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1. Mental Health Conditions and Substance Use: Comparing U.S. Needs and Treatment Capacity with Those in Other High-Income Countries

Author:
Melinda K. Abrams, Reginald D. Williams II, Katharine Fields, and Roosa Tikkanen
Publication Date:
05-2021
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
About one-quarter of U.S. adults report having a mental health diagnosis such as anxiety or depression or experiencing emotional distress. This is one of the highest rates among 11 high-income countries. While U.S. adults are among the most willing to seek professional help for emotional distress, they are among the most likely to report access or affordability issues. Emotional distress is associated with social and economic needs in all countries. Nearly half of U.S. adults who experience emotional distress report such worries, a higher share than seen in other countries. The United States has some of the worst mental health–related outcomes, including the highest suicide rate and second-highest drug-related death rate. The U.S. has a relatively low supply of mental health workers, particularly psychologists and psychiatrists. Just one-third of U.S. primary care practices have mental health professionals on their team, compared to more than 90 percent in the Netherlands and Sweden.
Topic:
Health, Health Care Policy, Mental Health, Drugs, and Substance Abuse
Political Geography:
United States, Europe, and Global Focus

2. Not for Adults Only: Toward a Child’s Lens in Migration Policies in Asia

Author:
Maruja M. B. Asis and Alan Feranil
Publication Date:
03-2020
Content Type:
Journal Article
Journal:
Journal on Migration and Human Security
Institution:
Center for Migration Studies of New York
Abstract:
Having experienced substantial international migration since the 1970s, countries in East, South, and Southeast Asia have developed laws, institutions, policies, and programs to govern various aspects of international migration. Children, however, who comprise a significant share of the world’s international migrants, have not received as much policy attention as adults. Children are part of the region’s international migration experience (e.g., children left behind in the countries of origin when their parents migrate for work, children as migrants, and children as members of multicultural families). This article provides an overview of the challenges faced by children as migration actors, and the policy responses and programs that select countries in the region have developed to address children’s experiences and concerns. The Global Compact for Safe, Orderly and Regular Migration and the Global Compact on Refugees, which many Asian countries have endorsed, set forth objectives, commitments, and actions, informed by the principle of promoting the best interests of the child and child protection, which specifically address the needs of children. These include actions to promote universal birth registration, enhance access to education and health and social services regardless of migrant and legal status, and otherwise create inclusive and socially cohesive societies. Most countries in Asia have yet to meet these standards. Endorsing the two compacts was a first step. The good practices that have been implemented in a number of countries provide a template for how to translate these objectives into action and how to ensure that the full protection and best interests of migrant children, the left-behind children of migrant workers, and those who are part of multicultural families remain a priority.
Topic:
Migration, Regional Cooperation, Health Care Policy, and Children
Political Geography:
South Asia, East Asia, Asia, and Southeast Asia

3. Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak

Author:
Bilal Siddiqi, Maarten Voors, Johannes Haushofer, Oeindrila Dube, and Darin Christensen
Publication Date:
03-2020
Content Type:
Working Paper
Institution:
Empirical Studies of Conflict Project (ESOC)
Abstract:
Developing countries are characterized by high rates of mortality and morbidity. A potential contributing factor is the low utilization of health systems, stemming from the low perceived quality of care delivered by health personnel. This factor may be especially critical during crises, when individuals choose whether to cooperate with response efforts and frontline health personnel. We experimentally examine efforts aimed at improving health worker performance in the context of the 2014–15 West African Ebola crisis. Roughly two years before the outbreak in Sierra Leone, we randomly assigned two accountability interventions to government-run health clinics — one focused on community monitoring and the other gave status awards to clinic staff. We find that over the medium run, prior to the Ebola crisis, both interventions led to improvements in utilization of clinics and patient satisfaction with the health system. In addition, child health outcomes improved substantially in the catchment areas of community monitoring clinics. During the crisis, the interventions also led to higher reported Ebola cases, as well as lower mortality from Ebola—particularly in areas with community monitoring clinics. We explore three potential mechanisms: the interventions (1) increased the likelihood that patients reported Ebola symptoms and sought care; (2) unintentionally increased Ebola incidence; or (3) improved surveillance efforts. We find evidence consistent with the first: by building trust and confidence in health workers, and improving the perceived quality of care provided by clinics prior to the outbreak, the interventions encouraged patients to report and receive treatment. Our results suggest that accountability interventions not only have the power to improve health systems during normal times, but can additionally make health systems resilient to crises that may emerge over the longer run.
Topic:
Health, Infectious Diseases, Health Care Policy, Mortality, Public Health, and Pandemic
Political Geography:
West Africa and Sierra Leone

4. The U.S. Fight against Coronavirus

Author:
Marek Wąsiński and Mateusz Piotrowski
Publication Date:
03-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The coronavirus outbreak is spreading throughout the United States. After its initial underestimation of the threat, the Trump administration has acted to fight against the pandemic, including the introduction of a national emergency. The effectiveness of these actions will be an important factor in whether Trump is re-elected. The limits on social life despite the enormous financial support from the government and the Federal Reserve have dramatically slowed the economy, heading into a recession. Public debt will increase much more rapidly, which may force budget cuts in the coming years.
Topic:
Economics, Government, Health, Financial Crisis, Health Care Policy, Crisis Management, Donald Trump, and Coronavirus
Political Geography:
North America and United States of America

5. Political Tensions and the Failure to Curb COVID-19 in Brazil

Author:
Bartlomiej Znojek
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The spread rate of COVID-19 in Brazil is increasing and the policies of the federal government, headed by President Jair Bolsonaro, do not contribute to a slowdown in the pandemic. Bolsonaro downplays the threat and rejects restrictive measures as he priori-tises support for the economy. He has clashed with state governors who introduced restrictions and with the Federal Supreme Court, which defended their autonomy. The deteriorating situation in Brazil amid the pandemic and political situation diminish Bolsonaro’s chances of re-election in 2022 and may strain his government’s relations with EU partners.
Topic:
Government, Health, Politics, Health Care Policy, Coronavirus, Pandemic, and Jair Bolsonaro
Political Geography:
Brazil and South America

6. Birth Order and Demand for Immunization for Children under the Age of Five in Cameroon

Author:
Negou Kamga Vincent de Paul and Nda’chi Deffo Rodrigue
Publication Date:
01-2020
Content Type:
Research Paper
Institution:
African Economic Research Consortium (AERC)
Abstract:
Despite free basic vaccines administered by the Expanded Programme on Immunization (EPI), there is still a fairly high death rate of children aged 0-5 worldwide due to vaccine-preventable diseases. Sub-Saharan Africa is the most affected region due to low levels of vaccination. This study analyses the effect of birth order on the immunization status of children in Cameroon, considering the contribution of cultural, economic and community factors. To do this, it uses data from the Demographic and Health Surveys of 1991, 1998, 2004 and 2011 produced by the National Institute of Statistics with the support of UNFPA, UNICEF, the World Bank and USAID. The EPI module was administered to 3,350, 2,317, 8,125 and 25,524 children under five in 1991, 1998, 2004 and 2011, respectively. The multinomial probit model makes it possible to find that birth order has a negative and highly significant effect on the full and timely immunization of children under five and the impact increases with birth order. Moreover, the impact of birth order increases after adjusting for cultural factors. This increase indicates that, beyond the effect of birth order, cultural factors are at the root of prejudices leading to the abandonment of children. Considering children under two years of age, and vaccines taken during the first four months, the corresponding birth order effect points to the benefits of routine immunization and response campaigns in promoting immunization of children under five.
Topic:
Economics, Health, Health Care Policy, and Children
Political Geography:
Africa and Cameroon

7. National Health Mission

Author:
Snehal Shah, Avani Kapur, and Abhishek Andasu
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
he National Health Mission (NHM) is Government of India’s (GoI’s) largest public health programme. It consists of two sub-missions: National Rural Health Mission (NRHM), and National Urban Health Mission (NUHM). Using government data, this brief reports on: GoI allocations and releases; Incentives and penalties to states under conditionality framework; NHM approvals and expenditures as per programmatic components; and Outputs and outcomes.
Topic:
Government, Health, Health Care Policy, Budget, Social Policy, Public Policy, and Rural
Political Geography:
South Asia and India

8. Pradhan Mantri Matru Vandana Yojana & Janani Suraksha Yojana

Author:
Avani Kapur and Tenzin Yangki
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
This brief reports on two schemes: a) The Pradhan Mantri Matru Vandana Yojana (PMMVY), Government of India’s (GoI’s) maternity benefit scheme aimed at providing partial compensation for wage loss and improving health seeking behaviour of pregnant women and lactating mothers, and b) the Janani Suraksha Yojana (JSY) aimed at incentivising institutional and safe delivery to reduce infant and maternal mortality. Using government data, this brief reports on: Trends in allocations, releases, and utilisation; Coverage and payments; and Outputs and outcomes.
Topic:
Gender Issues, Government, Health, Health Care Policy, Budget, Women, and Social Policy
Political Geography:
South Asia and India

9. Ayushman Bharat

Author:
Ritwik Shukla and Avani Kapur
Publication Date:
02-2020
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
Ayushman Bharat, under the aegis of the Ministry of Health and Family Welfare (MoHFW) was launched by Government of India (GoI) on 23 September 2018. The programme consists of two initiatives: (1) The Pradhan Mantri Jan Arogya Yojana (PMJAY); and 2) The establishment of 1.5 lakh Health and Wellness Centres (HWCs). Using government data, this brief reports on the following indicators: GoI allocations and releases; Eligibility and claims under PMJAY; and Number of operational HWCs and diseases screened.
Topic:
Government, Health, Health Care Policy, and Budget
Political Geography:
South Asia and India

10. Lockdown Preventive Measure against COVID-19 Pandemic: Livelihoods Implications in Cameroon

Author:
Dr. Tata E. Sunjo, Adeline Kaptue Wuyt, and Dr. Yauba Saidu
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The entire world today is, in one way or another, affected by the spread of the novel coronavirus infection which the World Health Organization (WHO) declared to be a pandemic on the 11th of March 2020. This outbreak which has spread to all continents (Figure 1) has been characterized by exponential increase in infected cases, attributed deaths and socio-economic hardship. There are already more than 3.8 million confirmed cases globally with over 265 862 deaths (WHO Situation Report, 9 May 2020). The quality of the health system in a given country appears to not be an influential factor in preventing the installation or propagation of the pandemic as the nations with relatively robust health systems like in Europe and the USA have also been hit hard.
Topic:
Health, World Health Organization, Health Care Policy, Public Health, Pandemic, and COVID-19
Political Geography:
Africa and Cameroon