This report outlines the first coherent strategy drawn up by the UN to address dryland management, taking into account environmental concerns and the well-being of dryland communities. It examines the relationship between drylands and climate change, food security and livelihoods, and highlights ways in which the UN is working to mainstream drylands into policymaking processes.

Climate change is already having an impact on crop yields and nutrition in areas that rely on rain-fed agriculture, according to the report, and these impacts will intensify by 2020 in parts of Sub-Saharan Africa, Asia and Latin America. The impacts of climate change may be most pronounced in Sub-Saharan Africa and South Asia, suggesting that those already vulnerable will be affected the most.

A key message is that the international community has an opportunity to address the underlying causes of dryland degradation. The report concludes that global cooperation must be intensified if the ten-year strategic plan of the UN Convention to Combat Desertification — whose aim is to tackle desertification and degradation — and the Millennium Development Goals are to be achieved.

The Millennium Development Goals (MDGs) practically define health efforts in the 21st century, but they virtually ignore non-communicable diseases such as mental health, say these authors. This is despite evidence that mental health disorders are among the most important cause of sickness and disability and even premature mortality. The authors argue that tackling mental health problems will be vital to achieving the MDGs, and three in particular — eradicating poverty, reducing child mortality, and improving maternal health.

Poverty and hunger are well-recognised risk factors for mental health, but mental health also makes it harder for people to escape the hunger trap. Mothers who are depressed during pregnancy and post natally, are more likely to have underweight babies; not only that, the illness means these mothers are more likely to stop breastfeeding and less likely to ensure their children are properly immunised than mothers without depression.

The authors advocate that strengthening basic health-care systems should be holistic. For example, developing countries need more and better-trained health workers but they should not only know how to deliver babies but also how to counsel new mothers. HIV/AIDS programmes, as another example, should ensure that individuals not only have good access to antiretrovirals but also to treatment for depression if they need it.