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11. The Changing Landscape of Global Health Diplomacy

Author:
Katherine Bliss (ed) and Victor D. Cha
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In the fall of 2012 the Center for Strategic and International Studies (CSIS) Global Health Policy Center organized a working group to analyze progress on diplomatic outreach to advance global health during the first four years of the Barack Obama administration. Over three sessions the working group members, who included health policy researchers, former diplomats, and an ex- officio group of current government officials, met to discuss emerging trends related to global health diplomacy and to develop a set of recommendations to enhance U.S. diplomatic outreach on global health for the next four years. Much of the working group's effort focused on the important role played by the secretary of state in raising the visibility of global health challenges on the world stage and on the Department of State's potential to promote greater coherence and integration of U.S. overseas health programs in the next presidential term.
Topic:
Foreign Policy, Diplomacy, Emerging Markets, Globalization, Health, and Health Care Policy
Political Geography:
United States

12. The Future of the U.S.–South Africa HIV/AIDS Partnership

Author:
J. Stephen Morrison, Sharon Stash, and Todd Summers
Publication Date:
03-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
South Africa has the highest burden of HIV/AIDS in the world, with 5.6 million people living with the virus and over 400,000 newly infected annually. Since 2004, the U.S. government has committed more than $4 billion to combating HIV/AIDS in South Africa—the largest U.S. investment in HIV/AIDS worldwide. Continued progress in controlling HIV/AIDS in South Africa, the epicenter of the pandemic, is pivotal to sustained progress against the disease worldwide.
Topic:
Foreign Policy, Health, International Cooperation, Bilateral Relations, and Health Care Policy
Political Geography:
Africa, United States, and South Africa

13. Indonesia Steps Up Global Health Diplomacy

Author:
Murray Hiebert
Publication Date:
07-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
The year 2013 marks Indonesia's arrival on the global health diplomacy stage. In mid- June, the country's health minister became chair of the Global Fund to Fight AIDS, Tuberculosis, and Malaria. The president is cochairing a high-level panel advising the UN secretary-general on the global development agenda beyond 2015 that will report to the UN General Assembly in September. The same month Indonesia will host a conference of Asia-Pacific finance and health ministers to discuss ideas for funding universal health coverage in the countries of the region.
Topic:
Development, Globalization, Health, United Nations, and Health Care Policy
Political Geography:
Southeast Asia

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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