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101. The Myth or Reality of US Energy Independence

Author:
Anthony H. Cordesman
Publication Date:
01-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
US “independence” from energy imports has been a key source of political dispute ever since the October War in 1973 and the Arab oil embargo that followed. Much of this debate has ignored or misstated the nature of the data available on what the US options are, as well as the uncertainties involved in making any long range projections.
Topic:
Security, Foreign Policy, Energy Policy, International Trade and Finance, and Oil
Political Geography:
United States, Middle East, and Arabia

102. Replenishing the Global Fund in 2013

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, and Health Care Policy
Political Geography:
United States

103. THE GULF MILITARY BALANCE Volume III: The Gulf and the Arabian Peninsula

Author:
Anthony H. Cordesman and Robert M. Shelala II
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The US faces major challenges in dealing with Iran, the threat of terrorism, and the tide of political instability in the Arabian Peninsula. The presence of some of the world's largest reserves of oil and natural gas, vital shipping lanes, and Shia populations throughout the region have made the peninsula the focal point of US and Iranian strategic competition. Moreover, large youth populations, high unemployment rates, and political systems with highly centralized power bases have posed other economic, political, and security challenges that the GCC states must address, and which the US must take into consideration when forming strategy and policy. An updated study by the CSIS Burke Chair explores US and Iranian interests in the region, Gulf state and GCC policies toward both the US and Iran, and potential flash-points and vulnerabilities in the Gulf to enhanced competition with Iran. This study examines the growing US security partnership with Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the UAE – established as the Gulf Cooperation Council (GCC). It analyzes the steady growth in this partnership that has led to over $64 billion in new US arms transfer agreements during 2008-2011. It also examines the strengths and weaknesses of the security cooperation between the southern Gulf states, and their relative level of political, social, and economic stability. The study focuses on the need for enhanced unity and security cooperation between the individual Gulf states. It finds that such progress is critical if they are to provide effective deterrence and defense against Iran, improve their counterterrorism capabilities, and enhance other aspects of their internal security.
Topic:
Security, Islam, Oil, Terrorism, Natural Resources, and Counterinsurgency
Political Geography:
United States, Middle East, and Arabia

104. THE GULF MILITARY BALANCE Volume II: The Missile and Nuclear Dimensions

Author:
Anthony H. Cordesman and Bryan Gold
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The report shows that Iran's current missile and rocket forces help compensate for its lack of effective air power and allow it to pose a threat to its neighbors and US forces that could affect their willingness to strike on Iran if Iran uses its capabilities for asymmetric warfare in the Gulf or against any of its neighbors. At another level, Iran's steady increase in the number, range, and capability of its rocket and missile forces has increased the level of tension in the Gulf, and in other regional states like Turkey, Jordan, and Israel. Iran has also shown that it will transfer long-range rockets to “friendly” or “proxy” forces like the Hezbollah and Hamas. At a far more threatening level, Iran has acquired virtually every element of a nuclear breakout capability except the fissile material needed to make a weapon. This threat has already led to a growing “war of sanctions,” and Israeli and US threats of preventive strikes. At the same time, the threat posed by Iran's nuclear programs cannot be separated from the threat posed by Iran's growing capabilities for asymmetric warfare in the Gulf and along all of its borders. It is far from clear that negotiations and sanctions can succeed in limiting Iran's ability to acquire nuclear weapons and deploy nuclear-armed missiles. At the same time, the report shows that military options offer uncertain alternatives. Both Israel and the US have repeatedly stated that they are planning and ready for military options that could include preventive strikes on at least Iran's nuclear facilities and, and that US strikes might cover a much wider range of missile facilities and other targets. A preventive war might trigger a direct military confrontation or conflict in the Gulf with little warning. It might also lead to at least symbolic Iranian missile strikes on US basing facilities, GCC targets or Israel. At the same time, it could lead to much more serious covert and proxy operations in Lebanon, Iraq, Afghanistan, the rest of the Gulf, and other areas.
Topic:
Conflict Resolution, Arms Control and Proliferation, Nuclear Weapons, and War
Political Geography:
United States, Iran, and Middle East

105. THE GULF MILITARY BALANCE Volume I: The Conventional and Asymmetric Dimensions

Author:
Anthony H. Cordesman and Byran Gold
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Iran almost certainly recognizes that US conventional superiority would give the US and its Gulf allies the upper hand in a serious conventional conflict where they could use the full spectrum of their abilities to attack a range of Iranian military targets. As a result, Iran is linking the steady expansion of its asymmetric forces to new uses of its conventional forces, and is building up its missile and nuclear capabilities, in part to deter retaliation against its use of asymmetric warfare, and in part to pose a major challenge to US and allied conventional superiority If the US is to successfully neutralize this complex mix of threats that can be used in so many different ways and at some many different levels of escalation, it must continuously adapt its forward deployed and power projection forces to deal Iranian efforts to improve its capability conduct a battle of attrition in the Gulf or near it, and deal with contingencies like Iran's use of free floating mines, unattributable attacks, and any other form of asymmetric warfare than threatens friendly Gulf states and the flow of world energy exports from the region. The US, must also work with its Gulf partners and other allies to deter and defend against very different types of conflict and be prepared to face sharp limits on the amount of force it can use. US success depends on building up the capabilities of its strategic partners in the Arab Gulf, as well as improving its cooperation with more traditional partners like Britain and France.
Topic:
Conflict Resolution, Arms Control and Proliferation, and Nuclear Weapons
Political Geography:
United States and Middle East

106. Strengthening U.S. Investments in Women's Global Health

Author:
Janet Fleischman and 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, and Health Care Policy
Political Geography:
Africa and United States

107. The Changing Landscape of Global Health Diplomacy

Author:
Katherine Bliss (ed) and 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, and Health Care Policy
Political Geography:
United States

108. Realizing the Potential of U.S. Unconventional Natural Gas

Author:
Sarah O. Ladislaw, David Pumphrey, Molly A. Walton, Frank A. Verrastro, and Lisa A. Hyland
Publication Date:
04-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The ability to access and economically develop vast amounts of America's unconventional natural gas resources, especially large shale gas formations, has altered our national view on energy and has subsequently changed the discourse at the federal, state, and local levels. Since 2008, when the economic viability of shale gas resources first became widely recognized, policymakers and industry leaders have worked to better understand the nature of this resource; the risks and opportunities associated with its production, transport, and use; and the potential strategic implications of the United States' new energy reality.
Topic:
Energy Policy, Environment, Non-Governmental Organization, and Natural Resources
Political Geography:
United States

109. Defense Cuts, Sequestration, and the US Defense Budget

Author:
Anthony H. Cordesman and Robert M. Shelala II
Publication Date:
04-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Concepts are not a strategy. Broad outlines do not set real priorities. A strategy requires a plan with concrete goals numbers schedules and costs for procurement, allocation, manpower, force structure, and detailed operational capabilities. For all the talk of 10 years of planned spending levels and cuts, the President and Congress can only shape the actual budget and defense program one year at a time. Unpredicted events and realities will intervene. There is a near zero real world probability that the coming plan and budget will shape the future in spite of changes in the economy, politics, entitlements, and threats to the US.
Topic:
Foreign Policy, Defense Policy, Arms Control and Proliferation, International Cooperation, War, and Counterinsurgency
Political Geography:
United States

110. The Future of the U.S.–South Africa HIV/AIDS Partnership

Author:
J. Stephen Morrison, Sharon Stash, and 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, and Health Care Policy
Political Geography:
Africa, United States, and South Africa

111. Restoring U.S. Leadership in Nuclear Energy

Author:
Michael Wallace and George David Banks
Publication Date:
06-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
America's nuclear energy industry is in decline. Low natural gas prices, financing hurdles, failure to find a permanent repository for high-level nuclear waste, reactions to the Fukushima accident in Japan, and other factors are hastening the day when existing U.S. reactors become uneconomic, while making it increasingly difficult to build new ones. Two generations after the United States took this wholly new and highly sophisticated technology from laboratory experiment to successful commercialization, our nation is in danger of losing an industry of unique strategic importance and unique promise for addressing the environmental and energy security demands of the future.
Topic:
Energy Policy, Oil, Science and Technology, Natural Resources, and Nuclear Power
Political Geography:
United States

112. The Civil-Military Challenge to National Security Spending

Author:
Anthony H. Cordesman
Publication Date:
10-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Perhaps the worst part of the debate that has led to the shut down of the federal government is its almost total irrelevance. It threaten both the US economy and US national security, but it does even begin to touch upon the forces that shape the rise in entitlements spending or their underlying causes.The Congressional debate does not address the forces that have led to a form of sequestration that focuses on defense as if it were the key cause of the deficit and pressures on the debt ceiling. It does not address the irony that much of defense spending has direct benefits to the US economy and that the spending on foreign wars–the so-called OCO account–dropped from $158.8 billion in FY2011 to some $88.5 billion in FY2013, and is projected to drop to around $37 billion in FY2015. Much of the debate focuses on the Affordable Care Act or "Obama Care"–a program whose balance between federal expenditures and revenues is sufficiently uncertain so the Congressional Budget office can only make limited forecasts, but whose net impact cannot come close to the cost pressures that an aging America and rising national medical costs have put on Federal entitlements in the worst case NDS May actually have a positive impact in the best case.The following briefing provides a range of estimates that addresses the real issues that are shaping the overall pressures that poverty, an aging America, and rising medical costs are putting on the US economy and federal spending. It draws on a range of sources to show how different estimates affect key trends, but focuses on data provide by a neutral arm of the same Congress that has paralyzed the US government and whose action threaten the funding on a viable national security strategy.
Topic:
Security, Defense Policy, Arms Control and Proliferation, Economics, and Governance
Political Geography:
United States and America

113. Chinese Military Modernization and Force Development

Author:
Anthony H. Cordesman, Nicholas S. Yarosh, and Ashley Hess
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The United States and the People's Republic of China (PRC) face a critical need to improve their understanding of how each is developing its military power and how to avoid forms of military competition that could lead to rising tension or conflict between the two states. This report utilizes the unclassified data available in the West on the trends in Chinese military forces. It relies heavily on the data in the US Department of Defense (DoD) Report to Congress on Military and Security Developments Involving the People's Republic of China, particularly the 2013 edition.
Topic:
Security, Defense Policy, and Arms Control and Proliferation
Political Geography:
United States and China

114. Iran's Present Day Military Capabilities and Military Aspirations in the Middle East

Author:
Anthony H. Cordesman
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Far too much of the analysis of Iran's search for nuclear weapons treats it in terms of arms control or focuses on the potential threat to Israel. In reality, Iran's mix of asymmetric warfare, conventional warfare, and conventionally armed missile forces have critical weaknesses that make Iran anything but the hegemon of the Gulf. Iran's public focus on Israel also disguises the reality that its primary strategic focus is to deter and intimidate its Gulf neighbors and the United States – not Israel. It has made major progress in creating naval forces for asymmetric warfare and developing naval missiles, but it has very limited air-sea and intelligence, surveillance and reconnaissance (IS) capabilities. It lacks modern conventional land, air, air defense and sea power, has fallen far behind the Arab Gulf states in modern aircraft and ships, and its land forces are filled with obsolete and mediocre weapons that lack maneuver capability and sustainability outside Iran. Iran needs nuclear weapons to offset these facts.
Topic:
Security, Foreign Policy, Defense Policy, Arms Control and Proliferation, Nuclear Weapons, Treaties and Agreements, and Weapons of Mass Destruction
Political Geography:
United States, Iran, Middle East, Israel, and Arabia

115. Changing US Security Strategy: The Search for Stability and the "Non-War" against "Non-Terrorism"

Author:
Anthony H. Cordesman
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
More than a decade into the “war on terrorism,” much of the political debate in the US is still fixated on the legacy of 9/11. US politics has a partisan fixation on Benghazi, the Boston Marathon bombing, intelligence intercepts, and Guantanamo. Far too much US attention still focuses on “terrorism” at a time the US faces a much broader range of threats from the instability in the Middle East North Africa (MENA) and Islamic world. Moreover, much of the US debate ignores the fact that the US has not actually fought a “war on terrorism” over the last decade, and the US failures in using military force and civil aid in Afghanistan and Iraq. The US has not fought wars as such, but rather became involved in exercises in armed nation building where stability operations escalated into national building as a result of US occupation and where the failures in stability operations and nation building led to insurgencies that forced the US into major counterinsurgency campaigns that had little to do with counterterrorism. An analysis of the trends in the Iraq and Afghan conflicts shows that the US has not been fighting a war on terrorism since Bin Laden and Al Qaida Central were driven into Pakistan in December 2001. The US invaded Afghanistan and Iraq and then made stability operations and armed nation building its key goals. It was US mishandling of these exercises in armed nation building that led to major counterinsurgency campaigns although – at least in the case of Afghanistan --the US continued to label its military operations as a struggle against “terrorism.” By 2013, the US had committed well over $1.4 trillion to these exercises in Afghanistan and Iraq. At the same time, the US made massive increases in its domestic spending on homeland defense that it rationalized as part of the fight against terrorism but often had little or nothing to do with any aspect of counterterrorism. At the same time, the US failed to develop consistent or useful unclassified statistics on the patterns in terrorism and its counterterrorism activities. The US government has never provided a meaningful break out of federal activities and spending at home or abroad which actually focus on terrorism, or any unclassified measures of effectiveness. The OMB has lumped a wide range of activities that have no relation to terrorism it its reporting on the President's budget request – activities whose total cost now approach $60 billion a year. The Department of Defense has never provided a meaningful estimate of the total cost of the wars in Afghanistan and Iraq, or a break out of the small portion of total overseas contingency operations (OCO) spending actually spent on counterterrorism versus counter insurgency. The State Department and US intelligence community provide no meaningful unclassified data on the cost of their counterterrorism effort and it is unclear that they have developed any metrics at any level that show the cost-benefits of their activities. The annual US State Department country reports on terrorism come as close to an unclassified report on the status of terrorism as the US government provides. While many portions are useful, the designation of terrorist movements is often political and shows the US designation of terrorist movements conflates terrorism and insurgency. The closest the US has come to developing any metrics on terrorism has been to develop an unclassified database in the National Counter-Terrorism Center (NCTC) that never distinguished terrorism from insurgency. This database formed the core of the statistical annex to State Department reporting, but has since been withdrawn without explanation. As this analysis shows in detail, it now has been replaced by a contractor effort that makes all of the previous mistakes made by the NCTC. The end result is a set of official reporting and statistics in the annex to the State Department report where “terrorism” remains remained poorly defined, badly structured, ignored in parts of the world, and conflates terrorism with counterinsurgency, instability, and civil war. A review of the Afghan, Iraq conflicts, and other recent conflicts in the MENA region shows just how serious these problems are in distorting the true nature of the wars the US is fighting and the threats it faces. The same is true of the unclassified reporting the US government provides on terrorism. A detailed review of the most recent State Department report on terrorism provides important insights into key terrorist movements, but the narratives generally ignore their ties to insurgent movements, their statistical data include some major insurgent movements and exclude others, and many of the data seem to include violence that is not truly terroristic in character.
Topic:
Conflict Prevention, Foreign Policy, Defense Policy, Islam, Terrorism, and Counterinsurgency
Political Geography:
Afghanistan, United States, Middle East, and North Africa

116. A U.S.-Indonesia Partnership for 2020: Recommendations for Forging a 21st Century Relationship

Author:
Murray Hiebert, Gregory B. Poling, and Ted Osius
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The U.S.- Indonesia relationship is critical to the national interests of both nations, and will only grow more so in the years to come. The catch words are now well- known. Indonesia is the world's fourth largest country and third largest democracy. It is the largest Muslim- majority nation, one of the most pluralistic societies on the planet. Its political system provides proof that democratic norms and values are not dependent on culture, history, or religion.
Topic:
Foreign Policy, Development, Diplomacy, Economics, Science and Technology, Bilateral Relations, and Foreign Aid
Political Geography:
United States, Indonesia, and Southeast Asia

117. Offensive Cyber Capabilities at the Operational Level

Author:
Maren Leed
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
At present, the defense policy landscape is replete with arguments, many of which are ultimately based in the lack of a common vision among both elites and within the broader population about the role of the U.S. military in the future. Cyber operations are one element of these debates, although much of the discussion has centered around how best to defend against a growing cyber threat, the role of the Defense Department in that defense, and tensions between civil liberties and security interests. Occasionally, greater attention is paid to questions about the U.S. use of cyber offensively, which brings with it questions of precedent, deterrence, international norms, and a host of other challenges. But it is also apparent that U.S. leaders have already approved the use of offensive cyber capabilities, though under tight restrictions. While not ignoring this larger context, the specific question this report examines is whether the Defense Department should make a more deliberate effort to explore the potential of offensive cyber tools at levels below that of a combatant command.
Topic:
Security, Defense Policy, Arms Control and Proliferation, Intelligence, Science and Technology, and Terrorism
Political Geography:
United States

118. Toward a New Paradigm of Sustainable Development: Lessons from the Partnership for Growth

Author:
Jeri Jensen
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The Obama administration has the opportunity to achieve more sustainable development solutions with a new model of development relevant in a world where private investment is the primary driver of economic growth.
Topic:
Development, Economics, International Trade and Finance, Markets, Foreign Aid, and Foreign Direct Investment
Political Geography:
United States

119. Water and Sanitation in the Time of Cholera: Sustaining Progress on Water, Sanitation, and Health in Haiti

Author:
Katherine E. Bliss and Matt Fisher
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In October 2010, just nine months after an earthquake devastated the capital city of Port-au-Prince and displaced an estimated 1.5 million people, Haiti's Ministry of Public Health and Population reported a cholera outbreak in two of the country's most impoverished regions. It was the first time cholera—a diarrheal disease associated with the consumption of food and water contaminated by feces infected with the bacterium vibrio cholerae—had been identified in the country in at least 100 years. Within a month of the initial report, cholera had spread not only to all regions of Haiti but also to the neighboring Dominican Republic. This report considers opportunities for the United States to enhance its support for improving Haiti's water supply and sanitation services and contributing to the elimination of the transmission of cholera and the reduction of diarrheal disease in the country.
Topic:
Development, Humanitarian Aid, Infectious Diseases, and Health Care Policy
Political Geography:
United States, Caribbean, and Haiti

120. Structure and Dynamics of the U.S. Federal Services Industrial Base, 2000-2012

Author:
David J. Berteau, Gregory Sanders, and Jesse Ellman
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The U.S. government has a permanent reliance on contracts with the private sector for a wide range of services, though the share of federal services contracts has declined slightly in recent years. For the past eight years, the Defense - Industrial Initiatives Group (DIIG) at the Center for Strategic and International Studies (CSIS) has tracked the trends driving the services industry. Overall, this report analyzes the trends for all federal services contract obligations from FY 2000 through FY 2012, the most recent full fiscal year for which reliable data are available from the Federal Procurement Data System (FPDS). This Executive Summary provides an overall view of the data and trends, including projections for federal services contract spending over the next 3 years (FY 2013 – 2015).
Topic:
Economics, Industrial Policy, Labor Issues, and Governance
Political Geography:
United States

121. U.S. Disaster Preparedness and Resilience: Recommendations for Reform

Author:
Stephanie Sanok Kostro, Ashley Nichols, and Abigail Temoshchuk
Publication Date:
08-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In recent years , the United States has faced a growing number of severe natural disasters , presenting a variety of challenges for the nation – spanning the spectrum from federal to state to municipal and community levels – and its disaster response , relief, and recovery architecture . On average, the United States experiences ten severe weather events per year exceeding one billion dollars in damage , compared to an annual average of only two such events throughout the 1980s
Topic:
Climate Change, Economics, Humanitarian Aid, Natural Disasters, and Governance
Political Geography:
United States

122. U.S. Health Engagement in Africa: A Decade of Remarkable Achievement—Now What?

Author:
J. Stephen Morrison
Publication Date:
08-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In the past decade, there has been a steep and historic expansion of U.S. health engagement in Africa, principally through the President's Emergency Plan for AIDS Relief (PEPFAR) and the President's Malaria Initiative (PMI). U.S. commitments to global health, of which over 70 percent is directed to Africa, rose from $1.7 billion in FY2001 to $8.9 billion in FY2012.
Topic:
Foreign Policy, Development, Humanitarian Aid, and Health Care Policy
Political Geography:
Africa and United States

123. Yemen and U.S. Security

Author:
Anthony H. Cordesman, Robert M. Shelala II, and Omar Mohamed
Publication Date:
08-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Yemen is the most troubled state in the Arabian Peninsula. It remains in a low - level state of civil war, and is deeply divided on a sectarian, tribal, and regional level. A largely Shi'ite Houthi rebellion still affects much of the northwest border area and has serious influence in the capital of Sana and along parts of the Red Sea coast. Al Qa'ida in the Arabian Peninsula (AQAP) poses a threat in central Yemen, along with other elements of violent Sunni extremism, there are serious tensions between the northern and southern parts of Yemen, and power struggles continue between key elements of the military ruling elite in the capital and outside it.
Topic:
Conflict Resolution, Security, Foreign Policy, Islam, and Insurgency
Political Geography:
United States, Middle East, Yemen, and Arabia

124. U.S.-India Homeland Security Cooperation: Building a Lasting Partnership via Transportation Sector Security

Author:
Rick "Ozzie" Nelson, Ally Pregulman, Rob Wise, Briana Fitch, and Melissa Hersh
Publication Date:
08-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Given India's rapid development, the nation has become an increasingly vital world actor. India has the 11th largest economy in the world, and with its annual economic growth rate averaging 7 percent per year since 1997, it could surpass the United States and China to become the world's largest economy by 2050. This economic capacity facilitated billions of dollars in investments since 2006 to expand and upgrade India's defense and security capabilities, including the launch of its first nuclear- powered submarine and the ongoing acquisition of a fleet of aircraft carriers. The growth of India's economic and military sectors increases its strategic importance to the United States and other partners interested in ensuring stability and security in Asia.
Topic:
Security, Foreign Policy, Defense Policy, Diplomacy, Terrorism, and Bilateral Relations
Political Geography:
United States, China, South Asia, and India

125. Transition in Afghanistan: 2009-2013

Author:
Anthony H. Cordesman
Publication Date:
08-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The US is already at least six months behind in shaping an effective Transition in Afghanistan. It has not laid credible plans for the security, governance, and economic aspects of Transition. It has not made its level of future commitment clear to its allies or the Afghans, and it has failed dismally to convince the Congress and the American people that there is a credible reason to support Transition beyond the end of 2014.
Topic:
Conflict Resolution, Foreign Policy, Development, Economics, Islam, War, and Fragile/Failed State
Political Geography:
Afghanistan and United States

126. The U.S.-Japan Alliance: Anchoring Stability in Asia

Author:
Joseph S. Nye and Richard L. Armitage
Publication Date:
08-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
This report on the U.S.-Japan alliance comes at a time of drift in the relationship. As leaders in both the United States and Japan face a myriad of other challenges, the health and welfare of one of the world's most important alliances is endangered. Although the arduous efforts of Assistant Secretary of State Kurt Campbell and his colleagues in both governments have largely kept the alliance stable, today's challenges and opportunities in the region and beyond demand more. Together, we face the re-rise of China and its attendant uncertainties, North Korea with its nuclear capabilities and hostile intentions, and the promise of Asia's dynamism. Elsewhere, there are the many challenges of a globalized world and an increasingly complex security environment. A stronger and more equal alliance is required to adequately address these and other great issues of the day.
Topic:
Security, Foreign Policy, Diplomacy, International Trade and Finance, and Bilateral Relations
Political Geography:
United States, Japan, China, Israel, Asia, and North Korea

127. Moving towards Unity: Expanding the Role of the GCC in Gulf Security

Author:
Anthony H. Cordesman
Publication Date:
12-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The Riyadh Declaration, which was issued at the end of the GCC meeting in December 2011, calls for efforts to explore creating a “single unity” that could deal with the many challenges facing the Arab Gulf states.
Topic:
Security, Foreign Policy, Nuclear Weapons, and Nuclear Power
Political Geography:
United States, Middle East, and Arabia

128. Lessons for Japan from U.S. Rebalancing of Mental Health Care

Author:
Richard G. Frank
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As of April 2013, the Japanese government will make mental health a fifth national priority for national medical services, along with cancer, stroke, acute myocardial infarction, and diabetes. This change is a result of multiple factors: an aging population; increases in the demand for mental health care services; and a concern about a system that overly emphasizes institutional mental health care. The plan for shaping the future of mental health delivery in Japan is focused on changing the balance of care from institutional services to community - based services. In pursuing this goal the Japanese government has identified four aims for change: create a system of care that differentiates functions according to the intensity of need of patients; assure high - quality care throughout a restructured delivery system; make investments to support community - based services; and expand community education and expand opportunities for patient preferences to drive the delivery system.
Topic:
Health, Governance, and Health Care Policy
Political Geography:
United States and Israel

129. Lessons Learned from AIDS 2012

Author:
Suzanne Brundage and J. Stephen Morrison
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
From July 22 to July 27, 2012, Washington, D.C., was host to the International AIDS Conference, the biannual Super Bowl of global health and the preeminent forum for reviewing the science, policy, programs, and politics in the fight against HIV/AIDS.
Topic:
Economics, Health, Humanitarian Aid, and Health Care Policy
Political Geography:
United States and Washington

130. U.S.-Turkish Relations a review at the beginning of the third decade of the post–cold war era

Author:
Bulent Aliriza and Bülent Aras
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The partnership between the United States and Turkey, which traces its origins to the Cold War, has gone through constant adjustment since the beginning of the post–Cold War era.
Topic:
Foreign Policy, NATO, Diplomacy, Islam, and Bilateral Relations
Political Geography:
United States, Central Asia, Turkey, and Middle East

131. Updating U.S. Federal Cybersecurity Policy and Guidance

Author:
Franklin S. Reeder, Daniel Chenok, Karen S. Evans, James Andrew Lewis, and Alan Paller
Publication Date:
10-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As the threat to the cyber infrastructure on which the federal government and the nation relies grows, the urgency of investing wisely in protection against, detecting, mitigating, and recovering from cyber events takes on increasing urgency. Our adversaries are well equipped and agile. Our defenses must be equal to the threat, and they are not.
Topic:
Security, Crime, Government, Science and Technology, and Infrastructure
Political Geography:
United States

132. U.S. and Iranian Strategic Competition: The Impact of Latin America, Africa and Peripheral States

Author:
Brandon Fite
Publication Date:
04-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Iran pursues cooperation with states on the geographic and strategic periphery of the competition between the US and Iran in order to create a network of diplomatic and economic relationships or “partners” that can lessen the blow of international sanctions and generally oppose Western attempts to constrict its ambitions. These peripheral “partners” located mainly in Africa and Latin America, also serve as alternative markets for Iranian oil, provide diplomatic cover for Iran's nuclear efforts, and aid Iran's acquisition of goods proscribed by international sanctions.
Topic:
Conflict Resolution, Economics, and Sanctions
Political Geography:
Africa, United States, Iran, and Latin America

133. U.S.-China Parallel Development Assistance Goals

Author:
Xiaoqing Lu Boynton and Conor M. Savoy
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As China's economy expanded in recent decades, there has been a corresponding rise in the amount of foreign assistance it offers to the developing world. In particular, China increased aid to countries in Africa, Latin America, and Southeast Asia. Some of China's methods and objectives are controversial with the international aid community. Critics accuse China of frequently following a “mercantilist” strategy in using aid and loans in order to secure natural resources such as oil and raw materials. One commentator went so far as to describe Chinese aid as “rogue aid,” because it is driven by self-interest and not what is best for the developing world.1In remarks widely interpreted as aimed at China, Secretary of State Hillary Clinton recently warned countries to be “wary of donors who are more interested in extracting your resources than in building your capacity.”2Added to these feelings, China treats the methodology of its aid as a competitive asset and has sought to distance itself from international efforts at creating a cooperative framework for foreign assistance. In spite of this, since the second term of the Bush administration, the United States has sought to engage with China on international development. This includes high-level meetings be-tween the heads of China's foreign aid bureaucracy and the U.S. Agency for International Development (USAID), as well as on-the-ground attempts to find common ground on development.
Topic:
Development, Natural Resources, and Foreign Aid
Political Geography:
United States, China, Israel, and Southeast Asia

134. Private-Sector Engagement in Food Security and Agricultural Development

Author:
Johanna Nesseth Tuttle
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
With the introduction of Feed the Future (FTF)—the U.S. government's program to refocus foreign assistance on agricultural development—the private sector has been named a priority partner. President Barack Obama made a bold statement in his 2009 inaugural address, pledging that the United States would work with countries to support and promote food security. Private companies are enthusiastic about engaging in development efforts, and FTF may provide that avenue. The food and agriculture sector has significant capabilities, and market opportunities in developing countries are large and growing. Many companies have engaged in discussions with FTF leadership, and a number of partnerships have been launched. These are important efforts, and more are under way. The fact remains, however, that funding for agricultural development is relatively small—a three-year, $3.5 billion budget, compared to a six-year, $63 billion budget for health—and the investments needed in agriculture are massive: it would take $88.7 billion to meet U.S. global agricultural development goals.
Topic:
Agriculture, Development, Emerging Markets, Foreign Aid, Food, and Foreign Direct Investment
Political Geography:
United States

135. The International AIDS Conference Returns to the United States

Author:
Katherine E. Bliss
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In 1985, four years after the U.S. Centers for Disease Control and Prevention (CDC) published a notice in the Morbidity and Mortality Weekly Report regarding unusual clusters of disease in young, otherwise healthy, gay men in California and New York, more than 2,000 scientists from around the world assembled at the World Congress Center in Atlanta to exchange research and compare notes on what had come to be known as Acquired Immune Deficiency Syndrome, or AIDS. There have been 18 international AIDS conferences since that initial gathering, in locales ranging from Amsterdam and Florence to Durban and Mexico City. These conferences, which have been organized since 1988 by the International AIDS Society, have evolved from modest- sized meetings of scientists and researchers to multitrack, week-long conventions attracting more than 20,000 delegates, including heads of state, celebrities, philanthropists, researchers, activists, and people living with the human immunodeficiency virus (HIV) and AIDS.
Topic:
HIV/AIDS, Health, International Cooperation, and Infectious Diseases
Political Geography:
United States

136. China and Afghanistan: China's Interests, Stances, and Perspectives

Author:
Huasheng Zhao
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
China holds clear, coherent, but relatively low-profile positions on Afghanistan. While staying largely with the mainstream of the international community on the issue of Afghanistan, China maintains an independent policy that reflects the peculiarities of Chinese interests, concerns, and priorities in Afghanistan. China has multiple interests in Afghanistan; however, domestic concerns about the security and stability of the largely Muslim region of Xinjiang overwhelm all others. China maintains normal and good relations with the Afghan government, takes active part in the country's economic rebuilding, and provides Afghanistan financial aid and other assistance. China supports the international community in its efforts in Afghanistan, but stays away from direct military involvement. China refrains from criticizing America's involvement in the war in Afghan- istan, but it doubts the war's efficacy, and China refuses to join the American Northern Distribu- tion Network (NDN) to Afghanistan. China dislikes the Taliban because of its close relations with the “East Turkistan” organization—a Uyghur separatist group—but China deals with the Taliban cautiously, trying to avoid direct conflict. China favors an Afghanistan governed by Afghans and hopes that the “Kabul process”—the transition to greater Afghan responsibility and ownership in both security and civilian areas—will have a successful end. At the same time, China also prepares for unexpected outcomes.
Topic:
Development and Economics
Political Geography:
Afghanistan, United States, China, and Asia

137. The Big Caucasus: Between Fragmentation and Integration

Author:
Jeffrey Mankoff
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Situated astride one of the world's key strategic crossroads, the “Big Caucasus” is increasingly a region in flux. The August 2008 war among Georgia, Russia, and the separatist regions of South Ossetia and Abkhazia emphasized the fragility of the territorial status quo that took hold in the years immediately following the collapse of the USSR, but which has failed to establish legitimacy among either local populations or the international community. The 2008 war solidified the de facto separation between the Georgian state and its breakaway provinces and put Georgia's NATO accession on indefinite hold—but did not resolve the underlying problems of sovereignty and security that led to the conflict. Similar problems abound across the Big Caucasus. An increasingly authoritarian Azeri government has staked much of its legitimacy on regaining Nagorno-Karabakh. While talks between Baku and Yerevan have made little progress, an arms buildup in the region continues, raising fears of renewed conflict. Meanwhile, Russia's North Caucasus smolders. A nationalist insurgency that began in Chechnya in the early 1990s has spread to neighboring regions and taken on a harder jihadist edge, raising concerns about a possible al Qaeda presence and creating a direct threat to Western interests.
Topic:
Development, Political Economy, and Sovereignty
Political Geography:
Russia, United States, Iran, Turkey, and Moscow

138. Contract Spending by the Department of State and the U.S. Agency for International Development

Author:
David J. Berteau, Guy Ben-Ari, Gregory Sanders, Priscilla Hermann, and David Morrow
Publication Date:
07-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
This report examines the budgetary trends and trends in contract spending in the Department of State (DoS) and the U.S. Agency for International Development (USAID). The report is divided into six sections, including the introduction and an appendix. Unless Otherwise noted, all dollar figures are in constant 2010 dollars and all years are fiscal years.
Topic:
Development, Government, and Foreign Aid
Political Geography:
United States

139. Religious Movements, Militancy, and Conflict in South Asia: cases from india, pakistan, and afghanistan

Author:
Robert D. Lamb, Liora Danan, Joy Aoun, Sadika Hameed, Kathryn Mixon, and Denise St. Peter
Publication Date:
07-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The top headlines of the past year have made increasingly clear to U.S. government officials the central—but complicated—roles that religion plays in many of the most strategically important engagements of the United States.
Topic:
Political Violence, Peace Studies, and Religion
Political Geography:
Pakistan, Afghanistan, United States, South Asia, and India

140. U.S.-India Defense Trade

Author:
S. Amer Latif
Publication Date:
07-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Over the past decade, the United States and India have built the foundations of a partnership that has the potential to be one of the more consequential relationships of the twenty-first century. Since President Bill Clinton's visit to India in 2000, the two countries have forged a relationship that is now defined by five pillars of cooperation that include strategic issues, energy and climate change, education and development, economics and trade, and science and technology. It is a wide-ranging partnership that holds the promise of collaboration on issues that are not only important to these two countries, but to many other countries as well.
Topic:
Defense Policy, Arms Control and Proliferation, and International Trade and Finance
Political Geography:
United States, South Asia, and India

141. Gender-Based Violence and HIV

Author:
Janet Fleischman
Publication Date:
07-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The dual global epidemics of HIV/AIDS and gender - based violence (GBV) exert a destructive and disproportionate impact on women and girls, especially in high HIV - prevalence countries in Africa. Yet despite bipartisan political consensus on the intersection between HIV and GBV, efforts to address this area have not attracted the attention or resources necessary to drive the program innovation that could demonstrate progress. However, new momentum is now being brought to this agenda with the U.S. President ' s Emergency Plan for AIDS Relief ' s (PEPFAR) GBV initiative. Although still early in implementation and facing many challenges, the GBV initiative has the potential to yield important lessons about synergies and cost - effectiveness in reducing GBV and HIV, with clear implications for U.S. global health investments.
Topic:
Gender Issues, Globalization, and Health
Political Geography:
United States

142. Enhancing U.S. Trade and Cooperation Relations with Middle-Income Countries

Author:
Daniel F. Runde and Amasia Zargarian
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Justifying traditional U.S. assistance to middle-income countries is an increasingly difficult proposition, and refocusing limited U.S. government development resources away from middle-income countries offers an efficient way to identify savings in the foreign assistance budget. This is not the first time that the U.S. government has faced such questions, and it can draw upon past transitions—not all successful—for a variety of valuable lessons for repurposing the United States' relationship with middle-income countries.
Topic:
International Relations, Development, International Trade and Finance, and Foreign Aid
Political Geography:
United States

143. Iran and the Gulf Military Balance - I: The Conventional and Asymmetric Dimensions

Author:
Anthony H. Cordesman and Alexander Wilner
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The most threatening form of US and Iranian competition takes place in the military and security arena. The areas where this competition now gets primary attention are the nuclear and missile arena, and Iranian threats to “close the Gulf.” US and Iranian tensions over Iran's nuclear program have grown steadily over the years. They now threaten to reach the crisis point as Iran produces highly enriched uranium and develops all of the technology necessary to produce nuclear weapons, and as US, European, and UN sanctions become steadily stronger.
Topic:
Conflict Prevention, Security, Foreign Policy, Defense Policy, Arms Control and Proliferation, Nuclear Weapons, Oil, and Weapons of Mass Destruction
Political Geography:
United States, Europe, Iran, Middle East, and United Nations

144. Chinese Military Modernization and Force Development: A Western Perspective

Author:
Anthony H. Cordesman and Nicholas S. Yarosh
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The US and China face a critical need to improve their understanding of how each nation is developing its military power and how to avoid forms of military competition that could lead to rising tension or conflict between the two states.
Topic:
Defense Policy, Arms Control and Proliferation, and Bilateral Relations
Political Geography:
United States, China, and Israel

145. Saving Mothers, Giving Life: Attainable or Aspirational?

Author:
Janet Fleischman
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Each day, nearly 800 women die around the world from complications in pregnancy or childbirth. That's one woman losing her life, every 100 seconds, every day. And while, from 1990 to 2010, global maternal mortality rates declined by roughly 47%, from about 546,000 to 287,000, the regional disparities are enormous: 85% of all maternal deaths occur in sub-Saharan Africa and South Asia—and more than half of these occur in sub-Saharan Africa. These deaths are largely preventable with interventions and training to address complications such as hemorrhage, infection, and obstructed labor, and more broadly with increased access to reproductive health services.
Topic:
Foreign Policy, Health, International Affairs, Foreign Aid, and Health Care Policy
Political Geography:
Africa, United States, and South Asia

146. South Africa's AIDS Diplomacy

Author:
Pieter Fourie
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
When the Group of Eight (G-8) industrialized countries decided at their 2001 meeting in Genoa to establish the Global Fund to Fight AIDS, Tuberculosis, and Malaria to increase international funding for interventions against the three diseases, the United States was a leading supporter. The fund was a public-private partnership set up in 2002 with formal status as a foundation under Swiss law. In the fund's first two years, the United States accounted for nearly half the total amount pledged and challenged other donors to increase their contributions. By 2008 the Global Fund had committed $15.6 billion to AIDS activities in 140 country.
Topic:
Foreign Policy, Government, Health, and Health Care Policy
Political Geography:
United States and South Africa

147. Subnational Governance, Service Delivery, and Militancy in Pakistan

Author:
Robert D. Lamb and Sadika Hameed
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
This report presents the results of a study on the link between the rise of militants and the quality of subnational governance in Pakistan: whether a link exists and, if so, what the United States can do about it, if anything. Its basic finding is that Pakistan's governance problems are not caused by militancy, and its problems with militancy are not directly caused by its governance problems, but improving governance will be necessary (though not sufficient) to counter militancy. Pakistan's governance problems are extensive and will take a long time to overcome. But they are not insurmountable, and recent trends offer reason for hope: the military's prestige has declined, the civilian government is likely to complete its full term, the judiciary is increasingly independent, civil society is increasingly confident even in the face of militant intimidation, and recent reforms—the Local Governance Ordinance of 2001 and the Eighteenth Amendment to the constitution—have put in place a set of institutions and incentives that are likely to contribute to improvements in the future.
Topic:
Foreign Policy, Corruption, Democratization, Development, Armed Struggle, Bilateral Relations, and Counterinsurgency
Political Geography:
Pakistan, United States, and South Asia

148. The FY2013 Defense Budget, the Threat of Defense Cuts and Sequestration and the Strategy-Reality Gap

Author:
Anthony H. Cordesman and Robert M. Shelala II
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The US may not face peer threats in the near to mid term, but it faces a wide variety of lesser threats that make maintaining effective military forces, foreign aid, and other national security programs a vital national security interest. The US does need to reshape its national security planning and strategy to do a far better job of allocating resources to meet these threats. It needs to abandon theoretical and conceptual exercises in strategy that do not focus on detailed force plans, manpower plans, procurement plans, and budgets; and use its resources more wisely. The US still dominates world military spending, but it must recognize that maintaining the US economy is a vital national security interest in a world where the growth and development of other nations and regions means that the relative share the US has in the global economy will decline steadily over time, even under the best circumstances. At the same time, US dependence on the security and stability of the global economy will continue to grow indefinitely in the future. Talk of any form of "independence," including freedom from energy imports, is a dangerous myth. The US cannot maintain and grow its economy without strong military forces and effective diplomatic and aid efforts. US military and national security spending already places a far lower burden on the US economy than during the peaceful periods of the Cold War, and existing spending plans will lower that burden in the future. National security spending is now averaging between 4% and 5% of the GDP -- in spite of the fact the US has been fighting two wars in Iraq and Afghanistan -- versus 6-7% during the Cold War.
Topic:
Defense Policy, Economics, Government, and Monetary Policy
Political Geography:
Afghanistan, United States, and Iraq

149. Nuclear Notes

Author:
Sarah Weiner
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Twenty years after the fall of the Soviet Union, Russia is experiencing the most significant level of public dissatisfaction with Vladimir Putin since he assumed power a decade ago. While the sizeable street protests in Russia may well signal a political and social watershed moment for the country, a more minor political event a few months ago provided a telling sign regarding one of the regime's most important projects—a massive program for military modernization.
Topic:
Defense Policy, Arms Control and Proliferation, Nuclear Weapons, and Weapons of Mass Destruction
Political Geography:
Russia, United States, and Europe

150. Advancing Health in Ethiopia: With Fewer Resources, an Uncertain GHI Strategy, and Vulnerabilities on the Ground

Author:
J. Stephen Morrison and Suzanne C. Brundage
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Over the last decade, the United States' health partnership with Ethiopia has contributed to significant health gains in a country long known for having some of the poorest health and development indicators in the world.
Political Geography:
United States and Ethiopia