Search

Begin New Search Topic Health Content Type Policy Brief Publication Year within 25 Years

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

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

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

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

3. U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes

Author:
Munira Z. Gunja, Evan D. Gumas, and Reginald D. Williams II
Publication Date:
01-2023
Content Type:
Policy Brief
Institution:
Commonwealth Fund
Abstract:
In the previous edition of U.S. Health Care from a Global Perspective, we reported that people in the United States experience the worst health outcomes overall of any high-income nation.1 Americans are more likely to die younger, and from avoidable causes, than residents of peer countries. Between January 2020 and December 2021, life expectancy dropped in the U.S. and other countries.2 With the pandemic a continuing threat to global health and well-being, we have updated our 2019 cross-national comparison of health care systems to assess U.S. health spending, outcomes, status, and service use relative to Australia, Canada, France, Germany, Japan, the Netherlands, New Zealand, Norway, South Korea, Sweden, Switzerland, and the United Kingdom. We also compare U.S. health system performance to the OECD average for the 38 high-income countries for which data are available. The data for our analysis come from the Organisation for Economic Co-operation and Development (OECD) and other international sources (see “How We Conducted This Study” for details). For every metric we examine, we used the latest data available. This means that results for certain countries may reflect the height of the COVID-19 pandemic, when mental health conditions were surging, essential health services were disrupted, and patients may not have received the same level of care
Topic:
Health, Health Care Policy, Inequality, and Finance
Political Geography:
North America and United States of America

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

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

5. Budget Brief: National Health Mission

Author:
Avani Kapur, Ritwik Shukla, and Sharad Pandey
Publication Date:
02-2023
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
National Health Mission (NHM) is Government of India’s (GoI’s) largest public health programme, which aims to achieve universal access to quality healthcare. It consists of two sub-missions: ■ National Rural Health Mission (NRHM); and ■ National Urban Health Mission (NUHM). This brief uses government data to analyse: ■ NHM finances, including proposed and approved budgets, releases, and expenditures; ■ Staff and bed availability; and ■ Outcomes.
Topic:
Health, Governance, Budget, and Public Spending
Political Geography:
South Asia and India

6. Budget Brief: Ayushman Bharat

Author:
Madhur Sharma, Rahul Das, and Avani Kapur
Publication Date:
02-2023
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
Ayushman Bharat, under the aegis of the Ministry of Health and Family Welfare (MoHFW), was launched by Government of India (GoI) on 23 September 2018. This brief uses government data to analyse the following components of the scheme: ■ Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY); ■ Establishment of Health and Wellness Centres (HWCs); ■ Ayushman Bharat Digital Mission (ABDM); and ■ Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM).
Topic:
Health, Governance, Budget, and Public Spending
Political Geography:
South Asia and India

7. Evaluating The Social and Economic Consequences of Global Warming On African Women

Author:
Eyesiere-Hope Essien
Publication Date:
04-2023
Content Type:
Policy Brief
Institution:
Women of Color Advancing Peace, Security and Conflict Transformation (WCAPS)
Abstract:
By Eyesiere-Hope Essien of the Climate Change Working Group Global warming is significantly impacting developing countries and the effects are far-reaching which is having a devastating impact on African women and their communities, leading to adverse social and economic consequences. Climate change has resulted in an increase in temperature, more extreme weather events, rising sea levels, and a decrease in water availability. As a result, African women are facing a growing number of challenges related to food insecurity, water scarcity, and healthcare access. They are at greater risk of poverty, displacement, and exploitation. These issues can be further exacerbated by a lack of access to education and employment opportunities. It is essential to understand the nature of these impacts and to take action to mitigate them and ensure African women have the resources and skills to adapt to the changing environment.
Topic:
Climate Change, Development, Health, Water, Women, and Food Security
Political Geography:
Africa

8. Analysis of the Healthcare Sector in Africa and Its Policy Implications for Korea

Author:
Young Ho Park, Munsu Kang, Yejin Kim, Kyu Tae Park, and Young-Chool Choi
Publication Date:
03-2022
Content Type:
Policy Brief
Institution:
Korea Institute for International Economic Policy (KIEP)
Abstract:
One of the main changes in Korea’s foreign affairs in recent years is the expansion of official development assistance (ODA), among which Africa is showing particularly rapid growth. Korea’s ODA to Africa accounted for 15% of its total ODA budget in 2010, and rose to 25% in 2019 as Korea emphasized its role in international development. Korea ranks 11th in terms of the cumulative size of ODA to the African healthcare sector between 2011–2019, totaling 674 million USD. As Korea’s expansion of ODA and solidarity in international development aid to respond to COVID-19 are related, the expansion of ODA in the African healthcare sector is anticipated to continue. This study analyzes features of the healthcare sector in Africa in an effort to suggest various plans for development cooperation, based on an evaluation of Korea’s ODA project design to enable the effective provision of ODA.
Topic:
Foreign Policy, Development, Health, Economic Growth, COVID-19, and Foreign Assistance
Political Geography:
Africa, Asia, and South Korea

9. Strengthening Data to Protect Healthcare in Conflict Zones

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

10. Children of War: The Ukrainian Case

Author:
Isabella Martin
Publication Date:
12-2022
Content Type:
Policy Brief
Institution:
International Centre for Defence and Security - ICDS
Abstract:
The war in Ukraine has imposed considerable physical, mental, and emotional damage on children. It is critical to provide mental health and psychosocial support (MPHSS), as well as to reinforce psychological and social infrastructure—in Ukraine and countries hosting refugees—to help them cope with the immediate trauma of war and promote resilience for future reconstruction efforts. Severe damage to civilian infrastructure has left many children without access to schools, healthcare resources, and support networks within care facilities, while those who have fled Ukraine risk falling victim to human trafficking and exploitation. Moreover, children are targets of the Kremlin’s efforts to erase the Ukrainian identity, brutally executed through oppressive policies such as forced school curriculum in the occupied territories and atrocious practice of ’filtration’, with children separated, abducted, and then put up for adoption in Russia. Inside and outside of the country, Ukraine’s youth are left extremely vulnerable to abuse, with the consequences to their mental health to last for generations—and to affect the nation’s post-war recovery—if not taken care of already today. Without developing proper coping mechanisms in children and adolescents now, the trauma imposed on the young generation will hinder rebuilding efforts and undermine societal institutions. It is thus imperative to support MHPSS initiatives and contribute to a resilient society in post-war Ukraine.
Topic:
Security, Civil Society, Education, Health, War, Children, Resilience, and Russia-Ukraine War
Political Geography:
Russia, Europe, and Ukraine

11. Are Financial Barriers Affecting the Health Care Habits of American Men?

Author:
Munira Z. Gunja, Evan D. Gumas, and Reginald D. Williams II
Publication Date:
07-2022
Content Type:
Policy Brief
Institution:
Commonwealth Fund
Abstract:
Whether it’s stubbornness, an aversion to appearing weak or vulnerable, or other reasons, men go to the doctor far less than women do.1 While behavioral and cultural norms may have a lot to do with the care-seeking habits of American men, the fact remains that the United States is the only high-income country that does not ensure all its residents have access to affordable health care. Roughly 16 million U.S. men are without health insurance, and affordability is the reason that people most often cite for why they do not enroll in a health plan.2 Do income level and financial stress help explain why men do not get needed care and experience worse health outcomes? Using data from the Commonwealth Fund’s 2020 International Health Policy Survey and the Organisation for Economic Co-operation and Development (OECD), we compare health care accessibility, affordability, and health status for adult men in 11 high-income countries. We also examine measures of income and income-related stress, where the data allow, to understand the role income insecurity might play in American men’s relatively low use of health care.
Topic:
Health, Finance, Medicine, and Gender
Political Geography:
North America and United States of America

12. Rising concern, falling performance: Health-sector challenges evident before and after onset of COVID-19 pandemic

Author:
Carolyn Logan and Tosin Salau
Publication Date:
07-2022
Content Type:
Policy Brief
Institution:
Afrobarometer
Abstract:
As Africa and the world begin to regroup now that the worst ravages of the COVID-19 pandemic appear to be past, it is an opportune time to take stock of the state of health care systems on the continent. The pandemic is not over – South Africa is just coming out of its fifth wave of infection (Al Jazeera, 2022), and there may be more to come (Landman, Irfan, & Resnick, 2022). In the meantime, the Africa Centres for Disease Control and Prevention (2022) and national governments continue to scale up their vaccination campaigns. But the war in Ukraine and global economic deterioration have finally supplanted COVID-19 at the top of the news cycle. In the early stages of the pandemic, many assessments warned of the possibly extreme vulnerability of Africans to the pandemic based in part on the many challenges already facing health care systems across much of the continent (Mattes, Logan, Gyimah-Boadi, & Ellison, 2020). While the direst predictions did not come to pass in most countries – South Africa being a notable exception – the pandemic has highlighted gaps in health systems amid the recognition that the next global health crisis could hit harder if improvements and preparations are not made. Taking a longer-term view, the United Nations Sustainable Development Goals (SDGs) also highlight the need to strengthen health systems (United Nations, 2018). SDG#3 focuses on good health and well-being. But Afrobarometer’s SDG Scorecards, based on our most recent data from 34 countries surveyed in Round 8 (2019/2021), show that from the perspective of citizens, only a handful of countries have been making significant progress toward achieving this SDG (Afrobarometer, 2021). Instead, a growing number of Africans report going without medical care, and the share who cite health as one of their country’s most important problems is also on the rise. Even among those who do get care, increasing proportions report finding it difficult, and having to pay bribes, to obtain the medical services they need. Not surprisingly, citizens are also increasingly critical of their governments’ performance in this sector: For the first time in two decades of Afrobarometer polling, a majority of respondents say their governments are performing badly on improving basic health services. Moreover, the evidence suggests that the challenges wrought by the pandemic were not the cause of these increasingly negative reviews: The downward trends were already under way before COVID-19 entered the picture, and in fact, in some cases the trends appear to be somewhat less negative since the onset of the pandemic.
Topic:
Health, Inequality, Pandemic, and COVID-19
Political Geography:
Africa

13. Building public trust to successfully deploy AI in EU healthcare

Author:
Danielle Brady
Publication Date:
01-2022
Content Type:
Policy Brief
Institution:
European Policy Centre (EPC)
Abstract:
COVID-19 has underscored the importance of digital health: the digitalisation of healthcare would improve health systems’ resilience and service delivery, empower citizens, and bolster research and innovation. However, despite the many benefits of introducing technologies like artificial intelligence (AI) into the European healthcare sector, it also raises questions on its impact on the healthcare workers, the potential for new inequalities, privacy issues and public trust. Not to mention, broader questions on the ethics and social implications of AI. The EU’s Proposal for a Regulation Laying Down Harmonised Rules on Artificial Intelligence and the European Health Data Space address many of these concerns, but cannot combat them all alone. Without public trust, acceptance and understanding, AI’s full potential in healthcare will not be realised. Attention must be given to the communication of the benefits of AI in healthcare to the public, Europeans’ digital literacy, the upskilling of the EU health workforce, and the investment in AI technologies. Clear and convincing explanations regarding AI use in healthcare are required so that citizens understand their benefit and trust that their personal data will be handled safely. If the EU and its member states fail to build trust in the deployment of AI in healthcare, Europe will miss a chance to reap all the benefits that AI offers to its citizens and their health.
Topic:
Health, European Union, Regulation, Artificial Intelligence, COVID-19, Digitization, and Trust
Political Geography:
Europe

14. Estimating Japan’s Return on Investment from an Ambitious Program to Incentivize New Antibiotics

Author:
Rachel Silverman and Adrian Towse
Publication Date:
12-2022
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Anti-microbial drugs form the backbone of modern medicine. Yet their lifespan is naturally limited; over time, use of these drugs selects for mutations that survive exposure those same drugs, driving “anti-microbial resistance,” or AMR. Already, drug-resistant infections kill an estimated 23,210 Japanese citizens every year. In the absence of sufficient research and development (R&D) investment for new antimicrobials, deaths from drug-resistant infections could increase dramatically in the coming decade. To address this growing crisis and solve market failures that prevent the development of new antibiotics, the government of Japan is considering a new program that would provide minimum guaranteed revenue to the successful developers of new antibiotics. In this note, we present the results of a modelling exercise to estimate the likely return on investment (ROI) from such a program, assuming it is paired with complementary and proportionate efforts from Japan’s G7 partners. The results are necessarily imprecise due to several uncertain parameters, but nevertheless provide evidence of a very high expected ROI that is robust to different inputs and assumptions.
Topic:
Health, Science and Technology, Health Care Policy, and Medicine
Political Geography:
Japan and Asia

15. Estimating the UK's Return on Investment from an Ambitious Program to Incentivize New Antibiotics

Author:
Rachel Silverman and Adrian Towse
Publication Date:
12-2022
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Anti-microbial drugs form the backbone of modern medicine. Yet their lifespan is naturally limited; over time, use of these drugs selects for mutations that survive exposure those same drugs, driving “anti-microbial resistance,” or AMR. Already, drug-resistant infections kill an estimated 7,600 citizens of the United Kingdom (UK) every year. In the absence of sufficient research and development (R&D) investment for new antimicrobials, deaths from drug-resistant infections could increase dramatically in the coming decade. To address this growing crisis and solve market failures that prevent the development of new antibiotics, the UK has set up “subscription models” for purchasing antibiotics; this has been applied to two drugs thus far, and the model is under consideration for a broader rollout. In this note, we present the results of a modelling exercise to estimate the likely return on investment (ROI) from an expanded program to incentivize new antibiotics, assuming it is paired with complementary and proportionate efforts from the UK’s G7 partners. The results are necessarily imprecise due to several uncertain parameters, but nevertheless provide evidence of a very high expected ROI that is robust to different inputs and assumptions.
Topic:
Health, Science and Technology, Health Care Policy, and Medicine
Political Geography:
United Kingdom and Europe

16. Estimating Canada’s Return on Investment from an Ambitious Program to Incentivize New Antibiotics

Author:
Rachel Silverman and Adrian Towse
Publication Date:
12-2022
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Anti-microbial drugs form the backbone of modern medicine. Yet their lifespan is naturally limited; over time, use of these drugs selects for mutations that survive exposure those same drugs, driving “anti-microbial resistance,” or AMR. Already, drug-resistant infections kill an estimated 5,400 Canadian citizens every year. In the absence of sufficient research and development (R&D) investment for new antimicrobials, deaths from drug-resistant infections could increase dramatically in the coming decade. To address this growing crisis and solve market failures that prevent the development of new antibiotics, the Government of Canada is considering a new program that would provide minimum guaranteed revenue to the successful developers of new antibiotics. In this note, we present the results of a modelling exercise to estimate the likely return on investment (ROI) from such a program, assuming it is paired with complementary and proportionate efforts from Canada’s G7 partners. The results are necessarily imprecise due to several uncertain parameters, but nevertheless provide evidence of a very high expected ROI that is robust to different inputs and assumptions.
Topic:
Health, Science and Technology, Investment, and Medicine
Political Geography:
Canada and North America

17. A Fund for Global Health Security and Pandemic Preparedness

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

18. Access to Healthcare: A right not a luxury

Author:
Sasha Hilani
Publication Date:
05-2022
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
The past couple of years have been detrimental to Lebanon and to all those who reside there, particularly the LGBTQIA+ community. In 2021, the national suicide prevention hotline received approximately 1,100 calls per month, twice the amount in 2020. The deep crises Lebanon is going through have led to increased cases of mental health issues, especially among marginalized and vulnerable groups, particularly the LGBTQIA+ community. This policy brief examines the challenges that LGBTQIA+ individuals face when accessing mental health services and recommends approaches to ensure more equitable and facilitated access.
Topic:
Health, Health Care Policy, Discrimination, and LGBT+
Political Geography:
Middle East and Lebanon

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

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

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

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

21. Does Europe need a Health Union?

Author:
Anne Bucher
Publication Date:
02-2022
Content Type:
Policy Brief
Institution:
Bruegel
Abstract:
Health outcomes in the European Union are good by international standards, even compared to other developed economies, and improved continuously before COVID-19. This reflects the alignment of the objectives of improving health and wellbeing with the overall socio-economic objective of prosperity, and suggests that a radical overhaul of EU health policy is not needed. However, the EU could benefit from closer integration in some areas and be more effective in delivering a high level of health protection. Action could be taken in the following areas: The European Commission’s November 2020 Health Union package to increase resilience to cross-border health threats is ambitious, in particular with the establishment of the Health Emergency Response Authority, which extends the scope of cooperation in health emergencies. The EU should pursue further the Health Union approach to address cross-border externalities and enhance health security. It could, for instance, do more to tackle anti-microbial resistance, or define minimum requirements for the resilience of health systems. For non-communicable diseases, the EU should tap the economies of scale of research and knowledge organised at EU level, and put in place systems for the surveillance of non-communicable diseases and consolidation of scientific knowledge. This could be achieved through an extension to non-communicable diseases of the European Centre for Disease Prevention and Control mandate. The ‘Health in all Policies’ principle is a key channel to deliver good health outcomes at EU level. EU scientific agencies provide health risk assessments in a number of areas, but the EU should better organise, coordinate and consolidate the scientific knowledge that underpins health-protection measures in sectoral legislation, and should more systematically apply better regulation rules to the health impacts of EU policies. The EU should support the digital transformation of health systems and set high targets for the European Health Data Space initiative, which is a critical infrastructure for the future of health research, regulation and policymaking. Several non-health EU policy objectives (cohesion policies, European Pillar of Social rights, economic governance) are linked to the performance of health systems. A common understanding on how to measure this performance would inform these policies in a consistent way. Moreover favourable health outcomes in the EU have not reduced health inequalities, which remain high between and within EU countries. Monitoring of health inequalities, including those related to access to and quality of healthcare, should be improved as an initial step.
Topic:
Health, European Union, Regional Integration, and COVID-19
Political Geography:
Europe

22. Health of nations: How Europe can fight future pandemics

Author:
Anthony Dworkin
Publication Date:
02-2022
Content Type:
Policy Brief
Institution:
European Council on Foreign Relations (ECFR)
Abstract:
As the crisis phase of covid-19 recedes, there is a chance to improve international cooperation on global health – but also a danger that competing reform proposals will lead to inaction. The EU can best support reform of pandemic preparedness and response if it takes account of the concerns of different global powers. The union should combine a push for reform of and increased funding for the WHO with support for a new fund for health emergencies, overseen by a representative group of countries. The EU should promote a new global compact on health, matching countries’ commitment to surveillance and reporting of pathogens with support for stronger healthcare systems and greater equity in the allocation of countermeasures. The EU-Africa relationship offers a chance to pioneer such an approach, but the EU will need to go further in this than it has so far. The EU should promote African vaccine manufacturing, including by pressing European pharmaceutical companies to transfer knowledge and technology to Africa.
Topic:
Health, European Union, Pandemic, and COVID-19
Political Geography:
Africa, Russia, China, Europe, India, and United States of America

23. The Impact of the Covid-19 Pandemic on Public School Education

Author:
Accountability Initiative
Publication Date:
01-2021
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
This brief presents some of the key effects of the COVID-19 pandemic on India’s public school education, focussing specifically on children. It begins with a discussion of the pre-pandemic status of school education and key policy shifts over the past few years, and provides an overview of the principal issues arising from the pandemic and the resulting school closures. It then offers potential policy suggestions to address these challenges, and thereby ensuring quality education to all children.
Topic:
Education, Health, Children, and COVID-19
Political Geography:
South Asia and India

24. Integrated Child Development Services

Author:
Ritwik Shukla, Sharad Pandey, and Avani Kapur
Publication Date:
02-2021
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
Integrated Child Development Services is Government of India’s (GoI’s) flagship programme aimed at providing basic education, health, and nutrition services for early childhood development. It has now been combined with POSHAN Abhiyaan to form Saksham Anganwadi and POSHAN 2.0. Against the backdrop of the COVID-19 pandemic, this brief uses government data to analyse: Required funds, allocations, and releases; Changes in coverage and service delivery due to the COVID-19 pandemic; Human resources; and Malnutrition status
Topic:
Education, Health, Budget, Social Services, COVID-19, and Child Development
Political Geography:
South Asia and India

25. Ayushman Bharat

Author:
Ritwik Shukla and Avani Kapur
Publication Date:
02-2021
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
Ayushman Bharat, under the aegis of the Ministry of Health and Family Welfare (MoHFW), was launched by Government of India (GoI) on 23 September 2018. The programme consists of two initiatives: (1) The Pradhan Mantri Jan Arogya Yojana (PMJAY); and (2) The establishment of 1.5 lakh Health and Wellness Centres (HWCs). Against the backdrop of the COVID-19 pandemic, this brief uses government data to analyse: Past trends in GoI allocations, releases, and expenditures; Eligibility and claims under PMJAY till September 2020; and Number of operational HWCs, staff in-position, and footfall.
Topic:
Health, Budget, Welfare, COVID-19, and Allocations
Political Geography:
South Asia and India

26. Policy Papers by Women of Color: Systemic Racism, International Discrimination, and Inequities in France's Healthcare System

Author:
Sherihane Bensemmane, Yasmine El Addouli, and Saara Bouhouche
Publication Date:
09-2021
Content Type:
Policy Brief
Institution:
Women of Color Advancing Peace, Security and Conflict Transformation (WCAPS)
Abstract:
This first policy paper launches the RAP Initiative’s policy papers series Institutional Racism and Discrimination in Healthcare Systems Globally, which will continue to be published over the coming months. The series explores how racism and discrimination affect communities of color’s health, security, and quality of life across the world, particularly for women and girls, and what we can do to ensure more equality, equity, and justice for all.
Topic:
Health, Discrimination, Intersectionality, Racism, and Systemic Racism
Political Geography:
Europe and France

27. Combating Unsafe Products: How to Improve Europe’s Safety Gate Alerts

Author:
Joana Purves and William Echikson
Publication Date:
04-2021
Content Type:
Policy Brief
Institution:
European Centre for International Political Economy (ECIPE)
Abstract:
The European Union has built a one-stop-shop for its member state regulators to post product safety notifications – Safety Gate (European Commission 2021d). Constructed on top of the Rapid Alert System for Dangerous Non-Food Products, or RAPEX, the Safety Gate web portal is designed to make public the “quick exchange of information” between 31 European countries and the European Commission “about measures taken against dangerous non-food products.” While Safety Gate represents a significant achievement, our research revealed areas for improvement to increase its utility for manufacturers, marketplaces and consumers. Many product notifications published on the website lack details required to facilitate speedy removals and recalls. The study graded eight essential criteria for a total of 918 Safety Gate notifications published over eight months in 2020. The average notification score was a respectable 70 out of 100, but over 98% of the notifications omitted at least one key criterion. Only 14 notifications included all the information to enable efficient and accurate product identification.
Topic:
Health, Food, European Union, and Regulation
Political Geography:
Europe

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

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

29. An Examination of Ghana’s Health Financing Challenges and Prospect for Reform

Author:
Gordon Abekah-Nkrumah
Publication Date:
03-2021
Content Type:
Policy Brief
Institution:
Ghana Center for Democratic Development
Abstract:
The goal of health financing is main to promote financial access to preventive and curative care by making funds available and setting the right financial incentive to healthcare providers.
Topic:
Development, Health, Health Care Policy, and Finance
Political Geography:
Ghana

30. Economic costs and benefits of accelerated COVID-19 vaccinations

Author:
Joseph E. Gagnon, Steve Kamin, and John Kearns
Publication Date:
05-2021
Content Type:
Policy Brief
Institution:
Peterson Institute for International Economics
Abstract:
COVID-19 vaccination programs are generally understood to be a prerequisite for a return to normalcy in our social and economic lives. Emergency measures to research, test, produce, and distribute vaccines have been expensive, but increases in GDP resulting from the vaccines are expected to exceed those costs by wide margins. Few studies have quantified the economic costs and benefits of different rates of COVID-19 vaccination, however. This Policy Brief focuses on developing such a quantitative assessment for the United States; the approach may be applied to other countries as well. Two illustrative scenarios support the conclusion that most plausible options to accelerate vaccinations would have economic benefits that far exceed their costs, in addition to their more important accomplishment of saving lives. This Policy Brief shows that if, for example, the United States had adopted a more aggressive policy in 2020 of unconditional contracts with vaccine producers, the up-front cost would have been higher but thousands of lives would have been saved and economic growth would have been stronger. Instead, the federal government conditioned its contracts on the vaccines’ being proven safe and effective. The projections presented in this analysis show that even if unconditional contracts led to support for vaccines that failed the phase III trial and ultimately were not used, the cost would have been worth it.
Topic:
Economics, Health, Crisis Management, COVID-19, and Health Crisis
Political Geography:
North America and United States of America

31. Multifaceted Challenges: The political dimension of the physicians’ crises in the region

Author:
FARAS
Publication Date:
03-2021
Content Type:
Policy Brief
Institution:
Future for Advanced Research and Studies (FARAS)
Abstract:
Although the difficulties’ health personnel face, are quite similar to those of workers in other fields, the political dimensions of physicians ’crises in the region have increased remarkably. Medical doctors are kidnapped in some hotbeds of several Arab armed conflicts to provide treatment for some Militia members, in addition to their indirect involvement in military confrontations in Northeastern Syria through Turkey. Moreover, there is a gap between the medical syndicate and the political authorities regarding the actual number of COVID-19 cases, which was quite evident in Turkey. Medical doctors in some states of the region suffer from delayed payment of their salaries as a result of the decline in oil prices as well as the decline in the financial budgets of their countries. This leads to what is known as the ‘brain drain’, in addition to their contracting diseases such as the coronavirus due to their presence on the front lines confronting the epidemic with short medical supplies. The lives of medical doctors in some countries are endangered, as they get exposed to repeated attacks by community members due to the absence of adequate security measures. The crises of medical doctors in the region are by no means a recent phenomenon, but their features evolve according to different regional conditions and the emergence of transnational epidemics. The Middle East reflects a variety of crises that physicians are exposed to, particularly in hotbeds of tension.
Topic:
Health, Crisis Management, COVID-19, and Armed Conflict
Political Geography:
Turkey, Middle East, Libya, North Africa, and Syria

32. The Commitment to Development Index 2021

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

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

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

34. China’s Public Procurement Protectionism and Europe’s Response: The Case of Medical Technology

Author:
Fredrik Erixon, Anna Guildea, Oscar Guinea, and Philipp Lamprecht
Publication Date:
09-2021
Content Type:
Policy Brief
Institution:
European Centre for International Political Economy (ECIPE)
Abstract:
This paper concerns China’s market for medical technologies and how the Chinese state is assisting its own companies to gain greater sales at the expense of producers from Europe and other advanced manufacturing economies. The medical technology sector captures a variety of products, services and solutions which are essential to the provision of healthcare to citizens. Examples range from fairly simple technologies such as sticking platers, to complex ones, such as coronary stents, orthopaedics and pacemakers. In the last decades, Europe’s exports of medical devices to China have grown robustly. On the back of vibrant innovation, firms from Europe and elsewhere have not just followed the growth of Chinese demand for medical devices – they have also increased their share of Chinese imports. Now, however, this market is at risk of being gradually closed off for European firms as China doubles down on various policies that advantage local firms, while ultimately harming innovation and Chinese patients. China has recently introduced a new element in its industrial policy for its medical technology sector – a policy that builds on its long-term ‘made-in-China’ ambition to have local firms taking up the lion’s share of the market for medical devices by 2030. Beijing and provincial governments are using many different policies to provide support to the domestic industry and are in effect pursuing a policy for import substitution. Accessing the Chinese market for medical devices has never been easy but it has become increasingly challenging in recent years. Direct financial support, tax benefits, R&D support, local content requirements, opaque approval systems and other forms of advantages to domestic MedTech producers are now becoming major sources for the behaviour and development of the Chinese medical device market. China’s Fourteenth Five-Year Plan and the country’s new economic model of ‘dual circulation’ reinforces this trend. The Chinese market is becoming less open. Added to that is centralised state procurement – a new public procurement policy in China that was launched in 2019 for medical devices which has led to a grossly distorted procurement market. While this policy has reduced the price of medical devices in a drastic way, it has also paved the way for Chinese firms to take up a larger market share. This procurement policy is gradually squeezing European firms out of the Chinese market. Competition in China is becoming less fair. These policies follow a pattern. In several sectors, Chinese firms have grown their domestic market share through industrial subsidies and policies that restrict market access for foreign firms – or make it more difficult for foreign firms to compete in China. From their domestic market, these firms have then expanded abroad and taken a more prominent role outside of China. Backed by the Chinese state, these firms can squeeze market opportunities even more for otherwise-competitive European producers. Now this development is happening in the MedTech sector. It is urgent for Europe to respond to China’s procurement protectionism. MedTech manufacturers in Europe are often small and medium-sized enterprises, and they already struggle with getting into the Chinese market. China’s new procurement policy has also had a significant impact on Chinese imports of medical devices: a 1.3 billion euro trade deficit for China in medical technology products in 2019 turned into a 5.2 billion euro surplus in 2020. In Africa, Asia and Latin America, competitive European manufacturers are now confronted with competition from Chinese MedTech companies that have the backing of the Chinese state. The competitive distortions in the Chinese market now spill over to the global market – making European MedTech manufacturers even more disadvantaged. Europe should consider a case at the World Trade Organisation (WTO) against China’s policies which reduce European market presence for medical devices. Once agreed, a new International Procurement Initiative might be a useful instrument to wield pressure against the Chinese government to agree to free and fair competition. Europe can also negotiate with China – for instance in the framework of the Comprehensive Agreement on Investment (CAI) or through the new initiative on trade and health that Europe proposed to the Ottawa Group in 2020. These responses should focus both on remedying China’s current policy for growing its domestic medical technology industry by distorting its market and setting out the core policies and rules that should guide the future market for medical technologies. Fredrik Erixon and Anna Guildea are Director and Research Associate, respectively, at ECIPE. Oscar Guinea and Philipp Lamprecht are Senior Economists at ECIPE. The authors are grateful to a number of experts in the private sector and from the European Commission, the Federal Ministry for Economic Affairs and Energy in Germany, China’s Ministry of Industry and Information Technology that have taken their time to share their knowledge with us.
Topic:
Health, Science and Technology, European Union, and Public Procurement
Political Geography:
China, Europe, and Asia

35. A Just Response to Beijing’s COVID-19 Abuses

Author:
David Asher, Miles M. Yu, David Feith, Matthew Zweig, and Thomas DiNanno
Publication Date:
06-2021
Content Type:
Policy Brief
Institution:
Hudson Institute
Abstract:
Nearly 18 months after word of a deadly new virus began leaking out of Wuhan, China, the Chinese government’s response remains fundamentally hostile to international cooperation and transparency. Despite hundreds of offers of assistance, polite diplomatic entreaties, and demands for access to data by governments and health authorities across the globe, the world still knows far too little about COVID-19’s origin. As in a Dali painting, the clocks have melted but time has not stood still. China’s initial silencing and censoring of its doctors and scientists, followed by misinformation about COVID-19’s dangers—especially denials concerning the virus’s ability to be spread human-to-human, invisibly and asymptomatically—helped cost the world trillions of dollars and millions of lives. Whether one believes COVID-19 originated in a zoonotic host, a bat cave, a frozen food shipment, or a Wuhan lab’s dangerous “dual-use” research supporting undeclared bioweapons programs, the world needs answers from the Chinese Communist Party. These are answers Beijing won’t provide unless it faces a high price for refusing. For the good of public health and international security, the Biden administration and the Congress can unite in a coordinated, long-term response.
Topic:
Security, Health, Research, Transparency, Public Health, and COVID-19
Political Geography:
China and Asia

36. The evolution of US strategic priorities

Author:
Carl Bildt
Publication Date:
03-2021
Content Type:
Policy Brief
Institution:
European Council on Foreign Relations (ECFR)
Abstract:
The Biden administration’s Interim National Security Strategic Guidance reflects an evolution in US strategic thinking and policy priorities. The document shows how the administration intends to shift away from America Alone and towards America and its Allies. But the optimism and confidence the US expressed in 2015 has been replaced by deep concern over a range of strategic trends. The US will now prioritise strategic competition with China, a new approach to trade, the rise of technology, the defence of democracy, the urgent climate and health crises, and efforts to avoid ‘forever wars’ in the Middle East.
Topic:
Climate Change, Health, Science and Technology, Democracy, and Trade
Political Geography:
China, Middle East, North America, and United States of America

37. Trade Is Good for Your Health

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

38. Massive but divisive: Crisis management and EU responses to COVID-19

Author:
Jens Bastian
Publication Date:
04-2020
Content Type:
Policy Brief
Institution:
Hellenic Foundation for European and Foreign Policy (ELIAMEP)
Abstract:
Coordinated Covid-19 crisis management among EU member states took weeks to develop. The initial response was slow, at times contradictory, frequently displaying nation-state unilateralism and obviously divisive. An unprecedented architecture of fiscal and monetary partnership is now building in Europe. The ECB is taking the lead in this construction process, with national governments asserting their political prerogatives while the Commission in Brussels is careful not to overstep the national sovereignty of its member states. As the crisis response to Covid-19 has highlighted manifest fault lines among EU member states, these divisions could morph into bigger controversies during uncoordinated exit strategies. Once the cessation of economic activity can start to unwind, the debate across Europe will accelerate over budget rules, further relief programmes and the demand for debt forbearance.
Topic:
Health, European Union, Crisis Management, and COVID-19
Political Geography:
Europe

39. What role for health in the new Commission?

Author:
Simona Guagliardo
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
European Policy Centre (EPC)
Abstract:
As the Juncker Presidency hands over its mandate baton to Ursula von der Leyen, all eyes are on the energised new President and her ambitions bestowed upon her cabinet. Despite some progress, more efforts to improve Europe’s health policy is still needed if it is to tackle unprecedented challenges like demographic changes, environmental degradation and the rapidly changing world of work. Newly-appointed Health Commissioner Stella Kyriakides has been entrusted with a considerable portfolio, indicating an arduous yet promising five years ahead of her. In this Policy Brief, policy analyst Simona Guagliardo argues that von der Leyen’s agenda for a “Union that strives for more” offers a unique opportunity to build a strong case for placing health and well-being at the centre of her policy triad: economic growth fuelled by technological innovation and environmental protection. The EU and its member states must recognise the centrality of people’s health and well-being vis-à-vis economic growth; ensure that health is a constant factor in all policymaking; and deliver on their promises of social fairness, equality and inclusion.
Topic:
Environment, Health, Science and Technology, European Union, and Economic Growth
Political Geography:
Europe

40. From reaction to action: How the EU can step up its role in global pandemics

Author:
Claire Dhéret and Simona Guagliardo
Publication Date:
07-2020
Content Type:
Policy Brief
Institution:
European Policy Centre (EPC)
Abstract:
he COVID-19 pandemic has exposed the unpreparedness of European health systems to absorb a health crisis of this magnitude. In order to fix these existing structural weaknesses and effectively deal with the health challenges brought on by the current pandemic, we need to build a ‘Europe of Health’; an EU public health policy that works across borders and lives up to its citizens’ expectations. Following on from the Franco-German initiative for European recovery from the ongoing COVID-19 crisis, Claire Dhéret and Simona Guagliardo outline a twofold strategy to foster ‘EU health sovereignty’ and reinforce the EU’s international leadership in health at a time when multilateralism is seriously jeopardised: Foster EU health crisis management capabilities by empowering existing structures, prepare a European stockpile of strategic medical products and equipment, and make better use of the Single Market in the area of health. Strengthen the resilience of national health systems by promoting modern, innovative and patient-centred care, and encourage the creation and use of a common, EU-wide evaluation framework for health care.
Topic:
Health, European Union, Crisis Management, Public Health, Pandemic, and COVID-19
Political Geography:
Europe

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

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

42. National Health Mission

Author:
Snehal Shah, Avani Kapur, and Abhishek Andasu
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
he National Health Mission (NHM) is Government of India’s (GoI’s) largest public health programme. It consists of two sub-missions: National Rural Health Mission (NRHM), and National Urban Health Mission (NUHM). Using government data, this brief reports on: GoI allocations and releases; Incentives and penalties to states under conditionality framework; NHM approvals and expenditures as per programmatic components; and Outputs and outcomes.
Topic:
Government, Health, Health Care Policy, Budget, Social Policy, Public Policy, and Rural
Political Geography:
South Asia and India

43. Swachh Bharat Mission – Gramin

Author:
Avani Kapur and Sanjana Malhotra
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
The Swachh Bharat Mission- Gramin or SBM-G is the Government of India’s (GoI’s) flagship rural sanitation programme run by the Ministry of Jal Shakti (MJS). Using government data, this brief reports on trends for SBM-G along the following parameters: Allocations and expenditures; Physical progress of toilets built; Expenditures incurred under Information, Education, and Communication (IEC); Solid Liquid Waste Management (SLWM) activities; and Coverage and Open Defecation Free (ODF) status.
Topic:
Government, Health, Infrastructure, Budget, Social Policy, Rural, and Sanitation
Political Geography:
South Asia and India

44. Pradhan Mantri Matru Vandana Yojana & Janani Suraksha Yojana

Author:
Avani Kapur and Tenzin Yangki
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
This brief reports on two schemes: a) The Pradhan Mantri Matru Vandana Yojana (PMMVY), Government of India’s (GoI’s) maternity benefit scheme aimed at providing partial compensation for wage loss and improving health seeking behaviour of pregnant women and lactating mothers, and b) the Janani Suraksha Yojana (JSY) aimed at incentivising institutional and safe delivery to reduce infant and maternal mortality. Using government data, this brief reports on: Trends in allocations, releases, and utilisation; Coverage and payments; and Outputs and outcomes.
Topic:
Gender Issues, Government, Health, Health Care Policy, Budget, Women, and Social Policy
Political Geography:
South Asia and India

45. Ayushman Bharat

Author:
Ritwik Shukla and Avani Kapur
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
Ayushman Bharat, under the aegis of the Ministry of Health and Family Welfare (MoHFW) was launched by Government of India (GoI) on 23 September 2018. The programme consists of two initiatives: (1) The Pradhan Mantri Jan Arogya Yojana (PMJAY); and 2) The establishment of 1.5 lakh Health and Wellness Centres (HWCs). Using government data, this brief reports on the following indicators: GoI allocations and releases; Eligibility and claims under PMJAY; and Number of operational HWCs and diseases screened.
Topic:
Government, Health, Health Care Policy, and Budget
Political Geography:
South Asia and India

46. Integrated Child Development Services

Author:
Avani Kapur and Ritwik Shukla
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
The Integrated Child Development Services is Government of India’s (GoI’s) flagship programme aimed at providing basic education, health, and nutrition services for early childhood development. This brief uses government data to analyse ICDS performance along the following parameters: Allocations, releases, and expenditures, Component-wise trends, Human and physical resources, Coverage, and Malnutrition status.
Topic:
Education, Health, Budget, Children, Food Security, and Social Policy
Political Geography:
South Asia and India

47. The Coronavirus in Iran (Part 2): Regime Culpability and Resiliency

Author:
Mehdi Khalaji
Publication Date:
03-2020
Content Type:
Policy Brief
Institution:
The Washington Institute for Near East Policy
Abstract:
Even as their lack of transparency worsens the public health crisis, the Supreme Leader and other officials have systematically gutted any civil society elements capable of organizing substantial opposition to such policies. Iran’s ongoing coronavirus epidemic has left the people with less reason than ever to trust the information and directives issued by their leaders. Part 1 of this PolicyWatch discussed the clergy’s role in aggravating this problem, but the state’s mistakes and deceptions have been legion as well. They include scandalous discrepancies between official reports after a period of denial that the virus had entered the country; a health system that was unprepared to deal with such a disease promptly and properly; and official resistance to implementing internationally recommended precautionary measures, such as canceling flights from China and quarantining the center of the outbreak. These decisions have sown widespread confusion about facts and fictions related to the virus, the most effective medically proven ways to control it, and the degree to which it is spreading throughout the country. As a result, an already restive population has become increasingly panicked about the future and angry at the state. Yet can the coronavirus actually bring down the regime? The harsh reality is that the state has left little space for opposition to organize around health issues, or any issues for that matter. Instead, it has sought to confuse the people and redirect their anger toward external enemies, even as its own policies contribute to the crisis.
Topic:
Security, Foreign Policy, Civil Society, Health, Public Health, and Coronavirus
Political Geography:
Iran, Middle East, and United States of America

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

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

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

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

50. Australia-China clashes in the COVID-19 era: Adjusting to a “new normal” in bilateral relations?

Author:
Thomas S. Wilkins
Publication Date:
06-2020
Content Type:
Policy Brief
Institution:
Japan Institute Of International Affairs (JIIA)
Abstract:
The spread of the novel Corona Virus COVID-19 from the Chinese province of Hebei across the world has resulted in a global pandemic of catastrophic proportions. Certain countries have been affected more severely than others, and there have been glaring disparities in how national governments have responded to the outbreak. In addition to the global death toll of 400,000 (and counting), the industrial and financial disruption has been severe, with the Asian Development Bank estimating the loss to the global economy at between USD$ 5.8-8.8 trillion.1 To overcome the current crisis, and work toward a vaccine, global solidarity, including cooperation through multilateral organizations like the World Heath Organization (WHO), is desperately needed.
Topic:
Health, Bilateral Relations, Geopolitics, Economy, and COVID-19
Political Geography:
China, Australia, and Asia-Pacific

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

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

52. Racing against COVID-19: a vaccines strategy for Europe

Author:
Reinhilde Veugelers and Georg Zachmann
Publication Date:
04-2020
Content Type:
Policy Brief
Institution:
Bruegel
Abstract:
This Policy Contribution proposes a staged support scheme to tackle the COVID-19 vaccine challenge and a moon shot programme to meet the challenge of future pandemics.
Topic:
Health, Science and Technology, Innovation, Vaccine, and COVID-19
Political Geography:
Europe

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

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

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

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

55. Forgotten Ground Zeros: Local populations exposed to radiation from former nuclear test sites

Author:
Magdalena Stawkowski
Publication Date:
04-2020
Content Type:
Policy Brief
Institution:
Danish Institute for International Studies (DIIS)
Abstract:
Around the world, hundreds of thousands of people live in and around former nuclear test sites. Semipalatinsk Nuclear Test Site in Kazakhstan provides both a home and a livelihood for an estimated 50,000 people, but security measures are not yet sufficient to protect them from radioactive waste from the past. RECOMMENDATIONS ■ Establish local education programs to prevent unintentional exposure to residual radioactivity ■ Encourage local authorities to promote radiation-safety programs ■ Cordon off and secure unmarked radioactive areas on nuclear test sites ■ Carry out regular radiation monitoring in villages close to nuclear test sites, as well as of livestock
Topic:
Health, Nuclear Weapons, and Nuclear Power
Political Geography:
Central Asia and Kazakhstan

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

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

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

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

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

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

59. Emerging from COVID: Policy Responses to the Pandemic

Author:
Ben Bland, Alexandre Dayant, John Edwards, Stephen Grenville, Natasha Kassam, Herve Lemahieu, Alyssa Leng, Richard McGregor, Shane McLeod, Alex Oliver, Jonathan Pryke, Roland Rajah, Sam Roggeveen, and Sam Scott
Publication Date:
06-2020
Content Type:
Policy Brief
Institution:
Lowy Institute for International Policy
Abstract:
The fight against COVID-19 has been the greatest challenge the world has faced since the middle of last century. As countries have fought to control the disease, they have closed borders, quarantined their citizens, and shut down economies almost entirely. The ramifications will reverberate for years, if not decades, to come. In April 2020, the Lowy Institute published a digital feature in which twelve Institute experts examined the ways in which the COVID crisis would affect Australia, the region and the world. In this new feature, Lowy Institute experts provide policy recommendations for Australia to address issues that are critical to our nation’s — and the world’s — successful emergence from the pandemic. Countries have turned inwards in an attempt to fend off the threat of an infection that is oblivious to borders. Some have seen globalisation as the cause of the crisis, and have focused on solving problems without recourse to the international institutions of global security and prosperity, including the United Nations, the World Health Organization, and the G20. Yet global problems require international solutions. As the world emerges from the crisis, cooperation between nations will be more important than ever. Nation states cannot revive their economies purely through national solutions. They cannot address global threats, including the possibility of further pandemics, alone. Australia’s achievements in managing the COVID crisis have been exemplary. It has handled the health and economic emergency with great competence. But this is just the beginning of our crisis recovery. The challenges in our region, and the global problems that existed before COVID, have only been exacerbated by the pandemic. Australia has already done much to address the domestic economic and health issues from the COVID crisis. But to shape a prosperous and secure future, it will also need to work in cooperation with other nations, large and small, allies and partners, on a much broader array of international issues ranging from the economic disruption across the region, pressure from China on trade, and development challenges in the Pacific, to increasingly competitive relations between the United States and China, the weakening of the World Health Organization, and the declining utility of the G20.
Topic:
Diplomacy, Economics, Health, World Health Organization, G20, Geopolitics, COVID-19, and International Order
Political Geography:
China, Indonesia, Australia, and United States of America

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

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

61. Last Refuge or Last Hour? COVID-19 and the Humanitarian Crisis in Idlib

Author:
Leah Zamore and Tayseer Alkarim
Publication Date:
05-2020
Content Type:
Policy Brief
Institution:
Center on International Cooperation
Abstract:
The humanitarian crisis in northern Syria is on the verge of becoming a COVID-19 catastrophe. A decade of conflict has left the healthcare system in ruins—and millions of displaced people in Idlib province were already suffering due to a lack of shelter and sanitation. Now, with the coronavirus pandemic posed to spread to an area with just 600 doctors and fewer than 50 adult ventilators for four million people, the situation is dire. Why is Idlib the last refuge for internally displaced Syrians, and what can donors, international humanitarian actors, and local organizations do to ensure that they are not left behind as the world grapples with COVID-19? This policy briefing by Tayseer Alkarim, Hanny Megally, and Leah Zamore delves into roots of the humanitarian crisis in Idlib, details the current capacity of the exhausted healthcare system amid the ongoing conflict, and examines what these constraints mean for mounting a response to the spread of the coronavirus. The briefing explains how donors and international humanitarian organizations can take action now to support local institutions, increase testing and treatment capacity, improve availability of PPE and public information, and press for an immediate ceasefire. The plight of Idlib is one of the most complex humanitarian dilemmas of our time, influenced by prolonged conflict, a looming COVID-19 outbreak, and the ongoing failure of the international community to take effective action. A further failure to minimize the impact of the COVID-19 pandemic on Idlib will cost lives—and risk global health security further by allowing the virus to spread in one of the places that is least-equipped to contain it.
Topic:
Health, Conflict, Humanitarian Crisis, and COVID-19
Political Geography:
Middle East, Syria, and Idlib

62. Technology Factsheet: Synthetic Biology

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

63. Europeanising health policy in times of coronationalism

Author:
Louise Van Schaik and Remco van de Pas
Publication Date:
11-2020
Content Type:
Policy Brief
Institution:
Clingendael Netherlands Institute of International Relations
Abstract:
The COVID-19 crisis has prompted the European Union (EU) to rethink its health policy, or rather those of its policies that influence the health policies of member states, as those largely comprise a national competence, and sometimes a subnational one. During the pandemic, EU institutions and EU member states identified issues where more EU coordination was desirable, for instance with regard to stockpiling and joint purchasing of medical products. Much is still unclear, however, about how a broadly supported revised EU health policy should look, particularly as this has traditionally been a field where EU citizens and EU member states saw little added value in the EU becoming involved. A newly proposed EU4Health programme saw a setback right at its inception, with its proposed funding being cut drastically by the European Council, even though EU health expenditure will continue to rise. This policy brief explores the future of EU health policy after the COVID-19 pandemic changed conventional thinking.
Topic:
Health, Europeanization, Coronavirus, and COVID-19
Political Geography:
Europe

64. US Fiscal Health: Is There Life After Debt?

Author:
Committee for Economic Development of the Conference Board
Publication Date:
07-2020
Content Type:
Policy Brief
Institution:
The Conference Board
Abstract:
Even before the COVID-19 pandemic of 2020, the United States faced the most serious fiscal threat in its modern history. The economic devastation wrought by the outbreak has made the problem far worse. Despite the very serious threat to US fiscal health, this issue does not rank among the top five for American voters in the 2020 election campaign.1 CED addresses the direct impact of the pandemic elsewhere in this series. This CED Solutions Brief will explain why even the prepandemic threat must be a public policy priority.
Topic:
Debt, Health, Capitalism, Fiscal Policy, and COVID-19
Political Geography:
North America and United States of America

65. US Health Care in the Pandemic

Author:
Committee for Economic Development of the Conference Board
Publication Date:
07-2020
Content Type:
Policy Brief
Institution:
The Conference Board
Abstract:
Within a few short weeks in early spring, the COVID-19 pandemic began to unleash its devastation on the health and economic well-being of the American public. With this attack, it challenged the structure and basic foundations of the US health care system. In response to the growing deluge, US health care workers, public health officials, and health care industry leaders were the front line of defense against the virus. The whole country witnessed their extraordinary courage, fortitude, and rapid and unyielding response. A government stagnated by partisan politics joined to swiftly pass unprecedented relief and support legislation, waive regulation, and launch a historic, large-scale vaccine and treatment development effort in collaboration with the private sector. The US health care system has not collapsed. But as the US emerged from the initial weeks of the swift, unprecedented, and devastating destruction of the COVID-19 global pandemic, several significant shortfalls in the health care system became clear: the ability of the structure of the system to handle the challenge; the nation’s preparedness when the pandemic began; and finally, how the system has performed given the resources we have on hand. These three problems could be restated as: How should the nation change the fundamental structure of the health care system? What should we do now to respond to the current pandemic? And what should we do, once the smoke clears, to prepare for future pandemics?
Topic:
Health, Public Health, Pandemic, and COVID-19
Political Geography:
North America and United States of America

66. Sovereign Europe, dangerous world: Five agendas to protect Europe’s capacity to act

Author:
Mark Leonard and Jeremy Shapiro
Publication Date:
12-2020
Content Type:
Policy Brief
Institution:
European Council on Foreign Relations (ECFR)
Abstract:
In the last year, Europe has begun to recognise the need to defend its sovereignty in a threatening world. Covid-19 has revealed and exacerbated many of Europe’s existing vulnerabilities; the European Union and its member states remain unable to act autonomously in key areas of national life. Based on ECFR research, we propose five sovereignty agendas in health, economic, digital, climate change, and traditional security, all designed to promote a more sovereign Europe on that issues that matter most to Europeans. Europe must not relinquish its rules-based approach or lapse into protectionism. But, to protect the open, multilateral order they so cherish, Europeans need to promote new rules permitting them to take action against countries that undermine the international system. The EU’s €750 billion pandemic recovery fund offers the chance to underwrite this ambition – but, ultimately, Europeans need to master the art of acting as a geopolitical force in the world.
Topic:
Security, Climate Change, Economics, Health, Sovereignty, European Union, and Digital Policy
Political Geography:
Europe

67. Household Economic Well-Being and Child Health in The Democratic Republic of Congo

Author:
Janvier Mwisha-Kasiwa
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Health is both a direct component of human well-being and a form of human capital that increases an individual’s capabilities and opportunities to generate income and reduces vulnerability. It is argued that these two views are complementary, and both can be used to justify increased investment in health in developing countries. Therefore, investment in child health constitutes a potential mechanism to end the intergenerational transmission of poverty. This paper examines the empirical impact of household economic well-being on child health, and the gender differences in effects using the Demographic and Health Survey conducted in 2014. A series of econometric tools are used; the control function approach appears to be the most appropriate strategy as it simultaneously removes structural parameters from endogeneity, the sample selection and heterogeneity of the unobservable variables. Results suggest a significant positive effect of household economic well-being on child health. However, the magnitude of the effect varies by gender of household head; children from households headed by males appear healthier compared to those from female-headed households. In the context of DR Congo, female-headed households often have a single parent, therefore, the economic well-being effect on child health in the male sub-sample can be considered to include the unobserved contribution of women. These results have implications for public interventions that enable women to participate in paid labour market activities as a means of improving household economic well-being, which in turn could improve child health.
Topic:
Development, Economics, Gender Issues, Health, Health Care Policy, and Children
Political Geography:
Africa and Democratic Republic of Congo

68. Pradhan Mantri Matru Vandana Yojana & Janani Suraksha Yojana (PMMVY & JSY)

Author:
Ritwik Shukla and Avani Kapur
Publication Date:
07-2019
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
This brief reports on two maternity benefits schemes, offering conditional cash transfers to pregnant women and mothers: a) The Pradhan Mantri Matru Vandana Yojana (PMMVY), Government of India’s (GoI’s) scheme aimed at providing partial compensation for wage loss and improving health seeking behaviour of pregnant women and lactating mothers, and b) the Janani Suraksha Yojana (JSY) aimed at incentivising institutional and safe delivery for reducing infant and maternal mortality. Using government data, this brief reports on: Trends in allocations, releases, and utilisation, Coverage and payments, and Outputs and outcomes.
Topic:
Gender Issues, Government, Health, Budget, Women, and Economy
Political Geography:
South Asia and India

69. Integrated Child Development Services (ICDS)By AVANI KAPUR and RITWIK SHUKLA

Author:
Avani Kapur and Ritwik Shukla
Publication Date:
07-2019
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
The Integrated Child Development Services is the Government of India’s (GoI’s) flagship programme aimed at providing basic education, health, and nutrition services for early childhood development. This brief uses government data to analyse ICDS performance along the following parameters: Allocations, releases, and expenditures; Component-wise trends; Human and physical resources; Coverage, and Outcome.
Topic:
Development, Education, Government, Health, Budget, and Children
Political Geography:
South Asia, India, and Asia

70. An Expanded View of Government’s Role in Providing Social Insurance and Investing in Children

Author:
Sandra E. Black and Jesse Rothstein
Publication Date:
01-2019
Content Type:
Policy Brief
Institution:
Economics for Inclusive Prosperity (EfIP)
Abstract:
While private provision of goods often yields the efficient outcome, there are a number of goods that are not efficiently provided in the private market. Here, we outline two such situations: investments in child care and education, and insurance against risks created by business cycles, poor health, and old age. Because private markets work poorly for these goods, and the costs of market failure are large, standard economic reasoning implies a significant role for government provision. The reduction in economic insecurity that this would bring could help to improve political stability as well, by reducing the stakes that people perceive in discussions of trade, immigration, technological change, and countercyclical policy (Inglehart and Norris, 2016). Many observers (e.g, Hacker, 2018) have pointed to economic anxiety as a potential contributor to populist reactions in the U.S. and many European countries; a public sector that acts to reduce the risk that households face could ameliorate this, generating political spillovers and improving the state of the country more broadly.
Topic:
Economics, Education, Health, Health Care Policy, Children, Economic Policy, and Economic Theory
Political Geography:
United States and Europe

71. Thoughts on Medicare for All

Author:
Ilyana Kuziemko
Publication Date:
07-2019
Content Type:
Policy Brief
Institution:
Economics for Inclusive Prosperity (EfIP)
Abstract:
My read of the evidence (and my own social welfare weights, which place great weight on the un- and under-insured as well as middle-class workers who are implicitly taxed via expensive health plans) lead me to conclude that Medicare for All would increase welfare in the US. However, I also want to highlight what I consider the biggest risks of such a policy.
Topic:
Economics, Health, Health Care Policy, and Economic Policy
Political Geography:
United States

72. Working with Adolescents and Youths to Reduce Gender Based Violence

Author:
SVRI
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
The Sexual Violence Research Initiative
Abstract:
Identifying effective ways to prevent forms of gender-based violence (GBV) among adolescents and youths is vital to reduce rates of GBV. Adolescents are uniquely impacted by GBV: their young age and inexperience with relationships can heighten their risk for physical and sexual intimate partner violence. Being a victim of GBV during adolescence can lead to long-lasting negative mental and physical health outcomes, and can set young women on a trajectory for subsequent abuse.
Topic:
Health, Gender Based Violence, Youth, Sexual Violence, and Intimate Partner Violence
Political Geography:
Moldova, Colombia, Mexico, Honduras, and Swaziland

73. Delivering Healthcare amid Crisis: The Humanitarian Response in Myanmar

Author:
Alice Debarre
Publication Date:
02-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Myanmar simultaneously faces multiple armed conflicts and crises, each with its own challenges. In Rakhine state, the government’s persecution of the Rohingya people has led to massive displacement, as have decades of armed conflict in Kachin and northern Shan states. Combined with chronic underdevelopment, these humanitarian crises have left people without access to adequate healthcare, leading international humanitarian actors to step in. The public health system in Myanmar is generally poor, and government funding for health services is among the lowest in the world. There are wide discrepancies in health services between rural and urban populations and between central and peripheral states. In Rakhine, there are only nine public health workers per 10,000 people, and access to secondary and tertiary healthcare is limited. Community-based or ethnic health organizations provide primary healthcare in many areas without government facilities. In crisis-affected areas, UN agencies and international and local NGOs play an important part in providing healthcare services. However, international action can be unbalanced both regionally and medically. In many areas, health actors have focused on responding to diseases like malaria, HIV/AIDS, and tuberculosis, leaving a critical gap in mental health services and clinical health responses to sexual and gender-based violence. Likewise, funding has been imbalanced, with Rakhine state receiving more funding than Kachin or northern Shan. This paper looks at the state of healthcare in Rakhine, Kachin, and northern Shan states, the role of humanitarian actors in the provision of health services, and the trends and challenges affecting the humanitarian health response. It provides several recommendations for improving the humanitarian health response in Myanmar, including: 1. Adjust the scope of the humanitarian response; 2. Advocate for better humanitarian access; 3. Strengthen local capacities, and; 4. Address the dilemmas inherent in providing aid amid a development and human rights crisis.
Topic:
Health, Crisis Management, Public Health, and Humanitarian Crisis
Political Geography:
Southeast Asia and Myanmar

74. Stuck in Crisis: The Humanitarian Response to Sudan’s Health Emergency

Author:
Albert Trithart
Publication Date:
04-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Following decades of war, economic decline, and underinvestment, Sudan’s healthcare system entered a new phase of crisis in 2019 as peaceful protests led to the ouster of President Omar al-Bashir. Among those leading these protests were doctors and other medical personnel fed up with poor working conditions and medicine shortages. This speaks to the degraded state of healthcare in the country, particularly in the conflict-affected regions of Darfur, South Kordofan, and Blue Nile. This paper looks at the humanitarian response to health-related needs in these conflict-affected parts of Sudan. After providing an overview of the state of Sudan’s healthcare system, it explores the main trends and challenges in the humanitarian health response, including the difficult partnerships between international and Sudanese health actors, restricted humanitarian access, and the effort to shift toward more sustainable approaches. It concludes that the humanitarian health response in Sudan is stuck: most agree on the need to move beyond short-term approaches, but the national capacity and development funding needed to make this transition are missing. At the same time, with newly accessible areas exposing unmet needs and conflict and displacement ongoing, a robust humanitarian response is still desperately needed. This situation calls for the UN, donors, and health NGOs to continue their efforts to respond to needs while strengthening the healthcare system, to coordinate humanitarian and development funding, and to advocate for maintaining and extending humanitarian access.
Topic:
Health, Crisis Management, and Humanitarian Crisis
Political Geography:
Africa and Sudan

75. Providing Healthcare in Armed Conflict: The Case of Mali

Author:
Alice Debarre
Publication Date:
01-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Due to ongoing conflict and insecurity in northern Mali, 1.8 million people require humanitarian health assistance, and 2.5 million are considered food insecure. Given the level of need, Mali’s healthcare system is ill-equipped to respond, and humanitarian health actors play an important role filling the gaps. This issue brief maps the challenges these health actors face and assesses their response. It accompanies a policy paper published in 2018 entitled “Hard to Reach: Providing Healthcare in Armed Conflict,” as well as another case study on provision of healthcare in Nigeria. These papers aim to assist UN agencies, NGOs, member states, and donor agencies in providing and supporting the provision of adequate health services to conflict-affected populations. This issue brief concludes with recommendations for how health actors can improve delivery of health services in Mali: UN agencies, international NGOs, and donors should continue to focus on strengthening and supporting Mali’s community healthcare structures. Military, political, and humanitarian actors need to preserve the humanitarian space in Mali. Relevant UN agencies, local and international health NGOs, donors, and the Ministry of Health should place greater emphasis on noncommunicable diseases, particularly mental health. Humanitarian health actors and donors, as well as development actors and global health actors, should improve coordination with each other on the health response. Humanitarian health actors should better ensure that they are accountable for the health services they provide, in particular to affected populations.
Topic:
Health, United Nations, Peace, and Armed Conflict
Political Geography:
Africa and Mali

76. Providing Healthcare in Armed Conflict: The Case of Nigeria

Author:
Alice Debarre
Publication Date:
01-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
The humanitarian situation in Nigeria’s northeast is deteriorating, with more than 5 million people in need of healthcare and over 800,000 out of the reach of humanitarian actors. Given this level of need and the poor state of the healthcare system in northeastern Nigeria, humanitarian and other nongovernmental health actors play an important role. This issue brief maps the challenges these health actors face and assesses their response. It accompanies a policy paper published in 2018 entitled “Hard to Reach: Providing Healthcare in Armed Conflict,” as well as another case study on provision of healthcare in Mali. These papers aim to assist UN agencies, NGOs, member states, and donor agencies in providing and supporting the provision of adequate health services to conflict-affected populations. This issue brief concludes with recommendations for how health actors can improve delivery of health services in northeastern Nigeria: Humanitarian health actors should improve coordination both with each other and with global health actors working in northeastern Nigeria. Relevant UN agencies, local and international health NGOs, donors, and the Ministry of Health should scale up the response to under-prioritized health services. Humanitarian and development NGOs, donors, and the Ministry of Health should focus efforts to implement the humanitarian-development nexus for health services on areas where it is relevant and feasible. Humanitarian health actors should improve their accountability for the health services they provide. Humanitarian donors need to ensure that counterterrorism clauses in their funding contracts are not overbroad and do not impede neutral, independent, and impartial aid.
Topic:
Health, Humanitarian Aid, and Conflict
Political Geography:
Africa and Nigeria

77. How can the NHS recruit and retain migrant nurses after Brexit?

Author:
Georgia Spiliopoulos and Stephen Timmons
Publication Date:
06-2019
Content Type:
Policy Brief
Institution:
Asia Research Institute, University of Nottingham
Abstract:
Non-British nurses working for the National Health Service (NHS) face a number of challenges, which must be addressed in the context of ongoing Brexit negotiations. Since the 2016 Referendum result to leave the European Union (EU), the number of EU nurses registering with the Nursing and Midwifery Council (NMC) plummeted in 2017 by 96% – from 1,304 EU nurses registering with the NMC in July 2016 to just 46 in April 2017 (Siddique, 2017). This drop in numbers is also linked with the number of EU nurses leaving the UK (Matthews-King, 2017). A recent NMC report (2019) published a 1% increase, for the first time in three years, in the number of new nurse registrants, for the period between April 2018 and March 2019. This increase translates into 6,000 nurses from the UK, EU and overseas. These numbers, while encouraging, reflect the changes in international recruitment from EU and non-EU countries, and importantly the impact of Brexit on the retention of both EU and non-EU nurses. This paper recommends measures to support the retention of these nurses.
Topic:
Health, Health Care Policy, Brexit, and Public Health
Political Geography:
Britain, United Kingdom, and Asia

78. Leveraging the Potential of Home Visiting Programs to Serve Immigrant and Dual Language Learner Families

Author:
Maki Park and Caitlin Katsiaficas
Publication Date:
08-2019
Content Type:
Policy Brief
Institution:
Migration Policy Institute (MPI)
Abstract:
A child’s first years are ones of exceptionally rapid growth, a period that can lay the foundation for school readiness and healthy socioemotional development. Growing awareness of the importance of investing in infants and toddlers is reflected in the spread of home visiting programs—family-focused social services provided in the home on a regular basis to expectant mothers and new parents alongside their young children. The federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, for example, has seen its funding rise since it was created in 2010, and many states and counties have launched or expanded their own programs. Children with immigrant parents and those exposed to a language other than English in the home (known as Dual Language Learners, or DLLs) are important target populations for such early childhood programs. As of 2013–17, one-fourth of U.S. children ages 5 and under were children of immigrants, and nearly one-third were DLLs. Young children of immigrants are also more likely than their peers to live in low-income households—a priority service population for many home visiting initiatives. Yet studies show that DLLs and children in immigrant families are underserved by home visiting services. This policy brief examines the characteristics that make these children and their families important targets for such programs and barriers that may hinder their participation. It also highlights opportunities to address them, including by making these groups visible in MIECHV needs assessments, improving program data collection, and strengthening partnerships with community-based organizations.
Topic:
Education, Health, Children, Immigrants, Family, and Welfare
Political Geography:
North America and United States of America

79. Five Things the Health Minister Should Do to Enhance the UK’s Global Health Footprint

Author:
Kalipso Chalkidou
Publication Date:
07-2019
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
As Health Secretary Matt Hancock returns to his role as part of Boris Johnson’s premiership, he has an opportunity to make good on the UK’s renewed confidence and ambition by drawing on what the new prime minister calls the “best healthcare [system]” to drive improvements in health globally. The UK’s Department of Health and Social Care controls its biggest-ever official development assistance (ODA) budget, doubling between 2017 and 2018 to just under £200m, or 1.3 percent of the country’s aid allocation. This places the UK’s secretary of state for health in a unique position to truly make a difference in countries’ journeys towards universal healthcare coverage (UHC), whilst also defending (and making a case for more of) the ODA money his department has been allocated, even to development aid’s harshest critics. Here are five things he can do to make this happen, both using his own department’s ODA budget and influencing how DFID’s majority share is spent.
Topic:
Health, Governance, Health Care Policy, and Leadership
Political Geography:
United Kingdom and Europe

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

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

81. Strengthening European Leadership on Global Health Security

Author:
Amanda Glassman, Jeremy Konyndyk, and Liesl Schnabel
Publication Date:
10-2019
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Impending leadership transitions in EU institutions provide a unique opportunity to bolster European action on global health security. This would be a double win for the EU: advancing its efforts to foster progress in developing countries while also protecting Europe itself against potential disease risks. To help strengthen the EU’s leadership on global health security, the new Commission should
Topic:
Security, Health, Regional Cooperation, European Union, and Leadership
Political Geography:
Europe

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

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

83. Hard to Reach: Providing Healthcare in Armed Conflict

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

84. Spotlight on Africa | Turkey–Africa Relations

Author:
Michael Asiedu
Publication Date:
02-2018
Content Type:
Policy Brief
Institution:
Global Political Trends Center (GPoT)
Abstract:
On the 11th and 12th of February 2018, the “2nd Turkey–Africa Ministerial Review Conference” transpired in Istanbul. The Conference was held under the tutelage of the Turkish Minister of Foreign Affairs, Mevlüt Çavuşoğlu. In participation was the Deputy Chairperson of the African Union (AU) Commission, H. E. Thomas Qwesi Quartey together with several foreign affairs ministers of African countries as well as AU representatives. Considering that a Turkey–Africa Summit is scheduled to be held in 2019 in Turkey, this TurkeyAfrica Ministerial Review Conference was held to evaluate the progress of Turkey’s Africa partnership so far in conjunction with steps that could be taken to even solidify this special relationship.
Topic:
Diplomacy, Education, Health, International Affairs, Bilateral Relations, and Conference
Political Geography:
Africa, Turkey, and Middle East

85. Multidimensional poverty and wellbeing in Mozambique

Author:
Ricardo Santos and Vincenzo Salvucci
Publication Date:
02-2017
Content Type:
Policy Brief
Institution:
United Nations University
Abstract:
Poverty is a multidimensional phenomenon involving things other than consumption — such as access to and quality of health and education, housing, possession of durable goods, freedom, and many other factors. The consumption and multidimensional poverty approaches are complementary: it is possible for example that a family has consumption levels below the poverty line but lives in a good quality home, its members have a good level of education, and vice versa.
Topic:
Education, Health, Poverty, Survey, and Housing
Political Geography:
Africa and Mozambique

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

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

87. Are Policy Reforms Enough to Improve Satisfaction with Health Care? Evidence from Benin

Author:
Richard Houessou
Publication Date:
11-2015
Content Type:
Policy Brief
Institution:
Afrobarometer
Abstract:
In 2009, the government of Benin embarked on a series of policy initiatives to increase public access to health services, especially for pregnant women, children under age 5, and the poor. While health coverage rates remained steady, attendance at health services increased sharply, and at first, public satisfaction with the government’s performance in improving basic health services increased as well. However, by 2014, public approval of the government’s efforts had dropped sharply. What explains this decrease in public satisfaction, despite the policy reforms? This paper uses Afrobarometer survey findings and other data to examine mechanisms that might contribute to dissatisfaction at the grass roots with how government is handling health services. Its finding that citizens’ negative experiences while visiting public clinics or hospitals are the main factor driving down public assessments of government performance in this area should alert policy makers that they must put in place more than policy reforms in order to satisfy public demand for high-quality basic health services.
Topic:
Health, Governance, Health Care Policy, and Social Services
Political Geography:
Africa and Benin

88. Preparedness Rather Than Response: A Strategy to Prevent the Next Ebola Crisis

Author:
Andrew Koltun, Brittany Mcnena, and Nawroos Shibli
Publication Date:
07-2015
Content Type:
Policy Brief
Institution:
Centre for International Governance Innovation
Abstract:
The 2013 West African Ebola crisis exposed two weaknesses: the inability of the international community to rapidly mobilize an effective response and a lack of adequate domestic health care systems for epidemic preparedness response. While a number of proposals have addressed gaps in the international response, none have yet addressed the remaining issue of building adequate domestic health systems. Although the World Health Organization’s (WHO’s) 2005 International Health Regulations require that all member countries develop and implement a core set of health system capacities, funding constraints have prevented many low-income countries from meeting these requirements. This brief proposes that the World Bank, in collaboration with the WHO, should develop a Pandemic Prevention Program to assist low-income countries in building strong and robust health systems. This program would assist low-income countries in meeting their international obligations, while ensuring sustainable national ownership in order to prevent the next infectious disease epidemic.
Topic:
Health, Infectious Diseases, and World Bank
Political Geography:
West Africa

89. Aboriginal Self-Determination: A Comparative Study of New Zealand, Australia, and the United States of America

Author:
Katie Saulnier
Publication Date:
01-2014
Content Type:
Policy Brief
Institution:
Institute for the Study of International Development, McGill University
Abstract:
Aboriginal groups present with sub-par outcomes in key indicators of well-being across the board. Increased capacity for self-governance presents one possibility for improving these outcomes, but its implementation is complicated by historically acrimonious relationships with federal governments and the larger context of attempting to rectify the complex harms done by colonialism. The solution involves finding the right balance between creating spaces for self-governance and providing the necessary federal assistance where appropriate. This paper discusses the structure of and approaches to Aboriginal self-determination and selfgovernance in New Zealand, Australia, and the United States, with a view toward assessing which approaches could prove effective in Canada. It does so through a variety of lens and by examining impact assessments in a number of key areas.
Topic:
Development, Education, Health, Infrastructure, Self Determination, Economy, History, Colonialism, and Indigenous
Political Geography:
Australia, New Zealand, and United States of America

90. Women, Sports, and Development: Does It Pay to Let Girls Play?

Author:
Barbara Kotschwar
Publication Date:
03-2014
Content Type:
Policy Brief
Institution:
Peterson Institute for International Economics
Abstract:
From the pulse-racing fi ght for hockey gold between Team Canada and Team USA, to Darya Domracheva's three straight biathlon wins, to Dutch speed skater Ireen Wüst becoming the most decorated athlete at the Games, the Winter Olympics in Sochi in February reminded us that women have come a long way in the world of sports. First allowed to join men in 1900, female Olympians were initially limited to lawn tennis, croquet, and golf. By 2014 ski jumping has followed boxing as the newest sport open to women, and women and men now compete in nearly all the Olympic sporting events.
Topic:
Education, Gender Issues, Health, Culture, and Developing World
Political Geography:
Canada

91. The Conflict over Aviation Emissions: A Case of Retreating EU Leadership?

Author:
Antto Vihma and Harro van Asselt
Publication Date:
02-2014
Content Type:
Policy Brief
Institution:
Finnish Institute of International Affairs
Abstract:
Notwithstanding the incremental steps taken in October 2013, meaningful action on regulating international aviation emissions through the International Civil Aviation Organisation (ICAO) remains a distant prospect. The European Union (EU) must decide on its aviation Directive without the guarantee of a global market-based mechanism being agreed in 2016. The strong and uncompromising positions of countries opposed to the inclusion of foreign airlines in the EU's emissions trading system (ETS) are more related to a realist game of politics rather than to the design details of the policy instrument. The political and legal arguments against the European Commission's proposal to amend the EU ETS vis à vis aviation emissions are unconvincing. Europe should also insist on its own sovereign rights-such as the right to regulate international aviation in its own airspace-and consider ways of manifesting more assertiveness in the future in order not to create a precedent with the retreat in the Aviation Directive case. Otherwise, the EU ma y become vulnerable to pressure in other areas of regulation with extraterritorial implications, and the EU's credibility when faced with strong and coordinated external influences might be undermined.
Topic:
Climate Change, Health, Treaties and Agreements, and Infrastructure
Political Geography:
Europe

92. Investing for the Few: The IFC's Health in Africa initiative

Author:
Anna Marriott and Jessica Hamer
Publication Date:
09-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
World Bank Group President Jim Yong Kim has publicly stated that achieving universal health coverage (UHC) and equity in health are central to reaching the two new overarching World Bank Group goals to end extreme poverty by 2030 and boost shared prosperity. Jim Kim has also rightly emphasized the need to close the gap in access to quality health services for the poorest 40 percent of the population and to eliminate point-of-service payments that impoverish people in every country.
Topic:
Government, Health, Foreign Direct Investment, World Bank, and Health Care Policy
Political Geography:
Africa

93. Trading Away Access to Medicines - Revisited: How the European trade agenda continues to undermine access to medicines

Author:
Sophie Bloemen, Tessel Mellema, and Leïla Bodeux
Publication Date:
09-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
The failure of the current pharmaceutical research and development (R) system is revealed by the World Health Organization (WHO) alert about the lack of effective medicines to address antimicrobial resistance, and the absence of a treatment for the deadly Ebola virus that is ravaging communities in West Africa at the time of writing.
Topic:
Health, International Trade and Finance, and Health Care Policy
Political Geography:
Europe

94. Turning the Tide on Ebola: Scaling up public health campaigns before it's too late

Author:
Debbie Hillier
Publication Date:
10-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
The current Ebola outbreak in West Africa is totally unprecedented. The accelerating number of cases, the poor health infrastructure in affected countries, the short supply of skills, knowledge and personnel, and the fear surrounding this disease are providing a huge challenge to affected governments and the international community as they battle to bring the epidemic under control.
Topic:
International Relations, Security, Health, Humanitarian Aid, Foreign Aid, Health Care Policy, and Ebola
Political Geography:
Africa and West Africa

95. Nonfatal Casualties and the Changing Costs of War

Author:
Tanisha M. Fazal
Publication Date:
11-2014
Content Type:
Policy Brief
Institution:
Belfer Center for Science and International Affairs, Harvard University
Abstract:
This policy brief is based on "Dead Wrong? Battle Deaths, Military Medicine, and Exaggerated Reports of War's Demise," which appears in the summer 2014 issue of International Security.
Topic:
Health, War, Military Strategy, and Budget

96. Impacto De La Roya Del Café

Author:
Alberto Vargas
Publication Date:
12-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
Muchas de las comunidades de El Salvador tienen una baja resiliencia (su capacidad de enfrentar y recuperarse de los efectos de los desastres es muy limitada). Existen comunidades que a causa del cambio climático están enfrentando diversos eventos cada uno o dos años.
Topic:
Agriculture, Climate Change, Health, Human Welfare, and Food
Political Geography:
South America

97. Responding to Health Challenges: The Role of Domestic Resource Mobilization

Author:
Samantha Bradshaw and Alan Whiteside
Publication Date:
08-2014
Content Type:
Policy Brief
Institution:
Centre for International Governance Innovation
Abstract:
Over the last decade, tremendous progress has been made in the prevention, care and treatment of HIV/AIDS, TB and malaria globally. The international community has played a key role in this progress and remains committed to the fight, but as implementing countries' economies grow, they are progressively graduating from international support. This could leave national governments, especially health ministers, uncertain about the future of financing available for their national health programs. Without sufficient resources from both domestic and international resources, there is a risk of resurgence of these diseases. If these trends continue, there may not be a "grand convergence" in health by 2035, resulting in enormous economic and social costs.
Topic:
Economics, Health, and Governance
Political Geography:
Africa

98. Designing a Global Coalition of Medicines Regulators

Author:
Stewart M. Patrick and Jeffrey Wright
Publication Date:
08-2014
Content Type:
Policy Brief
Institution:
Council on Foreign Relations
Abstract:
Globalization has transformed the marketplace for medicines in recent decades, giving rise to new threats including the poor traceability of global supply chains, counterfeit and substandard medicines, and antibacterial resistance. Aware that public drug authorities must cooperate to meet the emerging challenges of modern medicines regulation, the U.S. Food and Drug Administration (FDA) has been discussing with counterpart agencies abroad creating a"global coalition of regulators." Yet a coalition alone is not enough; the devil, as always, will be in the details. In pursuit of this goal, the FDA and partner medicines regulatory agencies should design a coalition with five distinct features: narrow scope, to promote realistic goals; flexibility, to adapt to future circumstances; selective membership, to maximize like mindedness, particularly in the early stages; nongovernmental (NGO) participation, to leverage the capacities of both NGOs and for-profit corporations; and institutional partnerships, to orchestrate the activities of other regulatory organizations.
Topic:
Globalization, Health, International Cooperation, and Non-Governmental Organization

99. Policy and practice requirements for bringing to scale sexual violence services in low resource settings.

Author:
N Kilonzo, E Dartnall, and M Obbayi
Publication Date:
04-2013
Content Type:
Policy Brief
Institution:
The Sexual Violence Research Initiative
Abstract:
As many as seven in ten women in the world report experiencing physical and/or sexual violence at some point in their lifetime [1]. The impact of sexual violence on health, productivity, economy and a country's ability to achieve its development goals is well documented [2]. States have a responsibility to enact and enforce laws that protect their citizens from sexual violence. Where protection fails, there is a responsibility to provide survivors with the requisite services to address the physiological, psychological consequences and ensure they receive positive justice outcomes. However, few countries have the policy, legal environments and service infrastructure to respond or influence uptake of health, social and justice related services by survivors of sexual violence [3]. For example, 127 countries still do not have effective laws on marital rape even though it is a crime under international law [4]. Cultural beliefs and societal responses can be major barriers to victims seeking help post assault. A range of sectors are required to deliver services to survivors of sexual violence including health, criminal justice and social services [5, 6]. In many countries around the world, post rape care is often fragmented, of limited scope, coverage and quality, focusing mainly on immediate clinical care with poor medico-legal linkages [3], with limited attention given to mental health needs of survivors and service providers [7, 8]. Follow up and long-term management of sexual and reproductive health including HIV outcomes of survivors is severely lacking.
Topic:
Crime, Development, Gender Issues, Health, Human Rights, Human Welfare, and Health Care Policy

100. Smashing Atoms for Peace: Using Linear Accelerators to Produce Medical Isotopes without Highly Enriched Uranium

Author:
David Nusbaum
Publication Date:
10-2013
Content Type:
Policy Brief
Institution:
Belfer Center for Science and International Affairs, Harvard University
Abstract:
Nuclear research reactors are used in many countries for many different purposes. Most of the reactors are used for research (mainly in physics), training for nuclear operators and engineers, materials testing in radiation conditions, or the production of radioiso¬topes for medicine and industry. Some countries, like Iran, are building new reactors ostensibly to fill these needs. Many of these reactors operate with highly enriched uranium (HEU) nuclear fuel — in most cases, enriched to around 90 percent, the same as fuel for nuclear weapons. The production and fabrication of HEU fuel, and the handling, transport, and storage of both fresh and spent fuel containing HEU entails considerable proliferation, security, and safety risks as well as very high costs. The global stockpile of highly enriched uranium was about 1500 tons in 2012, which was enough for more than 60,000 simple, first gen¬eration implosion weapons. About 98 percent of this material is held by the nuclear weapon states, with the largest HEU stockpiles in Russia and the United States.
Topic:
Security, Education, Energy Policy, Health, and Nuclear Power
Political Geography:
Russia, United States, and Iran