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  • Publication Date: 07-2015
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: South Africa’s health system is approaching a make or break moment. Can it complete a set of complex organizational reforms and place itself on a sustainable financial footing that will enable it to deliver first-rate health care services to patients? Or will a stalled political process, economic stagnation, and the country’s daunting—and expanding—health burden torpedo the reform effort and cause the system to grind to a halt, with dire consequences for the nation’s health? CSIS explored these questions on a recent research trip to South Africa. This report summarizes the findings
  • Topic: Infectious Diseases, Health Care Policy, Reform
  • Political Geography: South Africa
  • Author: Richard Jackson
  • Publication Date: 03-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: FROM THE CONGRESSIONAL BUDGET OFFICE AND THE GOVERNMENT ACCOUNTABILITY OFFICE TO THE BOWLES-SIMPSON AND DOMENICI-RIVLIN COMMISSIONS, everyone who has looked seriously at the fiscal arithmetic agrees that there is no solution to America's long-term budget problem that does not include fundamental entitlement reform. After all, federal entitlement programs make up well over half of federal spending today and account for all projected growth in noninterest outlays as a share of GDP over the next three decades.
  • Topic: Development, Economics, International Cooperation, Reform
  • Political Geography: America
  • Author: Richard M. Rossow
  • Publication Date: 07-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: The Bharatiya Janata Party's (BJP) historic victory in the spring 2014 Lok Sabha1 election was a tremendous accomplishment—yet it still leaves the party with impartial control, at best. Weakness in the Rajya Sabha, where the BJP only holds 43 out of 243 seats, may limit the party's ability to enact legislative reforms. And the fact that the BJP only controls 5 of India's 29 states will also blunt the impact of any policy measures adopted at the center. In order to enact a true economic transformation, the BJP will either need the support of a wide range of unaligned parties—which would be a historical abnormality—or to consolidate its power at the state level by winning upcoming state elections. With the BJP's powerful show of force across India in the Lok Sabha election, winning state elections appears to be a viable path.
  • Topic: Democratization, Regime Change, Governance, Reform
  • Political Geography: India, Southeast Asia
  • Author: Robert A. Pollard, Gregory N. Hicks
  • Publication Date: 07-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: At a time when economics has become a more central feature of international relations, the United States needs to raise its game in international economic policy to sustain global leadership. Yet the U.S. government is not well organized at present to meet this challenge.
  • Topic: Foreign Policy, Diplomacy, Economics, International Trade and Finance, Reform
  • Political Geography: United States
  • Author: Janet Fleischman, Cathryn Streifel
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: The Senegalese minister of health, Dr. Awa Marie Coll-Seck, used a familiar term with us to express her commitment to expanding access to family planning—“yes we can.” That is a bold proposition in such a conservative country, in a region with some of the world's highest maternal mortality and unmet need for family planning. Her leadership reflects an important moment in Senegal, and prospects for advancing women's health and family planning in the subregion may depend on its success.
  • Topic: Development, Gender Issues, Human Welfare, Reform
  • Political Geography: Senegal
  • Author: Anthony H. Cordesman
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Creating an effective transition for the ANSF is only one of the major challenges that Afghanistan, the US, and Afghanistan's other allies face during 2014-2015 and beyond. The five other key challenges include: Going from an uncertain election to effective leadership and political cohesion and unity. Creating an effective and popular structure governance, with suitable reforms, from the local to central government, reducing corruption to acceptable levels, and making suitable progress in planning, budgeting, and budget execution. Coping with the coming major cuts in outside aid and military spending in Afghanistan, adapting to a largely self-financed economy, developing renewal world economic development plans, carrying out the reforms pledged at the Tokyo Conference, and reducing the many barriers to doing business. Establishing relations with Pakistan and other neighbors that will limit outside pressures and threats, and insurgent sanctuaries on Afghanistan's border. Persuading the US, other donors, NGCO, and nations will to provide advisors to furnish the needed aid effort through at least 2018, and probably well beyond.
  • Topic: Corruption, Economics, Governance, Reform
  • Political Geography: Afghanistan, Asia