Search

Begin New Search Topic Health Political Geography Africa

61. Are Drugs Made in Emerging Markets Good Quality? A Preliminary Assessment of Product Consistency by Use of Raman Spectra

Author:
Roger Bate
Publication Date:
02-2011
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
Increasing competition generally decreases product prices. But in the case of pharmaceuticals, this is only beneficial if competitor products are therapeutically equivalent (bioequivalent). One measure of quality control is a consistently made product, examined in detail in this paper. A comprehensive study of drug samples in African and Asian countries--assessed for variability by spectrometer--suggests that registered products perform notably better than unregistered products. As all of the sampled drugs are used to treat potentially lethal infections, this product variability (particularly of unregistered drugs) could prove detrimental to public health. Future analysis will assess how significant these spectral differences are in terms of drug quality and hence how important changes in policy should be to limit quality variability.
Topic:
Emerging Markets, Health, Human Welfare, and International Trade and Finance
Political Geography:
Africa, China, and Asia

62. Leadership, Peace, Stability, and Prosperity in the DRC

Author:
Kitenge N'Gambwa
Publication Date:
09-2011
Content Type:
Working Paper
Institution:
United States Institute of Peace
Abstract:
Since the Democratic Republic of the Congo (DRC) gained its independence in 1960, the country 's leadership has been lacking three attributes of the utmost importance to the country's welfare: a real vision for the DRC's future, the competence and ability to execute the vision, and the character needed to ensure the realization of the vision with sound judgment, integrity, and equity. To break from the DRC's past patterns of poor governance, a clear and practical vision for the country's future must be articulated and implemented, requiring concerted effort from a new and energized leadership. This type of leadership should come from the Congolese people—both those living in the country and those who are part of its far-flung diaspora. Opportunities and avenues for reform include revamping democratic governance and electoral reform, promoting economic growth by moving beyond aid and creating a favorable environment for investment, reforming the mining sector, improving the health and education systems, and strengthening the DRC's judiciary. A well-organized and invigorated Congolese diaspora can join with Congolese living in the DRC to work toward the reforms. The upcoming elections in November 2011 offer a chance to step up these organizational and advocacy efforts.
Topic:
Conflict Resolution, Political Violence, Development, Economics, Health, and Governance
Political Geography:
Africa

63. Perceptions of (Micro)Insurance in Southern Ghana: The Role of Information and Peer Effects

Author:
Lena Giesbert and Susan Steiner
Publication Date:
12-2011
Content Type:
Working Paper
Institution:
German Institute of Global and Area Studies
Abstract:
This article investigates the understandings and perceptions of (micro)insurance among low income people in southern Ghana, using evidence from four focus group discussions. It analyzes how the focus group participants think about various types of insurance – among them a micro life insurance product – and how their negative and/or positive evaluations have come about. The evidence indicates that (micro)insurance is mostly positively perceived by the participants of the focus group discussions. However, it is also found that many people's image of insurance is based on incomplete (and sometimes erroneous) information, or even on intuition. In addition, the experiences or opinions of peers turn out to be critical in shaping an individual's perception of insurance. These two factors potentially have a contagious effect, which can lead to unreasonably positive or overly negative ideas about (micro )insurance. Such ideas, in turn, can become detrimental to the further distribution of microinsurance.
Topic:
Health, Political Economy, and Poverty
Political Geography:
Africa and Ghana

64. Sub-Saharan African Military and Development Activities

Author:
Birame Diop
Publication Date:
12-2011
Content Type:
Journal Article
Journal:
PRISM
Institution:
Institute for National Strategic Studies (INSS), National Defense University
Abstract:
For the last two decades, African states have been facing more internal threats than external ones. In fact, the African continent is now dealing with ethnic-based conflicts, poverty, health issues, hunger, and, most recently, radicalization and violent extremism.
Topic:
Health
Political Geography:
Africa

65. Achieving a Shared Goal: Free universal health care in Ghana

Publication Date:
03-2011
Content Type:
Working Paper
Institution:
Oxfam Publishing
Abstract:
Coverage of the National Health Insurance Scheme (NHIS) has been hugely exaggerated, and could be as low as 18% Every Ghanaian citizen pays for the NHIS through VAT, but as many as 82% remain excluded Twice as many rich people are signed up to the NHIS as poor people. 64% of the rich are registered compared with just 29% of the poorest Those excluded from the NHIS still pay user fees in the cash and carry system. Twenty five years after fees for health were introduced by the World Bank, they are still excluding millions of citizens from the health care they need An estimated 36% of health spending is wasted due to inefficiencies and poor investment. Moving away from a health insurance administration alone could save US$83 million each year. Enough to pay for 23,000 more nurses Through savings, good quality aid but primarily improved progressive taxation of Ghana's own resources, especially oil, the government could afford to increase spending on health by 200%, to US$54 per capita, by 2015 This would mean the government could deliver on its own promise to make health care free for all – not just the lucky few at the expense of the many.
Topic:
Health, Human Welfare, and Health Care Policy
Political Geography:
Africa and Ghana

66. IDA at 65: Heading Toward Retirement or a Fragile Lease on Life?

Author:
Todd Moss and Benjamin Leo
Publication Date:
03-2011
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Even under conservative assumptions, IDA will likely face a wave of country graduations by 2025. We project that it will lose more than half of its client countries and that the total population living in IDA-eligible countries will plunge by two-thirds. The remaining IDA-eligible countries will be significantly smaller in size and overwhelmingly African, and a majority are currently considered fragile or post-conflict. This drastically altered client base will have significant implications for IDA's operational and financial models. We conclude with three possible options for IDA and recommend that World Bank shareholders and management begin frank discussions on its future sooner rather than later.
Topic:
Demographics, Development, Health, World Bank, and Health Care Policy
Political Geography:
Africa

67. Challenges of the Drylands

Author:
Jeffrey D. Sachs, Belay Begashaw, and Upmanu Lall
Publication Date:
09-2010
Content Type:
Video
Institution:
Columbia University World Leaders Forum
Abstract:
A panel discussion moderated by Professor Jeffrey D. Sachs with East African Leaders, and Dr. Belay Begashaw from the Earth Institute's MDG Centre and Upmanu Lall, director of the Columbia Water Center, followed by a question and answer session with the audience.
Topic:
Agriculture, Climate Change, Economics, and Health
Political Geography:
Africa

68. There Are No Quick Fixes

Author:
Dr. Sam Zaramba
Publication Date:
06-2010
Content Type:
Journal Article
Journal:
World Policy Journal
Institution:
World Policy Institute
Abstract:
WORLD POLICY JOURNAL: You have an interesting take on international health, both from a global and African point of view. From this perspective, I'd like to hear your thoughts on the primary health emergencies facing the world today.
Topic:
Health
Political Geography:
Africa

69. Life and Dignity at Risk: The Water, Sanitation and Hygiene Sector in Liberia

Publication Date:
06-2010
Content Type:
Working Paper
Institution:
Oxfam Publishing
Abstract:
Liberia's newly approved water and sanitation policy states that water is life' and sanitation is dignity'. These powerful statements signal a welcome commitment in a country where safe water and decent sanitation have long been absent for the vast majority of the population, with catastrophic impacts on life and social welfare. The key challenge for the Government of Liberia, and the donors who support it, will be to turn this commitment into positive outcomes for Liberia's 3.5 million people. This report therefore focuses on the questions that will be crucial in this process. Firstly, is the water and sanitation sector in Liberia prioritised to reflect this commitment? Are there clear, actionable plans to make this commitment a reality? Does Liberia have resources and sufficient support to ensure that communities stop risking their lives and dignity? Finally, what challenges remain and what can be done to address them?
Topic:
Development, Health, and Poverty
Political Geography:
Africa

70. Rethinking HIV/AIDS in South Africa: Has Response Been Overmedicalized?

Author:
Nicholas Eberstadt and Laura M. Kelley
Publication Date:
04-2010
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
This paper examines the potential impact of HIV/AIDS on different levels of South African society (individual, household, and national) over time. Using differences in demographic projections to guide the analysis, the prospective implications of HIV/AIDS on households, society, economy and nation are discussed and issues that could influence or mitigate those possible impacts are examined. We outline the challenges that South Africa will likely face due to the effects of its AIDS-related excess mortality and conclude that programs delivering a broader variety of services than are currently offered are needed for South Africa to emerge a prosperous, regional power by mid-century. Inadequacies of current HIV/AIDS relief programs are broadly considered and suggestions are offered for improvement. We argue that a fundamental shift in the focus of HIV/AIDS strategies to include consideration of the needs of the survivors of this pandemic, and the world they will live in, is urgently necessary.
Topic:
Health
Political Geography:
Africa and South Africa