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121. 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

122. 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

123. Maternal Health in Nigeria: With Leadership, Progress is Possible

Author:
Jennifer G. Cooke and Farha Tahir
Publication Date:
01-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As the Millennium Development Goals (MDGs) target date of 2015 approaches, there is a growing sense of urgency among international agencies to intensify efforts on the global challenge of maternal health, where, according to the 2012 MDG progress report, levels of maternal mortality remain “far from the 2015 target”. In 2012, both the G - 8 and the African Union made maternal and child health a keystone of their respective annual summits , and the United Nations launched the Global Strategy for Women ' s and Children ' s Health at a special General Assembly event. A 2 012 global summit in London, co - led by the Gates Foundation, the UK government, and the UN Population Fund, generated $2.6 billion in donor pledges for family planning, a critical element of maternal health. The United States has made maternal health an increasingly important element in U.S. global health efforts, manifested most recently with the launch in June 2012 of the Saving Mothers, Giving Life initiative. The initiative, an ambitious public - private partnership intended “ to drive efficiencies, spur innovation, and ensure impact ” in maternal health , has the strong backing of Secretary of State Hillary Clinton, for whom maternal and child health, and women's empowerment more generally, have been consistent priorities.
Topic:
Gender Issues, Health, Humanitarian Aid, and Health Care Policy
Political Geography:
Africa

124. Rape Perpetration: A Review

Author:
R Jewkes
Publication Date:
07-2012
Content Type:
Policy Brief
Institution:
The Sexual Violence Research Initiative
Abstract:
Rape can have an enduring impact on the lives, and health of victims, their families and communities. Both men and women perpetrate sexual violence (Sikweyiya and Jewkes 2009), however the majority of sexual offences are committed by men (Steffensmeier and Zhong et al 2006). Research on what drives perpetration of rape and other forms of sexual violence is needed to inform prevention programmes–for this it is necessary to study men. This briefing paper summarises the key issues drawn from a larger review on rape perpetration including research on risk factors for sexual violence perpetration, the methodologies used to identify these risk factors and discusses the implications of this research for rape prevention strategies. Most of the literature reviewed focused on perpetration of sexual violence by men against women and girls. For the purposes of this paper, risk factors are factors that increase the risk (likelihood) of a person perpetrating sexual violence.
Topic:
Gender Issues, Health, Human Rights, Human Welfare, and Health Care Policy

125. Ethical and Safety Recommendations for Research on the Perpetration of Sexual Violence

Author:
E Dartnall, R Jewkes, and Y Sikweyiya
Publication Date:
01-2012
Content Type:
Policy Brief
Institution:
The Sexual Violence Research Initiative
Abstract:
Scientific research can and should play a critical role in raising the public profile and understanding of sexual violence at global, regional and national levels and help to define appropriate responses. Sexual violence perpetration is a relatively neglected area of research. As global and national agendas shift from responding to victims and incidents to primary prevention, there is increasing recognition of the importance of research with men and boys, including those who have perpetrated sexual violence. This area of research is highly sensitive, with distinct ethical challenges, and requires careful preparation, attention to legal issues and thoughtful dissemination of the research findings. Researchers who want to better understand sexual violence perpetration need a comprehensive understanding of the ethical issues involved. A paper published by the SVRI on ethics and research with men who commit sexual violence, highlights the lack of guidance for this work (Hearn, Andersson Cowburn 2007). It is against this background that these ethical and safety recommendations for doing research on perpetration of sexual violence have been developed.
Topic:
Development, Gender Issues, Health, Human Rights, Human Welfare, and Health Care Policy

126. Quantifying the Quality of Health Aid: Health QuODA

Author:
Amanda Glassman and Denizhan Duran
Publication Date:
05-2012
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Health is one of the largest and most complex sectors of foreign aid: in recent years, about 15 cents of every aid dollar went to global health. While health is often cited as one of the few undisputed aid success stories, there is little quantitative analysis of the quality of health aid, and some studies suggest that health aid does not necessarily improve health outcomes.
Topic:
Development, Globalization, Health, Foreign Aid, and Health Care Policy

127. Immunization Strategies: Eradicating Meningitis in Sub-Saharan Africa

Author:
Sarah Cruickshank and Samantha Grills
Publication Date:
08-2012
Content Type:
Policy Brief
Institution:
Centre for International Governance Innovation
Abstract:
Meningitis epidemics are a major concern in the 25-country area from Senegal to Ethiopia known as the “meningitis belt.” A communicable disease, meningitis affects large portions of the population, causes high rates of death and disability, and worsens the plight of families and communities in a region marked by extreme poverty. MenAfriVac™ is the least expensive and longest lasting meningitis vaccine created to date, and is the best medicinal tool currently available to the global health community to combat this serious disease. Developed through a partnership between the Programme for Appropriate Technology in Health (PATH), an international non-governmental organization, and the World Health Organization (WHO), MenAfriVac™ targets the strain of bacterial meningitis responsible for the vast majority of outbreaks in the region. This vaccine is currently being widely distributed through Burkina Faso, Mali and Niger — and gradually expanding into other high-risk countries — and has the potential to save hundreds of thousands of lives if funding can be secured and appropriate strategies implemented.
Topic:
Development, Infectious Diseases, and Health Care Policy
Political Geography:
Africa and Ethiopia

128. Increasing the Uptake of HIV Testing in Maternal Health in Malawi

Author:
Fabian Cataldo, Felix Limbani, and Monique van Lettow
Publication Date:
07-2012
Content Type:
Policy Brief
Institution:
Centre for International Governance Innovation
Abstract:
Mother-to-child transmission (MTCT) of HIV is the primary means of HIV infection in children. The Joint United Nations Programme on HIV/AIDS (UNAIDS) estimates that 20 percent of all children born in sub-Saharan Africa are exposed to HIV; among those children, 130,000 new HIV infections occurred in 2010 (UNAIDS, 2010).
Topic:
HIV/AIDS, Infectious Diseases, and Health Care Policy
Political Geography:
Africa

129. 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
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

130. 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