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1. Valuing Longer, Healthier Lives: Assessing the Productivity of Health Spending in South Korea

Author:
Karen Eggleston
Publication Date:
03-2023
Content Type:
Special Report
Institution:
East-West Center
Abstract:
This research studies the link between medical spending and health outcomes in South Korea, providing evidence on the productivity of medical spending over recent decades. The author advocates for the Korean government to develop a “satellite account for health” to complement national income and product accounts. Current measures do not account for changing quality nor give providers any incentive for cost-effective substitution between forms of treatment for a given condition. By leveraging existing strengths of Korea’s National Health Insurance and health outcome data, Korea can develop an accurate measure of medical productivity and a more accurate measure of overall economic productivity, while becoming a global pioneer of “health satellite accounts” for overall populations. Such a productivity metric built on condition-specific net value can help Korea increase the “bang for the buck” from medical spending, mitigate wasteful spending, and promote high-value innovations for longer, healthier lives.
Topic:
Health, Public Spending, and Productivity
Political Geography:
Asia and South Korea

2. Policy landscape 2023

Author:
Ben Zaranko, Jonathan Portes, Mike Brewer, Paul Cheshire, and Carole Willis
Publication Date:
09-2023
Content Type:
Special Report
Institution:
UK in a Changing Europe, King's College London
Abstract:
What are the public policy challenges confronting the UK? What plans do the parties have for addressing them? To what extent are these plans fit for purpose? As Parliament returns from its summer recess, Full Fact and UK in a Changing Europe have partnered to produce a series of evidence led, research-based assessments of the key issues that politicians will confront. To do this, we brought together a group of leading experts from respected institutions including the Health Foundation, the Institute for Fiscal Studies, and the Royal United Services Institute. We asked each of them to consider, based on the findings of their own research, the challenges the country faces in their area of expertise, the immediate and longer-term issues politicians will need to address, and the potential implications of any choices they might make. We selected the issues based on the Ipsos issues index, and added security, defence and foreign affairs, which did not figure amongst the public’s priorities in July of this year. The intention of the collection is to inform and not persuade. Each article in this collection is the responsibility of its author.
Topic:
Climate Change, Education, Health, Politics, European Union, Economy, Brexit, Economic Growth, Public Policy, Fiscal Policy, Housing, and Standard of Living
Political Geography:
United Kingdom and Europe

3. How to Strengthen Gender Equality Policies? A Review of Data, Policies and Processes

Author:
Gizem Fidan and Itır Akdoğan
Publication Date:
06-2023
Content Type:
Special Report
Institution:
Turkish Economic and Social Studies Foundation (TESEV)
Abstract:
This report presents recommendations for improving gender equality policies in Turkey. To this aim, it reviews data comparing Turkey and the European Union, studies policy documents and analyses experiences of experts and decision makers on gender inequality focusing on 17 sub-headings in such domains as work, money, knowledge, time, power/ representation, health and digital inclusion.
Topic:
Health, Inequality, Representation, Inclusion, Gender, and Work
Political Geography:
Europe and Turkey

4. Community Health Workers as Rights Defenders: Exploring the Collective Identity of the Mitanins of Chhattisgarh, India

Author:
Shriyuta Abhishek and Samir Garg
Publication Date:
12-2023
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
This Working Paper discusses the Mitanin program, a state-run community health worker program in Chhattisgarh state, India. It is based on a year-long reflection and action research exercise by the implementing organization, the State Health Resource Centre (SHRC). It argues that the collective identity of these community health workers (Mitanins) is central to their work defending the social and economic rights of their community. Collective identity often plays an important role in social movements for people’s economic and political rights. However, government-funded workers rarely get involved in such movements. The authors wanted to understand whether collective identity plays a role in driving the multi-issue activism of community health workers. A composite definition of this collective identity emerged from the research. Throughout the interviews and discussions, the Mitanins described their collective identity as a sense of solidarity that all Mitanins share with the community they serve and belong to, and a feeling of sisterhood with other women and each other. It is the shared experience of being a group of empowered women with a common mission who must use their knowledge and compassion to support the people they serve. The value system underpinning their mission dictates that people should not be denied their rights. The Mitanins’ collective identity is layered; they are not merely frontline health workers, but women who care deeply about their community. They are problem-solvers, activists, and community leaders. Their collective action and collective identity as women leaders in solidarity with the community is mutually reinforcing, and has enabled them to undertake multi-issue activism and transform themselves into frontline rights defenders. The authors conducted a state-wide survey along with focus group discussions and in-depth interviews. The survey (n=558) aimed to establish what proportion of Mitanins are involved in multi-issue activism. It found that in the preceding three years, 84 percent had taken rights-based action in at least one of three domains: food security and nutrition (68 percent); healthcare (56 percent); and gender-based violence (21 percent). They refer to these actions as ‘rights-based’ because they involve negotiation and confrontation with local elites and government officials, as well as writing formal complaints to government officials. Other than rights-based actions, Mitanins also provide information to community members about their rights and entitlements to health programs, food security, and nutrition under government programs—information that is often not readily accessible to poor people in India. This paper analyzes the patterns of autonomous collective action through discussion, interviews, and the rights-based songs and slogans written by Mitanins. The authors argue that the Mitanins’ collective identity was formed due to two main factors: the program’s movement-building approach; and the degree of autonomy enjoyed by Mitanins. The movement-building approach nurtured the activist tendencies of Mitanins, and the voluntary nature of their work allowed them to retain their autonomy vis-à-vis the health system bureaucracy
Topic:
Health, Human Rights, Women, and Communal Identity
Political Geography:
South Asia and India

5. Digital Health Credentials and COVID-19: Can Vaccine and Testing Requirements Restart Global Mobility?

Author:
Lawrence Huang
Publication Date:
04-2022
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
More than two years into the COVID-19 pandemic, rising vaccination levels and widespread testing in many countries are giving governments and the public increasing confidence in international travel. A central part of efforts to restart mobility are digital health credentials, which verify a person’s vaccination, testing, and/or recovery status. These credentials help to minimize the risk of travelers carrying the virus, and unlike paper credentials that must be manually inspected in airports and at borders, digital credentials can be automatically verified. But even as digital health credentials are becoming increasingly common, gaps in international coordination and technical integration issues between different credential systems remain. As a result, migrants and travelers moving between—and at times within—countries must navigate a complex maze of digital systems. This report examines the implications of digital health credentials for international travel and for immigrants’ and travelers’ access to domestic services and venues that also use such credentials. It also explores the implications for specific groups: tourists and business travelers, students, labor migrants, asylum seekers and refugees, and unauthorized migrants. Finally, it offers policy recommendations to facilitate mobility and minimize risks for people on the move.
Topic:
Health, Immigration, Border Control, Employment, Mobility, Vaccine, and COVID-19
Political Geography:
Global Focus

6. 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

7. The Ending the HIV Epidemic in the U.S. Initiative: An Interim Assessment and Policy Recommendations

Author:
Jeffrey L. Sturchio, Mackenzie Burke, and Maclane Speer
Publication Date:
10-2022
Content Type:
Special Report
Institution:
Center for Strategic and International Studies
Abstract:
The Ending the HIV Epidemic in the U.S. (EHE) initiative is a promising federal program launched by the U.S. Department of Health and Human Services (HHS) in February 2019 with the aim of reducing new HIV infections by 75 percent by 2025 and 90 percent by 2030 (from a baseline of more than 38,000 new diagnoses in 2017). While the EHE initiative set ambitious targets for ending the HIV epidemic in the United States in the context of a sound and sensible plan, it is at present off track. Now, three years in—at the midpoint of the first EHE phase, which has a target of reducing new HIV infections to 9,250 people or fewer by 2025—is an opportune moment to assess its status and the challenges it faces. After a review of progress to date, this report examines the collision between the logical plan behind the EHE initiative and the complicated patchwork of programs that provide HIV prevention, care, and treatment to the diverse communities affected across all EHE jurisdictions. The analysis is informed by several roundtable discussions convened by CSIS with the participation of a representative group of people living with HIV/AIDS (PLWHA), community advocates, physicians, service providers, researchers, and policymakers who are implementing the EHE initiative around the country. The report concludes with policy recommendations in four areas: (1) meet people where they are by building programs that are centered on the needs of populations directly affected by the HIV epidemic; (2) address flexibility in design and implementation; (3) improve data, metrics, and accountability; and (4) heighten political advocacy to ensure future funding of the EHE initiative. A strong theme that runs throughout the report is that lessons from the global HIV response—the importance of building interventions from the ground up, of engaging with affected communities, and of taking an integrated approach across a spectrum of biomedical, clinical, social, behavioral, economic, and political dimensions—can inform and strengthen the U.S. domestic response to HIV/AIDS.
Topic:
HIV/AIDS, Health, Medicine, and Epidemic
Political Geography:
North America and United States of America

8. Transforming Health Crises with Pandemic Therapies Image

Author:
Katherine E. Bliss and J. Stephen Morrison
Publication Date:
11-2022
Content Type:
Special Report
Institution:
Center for Strategic and International Studies
Abstract:
The CSIS Commission on Strengthening America’s Health Security convened a working group on Covid-19 therapies in the fall of 2021 to develop policy recommendations aimed at strengthening U.S. leadership and global action to ensure development of, access to, and uptake of Covid-19 therapies worldwide. Drawing on insights gleaned through private meetings and roundtable discussions with pharmaceutical manufacturers, government officials, representatives of multilateral organizations, and nongovernmental organizations, and building on points raised in an interim report published in July 2022.
Topic:
Health, Pandemic, COVID-19, and Health Crisis
Political Geography:
Global Focus

9. 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

10. The Complex History of US-Philippine Health Partnerships

Author:
Leslie V. Advincula-Lopez
Publication Date:
06-2022
Content Type:
Special Report
Institution:
East-West Center
Abstract:
Leslie V. Advincula-Lopez, Development Studies Program and Institute of Philippine Culture Ateneo de Manila University, explains that, "[l]ong before the term, global health diplomacy (GHD) became a buzzword in international relations, an efficient Philippine public health system... was a focal point of US-Philippine relations."
Topic:
Diplomacy, Health, Bilateral Relations, Partnerships, Public Health, and COVID-19
Political Geography:
Philippines, North America, Asia-Pacific, and United States of America

11. The COVID-19 Pandemic in Oceania: Health Policy Decisions Matter

Author:
Neal A. Palafox and Wilfred C. Alik
Publication Date:
06-2022
Content Type:
Special Report
Institution:
East-West Center
Abstract:
Neal A. Palafox, MD, MPH, Professor, Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawaii, & Wilfred C. Alik, MD, Clinic Chief for the Kaiser Permanente Medical Center in Hilo, HI, Co-Founder of the Micronesian Health Advisory Coalition, and Chairman of Marshallese COVID-19 Task Force, "articulate a disparate range of pandemic experiences across Pacific Island countries and territories (PICTs), in terms of COVID 19 community transmission, cases, mortality, and vaccination rates."
Topic:
Health, Vaccine, and COVID-19
Political Geography:
Asia-Pacific and Oceania

12. Mental Health Conditions and Substance Use: Comparing U.S. Needs and Treatment Capacity with Those in Other High-Income Countries

Author:
Melinda K. Abrams, Reginald D. Williams II, Katharine Fields, and Roosa Tikkanen
Publication Date:
05-2021
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
About one-quarter of U.S. adults report having a mental health diagnosis such as anxiety or depression or experiencing emotional distress. This is one of the highest rates among 11 high-income countries. While U.S. adults are among the most willing to seek professional help for emotional distress, they are among the most likely to report access or affordability issues. Emotional distress is associated with social and economic needs in all countries. Nearly half of U.S. adults who experience emotional distress report such worries, a higher share than seen in other countries. The United States has some of the worst mental health–related outcomes, including the highest suicide rate and second-highest drug-related death rate. The U.S. has a relatively low supply of mental health workers, particularly psychologists and psychiatrists. Just one-third of U.S. primary care practices have mental health professionals on their team, compared to more than 90 percent in the Netherlands and Sweden.
Topic:
Health, Health Care Policy, Mental Health, Drugs, and Substance Abuse
Political Geography:
United States, Europe, and Global Focus

13. Make Foreign Policy Feminist. A Feminist Foreign Policy Manifesto for Germany

Author:
Nina Bernarding, Kristina Lunz, Sheena Anderson, Antonia Baskakov, Damjan Denkovski, Annika Kreitlow, and Anna Provan
Publication Date:
01-2021
Content Type:
Special Report
Institution:
Centre for Feminist Foreign Policy
Abstract:
This manifesto intends to encourage and support those inside the next government to begin the process of systematically changing how Germany’s foreign policy operates, whom it is made for, and whom it is informed by. It introduces what a Feminist Foreign Policy would look like for Germany, including a proposed definition of a German Feminist Foreign Policy. We analyse existing German Federal Foreign Policy and outline principles of a German Feminist Foreign Policy and its priority areas, presenting action items (recommendations) for a radically different way of conducting foreign policy. Among many other topics, we address climate justice, demilitarisation, health, trade and peace & security.
Topic:
Security, Foreign Policy, Government, Health, Feminism, Peace, Trade, Climate Justice, and Demilitarization
Political Geography:
Europe and Germany

14. Health Data Governance: Lessons Learned from the COVID-19 Pandemic in Europe, China, and the United States

Author:
Clément Tonon and Julie Martinez
Publication Date:
07-2021
Content Type:
Special Report
Institution:
Institut français des relations internationales (IFRI)
Abstract:
The health crisis has triggered a tectonic movement in the recomposition of health data governance and protection models around the world, while accelerating the investment of large digital companies in the field of e-health. The COVID-19 pandemic has revealed the shortcomings of pre-existing governance models in every region of the world and the need to move towards a model of public health crisis management "through health data". For Europe and for France in particular, the health crisis has revealed a long "technological innocence". Despite a strategic awakening, questions remain about the ability of Europeans to cooperate effectively and move towards a common digital space in health. In the United States, the pandemic has created tensions around the health data governance model – particularly on the articulation between the federal government and state authorities. Changes are announced by President Joe Biden, which tend towards a model of global regulation of personal data. In China, the pandemic has accelerated the transition to a model of surveillance capitalism which could lead in the short term to a new power struggle between the regime and the Chinese digital giants. Finally, the COVID-19 crisis has accelerated the rise of digital companies, which are now positioning themselves on the entire value chain of health data, from its raw collection via connected objects to its mass processing for insurance purposes. They now have all the levers in hand to economically value this massive data with the help of artificial intelligence.
Topic:
Health, Governance, Geopolitics, Data, COVID-19, and Digital Policy
Political Geography:
China, Europe, and United States of America

15. EU Humanitarian Aid in Afghanistan: Needs and Challenges

Author:
Aleksandra Kozioł and Elzbieta Kaca
Publication Date:
08-2021
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The Taliban offensive in Afghanistan has deepened the humanitarian crisis in the country. Afghans are struggling now with forced displacement as well as a food and health crisis. The EU will increase its humanitarian aid, but its effectiveness will be limited by dangerous working conditions for NGOs. This requires an agreement with the Taliban to respect humanitarian law.
Topic:
Health, Humanitarian Aid, Food, Taliban, NGOs, and Humanitarian Crisis
Political Geography:
Afghanistan, Europe, and South Asia

16. 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

17. Dealing with Coronavirus Pandemic in the Bay of Bengal Region

Author:
Prabir De
Publication Date:
05-2021
Content Type:
Special Report
Institution:
East-West Center
Abstract:
The coronavirus has had a devastating impact on the health and economies of countries in the Bay of Bengal. India, Bangladesh, and Nepal are the region’s most affected countries in terms of COVID-19 cases and deaths, followed by Myanmar, Sri Lanka, and Thailand. It seems that Bhutan and Thailand, the least affected countries in the region, have successfully escaped the brunt of the pandemic. All these countries implemented strict lockdowns as early as March 2020, and the region’s recovery rates have been relatively high. However, the devastation from the pandemic did not reach its peak until after the lifting of lockdowns. The economic costs of the pandemic have soared and are still climbing. Today, most Bay of Bengal countries are facing a second or third wave of COVID-19 infections. India has been badly hit by a huge second Coronavirus wave, registered daily cases over 400,000 since Aril 2021. The damage being done by these additional waves is more intense than their predecessors. The Bay of Bengal countries are now looking for COVID-19 vaccines. India serves as the region’s primary producer of immunizations. Two Indian pharmaceutical companies have launched vaccines, with five more firms in the race to launch their own treatments. When vaccines are developed in India, they are easier to distribute across the region. In terms of availability, accessibility, and affordability, India’s vaccines are better suited to the needs of the region. In recent months, India has successfully supplied over 18 million doses of COVID-19 vaccines to many Bay of Bengal countries, with Thailand being a notable exception. India has also ensured more supply of the vaccines in the neighborhood.
Topic:
Economics, Health, Pandemic, and COVID-19
Political Geography:
Bangladesh, South Asia, India, Nepal, Thailand, Bhutan, and Bay of Bengal

18. Responding to COVID: a Mobility Based Surge Capacity Framework

Author:
Shamindra Nath Roy, Partha Mukhopadhyay, Jishnu Das, and Yamini Aiyar
Publication Date:
06-2021
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
It would appear, based on the experience over the past year, that at a given point in time, CoVID-19 affects a part of the country and not the whole nation. What does this imply for the sharing of resources between more affected areas and less affected areas? What does it imply for where reserves of resources need to be maintained to meet sudden surges in caseload? This note looks at these questions, by examining the spatial pattern of the epidemic over time and the nature of the resources, i.e., the extent to which their supply can be increased, the ease with which they can be moved, etc., including, where possible and necessary, the movement of patients in addition to mobile resources. Our analysis based on current transmission dynamics, points out that there are a small set of areas permanently at risk for repeat surges. These are areas where health infrastructure may need to be augmented locally. For other areas, while increases in health infrastructure would be needed, inter-district and interstate coordination can ensure that additional critical services can be made available through resource sharing. However, such a mobility-based surge capacity framework, as we have proposed, requires enabling governance structures that builds trust and facilitates coordination across district and state administrations, based on real time data analysis as well as formal institutional structures.
Topic:
Health, Infrastructure, Governance, Institutions, and COVID-19
Political Geography:
South Asia and India

19. 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

20. Next step in the step up: The ADF's role in building health security in Pacific Island states

Author:
David Brewster
Publication Date:
04-2021
Content Type:
Special Report
Institution:
Australian Strategic Policy Institute (ASPI)
Abstract:
The ADF has long had an important role in providing humanitarian assistance to Pacific island countries (PICs). The force has extraordinary capabilities—people, expertise, training and equipment—in delivering necessary assistance quickly and efficiently. From Australia’s perspective, the ADF is one of our most important agencies in engaging with our PIC partners, particularly in helping them to develop capabilities to address a range of security challenges. In Australia’s new strategic environment, the ADF can also play an important role in helping to build regional health security as part of a new phase in Australia’s Pacific Step-up. This paper argues that the Australian Government should consider a new role for the ADF in the Pacific through developing mutually beneficial enduring military health partnerships.3 That would involve the regular rotation of ADF health professionals through partner medical facilities where they would have the opportunity to gain unique frontline experience from local experts, while also sharing their own knowledge and skills. The mutuality of benefits inherent in such an arrangement means that they shouldn’t be considered as traditional humanitarian assistance. An enhanced role for the ADF in regional health security, properly structured, might ultimately come to be seen alongside the Pacific Patrol Boat Program as a successful example of mutually beneficial partnerships between the ADF and our Pacific neighbours.
Topic:
Security, Foreign Policy, Defense Policy, and Health
Political Geography:
Australia and Asia-Pacific

21. Relaunching the Central American Minors Program: Opportunities to Enhance Child Safety and Family Reunification

Author:
Mark Greenberg, Stephanie Heredia, Kira Monin, Celia Reynolds, and Essey Workie
Publication Date:
12-2021
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
The Central American Minors (CAM) Program was created to allow certain children living in dangerous conditions in El Salvador, Guatemala, and Honduras to enter the United States as refugees or parolees to join their parents. The program sought to create a safe, legal, and orderly alternative for children who might otherwise seek to enter the United States by crossing the U.S.-Mexico border unaccompanied. The program began in 2014, the Trump administration announced its termination in 2017, and the Biden administration relaunched it with expanded eligibility in 2021. This report takes a critical look at lessons learned from the program’s earlier iteration and offers recommendations for how to strengthen the relaunched version. It examines, among other things, eligibility criteria, program administration, safety provisions for children awaiting a decision on their case, and the assistance children have access to after they arrive in the United States. “Even with substantial improvements,” the authors write, “it is doubtful that the CAM Program will ever be able to assist more than a small fraction of children who face danger in northern Central America and have parents or close relatives in the United States. Still, with improvements, the program can help significantly greater numbers of children and families seeking relief and family reunification.”
Topic:
Health, Refugees, Immigrants, Resettlement, Asylum, Integration, Immigration Policy, and Family Reunification
Political Geography:
Central America and United States of America

22. "Diversifying" Social Investment: European Welfare States and Immigrant Integration in the Wake of the COVID-19 Crisis

Author:
Anton Hemerijck and Liam Patuzzi
Publication Date:
09-2021
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
Across Europe, the COVID-19 pandemic has strengthened awareness of the importance of robust, well-functioning welfare states in helping individuals, families, and communities weather threats to their lives and livelihoods. Initial EU and Member State responses to the pandemic and its economic fallout were much more vigorous than responses to other recent economic shocks, such as the Great Recession and the European debt crisis. Even so, European societies will likely have to contend with long-term social and economic impacts, which in many cases are exacerbating existing inequalities. The shift in the structure and goals of welfare spending since the start of the pandemic can be understood through the prism of “social investment.” In recent decades, European welfare states have moved away from a predominantly reactive focus on financial safety nets that protect individuals during periods of unemployment and illness, and toward investing in people’s human capital and employability to help them navigate life transitions and drive growth in advanced knowledge economies. Looking ahead, the success of social-investment policies will depend on their ability to account for immigration and diversity, increasingly prominent features of European societies that are central to understanding the nature and development of socioeconomic inequalities. This report explores whether the social-investment approach to welfare states could serve as a tool for post-pandemic recovery—particularly in diverse, immigrant-receiving societies. It examines how European welfare systems fared and adapted during the Great Recession, how social investment seeks to balance social and economic goals, and how lessons from recent immigrant integration policy developments could help improve the reach, accessibility, and relevance of social-investment initiatives.
Topic:
Education, Health, Children, Employment, Family, Welfare, Integration, COVID-19, and Workforce
Political Geography:
Europe

23. COVID‐19 Effects on US Higher Education Campuses: Academic Student Mobility to and from China

Author:
Mirka Martel
Publication Date:
03-2020
Content Type:
Special Report
Institution:
Institute of International Education (IIE)
Abstract:
The Institute of International Education (IIE) is studying the effects of COVID‐19 (coronavirus) on global student mobility on U.S. higher education campuses. Our aim in this series is to provide more information about the effects that COVID‐19 has had on international student mobility, and the measures U.S. higher education institutions are taking regarding international students currently on campus and those abroad, international students interested in studying in the United States, and U.S. students planning to study abroad. The first survey was launched on Feb. 13, 2020, and specifically focuses on the effects of COVID‐19 with regard to academic student mobility to and from China. As the COVID‐19 outbreak evolves, IIE will administer follow‐on surveys to the U.S. higher education community to monitor the unfolding situation and to keep the international education community informed.
Topic:
Education, Health, Youth, Mobility, Higher Education, and Coronavirus
Political Geography:
China, Asia, North America, and United States of America

24. Resilience in the Face of the Coronavirus Pandemic

Author:
David Steven and Alex Evans
Publication Date:
05-2020
Content Type:
Special Report
Institution:
World Politics Review
Abstract:
Just months after reports emerged of a novel coronavirus spreading in central China, our world, and all of our individual worlds, have been transformed by what has become a terrifying pandemic. Governments around the globe are taking unprecedented steps to restrict movement and limit social contact among their populations to contain the virus’s spread. Growing numbers of the world’s inhabitants are now living in either voluntary or imposed isolation, or preparing to. The articles collected here look at what governments, other global actors and individuals must do to survive the crisis and navigate the new world beyond it.
Topic:
Health, Public Health, Coronavirus, Pandemic, and Resilience
Political Geography:
Global Focus

25. Double-Edged Aid: China’s Strategy to Gain Influence through Regional Assistance

Author:
Liselotte Odgaard
Publication Date:
03-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
This report addresses China’s approach to development in Central Asia, Southeast Asia, East Africa, and the Arctic. China has worked through the Shanghai Cooperation Organization to meet Russian demands for continued regional primacy in Central Asia, helping Beijing foster economic and social dominance, access strategic energy resources, and treat the Uyghur minorities as a problem of terrorism rather than a development issue. In Southeast Asia, China has worked through the Association of South-East Asian Nations (ASEAN) to meet regional demands for soft and hard infrastructure to legitimize China’s growing strategic presence. China is therefore able to undermine the regional economic and security foothold of the US alliance system and challenge the interpretations of the Law of the Sea that legitimizes the military presence and activities of extra regional powers. In East Africa, China has cooperated with the African Union (AU) and the East African Intergovernmental Authority on Development (IGAD) to address regional demands for hard and soft infrastructure without political conditions, to link antipiracy problems to problems of poverty, and to mediate local civil wars. This has helped China establish an economic and strategic foothold at the intersection of the Indian Ocean and Middle East, projecting power far from its shores. In the Arctic, China has established research stations that function as both environmental research laboratories and military surveillance stations.
Topic:
International Relations, Economics, Health, Foreign Aid, Regulation, and Trade
Political Geography:
China and Asia

26. Crisis from Kolkata to Kabul: COVID-19’s Impact on South Asia

Author:
Husain Haqqani and Aparna Pande
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
The world’s most populous region, South Asia, with almost 1.9 billion people living in eight countries, has so far had fewer reported infections and fatalities per capita from the novel coronavirus than projected in early models. However, the region is unlikely to escape the widespread disruption and damage felt across the globe, and its worst health-care crisis may be yet to come. In South Asia, as in other regions, the COVID-19 pandemic is testing the capacities of states to provide security and effective healthcare and to maintain essential services. It is also having an impact on fragile democratic institutions and societal bonds, in addition to putting considerable strains on the economy. [...] Following is a country-by-country report, with inputs from experts on the ground, on the coronavirus pandemic’s impact in South Asia and its human, economic, and political consequences.
Topic:
Economics, Health, Crisis Management, and COVID-19
Political Geography:
Pakistan, China, South Asia, India, Asia, and Sri Lanka

27. Enforcement of Drug Laws: Refocusing on Organized Crime Elite

Author:
Global Commission On Drug Policy
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
In this first report of this decade, the Global Commission on Drug Policy outlines how the current international drug control regime works for the benefit of transnational organized crime. It highlights how years of repressive policies targeted at nonviolent drug offenders have resulted in mass incarceration and produced countless adverse impacts on public health, the rule of law, and social cohesion, whilst at the same time reinforcing criminal elites. The report argues that the top layers of criminal organizations must be disempowered, through policy responses and political will. It provides implementable recommendations for the replacement of the current policy of targeting non-violent drug offenders and resorting to mass incarceration. Law enforcement must focus on the most dangerous and protected actors and primary drivers of the corruption, violence, and chaos around illegal drug markets. The control of psychoactive substances in a rational and efficient way must be centered on people and their needs, and on a repressive approach against criminal elites who benefit from the illegal drug markets’ proceeds, and have access to high-level networks, financial and legal support as needed. Only responsible legal regulation of currently prohibited drugs, with careful implementation, has the potential to disrupt criminal organizations and deprive them of their most lucrative sources of income. The report contains research on the prerequisites for a successful transition towards the reform of the outdated ideology-based international drug control regime, and provides cutting-edge recommendations on how to ensure that international criminal organizations are effectively disempowered by the transition towards a legally regulated drug market under the control of governments.
Topic:
Crime, Health, War on Drugs, Drugs, Public Health, and Medicine
Political Geography:
Global Focus

28. Do Americans Face Greater Mental Health and Economic Consequences from COVID-19? Comparing the U.S. with Other High-Income Countries

Author:
Michelle M. Doty, Eric C. Schneider, Roosa Tikkanen, Arnav Shah, and Reginald D. Williams II
Publication Date:
08-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
With more than 4 million confirmed cases and 150,000 deaths as of August, the United States is failing to control the COVID-19 pandemic. At a time when many nations are reopening their economies and societies, the U.S. is struggling in its attempts to do the same. To examine the early impact of the pandemic on the well-being of adults in the U.S. and abroad, the Commonwealth Fund joined the survey research firm SSRS to interview 8,259 adults age 18 and older between March and May 2020. It is the latest in the Commonwealth Fund’s series of cross-national comparisons featuring the United States and nine other high-income countries that participate in the Fund’s annual International Health Policy Survey. The following exhibits illustrate COVID-19’s effects on people’s mental health and economic security and compare levels of public trust in national leaders in responding to the pandemic.
Topic:
Health, Health Care Policy, Mental Health, and Public Health
Political Geography:
United States, Europe, and Global Focus

29. Bundled-Payment Models Around the World: How They Work and What Their Impact Has Been

Author:
Meredith B. Rosenthal, Paul F. van Gils, Caroline A. Baan, Eline F. de Vries, and Jeroen Struijs
Publication Date:
04-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
We identified 23 initiatives in eight countries that have implemented bundled-payment models, focusing on procedures such as total joint replacements and cardiac surgery, as well as chronic conditions like diabetes and breast cancer. Of the 35 studies retrieved, 32 reported effects on quality of care and 32 reported effects on medical spending. Twenty of 32 studies reported modest savings or a modest reduction in spending growth, while two studies (both based on the same initiative) demonstrated increased spending in the early years of the bundled-payment model’s implementation. Eighteen of 32 studies reported quality improvements for most evaluated measures, while other studies showed no difference in measured quality. Our study provides evidence that bundled-payment models have the potential to reduce medical spending growth while having either a positive impact or no impact on quality of care.
Topic:
Economics, Health, Health Care Policy, Income Inequality, Macroeconomics, Coronavirus, and COVID-19
Political Geography:
United States and Global Focus

30. U.S. Health Care from a Global Perspective, 2019: Higher Spending, Worse Outcomes?

Author:
Roosa Tikkanen and Melinda K. Abrams
Publication Date:
01-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
A 2015 Commonwealth Fund brief showed that — before the major provisions of the Affordable Care Act were introduced — the United States had worse outcomes and spent more on health care, largely because of greater use of medical technology and higher prices, compared to other high-income countries. By benchmarking the performance of the U.S. health care system against other countries — and updating with new data as they become available — we can gain important insights into our strengths and weaknesses and help policymakers and delivery system leaders identify areas for improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that uses health data from the Organisation for Economic Co-operation and Development (OECD) to assess U.S. health care system spending, outcomes, risk factors and prevention, utilization, and quality, relative to 10 other high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom. We also compare U.S. performance to that of the OECD average, comprising 36 high-income member countries.
Topic:
Health and Health Care Policy
Political Geography:
United States, Europe, and Global Focus

31. Addressing Data Gaps on Child, Early, and Forced Marriage in Humanitarian Settings

Author:
Dyan Mazurana and Anastasia Marshak
Publication Date:
01-2020
Content Type:
Special Report
Institution:
Feinstein International Center, Tufts University
Abstract:
The United Nations and its partner agencies have pledged to focus on the problem and eradication of early, child, and forced marriage. On November 12, 2018, the United Nations General Assembly passed a resolution on child, early, and forced marriage. As part of this resolution, the General Assembly highlighted the need for better data collection and disaggregation of that data for improved analysis and learning. This report is a comprehensive and user-friendly concept note for a database on child marriage in humanitarian settings, a first step in eradicating the problem. The report identifies the existing knowledge and data on child marriage in humanitarian settings, gaps in that evidence base, and provides recommendations for moving forward with the creation of a comprehensive database. The authors interviewed key stakeholders on child marriage across program, policy, and academia in combination with a comprehensive literature review. The report was commissioned and funded by Save the Children U.S.
Topic:
Health, Human Rights, Humanitarian Aid, United Nations, Children, Basic Data, and Humanitarian Intervention
Political Geography:
Middle East, North Africa, and Global Focus

32. 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, Public Health, Pandemic, COVID-19, Socioeconomics, and Global Health
Political Geography:
Cameroon and Global Focus

33. Gender Equality in Jordan: Impact Analysis of COVID-19

Author:
Center for Strategic Studies (CSS)
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Center for Strategic Studies (CSS)
Abstract:
As the novel coronavirus pandemic continues to spread across the globe, the gender gap appears to be expanding; exacerbating inequalities for women and girls and putting them at great economic, health and domestic violence risks. A nation-wide systematic cross-sectional quantitative study is conducted on the whereabouts of women and girls amidst the coronavirus pandemic and strict curfew measures in Jordan, via telephone interviews with 1,300 research participants (49%) males, 51%) females); in terms of health/ psychological, economic, psychosocial, legal/ political and educational aspects. The results show that the coronavirus pandemic impacted females more than their male counterparts, exacerbating gender-inequalities in terms of: access to healthcare services for pregnant women (51%) of pregnant women were impacted negatively); psychological wellbeing (sadness, anxiety, isolation, lack of interest in activities); household responsibilities (15%) more females); marital and domestic violence (verbal, psychological, physical and neglect); working remotely (higher rate of working from home/ higher percent of tasks given); and awareness of reporting domestic violence means (less females know how to contact authorities/ specialized institutions).
Topic:
Economics, Education, Gender Issues, Health, Women, Inequality, Psychology, Voting, COVID-19, Abuse, and Domestic Violence
Political Geography:
Middle East and Jordan

34. Sanctions, Scarcity, and the Depressing Reality of Iranian Healthcare

Author:
Younes Mahmoudieh
Publication Date:
01-2020
Content Type:
Special Report
Institution:
Georgetown Journal of International Affairs
Abstract:
When I visited Iran this summer, severe panic attacks, depression, and anxiety—longstanding byproducts of post-traumatic stress disorder—caused me to seek out a trauma therapist. After weeks of contacting Iranian pharmacies, hospitals, charities, and relief organizations, my prescriptions for Zoloft, Xanax, Ativan, and Clonazepam remained unfilled. Since the United States exited the Iranian nuclear deal (JCPOA) and imposed new sanctions, this kind of shortage has become commonplace.
Topic:
Health, Sanctions, International Community, and International Court of Justice (ICJ)
Political Geography:
Iran, Middle East, North America, and United States of America

35. Alcohol Policies in Australia: Indigenous Activism and International Blueprints

Author:
Maggie Brady
Publication Date:
02-2020
Content Type:
Special Report
Institution:
Georgetown Journal of International Affairs
Abstract:
Alcohol: No Ordinary Commodity, a book sponsored by the World Health Organization (WHO) and boasting fifteen international authors, describes alcohol policies as authoritative decisions made by government or non-government groups designed to minimize or prevent the adverse consequences of alcohol consumption. This compilation of high-quality research and advice, in addition to the WHO’s other channels of communication, provides a blueprint for action for WHO member states designed to help governments around the world make national policies. This is necessary because many countries have no clear alcohol policies at all. Uganda, for example, has not reviewed its liquor laws since the 1960s, and China has no systematic data collection, legally enforceable drinking age, nor regulation over sales, despite rising alcohol consumption.
Topic:
Health, World Health Organization, Governance, Culture, Public Policy, Indigenous, and Alcohol
Political Geography:
Australia and Australia/Pacific

36. The Coronavirus Crisis: Origins and the Way Forward

Author:
Hanan Shai
Publication Date:
04-2020
Content Type:
Special Report
Institution:
The Begin-Sadat Centre for Strategic Studies (BESA)
Abstract:
EXECUTIVE SUMMARY: Amid the debate on the coronavirus crisis, there is broad agreement on three issues: The nation-state has failed to check the spread of the virus, quickly and with few people being infected, by using its autonomous capabilities, which turned out to be meager. Trans-state bodies that derived their economic capabilities from the state have failed in their role of assisting it. The idea of globalism is fundamentally true, and the problems that have emerged in the crisis must be remedied by strengthening the states and, at the same time, as concluded by French President Emmanuel Macron, the trans-state bodies. This study contends that globalism in its current form has failed and collapsed, just as communism and other social frameworks failed and collapsed before it. The reason for their collapse was that all of them were based on delusory utopian ideas. These utopian ideas are grounded in a dominant European liberal discipline whose founders abandoned the scientific revolution at the beginning of its path, abjured rational thought, and continued, like the church, to adhere to faith-based thought, feelings of the heart, and delusions of the imagination. Another liberal discipline, less well-known, is the rational one. Committed to truth and to the absolute laws of nature, it was adopted by the Anglo-Saxon democracies, which, thanks to its values, experienced long periods of growth and prosperity. On three occasions this discipline could be mobilized to help rescue Europe from calamities that its utopian conceptions had caused.
Topic:
Health, Global Focus, State, and COVID-19
Political Geography:
Europe and Global Focus

37. Coronavirus, China, and the Middle East

Author:
Mordechai Chaziza
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Begin-Sadat Centre for Strategic Studies (BESA)
Abstract:
The Middle East was already plagued by war, famine, and wholesale death in the form of multiple civil wars when the outbreak of Covid-19, a novel coronavirus, added pestilence to the mix. The pandemic offers a unique prism through which to assess the way China interacts with Middle Eastern states in time of crisis. While many countries in the Middle East suspended bilateral air travel, repatriated their citizens from China, and prevented Chinese workers from returning to the region, the same governments also sought to maintain close relations, expressed support for Beijing, and delivered aid to China. The findings show that at least for now, the relationship between China and the Middle Eastern states remains close. However, it may take months to see the full ramifications of the pandemic in the Middle East, so it is too soon to tell how China’s interactions with the countries of the region will develop.
Topic:
International Relations, Health, Bilateral Relations, and COVID-19
Political Geography:
China, Middle East, and Asia

38. How the G20 can hasten recovery from COVID-19

Author:
Maurice Obstfeld, Adam S. Posen, Olivier Blanchard, Chad P. Bown, Cullen S. Hendrix, Ana González, Simeon Djankov, Anne-Laure Kiechel, Anna Gelpern, Sean Hagan, Adnan Mazarei, Christopher G. Collins, Simon Potter, Edwin M. Truman, and Joseph E. Gagnon
Publication Date:
04-2020
Content Type:
Special Report
Institution:
Peterson Institute for International Economics
Abstract:
The world's leading economic powers must cooperate more to combat the health and economic shocks resulting from the COVID-19 pandemic. In a new PIIE Briefing, Peterson Institute experts outline how collective action by the Group of Twenty (G20) nations can make a difference. The PIIE agenda includes removal of trade barriers impeding the flow of medical supplies and food, and more money for research, testing, and disease control, especially for debt-burdened low-income countries. The World Bank and the World Health Organization need more resources to relieve suffering, and the International Monetary Fund must step up to stabilize the world financial system.
Topic:
Economics, Health, World Health Organization, International Monetary Fund, World Bank, G20, and Coronavirus
Political Geography:
Global Focus

39. The U.S. Fight against Coronavirus

Author:
Marek Wąsiński and Mateusz Piotrowski
Publication Date:
03-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The coronavirus outbreak is spreading throughout the United States. After its initial underestimation of the threat, the Trump administration has acted to fight against the pandemic, including the introduction of a national emergency. The effectiveness of these actions will be an important factor in whether Trump is re-elected. The limits on social life despite the enormous financial support from the government and the Federal Reserve have dramatically slowed the economy, heading into a recession. Public debt will increase much more rapidly, which may force budget cuts in the coming years.
Topic:
Economics, Government, Health, Financial Crisis, Health Care Policy, Crisis Management, Donald Trump, and Coronavirus
Political Geography:
North America and United States of America

40. The End of “Black Zero”: The Second Wave of Anti-Crisis Measures in Germany

Author:
Sebastian Płóciennik
Publication Date:
03-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The prospect of dire economic repercussions from the coronavirus pandemic has prompted the German government to expand its intervention tools. The latest package puts the emphasis on helping the smallest companies and self-employed, offering more loan guarantees, as well as the possibility of temporary state purchases of shares in companies. The crisis is a challenge for fiscal policy—it will lead to a large deficit in public finances and to rising pressure on the German government to accept joint financial measures in the eurozone.
Topic:
Government, Health, Fiscal Policy, and Coronavirus
Political Geography:
Europe and Germany

41. Implications of the Coronavirus Pandemic on the Stability of Iran and the Regional Situation

Author:
Marcin Andrzej Piotrowski
Publication Date:
04-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
Iran’s official figures on cases and deaths from COVID-19 (the disease resulting from coronavirus, SARS-CoV-2) do not reflect the real scale of the pandemic in that country, which might be among the hardest hit in the world. The pandemic will deepen the economic crisis and disfunction of the state, becoming a challenge to Iran’s ruling elite. The regime might survive thanks to the security apparatus and, in parallel, continue its support of Shia militias in Lebanon, Iraq, and Yemen, and the Syrian government. Only the succession of power after Ali Khamenei will be the real test of the coherence of the Iranian elite, and in case of disruption, it might result in the collapse of Iran’s theocracy.
Topic:
Security, Foreign Policy, Economics, Government, Health, Coronavirus, Pandemic, and Elites
Political Geography:
Iraq, Iran, Middle East, Yemen, Lebanon, and Syrian Arab Republic

42. Political Tensions and the Failure to Curb COVID-19 in Brazil

Author:
Bartlomiej Znojek
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The spread rate of COVID-19 in Brazil is increasing and the policies of the federal government, headed by President Jair Bolsonaro, do not contribute to a slowdown in the pandemic. Bolsonaro downplays the threat and rejects restrictive measures as he priori-tises support for the economy. He has clashed with state governors who introduced restrictions and with the Federal Supreme Court, which defended their autonomy. The deteriorating situation in Brazil amid the pandemic and political situation diminish Bolsonaro’s chances of re-election in 2022 and may strain his government’s relations with EU partners.
Topic:
Government, Health, Politics, Health Care Policy, Coronavirus, Pandemic, and Jair Bolsonaro
Political Geography:
Brazil and South America

43. How is Global LGBTI Philanthropy Responding to COVID-19?

Publication Date:
05-2020
Content Type:
Special Report
Institution:
Global Philanthropy Project (GPP)
Abstract:
In April 2020, GPP conducted a survey in order to understand emerging practices and principles for COVID-19 response among funders supporting global LGBTI issues, share common learnings and opportunities for collaboration, and inform how GPP can support the community of global LGBTI funders over the course of the pandemic and beyond. The survey focused on GPP member funds as well as non-GPP members in the top 20 funders of global LGBTI issues (based on the 2017-2018 Global Resources Report). The brief contains findings on: Common principles and innovative initiatives global LGBTI funders have commenced since the pandemic began; Key issues that LGBTI funders are hearing from grantee partners; Actions global LGBTI funders have taken to response to these issues; Initial planning or forecasting on implications for global LGBTI funders, including new resources; Recommendations for global LGBTI philanthropic community collaboration in response to COVID-19 impacts on LGBTI communities across the world. In response to the key recommendations from this survey, GPP will monitor shifts in resource flows to LGBTI movements and communities resulting from the COVID-19 pandemic. We plan to undertake a follow up survey of these leading global LGBTI funders in July 2020 and will also publish those results here.
Topic:
Health, LGBT+, Coronavirus, Pandemic, Community, COVID-19, and Philanthropy
Political Geography:
Global Focus

44. Health Statistics of the Provinces of Turkey

Author:
Turkish Economic and Social Studies Foundation (TESEV)
Publication Date:
11-2020
Content Type:
Special Report
Institution:
Turkish Economic and Social Studies Foundation (TESEV)
Abstract:
Health Statistics of the Provinces of Turkey created for the Urban95: Data-Driven Policy Tool Project with the Health Statistics of the Ministry of Health from 2018
Topic:
Health, Governance, Statistics, and Digital Policy
Political Geography:
Turkey, Middle East, and Mediterranean

45. Reuse and Recycling of Faecal Sludge-derived Biosolids in Agriculture

Author:
Neha Agarwal, Ambarish Karunanithi, and Anju Dwivedi
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
The rapid proliferation of toilets under the Swachh Bharat Mission has necessitated the safe collection, conveyance, and treatment of faecal sludge and septage. Accordingly, the National Policy on Faecal Sludge and Septage Management (FSSM), 2017, sets the imperative for streamlining the citywide sanitation service chain. In doing so, it promotes closing of the resources loop through recycling and reuse of treated wastewater and faecal sludge-derived biosolids. The 2017 amendment to the Environment (Protection) Rules, 1986, lays down clear standards and guidance for recycling of treated wastewater. However, a regulatory lacuna concerning biosolids -whose use as a fertilizer in agriculture has been shown to enhance crop yields and reduce the burden of synthetic fertilizers - deters local action in accessing opportunities for their recycling formally. This guidance note, reviewing international biosolids regulations, is intended as an aid for policymakers and regulators at the national and state level in developing a standard for biosolids utilization in agriculture which is easy to interpret and implement, promotes their scientific and safe reuse, and ensures the protection of the health of the users, the local communities, the consumers, and the environment at large.
Topic:
Agriculture, Environment, Health, Sanitation, and Recycling
Political Geography:
South Asia and India

46. 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

47. 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

48. 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

49. 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

50. 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

51. 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

52. 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

53. Returning to work during the pandemic

Author:
Michael Shoebridge
Publication Date:
04-2020
Content Type:
Special Report
Institution:
Australian Strategic Policy Institute (ASPI)
Abstract:
National Cabinet is meeting to begin the pathway to get Australia back to work and school. That's while we are still in the midst of 'flattening the curve' and in a world without a vaccine or even effective therapeutic treatment to reduce death rates from the virus. So, how might Australia return to work without getting back on the elevator of exponentially growing infection and deaths? This Strategic Insight sketches out that path, with the answers involving mass testing, and companies funded and supported to do rapid testing, data collection and analysis. It will rely on smartphone apps for data collection to enable outbreak suppression and contact tracing. Critically, national cabinet must communicate how this new approach will work alongside the existing social distancing restrictions, which will need to remain in place for months to come. The hygiene and distancing protocols for this 'return to work' will be easier for advanced manufacturing workplaces, it turns out, as those workplaces are already pretty socially distant, with low levels of staffing and high levels of automation. A lot of construction work is mainly outdoors and is also now more mechanised than labour intensive. And a regime of testing workers on arrival, combined with strict workplace health protocols, will probably be feasible for many other manufacturing, large-scale agricultural and white collar workplaces—including our parliaments. Small businesses will struggle in the absence of almost ubiquitous community testing, unless ‘precinct’ approaches provide testing and health hygiene for facilities that house groups of such businesses (shopping centres and business parks are examples). This diversity across workplaces and organisations means that taking the path advocated here—tests, data, apps and surveillance—will involve a clear and pervasive communication effort between our leaders and our people. Confusion about who’s in, who’s out, which businesses can start planning to get back into operation in facilities now closed and which must stick to what they have now will unravel this approach. And being able to explain how the health surveillance approach has been designed to work with our democratic society and to not be a part of any future national security surveillance powers will be key to bringing different parts of our population along. Again, this communication task is a job for the national cabinet.
Topic:
Health, Labor Issues, Pandemic, and COVID-19
Political Geography:
Australia and Australia/Pacific

54. The Spread of COVID-19 in the Middle East - Problems and Challenges

Author:
Zurab Batiashvili
Publication Date:
06-2020
Content Type:
Special Report
Institution:
Georgian Foundation for Strategic International Studies -GFSIS
Abstract:
The novel coronavirus (COVID 19) and its side-effects have transformed the contemporary world. Since the pandemic is just now starting, no one really knows what the world will be like after the virus. However, we can confidently say that there will be serious changes as a result of which our planet will no longer be what it was prior to the spread of this virus. These changes naturally concern the Middle East as well. Much like the majority of other states, Middle Eastern countries were also mostly unprepared to meet the pandemic. Many of the governments in the region could not or did not take the impending threat seriously when the virus was spreading in China. Due to this, at the initial stage many governments simply covered up or ignored the facts of the virus spreading in their countries. A little later these governments were forced to admit the existence of the problem, yet they mostly blamed their political rivals for the creation and spreading of the virus. Such an attitude was facilitated by the fact that conspiracy theories are rather popular among Middle Eastern societies and governments. Covering up and disregarding the problem later produced a boomerang effect for these countries and their citizens. Most of the Middle Eastern governments went on to introduce radical measures (closing places of prayer where mass gatherings take place). However, in many cases these measures were already too late in coming – the coronavirus had spread throughout the entire Middle East. At the same time, the spread of the virus in the Middle East is further facilitated by the faulty healthcare system, the lack of doctors, the low level of education, unending civil wars, conflicts and a large number of refugees as well as the desire of governments to hide the actual data as much as possible (for example, according to the official Syrian statistics, only one person was infected with the novel coronavirus before March 25 while the Assad regime introduced a curfew in the capital city of Damascus in order to combat the illness. According to independent sources, the novel coronavirus has already spread all over Syria and there are casualties, too). At the same time, many Middle Eastern states lack sufficient medical equipment in order to analyze and fully document persons who have contracted the virus.
Topic:
Health, Governance, COVID-19, and Non-Traditional Threats
Political Geography:
Middle East

55. Coronavirus: An Ethical Question in the US-Iran Showdown

Author:
Ali Akbar Dareini
Publication Date:
03-2020
Content Type:
Special Report
Institution:
Al Jazeera Center for Studies
Abstract:
Coronavirus is killing Iranians, so does Trump by waging a campaign of economic and medical terrorism. Its refusal to lift the sanctions exacerbates the already-tense relations between Tehran and Washington and pushes Iran to redefine its foreign policy.
Topic:
Foreign Policy, Health, Sanctions, Economy, and COVID-19
Political Geography:
Iran, Middle East, and United States of America

56. SVRI Knowledge Exchange: Healing from Sexual Violence: Body-focused mental health approaches

Author:
SVRI
Publication Date:
12-2020
Content Type:
Special Report
Institution:
The Sexual Violence Research Initiative
Abstract:
This Knowledge Exchange seeks to expand our understanding of effective interventions for managing ongoing trauma resulting from child sexual abuse (CSA) and sexual violence through the lifespan, highlighting innovative and increasingly evidence-based body-mind approaches that are showing great promise in the treatment of Post Traumatic Stress Disorder (PTSD) and other trauma induced symptoms, and exploring some basics about the neuro-biological underpinnings of body-focused interventions. We examine complex trauma and various aspects of recovery and healing, followed by an exploration of body-focused approaches. The Knowledge Exchange is not intended to be a systematic review of therapeutic options in cases of trauma and PTSD (for a recent meta-analysis of psychological and pharmacological interventions for PTSD and comorbid health problems, see Coventry et al., 2020), nor is it a review of cognitive-behavioral approaches or talk therapy more generally.
Topic:
Health, Trauma, Mental Health, Sexual Violence, and PTSD
Political Geography:
Global Focus

57. In the shadow of the virus Varieties of power in the COVID-19 crisis in Venezuela

Author:
Peder Østebø
Publication Date:
12-2020
Content Type:
Special Report
Institution:
Norwegian Institute of International Affairs
Abstract:
While all states face massive challenges when responding to COVID-19, some are in a more precarious position than others. In Venezuela, the pandemic arrived at the worst possible time for its citizens. Facing one of the deepest economic crises outside of wartime in recent years, its consequences have spilled over to all aspect of social life.1 However, the timing seems to have suited the leaders of the Venezuelan regime well. Rather than constituting a threat to the stability of a regime that has lost both democratic legitimacy and the capacity to provide services and security, the government of Nicolas Maduro (2013-present) has seemingly managed to consolidate itself after several years of instability. The starting point of the discussion is an apparent paradox: how can a regime with neither legitimacy nor capacity, two commonly invoked criteria for effective crisis management, strengthen itself during a crisis such as that spurred by COVID-19? The brief presents an overview of how the Venezuelan regime has responded to COVID-19, and how the government of Nicolás Maduro has applied different strategies to consolidate a favorable political status quo. It takes as its starting point three concepts, namely “state capacity,” “legitimacy,” and “power,” all of which are frequently upheld as fundamental for understanding the varying ways in which states have responded to the pandemic. It highlights how relative power relations have shifted in recent years, and how the pandemic has contributed to skewing the balance of power further in favor of the Maduro government.
Topic:
Government, Health, Crisis Management, and COVID-19
Political Geography:
South America, Central America, and Venezuela

58. Do We Need an EU Ethical Food Label?

Author:
Giorgia Ceccarelli and Daniele Fattibene
Publication Date:
09-2020
Content Type:
Special Report
Institution:
Open Society Foundations
Abstract:
Eradicating the exploitation of agri-food workers, promoting fairer food supply chains, and offering consumers effective tools to make truly informed food choices remain huge challenges in Europe. This report highlights the limitations of relying solely on food labelling schemes to meet these goals, and finds that voluntary certification schemes do not adequately enforce regulations or protect human rights. The report also argues, however, that the EU can use a number of tools to foster more just food supply chains, with ethical labels playing a role in that process as part of a “smart mix” of measures. The case studies in this report show that it is possible to have increased transparency in food labelling and supply chains, as well as better protections of workers in Europe and throughout the world. Additionally, the report explains how the EU can play an important role in providing food businesses with clear regulatory frameworks to ensure their operations do not harm workers or the environment.
Topic:
Environment, Health, Human Rights, Labor Issues, Food, Regulation, and Business
Political Geography:
Europe

59. An Uneven Welcome: Latin American and Caribbean Responses to Venezuelan and Nicaraguan Migration

Author:
Andrew Selee and Jessica Bolter
Publication Date:
02-2020
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
The sudden mass movement of people fleeing political and economic crises in Venezuela and political unrest in Nicaragua has transformed the migration landscape in Latin America and the Caribbean. Approximately 4.8 million Venezuelans had emigrated by December 2019, the vast majority remaining in the region, and as many as 100,000 Nicaraguans have moved to neighboring Costa Rica since early 2018. This report examines how 11 countries—Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Guyana, Mexico, Peru, Trinidad and Tobago, and Uruguay—are responding to the mass outflows. Drawing on extensive fieldwork and interviews with government officials and representatives of nongovernmental organizations, migrant-led groups, and international actors, the study analyzes efforts to provide newcomers with legal status and to integrate them into schools, health-care systems, and local labor markets—measures that are important for both migrants and the communities in which they are settling. Overall, receiving countries have shown openness and even creativity, providing legal status to many and access to basic education and emergency health care to most. But as the exodus continues and it becomes clear that large numbers of Venezuelans are likely to remain in their host countries in the mid- to long term, the initially warm welcome has begun to cool in places. Capacity constraints in many education and health-care systems, which existed prior to the arrival of large numbers of newcomers, have also become more acute. Looking ahead, the report sets out a range of recommendations for both receiving countries and the international community. Among them: balancing security and flexibility in entry requirements; strengthening asylum systems and other, more nimble legal pathways; and streamlining credential recognition so migrants’ skills can benefit local communities and economies.
Topic:
Education, Health, Immigration, Employment, Economy, Welfare, and Skills
Political Geography:
Latin America, Nicaragua, Caribbean, and Venezuela

60. Social Protection as a Tool to Address Slow Onset Climate Events: Emerging Issues for Research and Policy

Author:
Mariya Aleksandrova
Publication Date:
01-2019
Content Type:
Special Report
Institution:
German Institute of Development and Sustainability (IDOS)
Abstract:
This discussion paper aims to further awareness of opportunities to address loss and damage caused by climate change-related slow onset events (SOEs) through social protection. The analysis is based on a review of interdisciplinary theoretical and empirical literature. The findings suggest that designing comprehensive, climate-responsive social protection strategies can strongly support proactive measures to avoid, minimise and address the complex, long-term impacts of SOEs on human health, livelihoods, poverty and inequality. This entails improving the effectiveness and extending the coverage of existing social protection systems; mainstreaming climate concerns, including risks associated with SOEs, into national social protection frameworks; integrating social protection with broader climate and development policies and strategies; and developing innovative and transformational approaches to social protection. To this end, several issues for research and policy are discussed. Overall, the paper attempts to set the groundwork for an advanced research and policy agenda on social protection and climate change as well as emphasise the need for wider consideration of social protection in global climate change debates. In addition, the study aims to inform the future work of the Executive Committee of the Warsaw International Mechanism for Loss and Damage associated with Climate Change Impacts in the working areas of SOEs and comprehensive risk management approaches.
Topic:
Climate Change, Health, Poverty, Inequality, and Social Services
Political Geography:
Global Focus

61. Classification of Psychoactive Substances: When Science Was Left Behind

Author:
Global Commission On Drug Policy
Publication Date:
01-2019
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
In Classification of Drugs: when science was left behind, the Global Commission on Drug Policy explains how the biased historical classification of psychoactive substances has contributed to the "world drug problem". It is the first-ever comprehensive report providing a political reading of the current evaluation and classification, or "scheduling" of drugs according to their harms. Psychoactive substances should be classified with regard to their potential for dependence and other harms. This is not the case today, where some substances are legally available because they are considered beneficial (medicines) or culturally important (alcohol), while others are seen as destructive, and are strictly prohibited. The classification of drugs is at the core of the international drug control system. As such, governments must ensure that such a classification is pragmatic and based on science and evidence, makes clear the benefits and harms of drugs, and allows for responsible legal regulatory models to control drugs.
Topic:
Health, War on Drugs, Drugs, Alcohol, Public Health, and Medicine
Political Geography:
Global Focus

62. Regards sur l’Eurasie - L'année politique 2018

Author:
Anne De Tinguy, Annie Daubenton, Olivier Ferrando, Sophie Hohmann, Jacques Lévesque, Nicolas Mazzuchi, Gaïdz Minassian, Thierry Pasquet, Tania Sollogoub, and Julien Thorez
Publication Date:
02-2019
Content Type:
Special Report
Institution:
Centre d'Etudes et de Recherches Internationales
Abstract:
Regards sur l’Eurasie. L’année politique est une publication annuelle du Centre de recherches internationales de Sciences Po (CERI) dirigée par Anne de Tinguy. Elle propose des clefs de compréhension des événements et des phénomènes qui marquent de leur empreinte les évolutions d’une région, l’espace postsoviétique, en profonde mutation depuis l’effondrement de l’Union soviétique en 1991. Forte d’une approche transversale qui ne prétend nullement à l’exhaustivité, elle vise à identifier les grands facteurs explicatifs, les dynamiques régionales et les enjeux sous-jacents.
Topic:
Defense Policy, Corruption, Democratization, Economics, Health, International Security, Natural Resources, Conflict, Multilateralism, Europeanization, Political Science, and Regional Integration
Political Geography:
Russia, Europe, Ukraine, Caucasus, Kazakhstan, Kyrgyzstan, Tajikistan, Uzbekistan, Armenia, Azerbaijan, and Turkmenistan

63. 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

64. 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

65. How can the NHS recruit and retain migrant nurses after Brexit?: Background Report

Author:
Georgia Spiliopoulos and Stephen Timmons
Publication Date:
06-2019
Content Type:
Special Report
Institution:
Asia Research Institute, University of Nottingham
Abstract:
The UK Referendum decision to leave the European Union in June 2016 exacerbated some of the long-standing challenges the National Health Service (NHS) has been facing in recruiting and retaining nursing staff. In 2018, it was estimated that one in eight posts was vacant, which translates into 36,000 nursing vacancies (King’s Fund, 2018). Arguably, these challenges have been present since the founding of the NHS in 1948. Pre-established initiatives recruiting overseas nurses to deal with acute staffing shortages during the war effort, mainly from the Commonwealth, were also adopted by the NHS. Hence, the Nurses’ Act of 1949 relaxed the criteria for the registration of overseas nurses set up by the General Nursing Council (Solano and Rafferty, 2007). Therefore, we can trace historical developments in recruiting non-UK nurses, which reflect changing state regulations over time, connected to particular political and financial factors, xenophobic rhetoric and also problems in retaining British nursing staff (Bach, 2007; Ball, 2004; Cangiano et al, 2009; Simpkin and Mossialos, 2017; Solano and Rafferty, 2007). In the 1950s, for example, significant numbers of overseas nurses entered the UK as trainees, while an even higher number of British nurses emigrated abroad, fuelling concerns over training of overseas nurses but also bringing to the forefront anxieties over race (Solano and Rafferty, 2007). An illustrative example of political will influencing recruitment of overseas nurses was seen in New Labour’s push for a ‘modernization agenda’ in the late 1990s and subsequently, a push for international recruitment (Deeming, 2004). However, aggressive recruitment initiatives targeting nursing staff from developing countries such as Zimbabwe, Kenya and Zambia, led to the introduction of the NHS ‘Code of Practice’ on ethical recruitment in 2001 (Deeming, 2004), with calls for overseas recruitment to focus mainly on pre-existing agreements with countries such as the Philippines and India (Buchan, 2006).
Topic:
Health, Health Care Policy, Brexit, and Public Policy
Political Geography:
Britain, United Kingdom, and Asia

66. The Rise of Metropolitanism: The International Order and Sub-national Actors

Author:
Kelly M. McFarland
Publication Date:
09-2019
Content Type:
Special Report
Institution:
Institute for the Study of Diplomacy, Edmund A. Walsh School of Foreign Service, Georgetown University
Abstract:
The growth and international clout of cities and sub-state actors has been unparalleled in recent decades. These players seek agency in the international arena, forming networks for cross-border cooperation on issues like climate change, health, transnational crime, and migration. ISD’s working group report, “The Rise of Metropolitanism: The International Order and Sub-national Actors,” explores how mayors, governors, and other sub-state actors both challenge and contribute to diplomacy at the national and international levels. How will these new networks find their voice in the international arena?
Topic:
Climate Change, Crime, Diplomacy, Health, International Cooperation, Migration, Transnational Actors, Urban, and Cities
Political Geography:
Global Focus

67. 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

68. 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

69. Challenges of Health Care in the Middle East and North Africa

Author:
Kathrin Thomas
Publication Date:
08-2019
Content Type:
Special Report
Institution:
Arab Barometer
Abstract:
MENA publics are dissatisfied with overall government performance in their countries. In 2018-19, a quarter (21 percent) say they are completely satisfied or satisfied with their governments’ general performance. In fact, there is not a one single country where satisfaction with government performance exceeds 50 percent since Arab Barometer started surveying in 2006-07. Moreover, ratings have deteriorated over the last decade in a number of countries. For example, a steady downward trend can be observed in Jordan (-18 points) as well as Sudan (-17 points) and Tunisia (-24 points) since 2010-11.
Topic:
Government, Health, Health Care Policy, Mental Health, and Public Health
Political Geography:
Middle East and North Africa

70. Girls Leading: From Rural Economies to Global Solutions

Author:
Catherine Bertini
Publication Date:
10-2019
Content Type:
Special Report
Institution:
Chicago Council on Global Affairs
Abstract:
An estimated 3 billion of the world’s 6.9 billion people live in rural areas of the developing world. More than 60 percent of them live in poverty. Poverty affects women and girls disproportionately; rural girls face the triple challenges to their empowerment and well-being by virtue of their youth, gender, and location. Investing in rural girls’ health and safety, as well as their personal and professional development, has the potential to transform rural economies. Girls Leading: From Rural Economies to Global Solutions—available as both a fully online digital experience and as a PDF—is a collection of diverse perspectives from 20 authors around the world. The authors share their research and stories of personal struggle and triumph to highlight the needs of rural girls and solutions to the challenges they face. The report also includes recommendations, arranged by age group, for critical moments in a girl’s life where both small and large actions can make a huge difference. Many of the most pressing global issues—climate change, economic development, health, and education—demand that we consider rural girls. The world changes as their lives change. Join the conversation at #GirlsLeading.
Topic:
Climate Change, Development, Education, Gender Issues, Health, Poverty, Children, Women, Economy, Youth, and Rural
Political Geography:
Global Focus

71. The Looming Global Obesity Threat

Author:
Roger Thurow
Publication Date:
10-2019
Content Type:
Special Report
Institution:
Chicago Council on Global Affairs
Abstract:
This paper seeks to raise awareness of the growing global obesity epidemic and the need to address the economic, security, and humanitarian threats it poses for the United States and the world. While the development community—including global agriculture, health, and security practitioners—has been focused on combatting undernutrition, the number of people who are obese or overweight has been on the rise and is now on par with the 2 billion who are food insecure. In western countries where the epidemic started, obesity is not just an enormous health and economic burden, but a national security threat. Seventy percent of 17-to 24-year-olds in America are reported to be unfit to serve in the military, with being overweight and obese as the leading disqualifier. An increasingly sedentary lifestyle and growing reliance on unhealthy processed food has spread to low and middle-income countries around the world. Many of these countries are experiencing a “double burden” of malnutrition, in which people who are overweight or have obesity coexist with those experiencing undernutrition, threatening the growth and vitality of their societies. So far, policy responses from national governments have been slow and inadequate. The costs of the epidemic have not yet been viewed as urgent enough to generate the public demand or political will to act. The view of obesity as a global “syndemic,” along with undernutrition and climate change, has the potential to help rally attention to the challenge. The paper calls for local, national, and global efforts to recognize obesity as the economic, moral, and security crisis that it is and to summon the political will to end the epidemic.
Topic:
Security, Health, Economy, and Non-Traditional Threats
Political Geography:
Global Focus

72. Regulation: The Responsible Control of Drugs

Author:
Global Commission On Drug Policy
Publication Date:
03-2018
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
This new report provides a practical roadmap that tackles the real implications and recognizes the difficulties of transitioning from illegal to legally regulated drug markets. It offers concrete answers regarding the organizational capacity of state institutions to regulate and control a legal market of potentially dangerous products. It highlights the challenges facing impoverished populations that constitute the “working class” of the illegal drug markets. It offers possible ways forward to deal with the risks inherent to the resilience of organized crime. Finally, this report calls for a reform of the prohibition-based international drug control system, which is compromising a universal and holistic approach to the “drug problem.”
Topic:
Crime, Health, War on Drugs, Drugs, and Public Health
Political Geography:
Global Focus

73. What Is the Status of Women’s Health and Health Care in the U.S. Compared to Ten Other Countries?

Author:
Sara R. Collins, Shanoor Seervai, Roosa Tikkanen, and Munira Z. Gunja
Publication Date:
12-2018
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
Women in the United States have long lagged behind their counterparts in other high-income countries in terms of access to health care and health status. This brief compares U.S. women’s health status, affordability of health plans, and ability to access and utilize care with women in 10 other high-income countries by using international data.
Topic:
Health, Health Care Policy, Women, and Reproductive Health
Political Geography:
United States and Global Focus

74. What’s next for healthcare in Poland: diagnosis and prognosis

Author:
Alicja Domagała, Christoph Sowada, Krzysztof Kuszewski, Marzena Tambor, and Stanisława Golinowska
Publication Date:
12-2018
Content Type:
Special Report
Institution:
Center for Social and Economic Research - CASE
Abstract:
The health protection system is the object of constant pressures and difficulties in mitigating them, and even more so eliminating or at least reducing them. Changes are undertaken under the influence of a one-sided political assessment, the interests of various groups of participants or the protests of successive groups of medical staff. There is no professional and fully documented diagnosis of the system, made by independent experts, which could serve as the basis for a comprehensive health protection reform plan, rather than individual, incidental changes that disrupt the system’s already very fragile balance. A well thought-out reform, properly distributed over time, so that at no point does it cause negative health effects. A reform agreed among stake-holders and adopted with understanding of the need for changes, so that it is supported by society. A reform for which there will be funds, institutions and engaged professionals – leaders in health protection. A reform that won’t be criticized or changed when the government changes. Such a reform is waiting to be presented and debated. We begin this process by pointing out and presenting the system’s main problems. At the top of the list of issues that must be taken up urgently we place the problem of insufficient resources, but associated with other activities that are essential to achieve higher effectiveness in accomplishing health goals. There is no single miraculous way of balancing and fixing the functioning of the health protection system. This requires both greater financing, qualitatively and quantitatively appropriate staffing, and good institutions. Financial resources are a necessary condition but not a sufficient one – if there is no staff or appropriate institutions, and these are shaped over years. In this publication we present four subjects, corresponding to that list of the main issues that must be addressed urgently. We begin with the problem of good governance, meaning achieving a decisive improvement in institutional solutions in health protection. Next we take up the problem of the need for growth in financial outlays, with judicious public and individual responsibility. We strongly accent the need for development in Poland of medical and support staff, presenting the problems of neglect and the deep shortage of professionals, which is currently paralyzing the health service. The final text, though no less important in the group of priority problems in health protection, concerns public health and demands that it be properly valued by treating care for the health of the population as an investment in human capital with a measurable and significant rate of return.
Topic:
Demographics, Health, Labor Issues, Governance, Health Care Policy, Social Policy, and Public Policy
Political Geography:
Europe and Poland

75. Building Regulations For Faecal Sludge Management: Review of Building Regulations From Indian States

Author:
Arkaja Singh
Publication Date:
12-2018
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
Getting approvals under the various building regulations applicable to any particular jurisdiction is often the first step in construction and development. The Report ‘Building Regulations for Faecal Sludge Management: Review of Building Regulations from Indian States’ seeks to understand how these building regulations address on-site sanitation, what kind of standards do they impose on developers, and how well do they incorporate mechanisms to enforce these standards. In this report, we look at six states: Andhra Pradesh, Odisha, Rajasthan, Tamil Nadu, Maharashtra, and Uttar Pradesh. We also look at other standards that are applicable to on-site containment of Faecal sludge, and the manner in which these standards get incorporated into the building regulations. We find that context-specific attention to On-Site Containment of Faecal Sludge is only given in very few states, at least within our sample size. Usually, Building Regulations seem to rely on already existing standards such as the National Building Code, 2016. Additionally, the inconsistencies within the bye-laws exhibit a lack of understanding on the issue of FSM, amongst the policy-makers. As Faecal Sludge Management is an issue at the interface of environment, sanitation, and public health, a lack of convergence between various departments of the government is also noticed.
Topic:
Environment, Government, Health, Regulation, and Sanitation
Political Geography:
South Asia, India, and Asia

76. Learning to Sustain Change: Mitanin Community Health Workers Promote Public Accountability in India

Author:
Samir Garg and Suchi Pande
Publication Date:
08-2018
Content Type:
Special Report
Institution:
Accountability Research Center (ARC), American University
Abstract:
Can community health workers (CHWs) act as agents of change in enhancing the public accountability of government, despite being state-funded actors themselves? CHW programs worldwide face challenges in achieving public accountability. They face a tension between upward accountability (to higher officials within the health system) and public accountability (to the people who access and use public health services), especially with respect to their potential to play a role as agents of public accountability (Schaaf et al. 2018). This Accountability Note illustrates how the CHW program of the Chhattisgarh state government in central India— known as Mitanin—has, over time, developed a learning strategy that permits CHWs (Mitanins) to enable sustained action on public accountability, whilst simultaneously providing health services and education, and linking communities with government healthcare services. The main proposition of this note is that this evolving learning strategy enabled state and civil society actors to design institutions and processes appropriate for accountability. Our focus is on understanding how learning has lent the program the ability to evolve ways for continuously managing the essential tensions inherent in its design, and how this has been key to developing sustainable accountability strategies. We discuss examples of how the Mitanins’ evolving learning strategy has contributed to their efforts to ensure public accountability of the health system to people who use public health services. These examples are grouped under five propositions about the roles CHWs can play in sustainable public accountability: 1. Community health workers can simultaneously act as service providers and agents of public accountability. 2. Community health workers can set agendas for advocacy on issues of accountability by building virtuous cycles of action and learning. 3. Community health workers can build countervailing power at multiple levels. 4. Community health workers can demand both rights for communities, and better working conditions for themselves. 5. ‘Action-strategists’ can create an appropriate state-civil society organization to facilitate community health workers’ action. This note offers insights from the Mitanin experience on these five ways that CHWs can build and sustain accountability, and illustrates how the program has taken a movement-building approach to public health, and thus avoided becoming a narrow technocratic intervention.
Topic:
Civil Society, Health, Accountability, Public Health, and Community Engagement
Political Geography:
South Asia and India

77. The Inter-American System as a Tool for Ensuring Access to Pain Relief and Palliative Care

Author:
Diana Guarnizo Peralta
Publication Date:
03-2018
Content Type:
Special Report
Institution:
Dejusticia
Abstract:
This document is aimed at medical personnel, civil society organizations, policy makers, and anyone interested in addressing the issue of palliative care from a human rights perspective. Although for years palliative care was confined to a strictly medical analysis, in recent times the international community and United Nations bodies have recognized palliative care as a human rights issue. This document seeks to demonstrate the many linkages between palliative care and human rights in terms of both the conception and the protection of palliative care. We hope this report serves as a useful tool for the medical community, patients, and patients’ families throughout the American continent who seek legal and human rights arguments to facilitate access to more humane end-of-life care, as well as for litigants and human rights activists who wish to protect and guarantee a life without pain for patients, including during their last days of life.
Topic:
Civil Society, Health, Health Care Policy, Public Policy, Public Health, and Medicine
Political Geography:
Latin America

78. The World Drug PERCEPTION Problem: Countering Prejudices About People Who Use Drugs

Author:
Global Commission On Drug Policy
Publication Date:
11-2017
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Drug policy reforms have been difficult to design, legislate or implement because current policies and responses are often based on perceptions and passionate beliefs, and what should be factual discussions leading to effective policies are frequently treated as moral debates. The present report aims to analyze the most common perceptions and fears, contrast them with available evidence on drugs and the people who use them, and provides recommendations on changes that must be enacted to support reforms toward more effective drug policies.
Topic:
Crime, Health, War on Drugs, Drugs, Public Health, and Criminology
Political Geography:
Global Focus

79. Paying for Prescription Drugs Around the World: Why Is the U.S. an Outlier?

Author:
Shawn Bishop, David Squires, and Dana O. Sarnak
Publication Date:
10-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
arious factors contribute to high per capita drug spending in the U.S. While drug utilization appears to be similar in the U.S. and the nine other countries considered, the prices at which drugs are sold in the U.S. are substantially higher. These price differences appear to at least partly explain current and historical disparities in spending on pharmaceutical drugs. U.S. consumers face particularly high out-of-pocket costs, both because the U.S. has a large uninsured population and because cost-sharing requirements for those with coverage are more burdensome than in other countries. Most Americans support reducing pharmaceutical costs. International experience demonstrates that policies like universal health coverage, insurance benefit design that restricts out-of-pocket spending, and certain price control strategies, like centralized price negotiations, can be effective.
Topic:
Health, Health Care Policy, and Drugs
Political Geography:
United States, Europe, and Global Focus

80. Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers

Publication Date:
09-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
Health care costs are heavily concentrated among people with multiple health problems. Often, these are older adults living with frailty, advanced illness, or other complex conditions. In 2014, the New York–based Commonwealth Fund, a private, independent foundation, established the International Experts Working Group on Patients with Complex Needs through a grant to the London School of Economics and Political Science. The group’s purpose was to outline the prerequisites of a high-performing health care system for “high-need, high-cost” patients and to identify promising international innovations in health care delivery for meeting needs of these patients. Drawing on international experience, quantitative and qualitative evidence, and its members’ collective expertise in policy and program design, implementation, and evaluation, the international working group sought to articulate the principles that underpin high performance for this complex population in health systems around the world.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

81. Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities fo

Author:
Michelle M. Doty, Arnav Shah, David Squires, Dana O. Sarnak, and Eric C. Schneider
Publication Date:
07-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
The U.S. ranked last on performance overall, and ranked last or near last on the Access, Administrative Efficiency, Equity, and Health Care Outcomes domains. The top-ranked countries overall were the U.K., Australia, and the Netherlands. Based on a broad range of indicators, the U.S. health system is an outlier, spending far more but falling short of the performance achieved by other high-income countries. The results suggest the U.S. health care system should look at other countries’ approaches if it wants to achieve an affordable high-performing health care system that serves all Americans.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

82. International Profiles of Health Care Systems

Author:
Elias Mossialos, Ana Djordjevic, Robin Osborn, and Dana O. Sarnak
Publication Date:
05-2017
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
This publication presents overviews of the health care systems of Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States. Each overview covers health insurance, public and private financing, health system organization and governance, health care quality and coordination, disparities, efficiency and integration, use of information technology and evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

83. 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

84. Quality and cost-effectiveness in long-term care and dependency prevention: the Polish policy landscape

Author:
Stanisława Golinowska and Agnieszka Sowa-Kofta
Publication Date:
07-2017
Content Type:
Special Report
Institution:
Center for Social and Economic Research - CASE
Abstract:
With the population ageing the development of sustainable long-term care institutions is of great importance in many European countries. In Poland, currently dominant, traditional and family based care will become insufficient with increasing cohorts of older people. Presented paper discusses recent developments in long-term care policy in the country. Long-term care institutions are separated in the two sectors, with little field for cooperation and coordination of activities. Over the past years policy addressing ageing related problems was developed, focusing on the active ageing instruments. Dependency prevention and active ageing are among goals of national policies formulated separately in the health and social sector. Information policy and monitoring long-term care services’ provision remains insufficient. Coordination of activities mainly takes place at the local level. Local governments and non-governmental organizations, often cooperating with representatives of older people, are active in providing services to older people in community and often incorporating innovative solutions in care.
Topic:
Demographics, Health, Social Policy, Labor Policies, Public Policy, and Aging
Political Geography:
Europe, Poland, and European Union

85. Infrastructure, Gender and Violence: Women and Slum Sanitation Inequalities in Delhi

Author:
Susan Esme Chaplin and Reetika Kalita
Publication Date:
10-2017
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
In Delhi, as in many other Indian cities, millions of men, women and children who live in slums and informal settlements haveto daily confront the lack of adequate sanitation facilities. These sanitation inequalities have a greater impact on the health and socioeconomic status of women and girls because of their greater social vulnerability to sexual violence; there is also the role played by biology in their need for privacy, safety and cleanliness. Men and boys, on the other hand, tend to use public urinals and open defecation (OD) sites generally more frequently, because their need for privacy during these sanitation activities is not such a cause for concern. In addition, women and girls are forced every day to risk using precarious spaces for their sanitation activities that may expose them to gender-based violence and harassment and not satisfy their biological and socio-cultural needs. These urban sanitation inequalities also negatively impact the time women have available for paid employment as well as their daily domestic responsibilities, as they have to spend each morning queuing for toilets or getting up earlier to go with other women to OD sites. For adolescent girls this can often mean being late for school, which threatens their education and future life choices. India failed to meet Millennium Development Goal No. 7 (adopted by the United Nations in 2000) relating to halving the proportion of people without access to basic sanitation. In terms of toilet usage across India, the Census 2011 found that 81 percent of urban households had a private toilet or latrine. But when it came to slum households, only 66 percent had a toilet, meaning that 34 percent had to either use a community or public toilet or resort to OD (Ministry of Housing and Urban Poverty Alleviation & National Buildings Organisations 2013, p. 60). In reality, there are an estimated 41 million urban dwellers still practising OD because of a lack of access to improved sanitation (WaterAid 2016). OD is a compulsion, not a choice, and creates particular risks and imposes a variety of harms upon women and children that men and boys do not suffer. Who or what is responsible for such socioeconomic consequences of the lack of adequate sanitation infrastructure in Indian cities which perpetuate gender inequalities? How do harms like gender-based violence impact the everyday lives of women and girls living in slums in particular? This project report examines these issues using the notion of infrastructural violence and then examines the harms and suffering caused by a lack of sanitation infrastructure in two long-established localities in Delhi: Mangolpuri and Kusumpur Pahari. Mangolpuri is a resettlement colony in the northwest region of Delhi with an estimated population of more than 350,000. It is interspersed with eight JJCs clusters of varying sizes. Kusumpur Pahari is located in the heart of south Delhi, near Jawaharlal Nehru University, and now has five blocks of JJCs and an estimated population of nearly 50,000.
Topic:
Development, Gender Issues, Health, Children, Women, Income Inequality, and Sanitation
Political Geography:
South Asia, India, and Asia

86. Does Unplanned Urbanization Pose a Disease Risk in Asia? The Case of Avian Influenza in Vietnam

Author:
Sumeet Saksena
Publication Date:
01-2017
Content Type:
Special Report
Institution:
East-West Center
Abstract:
Cities are expanding very rapidly in Asia, often without adequate housing, transportation, water, or sanitation. ese new “peri-urban” areas may be hot spots for disease, both in humans and domestic animals. Research into the possible link between unplanned urban expansion and disease outbreaks compared patterns of land-use change with two major outbreaks in Vietnam of highly pathogenic avian in uenza (HPAI, subtype H5N1) that killed millions of chickens between 2003 and 2005. Work began by classifying communes into land-use categories: rural, peri-urban, urban, and urban core. e study found that peri-urban communes had at least a 150 percent higher risk of experiencing an H5N1 outbreak than did other types of commune, and that urbanization entails a spatial convergence of several key risk factors for H5N1 transmission. By focusing prevention programs on communes with these factors, the Vietnamese government can potentially improve disease prevention at lower cost. is research may also help explain the epidemi- ology of other infectious diseases, both in humans and livestock.
Topic:
Health, Urbanization, and International Development
Political Geography:
Asia

87. Managing Conflicts of Interest in the NHS: A Consultation SUBMISSION FROM TRANSPARENCY INTERNATIONAL UK’S PHARMACEUTICALS & HEALTHCARE PROGRAMME

Author:
Transparency International
Publication Date:
01-2017
Content Type:
Special Report
Institution:
Transparency International
Abstract:
In this submission, Transparency International UK’s Pharmaceuticals & Healthcare Programme provides a response to NHS England’s Managing Conflicts of Interest in the NHS: A Consultation. The UK spends 9.9% of GDP on public and private healthcare, with private expenditure only accounting for 1.5%.1 The NHS England annual budget alone is set to rise to £120 billion with the vast majority being spent on equipment and services.2 The complex nature of the health system, a lack of adequate oversight and this level of resources makes the health sector highly vulnerable to conflicts of interest. Improving the transparency of interactions between NHS staff and other individuals and organisations, and minimising the variation in conflicts of interest rules across the NHS, is vital to fighting corruption.
Topic:
Health and Global Political Economy
Political Geography:
Britain

88. 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

89. Paraguay: Distribución del Gasto en Salud y Gastos de Bolsillo: Principales resultados

Author:
Gerardo Benítez
Publication Date:
06-2017
Content Type:
Special Report
Institution:
Centro de Análisis y Difusión de la Economía Paraguaya (CADEP)
Abstract:
El trabajo aborda la composición del gasto de bolsillo en salud de la población paraguaya, con el fin de proveer información precisa a los tomadores de decisiones en el marco de la elaboración de las políticas públicas. Para ello se emplea una metodología descriptiva de carácter cuantitativo a partir de los datos de la Encuesta Permanente de Hogares 2014. Complementariamente el trabajo busca dar a conocer la composición del sistema de salud, la estructura de financiamiento (pública y privada), así como la evolución de los principales indicadores sanitarios. Para el cálculo de los gastos en salud se utilizan datos de las cuentas nacionales en salud y datos del Banco Mundial. Esta monografía del Observatorio Fiscal y Presupuestario (OFIP) pertenece a la Serie de Profesionales Jóvenes
Topic:
Health, Public Policy, Survey, and Health Spending
Political Geography:
South America and Paraguay

90. Advancing Drug Policy Reform: a new approach to decriminalization

Author:
Global Commission On Drug Policy
Publication Date:
07-2016
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Building on current partial decriminalization models that have helped to achieve more effective drug policies and positive outcomes, with a greater emphasis on justice, dignity and human rights, this report advocates ending all penalties – both civil and criminal – on people who use drugs. Detailing the destructive and harmful consequences of punitive drug policies and the need to reconsider them, the report calls for the implementation of alternatives to punishment for all low-level, non-violent actors in the drug trade, and to consider market regulation as the next logical step.
Topic:
Health, War on Drugs, Drugs, Public Health, and Criminology
Political Geography:
Global Focus

91. How High-Need Patients Experience the Health Care System in Nine Countries

Author:
Dana O. Sarnak and Jamie Ryan
Publication Date:
01-2016
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
U.S. health care costs are disproportionately concentrated among older adults with multiple chronic conditions or functional limitations—a population often referred to as “high-need” patients. This analysis uses data from the Commonwealth Fund 2014 International Health Policy Survey of Older Adults to investigate health care use, quality, and experiences among high-need patients in nine countries compared with other older adults. High-need patients use a greater amount of health care services and also experience more coordination problems and financial barriers to care compared with other older adults. Disparities are particularly pronounced in the United States. The comparative success of other countries, particularly in reducing financial barriers to care, may be a product of policies that specifically target high-need patients. Similarly focusing on these populations in the U.S. and effectively managing their care may improve their health status while reducing overall costs.
Topic:
Health and Health Care Policy
Political Geography:
United States and Global Focus

92. Odisha Urban Sanitation Policy and Strategy 2017

Author:
Centre for Policy Research
Publication Date:
12-2016
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
Over the past four years, the national policy environment and institutional response to sanitation have undergone a substantial change. The launch of the Swachh Bharat Mission (Urban) and Atal Mission for Rejuvenation and Urban Transformation (AMRUT) have catapulted sanitation into the league of priority sectors. In the backdrop of such developments, Housing and Urban Development Department under the Government of Odisha sought to revise the Urban Sanitation Strategy 2011 with the able support from the Centre for Policy Research (CPR) supported by the Bill and Melinda Gates Foundation. The revised Odisha Urban Sanitation Strategy 2017 and Odisha Urban Sanitation Policy 2017 make crucial strides towards the achievement of a Clean Odisha. The purview of the strategy has been expanded to address gaps in the entire sanitation value chain for the management of not only solid waste, but also liquid waste including faecal sludge/septage and menstrual hygiene. The revised strategy is grounded in the principles that have underpinned the Odisha government's efforts so far to provide the people with equitable and safe access to sanitation, along with establishing the most advanced sanitation infrastructure. Over the next ten years, concerned departments will work towards six objectives: (a) achieving open defecation free and (b) open discharge free urban areas; (c) effectively managing and treating solid waste; (d) ensuring that sewage, (e) septage/faecal sludge and liquid waste are safely treated and disposed; and (f) ensuring safety guidelines are followed in physical handling and management of waste. In addition, providing women and girls with safe access to menstrual hygiene has also been included as an objective in the revised strategy.
Topic:
Development, Health, Infrastructure, Governance, Public Policy, and Sanitation
Political Geography:
South Asia, India, and Asia

93. The Negative Impact of Drug Control on Public Health: the global crisis of avoidable pain

Author:
Global Commission On Drug Policy
Publication Date:
10-2015
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Ninety-two percent of the world’s supply of morphine is consumed by just 17 percent of the global population, with consumption primarily concentrated in the global north and 75 percent of the world’s population does not have access to any pain relieving drugs. The reasons for this have little to do with issues of cost or scarcity of supplies- and everything to do with with the prohibition and repressive stand the world has taken on drugs. This Global Commission report explores the current crisis related to the lack of access to controlled medicines and makes concrete policy recommendations to Member States and UN agencies on ways to improve these conditions. This report is available in English, Spanish, Russian, French and Arabic.
Topic:
Health, War on Drugs, Drugs, Public Health, and Medicine
Political Geography:
Global Focus

94. Physician Shortages in the Indian Public Sector

Author:
Anjali Chikersal
Publication Date:
06-2015
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
India is one of the few countries that has been estimated to have a “critical” shortage of health workers and therefore unlikely to be able to provide essential health interventions to its people (WHO 2006). The dire impacts of these shortages are evident from the fact that it has fallen short of meeting its MDG goals on several fronts. As the current discourse on Universal Health Care debates the means of expanding coverage to all citizens, the one aspect universally agreed upon is the persistent challenge that a shortage of health workforce in the public sector poses, and the pressing need to address this gap. This policy brief outlines the core issues at the root of the problem and examines the reasons for the severe shortages in the key element of this workforce, the physicians, in the Indian public sector. It then provides an overview of WHO’s Global Policy Recommendations to address this challenge and looks at the strategies that various Indian states have so far adopted. Finally, it offers a set of practical and goal oriented recommendations aimed at directly and urgently addressing the challenge in the Indian context.
Topic:
Health, Governance, Health Care Policy, Public Policy, and Public Sector
Political Geography:
South Asia and India

95. Advancing Women’s Agency in Conflict Settings through Health Work: A Comparative Evaluation of the Dr. Hawa Abdi Foundation and the Panzi Foundation

Author:
Patty Chang, Mayesha Alam, Roslyn Warren, Rukmani Bhatia, and Rebecca Turkington
Publication Date:
01-2015
Content Type:
Special Report
Institution:
Georgetown Institute for Women, Peace and Security (GIWPS)
Abstract:
Women historically have been, and remain, marginalized from the highest echelons of political power. As a result, their experiences, perspectives, leadership, and potential are untapped in governance. In international peacemaking, women are grossly underrepresented, especially in high-level processes. There are growing calls – by both international policymakers and feminists – to do more to include and uplift women in peace and security efforts, as originally directed in UN Security Council Resolution 1325. Today, this is increasingly framed as not only the “right” thing to do, but also the “smart” thing to do. But what does this mean? And what can we learn from women who have mobilized and engaged in peacemaking already? This study examines women’s political participation in peace negotiations, focusing on four cases where women have gained access to high-level official negotiations. Each case study – Northern Ireland, Guatemala, Kenya, and the Philippines – is framed by eight overarching research questions: Why did women mobilize for peace? How did women mobilize and organize to gain access to high-level peace negotiations? How did they form coalitions and alliances? How did they assemble and shape agendas? How did they set priorities for their activities? How did their priorities change when they participated in high-level peace negotiations? How did they negotiate their goals? And, to what extent were their objectives or priorities represented in the resulting peace agreement? As a departure from publications of a similar nature, this study offers a comprehensive, systematic literature review and a series of new findings on women participating in high-level peace processes in Northern Ireland, Guatemala, Kenya, and the Philippines based on a political economy approach. It analyzes nearly 100 in-depth, face-to-face interviews collected in-country with diverse women in civil society, and applies a rigorous two-stage coding method to examine emergent themes. All data are triangulated against existing secondary literature and primary source documents to improve the reliability and validity of results. Although this is not a cross-comparative study, there are interesting commonalities in women’s experiences that are decipherable. For example, in each case, women were primarily motivated by a desire to end violent conflict, and they seized opportunities that emerged within the process to play more prominent political roles in the formal negotiations. Women drew upon their personal connections and leveraged their interpersonal and professional skills, as well as their political capabilities, to advance their goals. In Northern Ireland and Kenya, for example, women drew on pre-existing and new networks, which proved vital to mobilization. In Guatemala and the Philippines, women forged strategic alliances and relentlessly lobbied at multiple levels in order to negotiate their goals. At the same time, in each case, external actors – within and outside of the country in question – influenced women’s mobilization. Despite the similarities between the four cases, there are also many important distinctions in how women negotiated their goals, shaped agendas, formulated proposals, and influenced the content of peace agreements. In Northern Ireland, the NIWC established a precedent for political participation and engaged in women’s collective political consciousness-raising. In Guatemala, provisions inserted in the final agreement tracked back to the Women’s Sector’s agenda, but overall the language on gender lacked the strength and depth the Women’s Sector desired. In Kenya, women in CSOs held mixed sentiments about their degree of influence on the process, but generally felt the mediation agenda reflected the issues for which they lobbied. In the Philippines, the dual effects of women officially embedded in the peace talks and external pressure from civil society women’s networks influenced the language, agenda, and format of the power-sharing agreement. The differences of women’s experiences, resulting from unique conditions in each case, reinforce the understanding that women are not a monolithic demographic anywhere. Rather, race, religion, ethnicity, economic status, cultural background, and other characteristics shape their identities, perspectives, agendas, and lived experiences. This report describes and analyzes the specificity of women’s political participation in each country in detail, demonstrating the myriad ways in which women can and do engage in peacemaking, as well as the challenges they face and the limits of their participation. 12Georgetown Institute for Women, Peace and Security Overall, this study provides a comprehensive understanding of not only why and how women in CSOs mobilized for peace, but also how they shaped negotiations and outcome documents within a specific context. More importantly, this study finds that how women in civil society gain access to high-level peace negotiations is contingent not only on the careful selection of tactics and strategies, but also on the dynamic relationships and iterative interactions between different parties (i.e., government officials, rebel organizations, key constituents), the opportunity structures that permit participation, and the socio-political context that shape the interactions. This report is a unique and a significant contribution not only because of its methodological rigor, but also because it brings the voices of different women peacemakers to the fore, highlighting their perceptions, reflections, and lessons-learned. In doing so, the findings here describe how women’s participation affects negotiations and their outcomes. Having a woman at the formal negotiation table does not guarantee that she will raise issues of gender equality and women’s empowerment, as demonstrated by Raquel Zelaya, who was a member of the Guatemalan government’s peace panel. At the same time, depending on which and how many women are at the table, it is possible that issues affecting women and their families may be taken more seriously, as was increasingly evident in the Philippines. Outside of the confines of official negotiations, women in civil society tend to seek transformative change in a way that conceptualizes peace beyond the cessation of hostilities and the disarmament of warring troops. Irrespective of their strategies and approaches to engagement, this was true for civil society women in Northern Ireland, Guatemala, Kenya, and the Philippines, and it is by no means unique to those four countries. The frequent, if not consistent, abrogation of peace agreements coupled with the continued marginalization of women from the business of peacemaking poses two problematic, and possibly correlated, challenges that stymie the durability and inclusivity of peace agreements. In recognition of the unfinished business of gender equality, this timely report offers a detailed historical account of women’s participation in four contexts. There are many important lessons-learned about women’s participation and leadership in peace processes, which are shaped by their circumstances, but hold relevance beyond the four respective contexts. As such, the study also acts as a resource for women in civil society currently engaged in peace activism in conflict settings around the world. At the same time, in a world fraught by violent conflict, this report serves as an informative tool for representatives of international institutions that promote governance, security, and development.
Topic:
Health, Governance, Women, Conflict, Peace, and Political Participation
Political Geography:
Global Focus

96. The Emerging Global Health Crisis

Author:
Mitchell E. Daniels Jr., Thomas E. Donilon, and Thomas J. Bollyky
Publication Date:
12-2014
Content Type:
Special Report
Institution:
Council on Foreign Relations
Abstract:
Rates of heart disease, cancer, diabetes, and other noncommunicable diseases (NCDs) in low- and middle-income countries are increasing faster, in younger people, and with worse outcomes than in wealthier countries. In 2013 alone, NCDs killed eight million people before their sixtieth birthdays in developing countries. A new CFR-sponsored Independent Task Force report and accompanying interactive look at the factors behind this epidemic and the ways the United States can best fight it. NCDs will affect U.S. interests because of their human, economic, and strategic consequences. "More patients will get sick, suffer longer, require more medical care, and die young. Given the scale of these trends, the results will reverberate," the Task Force warns. It is projected that the NCD epidemic will inflict $21.3 trillion in losses in developing countries over the next two decades—a cost nearly equal to the entire economic output of those countries in 2013. "These economic consequences will undercut potential U.S. trade partners and allies and may reduce domestic support for governments of U.S. strategic interest." The Task Force says the United States and like-minded partners can help developing countries meet the NCD challenge at relatively modest cost and "slow the rise of this epidemic, lessen its worst effects, and help provide national governments with the time and technical assistance needed to tackle this emerging crisis sustainably on their own." The U.S. government should take two immediate steps, the Task Force says: examine its global health priorities and spending and ensure their continued effectiveness; and convene governments and other potential partners from around the world to develop a plan for collective action on NCDs in low- and middle-income countries. The Task Force encourages the United States to focus on the NCDs and risk factors most prevalent among the working-age poor in developing countries. Low-cost interventions are available and should be integrated into existing U.S. global health efforts. Based on these criteria, the Task Force maintains that: In the short term U.S. leadership would have a significant effect on cardiovascular disease, tobacco control, liver cancer, and cervical cancer. "Low-cost, prevention-based solutions exist for each challenge and the United States is in the position to help local governments implement them." More on: Noncommunicable Diseases Global Public Health Threats and Pandemics In the medium term U.S. leadership would make a tremendous difference to address diabetes and treatable and curable cancers, such as leukemia and breast cancer. "The Task Force has identified several NCD challenges for which effective interventions are widely used in the United States and other high-income countries, but not yet sufficiently low cost or usable in low-infrastructure settings . . .With U.S. leadership, more population and implementation research, and collaboration with private sector and philanthropic partners, progress on adapting these interventions for cost-effective, low-infrastructure use is foreseeable in the near term." U.S. collaboration with developing countries and the private sector may help ameliorate poor diets and nutrition, physical inactivity, and obesity. It could also help integrate mental health into primary care and provide low-cost chronic care programs and technologies.
Topic:
Health, International Cooperation, Governance, and Health Crisis
Political Geography:
North America and United States of America