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1442. Security for All: Applying the Women, Peace and Security Lens to the COVID-19 Pandemic Response in the U.S.
- Author:
- Kelly Case, Sahana Dharmapuri, Hans Hogrefe, Miki Jacevic, Jolynn Shoemaker, Moira Whelan, and Erin Cooper
- Publication Date:
- 04-2020
- Content Type:
- Policy Brief
- Institution:
- Our Secure Future
- Abstract:
- The COVID-19 pandemic does not respect borders or power. Armies, weapons, and fortifications will not destroy it. COVID-19 is a national security threat of a different kind. It has killed tens of thousands of Americans so far and has resulted in the complete shutdown of the American economy in just a few months. The United States and countries around the world need to reexamine what it takes for people to be safe. Policymakers can look to the Women, Peace and Security agenda (WPS) for guidance and urgently needed solutions. Policymakers have primarily focused on the Women, Peace and Security agenda exclusively in the foreign policy arena. It has important application for domestic policy as well, especially for achieving policy goals that link to security and prosperity for American families and communities.
- Topic:
- Security, Women, Peace, and WPS
- Political Geography:
- United States and Global Focus
1443. Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countries
- Author:
- Laurie Zephyrin, Molly FitzGerald, Munira Z. Gunja, and Roosa Tikkanen
- Publication Date:
- 11-2020
- Content Type:
- Policy Brief
- Institution:
- The Commonwealth Fund
- Abstract:
- The U.S. has the highest maternal mortality rate among developed countries. Obstetrician-gynecologists (ob-gyns) are overrepresented in its maternity care workforce relative to midwives, and there is an overall shortage of maternity care providers (both ob-gyns and midwives) relative to births. In most other countries, midwives outnumber ob-gyns by severalfold, and primary care plays a central role in the health system. Although a large share of its maternal deaths occur postbirth, the U.S. is the only country not to guarantee access to provider home visits or paid parental leave in the postpartum period.
- Topic:
- Health, Health Care Policy, Women, and Reproductive Health
- Political Geography:
- United States and Global Focus
1444. Do Americans Face Greater Mental Health and Economic Consequences from COVID-19? Comparing the U.S. with Other High-Income Countries
- Author:
- Michelle M. Doty, Eric C. Schneider, Roosa Tikkanen, Arnav Shah, and Reginald D. Williams II
- Publication Date:
- 08-2020
- Content Type:
- Special Report
- Institution:
- The Commonwealth Fund
- Abstract:
- With more than 4 million confirmed cases and 150,000 deaths as of August, the United States is failing to control the COVID-19 pandemic. At a time when many nations are reopening their economies and societies, the U.S. is struggling in its attempts to do the same. To examine the early impact of the pandemic on the well-being of adults in the U.S. and abroad, the Commonwealth Fund joined the survey research firm SSRS to interview 8,259 adults age 18 and older between March and May 2020. It is the latest in the Commonwealth Fund’s series of cross-national comparisons featuring the United States and nine other high-income countries that participate in the Fund’s annual International Health Policy Survey. The following exhibits illustrate COVID-19’s effects on people’s mental health and economic security and compare levels of public trust in national leaders in responding to the pandemic.
- Topic:
- Health, Health Care Policy, Mental Health, and Public Health
- Political Geography:
- United States, Europe, and Global Focus
1445. Bundled-Payment Models Around the World: How They Work and What Their Impact Has Been
- Author:
- Meredith B. Rosenthal, Paul F. van Gils, Caroline A. Baan, Eline F. de Vries, and Jeroen Struijs
- Publication Date:
- 04-2020
- Content Type:
- Special Report
- Institution:
- The Commonwealth Fund
- Abstract:
- We identified 23 initiatives in eight countries that have implemented bundled-payment models, focusing on procedures such as total joint replacements and cardiac surgery, as well as chronic conditions like diabetes and breast cancer. Of the 35 studies retrieved, 32 reported effects on quality of care and 32 reported effects on medical spending. Twenty of 32 studies reported modest savings or a modest reduction in spending growth, while two studies (both based on the same initiative) demonstrated increased spending in the early years of the bundled-payment model’s implementation. Eighteen of 32 studies reported quality improvements for most evaluated measures, while other studies showed no difference in measured quality. Our study provides evidence that bundled-payment models have the potential to reduce medical spending growth while having either a positive impact or no impact on quality of care.
- Topic:
- Economics, Health, Health Care Policy, Income Inequality, Macroeconomics, Coronavirus, and COVID-19
- Political Geography:
- United States and Global Focus
1446. U.S. Health Care from a Global Perspective, 2019: Higher Spending, Worse Outcomes?
- Author:
- Roosa Tikkanen and Melinda K. Abrams
- Publication Date:
- 01-2020
- Content Type:
- Special Report
- Institution:
- The Commonwealth Fund
- Abstract:
- A 2015 Commonwealth Fund brief showed that — before the major provisions of the Affordable Care Act were introduced — the United States had worse outcomes and spent more on health care, largely because of greater use of medical technology and higher prices, compared to other high-income countries. By benchmarking the performance of the U.S. health care system against other countries — and updating with new data as they become available — we can gain important insights into our strengths and weaknesses and help policymakers and delivery system leaders identify areas for improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that uses health data from the Organisation for Economic Co-operation and Development (OECD) to assess U.S. health care system spending, outcomes, risk factors and prevention, utilization, and quality, relative to 10 other high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom. We also compare U.S. performance to that of the OECD average, comprising 36 high-income member countries.
- Topic:
- Health and Health Care Policy
- Political Geography:
- United States, Europe, and Global Focus
1447. Representations of Power in Mayombe: “Men Will Be Prisoners of the Structures They Will Have Created”
- Author:
- Carolina Bezerra Machado
- Publication Date:
- 06-2020
- Content Type:
- Journal Article
- Journal:
- Brazilian Journal of African Studies
- Institution:
- Brazilian Journal of African Studies
- Abstract:
- The novel Mayombe, in which the character “Milagre” assumes the first person of the narrative, is fundamental to rethink the process of creating the state in Angola, based on the internal political disputes that still occurred during the colonial period and that extended into post-independence. The controversies about Angolan nationalism and identity were woven from different interests among the groups that disputed political power, which in their way, supported on the disqualification of others, proclaimed themselves as genuinely Angolan. The policy of favoritism, based on privileges for the closest ones, cases of corruption, ideological differences, and regional disputes that will characterize post-independence in Angola, were also already present in the anti-colonial struggle, despite of there seeming to be plenty of time available to fix them and maintain the dream of a more egalitarian and democratic society. Written during the guerrilla war, but published only in 1980, a period in which there was a political discourse of national mobilization, from the defense of the construction of a “New Man”, the book also brings an enriching debate about the ethnic and racial fissures that existed within the Popular Movement for the Liberation of Angola (MPLA, in portuguese), as well as in Angolan society. As the proposal here is to address the power relations and micro-powers that have been built between the state and the Angolan society in the post-independence through the reading of Mayombe, it is valid to return to these issues. It is noted how much ethnic and racial tensions remained in the political arena after the country’s independence and contributed, in a significant way, to the political structuring of Angola, guided by the MPLA, which sought to detach itself from these debates, diminishing them and treating them on the margins. After all, the tension surrounding this discourse contributed to the political escalation among nationalist movements and to the mobilization for civil war, which is inseparable from the process of formation of the post-colonial Angolan state.
- Topic:
- Nationalism, Post Colonialism, Emerging States, and Literature
- Political Geography:
- Africa, Brazil, and Angola
1448. Socio-Spatial and Ethnic-Racial Segregation in Megacities, Large Cities and Global Cities in Africa
- Author:
- Fabio Macedo Velame and Thiago Augusto Ferreira da Costa
- Publication Date:
- 06-2020
- Content Type:
- Journal Article
- Journal:
- Brazilian Journal of African Studies
- Institution:
- Brazilian Journal of African Studies
- Abstract:
- The estimated world population for 2030 is 8.6 billion people, one billion more than the current 7.6 billion (UN 2017). The same study points out that nine countries will account for more than half of this population growth, with five African nations among them (Nigeria, Democratic Republic of Congo, Ethiopia, Tanzania and Egypt), in addition to three Asian countries (India, Pakistan and Indonesia) and one country in the Americas (The United States). In this work, we present an overview of the megacities, large cities and global cities of seven countries in Sub-Saharan Africa, which, according to the UN, is the continent’s fastest growing region in population terms. These countries, with the cities that stand out on the international scene, according to the analyzed authors. Still in 2030, two thirds of the world population will live in cities, which will produce 80% of the planet’s GDP, with megacities appearing again in Asia, Latin America and Africa (UN 2017). The increase in the cost of living in these superclusters is certain, as well as in small and medium- -sized cities. However, it is in the global and millionaire cities where cutting- -edge urbanization occurs, although they are not the fastest growing cities in population terms, according to the UN (2017). Therefore, we bring here examples of these cities that become increasingly segregated.
- Topic:
- Demographics, Urbanization, Economy, Urban, Cities, and Segregation
- Political Geography:
- Brazil and Africa
1449. African Union: Mbeki’s South Africa Policy for Africa
- Author:
- Luiza Bizzo Affonso and Vitor Ferreira Lengruber
- Publication Date:
- 06-2020
- Content Type:
- Journal Article
- Journal:
- Brazilian Journal of African Studies
- Institution:
- Brazilian Journal of African Studies
- Abstract:
- Marked by tragedies that reinforce stereotypes about itself, especially those that portray it as dependent on developed countries and unable to solve its own dilemmas, the African continent still presents itself in the 21st century with challenges related to hunger and humanitarian calamities, more recurrent in some regions than others. The initiatives to deal with theses issues arise right at the beginning of the second millennium primarily from South Africa. In this sense, it is possible to ask the following question: what political and economic measures were adopted by the African continent in order to combat these problems? Based on the bibliographic review of qualitative secondary sources relevant to the theme and on the analysis of primary sources, such as speeches and official documents of the Organization of African Unity, the purpose of this article is to demonstrate changes in the political and economic dynamics. Those changes were materialized in the different principles incorporated by the Organization of African Unity (1963) and the African Union (2001), the two main organizations for political, economic and social cooperation at the continental level, which took place in Africa at the beginning of the 21st century. The specific objective of this article is to present the change of guidelines, politically and economically, adopted by the African Union at the time of the transition to the new millennium and the role of South Africa, during the administration of Thabo Mbeki (1999-2008) during the process. The historical period being analysed, therefore, dates from the mid-1990s to the end of Mbeki’s presidential term in September 2008.
- Topic:
- Development, Regional Cooperation, Economic growth, Regional Integration, and African Union
- Political Geography:
- Africa, South Africa, and Brazil
1450. Elections and Democratic Deficits in Nigeria’s Fourth Republic: A Commentary
- Author:
- Al-Chukwuma Okoli, Chigozie Joseph Nebeife, and Markus Arum Izang
- Publication Date:
- 06-2020
- Content Type:
- Journal Article
- Journal:
- Brazilian Journal of African Studies
- Institution:
- Brazilian Journal of African Studies
- Abstract:
- This study examines elections and democratic deficit in Nigeria’s Fourth Republic. The essence is to interrogate the seemingly ironic reversals of democratic tenets in the processes of politics and governance, even as the country democratizes. The paper contends that Nigeria’s experience with democracy has largely amounted to nominal civilianizing, in view of the fact that what is on course has not fulfilled minimal requirements of the democratic order
- Topic:
- Government, Elections, Democracy, and Political Science
- Political Geography:
- Africa and Nigeria