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11. Heroes on Strike: Trends in Global Health Worker Protests During COVID-19

Author:
Sorcha A. Brophy, Veena Sriram, Haotian Zong, Chloei Andres, Maria Paz Mawyin, and Narayanan GL
Publication Date:
04-2022
Content Type:
Working Paper
Institution:
Accountability Research Center (ARC), American University
Abstract:
This Accountability Note describes global trends in health worker protests between March 11, 2020 and March 10, 2021. We argue that the frequent characterization of health workers as heroes of the pandemic obscures the fact that health workers themselves describe the challenges they face during this time as violations of their rights as workers, highlighting the obligations of their employers to provide working conditions and remuneration that justify the risk they assume. Using data from the Armed Conflict Location & Event Data (ACLED) Project, we first provide a global overview of the growth in health worker protest activity in the March 2020–2021 period as compared to the March 2019–2020 period. Health workers engaged in protest activity with greater frequency during the first year of the pandemic than during the prior year. The eighty-five countries included in the ACLED data set in both the March 2019–2020 period and the March 2020–2021 period experienced a sixty-two percent increase in health worker protest activity (from 2416 protests to 3913 protests). We then provide an overview of the content of the 6589 health worker protests in the ACLED dataset between March 2020 and March 2021, describing protests in 149 countries in terms of five categories: working conditions and remuneration, resources, health system delivery issues, public policy, and other. By far, the largest category of protests during this period are those related to working conditions and remuneration. Approximately sixty-six percent (N=4358) of global protests in the 2020–2021 period expressed health worker dissatisfaction about issues such as: occupational hazards, unpaid wages, risk allowances and job security. Surprisingly, personal protective equipment (PPE) concerns—an issue covered frequently in the media—motivated a relatively low percentage of the protests (less than nine percent). We note this not to downplay the gravity of global PPE shortages, but to situate PPE shortages as one among many health worker concerns during the pandemic. Protests initiated by health workers about health system delivery issues provide an important reminder that even in the middle of a pandemic, not everything was about COVID-19. Sixty-two percent of the health system-related protests during the 2020–2021 period were about issues that were not coded as directly related to the COVID-19 pandemic. Similarly, the vast majority of health workers’ protests around public policy were not about pandemic-related government policy, but about social issues like climate change, immigration, police brutality, and elections. The aim of this analysis is to understand what health workers advocated for during a time of immense pressure, and to identify some broad areas of concern for health sector accountability. Through this analysis, we prepare the groundwork for future research and action, and share preliminary guidance regarding how health sector stakeholders—including government, health worker associations, unions, and civil society—might develop improved systems of accountability.
Topic:
Health, Protests, Crisis Management, and COVID-19
Political Geography:
Global Focus

12. Social Housing 2.0

Author:
Gianpaolo Baiocchi and H. Jacob Carlson
Publication Date:
04-2022
Content Type:
Research Paper
Institution:
Center on International Cooperation
Abstract:
The global housing crisis shows few signs of letting up. This report from Gianpaolo Baiocchi (Director of the Urban Democracy Lab, Professor of Individualized Studies and Sociology at NYU) and H. Jacob Carlson (postdoctoral research associate at S4 at Brown University) argues that the solutions can be found in "social housing." This report makes the case that social housing is desirable, viable, and achievable. The intractability of the global housing crisis requires new thinking and action, even if it draws on lessons that are quite old. As housing costs continue to skyrocket, policymakers and social movements have an opportunity to set their communities on a new path—one that guarantees a fundamental right to housing.
Topic:
Inequality, Crisis Management, and Housing
Political Geography:
Global Focus

13. Annex | ALNAP Lessons Paper: Adapting humanitarian action to climate change

Author:
Véronique de Geoffroy, Paul Knox Clarke, François Grunewald, and Mihir Bhatt
Publication Date:
10-2021
Content Type:
Working Paper
Institution:
ALNAP: Active Learning Network for Accountability and Performance
Abstract:
Humanitarian agencies need to reflect on the past, learn from the present and actively imagine the near and increasingly threatening future. From excessive consumption to the over-exploitation of natural resources, polluting activities to large-scale deforestation, humans have already dramatically changed the Earth’s climate and environment. As a result, we are experiencing more frequent and more intense weather events, the humanitarian consequences of which are major. Droughts, flooding and tropical storms cause death, disease, destruction and large-scale population displacement. Public health emergencies are already increasing because of these changes. Conflicts and conflict situations may increase, as may the resulting human migration and displacement. Humanitarian actors working on the ground with climate-related disasters are well placed to observe the intensification of climate-related effects and the increasing complexity of extreme weather events in all regions of the world, including regions where such events were previously rare or unknown. This annex accompanies the ALNAP Lessons Paper: Adapting humanitarian action to climate change, which aims to inform the work of humanitarian practitioners in the face of future climate-related disasters.
Topic:
Climate Change, Natural Disasters, Crisis Management, and Humanitarian Organizations
Political Geography:
Global Focus

14. Fragile States Index 2021 – Annual Report

Author:
Natalie Fiertz, Nate Haken, Patricia Taft, Emily Sample, and Wendy Wilson
Publication Date:
05-2021
Content Type:
Special Report
Institution:
The Fund for Peace
Abstract:
The Fragile States Index, produced by The Fund for Peace, is a critical tool in highlighting not only the normal pressures that all states experience, but also in identifying when those pressures are pushing a state towards the brink of failure. By highlighting pertinent issues in weak and failing states, The Fragile States Index—and the social science framework and software application upon which it is built—makes political risk assessment and early warning of conflict accessible to policy-makers and the public at large.
Topic:
Climate Change, Authoritarianism, Employment, Fragile States, Economy, Political stability, Conflict, Crisis Management, Peace, Resilience, COVID-19, Health Crisis, Early Warning, and Risk Assessment
Political Geography:
Africa, Europe, Middle East, Tajikistan, Germany, Armenia, Central America, Spain, Lebanon, Timor-Leste, North America, Ethiopia, Southeast Asia, El Salvador, Global Focus, and United States of America

15. The political economy of pandemic preparedness and effectiveness

Author:
Cullen S. Hendrix
Publication Date:
07-2021
Content Type:
Working Paper
Institution:
Peterson Institute for International Economics
Abstract:
The success of countries in the Organization for Economic Cooperation and Development (OECD) in controlling the COVID-19 pandemic has varied greatly. Explanations for the differences fall into four broad categories: political/economic, cultural/social, demographic/geographic, and policy-oriented. This paper uses Bayesian model averaging to assess the explanatory power of 21 potential covariates. It shows that standard political economy variables that predict greater investment in public health, such as GDP per capita and level of democracy; both general and pandemic-specific measures of government effectiveness; and demographic factors that predict increased vulnerability, such as the share of population that is elderly or obese, do not explain the differences in outcomes. The key factors appear to have been interdictability (the ability to tightly control borders and effectively restrict or monitor entrants at a limited number of entry ports), the early adoption of stronger international travel restrictions, and a female head of government.
Topic:
Political Economy, Crisis Management, COVID-19, and OECD
Political Geography:
Global Focus

16. Lockdown Fatigue: The Diminishing Effects of Quarantines on the Spread of COVID-19

Author:
Patricio Goldstein, Eduardo Levy-Yeyati, and Luca Sartorio
Publication Date:
02-2021
Content Type:
Working Paper
Institution:
The John F. Kennedy School of Government at Harvard University
Abstract:
Non-Pharmaceutical Interventions (NPIs) have been for most countries the key policy instrument utilized to contain the impact of the COVID-19 pandemic. In this article, we conduct an empirical analysis of the impact of these policies on the virus’ transmission and death toll, for a panel of 152 countries, from the start of the pandemic through December 31, 2020. We find that lockdowns tend to significantly reduce the spread of the virus and the number of related deaths. We also show that this benign impact declines over time: after four months of strict lockdown, NPIs have a significantly weaker contribution in terms of their effect in reducing COVID-19 related fatalities. Part of the fading effect of quarantines could be attributed to an increasing non-compliance with mobility restrictions, as reflected in our estimates of a declining effect of lockdowns on measures of actual mobility. However, we additionally find that a reduction in de facto mobility also exhibits a diminishing effect on health outcomes, which suggests that lockdown fatigues may have introduced broader hurdles to containment policies.
Topic:
Crisis Management, Public Policy, Pandemic, COVID-19, Health Crisis, and Lockdown Policies
Political Geography:
Global Focus

17. A Collapsing World?

Author:
György Schöpflin
Publication Date:
11-2021
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
Editor’s Note: American Diplomacy Journal asked several foreign policy commentators to address the significance of growing chaos in many parts of the world, as failed and failing states are increasingly unable to perform the fundamental functions of the sovereign nation-state. This is one of five articles looking at those concerns. Historically, the world always has been unstable. Colonialism, the Cold War and the Hyperpower decade (the 1990s) created an illusion of global stability. That moment has gone, hence strategies have to be reconfigured. Global connectivity, the autonomy of capital movement, the uneven spread of technology, the rise of resentful elites – resentful of the West’s hegemony – all combine to resist human rights, the democracy agenda, gender mainstreaming and much else dear to liberals. To complicate matters, two tiers of states have the capacity to resist liberalism. There are the civilisation states – China, Russia, India, which make up their own rules, and large regional powers each believed to be responsible for generating one percent of the world’s GDP. Brazil, Turkey, Mexico, Indonesia, South Africa are in this category. Japan is in a category of its own. Also relevant here is the economic success of non-liberal states as role models, Singapore, most obviously. This is very hard for the West to accept. The legacy of hegemony and empire live on, above all as a kind of low-grade civilising mission. Those who would thus be civilised do not take kindly to this at all. But they may be open to negotiation if treated with parity of esteem. Stability is not just a Western goal, though its definition can vary. The sense of superiority exists in the non-West just as much as in the West. There are non-Western civilising missions too.
Topic:
Diplomacy, Globalization, Political stability, and Crisis Management
Political Geography:
Global Focus

18. Impact of Institutions in the Aftermath of Natural Disasters

Author:
Diego A. Diaz and Cristian Larroulet
Publication Date:
01-2021
Content Type:
Journal Article
Journal:
The Cato Journal
Institution:
The Cato Institute
Abstract:
The number and impact of natural disasters are increasing because of climate change and more people living in urban areas (Sanderson and Sharma 2016). The mechanism is simple, at least when considering climatic events: higher temperatures lead to higher rates of water evaporation, which increases the chance of flooding events (Wallace et al. 2014; IPCC 2001). The number of hot days has increased and the number of cold days has decreased in land areas, with model projections indicating that extreme precipitation events will continue to increase, resulting in more floods and landslides. At the same time, mid‐​continental areas will get dryer, which will increase the chance of droughts and wildfires (Van Aalst 2006). The course of action taken by humanity in the next decades will likely play a pivotal role since extreme differences in projections are expected if global temperatures rise 2°C in comparison to 1.5 °C above preindustrial levels (Allen et al. 2019). What are the economic impacts of natural disasters? This question has been addressed to a large extent in the literature, but it still does not have a conclusive response. The seemingly natural reasoning that destruction cannot lead to a net benefit for society was explained almost two centuries ago by Bastiat (1850) in his famous broken window fallacy. A shopkeeper’s son, Bastiat relates, breaks a pane of glass in his father’s store. The father, angry due to the boy’s careless action, is offered consolation by the spectators, who claim that the event is positive for the economy since it provides labor to glaziers. While Bastiat acknowledges that the accident brings trade to the glazier since the shopkeeper has to replace the window, regarding the event as wealth‐​increasing conveys a narrow perspective. The shopkeeper ends up poorer since he cannot spend the same money elsewhere, and if the boy had not broken the window, then the labor and other materials that were used to repair the damage would have been used elsewhere, potentially making the tangible wealth of the community grow.
Topic:
Climate Change, Natural Disasters, Crisis Management, Institutions, and Urban
Political Geography:
Global Focus

19. First Response: Initial COVID-19 Actions from the IIENetwork

Author:
Clare Overmann, Lindsay Calvert, and Sylvia Jons
Publication Date:
02-2021
Content Type:
Policy Brief
Institution:
Institute of International Education (IIE)
Abstract:
At the onset of the COVID-19 crisis, IIE launched the IIE Network Engagement Series, which consists of thought leadership webinars and interactive small group discussions, called Day-by-Days. These events offered a platform for practitioners and leaders from the field to share their experiences from the first weeks and months of the crisis. These responses and others are captured in this publication to highlight the practices that worked during COVID-19 and to act as an informal reference on how to handle future crises.
Topic:
Education, Crisis Management, Higher Education, and COVID-19
Political Geography:
Global Focus and United States of America

20. Strengthening Prevention with Better Anticipation: COVID-19 and Beyond

Author:
Emily J. Munro
Publication Date:
03-2020
Content Type:
Commentary and Analysis
Institution:
The Geneva Centre for Security Policy
Abstract:
Prevention strategies warrant more attention and can be a framework to apply to situations with different levels of urgency. The cases of the Arctic, the Sahel and the ongoing COVID-19 pandemic demonstrate the value of prevention strategies in diverse ways. Anticipation is closely linked to prevention, and we should do more to understand how the future may unfold, and then act on the findings to help us to prevent crises and conflict. The interaction of issues often lies at the centre of the policy challenges we face today. It is necessary to unpack these interactions in order to strengthen our responses. Surprises cannot be entirely avoided, but we should place more emphasis on considering the implications of crises and ensure better integration of our approaches across the short, medium and long term.
Topic:
Crisis Management, Coronavirus, and COVID-19
Political Geography:
Sahel, Arctic, and Global Focus