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11. Redesigning U.S. Assistance to Africa in the Post-Pandemic Era

Author:
Mark Wentling
Publication Date:
11-2020
Content Type:
Commentary and Analysis
Institution:
American Diplomacy
Abstract:
It is my opinion that the interest of the United States is best served in most African countries by improving the basic welfare of their people. The effectiveness of U.S. aid in Africa can be enhanced by focusing on the least developed countries. Helping address basic human needs, notably in the areas of education and health, should be top priority, especially the education of girls. Increasing agricultural production to improve nutritional health also deserves greater attention. Assistance funding needs to be stable and independent of political and diplomatic considerations. The composition of U.S. overseas missions and cumbersome bureaucratic processes must be revised to permit the effective and timely implementation of this new strategy. These changes are necessary to raise hopes for a better future for millions of Africans and to strengthen the role of the U.S. in Africa.
Topic:
Education, Health, Foreign Aid, Pandemic, and Girls
Political Geography:
Africa, North America, and United States of America

12. Stuck in Crisis: The Humanitarian Response to Sudan’s Health Emergency

Author:
Albert Trithart
Publication Date:
04-2019
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
Following decades of war, economic decline, and underinvestment, Sudan’s healthcare system entered a new phase of crisis in 2019 as peaceful protests led to the ouster of President Omar al-Bashir. Among those leading these protests were doctors and other medical personnel fed up with poor working conditions and medicine shortages. This speaks to the degraded state of healthcare in the country, particularly in the conflict-affected regions of Darfur, South Kordofan, and Blue Nile. This paper looks at the humanitarian response to health-related needs in these conflict-affected parts of Sudan. After providing an overview of the state of Sudan’s healthcare system, it explores the main trends and challenges in the humanitarian health response, including the difficult partnerships between international and Sudanese health actors, restricted humanitarian access, and the effort to shift toward more sustainable approaches. It concludes that the humanitarian health response in Sudan is stuck: most agree on the need to move beyond short-term approaches, but the national capacity and development funding needed to make this transition are missing. At the same time, with newly accessible areas exposing unmet needs and conflict and displacement ongoing, a robust humanitarian response is still desperately needed. This situation calls for the UN, donors, and health NGOs to continue their efforts to respond to needs while strengthening the healthcare system, to coordinate humanitarian and development funding, and to advocate for maintaining and extending humanitarian access.
Topic:
Health, Crisis Management, and Humanitarian Crisis
Political Geography:
Africa and Sudan

13. 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

14. 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

15. 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

16. COVID-19: Lessons and Implications for Public Policy-Making Processes in Cameroon

Author:
Peter SAKWE MASUMBE
Publication Date:
06-2019
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
Public policies can rightly be viewed as a political system’s responses to public demands and problems arising from its environment in domains as, transportation, education, agriculture, health, law enforcement, security, business, and so on, depending upon whether a chosen policy approach falls within the armpit of constituent, distributive, re-distributive, regulatory policy type. Policy problems are conditions or situations, which generate a human need, deprivation or dissatisfaction, self-identified by a group or groups of people, for which relief is sought for a large number of people in society. On the contrary, it is not a policy problem if it affects only a few persons in society. Talking of the political system, it comprises the identifiable and interrelated institutions and their activities, otherwise known as governmental institutions and political processes, which authoritatively allocate values in form of decisions, which are binding upon society. Certainly, binding as these decisions are, and going by this view of public policies; what character of policy responses has Cameroon enunciated against COVID-19; and what are the lessons and implications of these responses on the human capital and economy Cameroon now in the future? Are the policy responses against COVID-19 akin to impromptu approach with weak physiognomies? Are there alternative policies open to Cameroon for combating COVID-19?
Topic:
Health, Health Care Policy, Public Policy, Coronavirus, Pandemic, Domestic Policy, and COVID-19
Political Geography:
Africa and Cameroon

17. Can Transparency and Accountability Programs Improve Health? Experimental Evidence from Indonesia and Tanzania

Author:
Jean Arkedis, Jessica Creighton, Archon Fung, Stephen Kosack, Dan Levy, and Courtney Tolmie
Publication Date:
05-2019
Content Type:
Working Paper
Institution:
The John F. Kennedy School of Government at Harvard University
Abstract:
We assess the impact of a transparency and accountability program designed to improve maternal and newborn health (MNH) outcomes in Indonesia and Tanzania. Co-designed with local partner organizations to be community-led and non-prescriptive, the program sought to encourage community participation to address local barriers in access to high quality care for pregnant women and infants. We evaluate the impact of this program through randomized controlled trials (RCTs), involving 100 treatment and 100 control communities in each country. We find that on average, this program did not have a statistically significant impact on the use or content of maternal and newborn health services, nor the sense of civic efficacy or civic participation among recent mothers in the communities who were offered it. These findings hold in both countries and in a set of prespecified subgroups. To identify reasons for the lack of impacts, we use a mixed-method approach combining interviews, observations, surveys, focus groups, and ethnographic studies that together provide an in-depth assessment of the complex causal paths linking participation in the program to improvements in MNH outcomes. Although participation in program meetings was substantial and sustained in most communities, and most attempted at least some of what they had planned, only a minority achieved tangible improvements and fewer still saw more than one such success. Our assessment is that the main explanation for the lack of impact is that few communities were able to traverse the complex causal paths from planning actions to accomplishing tangible improvements in their access to quality health care.
Topic:
Health, Health Care Policy, Children, and Randomized Controlled Trials
Political Geography:
Africa, Indonesia, Tanzania, and Southeast Asia

18. Gender Analysis and Monitoring of District Budgets: Training Manual

Publication Date:
03-2019
Content Type:
Special Report
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
This is a Training Manual to be used for building capacity in gender analysis and monitoring of district budgets. Development of this manual is part of a larger project titled ‘Building Capacity for Gender Responsive Budgeting in Uganda’ funded by the International Development Research Council (IDRC) and implemented by the Center for Budget and Economic Governance (CBEG) at ACODE. The project aims at building capacity in gender responsive budgeting of actors at national and local government levels. Implementation of the project will cover three districts of Soroti, Mukono and Mbarara and will put special emphasis on the agriculture and health sectors.
Topic:
Agriculture, Development, Gender Issues, Health, International Development, and Capacity
Political Geography:
Uganda and Africa

19. Assessing Public Expenditure Governance of the Primary Health Care Programme in Uganda

Publication Date:
01-2019
Content Type:
Special Report
Institution:
Advocates Coalition for Development and Environment (ACODE)
Abstract:
The need to provide affordable and good quality healthcare is shared by Uganda and many other countries across the world. This is reflected in the third Sustainable Development Goal (SDG 3), which aims “to achieve universal health coverage, and provide access to safe and affordable medicines and vaccines for all.” In domesticating SDG 3, the overall goal of Uganda’s Health Sector Development Plan (HSDP 2015/16 – 2019/20) is to accelerate movement towards Universal Health Coverage with essential health and related services needed for promotion of a healthy and productive life. The provision of universal health coverage is what has come to be defined as Primary Health Care (PHC) in many countries globally.
Topic:
Development, Health, Governance, Health Care Policy, and Sustainable Development Goals
Political Geography:
Uganda and Africa

20. Antinomies of Globalization in Contemporary African Migration: The nexus of Gender, Youth, Health, Remittances, Social Media, and Higher Education

Author:
Mojúbàolú Olufúnké Okome
Publication Date:
07-2019
Content Type:
Research Paper
Institution:
Ìrìnkèrindò: a Journal of African Migration
Abstract:
Contemporary African migration continues unabated. It increasingly attracts media, state, expert, popular, and scholarly attention. The focus of most of the attention tends to respond to media reports of atrocities, tragedies, conundrums, xenophobic pronouncements and policy responses by powerful international actors, including decision makers in the most popular destinations of migrants. Today, the goings on in Europe, the United States of America (US), the countries of the European Union, the Gulf states, Israel, Egypt, Morocco, Libya, Niger, and South Africa attract the most attention. Due to the catastrophic casualties and calamities experienced by migrants, the routes favored by migrants such as those through the Sahara Desert and Mediterranean Sea, are also the subject of such focus. Youth migration and the health of African migrants are a big part of the story. Gender and migration is receiving more scholarly interest but not to the same extent as other aspects of migration.
Topic:
Gender Issues, Health, Migration, Social Media, and Youth
Political Geography:
Africa