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1. Supporting Water Programming in the Sahel

Author:
Conor M. Savoy and Alexandra Norris
Publication Date:
09-2022
Content Type:
Special Report
Institution:
Center for Strategic and International Studies
Abstract:
The Sahel region of Africa is one of the most climate-affected regions in the world. Temperatures are rising 1.5 percent faster than the global average rate. Increasing temperatures and irregular rainfall have resulted in regular droughts and floods that disrupt traditional agropastoral patterns and contribute to broader instability and fragility. Lake Chad, a crucial water and livelihood source for 30 million people in the Sahel, has shrunk by 90 percent since 1960, displacing 2.3 million people and creating a humanitarian crisis. Periods of prolonged and intense drought and improper land use have degraded much of the soil in the Sahel. In Burkina Faso, over one-third of farmland is degraded, meaning some land cannot sustain agriculture even when there is enough rainfall. A rapidly increasing population, coupled with the impact of climate change, means more people are competing for diminishing water resources. This results in a vicious cycle of population growth, land degradation, and food instability. The greater the population, the greater the demand for food and the greater the use of unsustainable farming practices, exacerbating food scarcity and demand for additional farmland. As the U.S. Agency for International Development (USAID) updates its water strategy, it is important to examine the interplay of economic and conflict fragility, irregular migration, climate change, and water availability in the Sahel to identify interventions for greater resilience. In a region like the Sahel, water is critical to resilience and adaptation to the effects of climate change. While water strategy is not a cure-all, it can improve outcomes for other challenges. The Biden administration recently announced the new Partnership for Global Infrastructure and Investment (PGII), an initiative to mobilize private capital investment in infrastructure. The four pillars of this initiative—climate and energy security, digital connectivity, health and health security, and gender equality and equity—could support additional investments in water infrastructure.
Topic:
Climate Change, Environment, Health, Water, and Infrastructure
Political Geography:
Africa and Sahel

2. India–East Africa: A Not So Healthy Relationship?

Author:
Isabelle Saint-Mezard and Françoise Nicolas
Publication Date:
02-2022
Content Type:
Special Report
Institution:
Institut français des relations internationales (IFRI)
Abstract:
Due to historical as well as geographical reasons, India and East Africa have long been close partners. In the recent period however, and even more so since the early 2000s, these ties have tightened as a result of combined efforts by the government of India and its business community. The presence of communities of Indian origin in several East African countries has also acted as a catalyst. East Africa is perceived as a valuable partner both by Indian authorities and by Indian private companies. Although the two types of Indian players may not explicitly coordinate their actions, their interests dovetail nicely in this particular region. The health sector sticks out as one major sector on which Indian actors focus in East Africa. It provides a striking example of the multilayered complementarity between India and East Africa, on the one hand, and between public and private Indian players’ interests on the other. However, India’s activism in the health sector is not necessarily perceived positively by the East African host countries. Despite some technology transfers and efforts by the Indian actors, be they public or private, to promote capacity-building, East African countries find themselves in a situation of dependence as a result of Indian companies exporting and producing drugs, building hospitals, improving hospital management and Information Technology (IT) infrastructure, or digitalizing healthcare. However, the major point of tension pertains to the promotion of medical tourism. Although offshore healthcare comes with many benefits, it is unlikely to be sustainable for the East African economies in the long run. Moreover, the money spent on medical tourism could arguably be used more usefully to develop local medical facilities and competence. The recent developments in the context of the pandemic have made the associated risk very clear. The challenge in the coming years will be for the two parties to find a way to better balance their relationship and set it on firmer ground – in other words, to make it healthier.
Topic:
Foreign Policy, Health, Bilateral Relations, and Partnerships
Political Geography:
Africa, South Asia, and India

3. Building And Strengthening Public Trust In Government Policy Decisions And Institutions To Effectively Tackle Covid-19 In Cameroon

Author:
Dr. Asahngwa Constantine, Denis Foretia, Gobina Ronald, Wilfred Ngwa, Charlotte Bongfen, Odette Kibu, and Nkengafac Fobellah
Publication Date:
01-2021
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
In Cameroon the battle against COVID-19 is far from over as the disease still continue to claim many lives and aggravates the deepening poverty situation of Cameroonians. According to reports from the Ministry of Health (as from 8th of December, 2020), Cameroon has recorded 24,752 infected cases, 23,344 recoveries and 433 deaths. [1] The economic consequences of the disease remain preoccupying as many people have experienced a decline in their businesses. The government of Cameroon through the Prime Minister published a national response plan which aimed at combating the disease, highlighting preventive measures and effective management of confirmed positive cases. Some of these measures include the prohibition of mass gatherings above 50 persons, maintaining physical distancing, wearing of face mask in public places, frequent handwashing with soap or using hand sanitizers and isolation of infected persons. [2] These measures and others are currently being implemented since March, 2020. Although the government has been doing its best to bring this pandemic to an end, this has not been without challenges. One of the challenges is the decline of public trust in government’s policy decisions and institutions, which if not given sufficient attention may compromise all the efforts and resources already galvanize for this battle against COVID-19.[3] Drawing from published literature, we discuss the factors responsible for the decline of public trust, how the lack of trust can hamper interventions and control efforts and some suggestions how this challenge can be tackled to enhance effective interventions to combat COVID-19 in Cameroon.
Topic:
Government, Health, Institutions, Public Sector, Public Health, Pandemic, COVID-19, and Global Health
Political Geography:
Africa and Cameroon

4. Integrating Mental Health and Psychosocial Support into Transitional Justice in The Gambia: Practitioner Perspectives

Author:
Jasmina Brankovic
Publication Date:
06-2021
Content Type:
Special Report
Institution:
Centre for the Study of Violence and Reconciliation (CSVR)
Abstract:
Following the African model of transitional justice presented in the African Union Transitional Justice Policy, this report identifies ways to conceptualise and integrate healing, particularly from psychological wounds, into holistic and contextualised transitional justice practice on the continent. The report draws on reflections from African practitioners engaging with transitional justice issues in The Gambia to share lessons learnt with civil society and other actors seeking to do similar work in the region and beyond. It presents ideas for designing and implementing locally guided, tailored and sustainable mental health and psychosocial support interventions that amplify local knowledge and practices, rather than dampening them with external expertise.
Topic:
Health, Transitional Justice, Psychology, and Mental Health
Political Geography:
Africa and Gambia

5. Lockdown Preventive Measure against COVID-19 Pandemic: Livelihoods Implications in Cameroon

Author:
Dr. Tata E. Sunjo, Adeline Kaptue Wuyt, and Dr. Yauba Saidu
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The entire world today is, in one way or another, affected by the spread of the novel coronavirus infection which the World Health Organization (WHO) declared to be a pandemic on the 11th of March 2020. This outbreak which has spread to all continents (Figure 1) has been characterized by exponential increase in infected cases, attributed deaths and socio-economic hardship. There are already more than 3.8 million confirmed cases globally with over 265 862 deaths (WHO Situation Report, 9 May 2020). The quality of the health system in a given country appears to not be an influential factor in preventing the installation or propagation of the pandemic as the nations with relatively robust health systems like in Europe and the USA have also been hit hard.
Topic:
Health, World Health Organization, Health Care Policy, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Cameroon

6. Socio-Economic Implications of Covid-19 in Cameroon

Author:
Dr. Fuein Vera Kum and Henri Kouam
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The economic impact of COVID-19 will be broad-based, causing wages to fall due to social distancing and quarantine measures on the service sector. While communications and ICT-related sectors will be less affected, transport, entertainment and leisure sectors will be adversely affected, together with exports and domestic demand. Policymakers should utilise the $164 billion availed by international institutions to support SMEs and wages in the informal sector, whilst the 90 billion should be used in other to invest in the physical and digital infrastructure to support educational outcomes and employment over the medium term. Such actionable policies should accompany broader quarantine and social distancing measures.
Topic:
Economics, Health, Macroeconomics, Pandemic, and COVID-19
Political Geography:
Africa and Cameroon

7. Cultural Communication Patterns and Alternatives Approaches to Fight COVID-19

Author:
Dr. Asahngwa Constantine and Dr. Louis-Marie Kakdeu
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
Since the first case of COVID-19 was confirmed in Cameroon on the 6th of March, 2020, 23 measures have been taken by the Cameroon Government which spoke through Prime Minister and Head of Government in a bid to contain the spread of this unwanted visitor or is it a permanent resident! Agreeably, the government’s response strategy has been in line with the World Health Organization’s (WHO) guidelines for its member states (WHO, 2020). The response strategy aims to interrupt transmission of the virus as well as effective management of confirmed cases. The most common preventive measures include: social distancing, suspension of mass gathering of more than 50 persons, frequent hand washing with soap, disinfecting surfaces with alcohol and sanitizers, self-isolation, quarantining of conformed cases and the obligatory putting on of a face mask in all public places. However, there have been some concerns relating to the effectiveness of this response strategy. The number of confirmed cases has been on the rise since 6th March 2020 when Cameroon registered its first case. It has been observed that most of the problems associated with curbing person to person transmission have to do with behaviors, related issues, especially cultural stereotypes (WHO, 2020). The problem is that Cameroonians have cultural behaviors that may not be compatible with the current national response strategy. Consequently, the objective of this paper is to investigate and identify the gaps that exist between these control measures churned out by the government and the Cameroonian cultural environment; with the view to suggest alternatives to intercultural communication approaches, which can be encouraged to fight the spread of COVID-19.
Topic:
Health, Public Policy, Public Health, Pandemic, Community, and COVID-19
Political Geography:
Africa and Cameroon

8. The impact of COVID 19 on health and food security in Cameroon

Author:
Egoh Aziz and Dr. Fuein Vera Kum
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The outbreak of COVID 19 in the Wuhan province of China has caused tremendous damages to human lives throughout the world while affecting the global economy due to the untold temporary lockdowns of businesses, companies, and the restriction of international travels across the globe. With high and mostly under-reported COVID-19-related fatalities in many countries as well as the added strain on healthcare services, the burden of this pandemic is easily palpable. The impact of the novel coronavirus outbreak in Cameroon continues to unfold and carries with it considerable human security risks. The United Nation’s Development Program considers seven main dimensions of human security through sustainable human development. These are economic, food, health, environmental, personal, community, and political security. The departure point of this article brings into focus the effects of the current coronavirus pandemic on health and food security. Based on available data from reliable sources (such as the Ministry of Public Health, the Nkafu Policy Institute’s Coronavirus Task Force, FAO, IMF, World Bank, WHO, etc.), we analyze the impact of COVID 19 on the afore-mentioned aspects of human security and propose recommendations that can help mitigate the overarching consequences of the virus on health and food security in Cameroon.
Topic:
Health, Food, Health Care Policy, Food Security, Coronavirus, Pandemic, and COVID-19
Political Geography:
Africa and Cameroon

9. Cameroon’s Informal Sector Put To The Test By Coronavirus (Covid-19)

Author:
Dr. Louis-Marie Kakdeu and Ulrich D’POLA KAMDEM
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
On 6 March 2020, the first positive case of Coronavirus (COVID-19) was recorded in Cameroon. Towards the end of April 2020, the country has more than 1000 positive cases with eight (8) out of the country’s ten (10) regions affected. To block the spread of the Coronavirus in Cameroon, government’s authorities took a series of thirteen (13) measures on 17 March 2020. At the level of business enterprises, the objective of the actions taken to counter the virus was two-fold: to implement the government’s recommendations and, especially, to ensure continuity of work. For example, the use of telework has been adopted in some companies. However, while the government’s measures and those relating to telework have been widely followed in both the public and the formal private sectors, they have, nevertheless, been a real headache for the informal sector. Indeed, the informal sector in Cameroon is characterised by precarious activities, with little or no supervision, which are not covered by the National Accounting. This sector employs 90% of the active population and accounts for more than 50% of the country’s GDP according to the International Labour Organization – ILO (2017). Consequently, because of its weight in the Cameroonian economy, this article analyzes the impact of the COVID-19 pandemic on the informal sector.
Topic:
Economics, Health, Public Sector, Private Sector, Coronavirus, Pandemic, and COVID-19
Political Geography:
Africa and Cameroon

10. The Impact Of Covid-19 On Sino-African Trade Activities

Author:
Egoh Aziz
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The recent outbreak of COVID-19 has caused waves of horror and anxiety across many nations in the world. Considering the intense unravelling of the pandemic, no exact figure as per the number of confirmed and death cases worldwide is definite because the situation changes almost every hour. However, on April 14, 2020 3:40 GMT, Worldometer reported 210 countries and territories across the globe having a total of 1,925,179 confirmed cases, and a dead toll of 119,699 deaths. The impact of the pandemic is disastrous globally affecting a variety of sectors including the service and supply chain, as well as trade, manufacturing, and tourism. This article aims to provide a synoptic assessment of the impact of COVID-19 on Sino-African trade activities. It stresses that, if African policymakers revamp their efforts to quickly address COVID-19, the human casualty will be less and African economic growth may experience lesser shock as previewed by the IMF. On the other hand, if they relent their efforts, the human casualty will soar while the growth rate may decline. The effect of COVID-19’s outbreak in China has caused a slowdown on exports and services directed towards China.According to statistics from the General Administration of Customs of China, in 2018, China’s total import and export volume with Africa was US$204.19 billion, a yearly increase of 19.7%, surpassing the total growth rate of foreign trade in the same period by 7.1 percentage points. Among these, China’s exports to Africa were US$104.91 billion, up 10.8% and China’s imports from Africa were US$99.28 billion, up 30.8%; the surplus was US$5.63 billion, down 70.0% every year. The growth rate of Sino African trade was the highest in the world in 2018. This shows that Sino-African trade has a significant contribution to the growth of African economies.
Topic:
Economics, Health, International Cooperation, International Trade and Finance, Trade, Coronavirus, Pandemic, and COVID-19
Political Geography:
Africa, China, Asia, and Cameroon

11. Cloth Face Masks Should be Used in the Community, Not by Health Care Workers in Health Facilities

Author:
Ronald Gobina
Publication Date:
04-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
Wearing face masks are an essential aspect of the fight against the COVID-19 pandemic. Although medical face masks are reportedly in very short supply in many countries especially low-income countries, cloth face masks seem to be gaining ground in terms of popularity and usage. In Cameroon, where the government has mandated wearing face masks to prevent the spread of COVID-19, with hefty fines for violators, cloth face masks are becoming more and more ubiquitous. They are a natural choice for community face mask users due to the ease of access (relatively low cost of production, accessibility of materials), potential reusability, and esthetic variability. The usefulness of cloth face masks to prevent the spread of respiratory viruses, however, has been subject to a lot of debate. The scientific community is torn between outright restriction of use because of a lack of evidence supporting protective ability and the ethical dilemma of appearing to prefer a ‘no face masks’ policy (where medical masks are unavailable).
Topic:
Health, Coronavirus, and COVID-19
Political Geography:
Africa and Cameroon

12. Gender Analysis and Monitoring of District Budgets: Training Manual

Publication Date:
03-2019
Content Type:
Special Report
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
This is a Training Manual to be used for building capacity in gender analysis and monitoring of district budgets. Development of this manual is part of a larger project titled ‘Building Capacity for Gender Responsive Budgeting in Uganda’ funded by the International Development Research Council (IDRC) and implemented by the Center for Budget and Economic Governance (CBEG) at ACODE. The project aims at building capacity in gender responsive budgeting of actors at national and local government levels. Implementation of the project will cover three districts of Soroti, Mukono and Mbarara and will put special emphasis on the agriculture and health sectors.
Topic:
Agriculture, Development, Gender Issues, Health, International Development, and Capacity
Political Geography:
Uganda and Africa

13. Assessing Public Expenditure Governance of the Primary Health Care Programme in Uganda

Publication Date:
01-2019
Content Type:
Special Report
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
The need to provide affordable and good quality healthcare is shared by Uganda and many other countries across the world. This is reflected in the third Sustainable Development Goal (SDG 3), which aims “to achieve universal health coverage, and provide access to safe and affordable medicines and vaccines for all.” In domesticating SDG 3, the overall goal of Uganda’s Health Sector Development Plan (HSDP 2015/16 – 2019/20) is to accelerate movement towards Universal Health Coverage with essential health and related services needed for promotion of a healthy and productive life. The provision of universal health coverage is what has come to be defined as Primary Health Care (PHC) in many countries globally.
Topic:
Development, Health, Governance, Health Care Policy, and Sustainable Development Goals
Political Geography:
Uganda and Africa

14. Setting the Stage for Increased Accountability: The White Ribbon Alliance Nigeria Campaign to Improve Maternal, Newborn, and Child Health in Niger State

Author:
Rachel Sullivan Robinson
Publication Date:
05-2019
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
Most African governments have made extensive commitments to provide primary health care to their citizens; in many cases these commitments date from the post-independence era, but have been reinvigorated in response to the Millennium and Sustainable Development Goals. Yet poor service delivery plagues the health care systems of many African countries, in particular affecting women and children who depend on local health centers for prenatal and basic primary care. One route to improving such care is through holding government accountable for its health care promises. But in many of these contexts, democracy is fragile and civil society is weak, leaving few institutions for holding government to account. In these contexts, can external actors support such pro-accountability change? This accountability note begins to answer this question with reference to White Ribbon Alliance Nigeria’s campaign to improve maternal, newborn, and child health in Niger State. Campaign activities promoted citizen demand for quality maternal health care and government responsiveness to those demands through advocacy to key health system actors, community dialogues to share information and set strategy, town halls to bring together citizens and government representatives, and the training of a cadre of citizen journalists to expose poor quality health care as well as highlight government responsiveness to citizen demands. This note puts forward four lessons drawn from the campaign’s experiences: 1. In contexts where both civil society and the state lack capacity, campaigns that simultaneously engage government and enable citizens to voice their opinions can increase state government participation in activities that increase accountability. 2. Compromise over the meaning of “accountability” can both facilitate and constrain progress towards accountability. 3. Where citizens desire more from government and are willing to demand services, campaigns can facilitate events where citizens learn about their rights, devise strategies for achieving them, and engage with government representatives. 4. Where citizens are willing and able to challenge government, campaigns can train citizen journalists to report on accountability failures. The analysis is based on more than 40 interviews conducted in 2017 and 2018 with relevant actors in Niger State as well as a review of campaign and government documents. Although an impact of the campaign on health care utilization is not yet visible, the campaign has convinced the previously reticent state government to engage with citizens, and anecdotal evidence suggests improvements to health care facilities in response to town halls and citizen journalist reports. The government has also invited White Ribbon Alliance Nigeria to train all of the state’s local health committees responsible for oversight of primary health care facilities, demonstrating how collaboration has created a pathway towards greater accountability. Taken together, these findings support the proposition that external actors can play a vital role in supporting and magnifying citizen demands for better health care while simultaneously enabling government responsiveness to those demands, thus laying the groundwork for greater accountability.
Topic:
Civil Society, Health, Children, Women, Accountability, and Public Health
Political Geography:
Africa and Nigeria

15. COVID-19: Lessons and Implications for Public Policy-Making Processes in Cameroon

Author:
Peter SAKWE MASUMBE
Publication Date:
06-2019
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
Public policies can rightly be viewed as a political system’s responses to public demands and problems arising from its environment in domains as, transportation, education, agriculture, health, law enforcement, security, business, and so on, depending upon whether a chosen policy approach falls within the armpit of constituent, distributive, re-distributive, regulatory policy type. Policy problems are conditions or situations, which generate a human need, deprivation or dissatisfaction, self-identified by a group or groups of people, for which relief is sought for a large number of people in society. On the contrary, it is not a policy problem if it affects only a few persons in society. Talking of the political system, it comprises the identifiable and interrelated institutions and their activities, otherwise known as governmental institutions and political processes, which authoritatively allocate values in form of decisions, which are binding upon society. Certainly, binding as these decisions are, and going by this view of public policies; what character of policy responses has Cameroon enunciated against COVID-19; and what are the lessons and implications of these responses on the human capital and economy Cameroon now in the future? Are the policy responses against COVID-19 akin to impromptu approach with weak physiognomies? Are there alternative policies open to Cameroon for combating COVID-19?
Topic:
Health, Health Care Policy, Public Policy, Coronavirus, Pandemic, Domestic Policy, and COVID-19
Political Geography:
Africa and Cameroon

16. The Security Sector’s Role in Responding to Health Crises: Lessons from the 2014–2015 Ebola Epidemic and Recommendations for the Mano River Union and Its Member States

Author:
Jonathan Sandy, Albrecht Schnabel, Haja Sovula, and Raphael Zumsteg
Publication Date:
01-2017
Content Type:
Special Report
Institution:
Geneva Centre for Security Sector Governance (DCAF)
Abstract:
This report is informed by the two-day roundtable-style workshop entitled "The Security Sector and Global Health Crises: Lessons from the 2014 Ebola Epidemic in West Africa" in Freetown, Sierra Leone. The workshop's main discussions, outcomes and recommendations are expected to facilitate better preparedness to mitigate future epidemics through collaborative and coordinated efforts between health and security sector communities, and directed at local, national and regional actors as well as the international donor community engaged in West Africa.
Topic:
Security, Health, International Cooperation, Regional Cooperation, and Health Care Policy
Political Geography:
Africa, Liberia, West Africa, Sierra Leone, and Guinea

17. Ebola Response in Cities: Learning for Future Public Health Crises

Author:
Leah Campbell
Publication Date:
06-2017
Content Type:
Special Report
Institution:
ALNAP: Active Learning Network for Accountability and Performance
Abstract:
The 2014/15 West African Ebola Virus Disease (EVD) outbreak was the ‘largest, most severe and most complex Ebola epidemic the world has ever seen’ (WHO, 2014b). It was the first time the disease had affected an urban centre. The 23 prior outbreaks of EVD in Africa had all been largely rural, and the largest outbreak, in Gulu, Uganda, had infected only 425 people. As such, there was no expectation or experience of a massive urban outbreak. While the unprecedented ‘urban-ness’ of this EVD outbreak did not go unnoticed, particularly by the media, overall this recognition did not result in an urban-appropriate response. As part of a learning initiative spanning across the EVD epidemic in West Africa, this paper aims to share reflections and learning about the urban nature of the EVD outbreak. In doing so, it aims to improve future urban public health responses. It builds on existing learning around the EVD response, focusing on urban issues as a noted gap in the key literature on the response thus far.
Topic:
Development, Health, Humanitarian Aid, Ebola, Urban, Disaster Management, and Epidemic
Political Geography:
Africa, Liberia, Sierra Leone, and Guinea

18. Twenty Mechanisms for Addressing Torture in Health Care

Author:
Jonathan Cohen and Tamar Ezer
Publication Date:
06-2012
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
Health care settings should be places where human rights are realized. Yet, across the world, health systems often serve as venues of punishment, coercion, and violations of basic human rights, sometimes amounting to torture or cruel, inhuman, and degrading treatment. This abuse is especially prevalent in the care of socially marginalized groups—people living with HIV, ethnic minorities, sexual and gender minorities, people who use drugs, and people with intellectual disabilities or mental health problems. There are many national, regional, and international mechanisms designed to promote government accountability and prevent torture and cruel, inhuman, and degrading treatment, yet these mechanisms are rarely applied to health facilities. This manual describes 20 anti-torture mechanisms from the United Nations and African, European, and Inter-American human rights systems and provides illustrative examples on how to use these mechanisms to fight torture in health settings. For each mechanism, the manual explores mandate, procedure, possibilities for engagement, and prior work on torture in health care. The manual also includes a glossary of basic human rights terms. This manual is designed as a resource for organizations that advocate against abuse in health care—including international, regional, and national human rights organizations; groups focused on particular health care abuses; anti-torture groups; and the treaty bodies themselves.
Topic:
HIV/AIDS, Health, Torture, United Nations, Minorities, and Health Care Policy
Political Geography:
Africa, Europe, and Global Focus