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342. Think Long Term: How Global AIDS Donors Can Strengthen the Health Workforce in Africa
- Author:
- Nandini Oomman and Christina Droggitis
- Publication Date:
- 09-2010
- Content Type:
- Policy Brief
- Institution:
- Center for Global Development
- Abstract:
- For the past decade, global AIDS donors—including the U.S. President's Emergency Plan for AIDS Relief (PEFPAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund), and the World Bank's Multi-Country HIV/AIDS Program for Africa (the MAP)—have responded to HIV/AIDS in sub-Saharan Africa as an emergency. Financial and programmatic efforts have been quick, vertical, and HIV-specific. To achieve ambitious HIV/AIDS targets, AIDS donors mobilized health workers from weak and understaffed national health workforces. The shortages were the result of weak data for effective planning, inadequate capacity to train and pay health workers, and fragmentation and poor coordination across the health workforce life-cycle. Ten years and billions of dollars later, the problem still persists. The time has passed for short-term fixes to health workforce shortages. As the largest source of global health resources, AIDS donors must begin to address the long-term problems underlying the shortages and the effects of their efforts on the health workforce more broadly.
- Topic:
- Development, Globalization, Health, Human Welfare, Humanitarian Aid, and Foreign Aid
- Political Geography:
- Africa
343. Start with a Girl: A New Agenda for Global Health
- Author:
- Miriam Temin
- Publication Date:
- 08-2010
- Content Type:
- Policy Brief
- Institution:
- Center for Global Development
- Abstract:
- Improving adolescent girls' health and wellbeing is critical to achieving virtually all international development goals, from reducing infant and child deaths to stimulating economic growth and encouraging environmental sustainability. Governments and donors seem to recognize this, but they have yet to take the specific actions needed to genuinely invest in adolescent girls' health and, thereby, the health and wellbeing of generations to come.
- Topic:
- Development, Gender Issues, Health, Human Rights, and Border Control
- Political Geography:
- Africa and China
344. AIDS Treatment in South Asia: Equity and Efficiency Arguments for Shouldering the Fiscal Burden When Prevalence Rates Are Low
- Author:
- Mead Over
- Publication Date:
- 02-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- The slower spread of AIDS in South Asian countries, combined with the fact that most South Asian countries have higher per capita incomes than the most severely affected countries of other regions imply that the various impacts of the disease will be smaller in South Asia than in the worst affected countries in other regions. While justified with respect to the impact of the disease on economic output, on poverty, or on orphanhood, this conclusion does not follow with respect to the health sector, where the relatively minor public role in health care delivery and the entrepreneurial and heterogeneous private health and pharmaceutical sectors combine to magnify the potential impact of the epidemic.
- Topic:
- Health and Humanitarian Aid
- Political Geography:
- South Asia and Asia
345. Supermarkets, Modern Supply Chains, and the Changing Food Policy Agenda
- Author:
- Peter Timmer
- Publication Date:
- 03-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- There is great interest among policy makers in how to influence the behavior of supermarkets in ways that serve the interests of important groups in society, especially small farmers and the owners of traditional, small-scale food wholesale and retail facilities. Two broader issues are also important: (1) finding a way for food prices to “internalize” the full environmental costs of production and marketing; and (2) finding a way for supermarkets to be part of the solution, rather than part of the problem, to the health problems generated by an “affluent” diet and lifestyle. There are concerns over the growing concentration in global food retailing and the potential market power that concentration implies. But the evidence of fierce competition at the retail level, and the high contestability for food consumers' dollars, have kept this issue in the background.
- Topic:
- Agriculture, Markets, Political Economy, Post Colonialism, and Third World
346. Rice Crisis Forensics: How Asian Governments Carelessly Set the World Rice Market on Fire
- Author:
- Tom Slayton
- Publication Date:
- 03-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- The world rice market was aflame last spring and for several months it looked as if the trading edifice that had exhibited such resilience over the last two decades was going to burn to the ground. World prices trebled within less than four months and reached a 30- year inflation-adjusted high. Many market observers thought the previous record set in 1974 would soon be toast. The fire was man-made, not the result of natural developments. While the governments in India, Vietnam, and the Philippines did not to set the world market on fire, that was the unintended result of their actions which threatened both innocent bystanders (low-income rice importers as far away as Africa and Latin America) and, ultimately, poor rice consumers at home. This paper describes what sparked the fire and the accelerants that made a bad situation nearly catastrophic. Fortuitously, when the flames were raging at peak intensity, rain clouds appeared, the winds [market psychology] shifted, and conditions on the ground improved, allowing the fire to die down. It remains to be seen, however, if the trading edifice has been seriously undermined by the actions of decision makers in several key Asian rice exporting and importing countries. In describing the cascading negative effects of these seemingly rational domestic policies, this paper aims to help policy makers in the rice exporting and importing nations to avoid a repeat of the disastrous price spike of 2008.
- Topic:
- Agriculture, Economics, Health, Humanitarian Aid, Markets, and Political Economy
- Political Geography:
- Africa, India, Asia, and Latin America
347. Coping with Rising Food Prices: Policy Dilemmas in the Developing World
- Author:
- Nora Lustig
- Publication Date:
- 03-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- Rising food prices cause considerable policy dilemmas for developing country governments. Letting domestic prices adjust to reflect the full change in international prices generates inflationary pressures and causes severe hardship for poor households lacking access to social safety nets. Alternatively, governments can use food subsidies or export restrictions to stabilize domestic prices, yet this exacerbates global food price increases and undermines a rules-based trading system. The recent episode shows that many countries chose to shift the burden of adjustment back to international markets. The use of corn and oilseed for the production of biofuel will result in a recurrence of such episodes in the foreseeable future.
- Topic:
- Agriculture, Development, Humanitarian Aid, and Markets
348. Schooling Inequality, Crises, and Financial Liberalization in Latin America
- Author:
- Nancy Birdsall, Gunilla Pettersson, and Jere R. Behrman
- Publication Date:
- 03-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- Latin America is characterized by high and persistent schooling, land, and income inequalities and extreme income concentration. In a highly unequal setting, powerful interests are more likely to dominate politics, pushing for policies that protect privileges rather than foster competition and growth. As a result, changes in policies that political elites resist may be postponed in high-inequality countries to the detriment of overall economic performance.
- Topic:
- Economics, Education, Globalization, and Political Economy
- Political Geography:
- Latin America
349. Civil War: A Review of Fifty Years of Research
- Author:
- Christopher Blattman and Edward Miguel
- Publication Date:
- 03-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- Most nations have experienced an internal armed conflict since 1960. The past decade has witnessed an explosion of research into the causes and consequences of civil wars, belatedly bringing the topic into the economics mainstream. This article critically reviews this interdisciplinary literature and charts productive paths forward. Formal theory has focused on a central puzzle: why do civil wars occur at all when, given the high costs of war, groups have every incentive to reach an agreement that avoids fighting? Explanations have focused on information asymmetries and the inability to sign binding contracts in the absence of the rule of law. Economic theory has made less progress, however, on the thornier (but equally important) problems of why armed groups form and cohere, and why individuals decide to fight. Likewise, the actual behavior of armed organizations and their leaders is poorly understood. On the empirical side, a vast cross-country econometric literature has aimed to identify the causes of civil war. While most work is plagued by econometric identification problems, low per capita incomes, slow economic growth and geographic conditions favoring insurgency are the factors most robustly linked to civil war. We argue that micro-level analysis and data are needed to truly decipher war's causes, and understand the recruitment, organization, and conduct of armed groups. Recent advances in this area are highlighted. Finally, turning to the economic legacies of war, we frame the literature in terms of neoclassical economic growth theory. Emerging stylized facts include the ability of some economies to experience rapid macroeconomic recoveries, while certain human capital impacts appear more persistent. Yet econometric identification has not been adequately addressed, and there is little consensus on the most effective policies to avert conflicts or promote postwar recovery. The evidence is weakest where it is arguably most important: in understanding civil wars' effects on institutions, technology, and social norms.
- Topic:
- Economics, Peace Studies, Political Economy, and War
350. The End of ODA: Death and Rebirth of a Global Public Policy
- Author:
- Jean-Michel Severino and Olivier Ray
- Publication Date:
- 03-2009
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- The world of international development assistance is undergoing three concomitant revolutions, which concur to the emergence of a truly global policy. First, it is living through a diversification of the goals it is asked to pursue: to its traditional objective of ushering convergence between less and more developed economies have progressively been adjoined those of financing access to essential services and protecting global public goods. Secondly, faced with this new array of challenges, the world of development aid has demonstrated an impressive capacity to increase the number and diversity of its players, generating a governance conundrum for this eminently fragmented global policy. Thirdly, the instruments used by this expanding array of actors to achieve a broader range of policy objectives have themselves mushroomed, in the wake of innovations in mainstream financial markets. Yet surprisingly, this triple revolution in goals, actors and tools has not yet impacted the way we measure both the financial volumes dedicated to this emerging global policy nor the concrete impacts it aims to achieve. This paper argues for the need to move from the conventional measure of Official Development Assistance to the construction of clearer benchmarks for what ultimately matters: resources and results that concur to 21st century international development.
- Topic:
- Development, Humanitarian Aid, Post Colonialism, Poverty, and Third World