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41. Providing Healthcare in Armed Conflict: The Case of Mali

Author:
Alice Debarre
Publication Date:
01-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Due to ongoing conflict and insecurity in northern Mali, 1.8 million people require humanitarian health assistance, and 2.5 million are considered food insecure. Given the level of need, Mali’s healthcare system is ill-equipped to respond, and humanitarian health actors play an important role filling the gaps. This issue brief maps the challenges these health actors face and assesses their response. It accompanies a policy paper published in 2018 entitled “Hard to Reach: Providing Healthcare in Armed Conflict,” as well as another case study on provision of healthcare in Nigeria. These papers aim to assist UN agencies, NGOs, member states, and donor agencies in providing and supporting the provision of adequate health services to conflict-affected populations. This issue brief concludes with recommendations for how health actors can improve delivery of health services in Mali: UN agencies, international NGOs, and donors should continue to focus on strengthening and supporting Mali’s community healthcare structures. Military, political, and humanitarian actors need to preserve the humanitarian space in Mali. Relevant UN agencies, local and international health NGOs, donors, and the Ministry of Health should place greater emphasis on noncommunicable diseases, particularly mental health. Humanitarian health actors and donors, as well as development actors and global health actors, should improve coordination with each other on the health response. Humanitarian health actors should better ensure that they are accountable for the health services they provide, in particular to affected populations.
Topic:
Health, United Nations, Peace, and Armed Conflict
Political Geography:
Africa and Mali

42. Providing Healthcare in Armed Conflict: The Case of Nigeria

Author:
Alice Debarre
Publication Date:
01-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
The humanitarian situation in Nigeria’s northeast is deteriorating, with more than 5 million people in need of healthcare and over 800,000 out of the reach of humanitarian actors. Given this level of need and the poor state of the healthcare system in northeastern Nigeria, humanitarian and other nongovernmental health actors play an important role. This issue brief maps the challenges these health actors face and assesses their response. It accompanies a policy paper published in 2018 entitled “Hard to Reach: Providing Healthcare in Armed Conflict,” as well as another case study on provision of healthcare in Mali. These papers aim to assist UN agencies, NGOs, member states, and donor agencies in providing and supporting the provision of adequate health services to conflict-affected populations. This issue brief concludes with recommendations for how health actors can improve delivery of health services in northeastern Nigeria: Humanitarian health actors should improve coordination both with each other and with global health actors working in northeastern Nigeria. Relevant UN agencies, local and international health NGOs, donors, and the Ministry of Health should scale up the response to under-prioritized health services. Humanitarian and development NGOs, donors, and the Ministry of Health should focus efforts to implement the humanitarian-development nexus for health services on areas where it is relevant and feasible. Humanitarian health actors should improve their accountability for the health services they provide. Humanitarian donors need to ensure that counterterrorism clauses in their funding contracts are not overbroad and do not impede neutral, independent, and impartial aid.
Topic:
Health, Humanitarian Aid, and Conflict
Political Geography:
Africa and Nigeria

43. Transitioning to National Forces in Somalia: More Than an Exit for AMISOM

Author:
Fiona Blyth
Publication Date:
04-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
When the African Union Mission in Somalia (AMISOM) deployed in 2007, the AU and the UN Security Council expected that the United Nations would eventually take over from the AU force. But while a UN peacekeeping operation remains a theoretical option for the council, its prospects have diminished. Instead, the focus of Somali and international efforts has shifted to planning for AMISOM to transition directly Somali security forces without an interim UN mission. This issue brief outlines the factors behind this shift in intentions, including the new Somali administration’s commitment to assuming responsibility for security, a general agreement that the time had come for an exit strategy, and the Security Council’s reduced appetite for peace operations. It also lays out the objectives, approaches, and status of implementation of the Somali Transition Plan. Despite steady progress, there is still a long way to go in implementing this plan. Reforms are encountering resistance from vested interests, and al-Shabab poses an ongoing threat. Any sustainable transition from AMISOM must be a long-term project that includes not just a military handover but also political decisions on security and the structure of the state. It also depends on aligning national priorities and international efforts and the willingness of all security actors in Somalia to work together in a pragmatic, transparent, and coordinated way.
Topic:
Security, United Nations, Peacekeeping, Transition, and African Union
Political Geography:
Africa and Somalia

44. Pivoting from Crisis to Development: Preparing for the Next Wave of UN Peace Operations Transitions

Author:
Daniel Forti and Lesley Connolly
Publication Date:
07-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
UN peace operations are going through an accelerated period of reconfiguration and drawdown. Between June 2017 and March 2018, long-standing peacekeeping missions in Côte d’Ivoire and Liberia closed, while the mission in Haiti was reconfigured into a transitional peacekeeping mission. Looking ahead, the Security Council has mandated the closure of the peacekeeping mission in Darfur and the initial drawdown of the peacebuilding mission in Guinea-Bissau, and its attention is starting to shift to other missions. With these upcoming transitions in mind, this issue brief explores experiences and lessons from recent UN transitions in Côte d’Ivoire, Haiti, and Liberia. Each of these transitions has been the subject of a detailed IPI policy report published as part of IPI’s project on “Planning for United Nations Peacekeeping Operations Transitions.” Drawing on this research, this issue brief recommends how to manage politics and recalibrate policies to better shape future transitions. Its recommendations include to: Adopt shared and long-term political strategies, particularly in Security Council mandates and benchmarks, as well as through regular sharing of assessments from the field. Ensure integration in field-level planning strategies well before the Security Council sets transition timelines, with senior leadership from the mission shaping the vision, driving planning, and providing concrete recommendations for the future UN presence in the country. Strategically engage the host society to align peacebuilding priorities and to communicate the core message that the mission is leaving but the UN is remaining in the country. Engage early to secure adequate financing, capitalizing on debates surrounding the transition while it is still on the Security Council’s agenda. Institutionalize dedicated transition support capacity within the UN system, including policy and programmatic guidance, operational support, planning expertise, and surge capacities. Sustain long-term peacebuilding through partnerships, ensuring that residual peacebuilding challenges are mainstreamed into national development plans and international and regional development frameworks.
Topic:
Development, United Nations, Peacekeeping, Crisis Management, and Transition
Political Geography:
Africa, Haiti, Liberia, and Côte d'Ivoire

45. Lessons for “Partnership Peacekeeping” from the African Union Mission in Somalia

Author:
Paul D. Williams
Publication Date:
10-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Deployed to Mogadishu in March 2007, the African Union Mission in Somalia (AMISOM) operates through a complicated and extensive system of partnerships. This has been referred to as the “AMISOM model” of “partnership peacekeeping.” While this specific configuration of forces and mechanisms is unlikely to be repeated, AMISOM remains the longest-standing case of a peace enforcement operation built on such international partnerships. If the AU and UN are going to continue deploying missions into such difficult environments, AMISOM’s experience offers lessons for how partnership peacekeeping can work better. This report summarizes the main operational-level lessons across seven themes: force generation, logistics, security sector reform, protection of civilians, strategic communications, stabilization, and exit strategy. Many of these lessons have not been truly learned, internalized, and acted upon by the actors and organizations in question.
Topic:
Security, United Nations, Peacekeeping, Reform, Partnerships, and Africa Union
Political Geography:
Africa and Somalia

46. Participation in Non-Farm Activities in Rural Sudan: Patterns and Determinants

Author:
Ebaidalla M. Ebaidalla
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Despite the importance of non-farm income in the livelihood of the rural population in Sudan, information available on its size and determinants is scant. This study examined the patterns and determinants of decisions to participate in non-farm activities in rural Sudan. It also investigates whether the determinants of participation in non-farm activities vary across agriculture sub-sectors and income groups as well as among males and females. The data for this study was sourced from the Sudanese National Baseline Household Survey (NBHS) conducted by Sudan’s Central Bureau of Statistics in 2009. The results show that non-farm income is a crucial source of livelihood, contributing about 43% to household income in rural Sudan. The results of multinomial logit and probit estimation methods indicate that educational level, mean of transportation, lack of land and lack of access to formal credit are the most significant factors that push rural farmers to participate in non-farm activities. Surprisingly, the effect of household income was positive and significant, implying that individuals from rich households have higher opportunity to engage in non-farm activities compared to their poor counterparts. Moreover, the analysis revealed some symptoms of gender and location disparities in the effect of factors that influence participation in non-farm activities. The study concluded with some recommendations that aim to enhance the engagement in non-farm activities as an important diversification strategy to complement the role of the agriculture sector in improving rural economy in Sudan.
Topic:
Agriculture, Economics, Gender Issues, Income Inequality, and Rural
Political Geography:
Africa and Sudan

47. Determinants and Economic Impact of International Tourist Arrivals in Ghana

Author:
Isaac Bentum-Ennin
Publication Date:
08-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Given Ghana’s endowments such as attractive sites; more than 500km of beaches, and World Heritage forts and castles, tourism is seen as an important tool for promoting the socio-economic development in that it generates many economic benefits such as incomes, employment and tax revenue, both within the sector and through linkages with other sectors. This study first, analyses the factors influencing the upward trends in international tourists’ arrivals and receipts and second, quantifies the impact of the tourism sector on the Ghanaian economy. The objective of this policy brief is to inform the Ministers of Interior, Tourism and Finance that the most important factor influencing international tourists’ arrivals in Ghana is the prevailing civil liberties and political rights and that Nigeria is a significant substitute destination. Also, that the tourism sector has had the greatest impact on the whole Ghanaian economy when compared to sectors such as agriculture, industry and other services sectors. It is hoped that appropriate legislations will be passed to deepen these liberties and rights and that policy measures will be put in place to ensure macroeconomic stability in order not to lose competitiveness to Nigeria. Also, it is hoped that the Tourism Ministry would lobby for more investment and more resources from the Finance Ministry in order to expand the sector since it has a huge potential to stimulate economic growth.
Topic:
Agriculture, Development, Economics, International Political Economy, Tourism, Economic growth, and Macroeconomics
Political Geography:
Africa and Ghana

48. Performance of Small and Medium-Sized Enterprises in Uganda: The Role of Innovation

Author:
Ibrahim Okumu and Faizal Buyinza
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Using the 2013 World Bank Enterprise Survey data for Uganda, this paper employs the quintile estimation technique to explain the relationship between innovation and firm performance in small and medium-sized enterprises (SMEs). Innovation involves the introduction of a new or significantly improved production process, product, marketing technique or organizational structure. Our results indicate that individual processing, product, marketing and organizational innovations have no impact on labour productivity as proxied by sales per worker. However, the results indicate the presence of complementarity between the four types of innovation. Specifically, the effect of innovation on sales per worker is positive when an SME engages in all four types of innovation. Even then the complementarity is weakly positive with incidences of a negative relationship when using any combination of innovations that are less than the four types of innovation. Policy-wise the results suggest that efforts to incentivize innovation should be inclusive enough to encourage all four forms of innovation.
Topic:
Development, Economics, International Political Economy, Economic growth, and Economic Policy
Political Geography:
Uganda and Africa

49. Household Economic Well-Being and Child Health in The Democratic Republic of Congo

Author:
Janvier Mwisha-Kasiwa
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Health is both a direct component of human well-being and a form of human capital that increases an individual’s capabilities and opportunities to generate income and reduces vulnerability. It is argued that these two views are complementary, and both can be used to justify increased investment in health in developing countries. Therefore, investment in child health constitutes a potential mechanism to end the intergenerational transmission of poverty. This paper examines the empirical impact of household economic well-being on child health, and the gender differences in effects using the Demographic and Health Survey conducted in 2014. A series of econometric tools are used; the control function approach appears to be the most appropriate strategy as it simultaneously removes structural parameters from endogeneity, the sample selection and heterogeneity of the unobservable variables. Results suggest a significant positive effect of household economic well-being on child health. However, the magnitude of the effect varies by gender of household head; children from households headed by males appear healthier compared to those from female-headed households. In the context of DR Congo, female-headed households often have a single parent, therefore, the economic well-being effect on child health in the male sub-sample can be considered to include the unobserved contribution of women. These results have implications for public interventions that enable women to participate in paid labour market activities as a means of improving household economic well-being, which in turn could improve child health.
Topic:
Development, Economics, Gender Issues, Health, Health Care Policy, and Children
Political Geography:
Africa and Democratic Republic of Congo

50. The Productivity Cost of Power Outages for Manufacturing Small and Medium Enterprises in Senegal

Author:
Lassana Cissokho
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
This paper investigates the productivity effects of power outages on manufacturing Small Scale Enterprises (SMEs) in Senegal, using a panel data on manufacturing firms. Productivity is estimated using stochastic frontier models, and power outages measured by their frequency or their duration. We controlled for firms owning a generator as well. The main results are drawn from random effects in a linear panel model. Nonetheless, the results remain consistent to the robustness checks using different models: a double-sided truncated data model and a generalized linear model, and different productivity measures: data envelopment analysis. We find that power outages have negative significant effects on the productivity of SMEs; for example, the manufacturing sector lost up to around 11.6% of the actual productivity due to power outages in 2011, and small firms appear to be affected more than medium ones, 5% against 4.3%. Further, firms with a generator were successful in countering the adverse effect of power outages on productivity. Besides, another outstanding result is the significant positive effect of access to credit on productivity. At last, it appears that productivity increases with firms’ size.
Topic:
Development, Economics, International Political Economy, Economic structure, Economic growth, Macroeconomics, and Manufacturing
Political Geography:
Africa and Senegal