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51. Lessons for Japan from U.S. Rebalancing of Mental Health Care

Author:
Richard G. Frank
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
As of April 2013, the Japanese government will make mental health a fifth national priority for national medical services, along with cancer, stroke, acute myocardial infarction, and diabetes. This change is a result of multiple factors: an aging population; increases in the demand for mental health care services; and a concern about a system that overly emphasizes institutional mental health care. The plan for shaping the future of mental health delivery in Japan is focused on changing the balance of care from institutional services to community - based services. In pursuing this goal the Japanese government has identified four aims for change: create a system of care that differentiates functions according to the intensity of need of patients; assure high - quality care throughout a restructured delivery system; make investments to support community - based services; and expand community education and expand opportunities for patient preferences to drive the delivery system.
Topic:
Health, Governance, and Health Care Policy
Political Geography:
United States and Israel

52. Lessons Learned from AIDS 2012

Author:
Suzanne Brundage and J. Stephen Morrison
Publication Date:
11-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
From July 22 to July 27, 2012, Washington, D.C., was host to the International AIDS Conference, the biannual Super Bowl of global health and the preeminent forum for reviewing the science, policy, programs, and politics in the fight against HIV/AIDS.
Topic:
Economics, Health, Humanitarian Aid, and Health Care Policy
Political Geography:
United States and Washington

53. The International AIDS Conference Returns to the United States

Author:
Katherine E. Bliss
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
In 1985, four years after the U.S. Centers for Disease Control and Prevention (CDC) published a notice in the Morbidity and Mortality Weekly Report regarding unusual clusters of disease in young, otherwise healthy, gay men in California and New York, more than 2,000 scientists from around the world assembled at the World Congress Center in Atlanta to exchange research and compare notes on what had come to be known as Acquired Immune Deficiency Syndrome, or AIDS. There have been 18 international AIDS conferences since that initial gathering, in locales ranging from Amsterdam and Florence to Durban and Mexico City. These conferences, which have been organized since 1988 by the International AIDS Society, have evolved from modest- sized meetings of scientists and researchers to multitrack, week-long conventions attracting more than 20,000 delegates, including heads of state, celebrities, philanthropists, researchers, activists, and people living with the human immunodeficiency virus (HIV) and AIDS.
Topic:
HIV/AIDS, Health, International Cooperation, and Infectious Diseases
Political Geography:
United States

54. Supporting America's Children and Adolescents

Author:
Jacquelynne S. Eccles
Publication Date:
05-2012
Content Type:
Journal Article
Journal:
Macalester International
Institution:
Macalester College
Abstract:
Contemporary vulnerabilities that beset human beings around the world come in a variety of guises and affect diverse populations differently. Perhaps no category of people is as easily exposed as children to such injuries as the interconnected factors of poverty, disease, lack of education, physical violence, and family breakdown. To be sure, there is marked and continuous progress on a number of fronts, particularly in the reduction of mortality among the young. Yet many children and adolescents still suffer from a variety of risks to their well-being. Although not confronted with as many or as severe risks as children in the developing world, many children and adolescents in the United States are at high risk—higher than the risks faced by their counterparts in many other Western industrialized countries. Despite the fact that the United States ranks first in Gross Domestic Product, it is last among the industrial North in relative child poverty, adolescent birth rates, and securing children against gun violence. Furthermore, the United States has relatively high rates of low birth weight and infant mortality statistics as well as other indicators of poor health, such as obesity, asthma, and lack of physical fitness. For example, our country ranks 43rd among developed countries in infant mortality. Each of these risks is most pronounced among families living in poverty, many of whom are also members of racial and ethnic minority populations.
Topic:
Health
Political Geography:
United States

55. Incentives for Life: Cash-on-Delivery Aid for Tobacco Control in Developing Countries

Author:
Amanda Glassman and Thomas J. Bollyky
Publication Date:
04-2012
Content Type:
Working Paper
Institution:
Council on Foreign Relations
Abstract:
Fewer people are smoking in the United States, Europe, and most of the developing world. Excise taxes, bans on smoking in public places, and graphic health warnings are achieving such dramatic reductions in tobacco use in developed countries that a recent Citigroup Bank investment analysis speculated that smoking could virtually disappear in wealthy countries over the next thirty to fifty years.
Topic:
Health and Human Welfare
Political Geography:
United States and Europe

56. Gender-Based Violence and HIV

Author:
Janet Fleischman
Publication Date:
07-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
The dual global epidemics of HIV/AIDS and gender - based violence (GBV) exert a destructive and disproportionate impact on women and girls, especially in high HIV - prevalence countries in Africa. Yet despite bipartisan political consensus on the intersection between HIV and GBV, efforts to address this area have not attracted the attention or resources necessary to drive the program innovation that could demonstrate progress. However, new momentum is now being brought to this agenda with the U.S. President ' s Emergency Plan for AIDS Relief ' s (PEPFAR) GBV initiative. Although still early in implementation and facing many challenges, the GBV initiative has the potential to yield important lessons about synergies and cost - effectiveness in reducing GBV and HIV, with clear implications for U.S. global health investments.
Topic:
Gender Issues, Globalization, and Health
Political Geography:
United States

57. Saving Mothers, Giving Life: Attainable or Aspirational?

Author:
Janet Fleischman
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
Each day, nearly 800 women die around the world from complications in pregnancy or childbirth. That's one woman losing her life, every 100 seconds, every day. And while, from 1990 to 2010, global maternal mortality rates declined by roughly 47%, from about 546,000 to 287,000, the regional disparities are enormous: 85% of all maternal deaths occur in sub-Saharan Africa and South Asia—and more than half of these occur in sub-Saharan Africa. These deaths are largely preventable with interventions and training to address complications such as hemorrhage, infection, and obstructed labor, and more broadly with increased access to reproductive health services.
Topic:
Foreign Policy, Health, International Affairs, Foreign Aid, and Health Care Policy
Political Geography:
Africa, United States, and South Asia

58. South Africa's AIDS Diplomacy

Author:
Pieter Fourie
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
When the Group of Eight (G-8) industrialized countries decided at their 2001 meeting in Genoa to establish the Global Fund to Fight AIDS, Tuberculosis, and Malaria to increase international funding for interventions against the three diseases, the United States was a leading supporter. The fund was a public-private partnership set up in 2002 with formal status as a foundation under Swiss law. In the fund's first two years, the United States accounted for nearly half the total amount pledged and challenged other donors to increase their contributions. By 2008 the Global Fund had committed $15.6 billion to AIDS activities in 140 country.
Topic:
Foreign Policy, Government, Health, and Health Care Policy
Political Geography:
United States and South Africa

59. Priority-Setting in Health: Building Institutions for Smarter Public Spending

Author:
Amanda Glassman and Kalipso Chalkidou
Publication Date:
06-2012
Content Type:
Policy Brief
Institution:
Center for Global Development (CGD)
Abstract:
Health donors, policymakers, and practitioners continuously make life-and-death decisions about which type of patients receive what interventions, when, and at what cost. These decisions—as consequential as they are—often result from ad hoc, nontransparent processes driven more by inertia and interest groups than by science, ethics, and the public interest. The result is perverse priorities, wasted money, and needless death and illness. Examples abound: In India, only 44 percent of children 1 to 2 years old are fully vaccinated, yet open-heart surgery is subsidized in national public hospitals. In Colombia, 58 percent of children are fully vaccinated, but public monies subsidize treating breast cancer with Avastin, a brand-name medicine considered ineffective and unsafe for this purpose in the United States.
Topic:
Development, Health, and Foreign Aid
Political Geography:
United States, India, and Colombia

60. New Approaches to Global Health Cooperation: Perspectives from Brazil

Author:
Katherine E. Bliss, Paulo Buss, and Felix Rosenberg
Publication Date:
09-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
On November 7, 2011, the Global Health Policy Center of the Center for Strategic and International Studies (CSIS) in Washington, D.C., in partnership with the Fiocruz Center for Global Health (CRIS) in Rio de Janeiro, Brazil, hosted a seminar entitled “New Approaches to Global Health Cooperation.” The event, which took place in Rio de Janeiro, assembled health policy researchers and practitioners from Brazil, Europe, the United States, and sub - Saharan Africa to examine emerging practices in global health co operation. Issues considered included the factors driving greater international engagement on public health challenges, the growing trend of trilateral cooperation, and the role of the BRICS (Brazil, Russia, India, China, and South Africa) and South - South activities in expanding international cooperation on global health. Over the course of the day - long meeting, speakers and audience members examined the reasons for the overall expansion of funding and programming for overseas global health activities durin g the past decade; considered the factors that underpin Brazil's increasing focus on global health as an area of bilateral and multilateral outreach; reviewed the characteristics of successful trilateral cooperation efforts; and debated the future of multi country engagement on health.
Topic:
Development, Emerging Markets, Health, and Health Care Policy
Political Geography:
Africa, Russia, United States, China, Europe, Washington, India, South Africa, Brazil, and Latin America