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Begin New Search Topic Health Content Type Policy Brief Publishing Institution United States Institute of Peace Publication Year within 25 Years

1. Haitian Women: The Centerposts of Reconstructing Haiti

Author:
Robert Maguire
Publication Date:
01-2012
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
Women are Haiti's 'potomitan' (centerposts), playing pivotal roles in matters of family, education, health, commerce and the economy, and agriculture. Gender-based violence has been and continues to be a very real threat to the security and well-being of Haitian women and their families. Deficient access to education and healthcare, and misguided agricultural policies, have exacerbated women's burdens. Improved social, economic and political empowerment of women is vital to rebuilding Haiti.
Topic:
Security, Agriculture, Economics, Education, Gender Issues, and Health
Political Geography:
Caribbean and Haiti

2. Toxic Legacy: Hunger, Oppression, Migration, and Health in the Democratic People's Republic of Korea

Author:
Leonard S. Rubenstein
Publication Date:
01-2011
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
During the 1990s, economic mismanagement, political oppression, natural disaster, and loss of external subsidies after the end of communism led to a calamitous decrease in food production in the Democratic People's Republic of Korea (DPRK). The public health infrastructure, including water and sanitation systems, drug distribution and supply chains, and local clinics and hospitals, also deteriorated. At least half a million people died of starvation and millions more suffered acute or chronic malnutrition. Malnutrition increased vulnerability to disease at a time when the health system was incapable of effective response. Fifeen years later, neither health nor the food systems have recovered as the economy persistently stagnates. Health continues to be a low priority for the government. The availability of food is insufficient to meet population needs, hospitals and clinics are significantly ill-equipped, the medical workforce lacks appropriate training, and corruption in drug distribution is pervasive. Malnutrition and anemia, as well as diseases associated with poor sanitation, remain widespread. Over the last few years, DPRK has begun to accept international assistance to address health system needs, most notably to vaccinate children. Although these initiatives address some infrastructure needs, the continued centralized control of health and the lack of open discussion about key issues renders the possibility of reforms sufficient to meet the health needs of the people of North Korea dim. During the economic crisis, tens of thousands of North Koreans migrated to China despite harsh measures imposed by both governments to restrict border crossing and a refusal by China to give legal status to the migrants. To a limited extent, migration ameliorated the health impact of the crisis by stimulating illicit cross-border trade and informal markets that increased some North Koreans' access to food. Even after a disastrous effort by the DPRK government to shut the markets down in 2009, they are re-emerging. China's encouragement of these markets, along with regularizing the status of migrants in China, could advance its own economic interests as well as contributing to improving the health of North Koreans.
Topic:
Communism, Economics, Health, Markets, and Financial Crisis
Political Geography:
China, Israel, and North Korea

3. Security After the Quake? Addressing Violence and Rape in Haiti

Author:
Brooke Stedman
Publication Date:
01-2011
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
In the wake of Haiti's disastrous earthquake, international organizations have begun to recognize gender-based violence as a significant area of concern, particularly within Port-au-Prince's internally displaced persons (IDP) camps. Other forms of gender-based violence include not only rape, but also sexual abuse. Sexual violence is often underreported or not reported at all. This lack of data can prevent accurate assessments of rates of violence or trends. Grassroots organizations are working to reduce and better document sexual violence and to establish local mechanisms for increasing security throughout Haiti's tent encampments.
Topic:
Gender Issues, Health, and Natural Disasters

4. Health Initiatives and Counterinsurgency Strategy in Afghanistan

Author:
Leonard Rubenstein
Publication Date:
03-2010
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
An initiative by the Ministry of Public Health in Afghanistan to expand health services throughout the country, including rural communities, and supported by donors including USAID, has vastly expanded access to primary health care services, significantly reduced child mortality, and increased the capacity of the Afghan government to provide an essential service to its people. The program is based on principles of equity, national ownership, community engagement, and women's equality, and it warrants continued development. Many challenges remain, not least expanding services in insecure areas, and a more stable environment could better enable the Ministry of Public Health to achieve its goals. The U.S. military has supported health services development for the Afghan army and also offers significant emergency care services to civilians in insecure regions, training for health workers, construction of health facilities and other health-related programs. The military's civilian health initiatives, largely disconnected from the Ministry of Public Health, are short term, ad hoc, and unsustainable, and to date have lacked a consistent rationale or strategy, and have not been subject to evaluation. U.S. counterinsurgency strategy seeks to mesh development and security objectives through activities that enhance the legitimacy of the Afghan government in the eyes of its people. In the field of health, there are considerable tensions between counterinsurgency and development strategies, which must be addressed to increase the capacity of the government and meet health needs of the people.
Topic:
Security, Development, Health, and Counterinsurgency
Political Geography:
Afghanistan and United States

5. The Health Sector and Gender-Based Violence in a Time of War

Author:
Leonard Rubenstein, Anjalee Kohli, and Kathleen Kuehnast
Publication Date:
04-2010
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
Multisectoral approaches are essential to address sexual and gender-based violence (SGBV) in armed conflict. In countries where conflict-related SGBV is taking place, the health sector can contribute by providing essential medical interventions and support for survivors, documentation for legal cases, programs that assist in reducing social stigma, and data for effective programming.
Topic:
Political Violence, Gender Issues, Health, Human Welfare, and Armed Struggle

6. Mental Health Services During and After Armed Conflict: The State of Knowledge and Practice

Author:
Leonard Rubenstein and Anjalee Kohli
Publication Date:
09-2010
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
There is increasing recognition that the violence, displacement, disruption of communities and social networks, and deprivation stemming from war deeply impact the mental health of individuals and the social cohesion of communities. In response, donors and providers are creating programs for psychosocial or clinical services that seek to be culturally appropriate, attentive to the need to build local capacity, and sustainable. The quality and comprehensiveness of mental health programs offered in crises, however, generally remains mixed. Too often the programs do not sufficiently differentiate among widely varying individual needs or focus predominantly on either community-based interventions or the clinical needs of more severely affected people but not both. Services for people with more severe disabilities often replicate institutional models, and accompanying human rights violations, that existed in the pre-war period. The challenge of providing sound programs, moreover, is complicated by a relatively thin evidence base. In the face of these challenges, the “Guidelines on Mental Health and Psychosocial Support in Emergency Settings” adopted in 2007 by the Interagency Standing Committee (IASC) offer a promising approach. They stress understanding local context, programming that attends to psychosocial support needs of the entire community, meeting clinical needs of people with more severe conditions, and respecting human rights. Following the IASC and building the evidence base by assuring adequate evaluation of funded programs can help meet the tremendous mental health needs of suffering populations.
Topic:
Political Violence, Health, Humanitarian Aid, and War

7. Evaluating Iraq's Provincial Reconstruction Teams While Drawdown Looms: A USIP Trip Report

Author:
Sam Parker and Rusty Barber
Publication Date:
12-2008
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
Since their 2005 inception in Iraq, PRTs have struggled to fully define their mission, overcome structural problems, learn to work alongside their military counterparts and assist Iraqis down the path to self-governance and stability so that U.S. forces can withdraw. While the concept was born in the Afghan conflict, PRTs in Iraq bear little resemblance to their Afghan cousins, which are led and largely staffed by military officers. PRTs in Iraq are largely civilian-led and are required to address a host of issues including local governance, economic and women's development, health, agriculture, rule of law and education. In this respect, they resemble mini development task forces, harnessing civilian expertise sourced from the U.S. and augmented by military civil affairs officers.
Topic:
Conflict Resolution, Security, Economics, Health, Terrorism, War, and Governance
Political Geography:
Afghanistan, United States, Iraq, and Middle East

8. Public Health and Conflict in North Korea

Author:
Sarah Dye
Publication Date:
03-2007
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
During the mid-1990s, North Korea experienced a famine that killed millions of people, mostly in rural areas. Despite the severity of that famine and the ensuing deterioration of public health, the political leadership in North Korea has obstinately blocked the effective delivery of humanitarian aid to its citizens. On November 16, 2006, the United States Institute of Peace (USIP) and Johns Hopkins Bloomberg School of Public Health (JHSPH) Task Force on Public Health and Conflict held its first symposium, which selected North Korea as a case study. The Task Force is committed to raising the profile of conflict analysis and resolution in the field of public health education through a year-long series of events. The speakers at this first symposium included Scott Snyder of the Asia Foundation; Sophie Richardson of Human Rights Watch; two South Korean physicians, Kim Jin-Yong and Lee Yun-Hwan; Courtland Robinson, a Johns Hopkins faculty member and researcher; and one North Korean refugee who addressed the symposium under a pseudonym. This USIPeace Briefing summarizes the symposium's discussion on public health and conflict in North Korea.
Topic:
Conflict Prevention, Security, Health, and Humanitarian Aid
Political Geography:
United States, South Korea, and North Korea

9. Public Health and Conflict Series: Rebuilding a Nation's Health in Afghanistan

Author:
Sarah Dye
Publication Date:
05-2007
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
Since the Soviet invasion of 1979, Afghanistan's health system has been decimated by over 27 years of near constant conflict. The ensuing civil war between warlords and rebel groups, including the Taliban, led many Afghan doctors and other intellectuals to flee to Pakistan, Iran, and elsewhere. Under Taliban rule in the 1990s, women were forbidden to attend school, and university teaching hospitals had no equipment, no training materials, and few books. While there have been advances over the past five years through the assistance of United Nations organizations and the international NGO community, Afghanistan's health indicators remain among the lowest in the world.
Topic:
Conflict Resolution and Health
Political Geography:
Afghanistan and Asia

10. Armed Conflict as a Public Health Problem: Current Realities and Future Directions

Author:
Sarah Dye and Linda Bishai
Publication Date:
05-2007
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
On April 20, 2007, the United States Institute of Peace (USIP) and the Johns Hopkins Bloomberg School of Public Health (JHSPH) Task Force on Public Health and Conflict wrapped up its 2006-2007 activities with a public event featuring Dr. Christopher Murray of Harvard University School of Public Health. This USIPeace Briefing summarizes Dr. Murray's presentation and the discussion that followed on armed conflict as a public health problem.
Topic:
Conflict Resolution, International Relations, Health, and War
Political Geography:
United States

11. Haiti's Drug Problems

Author:
Robert Perito and Greg Maly
Publication Date:
06-2007
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
At their White House meeting on May 8, 2007, President Bush promised Haitian President René Préval that the United States would do more to help Haiti fight drugs and drug traffickers. Préval agreed that drugs threaten Haiti's government, which lacks the capacity to fight international narcotics trafficking alone. The two presidents were right to emphasize this issue. The nearly unimpeded flow of narcotics through Haiti undermines the rule of law and the legitimacy of Haiti's government. It fosters corruption in the police, courts, and customs; fuels weapons trafficking; finances armed gangs; breeds insecurity; and hampers economic development by discouraging investment and tourism. Haiti is an important transshipment point for cocaine reaching the United States and a major concern for American authorities.
Topic:
International Relations and Health
Political Geography:
United States, America, and Haiti

12. Public Health and Conflict in Iraq: Rebuilding a Nation's Health

Author:
Linda Bishai and Sara Dye
Publication Date:
07-2007
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
On March 22, 2007, the U.S. Institute of Peace (USIP) and Johns Hopkins Bloomberg School of Public Health (JHSPH) Task Force on Public Health and Conflict held its third symposium, "Iraq: Rebuilding a Nation's Health." The Task Force is committed to raising the profile of conflict analysis and resolution in the field of public health education.
Topic:
Conflict Resolution, International Relations, and Health
Political Geography:
Iraq and Middle East