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2711. To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda

Author:
Dean Karlan, Pia Raffler, Greg Fischer, and Margaret McConnell
Publication Date:
11-2014
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
In a field experiment in Uganda, we find that demand after a free distribution of three health products is lower than after a sale distribution. This contrasts with work on insecticide-treated bed nets, highlighting the importance of product characteristics in determining pricing policy. We put forward a model to illustrate the potential tension between two important factors, learning and anchoring, and then test this model with three products selected specifically for their variation in the scope for learning. We find the rank order of shifts in demand matches with the theoretical prediction, although the differences are not statistically significant.
Topic:
Development and Health
Political Geography:
Uganda and Africa

2712. Ebola and the Private Sector: Bolstering the response and West African economies

Publication Date:
12-2014
Content Type:
Working Paper
Institution:
Oxfam Publishing
Abstract:
The current Ebola outbreak in West Africa is unprecedented. The increasing number of cases, the poor health infrastructure, the shortage of skills, knowledge and personnel, and the fear surrounding the disease are proving a huge challenge to affected governments and to the international community as they battle to bring the epidemic under control.
Topic:
Disaster Relief, Health, Human Welfare, and Infectious Diseases
Political Geography:
Africa and West Africa

2713. A Long Way to Go: The Ebola response in West Africa at the sixty day mark

Author:
Debbie Hillier and Krista Riddley
Publication Date:
12-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
The international response to the Ebola epidemic is on the right path, but there is a long way to go. The UN's interim objective was to treat 70 percent of cases and to ensure that 70 percent of burials were done safely within 60 days, i.e. by 1 December 2014. Case numbers are stabilizing in Liberia and Guinea, but remain out of control in Sierra Leone – such that the targets for cases treated has not been met. The UN has not provided figures for what had been achieved by 1 December, but a previous sitrep on 21 November showed that only 13 percent of Ebola cases in Sierra Leone have been isolated, compared with 72 percent in Guinea.
Topic:
Disaster Relief, Human Welfare, Infectious Diseases, and Health Care Policy
Political Geography:
Africa

2714. Seven Million Lives Saved: Under-5 Mortality Since the Launch of the Millennium Development Goals

Author:
John McArthur
Publication Date:
09-2014
Content Type:
Working Paper
Institution:
The Brookings Institution
Abstract:
To what extent have developing countries' patterns in reducing under-5 mortality rates (U5MR) changed since the advent of the Millennium Development Goals (MDGs)? This paper investigates that question across multiple time horizons, with attention to the fact that countries' progress had already begun to accelerate during the late 1990s compared to the early 1990s. The paper gives special consideration to countries the MDGs were primarily intended to support, including initially “Off Track” and low-income countries. Although only 21 percent of originally Off Track countries and 34 percent of originally low-income countries are now on a path to achieve the MDG target by 2015, at least 80 percent of each group has seen accelerated progress since 2001. Approximately 90 percent of countries in sub-Saharan Africa have accelerated. Most importantly, regression analysis indicates that cross-country trends since 2000 differ considerably from previous decades. The years since the launch of the MDGs include the first extended period in at least four decades during which rates of U5MR decline have not been negatively correlated with U5MR levels. Compared to a conservative counterfactual trend from 1996 to 2001, at least 7.5 million additional children's lives are estimated to have been saved between 2002 and 2013. The results suggest that much of the greatest structural progress has been achieved by countries not likely to achieve the formal MDG targets, even if their progress might be linked to the pursuit of those targets. Implications are considered for setting U5MR targets through to 2030.
Topic:
Development, Health, Human Welfare, and Health Care Policy
Political Geography:
Africa

2715. Why Europe must stop outsourcing its security

Author:
Richard Gowan and Nick Witney
Publication Date:
12-2014
Content Type:
Working Paper
Institution:
Center on International Cooperation
Abstract:
The EU claims to be in the business of “crisis management” – ready if need be to make “robust” military interventions to control conflict, especially in its neighbourhood. In practice, it now prefers to “outsource” such interventions to others, notably the United Nations and African Union (AU), limiting itself to supporting roles. This is not just shabby; it also saps Europe's influence in a world in which European interests and values are increasingly contested. And it places too great a burden on organisations such as the UN and AU. Unless the EU rediscovers a willingness to bear the costs and risks of military operations to control conflict, Europe can expect everintensifying refugee pressure on its southern borders. Although military force will not help in Ukraine or the turmoil of the Middle East, the EU could make a big difference if it were prepared to do more in crisis management in Africa. The EU could contribute to or complement UN or AU efforts in a variety of ways. Responding to the crisis in UN peacekeeping, Ban Kimoon has ordered a review. New EU High Representative Federica Mogherini should do the same, involving outside experts in a stock-take of international efforts to control conflict to Europe's south and commissioning specific proposals to get the EU back to playing a properly responsible security role.
Topic:
Human Welfare, Humanitarian Aid, United Nations, and Refugee Issues
Political Geography:
Africa, Europe, Ukraine, and Middle East

2716. The Case for a New Federalism in Libya

Author:
Karim Mezran and Mohamed Eljarh
Publication Date:
12-2014
Content Type:
Policy Brief
Institution:
Atlantic Council
Abstract:
The French intellectual Jean Baudrillard once said, “It is always the same: once you are liberated, you are forced to ask who you are.” In the case of Libya, this question should have been at the center of every political initiative immediately following the collapse of Muammar Qaddafi's regime. Libya's new leadership had the opportunity to convene a national dialogue in an effort to explore questions of national identity and a new vision for a national mission. Unfortunately, the Libyan elites who emerged from the 2011 civil war did not make national dialogue a priority, opting to appease local forces—armed and political—rather than to undertake the difficult but critical task of nation-building.
Topic:
Security, Political Violence, and Governance
Political Geography:
Africa and Libya

2717. Making the Case: Dismissing the Major Critiques of Syria's Chemical Weapons Destruction

Author:
Mieke Eoyang and Ben Freeman
Publication Date:
09-2014
Content Type:
Policy Brief
Institution:
Third Way
Abstract:
The F-35, or Joint Strike Fighter, is America’s next-generation manned fighter jet, but this $1.5 trillion program—the most expensive weapon program ever—has been plagued by costly delays and design challenges. There is a solution to the F-35 dilemma: slow down. The threats facing the U.S. today do not require that we rush the F-35 into production. We can save billions by further testing the aircraft. In this time of budget cutting and sequestration, the issue of F-35 spending is significant. Here’s how to talk about this weapon system—and how to fix it.
Political Geography:
Africa

2718. Effective Governance in Challenging Environments

Author:
Mireille Affa'a Mindzie, George Mukundi Wachira, and Lucy Dunderdale
Publication Date:
12-2014
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
The “Africa rising” narrative has gained traction in recent years. Yet a very important question remains: who is rising? While statistics point to a continent whose fortunes have improved, many African citizens remain at the margins of socioeconomic development. In what has been termed growth without transformative development, there is a heightened focus among African states on translating promising statistics into better livelihoods for citizens. Citizens' uprisings in North Africa and in Burkina Faso provide a fresh reminder of the danger in touting impressive economic growth statistics while the majority of a country's population remains excluded from democratic governance processes and development. It is also widely believed that development failures and governance deficits lie “at the heart of Africa's violent conflicts.” Africa will only achieve its full potential and live up to the Africa rising narrative if it can strengthen its systems of governance; promote inclusive, equitable, and participatory development; and embed a culture of democracy and peace.
Political Geography:
Africa and North Africa

2719. Morocco's Approach to Countering Violent Extremism

Author:
Mohamed Salah Tamek
Publication Date:
05-2014
Content Type:
Working Paper
Institution:
The Washington Institute for Near East Policy
Abstract:
Morocco has had a largely successful record of countering violent extremism within its borders, including the dismantling of numerous cells linked to al-Qaeda core or its North African offshoot, al-Qaeda in the Islamic Maghreb (AQIM). Thousands of suspects have been arrested for perpetrating assassinations, assaults, and robberies; huge caches of heavy weapons have been confiscated; and authorities have foiled many attempts to attack security services, tourist attractions, diplomatic delegations, and places of worship for Christians and Jews. In addition, two channels of recruitment for jihadists in Mali were dismantled in late 2012, and two months ago, Moroccan and Spanish security forces jointly dismantled a transnational cell recruiting fighters for Syria and Mali.
Topic:
Security, Terrorism, and Armed Struggle
Political Geography:
Africa, Middle East, Syria, Morocco, and Northern Mali

2720. Libya's Growing Risk of Civil War

Author:
Andrew Engel
Publication Date:
05-2014
Content Type:
Working Paper
Institution:
The Washington Institute for Near East Policy
Abstract:
Long-simmering tensions between non-Islamist and Islamist forces have boiled over into military actions centered around Benghazi and Tripoli, entrenching the country's rival alliances and bringing them ever closer to civil war. On May 16, former Libyan army general Khalifa Haftar launched "Operation Dignity of Libya" in Benghazi, aiming to "cleanse the city of terrorists." The move came three months after he announced the overthrow of the government but failed to act on his proclamation. Since Friday, however, army units loyal to Haftar have actively defied armed forces chief of staff Maj. Gen. Salem al-Obeidi, who called the operation "a coup." And on Monday, sympathetic forces based in Zintan extended the operation to Tripoli. These and other developments are edging the country closer to civil war, complicating U.S. efforts to stabilize post-Qadhafi Libya.
Topic:
Political Violence, Religion, Armed Struggle, and Sectarianism
Political Geography:
Africa, United States, Libya, and Tripoli