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1. Rethinking Engagement in Fragile States

Author:
Jennifer G. Cooke and Richard Downie
Publication Date:
07-2015
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Instability in fragile states is a frequent source of conflict and humanitarian crisis within countries, a driver of displacement and massive refugee flows, and often a threat to the stability and security of neighboring states. Economies in fragile states often underperform, their societies are divided, and their people suffer poor developmental and economic outcomes. Fragile states are home to nearly half the world’s population living in absolute poverty. Over the past year, CSIS held a series of workshops and public meetings examining the challenges of fragility in four states categorized as fragile: Mali, Myanmar, Somalia, and South Sudan. The aim was to examine each of these cases individually and to better understand the opportunities—and limitations—of external intervention. This report offers common themes and recommendations for external engagement in such fragile states.
Topic:
Humanitarian Aid and International Security

2. 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

3. Transformative Tools for Malaria Elimination

Author:
PATH Malaria Center of Excellence
Publication Date:
12-2014
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Over the past 15 years, malaria has gained increased attention and action from the public health community, with researchers, global and national funders, and, most importantly, national governments and communities in endemic areas. Renewed efforts to fight the disease have resulted in an unprecedented 50 percent reduction in malaria deaths in African children since 2000. This progress has been achieved in large part because effective, efficient, and affordable tools emerged as a result of earlier investments in research and development.
Topic:
Health, Human Welfare, Humanitarian Aid, International Cooperation, and Infectious Diseases
Political Geography:
Africa

4. The Danger of Untreatable Malaria Is Real and Present

Author:
Christopher V. Plowe
Publication Date:
12-2014
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The malaria parasite is thought to have killed more people throughout human history than any other single cause. Over the last decade, a large increase in resources for combating malaria — with the lion's share coming from U.S. taxpayers — has resulted in dramatic reductions in malaria cases and deaths in many countries. These successes spurred the Bill Melinda Gates Foundation and the World Health Organization (WHO) to call for global eradication of malaria in 2007.
Topic:
Development, Health, Humanitarian Aid, World Health Organization, and Infectious Diseases
Political Geography:
United States

5. Federated Defense in Asia

Author:
Michael J. Green, Kathleen H. Hicks, and Zack Cooper
Publication Date:
12-2014
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The United States has long emphasized the desirability of working with allies and partners to meet pressing security challenges. Indeed, many of our most vexing security concerns—from terrorism to cyber attacks—are best met with concerted multilateral responses. At a time when the United States and many of its allies and partners are reluctant to increase defense and security spending, working together is paramount. This is perhaps most evident in Asia, where present and potential future threats to security and prosperity are high and shared interests are substantial.
Topic:
Security, Defense Policy, Diplomacy, Disaster Relief, Humanitarian Aid, and Intelligence
Political Geography:
United States and Asia

6. 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

7. 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

8. 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

9. 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

10. 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