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Begin New Search Topic Health Political Geography Global Focus Content Type Policy Brief Publication Year within 10 Years

1. U.S. and Global Approaches to Financing Long-Term Care: Understanding the Patchwork

Author:
Celli Horstman, Evan D. Gumas, and Gretchen Jacobson
Publication Date:
02-2023
Content Type:
Policy Brief
Institution:
Commonwealth Fund
Abstract:
Most United States adults age 65 and older will need long-term care toward the end of their lives.1 Long-term care, provided in the home, community, or in institutional settings like a nursing home, includes medical care as well as personal, nonmedical care for people who are unable to perform activities of daily living, like cooking or bathing. Some services also may support social needs for those unable to perform what are known as instrumental activities of daily living, such as shopping or medication management. In 2018, more than 5 million people in the United States used home health care, including adult day care or home health agency services, and nearly 4 million people resided in nursing homes or residential care communities.2 Despite the widespread need for long-term care, the U.S. has no national program to cover the costs of long-term care. While certain states have implemented their own programs, the resulting patchwork of funding has left many Americans with no sustainable way to pay for the services they require. Other developed countries have comprehensive, national long-term care financing systems featuring broad eligibility and high levels of financial support. In this brief, we analyze data from multiple sources on long-term care costs in the U.S., as well as spending data from the Organisation for Economic Co-operation and Development (OECD), to better understand long-term care financing strategies in 12 high-income countries. In addition to these data, we synthesized initiatives to long-term care funding in these 12 countries. (For details, see “How We Conducted This Study.”) Since the U.S. does not have a national funding strategy, we also focused on individual state approaches. International and U.S. state approaches may provide insights to policymakers seeking to advance comprehensive long-term care funding.
Topic:
Health, Health Care Policy, Inequality, and Social Services
Political Geography:
Global Focus

2. Non-economic loss and damage: closing the knowledge gap

Author:
International Centre for Climate Change and Development (ICCCAD)
Publication Date:
01-2023
Content Type:
Policy Brief
Institution:
International Centre for Climate Change and Development (ICCCAD)
Abstract:
Climate-related loss and damage is escalating, with many countries experiencing new forms of climate impact, of increasing intensity. The focus until now has been on calculating the economic repercussions of climate risk. Its wider impacts and resulting hidden costs of climate change — such as loss of cultural heritage — are less understood and harder to quantify. This knowledge gap on non-economic loss and damage, which is largely due to limited coordination around research and sparse evidence originating from the global South, urgently needs addressing. This briefing proposes a comprehensive approach for building the evidence base on non-economic loss and damage, particularly the creation of a Loss and Damage Research Observatory. This online platform will lay the foundations for a collaborative South–South–North community of practitioners, ultimately leading to informed policy on this critical area of climate action.
Topic:
Climate Change, Health, Displacement, Conservation, Indigenous, Resilience, and Biodiversity
Political Geography:
Global Focus

3. The UN’s Response to the COVID-19 Infodemic

Author:
Gabriel Delsol and Albert Trithart
Publication Date:
05-2023
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
The COVID-19 pandemic has been accompanied by a related “infodemic.” This infodemic emerged as widespread demand for information about the public health emergency was met with large volumes of false and misleading information. Many of the national and international institutions leading the response to the COVID-19 pandemic, including the UN, quickly recognized that they also needed to respond to the infodemic. This led to a quick, broad-based response by a broad array of UN agencies and partners. To date, however, there has been no systematic mapping or assessment of the range of initiatives across the UN system. To begin filling that gap, this paper provides an overview of the UN system’s response to the COVID-19 infodemic across four areas: monitoring harmful information related to COVID-19; dispelling false information and providing authoritative information; building information resilience; and setting the agenda. It then assesses some of the successes and challenges of the response across four areas: external partnerships, including with governments, civil society, academia, and social media companies; coordination within the UN system; financial, human, and technological capacity; and impact assessment. The report concludes that the UN’s infodemic response finds itself at a pivotal point: Due to donor fatigue around COVID-19, funding for the infodemic response is falling even while the need for a robust infrastructure to address infodemics and other information disorders may be increasing. UN entities working to address the infodemic and other information disorders should therefore consider the following: Engaging in a consultative process to develop a shared understanding of the infodemic by defining its specific harms in relation to each of their mandates; Sustaining and building capacity to counter infodemics and other information disorders, both in communications departments and in other sections working on infodemic management; Adopting a more standardized, system-wide approach to the use of new technologies and engagement with technology platforms; and Continuing to strengthen long-term information resilience by building the capacity of governments to manage infodemics and supporting strong, independent media.
Topic:
Health, Science and Technology, United Nations, and COVID-19
Political Geography:
Global Focus

4. A Fund for Global Health Security and Pandemic Preparedness

Author:
Amanda Glassman, Eleni Smitham, and Erin Collinson
Publication Date:
05-2022
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
The COVID-19 crisis has served as a painful demonstration that no country is fully prepared for a pandemic and that the existing global health architecture remains ill-equipped to finance pandemic prevention, preparedness, and response (PPR). The rationale for preventing and containing pandemics is self-evident: the price of preparedness is a fraction of the cost of responding to catastrophic outbreaks, both in terms of human and economic well-being.[1] In the aftermath of the 2003 SARS outbreak, 2009 H1N1 pandemic, and the 2014-2016 West Africa Ebola outbreak, experts called for scaling up sustainable financing to ensure the world was better prepared to face that next global health threat. But even amid efforts to better understand and measure preparedness gaps,[2] little action was taken to mobilize financing and incentivize investments in strengthening detection, prevention, and response capabilities. As global health threats evolve, countries’ capacity to prepare for and respond to disease outbreaks is increasingly a global imperative. Now is the time to take concrete steps toward establishing sustained financing for pandemic PPR to help bring an end to the ongoing COVID-19 pandemic, combat future health security threats, and break the costly cycle of neglect.
Topic:
Security, Health, Pandemic, and COVID-19
Political Geography:
Global Focus

5. Inequality Kills: The unparalleled action needed to combat unprecedented inequality in the wake of COVID-19

Author:
Oxfam Publishing
Publication Date:
01-2022
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
The wealth of the world’s 10 richest men has doubled since the pandemic began. The incomes of 99% of humanity are worse off because of COVID-19. Widening economic, gender, and racial inequalities—as well as the inequality that exists between countries—are tearing our world apart. This is not by chance, but choice: “economic violence” is perpetrated when structural policy choices are made for the richest and most powerful people. This causes direct harm to us all, and to the poorest people, women and girls, and racialized groups most. Inequality contributes to the death of at least one person every four seconds. But we can radically redesign our economies to be centered on equality. We can claw back extreme wealth through progressive taxation; invest in powerful, proven inequality-busting public measures; and boldly shift power in the economy and society. If we are courageous, and listen to the movements demanding change, we can create an economy in which nobody lives in poverty, nor with unimaginable billionaire wealth—in which inequality no longer kills.
Topic:
Health, Inequality, Pandemic, and COVID-19
Political Geography:
Global Focus

6. Vaccine Equity in ConflictAffected Areas: The Challenges of Development, Production, Procurement, and Distribution

Author:
Katherine DeLand
Publication Date:
05-2022
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
While the wide-ranging impacts of COVID-19 are being felt in all countries and communities, the pandemic is having a disproportionately large impact on vulnerable populations, such as people living in areas affected by fragility, conflict, and violence. Vaccines hold enormous promise to mitigate these impacts, but the complications inherent to armed conflict make accessing vaccines especially challenging. Even when countries do receive vaccines, they often face challenges in rolling out vaccination programs, whether because they lack adequate capacity or because the doses are set to expire or are not acceptable to the communities set to receive them. This issue brief focuses on the challenges of equitably distributing COVID-19 vaccines to populations in conflict-affected areas. It begins by looking at general issues related to the development, approval, production, procurement, and distribution of vaccines. It then examines the particular challenges to distributing vaccines in conflict-affected areas both before and during the vaccine rollout. The report concludes with several recommendations for stakeholders and policymakers to improve the delivery of vaccines in conflict-affected areas: Redistribute global resources to increase the supply of vaccines to conflict-affected countries; Increase the transparency and predictability of global vaccine supplies; Enhance cooperation and coordination at the national and local levels to deliver vaccines to conflict-affected areas through existing humanitarian response mechanisms; and Ensure that vaccination campaigns in conflict-affected areas adhere to humanitarian principles.
Topic:
Health, Conflict, Vaccine, COVID-19, and Humanitarian Response
Political Geography:
Global Focus

7. Strengthening Data to Protect Healthcare in Conflict Zones

Author:
Rohini Haar and Susannah Sirkin
Publication Date:
11-2022
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Attacks on healthcare in situations of armed conflict have been reported at alarming levels over the past two decades. In response to this problem, the UN Security Council unanimously passed Resolution 2286, which urges states to collect data on attacks on medical personnel, transport, and facilities. This data is essential to understand the scale and scope of the problem, protect health services and workers, prioritize resources to those most impacted, prevent future attacks, and hold perpetrators accountable. This paper examines why data on threats to and attacks on healthcare in conflict is important to protection, advocacy, and investigation and how it can be improved and harmonized. It provides an overview of existing data-collection efforts—namely, the Surveillance System for Attacks on Health Care (SSA) and the database produced by the Safeguarding Health in Conflict Coalition (SHCC) in partnership with Insecurity Insight—and identifies challenges and gaps at both the policy and technical levels. This paper concludes with the following recommendations for the World Health Organization (WHO), other UN entities, UN member states, and NGOs: The World Health Assembly should adopt a resolution calling on WHO to address the major concerns in the structure and operation of the SSA; WHO should make technical improvements to the quality and presentation of data in the SSA and be open to a range of data-collection methodologies; Other UN agencies, governments, and civil society organizations should take steps to improve the collection and sharing of data on attacks on healthcare to improve protection, prevention, and accountability; and Governments, NGOs, and other actors should increase the funding and capacity of existing data-collection initiatives.
Topic:
Health, Humanitarian Aid, United Nations, Conflict, UN Security Council, Data, and WHO
Political Geography:
Global Focus

8. The Commitment to Development Index 2021

Author:
Ian Mitchell, Lee Robinson, Beata Cichocka, and Euan Ritchie
Publication Date:
09-2021
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
The Commitment to Development Index (CDI) ranks 40 of the world’s most powerful countries on policies that affect more than five billion people living in poorer nations. Because development is about more than foreign aid, the CDI covers eight distinct policy areas: Development Finance Investment Migration Trade Health Environment Security Technology
Topic:
Security, Development, Environment, Health, Migration, Science and Technology, Finance, Investment, and Trade
Political Geography:
Global Focus

9. Addressing the COVID-19 Crisis’s Indirect Health Impacts for Women and Girls

Author:
Carleigh Krubiner, Megan O'Donnell, Julia Kaufman, and Shelby Bourgault
Publication Date:
04-2021
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
As donor institutions and governments seek to provide relief and support recovery from the COVID-19 pandemic and global recession, CGD’s COVID-19 Gender and Development Initiative aims to ensure that their policy and investment decisions equitably benefit women and girls. We seek to support decision-makers in understanding the gendered impacts of the COVID-19 pandemic; assess health, economic, and social policy response measures with a gender lens; and propose evidence-based solutions for an inclusive recovery. Recognizing that the dialogue to date has largely emphasized challenges facing women and girls in high-income settings, our analysis centers on women and girls in low- and middle-income countries. In this policy brief, we summarize the findings of a CGD working paper, Addressing the COVID-19 Crisis’s Indirect Health Impacts for Women and Girls. We examine how the pandemic is affecting women’s and girl’s health, including their sexual and reproductive health; some of the ways national governments and donor institutions have sought to maintain the provision of essential health services; and existing gaps, opportunities, and promising strategies donors and governments should pursue to address indirect harms to women’s and girl’s health during and beyond the COVID-19 crisis.
Topic:
Health, Children, Women, Pandemic, COVID-19, and Health Crisis
Political Geography:
Global Focus

10. Trade Is Good for Your Health

Author:
James Bacchus
Publication Date:
06-2021
Content Type:
Policy Brief
Institution:
The Cato Institute
Abstract:
There is increasing need to free up medical trade to help end the COVID-19 pandemic and secure global health. Yet import tariffs, export restrictions, and other limitations on international trade in medicines and medical goods continue to confound the hopes for fulfilling this need. Indeed, added restrictions have been imposed on medical trade during the pandemic. Meanwhile, governments have accomplished little at the World Trade Organization (WTO) to help meet this need. Using trade to help fight the COVID-19 pandemic and to otherwise support global health must move to the top of the WTO agenda, with the aim of finalizing new rules to support trading for health care goods by the time of the next WTO ministerial conference in Geneva in late November 2021 — and ideally, sooner.
Topic:
Health, Trade, and COVID-19
Political Geography:
Global Focus

11. Covid-19 and the Danger of Self-sufficiency: How Europe’s Pandemic Resilience was Helped by an Open Economy

Author:
Johan Norberg
Publication Date:
03-2021
Content Type:
Policy Brief
Institution:
European Centre for International Political Economy (ECIPE)
Abstract:
During the Covid-19 pandemic, Europe has benefitted strongly from being an open economy that can access goods and services from other parts of the world. Paradoxically, some politicians in Europe think that dependence on foreign supplies reduced the resilience of our economy – and argue that Europe now should wean itself off its dependence on other economies. In this Policy Brief, it is argued that self-sufficiency or less economic openness is a dangerous direction of policy. It would make Europe less resilient and less capable of responding to the next emergency. It is key that people, firms and governments can get supplies from other parts of the world. It is diversification, not concentration of production, that will make Europe more resilient when the next emergency hit. We don’t know where the next crisis will come from. Nature will throw nasty surprises at us, and we will make stupid mistakes, some of which will have devastating consequences. What we do know, though, is that we stand a better chance to fight the next emergency if we get richer and improve our technology. The best policy for resilience is one that encourages specialisation and innovation – and, when the emergency hit, allow for people to improvise in search for solutions. For that to happen, we need openness to goods, services and technology from abroad.
Topic:
Health, International Political Economy, Innovation, Economic Cooperation, Pandemic, and COVID-19
Political Geography:
Europe and Global Focus

12. Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countries

Author:
Laurie Zephyrin, Molly FitzGerald, Munira Z. Gunja, and Roosa Tikkanen
Publication Date:
11-2020
Content Type:
Policy Brief
Institution:
Commonwealth Fund
Abstract:
The U.S. has the highest maternal mortality rate among developed countries. Obstetrician-gynecologists (ob-gyns) are overrepresented in its maternity care workforce relative to midwives, and there is an overall shortage of maternity care providers (both ob-gyns and midwives) relative to births. In most other countries, midwives outnumber ob-gyns by severalfold, and primary care plays a central role in the health system. Although a large share of its maternal deaths occur postbirth, the U.S. is the only country not to guarantee access to provider home visits or paid parental leave in the postpartum period.
Topic:
Health, Health Care Policy, Women, and Reproductive Health
Political Geography:
United States and Global Focus

13. The Coronavirus in Iran (Part 1): Clerical Factors

Author:
Mehdi Khalaji
Publication Date:
03-2020
Content Type:
Policy Brief
Institution:
The Washington Institute for Near East Policy
Abstract:
The clergy’s ambitions for global Shia revolution made the city of Qom uniquely vulnerable to the disease, and their resistance to modern medical science weakened the state’s ability to combat its spread. On February 19, two days before the Iranian government officially announced the arrival of coronavirus, an infected businessman who had recently returned from China to Qom passed away. The location and timing of his death illustrate how the Shia holy city and the religious leaders and institutions who call it home have played an outsize role in the disease’s disproportionately rapid spread inside Iran compared to other countries. How did this situation come to pass, and what does it say about the current state of the clerical establishment, its relationship with the regime, and its alienation from large swaths of Iranian society? (Part 2 of this PolicyWatch discusses the regime's role in the outbreak and its resiliency to such crises.)
Topic:
Foreign Policy, Health, Religion, Shia, and Coronavirus
Political Geography:
China, Iran, Middle East, Global Focus, and United States of America

14. COVID-19 and Peace: Preparedness for the post-pandemic recovery

Publication Date:
06-2020
Content Type:
Policy Brief
Institution:
Institute for Economics & Peace (IEP)
Abstract:
The journey out of this global recession will be long and arduous. However two factors may assist countries along this path. The first is high levels of Positive Peace, guaranteeing effective institutions, social cohesion and transparent, representative governments. The second is favourable economic conditions before the onset of the pandemic.
Topic:
Conflict Prevention, Economics, Health, Global Recession, Violence, Economic Policy, Institutions, Peace, Pandemic, and COVID-19
Political Geography:
Global Focus

15. Is the COVID-19 crisis an opportunity to boost the euro as a global currency?

Author:
Gregory Claeys and Guntram B. Wolff
Publication Date:
06-2020
Content Type:
Policy Brief
Institution:
Bruegel
Abstract:
The euro never challenged the US dollar, and its international status declined with the euro crisis. Faced with a US administration willing to use its hegemonic currency to extend its domestic policies beyond its borders, Europe is reflecting on how to promote it currency on the global stage to ensure its autonomy. But promoting a more prominent role for the euro is difficult and involves far-reaching changes to the fabric of the monetary union.
Topic:
Health, European Union, Currency, and COVID-19
Political Geography:
Europe and Global Focus

16. What a Pandemic Reveals: Health Inequalities and Their Reflection on Policies

Author:
Özge Karadağ Çaman and Selma Karabey
Publication Date:
12-2020
Content Type:
Policy Brief
Institution:
Turkish Economic and Social Studies Foundation (TESEV)
Abstract:
The relationship of human health with social and the environmental factors has long been among the issues that have been dwelled on especially since the beginning of the 19th century. The field of medicine springing from these studies is known as “Social Medicine”. Although developments in pathology and microbiology caused the importance of social factors in the etiology of diseases to be set aside at the end of the 19th century, social medicine has acquired its currency again in later years. Indeed today, we need to read and understand the principles of social medicine more than ever.
Topic:
Health, Inequality, Pandemic, COVID-19, and Health Crisis
Political Geography:
Global Focus

17. Policy Brief: A Feminist Foreign Policy Response to COVID-19

Publication Date:
07-2020
Content Type:
Policy Brief
Institution:
Centre for Feminist Foreign Policy
Abstract:
The COVID-19 pandemic knows no borders. It further knows no gender, class, or race. This virus does not discriminate, but our societies do. Around the world we have historically built systems and structures that privilege the few and disadvantage the many. When a crisis as unprecedented as the current pandemic hits, inequalities are exacerbated. This holds particularly true for gender equality which, despite encouraging steps forward, no country is on track to achieve by 2030. This not only fails politically marginalised groups, in particular women, girls, and gender nonconforming people, but also greatly hinders the international community’s commitment to foster peace and security. Research shows that the most significant factor in determining a country’s peacefulness (within its borders and towards other countries) is its level of gender equality. Already in early April, the UN warned in its policy brief, “The Impact of COPVID-19 on Women”, that the limited “gains made in the past decades [towards gender equality] are at risk of being rolled back.” Governments and foreign ministries must apply a feminist perspective to their COVID-19 response in order to to prevent a set-back, safeguard existing progress, and advance more quickly toward their goals: A ‘gender-blind’ approach would counteract all previous efforts not only in the area of gender equality, but also in conflict prevention and the pursuit of international peace.
Topic:
Foreign Policy, Health, Feminism, Coronavirus, Pandemic, and COVID-19
Political Geography:
Global Focus

18. What Comes after the Pandemic?: Predicting the World to Come*

Author:
Basheer M. Nafi
Publication Date:
05-2020
Content Type:
Policy Brief
Institution:
Al Jazeera Center for Studies
Abstract:
There is no doubt that it is a terrible pandemic, but it seems that modern humans have yet to gain the level of wisdom necessary to see through to the catastrophic consequences of their way of life, organizations, and relationships.
Topic:
Health, Pandemic, and COVID-19
Political Geography:
Global Focus

19. Update on COVID-19 Training for Health Care Workers

Author:
Center for Human Rights and Humanitarian Studies
Publication Date:
07-2020
Content Type:
Policy Brief
Institution:
Watson Institute for International and Public Affairs at Brown University
Abstract:
Developed by Brown University faculty with expertise in infectious diseases, emergency medicine, medical education, and instructional design, the training curriculum has been designed in accordance with World Health Organization standards, best practices, and guidelines. The training program, teaches and evaluates trainees on COVID-19 core competencies, including biology and transmission mechanisms; infection prevention and control; contact tracing; screening and triage; diagnosis and management; stabilization and resuscitation; health facility operations and surge capacity; and risk communication and public health messaging. Designed for ease of remote access, the training program is delivered virtually by Brown University trainers and is accompanied by real-time Q&A support. Tailored for each specific country setting in which it is delivered, the curriculum focuses on strengthening the capacity of health workers in resource-limited settings. The training utilizes a Training-of-Trainers model to engage master trainers and coach new trainers, allowing Project HOPE and CHRHS to quickly build a cadre of competent instructors who are able to train other health workers within their networks to respond efficiently to the threat of COVID-19 while also protecting their own health.
Topic:
Health, Training, Data, and COVID-19
Political Geography:
Global Focus

20. Impact of COVID-19 lockdowns on individual mobility and the importance of socioeconomic factors

Author:
Julien Maire
Publication Date:
11-2020
Content Type:
Policy Brief
Institution:
Peterson Institute for International Economics
Abstract:
In March 2020, most countries implemented stringent measures—closing schools and workplaces, limiting public gatherings, and curbing travel—to reduce the spread of the SARS-CoV-2 virus, which causes COVID-19. Using the Oxford Stringency Index and smartphone data from Google, Maire examines the effects of the stringent measures implemented in March–May 2020 on individual mobility. The results suggest that stringent measures were more effective at reducing individual mobility in higher-income countries than in lower-income countries and that the differences reflect factors such as extreme poverty, perception of risk, the share of vulnerable employment, number of hospital beds, age distribution of the population, and population density. Understanding how the effects of lockdown measures on individual mobility differed across countries is important to determine the effectiveness of such measures on health outcomes and their impact on economic activity.
Topic:
Health, Science and Technology, Governance, and COVID-19
Political Geography:
Global Focus

21. Policy Papers by Women of Color: Diverse Voices on Chemical, Biological, Radiological, Nuclear Security, and Global Health Security Policy

Author:
Sylvia Mishra
Publication Date:
10-2020
Content Type:
Policy Brief
Institution:
Women of Color Advancing Peace, Security and Conflict Transformation (WCAPS)
Abstract:
It is my pleasure to bring you another publication from Women of Color Advancing Peace, Security, and Conflict Transformation (WCAPS), highlighting some of the expertise that exists within the WCAPS membership. This edition features articles from members in two of the WCAPS working groups: Chemical, Biological, Radiological, and Nuclear Security Policy; and Global Health Security.
Topic:
Security, Gender Issues, Health, Women, Peace, WPS, Women of Color, and Global Health
Political Geography:
Global Focus

22. Technology Factsheet: Synthetic Biology

Author:
Colin O'Leary
Publication Date:
01-2020
Content Type:
Policy Brief
Institution:
Belfer Center for Science and International Affairs, Harvard University
Abstract:
Synthetic biology (sometimes referred to as “SynBio”) is broadly defined as the application of engineering principles to biology, and in practice, refers to emerging technology that allows living organisms to be modified to serve user-defined purposes. While traditional biotechnology involves the transfer of smaller amounts of genetic material from one biological species to another, synthetic biology will permit the inten- tional construction of an entire organism.1 It has the potential to allow scientists to design living organisms distinct from any found in nature and to redesign existing organisms to have novel or enhanced qualities.2 The use cases of synthetic biology range from developing new therapeutics and vaccines for infectious disease to manufacturing novel biomaterials, biosensors, and biofuels. As scientists better understand biological systems, the potential applications of SynBio are anticipated to expand in scale and scope. The continued growth of the bioeconomy—defined as the “production, utilization and conservation of biological resources, including related knowledge, science, technology, and innovation, to provide information, products, processes and services across all economic sectors”—is giving space for synthetic biology technology to become a more significant part of the overall economic landscape.3 As with any technology that has a high potential for impact, SynBio presents a variety of pronounced opportunities, as well as risks. As the technology continues to mature and the number of market-ready applications grows, it is important for policymakers to consider how to promote the large number of opportunities the technology presents in the space of health and medicine, energy production, environmental recovery, food production, and more, while simultaneously protecting the public from foreseeable negative impli- cations and risks, such as weaponization, consumer safety, and ecological stability. Since synthetic biology bears significant similarities to previous biotechnology research on genetical- ly-modified organisms and recombinant DNA, existing regulations in the United States place the majority of synthetic biology products into the current biotechnology regulatory framework. As SynBio becomes more prominent though, it will be important for regulatory schemes to uniquely target the technology and its implications beyond those captured through biotechnology frameworks. Policymakers must continue to engage in the progression of the technology, understanding how regulation and governance must evolve to ensure the public can realize the opportunities, while being protected from the risks.
Topic:
Health, Science and Technology, and Biology
Political Geography:
Global Focus

23. Why Uncertainty in Global Health Interventions Matters—and What We Can Do About It

Author:
Kalipso Chalkidou, Anupama Dathan, and Francis Ruiz
Publication Date:
09-2019
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Global health interventions, like many public policies, are rife with uncertainty. Will a program, such as a malaria prevention strategy that looks strong on paper, work as intended? Will a new technology, such as a specific drug or device that appears effective in clinical trial settings, work in practice and provide good value-for-money? In the case of programs made up of a complex interaction of multiple interventions, implementers often create a theory of change and then meticulously track whether it is being followed every step of the way, from each input translating into the prespecified activity, and the activities yielding the right outputs and the expected outcomes. When observational data is available that permits quantitative analysis (evaluation), it may also be possible to estimate causal impact in a given setting by applying experimental methods (such as a randomized controlled trial) or quasi-experimental techniques (such as difference-in-difference analysis). Such program evaluations generally consider outputs (e.g. the number of bed nets distributed) and relatively short-term outcomes (e.g. malaria infections following bed net distribution). Many eval- uations also collect data years after the program to identify longer-term impacts. Cost-effectiveness calculations are sometimes conducted after ascertaining the cost and impact of the program, but such analyses aren’t necessarily considered when determining whether to implement a certain program or technology—especially when politics and other concerns get in the way. Discrete clinical interventions and technologies (which are defined as including clinical interven- tions, drugs, diagnostics and even public health programs) are usually the subject of health technolo- gy assessment (HTA) to inform coverage decisions in many contexts. The underpinning evidence base for HTA typically involves a synthesis of randomized trial data, designed to reduce bias in estimating causal inference and relative effectiveness. Trial data is then combined with information from other sources and study designs to develop models of the technology’s long-term health and cost impact in a given context. A key feature of both programs and technologies is uncertainty.
Topic:
Health, International Cooperation, Science and Technology, Humanitarian Intervention, and Pharmaceuticals
Political Geography:
Global Focus

24. Safeguarding Medical Care and Humanitarian Action in the UN Counterterrorism Framework

Author:
Alice Debarre
Publication Date:
09-2018
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
In the past decade, counterterrorism measures have had an increasingly adverse impact on the provision of medical care and the conduct of principled humanitarian action in armed conflict settings. Whether inadvertently or not, they have impeded, and at times prevented, the provision of essential and lifesaving aid, often in violation of international humanitarian law (IHL). This paper aims to assist the Security Council, relevant UN organs, UN member states, and other stakeholders in upholding their obligations under IHL. It maps the UN counterterrorism framework and looks into the extent to which it guides states in complying with these obligations. In doing so, it offers several recommendations for the way forward: All UN resolutions and other UN and national policies that pertain to counterterrorism should contain an exemption for humanitarian activities. Every relevant UN counterterrorism measure should continue to reiterate that counterterrorism efforts need to comply with international law. Humanitarian actors should engage with UN counterterrorism structures more actively, strategically, and systematically. UN bodies that engage in counterterrorism should systematically include humanitarian actors in relevant conversations. The UN Counter-Terrorism Committee’s Executive Directorate and Office of Counter-Terrorism should better integrate IHL considerations into their work. Member states, UN entities, humanitarian actors, counterterrorism and sanctions experts, and other stakeholders should step up efforts to start a wide political discussion on tensions between counterterrorism and humanitarian action.
Topic:
Health, Humanitarian Aid, United Nations, Violent Extremism, and Counter-terrorism
Political Geography:
Global Focus

25. Hard to Reach: Providing Healthcare in Armed Conflict

Author:
Alice Debarre
Publication Date:
12-2018
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Armed conflict is a global health issue. Long-lasting and protracted conflicts in particular have consequences not only for the war-wounded but also for the health of entire communities. Over the years, global health actors and humanitarian health actors have developed health policies, guidelines, frameworks, and structures to improve delivery of health services in emergencies or humanitarian crises. Despite these advancements, however, the international health response in conflict-affected settings still faces gaps and challenges. Some policies and frameworks need to be rethought or redesigned, while others need to be better implemented. This paper explores challenges to healthcare provision in conflict-affected settings. These challenges are broadly broken down into three categories: constraints related to the health system and damaged health infrastructure, difficulty for health workers to access populations in need, and restrictions to healthcare provision intentionally or accidentally placed by donors or states engaged on humanitarian and health issues (e.g., through the securitization of healthcare). Tackling these challenges will have a direct impact on the lives of people in conflict-affected settings. However, doing so requires a radical shift in mindsets and the incentives that guide the actions of international health actors. Even so, more incremental changes can also be beneficial. To that end, this report puts forth the following recommendations: Improve coordination between and among humanitarian, development, and global health actors; Respond to context-specific needs; Hold health actors accountable to affected populations for their performance, and; Make responses sustainable. This work is based on a combination of desk research, interviews with more than seventy key informants, and an expert meeting bringing together key stakeholders and experts on global and humanitarian health.
Topic:
Health, Humanitarian Aid, and Conflict
Political Geography:
Global Focus

26. High-Priced Medicines and Lack of Needs-Driven Innovation: A Global Crisis that Fuels Inequality

Author:
Oxfam Publishing
Publication Date:
09-2017
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
On 14 September 14 2016, the UN Secretary-General’s High-Level Panel on Access to Medicines publicly released its final report entitled ‘Promoting innovation and access to health technologies’. One year after the release of the landmark report and building upon Oxfam’s September 2016 assessment, this paper provides an update on where the HLP report and its recommendations stand. It assesses the level of implementation by countries and institutions – especially the UN and the World Health Organization – and recommends ways to use the report to improve both innovation and access to medicines.
Topic:
Health, International Cooperation, United Nations, World Health Organization, Inequality, Innovation, Humanitarian Crisis, and Medicine
Political Geography:
Global Focus