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1321. Fighting a Pandemic: The World's Effort to Control Multidrug-Resistant Tuberculosis

Author:
Alex Bozzette
Publication Date:
12-2012
Content Type:
Journal Article
Journal:
Georgetown Journal of International Affairs
Institution:
Georgetown Journal of International Affairs
Abstract:
"Sitienes el dinero, puedas hacer maravillas." If you have the money, you can do wonders. Those were some of the first words Dr. Clara Friele, coordinator of Ecuador's National Tuberculosis (TB) Control Program, said to me last summer. The disease she and so many others are fighting is fully curable. It has been documented for millennia-recorded in the bones of Egyptian mummies, the pages of the Hindu Vedas, and the scenes of countless films, plays, and operas (from Tombstone to La Traviata).TB claimed 1.4 million lives in 2010 and is the leading killer of people with AIDS. It infects the lungs before spreading throughout the body and, if untreated, kills almost two-thirds of those with the severe active disease. Supported by a generous travel-study grant, I spent June through August 2011 in South America, East Africa, and Southeast Asia learning from those who fight this TB pandemic firsthand.
Political Geography:
Africa, South America, Egypt, and Southeast Asia

1322. Subjective Risk and Participation in Micro Life Insurance in Ghana

Author:
Lena Giesbert
Publication Date:
12-2012
Content Type:
Working Paper
Institution:
German Institute of Global and Area Studies
Abstract:
This paper analyzes the determinants of households' decisions to purchase micro life insurance, the most common but least investigated type of microinsurance. It uses household survey data collected in southern Ghana in 2009. Insurance participation and extent of coverage are examined against a standard benchmark model, which argues that life insurance uptake increases with risk aversion, the probability of risk, initial wealth, and the “intensity for bequests.” Many of these predictions indeed hold in the case of micro life insurance. However, the results of probit and tobit models show that nonstandard factors also explain the participation decision. Unlike the case with other available types of insurance, there is a significant negative association between households' subjective idiosyncratic risk perception and the uptake of micro life insurance. Additionally, households' micro life insurance participation is strongly related to their relationships with formal financial services providers and their membership in social networks. These findings suggest that poorer households view microinsurance as a risky option.
Topic:
Health, Poverty, and Health Care Policy
Political Geography:
Africa and Ghana

1323. Who rules Nigeria?

Author:
Inge Amundsen
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Norwegian Centre for Conflict Resolution
Abstract:
Nigeria has experienced military coups, a civil war and very poor economic development, and its population is more impoverished today than at independence. Behind this lies the “oil curse”. The ruling elite has captured the rents generated from oil for personal enrichment and power purposes. Nigeria's elite formation has three distinct characteristics. It is based on a fusion of elites, with the military dominating. It is consolidated through power diversification (with the conversion of political power into economic power as the most important), and it is enriched through economic extraction (where the usurpation of the country's oil wealth is pivotal).
Topic:
Civil War, Corruption, Democratization, Oil, and Governance
Political Geography:
Africa and Nigeria

1324. Is a military intervention in Mali unavoidable?

Author:
Roland Marchal
Publication Date:
10-2012
Content Type:
Working Paper
Institution:
Norwegian Centre for Conflict Resolution
Abstract:
No clear settlement of the crisis in Mali seems possible in the short term, despite a UN Security Council resolution on October 12th paving the way for a military intervention by ECOWAS countries. The crisis is fed by various dynamics that need to be reconciled for peace to prevail. Firstly, the transition in Bamako is going nowhere, and further divisions in the government and the resurgence of the coup makers undermine the fragile progress witnessed in July. Unable to agree on a solution in Bamako, most political actors have developed a militaristic approach to any solution for the north. Secondly, Islamist and jihadist movements were able to gain control of northern Mali (two-thirds of the country) in a few months and have enforced new rules inspired by their understanding of Islam. Although protests erupted in several cities, the militants deepened their control over the region and its local and transnational economy and may have a constituency among the population. ECOWAS, supported by France, is willing to intervene militarily, but the fragmentation of the Malian army is a key weakness. Moreover, ECOWAS has not spelled out the actual aims of its intervention: mere territorial gains without addressing local and national grievances may mean the return of the status quo ante, which would be unacceptable to most people in northern Mali. As usual, the long-term political dimensions of the ECOWAS intervention are dismissed in favour of an immediate military victory that would be very fragile as a result.
Topic:
Conflict Resolution, Security, Islam, Armed Struggle, and Counterinsurgency
Political Geography:
Africa, France, and Northern Mali

1325. The Twenty-first Century Expansion of the Transnational Drug Trade in Africa

Author:
Ashley Neese Bybee
Publication Date:
12-2012
Content Type:
Journal Article
Journal:
Journal of International Affairs
Institution:
School of International and Public Affairs, Columbia University
Abstract:
In the last decade, West Africa emerged as a major transit hub for Latin American Drug Trafficking Organizations (DTOs) transporting cocaine to Western Europe. Since that time, there has been cause for hope and despair. The UN Office on Drugs and Crime (UNODC), the Economic Community of West African States (ECOWAS), and an array of international donors have made great strides in acknowledging the growing problem of drug trafficking and have implemented practical measures to stem this flow. All the while, the fears of many observers have been confirmed as the insidious effects of the drug trade have begun to take effect in many West African states. Consumption is on the rise and narco-corruption now undermines the rule of law and legitimate economic growth necessary for development and stability. One of the most alarming trends that place Africa and Africans on the radar of policy makers, law enforcement, and researchers alike is the number of new fronts on which the illicit drug trade is growing. Its geographic expansion beyond the relatively confined region of West Africa is now endangering East and Southern Africa. The arrival of new drugs to the region—heroin and Amphetamine-Type Stimulants (ATS, commonly referred to as synthetic drugs)—has been accompanied by the discovery of local manufacturing facilities to process them. Lastly, the growing level of involvement by Africans—who initially served as facilitators but now appear to be taking a more proactive role—raises concerns that a new generation of African DTOs is rising in the ranks. This paper examines how each of these trends are contributing to the twenty-first century expansion of the drug trade in Africa and summarizes some of the impacts they are having on the states and their populations.
Political Geography:
Africa, Latin America, and Western Europe

1326. The Story of Two Women who Risked Everything in the International Drug Trade

Author:
Alina A. Smyslova
Publication Date:
12-2012
Content Type:
Journal Article
Journal:
Journal of International Affairs
Institution:
School of International and Public Affairs, Columbia University
Abstract:
Much has been written about the global drug trade, the international cartels, and the men at the top, creating an illusion that women are not a part of this illicit business. In Strange Trade, author Asale Angel-Ajani shatters this stereotype with an intimate account of two African women involved in drug trafficking, who were brought together in Italy's Rebibbia prison. Angel-Ajani's retelling of their narratives, as well as her own experiences, makes this book not only a story of the drug trade, but also one of the author's adventures researching this dangerous subject. The greatest lesson communicated by this book is that women are not necessarily mules and victims. As demonstrated in the stories of "the Ugandan," some women "chose the business" and lead their own international cartels. One of the women's tales offers a stark contradiction of the stereotypical female experience: a desperate victim tricked into becoming a mule. Angel-Ajani offers glimpses into subjects that could be books in themselves: the horrors of the Liberia's civil war, life in Rebibbia Prison and refugee camps, the business of global drug trafficking operations, and more. These glimpses only graze the surface, and when combined with the author's quick transitions between individual viewpoints and timeframes, often make the work seem disorganized and prevent the reader from connecting with the women. Perhaps the strongest connection made is that with the author and the consistent interjection of her own emotions and experiences in the narrative. While this adds a personal touch to the book, an academic audience might find it unnecessary and distracting. Including additional facts and data would have made this a stronger and more attractive read to academics who will not find much scholarly content to add to their personal research. But to readers interested in female experiences in drug trafficking, this is a worthy and quick read.
Political Geography:
Africa and Liberia

1327. The Shadow World: Inside the Global Arms Trade

Author:
Krisztian Simon
Publication Date:
12-2012
Content Type:
Journal Article
Journal:
Journal of International Affairs
Institution:
School of International and Public Affairs, Columbia University
Abstract:
The Shadow World: Inside the Global Arms Trade Andrew Feinstein (New York: Farrar, Straus and Giroux, 2011), 672 pages. In Shadow World, a book on the global arms trade, author Andrew Feinstein argues that there is only a thin line between what constitutes legal and illegal. "With bribery and corruption de rigueur," he writes, "there are very few arms transactions that are entirely above board." Feinstein notes that manufacturers are often major donors to political parties and prospective employers of defeated politicians, which ensures that the beneficiaries of arms deals seldom face justice. According to the author's estimates, including the trade in conventional arms-which includes military vehicles, missiles, and ammunition-is worth $60 billion per year, accounts for more than 40 percent of the corruption in world trade, and has cost the lives of 231 million people in the last century. The money spent on arms, especially by developing countries, is desperately needed in other areas. Feinstein, who resigned from the African National Congress and South Africa's governing party after they were unwilling to launch an investigation into a major arms deal recalls that, in the late 1990s, the South African government spent £6 billion (nearly $10 billion) on guns it barely used, even while it could not afford antiretroviral drugs for the country's 6 million HIV-infected citizens. According to Feinstein, more than 355,000 of them died between 2000 and 2005. Using numerous interviews and confidential documents, Feinstein reconstructs the major arms deals of the last hundred years, describing in great detail the interactions of governments, manufacturers, and powerful arms dealers and provides an astonishing and insightful description of the world's "second-oldest profession." Although many of the stories were reported in the international press, they have rarely been described in such great detail. What is missing, however, is a more detailed analysis of the reasons for the lack of political will for reform, though Feinstein does offer some guidelines to help future policy makers deal with the arms industry. Unfortunately, Feinstein does not expect to see any changes in the near future; the first decade of the new millennium was, in his view, even more violent than the previous century.
Political Geography:
Africa, New York, and South Africa

1328. The State of Public Health in South Sudan

Author:
Richard Downie
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Less than 18 months into its life as an independent nation, South Sudan is facing a desperate struggle for survival. Because the terms of its separation from Sudan were not decided before independence, negotiations have dragged on over issues including borders, security arrangements, and the qualifications for citizenship, diverting attention from the urgent task of development. Most damagingly, the two nations have failed to cooperate on oil production, the mainstay of their economies. Anger over the high price Sudan was demanding to use its pipeline prompted the government of the Republic of South Sudan (GRSS) to shut off oil production entirely in January 2012. Although a compromise was reached in August, implementation stalled until a broader agreement was signed by the two countries in late September. The implications for health development in South Sudan are stark. Even before the oil shutdown, international donors had paid for and delivered most health services. However, talks had been ongoing to transfer to a more sustainable system in which the GRSS assumed more responsibility for the health needs of its citizens. Donors spoke of the importance of moving away from a top-down system centered on emergency relief and primary health care delivery, mainly administered by international nongovernmental organizations (NGOs). Instead, the objective was to move to a new phase focused on developing health systems that would increasingly be managed by South Sudanese themselves. These plans were put on hold by the oil shutdown and the calamitous economic crisis it triggered. Donors feel that South Sudan has regressed in the period since independence, and they apportion a lot of the blame for the dire situation on the government of South Sudan.
Topic:
Conflict Resolution, Development, Economics, Health, Oil, Infectious Diseases, Financial Crisis, and Health Care Policy
Political Geography:
Africa and South Sudan

1329. The sad decline of Mali

Author:
Paul Melly
Publication Date:
09-2012
Content Type:
Journal Article
Institution:
Chatham House
Abstract:
Drug money, corruption and jihadists have pushed one of Africa's most admired democracies into crisis.
Political Geography:
Africa and Egypt