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21. Priority-Setting in Health: Building Institutions for Smarter Public Spending

Author:
Amanda Glassman and Kalipso Chalkidou
Publication Date:
06-2012
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Health donors, policymakers, and practitioners continuously make life-and-death decisions about which type of patients receive what interventions, when, and at what cost. These decisions—as consequential as they are—often result from ad hoc, nontransparent processes driven more by inertia and interest groups than by science, ethics, and the public interest. The result is perverse priorities, wasted money, and needless death and illness. Examples abound: In India, only 44 percent of children 1 to 2 years old are fully vaccinated, yet open-heart surgery is subsidized in national public hospitals. In Colombia, 58 percent of children are fully vaccinated, but public monies subsidize treating breast cancer with Avastin, a brand-name medicine considered ineffective and unsafe for this purpose in the United States.
Topic:
Development, Health, and Foreign Aid
Political Geography:
United States, India, and Colombia

22. When Domestic Factors Prevail Upon Foreign Ambitions: Russia\'s Strategic Game in Syria

Author:
Camilla Committeri
Publication Date:
10-2012
Content Type:
Working Paper
Institution:
Istituto Affari Internazionali
Abstract:
The Syrian crisis is dividing the international community like no other Arab uprising has done so far. While the United States and the European Union stand squarely against the Syrian regime, Russia remains a staunch defender of state sovereignty and the Al-Assad regime. There are three main factors that explain this position: Moscow's historical relations with Damascus; Russia's traditional opposition to US presence in the Middle East; and the surge in domestic opposition in Russia itself. This last factor, and the recent evolution of Russian domestic politics, is crucial to grasp Moscow's foreign policy towards Syria and the Middle East, a s well as towards the United States and Europe.
Topic:
Foreign Policy, Civil War, Bilateral Relations, and Foreign Aid
Political Geography:
Russia, United States, Middle East, Arabia, Moscow, and Syria

23. U.S.-China Parallel Development Assistance Goals

Author:
Xiaoqing Lu Boynton and Conor M. Savoy
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
As China's economy expanded in recent decades, there has been a corresponding rise in the amount of foreign assistance it offers to the developing world. In particular, China increased aid to countries in Africa, Latin America, and Southeast Asia. Some of China's methods and objectives are controversial with the international aid community. Critics accuse China of frequently following a “mercantilist” strategy in using aid and loans in order to secure natural resources such as oil and raw materials. One commentator went so far as to describe Chinese aid as “rogue aid,” because it is driven by self-interest and not what is best for the developing world.1In remarks widely interpreted as aimed at China, Secretary of State Hillary Clinton recently warned countries to be “wary of donors who are more interested in extracting your resources than in building your capacity.”2Added to these feelings, China treats the methodology of its aid as a competitive asset and has sought to distance itself from international efforts at creating a cooperative framework for foreign assistance. In spite of this, since the second term of the Bush administration, the United States has sought to engage with China on international development. This includes high-level meetings be-tween the heads of China's foreign aid bureaucracy and the U.S. Agency for International Development (USAID), as well as on-the-ground attempts to find common ground on development.
Topic:
Development, Natural Resources, and Foreign Aid
Political Geography:
United States, China, Israel, and Southeast Asia

24. Private-Sector Engagement in Food Security and Agricultural Development

Author:
Johanna Nesseth Tuttle
Publication Date:
03-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
With the introduction of Feed the Future (FTF)—the U.S. government's program to refocus foreign assistance on agricultural development—the private sector has been named a priority partner. President Barack Obama made a bold statement in his 2009 inaugural address, pledging that the United States would work with countries to support and promote food security. Private companies are enthusiastic about engaging in development efforts, and FTF may provide that avenue. The food and agriculture sector has significant capabilities, and market opportunities in developing countries are large and growing. Many companies have engaged in discussions with FTF leadership, and a number of partnerships have been launched. These are important efforts, and more are under way. The fact remains, however, that funding for agricultural development is relatively small—a three-year, $3.5 billion budget, compared to a six-year, $63 billion budget for health—and the investments needed in agriculture are massive: it would take $88.7 billion to meet U.S. global agricultural development goals.
Topic:
Agriculture, Development, Emerging Markets, Foreign Aid, Food, and Foreign Direct Investment
Political Geography:
United States

25. Incentives for Life: Cash-on-Delivery Aid for Tobacco Control in Developing Countries

Author:
Amanda Glassman and Thomas J. Bollyky
Publication Date:
04-2012
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Fewer people are smoking in the United States, Europe, and most of the developing world. Excise taxes, bans on smoking in public places, and graphic health warnings are achieving such dramatic reductions in tobacco use in developed countries that a recent Citigroup Bank investment analysis speculated that smoking could virtually disappear in wealthy countries over the next thirty to fifty years.
Topic:
Agriculture, Development, Gender Issues, International Trade and Finance, and Foreign Aid
Political Geography:
United States and Europe

26. Haiti: Where Has All the Money Gone?

Author:
Vijaya Ramachandran and Julie Walz
Publication Date:
05-2012
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Since the 2010 earthquake, almost $6 billion has been disbursed in official aid to Haiti, a country with a population of just under 10 million. An estimated $3 billion has been donated to NGOs in private contributions in addition to official aid. The United States Government alone has disbursed almost $2 billion of this total amount and has pledged over $3 billion for relief and reconstruction.
Topic:
Corruption, Humanitarian Aid, Non-Governmental Organization, and Foreign Aid
Political Geography:
United States, Caribbean, and Haiti

27. Entrepreneurship in Postconflict Zones

Author:
Gayle Tzemach Lemmon
Publication Date:
05-2012
Content Type:
Working Paper
Institution:
Council on Foreign Relations
Abstract:
Economic development is a critical component of promoting stability and U.S. security interests, particularly in conflict and postconflict zones. Reviving institutions and rebuilding an economic base are among the first priorities after fighting ends and reconstruction begins. According to the U.S. Agency for International Development (USAID), negative economic shocks of just 5 percent can increase the risk of a civil war by as much as 50 percent in fragile environments. Additionally, donor assistance, which can account for 20 percent to as much as 97 percent of a country's GDP, is unsustainable in the long term. Building local business capacity and supporting homegrown entrepreneurs can help curb this risk. Research from Iraq has found that labor-generating reconstruction programs can reduce violence during insurgencies, with a 10 percent increase in labor-related spending associated with a 10 percent decrease in violence. And as Shari Berenbach, director of the Office of Microenterprise Development at USAID, argues, the development of “private enterprise is an important stabilizing force,” particularly for countries suffering from the political uncertainty and civil unrest that often characterizes the postconflict period.
Topic:
Security, Development, Economics, Emerging Markets, Foreign Aid, and Foreign Direct Investment
Political Geography:
United States

28. Aid and Conflict in Pakistan

Publication Date:
06-2012
Content Type:
Working Paper
Institution:
International Crisis Group
Abstract:
International, particularly U.S., military and civilian aid has failed to improve Pakistan's performance against jihadi groups operating on its soil or to help stabilise its nascent democracy. Lopsided focus on security aid after the 11 September 2001 attacks has not delivered counterterrorism dividends, but entrenched the military's control over state institutions and policy, delaying reforms and aggravating Pakistani public perceptions that the U.S. is only interested in investing in a security client. Almost two-thirds of U.S. funding since 2002 ($15.8 billion) has been security-related, double the $7.8 billion of economic aid. Under an elected government, and with civilian aid levels at their highest in decades, the U.S. and other donors can still play a major part in improving service delivery, supporting key reforms and strengthening a fragile political transition vital to internal and regional stability. Re-orientation of funding from military security purposes to long-term democracy and capacity building support is the best way to guarantee the West's and Pakistan's longterm interests in a dangerous region. But aid policies must be better targeted, designed and executed.
Topic:
Democratization, Terrorism, Foreign Aid, and Counterinsurgency
Political Geography:
Pakistan, United States, and South Asia

29. Contract Spending by the Department of State and the U.S. Agency for International Development

Author:
David J. Berteau, Guy Ben-Ari, Gregory Sanders, Priscilla Hermann, and David Morrow
Publication Date:
07-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
This report examines the budgetary trends and trends in contract spending in the Department of State (DoS) and the U.S. Agency for International Development (USAID). The report is divided into six sections, including the introduction and an appendix. Unless Otherwise noted, all dollar figures are in constant 2010 dollars and all years are fiscal years.
Topic:
Development, Government, and Foreign Aid
Political Geography:
United States

30. Enhancing U.S. Trade and Cooperation Relations with Middle-Income Countries

Author:
Daniel F. Runde and Amasia Zargarian
Publication Date:
06-2012
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Justifying traditional U.S. assistance to middle-income countries is an increasingly difficult proposition, and refocusing limited U.S. government development resources away from middle-income countries offers an efficient way to identify savings in the foreign assistance budget. This is not the first time that the U.S. government has faced such questions, and it can draw upon past transitions—not all successful—for a variety of valuable lessons for repurposing the United States' relationship with middle-income countries.
Topic:
International Relations, Development, International Trade and Finance, and Foreign Aid
Political Geography:
United States