles/insight/2018/potential-economic-impact-integrated-healthcare.ashx.</p>



<p><a id="_edn1" href="#_ednref1">[xxvi]</a> The General Assembly of Pennsylvania. <em>An Act Providing for Commonwealth support for a Mental Health and Intellectual Disability Staff Member Loan Forgiveness Program and an Alcohol and Drug Addiction Counselor Loan Forgiveness Program. </em>HB2384.Referred to Committee on Human Services March 8, 2022, https://www.legis.state.pa.us/cfdocs/legis/pn/public/btCheck.cfm?txtType=HTM&amp;sessYr=2021&amp;sessInd=0&amp;billBody=H&amp;billTyp=B&amp;billnbr=2384&amp;pn=2803.</p>



<p><a id="_edn2" href="#_ednref2">[xxvii]</a> California Department of Health Care Access and Information. “Licensed Mental Health Services Provider Education Program (LMH).” Accessed October 16, 2023. https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/lmhspep/.</p>



<p><a id="_edn3" href="#_ednref3">[xxviii]</a> Bärnighausen, Till, and David E. Bloom. “Financial Incentives for Return of Service in Underserved Areas: A Systematic Review.” BMC Health Services Research 9, no. 1 (May 29, 2009): 86. https://doi.org/10.1186/1472-6963-9-86.</p>



<p><a id="_edn1" href="#_ednref1">[xxix]</a> Elliott, Diana, and Miriam Farnbauer. “Bridging German and US Apprenticeship Models: The Role of Intermediaries.” Urban Institute, August 2021. https://www.urban.org/sites/default/files/publication/104677/bridging-german-and-us-apprenticeship-models.pdf.</p>



<p><a id="_edn2" href="#_ednref2">[xxx]</a> Ibid.</p>



<p><a id="_edn1" href="#_ednref1">[xxxi]</a> Health Care Apprenticeship Consortium. “Behavioral Health Apprenticeships,” n.d. https://healthcareapprenticeship.org/bh-apprenticeships/.</p>



<p><a id="_edn2" href="#_ednref2">[xxxii]</a> City College of San Francisco. “Community Health Worker Apprenticeship.” https://www.ccsf.edu/academics/career-education/community-health-worker-apprenticeship.</p>



<p><a id="_edn3" href="#_ednref3">[xxxiii]</a> Mauldin, Bronwyn. “Apprenticeships in the Healthcare Industry.” Skill Up Washington, 2011. http://skillupwa.nonprofitsoapbox.com/storage/documents/Apprenticeships_in_the_Healthcare_Industry.pdf.</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>
<p>The post <a href="https://cambercollective.com/2023/11/13/mental-health-barrier-1/">A Macroeconomic Barrier: US Mental Health Workforce Shortages</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>Advancing Equity in Charter Schools</title>
		<link>https://cambercollective.com/2023/10/03/charter-schools/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Tue, 03 Oct 2023 00:25:05 +0000</pubDate>
				<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[Shared Prosperity]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6171</guid>

					<description><![CDATA[<p>Through our work, we have identified several key equity principles that are common across the most inclusive and high-performing charter schools and initiatives, which could serve as a model for both new and existing charters to follow.</p>
<p>The post <a href="https://cambercollective.com/2023/10/03/charter-schools/">Advancing Equity in Charter Schools</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Summary</h2>



<ul class="wp-block-list">
<li><em>In the US, students’ backgrounds and factors such as race and family income continue to be predictors of academic success. Alternative free public-school options, such as high-quality charter schools, can represent just one of several avenues through which to challenge this status quo.</em></li>



<li><em>Through Camber’s work in the charter sector, we come to the thesis that several key equity principles are core to the success of charter school programs in equalizing opportunity for quality public-school education, particularly for students from families who have been historically marginalized.</em></li>



<li><em>These equity principles include: a diverse and inclusive curriculum, responsive community engagement, leadership that is reflective of the students served, restorative—rather than punitive—discipline, and equitable resources and services.</em></li>
</ul>



<figure class="wp-block-image aligncenter size-large is-resized"><img decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/10/Kindergarten-school-boy_Unsplash-image69-1-1024x681.jpg" alt="" class="wp-image-6183" style="aspect-ratio:3/2;object-fit:cover;width:983px" width="983" srcset="https://cambercollective.com/wp-content/uploads/2023/10/Kindergarten-school-boy_Unsplash-image69-1-1024x681.jpg 1024w, https://cambercollective.com/wp-content/uploads/2023/10/Kindergarten-school-boy_Unsplash-image69-1-600x399.jpg 600w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure>



<p><em>photo</em> <em>credit: Unsplash</em></p>



<h2 class="wp-block-heading">Our work</h2>



<p>Camber Collective has had the opportunity to work in the charter school sector, learning from and collaborating with charter school parents, founders, funders, and organizing partners across the topics of sector strategy and sustainability. While perspectives on charter schools can vary, we see their potential to serve as just one of several means of strengthening equitable access to high-quality public-school education by serving a broad range of student and family needs, with the ultimate goal of improving academic outcomes and advancing students’ pursuit of postsecondary pathways.</p>



<p>Across the US, charter school operating models vary widely across states, districts, and individual schools. School-by-school differences are particularly visible in regard to schools’ incorporation of practices and principles rooted in equity, spanning curriculum content, enrollment practices, leadership diversity, and community-based partnerships. While some charter schools have been successful in providing high-quality education accompanied by equity-based practices serving students and communities that are under-resourced or have been historically marginalized, others are underperforming in this arena. Through our work, we have identified several key equity principles that are common across the most inclusive and high-performing charter schools and initiatives, which could serve as a model for both new and existing charters to follow.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Background on charter schools</h2>



<p>Charter schools originated in the US in the 1970s, based on the idea of an organized group of teachers setting up a contract or “charter” with their school district to employ innovative approaches to public school education. The concept of charter schools is rooted in a progressive (though not always realized) ideal: that by allowing public school teachers and leaders to work with greater freedom to meet the needs of their children, they might achieve a higher rate of student success while remaining in—and ideally strengthening—the overall public school system, by offering innovative services and building the evidence base for best practices.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><em><strong>Charter School Statistics in the United States, 2020-2021 School Year </strong></em></h2>



<figure class="wp-block-image aligncenter size-large"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/10/1-1-1024x576.jpg" alt="" class="wp-image-6179" srcset="https://cambercollective.com/wp-content/uploads/2023/10/1-1-980x551.jpg 980w, https://cambercollective.com/wp-content/uploads/2023/10/1-1-480x270.jpg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: National Alliance for Public Charter Schools. 2022 Data Digest: Charter School Coverage.</em></p>



<p>While charter schools are similar to traditional public schools in that they are publicly funded (though, on average, at a level 25% less than district counterparts on a per-student basis<sup>1</sup>); offer free and reduced-price lunch; provide programs to support students with disabilities; and are accountable to state and national education standards, there are several key differences between the two. The differentiated offering of charter schools centers on the school’s ability to offer flexibility: choice for teachers to provide innovative instruction and to design classrooms personalized for students, ideally guided by leaders who have the flexibility to try new ideas and create a school culture that mirrors and supports the surrounding community<sup>2</sup>.</p>



<h2 class="wp-block-heading">What do charter schools have to offer?</h2>



<p><em>&#8220;Nothing works like a charter school that is high performing&#8230; </em><br><em>they can go into the toughest situations and turn things around for every kid&#8221;</em> <br><em>–National charter school sector leader &amp; advocate.</em></p>



<p>Charter school advocates call attention to the fact that the traditional public school system is working for many, but not all, students; research shows that students that come from families with low-income backgrounds or students of Black and Latino* families are most often the ones left behind<sup>3</sup>. In theory, charter schools have the opportunity to offer an alternative, high-quality, public-school option to families, and in particular those families underserved by the traditional public system. Recent studies provide evidence of charter schools delivering higher quality academic results for students relative to traditional district public schools (equivalent to an additional 16 days of learning in reading, and six days in math)<sup>4</sup>. Notably, the vast majority—if not all—of charter school academic outperformance in recent years is being driven by learning gains for Black and Latino students.</p>



<h2 class="wp-block-heading"><em><strong>Academic Results by Race</strong></em></h2>



<figure class="wp-block-image aligncenter size-large"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/10/2-1024x576.png" alt="" class="wp-image-6178" srcset="https://cambercollective.com/wp-content/uploads/2023/10/2-980x551.png 980w, https://cambercollective.com/wp-content/uploads/2023/10/2-480x270.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: Stanford University, Center for Research on Education Outcomes (CREDO), 2023.</em></p>



<h2 class="wp-block-heading">Public opinion and debate</h2>



<p>According to survey polls, public favorability of charter schools has been modestly trending upward in recent years, most notably amongst Black survey respondents<sup>5</sup>.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong><em>Percent of the U.S. population in support of charter schools, 2016-2022 </em></strong></h2>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="576" src="https://cambercollective.com/wp-content/uploads/2023/10/3-1024x576.png" alt="" class="wp-image-6180" srcset="https://cambercollective.com/wp-content/uploads/2023/10/3-980x551.png 980w, https://cambercollective.com/wp-content/uploads/2023/10/3-480x270.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>Source: Education Next, Education Next Survey of Public Opinion (poll results, 2016-2022).</em></p>



<p>Despite this uptick in public support, charter schools have been the subject of ongoing controversy across the US. Critiques of the sector center on the practices and procedures of charter schools themselves—including whether they equitably serve all students regardless of race, class, disability, or spoken language<sup>6</sup>, in addition to the real and/or perceived opportunity cost of funding charter schools relative to the public school system. </p>



<p></p>



<p>While charter schools remain a significant component of our public school system (enrolling over 7% of the total public-school population), a constructive debate should focus on building towards policy and practices that promote accessible, high-quality public schools with the goal of advancing equal educational opportunity for <em>all</em> students.</p>



<p></p>



<p class="has-text-align-left"><em>&nbsp;“Schools and school leaders who are clear on their values and what they&#8217;re trying to create, focused on sense of community and school culture and united on a common vision,</em> c<em>ombined with high standards of achievement and execution. Those are the schools that are doing the best.” </em><br><em>– Charter school policy &amp; advocacy expert</em></p>



<p></p>



<p></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The equity imperative</h2>



<figure class="wp-block-image size-large is-resized"><img decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/10/High-school-graduation_Unsplash-image-1024x683.jpg" alt="" class="wp-image-6184" style="aspect-ratio:3/2;object-fit:cover;width:983px" width="983" srcset="https://cambercollective.com/wp-content/uploads/2023/10/High-school-graduation_Unsplash-image-980x653.jpg 980w, https://cambercollective.com/wp-content/uploads/2023/10/High-school-graduation_Unsplash-image-480x320.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p><em>photo credit: Unsplash</em></p>



<p>We have learned throughout our work that charter schools across the continuum stand to benefit from integrating community-tailored equity principles into their operating models. Charter school leaders, administrators, and sector partners can disrupt the cycles of racism, segregation, and inequitable opportunity for students and families who have experienced less privilege in the U.S. education systems by maintaining a deep focus on and commitment to equity principles. If executed well, charter schools can be one effective tool in the pursuit of educational equality in the United States.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Our lessons learned: equity principles in charter schools</h2>



<p>Charter schools are not automatic drivers of equity, but they do have the potential to advance equity when they are focused on implementing a variety of strategies that prioritize equitable access and outcomes for all students. In pursuit of offering a nurturing, inclusive, and race-conscious education option to students and families seeking a high-quality public school, the following principles may be considered as optimal:</p>



<ol class="wp-block-list" type="A">
<li><strong>Diverse and inclusive curriculum: </strong>Students will benefit from the incorporation of inclusive teaching practices that accommodate those with various learning styles and abilities<sup>7</sup>. A wide range of leaders in the field stress the importance of developing a curriculum that reflects the cultural, ethnic, and linguistic diversity of the student population. Schools should be prioritizing culturally responsive teaching strategies that affirm the identities and experiences of all students, challenging a traditionally dominant narrative or teaching methodology.<br><br><em>“[In addition to academic achievement], a high-quality school must be anti-racist and community rooted. You can get a school that has knockout academic results but can still be learning in a racist institution.&#8221;</em> <br><em>–Charter school non-profit organization leader<br></em><br></li>



<li><strong>Leadership reflective of students served</strong>: Recruit and retain a diverse leadership team and teaching staff that reflects the racial, ethnic, and linguistic diversity of the student body; and provide ongoing professional development on culturally responsive teaching. Studies have shown the impact of teacher diversity on student outcomes; increased exposure to same-race teachers is linked to improvements in course grades, students’ attendance, grit and interpersonal self-management<sup>8</sup>. Cultural competency and connection to the lived experience of the students and their families is integral to students’ social-emotional and academic success and sense of belonging.<br><br><em>“There have been a lot of organizations who have worked to change the face of charter [schools] and diversify. It is time to make sure those faces are seen.” </em><br><em>–Charter school authorizer<br></em><br></li>



<li><strong>Restorative—rather than punitive —discipline</strong>: Implement a restorative justice approach to discipline, balancing rigorous academic and behavioral standards with nurturing instruction, positive discipline, and whole-student focused methods. Several charter networks that have been publicly criticized for their strict disciplinary practices (often referred to as the “no excuses” model) that disproportionately impact BIPOC** students or students experiencing learning or behavioral challenges, have since repudiated this punitive approach<sup>9,10</sup>. The consideration of a student’s racial and cultural identity, home experience, food security, psychological safety, and social or learning needs should be heavily weighed when forming disciplinary action, incorporating social-emotional learning frameworks and using a trauma-informed approach that prioritizes problem-solving and conflict resolution over punitive measures.<br><br></li>



<li><strong>Responsive community engagement: </strong>Foster strong partnerships with parents/caretakers and the local community to involve them in decision-making processes and school governance tailored to the unique needs of the school’s students and families. Create a welcoming environment that encourages parent/caretaker involvement including practices of transparent communication, open feedback channels, and earning and maintaining family’s trust. Implement a transparent and fair process for addressing complaints or concerns related to equity.<br><br><em>“Go to community meetings and listen to build the opportunities that communities are looking for. Acknowledge that this takes more time, but it&#8217;s a much better approach towards quality [schools].”</em> <br>–<em>National charter school sector advocate.</em><br><br><em>“[We have a] moral imperative to ensure charter work is informed by the families they are serving. There has been a lot of changes in the education system, so want to be sure families and communities are aware of those changes and have a voice in designing their kid&#8217;s education.” </em><br>–<em>Charter network CEO</em><br><br></li>



<li><strong>Equitable resources and services</strong>: Provide comprehensive special education services and accommodations to students with disabilities and ensure that the Individualized Education Program process is followed rigorously to meet the unique needs of each student with a disability. Offer robust English language learner (ELL) programs to help students who are learning English, and that educators are trained in best practices for teaching ELL students. If charter schools fail to provide adequate services to equitably serve those students with additional needs, a disproportionate burden falls upon nearby district schools to provide for those students.</li>
</ol>



<p>These suggestions cover some, but not all, equity practices to be considered by charter operators, authorizers, and sector advocates. By actively pursuing these strategies and adopting equity-focused operating models, charter schools can work towards ensuring that all students have the opportunity to thrive, regardless of their background or circumstances.</p>



<h2 class="wp-block-heading">Questions for further consideration</h2>



<p>Policymakers, educators, and communities need to continually evaluate and improve charter school practices to achieve more equitable educational opportunities for all students.</p>



<p>As we move forward in our work within both charter schools and the education systems in the United States, we are considering the following questions:</p>



<ul class="wp-block-list">
<li>How can policymakers, sector leaders, and educators provide guidance and standards for the implementation of equity principles in charter schools across the country?<br></li>



<li>How do equity principles fit into charter school performance measurement and data?<br></li>



<li>What is the correct definition of “quality” public education that charter schools should be held accountable to, beyond student academic performance?</li>
</ul>



<p>We look forward to exploring these challenges further with equity-oriented philanthropies and funders, public agencies, and communities, and continuing to contribute to an equitable charter school system that extends equal opportunity and long-term economic mobility for the many students currently deprived of these possibilities.</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p>*<em>While “Hispanic” and “Latino” are often used interchangeably, <em>“Hispanic” generally denotes alignment with Census and other federal data tracking conventions</em>. In this paper, we have used &#8220;Latino.&#8221; </em></p>



<p><em>**BIPOC refers to Black, Indigenous, and People of Color. Camber Collective recognizes that this term, like many others in this dynamic and rapidly changing nomenclature context, does not fully serve all communities or contexts, but we will use it here for the sake of brevity and uniformity. </em></p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Citations</h2>



[1] National Alliance for Public Charter Schools. <a href="https://data.publiccharters.org/digest/charter-school-data-digest/how-many-charter-schools-and-students-are-there/">2022 Data Digest: Charter School Coverage</a>.</p>



[2] National Alliance for Public Charter Schools. <a href="https://publiccharters.org/about-charter-schools/">About Charter Schools: What makes a charter school different from any other public school?</a></p>



[3] The Nation’s Report Card, National Assessment of Educational Progress (NEAP). <a href="https://www.nationsreportcard.gov/reading/nation/scores/?grade=4">NEAP Report Card 2022</a>).</p>



[4] Stanford University, Center for Research on Education Outcomes (CREDO). <a href="https://ncss3.stanford.edu/wp-content/uploads/2023/06/Credo-NCSS3-Report.pdf">As a Matter of Fact: The National Charter School Study III 2023</a>.</p>



[5] Education Next. Education Next Survey of Public Opinion: <a href="https://www.educationnext.org/ednext-poll/">Poll results 2016-2022</a>.</p>



[6] The Century Foundation. <a href="https://tcf.org/content/report/advancing-intentional-equity-charter-schools/">Advancing Intentional Equity in Charter Schools</a>, 2019.</p>



[7] Communities at the Center, National Alliance for Charter School Authorizers. Education and charter school sector <a href="https://withcommunities.org/">leaders’ anecdotes and testimonials</a>.</p>



[8] The Brookings Institution, “<a href="https://www.brookings.edu/articles/it-matters-now-more-than-ever-what-new-developments-say-about-teacher-diversity-and-student-success/">It matters now more than ever: What new developments say about Teacher Diversity and Student Success</a>”. Michael Hansen, Constance A. Lindsay, and Seth Gershenson. August 1, 2022.</p>



[9] KIPP Public Schools, <a href="https://www.kipp.org/news/a-letter-from-dave-levin-to-kipp-alumni/">A Letter from David Levin to KIPP Alumni</a>. June 18, 2020. </p>



[10] Columbia University, National Center for the Study of Privatization in Education. <a href="https://ncspe.tc.columbia.edu/center-news/2021/noble-charter-network-joins-kipp-in-renouncing-no-excuses-philosophy/">Noble Charter Network Joins KIPP in Renouncing &#8220;No Excuses&#8221; Philosophy</a>. March 22, 2021.</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p><em><strong>Melissa Mullins</strong> is an Associate in Camber Collective&#8217;s Seattle office. She has eight years of social sector experience, working with nonprofits and foundations in investment planning, operational strategy, and endowment management. Prior to joining Camber, Melissa worked for the Gordon and Betty Moore Foundation as the Director of Strategy and Operations within the investment management team. Melissa is also a Birth Doula, most recently working at the San Francisco General Hospital on a volunteer basis, providing one-to-one labor and birth support to under-resourced women and families. In her work, Melissa is focused on economic and health inequities and community wellbeing, specifically addressing the access points, policies, and structural frameworks that cause and perpetuate disparities in social outcomes. Melissa received her Master of Public Affairs from UC Berkeley, where she focused on maternal health, family planning, economic mobility, and policy analysis and design. She also holds a Bachelor degree in Government from Harvard University.</em></p>



<p><strong><em>Marc Allen </em></strong><em>is a Director at Camber Collective and the Shared Prosperity Sector Lead<strong>, </strong>heading the firm’s Shared Prosperity portfolio. Drawing on his toolkit as a strategist and former policy attorney, Marc leads teams working to strengthen and reimagine our economic and democratic systems. His experience spans strategy and investment design, human-centered research/insights, and coalition-building services for philanthropies, government agencies, multilateral institutions, nonprofits, and socially-invested corporations. More broadly, Marc guides the effectiveness of executive teams in mission-driven organizations, helping to advance their theories of impact, program design, business models, and cultures of belonging.</em></p>
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			</div><p>The post <a href="https://cambercollective.com/2023/10/03/charter-schools/">Advancing Equity in Charter Schools</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>The Imperative of a Gendered Approach to Climate Change</title>
		<link>https://cambercollective.com/2023/09/19/gendered-climate/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Tue, 19 Sep 2023 17:30:32 +0000</pubDate>
				<category><![CDATA[Case Studies]]></category>
		<category><![CDATA[Climate & Environment]]></category>
		<category><![CDATA[Gender Equality]]></category>
		<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[Sectors]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6086</guid>

					<description><![CDATA[<p>Climate change is more than just an environmental concern; it's an amplifier of existing societal structures and disparities. In the vast and diverse expanse of Africa, this confluence of gender and climate has profound implications for vulnerability, resilience, and empowerment. </p>
<p>The post <a href="https://cambercollective.com/2023/09/19/gendered-climate/">The Imperative of a Gendered Approach to Climate Change</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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				<div class="et_pb_text_inner"><h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">A multi-temporal perspective on vulnerability, resilience, and empowerment in Africa</h2>



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<p>Amidst the sprawling narrative of climate change, an essential facet often recedes into the backdrop: its gendered dimensions. </p>



<p>Climate change is more than just an environmental concern; it&#8217;s an amplifier of existing societal structures and disparities. In the vast and diverse expanse of Africa, this confluence of gender and climate has profound implications for vulnerability, resilience, and empowerment. From the immediate ramifications in sectors where women predominantly work, to the broader challenges and opportunities posed by the shift towards a sustainable green economy, and ultimately, to the envisioning of a world where women&#8217;s voices lead and shape the climate discourse — each temporal perspective reveals distinct challenges and pathways to empowerment.</p>



<p>In the short term, women&#8217;s vital roles in agriculture, artisanal mining, and market sectors expose them directly to the whims of an unpredictable climate, magnifying vulnerabilities. As we transition to the medium-term, the promise of a green economic transition looms large, but without proactive inclusion, women risk being sidelined in this transformative shift. By the long-term, opportunities emerge to not only address immediate impacts or structural changes, but instead to reimagine the very framework of climate governance through a gender-inclusive lens. Women should not merely be beneficiaries of climate policy, but its architects, driving innovation and holistic solutions. </p>



<p>This multi-temporal lens is not just a structure; it&#8217;s an imperative. To holistically address the gendered dimensions of climate change, it is vital to understand the intertwined challenges, risks, and opportunities across different time horizons.</p>



<figure class="wp-block-image aligncenter size-large"><a href="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-1.jpeg"><img loading="lazy" decoding="async" width="1024" height="439" src="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-1-1024x439.jpeg" alt="" class="wp-image-6087" srcset="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-1-980x420.jpeg 980w, https://cambercollective.com/wp-content/uploads/2023/09/Graphic-1-480x206.jpeg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></a></figure>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Short-term challenges: The immediate gendered impact and African women at the frontline</h2>



<p>In the vibrant tapestry of African economies, women emerge as the unspoken anchors, particularly in sectors that are now facing the brunt of climate change&#8217;s onslaught. Their daily endeavors, often rooted in the land and the environment, are directly threatened, translating environmental changes into immediate challenges for their households, communities, and, by extension, entire economies.</p>



<figure class="wp-block-image aligncenter size-large"><a href="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-2.jpeg"><img loading="lazy" decoding="async" width="1024" height="273" src="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-2-1024x273.jpeg" alt="" class="wp-image-6088" srcset="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-2-980x261.jpeg 980w, https://cambercollective.com/wp-content/uploads/2023/09/Graphic-2-480x128.jpeg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></a></figure>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Agriculture: the lifestream of many, now under siege</h3>



<p>In countries spanning from the Sahelian regions to the Great Rift Valley, agriculture stands as a testament to women’s resilience and ingenuity. A majority of the small-scale farmers in sub-Saharan Africa are women,<a id="_ftnref1" href="#_ftn1">[1]</a> and they are responsible for producing a significant portion of the continent&#8217;s food. However, with climate change disrupting rainfall patterns, prolonged droughts and unexpected floods are becoming annual calamities. These aren&#8217;t just climatic anomalies; for many women, they mean failed harvests, escalating debts, and nights when their children go to bed hungry. Beyond immediate food security, these impacts exacerbate already prevalent challenges: limited access to agricultural training, credit facilities, and advanced farming tools.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The bustling informal markets: Critical social infrastructure at risk</h3>



<p>In numerous African cities, from the alleyways of Marrakech to the busy streets of Accra, the informal market sector buzzes with activity and is predominantly steered by women. These markets, vital for local economies, are incredibly sensitive to climate perturbations. A single flood can wash away a woman&#8217;s inventory, accumulated over months or even years. An unexpected heatwave can render perishable goods unsellable. Furthermore, climate-driven changes in market systems can negatively impact informal vendors’ ability to stay afloat, particularly if they don’t have access to formal financial services. For many women in these markets, there&#8217;s no safety net; a climate-induced setback can mean spiraling into debt or pushing their families further into poverty.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Artisanal and small-scale mining: vulnerable yet vital</h3>



<p>Across Africa, women make up nearly half of the artisanal and small-scale mining (ASM) workforce.<a id="_ftnref1" href="#_ftn1">[2]</a> Often existing outside of the formal labor market, these women regularly operate under dangerous and uncertain conditions that leave them particularly vulnerable to both the economic and physical risks of climate change. Without access to skills, resourcing, and legal protections, female miners are disproportionately exposed to the financial and safety risks of an already dangerous profession. To make matters worse, the green transition will require significant increases in the precious metals like cobalt and lithium that fuel “green” technologies. Female miners will likely bear much of the burden of this increased demand.</p>



<p>In understanding the short-term ramifications of climate change through this gendered lens, we witness a theme: it&#8217;s not just about economic output or statistical figures but the lived experiences of countless women, the narratives of families under duress, and the ripple effects that shape communities and nations. Climate change and its consequences underscore long-standing socio-economic vulnerabilities—and addressing these immediate impacts is crucial, not just for the women affected, but also for the social fabric of the African continent. <a id="_msocom_2"></a></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Medium-term risks and potential: navigating the green transition – Paving the way for inclusive sustainability</h2>



<p>The clarion call for a green, sustainable future resonates across continents, and Africa stands at a unique intersection of challenges and opportunities. However, the green transition is a uniquely double-edged sword: while the green economy offers vast potential, its dawn risks leaving women vulnerable to unintended hardships. This phase demands more than just economic adaptation; it requires a societal metamorphosis that champions inclusivity and equity at its core.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Emerging green industries: Doors half-open?</h3>



<p>With the decline of traditional, resource-intensive industries, the green economy promises a myriad of new job opportunities. Sectors like renewable energy, sustainable agriculture, and eco-tourism are burgeoning. However, this shift will also necessitate massive transitions within existing job markets, and without intentional interventions, women are likely to suffer the most from these transitions. As job markets change, studies suggest that gender attitudes drive economic inequities for women during times of financial hardship.<a id="_ftnref1" href="#_ftn1">[3]</a> </p>



<p>Similarly, women are more likely to miss out on the opportunities afforded by the green transition: as jobs evolve, there&#8217;s an urgent need for training and reskilling programs. Yet, due to societal norms and logistical barriers, women may find it harder to access these programs. Whether it&#8217;s a solar technician course in a distant town or an online certification hindered by a lack of internet access, the challenge is dual-faceted: making green jobs accessible and ensuring women can access them. Overcoming this means not only creating green job openings but actively dismantling barriers that prevent women from seizing them.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Financial inclusion: more than just access</h3>



<p>While the green transition promises innovative solutions, these often come with a price tag. Access to credit, loans, and financial literacy becomes crucial. Yet, many women often find themselves sidelined in the financial landscape. As green businesses emerge and sustainable projects are greenlit, ensuring women entrepreneurs and workers have the financial tools to engage becomes paramount.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Policy frameworks: From neutral to gender-responsive</h3>



<p>As countries lay down the regulatory frameworks for the green transition, there&#8217;s a risk of these policies being gender-neutral, rather than gender-responsive. For the transition to be genuinely inclusive, policies need to be crafted with a conscious understanding of the unique challenges and potentials women bring to the table. This includes, but is not limited to, affirmative action, targeted grants for women-led green ventures, and mentorship programs.</p>



<p>In the medium term, as Africa navigates the intricate challenges of sustainability, the undercurrent remains: a green future that isn&#8217;t inclusive is a half-realized dream. The green transition is as much about technology and industries as it is about people—and ensuring that women are empowered participants, leaders, and beneficiaries in this journey is a non-negotiable.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Long-term opportunities: Amplifying women in climate leadership &#8211; the catalyst for holistic solutions</h2>



<p>As we cast our gaze to the distant horizon of the climate struggle, the long-term view isn&#8217;t just about enduring resilience, but about nurturing a more inclusive vision of leadership in climate spaces. Historically, women&#8217;s voices have been relegated to the peripheries of climate decision-making, but the long-term combat against climate change necessitates their central role. For a challenge as vast and multifaceted as climate change, the solutions too must be interwoven with diverse insights, and women hold the keys to many of these nuanced understandings.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The multidimensional lens of women leaders</h3>



<p>Women, with their multifaceted roles as informal leaders, community organizers, caregivers, and innovators, often have a deeply holistic understanding of societal ecosystems. Female leadership can help ensure that unintended consequences of climate initiatives, much like the green transition, are mitigated via awareness and understanding of local and community needs. When these insights percolate up to decision-making echelons, they ensure that climate policies are not just reactive but are anticipatory, comprehensive, and deeply empathetic.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Local knowledge, global impact</h3>



<p>At the grassroots, women often serve as the custodians of traditional knowledge. This reservoir of wisdom, accumulated over generations, can offer invaluable insights into sustainable practices, resource management, and community resilience. As climate initiatives turn to time-honored and traditional practices for potential solutions, women may hold the key to successful implementation: by amplifying their voices, we ensure that local solutions don&#8217;t just benefit one community but can be scaled and adapted globally.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">From tokenism to tangible change</h3>



<p>For far too long, women&#8217;s representation in climate arenas has oscillated between neglect and tokenism. The future demands a shift. Beyond mere numbers, the emphasis should be on creating environments where women&#8217;s voices are actively sought, heard, and acted upon. This means challenging patriarchal structures, encouraging mentorship, and building capacity. It means <em>both</em> ensuring that women have the education and resources to engage with standard elements of climate work, while also embracing multifaceted, traditional, and holistic approaches to countering climate change.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The ripple effect of women in leadership</h3>



<p>The benefits of women in leadership extend beyond the immediate decisions. When young girls see women shaping global climate agendas, it ignites aspirations. It sends a powerful message that they too can be changemakers. This cascading effect, where one generation of women leaders inspires the next, can galvanize a global movement of informed, passionate leaders in climate and beyond.</p>



<p>In the long arc of the climate narrative, the story isn&#8217;t complete without women leading the charge. As the challenges intensify, the solutions too must evolve, and therein lies the potential of women&#8217;s leadership. The future of climate action is not just about adaptation and mitigation, but about transformation—and women are poised to be at the heart of this revolution.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Weaving a tapestry of resilience and hope</h2>



<p>The interplay between climate change and gender underscores not only pressing challenges but also unprecedented opportunities to sculpt a more inclusive and climate-resilient future. Through the lens of short-term, medium-term, and long-term perspectives, a holistic picture emerges, revealing the layered vulnerabilities and strengths of women in the epoch of climate change. </p>



<p>In the short term, recognizing the immediate gendered impacts, especially in sectors predominantly helmed by women, such as agriculture, provides the impetus for swift interventions. These immediate threats underscore the need to bolster women&#8217;s resilience, particularly in areas where their livelihoods and sustenance are intertwined with the environment. </p>



<p>As we navigate into the medium term, the global shift towards a sustainable green economy emerges as a double-edged sword. It carries the promise of revitalization and renewal but could inadvertently perpetuate gender inequities if not managed inclusively. This phase emphasizes not merely the adoption of sustainability but the integration of gender equity into the very blueprint of this transition. </p>



<p>In the long arc towards the future, the long-term perspective magnifies the critical importance of women&#8217;s leadership in climate discourse. It&#8217;s not about token representation but the profound transformative potential that women, with their diverse insights and holistic understanding, bring to the table. </p>



<p>This comprehensive narrative—spanning immediate actions, transitional strategies, and long-term leadership visions—reiterates the importance of gender-responsive approaches at every stage. As we strive to achieve the Sustainable Development Goals, particularly Goal 5: <em>Achieve gender equality and empower all women and girls,</em> and Goal 13: <em>Take urgent action to combat climate change and its impacts,</em> the gender-climate nexus cannot be sidelined. By anchoring our strategies in a multi-temporal framework, stakeholders, be they governments, private entities, or civil society, can collaboratively weave a future where climate resilience and gender equity thrive in tandem. This intersectionality, spanning gender, climate, and broader societal domains like health, food systems, and well-being, mandates nuanced, integrated solutions. </p>



<p>Addressing the gender-climate interplay, especially in regions like Africa, is paramount in our shared journey towards a sustainable future. A multi-temporal approach, championing the immediate, the impending, and the visionary, promises not only resilience but empowerment—heralding a brighter, more equitable, and climate-resilient tomorrow.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The path forward: A call to action</h2>



<p>Our journey to understand and address the intricate dance between gender and climate change is not at its end, but rather at an impactful juncture. The next steps we take can either bolster or erode the resilience and empowerment of African women, who stand on the frontline of the climate crisis. </p>



<p>The realities of African women, with their rich tapestry of experiences, cultures, and wisdom, must take center stage in future research. Beyond sterile data and detached observations, we must immerse ourselves in the lived narratives of these women. Their struggles and triumphs amidst the changing climate—whether it&#8217;s the farmer battling unpredictable rains in Kenya or the market vendor navigating the aftermath of a storm in Nigeria—hold invaluable lessons for policy design and implementation. </p>



<p>Informed policies are more than just responsive; they are anticipatory, sculpting a path that doesn&#8217;t just react to the challenges but paves the way for a brighter future. Such policies should champion the amplification of women&#8217;s agency, ensuring their voices aren&#8217;t merely heard, but resonate in the decisions that shape their world. In a gender-responsive path forward, <strong>all climate strategies must be evaluated through a gendered lens</strong> and should ensure <strong>access </strong>to education, training, and finances and <strong>representation </strong>in decision-making and leadership.</p>



<figure class="wp-block-image size-large"><a href="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-3.jpeg"><img loading="lazy" decoding="async" width="1024" height="438" src="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-3-1024x438.jpeg" alt="" class="wp-image-6089" srcset="https://cambercollective.com/wp-content/uploads/2023/09/Graphic-3-980x419.jpeg 980w, https://cambercollective.com/wp-content/uploads/2023/09/Graphic-3-480x205.jpeg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></a></figure>



<p>By fostering environments that support women&#8217;s leadership at community town halls, national platforms, and international climate summits, we can tap into the transformative potential that women bring to the table. Yet, the emphasis on African women doesn&#8217;t diminish the global nature of this narrative. The continent&#8217;s stories, while deeply rooted in its unique socio-cultural and environmental milieu, echo a universal testament to women&#8217;s roles as formidable change-makers in the climate narrative. Their resilience, innovations, and solutions can inspire and inform strategies worldwide. </p>



<p>As we look to the future, our vision must be twofold: to adapt to the changing climate while concurrently reshaping it, ensuring that the new world we&#8217;re forging has women not as passive participants but as active architects. The charge is clear: in the quest for a sustainable and equitable world, women&#8217;s empowerment isn&#8217;t just a desirable outcome—it&#8217;s a vital catalyst.</p>



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<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Citations</h2>



[1] <a href="https://www.fao.org/3/cc5343en/cc5343en.pdf">FAO (2023)</a></p>



[2] <a href="https://www.iisd.org/system/files/publications/igf-women-asm-challenges-opportunities-participation.pdf">Intergovernmental Forum on Mining, Minerals, Metals and Sustainable Development (2018)</a></p>



[3] <a href="https://www.unstereotypealliance.org/en/resources/research-and-tools/the-levers-of-change-gender-equality-attitudes-study-2022">UN Women, The Levers of Change Gender Equality Attitudes Study (2022)</a></p>



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<p><em><strong>Dr. Chidiebere E.X. Ikejemba</strong> is the Director of Climate &amp; Environment at Camber Collective. His body of work focuses on climate equity and justice, building resilient climate-smart development programs, strengthening political will for urgent climate change action and many other levers of activation. His theory of impact operates across both the upstream and downstream of a systems chain. that encompasses, just transition, agriculture &amp; food security, migration, economic &amp; rural development, climate education, waste management (circularity), healthcare, corruption and democracy, energy access, gender inclusion, carbon neutrality and other dimensions. The circularity of Camber’s approach and theory of influence is, we believe, the most congruous path to balancing economic reality and humanitarianism. &nbsp;</em></p>



<p><em><strong>Ella Geismar</strong> is a Consultant in our San Francisco office. She is a strategy consultant with experience in creating stakeholder-led, community-oriented programs and policies both domestically and abroad. Prior to joining Camber,&nbsp;Ella&nbsp;was a researcher and consultant on Hawai’i’s first ever state-level food systems strategy, an active initiative seeking to center resilience, equity, and indigenous knowledge into Hawai’i’s management of land and resources. In addition to her work in food systems and sustainability,&nbsp;Ella&nbsp;has worked extensively in higher education access. From 2018-2020,&nbsp;Ella&nbsp;served as the Programs Director at Parami University, a Bard College partner institution and Myanmar’s first-ever liberal arts institution. She also worked as a consultant for Fulbright University Vietnam, the first such institution in Vietnam, and as the Academic Associate for a network of dual-enrollment public high schools in cities across the United States seeking to promote college access and equity for underserved student populations. Ella&nbsp;holds a Master of Public Policy from the Goldman School at UC Berkeley and a bachelor’s degree in English Literature and French from Wesleyan University. In her free time, you can find&nbsp;Ella&nbsp;hiking, biking in the East Bay hills, and hunting down new food experiences</em></p>
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			</div><p>The post <a href="https://cambercollective.com/2023/09/19/gendered-climate/">The Imperative of a Gendered Approach to Climate Change</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>Greater Freedom, Lower Inequality?</title>
		<link>https://cambercollective.com/2023/09/12/freedom-inequality/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Tue, 12 Sep 2023 23:14:52 +0000</pubDate>
				<category><![CDATA[Democracy & Governance]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6049</guid>

					<description><![CDATA[<p>This discourse aims to initiate a conversation about the effects of freedom (i.e., civil liberties and political freedoms; Freedom House Index) on equality (GINI Coefficient), examining the complex relationship between civil liberties and political freedoms and income distribution through a landscaping of expert opinions and quantitative analysis.</p>
<p>The post <a href="https://cambercollective.com/2023/09/12/freedom-inequality/">Greater Freedom, Lower Inequality?</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<h5 class="wp-block-heading"><strong>photo credit: Paula Bronstein/Getty Images/Images of Empowerment</strong></h5>



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<p>Civil and political freedoms (e.g., democratic institutions) theoretically possess the potential to reduce inequality by empowering marginalized groups and fostering inclusive policies.</p>



<p>That said, the relationship is complex, and factors such as race, gender, and socioeconomic status can hinder access to civil and political participation. </p>



<p>Furthermore, political processes, even within countries with free and fair elections, can be susceptible to manipulation or fragmentation, leading to outcomes that perpetuate inequality.</p>



<p>Despite these challenges, the relationship between civil and political freedoms and equality remains compelling, as genuine and robust free institutions have the potential to serve as catalysts for addressing systemic disparities, promoting social justice, and empowering marginalized communities. In theory, civil and political freedoms can ensure equal representation, prioritize equitable distribution of resources, and build a fairer society.</p>



<p>Against this backdrop, we explored the relationship between freedom and inequality, hypothesizing that the more civil and political freedoms found within a country, the lower the country&#8217;s income inequality.&nbsp;</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Is there consensus among experts?</h2>



<p>Academic literature on the relationship between inequality and civil and political freedoms is disparate and illustrates a lack of consensus among researchers.</p>



<p>One older but relevant study (Muller 1988) argues that the time existing as a democracy (i.e., maturity) is the key element to decreasing inequality (i.e., a positive correlation between equality and longevity of political freedoms)<a href="#_ftn1" id="_ftnref1">[1]</a>. The analysis posits that the causal link of democracy on income equality operates through intervening mechanisms such as interest groups and political parties, and thus the impact of democracy on income equality happens gradually. The author further posits that only as poorer members of society organize unions and interest groups to develop an electoral base, political freedoms become associated with a reduction in inequality.</p>



<p>Other relevant research (e.g., Knutsen 2015) explores the two-way causal relationship between these variables, including the reversal causal mechanism of how elevated levels of inequality may work to destabilize democracies<a id="_ftnref2" href="#_ftn2">[2]</a>. This study concludes that there is no robust effect of income inequality on the existence of democracy, nor on the level of democracy present, nor on the rate of democratization probability or democratic stability. The study does however conclude that democracy seems to reduce income inequality when the latter is proxied by the share of income going to wages as opposed to passive income.</p>



<p>A World Bank study (Gradstein &amp; Milanovic 2000)<a id="_ftnref3" href="#_ftn3">[3]</a> contradicts these analyses and more broadly argues against the common assertion that greater political freedoms tend to result in more equal societies. The paper argues that the relationship is complex, highlighting Eastern Europe as an illustration of the opposite trend, whereby income inequality seemed to increase post democratization of this bloc of countries.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Freedom Score</h2>



<p>The Freedom House Freedom Score Index<a id="_ftnref1" href="#_ftn1">[4]</a> uses a two-tiered system consisting of freedom scores (0-100) and freedom status (Not Free, Partly Free, Free). The Freedom Score [5] is calculated through a weighted combination of 10 political rights and 15 civil liberties indicators and grouped into subcategories (e.g., Electoral Process, Political Pluralism and Participation, and Functioning of Government; Freedom of Expression and Belief, Associational and Organizational Rights, Rule of Law, and Personal Autonomy and Individual Rights). Based on the scoring of these indicators, a weighted calculation is employed to determine the Freedom Status of a given country.</p>



<h3 class="wp-block-heading has-text-align-center"><strong>Figure 1: Freedom House, Freedom status calculatio</strong>n</h3>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="764" height="302" src="https://cambercollective.com/wp-content/uploads/2023/09/freedom-house.png" alt="" class="wp-image-6051" srcset="https://cambercollective.com/wp-content/uploads/2023/09/freedom-house.png 764w, https://cambercollective.com/wp-content/uploads/2023/09/freedom-house-480x190.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 764px, 100vw" /></figure>



<h2 class="wp-block-heading">GINI Index</h2>



<p>The GINI Index, based on primary household survey data obtained from government statistical agencies and World Bank country departments, is a measure of income inequality that summarizes the dispersion of income across the entire income distribution<a id="_ftnref1" href="#_ftn1">[6]</a>. The closer the index is to zero the more equal the distribution of income, while the closer the index is to one the more unequal the distribution of income.</p>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="532" height="434" src="https://cambercollective.com/wp-content/uploads/2023/09/graph1.png" alt="" class="wp-image-6052" srcset="https://cambercollective.com/wp-content/uploads/2023/09/graph1.png 532w, https://cambercollective.com/wp-content/uploads/2023/09/graph1-480x392.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 532px, 100vw" /></figure>



<p><a id="_msocom_2"></a></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Analysis: The relationship is tenuous, but strong among &#8220;free&#8221; countries</h2>



<p>Overall, we found a weak correlation between the Freedom Score and the GINI Index across the globe (Figure 3; &#8211; the number .01 refers to the correlation coefficient for that specific analysis). However, as depicted in Figure 4, the Freedom Score and GINI Index were much more strongly correlated when limiting this analysis to countries designated as “Free” by Freedom House (R= &#8211; 0.55). Figure 5 illustrates this trend using the list of countries with the top ten freedom scores, and their (low and decreasing) levels of income inequality.</p>



<p>As the countries with the highest freedom scores tended to be European countries, we also ran the analysis separately for European and Non-European countries, finding that freedom and income inequality remained correlated when segmenting by these two geographies. This suggests that this relationship, among free countries, persists across geographic regions.<del> </del><ins></ins></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Discussion: What might be driving this dynamic?</h2>



<p>While additional analysis is needed to identify the underlying components of the link between civil and political freedoms and equality, the strong correlation within ‘free’ countries may suggest that a certain threshold of civil and political freedoms (high freedom score; e.g., strong democratic institutions) is required to create top-level income equality. </p>



<p>For countries within ‘partly free’ and ‘not free’ categories, varying political systems and civil and political structures show varying levels of success in developing income equality. In some countries, the lack of civil and political freedoms (i.e. more government control) might actually lead to more equitable societies in the short- and medium term, particularly in countries seeing rapid economic development (e.g.: China).</p>



<p>That said, at some point the advantages of tighter government control and lower civil and political freedoms on combatting inequality and producing a more equitable society may crest, and more civil and political freedoms are needed. Systems which curtail civil and political freedoms may limit their ability to create top-level income equality.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">A final reflection on addressing rising global inequality</h2>



<p>Our analysis focused on examining the relationship between civil and political freedoms and inequality at a high level. Further research on the intervening mechanisms between freedom and inequality is needed to explore which specific political and civil liberties are most linked to reduced income inequality. Specifically, further analysis should be conducted to identify the underlying social and political elements (e.g., freedom of press, voting rights, social expenditures, space for civil society, timing) that likely lead to decreased inequality. &nbsp;</p>



<p>The link between these two topics addresses pressing issues related to democracy, human rights, and a better and more equitable future. Exploring this relationship is timely and critical, as inequality is a key global concern and continues to rise among 70 percent of the world&#8217;s population [6].  (United Nations 2020). Furthermore, the growth in inequality comes at a time when the globe is seeing a backsliding in social and political freedoms. Done effectively, building the case for civil and political freedoms as a catalyst for economic equality may be a powerful tool to combat these current global challenges. &nbsp;&nbsp;</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Appendix</h2>



<p><strong>Figure 3: Freedom score versus GINI index globally</strong></p>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="760" height="578" src="https://cambercollective.com/wp-content/uploads/2023/09/figure4.png" alt="" class="wp-image-6054" srcset="https://cambercollective.com/wp-content/uploads/2023/09/figure4.png 760w, https://cambercollective.com/wp-content/uploads/2023/09/figure4-480x365.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 760px, 100vw" /></figure>



<p><strong>Figure 4: Freedom score versus GINI index across free countries</strong></p>



<figure class="wp-block-image aligncenter size-full is-resized"><img loading="lazy" decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/09/figure4-1.png" alt="" class="wp-image-6055" style="width:720px;height:526px" width="720" height="526" srcset="https://cambercollective.com/wp-content/uploads/2023/09/figure4-1.png 720w, https://cambercollective.com/wp-content/uploads/2023/09/figure4-1-480x351.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 720px, 100vw" /></figure>



<p><strong>Figure 5: Countries with top 10 freedom scores and GINI index</strong></p>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="392" height="476" src="https://cambercollective.com/wp-content/uploads/2023/09/figure6.png" alt="" class="wp-image-6056"/></figure>



<p><strong>Figure 6: GINI index versus social expenditure for OECD Countries</strong></p>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="648" height="472" src="https://cambercollective.com/wp-content/uploads/2023/09/figure7.png" alt="" class="wp-image-6057" srcset="https://cambercollective.com/wp-content/uploads/2023/09/figure7.png 648w, https://cambercollective.com/wp-content/uploads/2023/09/figure7-480x350.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 648px, 100vw" /></figure>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Citations</h2>



[1] Edward N. Muller, <a href="https://www.jstor.org/stable/2095732?casa_token=e05_Ys6PwwUAAAAA%3AeR6U1f9feHPLvubJzG0E6RdYoIjeTS0k-3MFJF59C3gavQBqn_WfQRUfTQw2Cy7UoLFQVHVaTPUlTPAhgusvA7rUAqtm71winXIOePxQjxrXLvGE_ng&amp;seq=16">Democracy, Economic Development, and Income Inequality on JSTOR</a> </p>



<p><a id="_ftn2" href="#_ftnref2">[2]</a> Reinvestigating the Reciprocal Relationship between Democracy and Income Inequality, by Carl Henrik Knutsen</p>



<p><a id="_ftn3" href="#_ftnref3">[3]</a> Source: Does Liberte =Egalite? A Survey of the Empirical Links between Democracy and Inequality with Some Evidence on the Transition Economics</p>



<p><a id="_ftn1" href="#_ftnref1">[</a>4] https://freedomhouse.org/reports/freedom-world/freedom-world-research-methodology<a id="_msocom_1"></a></p>



[5] https://data.worldbank.org/indicator/SI.POV.GINI?most_recent_value_desc=true</p>



[6] <a href="https://news.un.org/en/story/2020/01/1055681">Rising inequality affecting more than two-thirds of the globe, but it’s not inevitable: new UN report | UN News</a></p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<p><em><strong>Brent McCann </strong>brings international humanitarian, research, and investment experience to help clients navigate strategic decisions and maximize their impact through evidenced-based quantitative and qualitative analyse</em>s. <em>Prior to Camber, he worked for the Arab Reform Initiative researching anti-corruption and migration-related topics in the Middle East and North Africa, as well as designing institutional and project-specific monitoring and evaluation tools. Brent began his career in the nonprofit sector. He cofounded the Liliir Education Project and has 8+ years working on education, public policy, economic empowerment, refugee rights, and conflict resolution projects in South Sudan and greater East Africa.</em> <em>Brent holds an MA in Human Rights and Humanitarian Action from the Paris School of International Affairs (PSIA) at Sciences Po, and obtained his B.B.A. with honors in International Business and Entrepreneurial Leadership from Gonzaga University. A Seattle native, Brent enjoys scuba diving, playing basketball, backpacking, skiing, and spending time with friends and family.</em></p>



<p><em><strong>Melissa Flores</strong> leverages her background in quantitative analysis and research to support clients’ strategic decision-making centered around social impact. Prior to Camber,&nbsp;Melissa&nbsp;worked as consultant at the UN World Food Programme, providing operational and programmatic support to the organization&#8217;s global food security monitoring initiative.&nbsp;Melissa began her career as a financial consultant, working on risk mitigation strategies for Consumer and Healthcare clients in the United States. She holds an M.A. in International Development from Sciences Po’s Paris School of International Affairs and a B.A. in Applied Mathematics from Harvard University.</em></p>
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			</div><p>The post <a href="https://cambercollective.com/2023/09/12/freedom-inequality/">Greater Freedom, Lower Inequality?</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>Emissions, Climate Change, and Health</title>
		<link>https://cambercollective.com/2023/09/07/climate-emissions-health/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Thu, 07 Sep 2023 23:30:10 +0000</pubDate>
				<category><![CDATA[Climate & Environment]]></category>
		<category><![CDATA[Perspectives]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=6022</guid>

					<description><![CDATA[<p>In this article, we define the challenge the globe faces at the intersection of climate and health. It illustrates that current investment levels and attention across key funders to the climate-health nexus fall short of the global need. The article also explores several complexities in climate-health funding that may inhibit further investment in space. It concludes with a few key recommendations to approach these challenges.</p>
<p>The post <a href="https://cambercollective.com/2023/09/07/climate-emissions-health/">Emissions, Climate Change, and Health</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">As we reduce emissions, let’s not forget about the impact of climate change on health</h2>



<p>Climate change is affecting the air we breathe, the water we drink, and the quality of food we eat. Over the past decades, it contributed to a rapid increase in asthma cases and allergies and the spread of mosquitoes to higher hemisphere regions, with the US seeing the first cases of local malaria transmission in two decades [1]. The WHO (World Health Organization) projects that, all else equal, between 2030 and 2050, climate change is expected to cause approximately 250,000 additional deaths per year from heat stress, malnutrition, malaria, diarrhea, and heat stress [2].</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Extreme climate events have significantly increased over the past 50 years</h2>



<p>Over the recent decades, extreme climate events have significantly increased, primarily floods, storms, and wildfires. This affects millions through population displacement, socioeconomic shocks, direct mortality, and health impact (Figure 1).</p>



<figure class="wp-block-image aligncenter size-large is-resized"><img loading="lazy" decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/09/fig1-1024x535.png" alt="" class="wp-image-6023" style="width:818px;height:465px" width="818" height="465"/></figure>



<p><em>Figure 1. Number of extreme weather events and people affected [4].</em></p>



<p><em>Note: Each dot represents an event; the circle size represents the number of affected persons.&nbsp;&nbsp;</em></p>



<p>According to IPCC (Intergovernmental Panel on Climate Change) scenarios, global temperatures will continue to rise, causing more adverse effects on human health. The burden of many climate-sensitive health risks is projected to be greater at an increase of 2 ◦C above pre-industrial temperatures than at 1.5 ◦C., highlighting the sensitivity of health conditions to minor changes in global temperatures [3]. We outline examples of crucial health conditions expected to exacerbate if we continue our current trajectory in Figure 2.</p>



<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="993" height="504" src="https://cambercollective.com/wp-content/uploads/2023/09/fig2.png" alt="" class="wp-image-6024" srcset="https://cambercollective.com/wp-content/uploads/2023/09/fig2.png 993w, https://cambercollective.com/wp-content/uploads/2023/09/fig2-980x497.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/fig2-480x244.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 993px, 100vw" /></figure>



<p><em>Figure 2. Illustrative health effects of climate change [5]</em></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Global warming with unequal local impacts</h2>



<p>While global warming is measured against the global average target of 1.5◦C, the local impact varies significantly, with some regions bearing a significant burden. More countries are undertaking better vulnerability and adaptation assessments to understand the health risks they will face as temperatures rise. These analyses have highlighted the most vulnerable populations, often the elders, children, and people living in remote areas [7]. &nbsp;</p>



<p>We have highlighted below in Figure 3 the projected temperature increase in select countries, highlighting the global disparities. Even the national average hides vast differences in the sub-national regions, with some areas extremely vulnerable to changing conditions. Rapid projected population growth in most countries will also contribute substantially to the number of people affected by temperature rises and extreme weather events.</p>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="1018" height="483" src="https://cambercollective.com/wp-content/uploads/2023/09/fig3.png" alt="" class="wp-image-6025" srcset="https://cambercollective.com/wp-content/uploads/2023/09/fig3.png 1018w, https://cambercollective.com/wp-content/uploads/2023/09/fig3-980x465.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/fig3-480x228.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1018px, 100vw" /></figure>



<p><em>Figure 3. Projected temperature changes under different climate-change scenarios and population growth between current and 2050. [8] [9]</em></p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">What are we doing about it: Current funding trails projected need</h2>



<p>While the scientific community and country priorities emphasize the growing challenge that the globe faces related to climate and health, funding commitments at the intersection of these sectors have continued to trail behind the projected need.</p>



<p>Development finance institutions (DFIs) have increased their commitments to climate in recent years and, on average, committed to nearly doubling their spending on climate from 2020 to 2025 [11]. Certain DFIs have even made ambitious commitments until 2030, including the Asian Development Bank (ADB) and the World Bank (WBG), which have committed to dedicating 75 percent of commitments to climate finance by then. <strong>While spending on climate has been increasing, the share of spending to mitigate health impact remains very low at under 6% of climate adaptation funding [10].</strong></p>



<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="987" height="310" src="https://cambercollective.com/wp-content/uploads/2023/09/fig4.png" alt="" class="wp-image-6026" srcset="https://cambercollective.com/wp-content/uploads/2023/09/fig4.png 987w, https://cambercollective.com/wp-content/uploads/2023/09/fig4-980x308.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/fig4-480x151.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 987px, 100vw" /></figure>



<p><em>Figure 4. Breakdown of Adaptation spending by major MDBs in 2020/2021 [10][11].</em></p>



<p>Despite the recent push by some major development finance institutions to increase overall climate spending and adaptation spending as a percentage of this amount, total mitigation spending by multilateral development banks (MDBs) was still over three times that of adaptation spending in 2021[11].</p>



<p>The focus of development finance institutions on mitigation activity (vis-a-vis adaptation) or <strong>the importance of CO2 reduction as the defining metric to measure the impact of climate projects may explain their hesitation to shift funding into the climate-health nexus.</strong></p>



<p>On the health side, DFIs bolstered their spending during the COVID-19 pandemic. Across four major MDB (WB, IDB, AfDB, ADB), health funding rose 3-fold from $3.8 billion in 2018 to $12.1B in 2021 [12]. Despite this pandemic-driven increase, the overall health sector constitutes a small portion of total funding and trends between 5% and 15% for most bilateral and multilateral institutions [13].</p>



<p>Despite the recent momentum in the climate and health sectors individually, funding at the intersection of climate and health has remained stagnant. It is not yet a stated focus of most funders.&nbsp;</p>



<p>The philanthropic sector has followed a similar trend as development finance institutions. While many philanthropies dedicate energy and funds to the climate and health sectors individually, few of these institutions have declared a focus at the nexus of the two. Wellcome Trust is one of few large foundations with an expressed focus on funding climate-health interventions, communicating the intersection as one of their three focus areas related to health [13]. This presents an opportunity for other foundations to direct capital to an underfunded sector to catalyze additional investments.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">What’s holding us back: Key challenges to increase capital commitments</h2>



<p>Funders face several challenges when deciding to invest in projects at the intersection of climate and health; if addressed, there is potential to vitalize commitments in the space [13]. These challenges range from a need for a shared definition and impact metrics for climate-health investments to a lack of robust evidence across these interventions.</p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="345" src="https://cambercollective.com/wp-content/uploads/2023/09/table-one-1024x345.png" alt="" class="wp-image-6027" srcset="https://cambercollective.com/wp-content/uploads/2023/09/table-one-980x330.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/table-one-480x162.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="292" src="https://cambercollective.com/wp-content/uploads/2023/09/table-2-1024x292.png" alt="" class="wp-image-6028" srcset="https://cambercollective.com/wp-content/uploads/2023/09/table-2-980x279.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/table-2-480x137.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="291" src="https://cambercollective.com/wp-content/uploads/2023/09/table-3-1024x291.png" alt="" class="wp-image-6029" srcset="https://cambercollective.com/wp-content/uploads/2023/09/table-3-980x278.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/table-3-480x136.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="288" src="https://cambercollective.com/wp-content/uploads/2023/09/table-4-1024x288.png" alt="" class="wp-image-6030" srcset="https://cambercollective.com/wp-content/uploads/2023/09/table-4-980x276.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/table-4-480x135.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<h2 class="wp-block-heading">Thoughts on a way forward</h2>



<p>Considering the challenges depicted above, a range of actions can be undertaken to address the key issues hindering further commitments to climate-health initiatives.</p>



<p>Here are three recommendations to address the challenges outlined [13]:</p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="297" src="https://cambercollective.com/wp-content/uploads/2023/09/ways1-1024x297.png" alt="" class="wp-image-6031" srcset="https://cambercollective.com/wp-content/uploads/2023/09/ways1-980x284.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/ways1-480x139.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="375" src="https://cambercollective.com/wp-content/uploads/2023/09/ways2-1024x375.png" alt="" class="wp-image-6032" srcset="https://cambercollective.com/wp-content/uploads/2023/09/ways2-980x358.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/ways2-480x176.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="1024" height="290" src="https://cambercollective.com/wp-content/uploads/2023/09/ways3-1024x290.png" alt="" class="wp-image-6033" srcset="https://cambercollective.com/wp-content/uploads/2023/09/ways3-980x277.png 980w, https://cambercollective.com/wp-content/uploads/2023/09/ways3-480x136.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<p>The upcoming COP28 is a promising opportunity to delve deeper into this topic as it is the first COP conference that includes an entire day dedicated to the health sector. This global convening presents a unique occasion to gather key stakeholders to identify solutions to these challenges, garner momentum, and solidify commitments at the climate-health nexus.</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Citations</h2>



[1] <a href="https://www.nytimes.com/2023/06/27/health/us-malaria-mosquitoes.html">https://www.nytimes.com/2023/06/27/health/us-malaria-mosquitoes.html</a></p>



[2] <a href="https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health">Climate change and health (who.int)</a></p>



[3] <a href="https://iopscience.iop.org/article/10.1088/1748-9326/aac4bd/pdf">Health risks of warming of 1.5&#8243;00B0`0C, 2&#8243;00B0`0C, and higher, above pre-industrial temperatures (iop.org)</a></p>



[4] &nbsp;Data from <a href="https://www.emdat.be/">EM-DAT. The International Disaster Database;</a> Graphic produced with RAW Graphics.</p>



[6] Data from <a href="https://www.ipcc.ch/report/ar6/wg2/chapter/chapter-7/;">https://www.ipcc.ch/report/ar6/wg2/chapter/chapter-7/;</a> graphic produced in Microsoft PowerPoint.</p>



[7] <a href="https://www.who.int/publications/i/item/9789240036383">Climate change and health: vulnerability and adaptation assessment (who.int)</a></p>



[8] <a href="https://climateknowledgeportal.worldbank.org/country-profiles">Climate Risk Country Profiles | Climate Change Knowledge Portal (worldbank.org)</a></p>



[9] <a href="https://www.unfpa.org/data/world-population-dashboard">World Population Dashboard (unfpa.org)</a></p>



[10] <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10266659/#:~:text=We%20estimate%20that%20USD%201%2C431%20million%20(4.9%25)%20of%20multilateral,)%20(see%20Table%202).">How much bilateral and multilateral climate adaptation finance is targeting the health sector? A scoping review of official development assistance data between 2009–2019 &#8211; PMC (nih.gov)</a> citing <a href="https://www.lancetcountdown.org/data-platform/adaptation-planning-and-resilience-for-health/2-2-climate-information-services-for-health/2-2-4-health-adaptation-related-funding">Lancet Countdown data.</a></p>



[11] <a href="https://www.eib.org/attachments/lucalli/mdbs_joint_report_2021_en.pdf">2021 Joint report on multilateral development banks’ Climate finance (eib.org)</a></p>



[12] <a href="https://www.actionsantemondiale.fr/wp-content/uploads/2023-04-Making-it-work-role-of-MDBs-final-ONLINE.pdf">Microsoft Word &#8211; 2023-04 Making it work &#8211; role of MDBs &#8211; final.docx (actionsantemondiale.fr)</a></p>



<p><em><strong>Melissa Flores</strong> leverages her background in quantitative analysis and research to support clients’ strategic decision-making centered around social impact. Prior to Camber,&nbsp;Melissa&nbsp;worked as consultant at the UN World Food Programme, providing operational and programmatic support to the organization&#8217;s global food security monitoring initiative.&nbsp;Melissa began her career as a financial consultant, working on risk mitigation strategies for Consumer and Healthcare clients in the United States. She holds an M.A. in International Development from Sciences Po’s Paris School of International Affairs and a B.A. in Applied Mathematics from Harvard University.</em></p>



<p><em><strong>Abdel Agadazi </strong>is a Camber Collective alum. While with the firm, he worked with clients on their strategy and investment planning via data-driven decision-making and market analysis. Prior to Camber, Abdel led consulting engagements at Accenture, supporting global clients on their digital transformation journey. He began his career building technology systems for optometrists and healthcare clients in the United States. Abdel is also involved in supporting entrepreneurs in Europe and Africa through growth and operational advice. He holds an MBA from INSEAD and a Master&#8217;s in advanced analytics from IMT Atlantique, a top-tier French engineering school. Abdel grew up in Lomé, and he enjoys cooking and playing basketball. Our Paris office mates look forward to seeing him strolling the streets as an amateur photographer.</em></p>
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			</div><p>The post <a href="https://cambercollective.com/2023/09/07/climate-emissions-health/">Emissions, Climate Change, and Health</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>How Philanthropy Can Reduce the Burden of Inflation on Low-Income Households</title>
		<link>https://cambercollective.com/2023/08/11/inflation-philanthropy/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Fri, 11 Aug 2023 17:40:10 +0000</pubDate>
				<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[Shared Prosperity]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=5972</guid>

					<description><![CDATA[<p>Although US inflation levels are now beginning to moderate, many still feel the sting of higher prices, particularly low-income households. Philanthropies should focus part of their financial and non-financial resources on mechanisms that advance consumer protection, financial literacy, and gap areas in terms of federal support. </p>
<p>The post <a href="https://cambercollective.com/2023/08/11/inflation-philanthropy/">How Philanthropy Can Reduce the Burden of Inflation on Low-Income Households</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Summary</h2>



<p><em>US inflation has surged over recent years primarily as a result of supply-side challenges coupled with rising profit margins and labor costs. Although levels are now beginning to moderate, many still feel the sting of higher prices. In particular, inflation disproportionately impacts low-income households in light of the ways in which these households typically earn, spend and save. In response, philanthropies should focus part of their financial and non-financial resources on supporting cash transfer programs, consumer protection measures, application of disaggregated inflation insights, and improved financial literacy, thereby filling gaps not fully addressed by federal government at the current time.</em></p>



<h2 class="wp-block-heading">State of US inflation</h2>



<p>In 2022 inflation reached 9.1%, its highest rate in 40 years. Of the goods and services contributing to that value, groceries, various types of energy, motor parts &amp; equipment, and household furnishings and supplies were among the most notable increases.<sup>1</sup></p>



<figure class="wp-block-image aligncenter size-large is-resized"><img loading="lazy" decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/08/MicrosoftTeams-image-1-2-1024x583.png" alt="" class="wp-image-6001" style="width:818px;height:465px" width="818" height="465"/></figure>



<p><em>Figure 1, adapted from U.S. Bureau of Labor Statistics</em><em></em></p>



<p>Though inflation has moderated to an average annualized rate of ~5% in 2023, this aggregate value masks the fact that the most essential goods and services, such as food<sup> 2</sup> and medical care, have remained well above this level. Similarly, while gasoline prices have fallen since peaks seen in 2022, both motor and diesel fuel are currently higher than they were in the four-year period from mid-2017 to mid-2021.<sup>3</sup></p>



<p>Significant decreases have primarily been seen in valuable, but not essential, categories such as household appliances, clothing, and even recreational equipment.<sup>4</sup></p>



<h2 class="wp-block-heading">The Unequal Impact of Inflation on US Households</h2>



<p>Many people experience inflation as a slight frustration, or as a cause for mild concern. Reactions to price increases are expressed as indignation at higher grocery bills and irritation at the climbing costs of long-used products and services (which are ultimately still consumed)<br><br>However, the experience can be entirely different for lower income households, for whom ongoing inflation is imposing profound economic and even socio-emotional distress. For lower-income households, sustained periods of inflation can completely shift quality of life and in some cases, even risk access to basic rights, such as adequate availability of healthy food, consistent supplies of clean water, reliable electricity, and more. Notably, price inflation not only threatens economic security for these households – it also frequently stalls or reverses any prior economic mobility they may have experienced. High inflation rates have been linked to a reduction in the US middle class and a return to poverty for those who recently came out of the lowest income and wealth quintile.</p>



<p>Three factors explain the heavier impacts of inflation on lower-income households. Each of these reasons corresponds to a particular phase in the income lifecycle:</p>



<figure class="wp-block-image aligncenter size-large"><img loading="lazy" decoding="async" width="1024" height="683" src="https://cambercollective.com/wp-content/uploads/2023/08/alexander-grey-8a5eJ1-mmQ-unsplash-2-1024x683.jpg" alt="" class="wp-image-5998" srcset="https://cambercollective.com/wp-content/uploads/2023/08/alexander-grey-8a5eJ1-mmQ-unsplash-2-980x653.jpg 980w, https://cambercollective.com/wp-content/uploads/2023/08/alexander-grey-8a5eJ1-mmQ-unsplash-2-480x320.jpg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></figure>



<figure class="wp-block-image aligncenter size-large is-resized"><img loading="lazy" decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/08/Screenshot-2023-08-11-at-10.42.16-AM-1024x372.jpg" alt="" class="wp-image-5982" style="width:736px;height:267px" width="736" height="267"/></figure>



<ol class="wp-block-list" type="1">
<li><strong>How you earn: </strong>First<strong>, </strong>lower-income households are more likely to be employed informally in certain sectors, (child care, yard work, cleaning, etc.) relying primarily on wage income or transfer payments, or to occupy roles with diminished bargaining power. This fact is often due to a high supply/replaceability of workers for those roles and/or lack of union representation. Unfortunately, inflation has particularly outpaced growth in wages and transfer payments for these roles, which equally tend not to provide supplemental benefits such as sick leave or retirement contributions.<sup>6</sup> In contrast, middle and higher-income households are often employed in sectors that offer salaries and benefits such as commuter stipends or caregiver benefits, leaving them less vulnerable to price shocks in the economy.</li>



<li><strong>How you spend: </strong>Second<strong>, </strong>lower-income households typically spend a greater percentage of their income on necessities such as food, energy, and housing. Studies have shown that lower-income households in developed countries can spend as much as 50% of their income on food while higher-income households spend 20% on this expense.<sup>6</sup> While higher-income households can use tactics such as couponing or purchasing cheaper options to maintain key aspects of their lifestyles, lower income households often already use such money management tactics and therefore, have no further “dollar stretching” to do. As a result, lower income households are often forced to buy goods and services of extremely low quality, or have no choice but too completely &nbsp;forego necessities during times of price inflation.<sup> 7</sup></li>



<li><strong>How you save: </strong>Third, lower-income households are more likely to live paycheck-to-paycheck and have less discretionary income. As a result, these households often do not have an emergency fund or extensive savings and are more likely to go into formal debt (i.e. credit card, loans) or informal debt (i.e. borrowing from loved ones) to pay for necessities.<sup>8</sup> A lack of discretionary income and savings, as well as diminished access to or trust in financial systems<sup>9</sup> reduces many lower income households’ exposure to services and financial planning/investment approaches of potential benefit to them, further distancing them from obtaining the highest value from the money they do earn in the short and long-term.Conversely, middle and higher-income households have greater access to financial markets and often hold investments, resources which have a greater likelihood of shielding them from inflation’s harms.<sup>10</sup></li>
</ol>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Approaches to Addressing Inflation</h2>



<p>Given the extreme economic precarity that price inflation can bring to lower-income households, philanthropies may consider mobilizing their resources to complement, or fills gaps in, government approaches emanating from the federal, state, or local levels.</p>



<p>Of the various approaches we have seen philanthropies engage with, four warrant particular consideration for the level of innovation they represent:</p>



<ul class="wp-block-list">
<li><strong>Direct Cash Transfers:</strong> In times of rapid economic change, some philanthropies – notably community and place-based foundations – have ventured into the direct cash transfer space, providing rapid cash (on a needs-based scale) for essential goods and services critical for by low-income households. Transfers may be earmarked for specific objectives (such as gas or energy relief, health services, rent assistance, reduced internet service payments, etc), or may be unrestricted. One of the pioneers of this approach was the Greater Washington Community Foundation, <ins><a href="https://www.urban.org/research/publication/direct-cash-transfer-vehicle-speed-inclusivity-and-equity">which supported 60,000 residents of the Greater Washington DC area with payments totaling $26 million</a></ins> throughout the pandemic, and whose approaches remain highly relevant in this inflationary period.</li>
</ul>



<p>However, cash transfer programs should be implemented and monitored carefully to ensure that the intended effect is produced. In some instances, cash transfers have been shown to suddenly stimulate consumption, leading to reduced supply and even higher prices. Conversely, others have argued that increased purchasing power leads to product variation and resultingly, price decreases.<sup>11</sup> The variable outcome of cash transfer programs are influenced by several characteristics, including scale of implementation (geographic area and/or number of individuals), the monetary amount per transfer, the number and cadence of transfers, and more.<sup>12</sup> Making evidence-based design decisions that are tailored to the inflation context increases the likelihood of positive, intended economic effects.<sup>13</sup></p>



<ul class="wp-block-list">
<li><strong>Antimonopoly Engagement:</strong> While corporate concentration (i.e. monopolies) in key industries constitutes just one of several market contributors to recent inflation, this factor alone is estimated to cost the average American $5k per year in distorted (inflated) prices. In the absence of a competitive market, there is little rein on whether businesses monopolizing the market raise their prices acutely.<sup>14</sup> Traditionally, philanthropy has not engaged in ideological questions around the paradigms that govern our economy, including monopolistic practices that have escaped antitrust policy and enforcement since the 1980s. Yet this hesitancy is slowly evolving, led by major funders such as (but not limited to) the Ford Foundation, Omidyar Network, Hewlett Foundation. Now is an opportune moment for philanthropy to make a difference. A leading forum for action has been the <ins><a href="https://economicsecurityproject.org/news/inside-philanthropy-after-pooling-their-money-to-take-on-corporate-monopoly-funders-see-signs-of-progress/">Economic Security Project’s Antimonopoly Fund</a></ins>, which has “leaned into what was missing from the movement: grassroots organizing power around anti-monopoly campaigns, academic research that filled critical gaps in our understanding of the problem and potential solutions, and culture- and narrative-shift projects that told and made accessible the stories of how monopolies have impacted individuals and communities.”</li>
</ul>



<ul class="wp-block-list">
<li><strong>Improved Application of Disaggregated Inflation Insights: </strong>Disaggregation of inflation data and reporting is key to determining the strategies best positioned to serve key groups. While fluctuations in the inflation rate are frequently reported by expenditure category and geographic region, and <sup>15</sup> increasingly reported by income level and race/ethnicity<sup>16</sup> , application of initiatives by the latter indicators are severely lacking. Philanthropy is uniquely placed to fund insight generation around disaggregated research findings to tailor initiatives for key populations highlighted in analysis.</li>
</ul>



<ul class="wp-block-list">
<li><strong>Financial Literacy &amp; Access:</strong> As previously mentioned, lower-income households typically do not hold many, if any, savings and investments. This issue is often exacerbated during periods of inflation. For example, recent research showed a strong correlation between “financial literacy and inflation-induced changes in individuals’ personal finances”. Specifically, adults with very low levels of financial literacy were four times as likely to significantly reduce or completely stop retirement contributions during high periods of inflation in 2022, versus those with very high levels of financial literacy, who were able to maintain their retirement contributions.<sup>17</sup> This evidence puts forth that inflation not only threatens needs in the short-term, but can also affect finances in the long-term. <br><br>Philanthropy can help improve financial literacy and trust, as well as improve access to products that protect the value of money as inflation rages. In combination with the social supports described above, equipping individuals with financial tools can enhance their ability to navigate inflationary pressures and provide a basis for financial decision-making during volatile times. This is well-understood by Next Gen Personal Finance (NGPF), a group working to democratize access to financial information, with a mission of ensuring that all US high school students are required to take a financial literacy course to graduate. <a href="https://www.ngpf.org/blog/press-releases/state-superintendent-tony-thurmond-advocates-for-closing-the-gap-in-personal-finance-education-for-california-students/">In partnership with the California State Superintendent, NGPF is offering $1.4 million in grants</a> to develop and deliver financial literacy courses in California public schools. The grants include stipends for teachers that become certified, as well as funds to hire a personal finance specialist for the largest school districts in the state.</li>
</ul>



<figure class="wp-block-image alignleft size-full is-resized"><img loading="lazy" decoding="async" src="https://cambercollective.com/wp-content/uploads/2023/08/Women-in-office-1280x854-1.jpg" alt="" class="wp-image-5995" style="width:361px;height:240px" width="361" height="240"/></figure>



<p>It is key for philanthropic leaders to be aware of the disproportionate effect of inflation on their lower-income constituents; of the enduring nature of that impact even as top-line inflation figures reduce; and of the avenues at their disposal to kickstart a response via some of the above strategies, which represent only a partial snapshot of their available toolkit. Doing so will materially strengthen economic security at individual, household, and community levels even during times of financial tumult.</p>



<hr class="wp-block-separator has-alpha-channel-opacity"/>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Citations</h2>



<ol class="wp-block-list" type="1">
<li>&nbsp;<a href="https://www.bls.gov/opub/ted/2022/consumer-prices-up-9-1-percent-over-the-year-ended-june-2022-largest-increase-in-40-years.htm#:~:text=Consumer%20prices%20up%209.1%20percent,U.S.%20Bureau%20of%20Labor%20Statistics&amp;text=The%20.">Consumer prices up 9.1 percent over the year ended June 2022, largest increase in 40 years &#8211; US Bureau of Labor Statistics</a></li>



<li><a href="https://www.ers.usda.gov/data-products/food-price-outlook/summary-findings/">Summary findings, Food price outlook 2023 – USDA</a></li>



<li><a href="https://www.eia.gov/todayinenergy/detail.php?id=55179">EIA expects U.S. gasoline and diesel retail prices to decline in 2023 and 2024</a> &#8211; <a href="https://www.eia.gov/todayinenergy/detail.php?id=55179#:~:text=We%20forecast%20that%20retail%20prices,to%20%243.70%2Fgal%20in%202024.">EIA</a></li>



<li><a href="https://www.latimes.com/politics/story/2023-03-29/healthcare-costs-are-rising-even-as-inflation-falls#:~:text=During%20the%20pandemic%2C%20healthcare%20costs,or%20four%20times%20that%20rate.">Inflation is falling but your health premiums may be about a soar. Here’s why &#8211; Los Angeles Times</a></li>



<li><a href="https://www.federalreserve.gov/newsevents/speech/powell20220826a.htm">Monetary Policy and Price Stability – U.S. Federal Reserve</a></li>



<li><a href="https://www.brookings.edu/blog/future-development/2022/03/18/inflation-could-wreak-vengeance-on-the-worlds-poor/amp/">Inflation could wreak vengeance on the world’s poor – Brookings</a></li>



<li><a href="https://www.usatoday.com/story/money/2022/06/01/inflation-americans-racking-debt-low-income-households-at-risk/7471041001/">Inflation’s wrath has Americans wrecking up high debt. What at risk households need to know – USA Today</a></li>



<li><a href="https://www.urban.org/urban-wire/new-data-show-inflation-could-undermine-families-colors-financial-resilience-how-can">New Data Show Inflation Could Undermine Families of Color’s Financial Resilience. How Can Policymakers Help? &#8211; Urban Institute</a></li>



<li><a href="https://www.fdic.gov/analysis/household-survey/index.html">2021 FDIC National Survey of Unbanked and Underbanked Households &#8211; FDIC</a></li>



<li><a href="https://blogs.iadb.org/ideas-matter/en/inflation-and-its-impact-on-the-poor-in-the-era-of-covid-19/">Inflation and its impact on the poor in the era of COVID-19 – InterAmerican Development Bank</a></li>



<li><a href="https://home.uchicago.edu/~j1s/Jones_Alaska_Prices.pdf">Universal Cash Transfer and Inflation – Jones &amp; Marinescu</a></li>



<li><a href="https://equitablegrowth.org/getting-cash-transfer-payments-to-recipients-faster-boosts-household-spending-and-stimulates-the-economy/">Getting cash transfer payments to recipient’s faster boosts household spending and stimulates the economy – Washington Center for Equitable Growth</a></li>



<li><a href="https://blogs.worldbank.org/impactevaluations/what-have-we-learned-about-cash-transfers">What have we learned about cash transfers? &#8211; Blogs World Bank</a></li>



<li><a href="https://www.whitehouse.gov/cea/written-materials/2021/07/09/the-importance-of-competition-for-the-american-economy/">The Importance of Competition for the American Economy – The White House</a></li>



<li><a href="https://www.jec.senate.gov/public/index.cfm/republicans/2022/8/state-inflation-tracker-july-2022">State Inflation Tracker – US Congress Joint Economic Committee</a></li>



<li><a href="https://www.axios.com/2022/07/01/inflation-is-higher-for-some-demographic-groups-report-finds">Inflation is higher for some demographic groups, report finds &#8211; Axios</a></li>



<li><a href="https://gflec.org/wp-content/uploads/2023/04/2023-P-Fin-Index-report-TIAA-Inst-and-GFLEC-Apr-2023.pdf">Financial Wellbeing and literacy in a high-inflation environment – TIAA Institute</a></li>
</ol>



<p><em><strong>Aislyn Orji</strong> is a Consultant at Camber Collective. She utilizes data-driven storytelling to support clients in advancing their strategic &amp; operational goals. Prior to Camber, Aislyn worked as a global health researcher at the Institute for Health Metrics &amp; Evaluation. In her time there, she developed methods for measuring the burden of various chronic &amp; vertically transmitted diseases. She has further experience working with think tanks and nonprofits aimed at tackling issues of food insecurity, education, and homelessness.Aislyn earned an MPH concentrated in Health Metrics &amp; Evaluation from the University of Washington. She also holds a BA in Health Sciences &amp; minor in Sociology from Rice University, where she was a Trustee Distinguished Scholar. In her spare time, Aislyn enjoys exploring neighborhoods in new cities, and critiquing food with family &amp; friends.</em></p>



<p><strong><em>Marc Allen </em></strong><em>is a Director at Camber Collective and the Shared Prosperity Sector Lead<strong>, </strong>heading the firm’s Shared Prosperity portfolio. Drawing on his toolkit as a strategist and former policy attorney, Marc leads teams working to strengthen and reimagine our economic and democratic systems. His experience spans strategy and investment design, human-centered research/insights, and coalition-building services for philanthropies, government agencies, multilateral institutions, nonprofits, and socially-invested corporations. More broadly, Marc guides the effectiveness of executive teams in mission-driven organizations, helping to advance their theories of impact, program design, business models, and cultures of belonging.</em></p>
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			</div><p>The post <a href="https://cambercollective.com/2023/08/11/inflation-philanthropy/">How Philanthropy Can Reduce the Burden of Inflation on Low-Income Households</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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		<title>Climate Change and Infectious Disease in Africa</title>
		<link>https://cambercollective.com/2023/03/07/climate-africa-challenges-solutions/</link>
		
		<dc:creator><![CDATA[Rozella Kennedy]]></dc:creator>
		<pubDate>Tue, 07 Mar 2023 20:59:52 +0000</pubDate>
				<category><![CDATA[Climate & Environment]]></category>
		<category><![CDATA[Perspectives]]></category>
		<guid isPermaLink="false">https://cambercollective.com/?p=5112</guid>

					<description><![CDATA[<p>As climate change intensifies and the planet warms, infectious diseases will become more rampant in Sub-Saharan Africa. There are, however, important and imperative solutions and mitigations to consider.</p>
<p>The post <a href="https://cambercollective.com/2023/03/07/climate-africa-challenges-solutions/">Climate Change and Infectious Disease in Africa</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">The Challenge&nbsp;</h2>



<p>Africa is one of the most vulnerable continents to the impacts of climate change and is already experiencing symptoms of climate catastrophe such as increased temperatures, extreme weather events, rising sea-levels, and altered rainfall patterns. The impact of climate change on the health of Africans is significant, with some studies suggesting that climate change could cause an additional 100,000 deaths per year by 2030 [1]. Addressing the intersection of climate change and infectious disease in Africa requires urgent action by governments, the private sector, civil society, and international organizations. Further, climate change greatly exacerbates health problems on the continent, including the transmission of infectious diseases.</p>



<p>As climate change intensifies and the planet warms, infectious diseases—many of which are climate sensitive—are provided with the ideal environment to thrive as well as expand across geographies. Changes in temperature, rainfall patterns, and humidity are altering the distribution and behavior of disease vectors such as mosquitoes and ticks, thus increasing the prevalence and transmission of diseases such as malaria, dengue fever, and Lyme disease. As their natural habitats disappear, animal species are being forced to occupy new areas, which enables the potential spread of zoonotic diseases, both animal-to-animal, and animal-to-human—such as Ebola, Lassa fever, and Rift Valley fever.[2]. &nbsp;</p>



<p>Flooding, also more frequent and severe due to climate change, can contaminate drinking water sources, further increasing the risk of waterborne diseases. We will then expect to see a rise in diseases such as cholera, typhoid fever, and hepatitis A through changes in precipitation patterns.</p>



<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="956" height="595" src="https://cambercollective.com/wp-content/uploads/2023/03/climate-change-af.png" alt="" class="wp-image-5113" srcset="https://cambercollective.com/wp-content/uploads/2023/03/climate-change-af.png 956w, https://cambercollective.com/wp-content/uploads/2023/03/climate-change-af-480x299.png 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 956px, 100vw" /></figure>
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<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Solutions</h2>



<p>It can certainly be discouraging and alarming to consider the possibility and preponderance of such dire outcomes, however, there are several policy, behavioral, resource, and systemic mitigations that can be put in place. Some have already risen to the level of urgent imperatives.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong>Strengthening surveillance &amp; monitoring systems</strong></h3>



<p>Healthcare workers who are trained in disease surveillance, laboratory diagnosis, and outbreak response are crucial to the success of surveillance and monitoring systems. Information and communication technologies such as mobile phone technology, GIS mapping, and social media can also improve the efficacy of these systems.</p>



<figure class="wp-block-image aligncenter size-large"><img decoding="async" src="https://switchpointllc.sharepoint.com/Camber%20Collective%20Images/Africa/girl-sleeping-with-sickness-on-the-bed-2022-09-16-07-21-23-utc.jpg" alt=""/></figure>



<p>Effective surveillance and monitoring systems are crucial in addressing the nexus of climate change and infectious disease in Africa. To enhance these systems, a comprehensive approach is required. Early warning systems that utilize real-time data, modeling, and risk assessments are invaluable in detecting the emergence and spread of infectious diseases. Furthermore, integrated disease surveillance and response (IDSR) systems that use standardized case definitions and reporting mechanisms enable the rapid detection of disease outbreaks through the tracking of cases by medical professionals and other stakeholders such as local health officials [3].</p>



<p>Public-private partnerships that bring together governments, the private sector, and international organizations to invest in disease surveillance and response systems are vital to effective disease control. So is improved data sharing across sectors such as agriculture, environment, and health will allow for earlier identification of potential outbreaks.</p>



<p>Furthermore, community participation in surveillance and monitoring systems is vital for strengthening surveillance and monitoring systems. Communities can be upskilled in recognizing and reporting disease outbreaks, and community health workers can collect data on disease trends. By bolstering surveillance and monitoring systems, we can promptly detect and respond to disease outbreaks, mitigating the impact of climate change on infectious disease transmission in Africa.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong>Ensuring climate resilience in healthcare infrastructure</strong></h3>



<p>Ensuring the climate resilience of healthcare infrastructure is imperative. As climate-caused extreme weather events become more frequent, infrastructure planning and strategies must meet the moment to mitigate the risk of infectious disease transmission. Some of the necessary actions include investing in water and sanitation systems able withstand climate change-induced impacts and weather events, construction of climate-resilient housing, and the promotion of renewable energy sources.</p>



<figure class="wp-block-image aligncenter size-large"><img decoding="async" src="https://switchpointllc.sharepoint.com/Camber%20Collective%20Images/Africa/young-african-man-with-pencil-over-notepaper-sitti-2022-02-02-03-58-48-utc.jpg" alt=""/></figure>



<p>Healthcare facilities must be built and/or repaired and upgraded so that they may withstand climate-caused challenges, with updated building codes featuring climate-resilient design such as elevated floors, reinforced walls, and wind-resistant roofs. Backup power systems will ensure that &nbsp;healthcare facilities can continue to provide essential services during power outages. Addressing this deficit is of urgency given how many healthcare facilities in Africa are underdeveloped, lacking basic amenities such as clean water and sanitation [4]. Not only does this insufficiency makes delivering life-saving care an extreme challenge, it also further exposes patients and healthcare workers to infection and disease transmission.</p>



<p>To respond effectively to the health effects of climate change, healthcare workers must receive new training and updated equipment. This upskilling can range from education on how to diagnose and treat climate-sensitive diseases such as malaria and dengue fever to the management of extreme weather events such as heat waves and floods. Moreover, as we recall from the recent disparities around the COVID pandeminc, healthcare workers must imperatively be supplied with the proper personal protective equipment to safeguard themselves and their patients.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong>Investing in innovative research and development</strong></h3>



<p>It is essential to invest incrementally in the development and deployment of new technologies that can enhance healthcare delivery amid climate change. For example, remote diagnosis and treatment of climate-sensitive diseases can help to decrease the need for patients to travel long distances to receive healthcare. Digital health platforms also enable disease surveillance and response, allowing healthcare workers to promptly detect and respond to disease outbreaks [5]. Such investments can also help identify novel strategies for preventing and controlling infectious diseases.</p>



<p>Some innovations we need to see include research on the influence of climate change on disease transmission, the creation of new vaccines and drugs, and the evaluation of innovative prevention and control measures.Collaborations between the public and private sectors are also imperative in order to leverage resources and expertise in developing and implementing climate-resilient, innovative solutions that can address the health impacts of climate change.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong>Promoting behavior change to mitigate challenges</strong></h3>



<figure class="wp-block-image aligncenter size-full"><img loading="lazy" decoding="async" width="802" height="511" src="https://cambercollective.com/wp-content/uploads/2022/09/Screen-Shot-2022-09-02-at-3.23.24-PM.jpg" alt="" class="wp-image-4089" srcset="https://cambercollective.com/wp-content/uploads/2022/09/Screen-Shot-2022-09-02-at-3.23.24-PM.jpg 802w, https://cambercollective.com/wp-content/uploads/2022/09/Screen-Shot-2022-09-02-at-3.23.24-PM-480x306.jpg 480w" sizes="auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 802px, 100vw" /></figure>



<p>Education and awareness campaigns will encourage behavior change focusing on the risks of climate change and infectious disease. In the face of climate change and an increasingly interconnected world, it is imperative that individuals take proactive measures to reduce their risks. Such efforts can include handwashing, safe food preparation and storage practices, and other hygiene measures. Community engagement is critical in promoting behavior change, ranging from identifying local health needs to developing and implementing culturally appropriate health programs. Community health workers play an important role in delivering health education and promoting behavior change within their communities.</p>



<p>Traditional healers and community leaders also serve as resources for their communities, and their knowledge must be incorporated into future resilience design. Behavioral change can be incenvtiveed at the individual level, such as through rewards for households that adopt sustainable practices. Incentives can also be depoloyed at the community level, such as in encouraging widespread adoption of climate-resilient ag (drought-resistant crops, drought-sensitive irrigation, etc.). At the civic, regional, or national level, regulations and policies come into play in promoting systemic behavior change. Examples include clean energy requirements, or safe hygiene practices in healthcare facilities. Policies could also encourage sustainable farming practices, such as crop rotation and conservation agriculture.</p>



<h3 class="wp-block-heading has-vivid-green-cyan-color has-text-color"><strong>Addressing immediate implications of climate change</strong></h3>



<p>Efforts to build climate resilience to reduce Africa’s vulnerability should also provide communities with basic amenities to weather the impacts of climate change. Amenities such as access to water and sanitation, electricity for productive use, clean cooking and climate-smart agricultural systems, and food preservation methods enable sustainable rural landscapes. Governments should encourage investment into standard primary health care centers to respond proactively to emerging infections through a “ONE Health [6]” approach.</p>



<h2 class="wp-block-heading has-vivid-green-cyan-color has-text-color">Conclusion</h2>



<p>The impact of climate change on the transmission of infectious diseases has been significant, leading to health, economic, and security implications. A comprehensive and multidisciplinary approach involving all stakeholders—governments, the private sector, civil society, and international organizations alike—is necessary to address this challenge. Actionable solutions including strengthening surveillance and monitoring systems, ensuring climate resilience in healthcare infrastructure, investing in innovative research and development, promoting behavior change to mitigate challenges, and addressing immediate implications of climate change. By taking urgent action, we can improve the health and well-being of people on the continent, reduce the burden of infectious diseases, and promote sustainable development.</p>



<figure class="wp-block-image aligncenter size-large"><img decoding="async" src="https://switchpointllc.sharepoint.com/Camber%20Collective%20Images/Africa/happy-young-african-researcher-looking-at-camera-2021-12-09-20-56-53-utc.jpg" alt=""/></figure>



<p>The intersection of climate change and infectious disease is a global challenge, and solutions developed for Africa can be applied to other regions of the world facing similar challenges. There is an urgent need for increased investment in addressing this challenge in other parts of the world. This investment will improve the health and well-being of people in Africa, as well as contribute to achieving the Sustainable Development Goals, especially Goal number 3: Ensure healthy lives and promote well-being for all.</p>



<p>Additionally, the intersection of climate change and infectious disease represents one dimension of the interconnected impacts of climate change on all domains of life and society (e.g., agriculture, food systems, overall health, etc.). Solutions addressing this nexus should maintain perspective on the intersectional influences of climate change.</p>



<p><em><strong>Dr. Chidiebere E.X. Ikejemba</strong> is the Director of Climate &amp; Environment at Camber Collective. His body of work focuses on climate equity and justice, building resilient climate-smart development programs, strengthening political will for urgent climate change action and many other levers of activation. His theory of impact operates across both the upstream and downstream of a systems chain. that encompasses, just transition, agriculture &amp; food security, migration, economic &amp; rural development, climate education, waste management (circularity), healthcare, corruption and democracy, energy access, gender inclusion, carbon neutrality and other dimensions. The circularity of Camber’s approach and theory of influence is, we believe, the most congruous path to balancing economic reality and humanitarianism.  </em></p>



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<h3 class="wp-block-heading">Notes</h3>



<p><sup>1</sup>&nbsp;UNECA, &#8220;Climate Change and Health in Africa: Issues and Options,&#8221; United Nations Economic Commission for Africa, 2011.</p>



<p><sup>2</sup>&nbsp;E. S. Brondizio, J. Settele, S. Díaz and H. T. Ngo, &#8220;IPBES (2019): Global assessment report on biodiversity and ecosystem services of the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services,&#8221; https://doi.org/10.5281/zenodo.3831673, Bonn, 2019.</p>



<p><sup>3</sup>&nbsp;Kang G et al., &#8220;Improved surveillance of infectious diseases in resource-poor settings: The value of analytical epidemiology,&#8221; <em>Emerging Infectious Diseases, </em>vol. 20, no. 10, pp. 1728-1735, 2014.</p>



<p><sup>4</sup>&nbsp;Nguh BL et al., &#8220;Assessing the healthcare delivery system: A cross-sectional survey of healthcare managers and administrators in Cameroon,&#8221; <em>Journal of Hospital Administration and Management, </em>vol. 1, no. 1, pp. 1-11, 2017.</p>



<p><sup>5</sup>&nbsp;Mwapasa V <em>et al</em>., &#8220;The role of mobile health technologies in the fight against infectious diseases in low- and middle-income countries: a systematic review,&#8221; <em>Journal of Medical Internet Research, </em>vol. 20, no. 8, p. e10756, 2018.</p>



<p><sup>6</sup>&nbsp;&#8216;One Health&#8217; is an integrated, unifying approach to balance and optimize the health of people, animals, and the environment. The approach mobilizes multiple sectors, disciplines, and communities at varying levels of society to work together. This way, new and better ideas are developed that address root causes and create long-term, sustainable solutions. One Health involves the public health, veterinary, public health, and environmental sectors. The One Health approach is particularly relevant for food and water safety, nutrition, the control of zoonoses (diseases that can spread between animals and humans, such as flu, rabies, and Rift Valley fever), pollution management, and combatting antimicrobial resistance (the emergence of microbes that are resistant to antibiotic therapy).</p>
<p>The post <a href="https://cambercollective.com/2023/03/07/climate-africa-challenges-solutions/">Climate Change and Infectious Disease in Africa</a> appeared first on <a href="https://cambercollective.com">Camber Collective</a>.</p>
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