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  • Author: Nellie Bristol
  • Publication Date: 07-2015
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: The Global Polio Eradication Initiative (GPEI) in April 2013 unveiled an ambitious six-year strategy aimed at finally ending polio worldwide. The four-pronged approach called for stopping transmission in the remaining polio endemic countries while also eliminating rare but paralyzing vaccine-related polio. It outlined plans to ensure proper laboratory and health facility containment of poliovirus as eradication neared. Lastly, the Polio Eradication & Endgame Strategic Plan 2013–2018 urged countries, donors, and international partners to begin planning for the transition of polio program resources to country heath systems and other health initiatives. The drive to eradicate polio is at a pivotal point. The number of cases is down globally compared to last year. Polio programs in both Nigeria and Pakistan are moving in a positive direction while progress in Afghanistan is holding steady. A successful move to bivalent OPV would greatly reduce the number of polio cases caused by vaccine viruses and set the stage for an eventual worldwide switch to IPV. But extraordinary efforts still are required to reach the endgame strategy’s goals.
  • Topic: Health, Infectious Diseases, Health Care Policy
  • Author: Richard Downie, Sahil Angelo
  • 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: Health, Health Care Policy
  • Political Geography: South Africa
  • Author: Nellie Bristol
  • Publication Date: 01-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: As national incomes have risen across diverse countries—along with the burden of noncommunicable diseases—demand has intensified for quality, affordable health services. Many countries today are actively seeking to bring about universal health coverage—ensuring quality health services for all at a price that does not create undue financial pressure for individuals seeking care. The effort has stirred expanded interest and guidance from international organizations such as the World Health Organization and the World Bank, and led to new platforms for developing countries to learn from each other. While universal health coverage will provide new funding and opportunities, including for the private sector, there is a need for dynamic, transparent negotiations among all health constituents, to forge enduring, feasible arrangements that ensure quality services reach all populations and make the best use of scarce health resources. Universal health coverage will remain a work in progress for many countries for many years. It will require grappling with considerable uncertainties and risks. It also has the potential to attract greater attention to health spending, health systems, and improved equity, advances that will benefit human development more broadly.
  • Topic: Development, Economics, Health, International Organization
  • Political Geography: Brazil
  • Author: Judyth L. Twigg
  • Publication Date: 03-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Over the last few years, Russia's relationship with the United States has traveled a swift and seemingly deliberate arc from partner to pariah. The current turmoil in Ukraine and near-certain resulting isolation of Russia culminate several years' worth of deteriorating ties. The Edward Snowden mess, disagreements over Syria and Iran, dismay over the eroding human rights environment in Russia, and now Russian annexation of Crimea have led the previously heralded "reset" to an unceremonious end. What are the implications of these and related developments for U.S.-Russia collaboration in medicine and public health? Should avenues of partnership remain open, even in such a frosty political context? Should the international community support Russia's health sector when ample resources exist within Russia itself? Is it even possible anymore?
  • Topic: Development, Diplomacy, Economics, Health, Human Rights, Human Welfare, Bilateral Relations
  • Political Geography: Russia, United States, North America
  • Author: Nicole Goldin
  • Publication Date: 04-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Youth comprise a quarter of the world's population, but remain an underutilized source of innovation, energy, and enthusiasm in global efforts to achieve and promote the increased wellbeing of all. As children grow and mature into adults, they make choices that affect not only their own wellbeing, but that of their families, communities, and countries. Youth-inclusive societies are more likely to grow and prosper, while the risks of exclusion include stinted growth, crime, and unrest. Therefore, it is imperative that education and health systems, labor markets, and governments serve their interests and provide the policies, investments, tools, technology, and avenues for participation they need to thrive and succeed. Yet, at a time when policy and investment decisions are increasingly data driven, data on youth development and wellbeing is often fragmented, inconsistent, or nonexistent. Thus, our understanding of how young people are doing in their own right and vis-à-vis their peers elsewhere is limited. As a result, the needs of young people often remain unexposed and marginalized by their complexity.
  • Topic: Security, Development, Economics, Education, Health, Human Rights, Youth Culture
  • Author: Janet Fleischman, Alisha Kramer
  • Publication Date: 04-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: For decades, the United States has been the global leader in supporting voluntary family planning services around the world. The benefits of family planning are numerous, not only for women's health, but also for increasing child survival, nutrition, education, and economic development, as well as preventing mother-to-child transmission of HIV. For these reasons, family planning is a core component of sustainable development.
  • Topic: Health, Foreign Aid, Health Care Policy
  • Political Geography: Africa, United States
  • Author: Katherine E. Bliss
  • Publication Date: 04-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Toward the end of 2014, the Global Alliance for Vaccines and Immunisation (GAVI) will host a pledging conference to generate funds for activities to be carried out during 2016–2020.
  • Topic: Diplomacy, Health, Foreign Aid
  • Political Geography: United States
  • Author: Nellie Bristol
  • Publication Date: 09-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: The Global Polio Eradication Initiative (GPEI), a 26 year, $11 billion drive to eradicate poliovirus worldwide, is one of the largest public health initiatives ever. It is led by national governments together with the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), the U.S. Centers for Disease Control and Prevention (CDC), Rotary International, and the Bill Melinda Gates Foundation. Involving a variety of partners from NGOs to universities and foundations and engaging millions of health workers and volunteers, the GPEI has provided billions of polio vaccine doses around the world. While it recently has faced new outbreaks and international spread of poliovirus, the GPEI has reduced the annual number of polio cases globally by more than 99 percent.
  • Topic: Health, World Health Organization, Health Care Policy
  • Political Geography: India, United Nations
  • Author: Katherine E. Bliss, Cathryn Streifel
  • Publication Date: 11-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: In June 2014, a small team from the CSIS Global Health Policy Center traveled to Ghana to examine U.S. bilateral support for maternal, neonatal, and child health (MNCH). The purpose of the trip was to plan a return visit with a delegation of U.S. congressional staff in August 2014. Ghana's mixed progress toward meeting Millennium Development Goals (MDG) 4 and 5 related to maternal and child health; its strong relationship on immunizations with Gavi, the Vaccine Alliance; and its longstanding partnership on health with the United States were all reasons we decided to examine the country's MNCH situation. By late July, the acceleration of the Ebola outbreak in West Africa led us to postpone the trip until emergency preparations are not a major focus of the Ghanaian government, the United States, and other partners. Considering the fruitful meetings we had in June, we have captured here some of our initial impressions, observations, and recommendations.
  • Topic: Health, Infectious Diseases, Foreign Aid
  • Political Geography: Africa, United States, Ghana
  • Author: William G. Brogdon, Anthony Fiore, S.P. Kachur, Laurence Slutsker, Robert A. Wirtz
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Insecticide (DDT) use to control malaria was first employed successfully in the antimalaria program in Greece in 1947. By 1951, DDT success in controlling malaria was reported in 22 countries. However, that year also saw the first report of DDT resistance, in Anopheles sacharovi in Greece. By 1954, resistance to DDT among mosquitos was known to be a global problem, documented in Europe, the Americas, Africa, and Asia. The World Health Organization–led Global Malaria Eradication Program (GMEP) began in 1955, when resistance was already pronounced worldwide. Scientists did not identify the underlying biochemical mechanism contributing to insecticide resistance until 1958. By then, insecticide resistance was recognized by many to be a major contributor to the ultimate dismantling of GMEP, given the limited capabilities and knowledge of the time. Consequently, the global focus shifted from malaria “eradication” to malaria “control” in the late 1960s.
  • Topic: Environment, Health, Infectious Diseases
  • Political Geography: Africa, Greece, Asia
  • Author: Mark Fukuda, Tom Cullison
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: In the Greater Mekong Subregion (GMS), militaries remain essential to any effort to control and eliminate artemisinin-resistant malaria. Stretching back to World War II and the Vietnam War, the U.S. Department of Defense (DoD) has a long and distinguished history researching and developing new tools for malaria control, in partnership with both military and civilian host government experts. Since the mid-1990s, DoD has significantly expanded its global surveillance, training, and capacity - building investments. As Southeast Asian countries have mobilized in recent years against artemisinin-resistance with the ultimate aim of malaria elimination, DoD and regional militaries have actively joined the effort, initiating promising pilot approaches in Southeast Asia. To strengthen DoD's contribution, it is proposed that the United States launch a Defense Malaria Elimination Program that will significantly enhance partner militaries' capacities, advance the goal of elimination, including the threat of resistance, and accelerate the development of drugs and vaccines.
  • Topic: Defense Policy, Health, Humanitarian Aid
  • Political Geography: United States, Vietnam, Southeast Asia
  • Author: PATH Malaria Center of Excellence
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Over the past 15 years, malaria has gained increased attention and action from the public health community, with researchers, global and national funders, and, most importantly, national governments and communities in endemic areas. Renewed efforts to fight the disease have resulted in an unprecedented 50 percent reduction in malaria deaths in African children since 2000. This progress has been achieved in large part because effective, efficient, and affordable tools emerged as a result of earlier investments in research and development.
  • Topic: Health, Human Welfare, Humanitarian Aid, International Cooperation, Infectious Diseases
  • Political Geography: Africa
  • Author: Christopher V. Plowe
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: The malaria parasite is thought to have killed more people throughout human history than any other single cause. Over the last decade, a large increase in resources for combating malaria — with the lion's share coming from U.S. taxpayers — has resulted in dramatic reductions in malaria cases and deaths in many countries. These successes spurred the Bill Melinda Gates Foundation and the World Health Organization (WHO) to call for global eradication of malaria in 2007.
  • Topic: Development, Health, Humanitarian Aid, World Health Organization, Infectious Diseases
  • Political Geography: United States
  • Author: Nellie Bristol
  • Publication Date: 12-2014
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Earlier this fall, Nepal became the first low - income country to introduce the inactivated polio vaccine (IPV) into its immunization system. Many more countries will have to follow suit to meet the ambitious deadlines laid out in the Global Polio Eradication Initiative's (GPEI) Polio Eradication Endgame Strategic Plan 2013 – 2018. The plan calls for global introduction of at least one dose of IPV into routine childhood immunization schedules followed by eventual withdrawal of the widely used oral polio vaccine (OPV). Currently, 75 mostly high - and middle - income countries use the injectable IPV in their immunization systems, leaving 119 that need to do so by the end of 2015 to keep with the plan's schedule.
  • Topic: Health, Health Care Policy
  • Political Geography: Asia, Nepal
  • Author: Jennifer G. Cooke, Farha Tahir
  • Publication Date: 01-2013
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: As the Millennium Development Goals (MDGs) target date of 2015 approaches, there is a growing sense of urgency among international agencies to intensify efforts on the global challenge of maternal health, where, according to the 2012 MDG progress report, levels of maternal mortality remain “far from the 2015 target”. In 2012, both the G - 8 and the African Union made maternal and child health a keystone of their respective annual summits , and the United Nations launched the Global Strategy for Women ' s and Children ' s Health at a special General Assembly event. A 2 012 global summit in London, co - led by the Gates Foundation, the UK government, and the UN Population Fund, generated $2.6 billion in donor pledges for family planning, a critical element of maternal health. The United States has made maternal health an increasingly important element in U.S. global health efforts, manifested most recently with the launch in June 2012 of the Saving Mothers, Giving Life initiative. The initiative, an ambitious public - private partnership intended “ to drive efficiencies, spur innovation, and ensure impact ” in maternal health , has the strong backing of Secretary of State Hillary Clinton, for whom maternal and child health, and women's empowerment more generally, have been consistent priorities.
  • Topic: Gender Issues, Health, Humanitarian Aid, Health Care Policy
  • Political Geography: Africa
  • Author: Katherine E. Bliss
  • Publication Date: 05-2013
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Hopes are high for a successful outcome of the 2013 replenishment process, through which the Global Fund to Fight AIDS, Tuberculosis and Malaria seeks pledges of $15 billion to support planned activities for 2014-2016. Yet at a time when some experts argue it is finally possible to “turn the tide” on HIV/AIDS, malaria, and tuberculosis, it is unclear whether countries and other donors will pledge adequate funding to meet the revitalized Fund's replenishment goal. The United States has an essential leadership role to play in helping ensure a successful 2013 replenishment outcome. In the short term it must come through with a strong pledge of its own and engage diplomatically with a range of donor and beneficiary countries to demonstrate support for the organization. In the longer term the U.S. will need to work with the Fund and other governments to identify new ways for public and private-sector entities, as well as individuals, to support the Global Fund's work.
  • Topic: Diplomacy, Health, Humanitarian Aid, Foreign Aid, Health Care Policy
  • Political Geography: United States
  • Author: Janet Fleischman, Alisha Kramer
  • Publication Date: 05-2013
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: U.S. policymakers and private-sector partners increasingly appreciate the importance of targeted U.S. investments in women's health to achieve global health outcomes, especially in sub-Saharan Africa.With budgetary constraints worsening, progress in women's health will require maximizing investments by engaging new partners, identifying program synergies, and aligning with countries' national priorities to meet women's needs. Such strategic coordination—involving maternal newborn and child health, voluntary family planning, and HIV and AIDS services—presents new opportunities to expand the impact of U.S. investments.
  • Topic: Gender Issues, Health, Humanitarian Aid, Foreign Aid, Health Care Policy
  • Political Geography: Africa, United States
  • Author: Katherine E. Bliss, Haruko Sugiyama, Ayaka Yamaguchi, Hiromi Murakami
  • Publication Date: 05-2013
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: Recent years have seen a considerable shift in the sources of financial assistance for global health activities. With the private sector as well as emerging economies joining the more developed nations as major players, the balance of power is changing, leading to a momentous shift in perceptions of “global health.” Japan has yet to adopt a comprehensive approach that acknowledges the new global health reality. With political changes, natural disasters, and a sluggish economy dominating the policy scene in recent years, there has been little appetite among decision-makers to develop—in a practical sense—more effective ways to strategically support global health activities in facilitating a greater impact of Japan's foreign policy. Japan must develop a comprehensive perspective of global health in order to maximize aid effectiveness and to promote transparency in order to boost the overall effectiveness of the country's initiatives and benefit the people of Japan, as well.
  • Topic: Foreign Policy, Development, Emerging Markets, Globalization, Health, Health Care Policy
  • Political Geography: Japan, Israel
  • Author: Katherine Bliss (ed), Victor D. Cha
  • Publication Date: 05-2013
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: In the fall of 2012 the Center for Strategic and International Studies (CSIS) Global Health Policy Center organized a working group to analyze progress on diplomatic outreach to advance global health during the first four years of the Barack Obama administration. Over three sessions the working group members, who included health policy researchers, former diplomats, and an ex- officio group of current government officials, met to discuss emerging trends related to global health diplomacy and to develop a set of recommendations to enhance U.S. diplomatic outreach on global health for the next four years. Much of the working group's effort focused on the important role played by the secretary of state in raising the visibility of global health challenges on the world stage and on the Department of State's potential to promote greater coherence and integration of U.S. overseas health programs in the next presidential term.
  • Topic: Foreign Policy, Diplomacy, Emerging Markets, Globalization, Health, Health Care Policy
  • Political Geography: United States
  • Author: J. Stephen Morrison, Sharon Stash, Todd Summers
  • Publication Date: 03-2013
  • Content Type: Working Paper
  • Institution: Center for Strategic and International Studies
  • Abstract: South Africa has the highest burden of HIV/AIDS in the world, with 5.6 million people living with the virus and over 400,000 newly infected annually. Since 2004, the U.S. government has committed more than $4 billion to combating HIV/AIDS in South Africa—the largest U.S. investment in HIV/AIDS worldwide. Continued progress in controlling HIV/AIDS in South Africa, the epicenter of the pandemic, is pivotal to sustained progress against the disease worldwide.
  • Topic: Foreign Policy, Health, International Cooperation, Bilateral Relations, Health Care Policy
  • Political Geography: Africa, United States, South Africa