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131. 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
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

132. 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

133. 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
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

134. Lessons from Women's Programs in Afghanistan and Iraq

Author:
Kathleen Kuehnast, Hodei Sultan, Manal Omar, and Steven E. Steiner
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
United States Institute of Peace
Abstract:
As Afghanistan and Iraq enter a difficult transition period, women in these countries are increasingly vulnerable to having their rights and opportunities set back at least a generation. Deteriorating security in both countries also places women on the front lines again. In Iraq, the women's rights movement has stagnated, quotas protecting women's political inclusion risk being eliminated, and efforts have stalled to revise Article 41 of the Iraqi Constitution, the problematic article that relates to personal status laws. In Afghanistan, women continue to be largely excluded from the peace process, and reconciliation efforts with the Taliban could undermine the significant gains women have achieved since 2001. Advancing women's empowerment is an essential priority for the transition in each country as it can contribute directly to sustainable stability. The current transition period represents a critical time to assess lessons learned from U.S. engagement in both countries, particularly regarding women's programming. Undertaking such an assessment is timely and important given serious budget constraints facing the foreign affairs community, potential donor fatigue, and limited resources. By identifying common challenges and best practices, these lessons can carry over into future programming for women in conflict and postconflict zones, thus making such projects more effective. The lessons learned and best practices that emerge from this project will inform implementation of the U.S. National Action Plan on Women, Peace, and Security.
Topic:
Gender Issues, Human Rights, and Health Care Policy
Political Geography:
Afghanistan and Iraq

135. Explaining the Health Status of Children in Sierra Leone: Parental Socioeconomic Status and Demand for Health Inputs

Author:
Mohamed Jalloh and Santigie Mohamed Kargbo
Publication Date:
11-2012
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
In most developing countries, maternal and child health issues have received considerable attention in public health policies and pose formidable challenges. Several studies provide evidence of a strong relationship between socioeconomic factors such as economic growth, poverty, water and sanitation, education and gender and health outcomes. A good number of researchers have shown that a mother’s use of child health care is influenced by the risk of child mortality. It is thus been emphasized in the literature that the decision to obtain health inputs is confronted with the potential issue of self-selection and hence endogeneity.
Topic:
Economics, Health, Health Care Policy, Children, Child Poverty, Domestic politics, and Mortality
Political Geography:
Africa and Sierra Leone

136. The Effects of Socioeconomic Status and Health Insurance on the Demand for Prenatal and Postnatal Health Care in Ghana

Publication Date:
11-2012
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Ghana is committed to achieving Millennium Development Goals (MDG) 4 and 5, which aim to reduce child and maternal deaths by 2015. This commitment is manifested in the way prenatal and postnatal health care services are being made accessible to women of reproductive age. Prenatal care refers to the medical and nursing care recommended for women before and during pregnancy. Postnatal care is an essential part of safe motherhood. The access to and use of prenatal and postnatal health care services are crucial for improved maternal-child survival. Ill health of women and children can arise due to the under utilization of prenatal and postnatal health care services.
Topic:
Development, Economics, Health, Poverty, Health Care Policy, Children, Millennium Development Goals, and Infants
Political Geography:
Africa and Ghana

137. The Road to Universal Social Protection: How Costa Rica Informs Theory Juliana

Author:
Juliana Martínez Franzoni and Diego Sánchez-Ancochea
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Kellogg Institute for International Studies
Abstract:
How are universal social programs built in countries on the periphery, where resources are more limited and initial inequalities higher than any ever seen in OECD countries? Historically it has been very difficult, and even those countries that committed themselves to serious welfare efforts did so with stratified, rather than universal, transfers and services. Yet there have been some exceptions, and Costa Rica ranks among the most successful. The bottom-up expansion of social security, along income/class rather than occupational lines, was very important in the creation of a basic floor of benefits among the low and low-middle salaried population. Gradually, the middle and upper-middle groups were later on brought on board as well, in sharp contrast with the rest of the region where social insurance was shaped for and according to the preferences of various middle-class groups.
Topic:
Democratization, Economics, Poverty, Social Stratification, and Health Care Policy
Political Geography:
Latin America

138. Value for Money in Malaria Programming: Issues and Opportunities

Author:
Paul Wilson and Ya'ir Aizenman
Publication Date:
04-2012
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Although there have been studies of the cost-effectiveness of particular malaria interventions, there has been less analysis of broader aspects of value for money in malaria programming. In this paper, Paul Wilson and Ya'ir Aizenman examine opportunities for value for money in malaria control, extensively analyzing the effectiveness of interventions and current trends in spending. The authors conclude that on the whole resources for malaria control are well spent, but also note some areas where meaningful efficiencies might be possible, including (i) improving procurement procedures for bed nets, (ii) developing efficient ways to replace bed nets as they wear out, (iii) reducing overlap of spraying and bed net programs, (iv) expanding the use of rapid diagnostics, and (v) scaling up intermittent presumptive treatment for pregnant women and infants. In some ways, improving value requires increasing the quality of services—for example, while changing insecticides might increase the cost of spraying campaigns in the short run, it could save much larger amounts in the long run by forestalling resistance. In addition to these recommendations, this paper offers a framework for analyzing value for money in malaria and considers a comprehensive set of factors, from spatial heterogeneity in malaria transmission to mosquito resistance to insecticides. If better results can be achieved at lower cost—and often they can be—donors and recipients alike should better utilize such opportunities. This paper offers not only recommendations to achieve better results in malaria, but also a platform for evaluation of global health interventions that will be useful in future analyses.
Topic:
Development, International Cooperation, Poverty, and Health Care Policy

139. Reinventing Health Care

Author:
Basit Chaudhry deBronkart, Carole Roan Gresenz, Joseph Hutter, Anjali Jain, Brent C. James, Shawn Martin, Lewis Mattison, Daniel L. Newton, Anthony Nguyen, Brent Parton, Kavita Patel, and Steven Weinberger
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
In many respects, the U.S. health care system is breathtakingly innovative. It produces new technology, medical procedures, and scientific knowledge at a dazzling speed, enabling patient store cover from diseases and injuries once thought incurable or untreatable. As a consequence, the U.S. has one of the highest survival rates for cancers, excels at acute and trauma care, and has produced half of the world's Nobel laureates.
Topic:
Science and Technology and Health Care Policy
Political Geography:
United States

140. Family Planning Promotes the Demographic Dividend

Publication Date:
12-2012
Content Type:
Policy Brief
Institution:
Aspen Institute
Abstract:
The relationship between population dynamics and economic expansion is complex, but demographic changes play an important role in national development. While it is widely accepted that population growth rates do not have any consistent effect on economic growth, there is one set of population changes that can result in major economic benefits, as well as improved well - being for families and societies. This powerful opportunity is known as the demographic dividend, and it offers the potential to boost economic growth and poverty reduction — but only if government leaders implement sound policies.
Topic:
Demographics, Economics, Government, and Health Care Policy