Search

Begin New Search Topic Health Publishing Institution Center for Strategic and International Studies

1. Venezuela’s Crisis Is Now a Regional Humanitarian Disaster

Author:
Moises Rendon and Mark L Schneider
Publication Date:
03-2018
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The Issue Venezuela has been subjected to an unprecedented man-made humanitarian crisis, including extreme food and medicine shortages, thousands of children dying of malnutrition, and malnourished people contracting formerly eradicated diseases. While Venezuela’s dictatorial regime has repeatedly rejected humanitarian aid from the outside, the country’s humanitarian, economic, social, and institutional collapse, along with fierce political repression, have caused 1.2 million Venezuelans to flee the country over the past two years, with hundreds of thousands more and possibly millions expected to flee in the future. Our Recommendations Encourage the United States and other like-minded countries to provide leadership on the diplomatic and assistance fronts to help respond to this crisis. Work to build consensus within the international community on the urgency of the Venezuelan humanitarian crisis and to agree on steps to address the crisis, including convening a high-level task force. Develop a comprehensive policy response that includes immediate relief efforts on Venezuela’s border with Colombia and within Venezuela using innovative mechanisms due to the current limited humanitarian access. Provide immediate technical assistance to help estimate the level of need and identify available resources. Support and engage civil society and local actors, including nongovernmental organizations (NGOs), the private sector, and entrepreneurs, as well as the Venezuelan diaspora community, to help limit the suffering of the Venezuelan people. Encourage host countries to grant temporary protected status to Venezuelans and create a broader burden-sharing arrangement in the region for processing those seeking refuge, following the recent guidelines by the UN High Commissioner for Refugees (UNHCR). Support the use of innovative technology tools, such as blockchain and digital currencies, to facilitate distribution of aid within and beyond Venezuela.
Topic:
Health, Poverty, United Nations, Food, and Humanitarian Crisis
Political Geography:
United States, South America, and Venezuela

2. U.S. Actions Can Help Keep Global Polio Eradication Strategy on Track

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, and Health Care Policy

3. Counting the Cost of South Africa's Health Burden

Author:
Richard Downie and 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 and Health Care Policy
Political Geography:
South Africa

4. Global Action toward Universal Health Coverage

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, and International Organization
Political Geography:
Brazil

5. U.S.-Russia Health Engagement

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, and Bilateral Relations
Political Geography:
Russia, United States, and North America

6. The Global Youth Wellbeing Index

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, and Youth Culture

7. Family Planning and Linkages with U.S. Health and Development Goals

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

8. Replenishing GAVI in 2014: Options for U.S. Engagement

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, and Foreign Aid
Political Geography:
United States

9. Insecticide Resistance and Malaria A Threat Decades in the Making

Author:
William G. Brogdon, Anthony Fiore, S.P. Kachur, Laurence Slutsker, and 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, and Infectious Diseases
Political Geography:
Africa, Greece, and Asia

10. U.S. Department of Defense Contributions to Malaria Elimination in the Era of Artemisinin Resistance

Author:
Mark Fukuda and 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, and Humanitarian Aid
Political Geography:
United States, Vietnam, and Southeast Asia