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21. Achieving a Shared Goal: Free universal health care in Ghana

Publication Date:
03-2011
Content Type:
Working Paper
Institution:
Oxfam Publishing
Abstract:
Coverage of the National Health Insurance Scheme (NHIS) has been hugely exaggerated, and could be as low as 18% Every Ghanaian citizen pays for the NHIS through VAT, but as many as 82% remain excluded Twice as many rich people are signed up to the NHIS as poor people. 64% of the rich are registered compared with just 29% of the poorest Those excluded from the NHIS still pay user fees in the cash and carry system. Twenty five years after fees for health were introduced by the World Bank, they are still excluding millions of citizens from the health care they need An estimated 36% of health spending is wasted due to inefficiencies and poor investment. Moving away from a health insurance administration alone could save US$83 million each year. Enough to pay for 23,000 more nurses Through savings, good quality aid but primarily improved progressive taxation of Ghana's own resources, especially oil, the government could afford to increase spending on health by 200%, to US$54 per capita, by 2015 This would mean the government could deliver on its own promise to make health care free for all – not just the lucky few at the expense of the many.
Topic:
Health, Human Welfare, and Health Care Policy
Political Geography:
Africa and Ghana

22. Who Are the MDG Trailblazers? A New MDG Progress Index

Author:
Benjamin Lee and Julia Barmeier
Publication Date:
08-2010
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
In September, world leaders will assemble in New York to review progress towards the Millennium Development Goals (MDGs). Ahead of the ensuing discussions, we examine how individual countries are faring towards achieving the highly ambitious MDG targets. We outline a new MDG Progress Index, which compares country performance against the core MDG targets on poverty, hunger, gender equality, education, child mortality, health, and water. Overall, we find evidence of dramatic achievements by many poor countries such as Honduras, Laos, Ethiopia, Uganda, Burkina Faso, Nepal, Cambodia, and Ghana. In fact, these countries' performance suggests that they may achieve most of the highly ambitious MDGs. Moreover, sub-Saharan Africa accounts for many of the star MDG performers. Interestingly, poor countries perform nearly on par with middle-income countries. Not surprisingly, the list of laggards largely consists of countries devastated by conflict over the last few decades, such as Afghanistan, Burundi, the DRC, and Guinea-Bissau. Most countries fall somewhere in between, demonstrating solid progress on some indicators and little on others.
Topic:
Development, Human Welfare, Poverty, Third World, and United Nations
Political Geography:
Uganda, Africa, New York, Cambodia, Nepal, United Nations, and Ethiopia

23. Enhancing Civilian Protection in Peace Operations: Insights from Africa

Author:
Paul D. Williams
Publication Date:
09-2010
Content Type:
Working Paper
Institution:
Africa Center for Strategic Studies
Abstract:
The protection of civilians is a critical issue in African security. Nearly 600,000 civilians in 27 African countries have been massacred in the past two decades. Tens of millions more have been killed in battles, displaced, or perished from indirect causes of such attacks and the continent's armed conflicts. Not only are civilians the main victims of Africa's wars, but also an increasing number of United Nations (UN) Security Council resolutions have called upon peacekeepers to protect them. For many, civilian protection is the very essence of peacekeeping. This is a driving rationale behind the unanimously endorsed and UN-mandated “responsibility to protect” principle—the idea that governments have a responsibility to prevent and curtail genocide, crimes against humanity, war crimes, and ethnic cleansing. Civilian protection is also a crucial part of forging durable political settlements because any peace agreement that tolerates continued violence against civilians will not provide a solid foundation on which to build legitimate governance structures.
Topic:
Security, Human Rights, Human Welfare, War, and Peacekeeping
Political Geography:
Africa and United Nations

24. Not Just Aid: How Making Government Work Can Transform Africa

Author:
Tony Blair
Publication Date:
12-2010
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Country ownership has become the new watchword in development. The problem for traditional donors is that ownership is too often code for convincing developing country governments to adopt the donors' agenda as their own: a way of securing influence without imposing conditionality. What is really needed is genuine country leadership. As President Obama said when he announced the United States' new development policy at the UN Millennium Development Goals summit in New York in September, “We will partner with countries that are willing to take the lead. Because the days when your development was dictated in foreign capitals must come to an end.”
Topic:
Development, Human Welfare, Humanitarian Aid, and Foreign Aid
Political Geography:
Africa, United States, New York, and United Nations

25. 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

26. Hunger in the Sahel: A permanent emergency? Ensuring the next drought will not cause another humanitarian crisis

Publication Date:
12-2010
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
In 2010, more than 10 million people, mainly women and children, were victims of the food crisis in the Sahel. Nearly 500,000 severely malnourished children were taken into care between January and November 2010 in Niger, Chad, Mali and Burkina Faso. Most livestock in the Sahel was decimated. The images and the stories of hunger harked back to the food crisis of 2005 and the famines in 1973-1974 and 1984-1985.
Topic:
Agriculture, Human Welfare, Humanitarian Aid, and Food
Political Geography:
Africa

27. Tunisia–The Imprisonment of Fahem Boukadous (Part One of a series)

Author:
Rob Prince
Publication Date:
10-2010
Content Type:
Working Paper
Institution:
Human Rights Human Welfare (University of Denver)
Abstract:
To most Americans with the exception of those few who, for whatever reason, have an attachment to the North African country of Tunisia, the name Fahem Boukadous, foreign to American ears, means nothing. It means a good deal more to "Reporters Without Borders” and to the US State Department that actually issued a statement (half way down the page) on his behalf, to the US intelligence agencies and military that have carefully followed the Spring, 2008 uprising in the Tunisian region of Gafsa–deemed the most extensive and militant social protest in that country's history in the past quarter century.
Topic:
Human Rights, Human Welfare, and Torture
Political Geography:
Africa, United States, America, Arabia, North Africa, and Tunisia

28. Africa's New Human Rights Court: Whistling in the Wind?

Author:
Sonya Sceats
Publication Date:
03-2009
Content Type:
Policy Brief
Institution:
Chatham House
Abstract:
Human rights abuses on a massive scale continue to afflict the lives of millions of people across the continent of Africa. As in other parts of the world, the obstacles in pursuing justice are currently insurmountable for most victims. Against this troubling backdrop, the African Union (AU) has decided to add a human rights section to its new court which has been agreed upon but not yet set up. This court is called the African Court of Justice and Human Rights. In the meantime, another pan-African human rights court, the African Court on Human and Peoples' Rights, has recently opened in Arusha, Tanzania. This court will be wound down to make way for the African Court of Justice and Human Rights but is expected to operate for the next few years at least. These two courts represent the third instalment in efforts since the Second World War to create regional human rights courts. Because they have broad powers to enforce socio-economic rights and the collective rights of peoples, they may be setting an example for new developments around the world. This briefing paper focuses on the African Court of Justice and Human Rights, but it also explains key features of the interim African Court on Human and Peoples' Rights. It addresses questions including: Can victims of human rights abuses bring cases? Will the Court be able to try African heads of state? Will governments comply with judgments?
Topic:
Human Rights, Human Welfare, and Torture
Political Geography:
Africa

29. Customary Law and Human Rights in Botswana

Author:
Rekha A. Kumar
Publication Date:
08-2009
Content Type:
Working Paper
Institution:
Human Rights Human Welfare (University of Denver)
Abstract:
The right of indigenous people to have customary law accommodated within the communities they live is an integral part of Botswana legal system. How far traditional cultures protect the well-being of their people would illuminate the foundation of human dignity on which human rights protection stands in a country. The revelations may not be affirmative always, however. In Botswana the Constitution places a prominent status on custom in a range of contexts. The core of personal law is very much the domain of customary law. It is of particular significance for women's rights. In its application it reinforces the social order by determining the obligations of men, women and children, their entitlement to resources, property ownership, marriage and divorce. It formulates such matters as the status of widows, child custody and inheritance. In the absence of a guarantee that equality between men and women takes precedence over custom, traditional practices that discriminate against women may be lawful in some circumstances. There are a number of regional and international human rights instruments ratified by Botswana. The Government has assumed an obligation to ensure that at all its levels of administration basic rights of the people will be respected and protected. How far these legally bind Botswana in its domestic application of customary law is a legitimate question not clearly settled so far.
Topic:
Human Rights, Human Welfare, and Law
Political Geography:
Africa

30. Governing HIV/AIDS in South Africa. The Role of Firms

Author:
Tanja Anita Börzel, Anna Kristin Müller-Debus, and Christian Thauer
Publication Date:
07-2009
Content Type:
Working Paper
Institution:
Collaborative Research Center (SFB) 700
Abstract:
Firms relocating production to countries with lower social standards are regarded as driving force behind the regulatory 'race to the bottom'. However, there are numerous instances in which the behavior of firms reveals just the opposite: They adhere to self-regulatory standards (CSR) and even pressure governments to issue stricter public regulations. We intend to identify the conditions under which firms contribute to higher regulatory standards in states with weak regulatory capacities, thereby following a 'race to the top' rather than a 'race to the bottom'-logic. Theoretically, we set out to test in how far the existing literature can be utilized to answer this question. Empirically, the assessment concentrates on the textile and automotive industries in South Africa and HIV/AIDS abatement. Only limited state capacities have been involved in fighting HIV/AIDS in South Africa. Under which conditions do firms try to foster state capacities for the fight against the disease?
Topic:
Health and Human Welfare
Political Geography:
Africa