Knowledge Management for Development Journal – Vol 10, No 3 (2014)

Knowledge Management for Development Journal
Vol 10, No 3 (2014)
http://journal.km4dev.org/journal/index.php/km4dj/index

Learning 3.0: collaborating for impact in large development organizations
Nancy White, Rachel Cardone, Aldo de Moor
Abstract
This discussion paper builds on the body of research and practice about technology stewardship originally explored in Digital Habitats, and on the findings from an initial probe into the experiences of five development agencies using collaboration platform technologies. The probe was conducted from September 2013 through February 2014. We propose a framework for looking at productive practices in selecting, configuring and supporting use of collaboration technologies in international development organizations by focusing on the opportunities that exist in the boundaries between different parts of a development organization and different kinds of interactions that lead to learning and development impact. We suggest that there is a very useful opportunity to expand this initial probe using collaboration pattern language and a complexity lens to develop a useful repertoire of technology stewarding practices for collaboration in international development with the goal of supporting greater impact of development work.

Collaborative learning for fostering change in complex social-ecological systems: a transdisciplinary perspective on food and farming systems
Maria J. Restrepo, Margareta A. Lelea, Anja Christinck, Christian Hülsebusch, Brigitte A. Kaufmann
Abstract
This paper aims to conceptualize collaborative learning methodologies used in transdisciplinary research projects dealing with change in complex situations, such as farming and food systems of developing countries. For this purpose we propose a framework for understanding collaborative learning approaches based on theoretical considerations and 18 selected case studies. The cases were assessed that have a clear focus on collaborative learning in the context of farming and food systems of developing countries. We suggest that a ‘collaborative learning’ process includes four steps: (A) establishing a cooperation, (B) dialogue, (C) discovery, and (D) application of new knowledge. The necessity of making the process of actor identification more explicit is highlighted. Furthermore, many projects did not fully conceptualize application of knowledge as part of the research. Trust among the participants was a key to promoting knowledge exchange and mature reflection, and results from a carefully designed and facilitated process. If this was the case, participants perceived that they gained something meaningful, such as new relationships, or new knowledge and skills. Awareness of their role in the process of change was strengthened.

Navigating complexity: adaptive management and organizational learning in a development project in Northern Uganda
Amir Allana, Timothy Sparkman
Abstract
Adaptive management is a management paradigm for intervening in complex, unpredictable systems where continual learning and adaptation is vital for success. This management approach requires a fundamentally different set of tools, processes, and most importantly, staff behaviors and organizational culture than ‘traditional’ management. A facilitative approach to development, where the goal is creating systemic change that spreads in networks of local businesses, government, and civil society organizations, necessitates an adaptive approach. Mercy Corps Uganda’s Northern Karamoja Growth, Health, and Governance Program (GHG) has been an ongoing experiment in applying the principles of adaptive management and facilitation. This article details two examples from GHG where adaptation has occurred, and provides an analysis of the tools, processes, and organizational culture that exists. Three salient takeaways for effective facilitation are elaborated on: the importance of staff behaviors and underlying beliefs, particularly with regards to ‘failure’, flexibility to experiment, dissent & debate, and curiosity with the subject matter of their work; importance of consistent messaging from senior management with regards to the same; and tools and processes playing a support function to these behaviours, rather than being their source. Lessons and implications are drawn out from the GHG experience for funders and implementing organizations wanting to apply adaptive management in the context of development programming. These include building flexibility into budgeting and contracts, rethinking the structure and content of reports, and utilizing alternative hiring criteria to attract senior managers who are more likely to succeed at adaptive management.

The Lancet – Mar 14, 2015

The Lancet
Mar 14, 2015 Volume 385 Number 9972 p915-1044 e21-e22
http://www.thelancet.com/journals/lancet/issue/current

Editorial
The future of health in Nigeria
The Lancet
Summary
In a letter in today’s issue, Seye Abimbola and colleagues highlight the health effects of the 6 year Boko Haram insurgency in Nigeria. The militant group now controls three states in the northeast of the country. Maternal and child mortality are worse in these states than in the rest of Nigeria, there are fears about undetected polio cases, and more than 980 000 people are internally displaced. Conditions are dire for the internally displaced population who live in informal and formal camps with minimum access to health care and other basic needs, such as food and clean water.

Special Report
Syrian crisis: health experts say more can be done
Sophie Cousins
DOI: http://dx.doi.org/10.1016/S0140-6736(15)60515-3
As the Syrian conflict enters its fifth year this month, doctors and public health experts highlight the major health problems and the actions needed to address them. Sophie Cousins reports.

Global trends and projections for tobacco use, 1990–2025: an analysis of smoking indicators from the WHO Comprehensive Information Systems for Tobacco Control
Ver Bilano, Stuart Gilmour, Trevor Moffiet, Edouard Tursan d’Espaignet, Gretchen A Stevens, Alison Commar, Frank Tuyl, Irene Hudson, Kenji Shibuya

Global surveillance of cancer survival 1995–2009: analysis of individual data for 25 676 887 patients from 279 population-based registries in 67 countries (CONCORD-2)
Claudia Allemani, Hannah K Weir, Helena Carreira, Rhea Harewood, Devon Spika, Xiao-Si Wang, Finian Bannon, Jane V Ahn, Christopher J Johnson, Audrey Bonaventure, Rafael Marcos-Gragera, Charles Stiller, Gulnar Azevedo e Silva, Wan-Qing Chen, Olufemi J Ogunbiyi, Bernard Rachet, Matthew J Soeberg, Hui You, Tomohiro Matsuda, Magdalena Bielska-Lasota, Hans Storm, Thomas C Tucker, Michel P Coleman, the CONCORD Working Group
Open Access

Global change: Put people at the centre of global risk management

Nature
Volume 519 Number 7542 pp129-256 12 March 2015
http://www.nature.com/nature/current_issue.html

Comment
Global change: Put people at the centre of global risk management
Jan Willem Erisman, Guy Brasseur, Philippe Ciais, Nick van Eekeren & Thomas L. Theis
11 March 2015

An individual focus is needed to assess interconnected threats and build resilience worldwide, urge Jan Willem Erisman and colleagues.
Globalization is changing the nature of risk. Natural and social systems — from climate to energy, food, water and economies — are tightly coupled. Abrupt changes in one have a domino effect on others. Floods in Thailand in 2010, for example, led to a global shortage of computer hard disks as a result of factories closing, as well as more than US$330 million in damage and around 250 deaths.
The exposure of people and assets to risks is increasing worldwide. From 1980 to 2012, annual economic losses from environmental disasters rose more than sevenfold, from about $20 billion to $150 billion a year1.
Yet most risk assessments ignore networked threats2, 3. The annual Global Risks report of the World Economic Forum considers risks qualitatively, based on the views of experts4. But global outlooks remain sectorial and too coarse to guide individuals, organizations, municipalities or nations.
Risk reports also neglect the collective impacts of personal choices3. For example, eating more beef causes deforestation and biodiversity loss in the Amazon. Local dams for hydropower or water storage alter sediment flows to fertile coastal regions. The movement of people from the countryside to cities affects water, food, climatic and energy systems planet-wide.
Understanding networked risks is essential for achieving the United Nations Sustainable Development Goals, which are being defined this year5. The 17 proposed goals are interdependent. For example, the stimulation of renewable energies and biofuels to address climate change also affects food production and water resources…

Compliance with Results Reporting at ClinicalTrials.gov

New England Journal of Medicine
March 5, 2015 Vol. 372 No. 10
http://www.nejm.org/toc/nejm/medical-journal

Special Article
Compliance with Results Reporting at ClinicalTrials.gov
Monique L. Anderson, M.D., Karen Chiswell, Ph.D., Eric D. Peterson, M.D., M.P.H., Asba Tasneem, Ph.D., James Topping, M.S., and Robert M. Califf, M.D.
N Engl J Med 2015; 372:1031-1039 March 12, 2015
DOI: 10.1056/NEJMsa1409364
Abstract
Background
The Food and Drug Administration Amendments Act (FDAAA) mandates timely reporting of results of applicable clinical trials to ClinicalTrials.gov. We characterized the proportion of applicable clinical trials with publicly available results and determined independent factors associated with the reporting of results.
Full Text of Background…
Methods
Using an algorithm based on input from the National Library of Medicine, we identified trials that were likely to be subject to FDAAA provisions (highly likely applicable clinical trials, or HLACTs) from 2008 through 2013. We determined the proportion of HLACTs that reported results within the 12-month interval mandated by the FDAAA or at any time during the 5-year study period. We used regression models to examine characteristics associated with reporting at 12 months and throughout the 5-year study period.
Full Text of Methods…
Results
From all the trials at ClinicalTrials.gov, we identified 13,327 HLACTs that were terminated or completed from January 1, 2008, through August 31, 2012. Of these trials, 77.4% were classified as drug trials. A total of 36.9% of the trials were phase 2 studies, and 23.4% were phase 3 studies; 65.6% were funded by industry. Only 13.4% of trials reported summary results within 12 months after trial completion, whereas 38.3% reported results at any time up to September 27, 2013. Timely reporting was independently associated with factors such as FDA oversight, a later trial phase, and industry funding. A sample review suggested that 45% of industry-funded trials were not required to report results, as compared with 6% of trials funded by the National Institutes of Health (NIH) and 9% of trials that were funded by other government or academic institutions.
Full Text of Results…
Conclusions
Despite ethical and legal obligations to disclose findings promptly, most HLACTs did not report results to ClinicalTrials.gov in a timely fashion during the study period. Industry-funded trials adhered to legal obligations more often than did trials funded by the NIH or other government or academic institutions. (Funded by the Clinical Trials Transformation Initiative and the NIH.)

Modeling the 2014 Ebola Virus Epidemic – Agent-Based Simulations, Temporal Analysis and Future Predictions for Liberia and Sierra Leone

PLoS Currents: Outbreaks
http://currents.plos.org/outbreaks/
(Accessed 14 March 2015)

Modeling the 2014 Ebola Virus Epidemic – Agent-Based Simulations, Temporal Analysis and Future Predictions for Liberia and Sierra Leone
March 9, 2015 • Research
We developed an agent-based model to investigate the epidemic dynamics of Ebola virus disease (EVD) in Liberia and Sierra Leone from May 27 to December 21, 2014. The dynamics of the agent-based simulator evolve on small-world transmission networks of sizes equal to the population of each country, with adjustable densities to account for the effects of public health intervention policies and individual behavioral responses to the evolving epidemic. Based on time series of the official case counts from the World Health Organization (WHO), we provide estimates for key epidemiological variables by employing the so-called Equation-Free approach. The underlying transmission networks were characterized by rather random structures in the two countries with densities decreasing by ~19% from the early (May 27-early August) to the last period (mid October-December 21). Our estimates for the values of key epidemiological variables, such as the mean time to death, recovery and the case fatality rate, are very close to the ones reported by the WHO Ebola response team during the early period of the epidemic (until September 14) that were calculated based on clinical data. Specifically, regarding the effective reproductive number Re, our analysis suggests that until mid October, Re was above 2.3 in both countries; from mid October to December 21, Re dropped well below unity in Liberia, indicating a saturation of the epidemic, while in Sierra Leone it was around 1.9, indicating an ongoing epidemic. Accordingly, a ten-week projection from December 21 estimated that the epidemic will fade out in Liberia in early March; in contrast, our results flashed a note of caution for Sierra Leone since the cumulative number of cases could reach as high as 18,000, and the number of deaths might exceed 5,000, by early March 2015. However, by processing the reported data of the very last period (December 21, 2014-January 18, 2015), we obtained more optimistic estimates indicative of a remission of the epidemic in Sierra Leone, as reflected by the derived Re (~0.82, 95% CI: 0.81-0.83)

A Public Health Approach to Hepatitis C Control in Low- and Middle-Income Countries

PLoS Medicine
(Accessed 14 March 2015)
http://www.plosmedicine.org/

Policy Forum
A Public Health Approach to Hepatitis C Control in Low- and Middle-Income Countries
Amitabh B. Suthar, Anthony D. Harries
Published: March 10, 2015
DOI: 10.1371/journal.pmed.1001795
Summary Points
:: New oral short-duration regimens using direct-acting antiviral medicines for hepatitis C virus (HCV) have the potential to facilitate treatment and improve outcomes.
:: Translating scientific advances into reduced disease burden requires well-designed programmes encompassing prevention, screening, treatment, and strategic information.
:: Engagement from countries, civil society, donors, and policymakers is needed to generate political commitment, mobilise resources, and reduce diagnostic and medicine costs for HCV.
:: Countries should estimate the resources required to implement planned HCV prevention, screening, and treatment strategies and their expected health, societal, and financial benefits to mobilise domestic and international funding.
:: Countries could integrate HCV prevention, screening, treatment, and strategic information into HIV/AIDS programmes for financial, infrastructural, and health workforce efficiencies.

Good and Bad News about Ebola

PLoS Neglected Tropical Diseases
http://www.plosntds.org/
(Accessed 14 March 2015)

Viewpoints
Good and Bad News about Ebola
A. Townsend Peterson
Published: March 12, 2015
DOI: 10.1371/journal.pntd.0003509
[Concluding text]
…If the present situation with Ebola is to offer any lessons, they are that the only hope for serious investment in reducing the incidence and impact of such diseases is via spread to developed countries. Once such spread occurs, research and pharmaceutical investment will most likely follow. Ebola is a positive example, and clearly Ebola research will enter a new phase of progress, innovation, funding, production of key pharmaceuticals, and improved care, hopefully for all who might be infected by this virus.
In effect, what Ebola did was to cross the line between being a “neglected tropical disease” and being an “emerging infection.” The former set of diseases collectively exert an enormous burden in the developing world that may be constant or episodic, but are rather ubiquitous in those regions, affecting the affluent only when they venture into those regions [13,14]. The latter, on the other hand, are much less predictable, but garner more immediate attention on the world scene, precisely because they may affect affluent countries. How many other neglected diseases must await this process of spread to affluent regions and infection of affluent people, making the transition from neglected tropical disease to emerging infection, before they also will see investment and innovation?

Flexibility of Oral Cholera Vaccine Dosing—A Randomized Controlled Trial Measuring Immune Responses Following Alternative Vaccination Schedules in a Cholera Hyper-Endemic Zone

PLoS Neglected Tropical Diseases
http://www.plosntds.org/
(Accessed 14 March 2015)

Flexibility of Oral Cholera Vaccine Dosing—A Randomized Controlled Trial Measuring Immune Responses Following Alternative Vaccination Schedules in a Cholera Hyper-Endemic Zone
Suman Kanungo, Sachin N. Desai, Ranjan Kumar Nandy, Mihir Kumar Bhattacharya, Deok Ryun Kim, Anuradha Sinha, Tanmay Mahapatra, Jae Seung Yang, Anna Lena Lopez, Byomkesh Manna, Barnali Bannerjee, Mohammad Ali, Mandeep Singh Dhingra, Ananga Mohan Chandra, John D. Clemens, Dipika Sur, Thomas F. Wierzba
Research Article | published 12 Mar 2015 | PLOS Neglected Tropical Diseases 10.1371/journal.pntd.0003574
Abstract
Background
A bivalent killed whole cell oral cholera vaccine has been found to be safe and efficacious for five years in the cholera endemic setting of Kolkata, India, when given in a two dose schedule, two weeks apart. A randomized controlled trial revealed that the immune response was not significantly increased following the second dose compared to that after the first dose. We aimed to evaluate the impact of an extended four week dosing schedule on vibriocidal response.
Methodology/Principal Findings
In this double blind randomized controlled non-inferiority trial, 356 Indian, non-pregnant residents aged 1 year or older were randomized to receive two doses of oral cholera vaccine at 14 and 28 day intervals. We compared vibriocidal immune responses between these schedules. Among adults, no significant differences were noted when comparing the rates of seroconversion for V. cholerae O1 Inaba following two dose regimens administered at a 14 day interval (55%) vs the 28 day interval (58%). Similarly, no differences in seroconversion were demonstrated in children comparing the 14 (80%) and 28 day intervals (77%). Following 14 and 28 day dosing intervals, vibriocidal response rates against V. cholerae O1 Ogawa were 45% and 49% in adults and 73% and 72% in children respectively. Responses were lower for V. cholerae O139, but similar between dosing schedules for adults (20%, 20%) and children (28%, 20%).
Conclusions/Significance
Comparable immune responses and safety profiles between the two dosing schedules support the option for increased flexibility of current OCV dosing. Further operational research using a longer dosing regimen will provide answers to improve implementation and delivery of cholera vaccination in endemic and epidemic outbreak scenarios.
Author Summary
The five year efficacy results of the bivalent, killed whole cell oral cholera vaccine was shown to offer 65% protection in cholera endemic Kolkata. Currently, two oral cholera vaccines (OCV) are prequalified by the World Health Organization: the whole cell recombinant cholera toxin B subunit vaccine (Dukoral), and the bivalent killed whole cell only OCV (Shanchol). Shanchol, which is less expensive and possibly associated with longer protection, is recommended in a two dose schedule to be given at two weeks apart. Large scale cholera outbreaks often affect vulnerable populations with limited access to care. Strict dosing schedules can create further logistical barriers, hindering proper vaccine delivery to affected residents returning for their second OCV dose. In this study, 356 participants aged 1 year or older were randomized to receive two doses of OCV at 14 or 28 day intervals, for which vibriocidal immune responses were compared. Similar immune responses were demonstrated between a two and four week OCV dosing schedule, which can increase flexibility when offered as part of a targeted vaccination program. This can further serve to increase adherence and completion of the recommended dosing regimen, as well as providing a platform to increase coverage of other beneficial non-vaccine interventions.

Cost Evaluation of Reproductive and Primary Health Care Mobile Service Delivery for Women in Two Rural Districts in South Africa

PLoS One
[Accessed 14 March 2015]
http://www.plosone.org/

Cost Evaluation of Reproductive and Primary Health Care Mobile Service Delivery for Women in Two Rural Districts in South Africa
Kathryn Schnippel, Naomi Lince-Deroche, Theo van den Handel, Seithati Molefi, Suann Bruce, Cynthia Firnhaber
Research Article | published 09 Mar 2015 | PLOS ONE 10.1371/journal.pone.0119236
Abstract
Background
Cervical cancer screening is a critical health service that is often unavailable to women in under-resourced settings. In order to expand access to this and other reproductive and primary health care services, a South African non-governmental organization established a van-based mobile clinic in two rural districts in South Africa. To inform policy and budgeting, we conducted a cost evaluation of this service delivery model.
Methods
The evaluation was retrospective (October 2012–September 2013 for one district and April–September 2013 for the second district) and conducted from a provider cost perspective. Services evaluated included cervical cancer screening, HIV counselling and testing, syndromic management of sexually transmitted infections (STIs), breast exams, provision of condoms, contraceptives, and general health education. Fixed costs, including vehicle purchase and conversion, equipment, operating costs and mobile clinic staffing, were collected from program records and public sector pricing information. The number of women accessing different services was multiplied by ingredients-based variable costs, reflecting the consumables required. All costs are reported in 2013 USD.
Results
Fixed costs accounted for most of the total annual costs of the mobile clinics (85% and 94% for the two districts); the largest contributor to annual fixed costs was staff salaries. Average costs per patient were driven by the total number of patients seen, at $46.09 and $76.03 for the two districts. Variable costs for Pap smears were higher than for other services provided, and some services, such as breast exams and STI and tuberculosis symptoms screening, had no marginal cost.
Conclusions
Staffing costs are the largest component of providing mobile health services to rural communities. Yet, in remote areas where patient volumes do not exceed nursing staff capacity, incorporating multiple services within a cervical cancer screening program is an approach to potentially expand access to health care without added costs.

A Survey of UK Healthcare Workers’ Attitudes on Volunteering to Help with the Ebola Outbreak in West Africa

PLoS One
[Accessed 14 March 2015]
http://www.plosone.org/

A Survey of UK Healthcare Workers’ Attitudes on Volunteering to Help with the Ebola Outbreak in West Africa
Lance Turtle, Fiona McGill, Judy Bettridge, Claire Matata, Rob Christley, Tom Solomon
Research Article | published 11 Mar 2015 | PLOS ONE 10.1371/journal.pone.0120013
Abstract
Objective
To understand the barriers and enablers for UK healthcare workers who are considering going to work in the current Ebola outbreak in West Africa, but have not yet volunteered.
Design
After focus group discussions, and a pilot questionnaire, an anonymous survey was conducted using SurveyMonkey to determine whether people had considered going to West Africa, what factors might make them more or less likely to volunteer, and whether any of these were modifiable factors.
Participants
The survey was publicised among doctors, nurses, laboratory staff and allied health professionals. 3109 people answered the survey, of whom 472 (15%) were considering going to work in the epidemic but had not yet volunteered. 1791 (57.6%) had not considered going, 704 (22.6%) had considered going but decided not to, 53 (1.7%) had volunteered to go and 14 (0.45%) had already been and worked in the epidemic.
Results
For those considering going to West Africa, the most important factor preventing them from volunteering was a lack of information to help them decide; fear of getting Ebola and partners’ concerns came next. Uncertainty about their potential role, current work commitments and inability to get agreement from their employer were also important barriers, whereas clarity over training would be an important enabler. In contrast, for those who were not considering going, or who had decided against going, family considerations and partner concerns were the most important factors.
Conclusions
More UK healthcare workers would volunteer to help tackle Ebola in West Africa if there was better information available, including clarity about roles, cover arrangements, and training. This could be achieved with a well-publicised high quality portal of reliable information.

The effects of reputational and social knowledge on cooperation

PNAS – Proceedings of the National Academy of Sciences of the United States of America
(Accessed 14 March 2015)
http://www.pnas.org/content/early/

The effects of reputational and social knowledge on cooperation
Edoardo Galloa,b,1,2 and Chang Yanc,1,2
Author Affiliations
Edited by Martin A. Nowak, Harvard University, Cambridge, MA, and accepted by the Editorial Board February 5, 2015 (received for review August 18, 2014)
Significance
Cooperation is essential for societies to prosper. Recent experiments show that cooperation emerges in dynamic networks in which subjects can select their connections. However, these studies fixed the amount of reputation information available and did not display the network to subjects. Here, we systematically vary the knowledge available to subjects about reputation and the network to investigate experimentally their roles in determining cooperation in dynamic networks. Common knowledge about everyone’s reputation is the main driver of cooperation leading to dense and clustered networks. The addition of common knowledge about the network affects the distribution of cooperative activity: cooperators form a separate community and achieve a higher payoff from within-community interactions than members of the less cooperative community.
Abstract
The emergence and sustenance of cooperative behavior is fundamental for a society to thrive. Recent experimental studies have shown that cooperation increases in dynamic networks in which subjects can choose their partners. However, these studies did not vary reputational knowledge, or what subjects know about other’s past actions, which has long been recognized as an important factor in supporting cooperation. They also did not give subjects access to global social knowledge, or information on who is connected to whom in the group. As a result, it remained unknown how reputational and social knowledge foster cooperative behavior in dynamic networks both independently and by complementing each other. In an experimental setting, we show that global reputational knowledge is crucial to sustaining a high level of cooperation and welfare. Cooperation is associated with the emergence of dense and clustered networks with highly cooperative hubs. Global social knowledge has no effect on the aggregate level of cooperation. A community analysis shows that the addition of global social knowledge to global reputational knowledge affects the distribution of cooperative activity: cooperators form a separate community that achieves a higher cooperation level than the community of defectors. Members of the community of cooperators achieve a higher payoff from interactions within the community than members of the less cooperative community.

Human Ebola virus infection results in substantial immune activation

PNAS – Proceedings of the National Academy of Sciences of the United States of America
(Accessed 14 March 2015)
http://www.pnas.org/content/early/

Human Ebola virus infection results in substantial immune activation
Anita K. McElroya,b, Rama S. Akondyc,d, Carl W. Davisc,d, Ali H. Ellebedyc,d, Aneesh K. Mehtae, Colleen S. Krafte,f, G. Marshall Lyone, Bruce S. Ribnere, Jay Varkeye, John Sidneyg,
Alessandro Setteg, Shelley Campbella, Ute Ströhera, Inger Damona, Stuart T. Nichola, Christina F. Spiropouloua,1, and Rafi Ahmedc,d,1
Author Affiliations
Contributed by Rafi Ahmed, February 7, 2015 (sent for review January 6, 2015; reviewed by Lawrence Corey and Barton F. Haynes)
Significance
In 2014, Ebola virus became a household term. The ongoing outbreak in West Africa is the largest Ebola virus outbreak ever recorded, with over 20,000 cases and over 8,000 deaths to date. Very little is known about the human cellular immune response to Ebola virus infection, and this lack of knowledge has hindered development of effective therapies and vaccines. In this study, we characterize the human immune response to Ebola virus infection in four patients. We define the kinetics of T- and B-cell activation, and determine which viral proteins are targets of the Ebola virus-specific T-cell response in humans.
Abstract
Four Ebola patients received care at Emory University Hospital, presenting a unique opportunity to examine the cellular immune responses during acute Ebola virus infection. We found striking activation of both B and T cells in all four patients. Plasmablast frequencies were 10–50% of B cells, compared with less than 1% in healthy individuals. Many of these proliferating plasmablasts were IgG-positive, and this finding coincided with the presence of Ebola virus-specific IgG in the serum. Activated CD4 T cells ranged from 5 to 30%, compared with 1–2% in healthy controls. The most pronounced responses were seen in CD8 T cells, with over 50% of the CD8 T cells expressing markers of activation and proliferation. Taken together, these results suggest that all four patients developed robust immune responses during the acute phase of Ebola virus infection, a finding that would not have been predicted based on our current assumptions about the highly immunosuppressive nature of Ebola virus. Also, quite surprisingly, we found sustained immune activation after the virus was cleared from the plasma, observed most strikingly in the persistence of activated CD8 T cells, even 1 mo after the patients’ discharge from the hospital. These results suggest continued antigen stimulation after resolution of the disease. From these convalescent time points, we identified CD4 and CD8 T-cell responses to several Ebola virus proteins, most notably the viral nucleoprotein. Knowledge of the viral proteins targeted by T cells during natural infection should be useful in designing vaccines against Ebola virus.

Modeling infectious disease dynamics in the complex landscape of global health

Science
13 March 2015 vol 347, issue 6227, pages 1169-1284
http://www.sciencemag.org/current.dtl

Review
Modeling infectious disease dynamics in the complex landscape of global health
Hans Heesterbeek1,*, Roy M. Anderson2, Viggo Andreasen3, Shweta Bansal4, Daniela De Angelis5, Chris Dye6, Ken T. D. Eames7, W. John Edmunds7, Simon D. W. Frost8, Sebastian Funk4, T. Deirdre Hollingsworth9,10, Thomas House11, Valerie Isham12, Petra Klepac8, Justin Lessler13, James O. Lloyd-Smith14, C. Jessica E. Metcalf15, Denis Mollison16, Lorenzo Pellis11,
Juliet R. C. Pulliam17,18, Mick G. Roberts19, Cecile Viboud18, Isaac Newton Institute IDD Collaboration
Author Affiliations
1Faculty of Veterinary Medicine, University of Utrecht, Utrecht, Netherlands.
2School of Public Health, Imperial College, London, UK.
3Roskilde University, Roskilde, Denmark.
4Georgetown University, Washington, DC, USA.
5MRC Biostatistics Unit, Cambridge, UK.
6WHO, Geneva, Switzerland.
7Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene Tropical Medicine, London, UK.
8University of Cambridge, Cambridge, UK.
9School of Life Sciences, University of Warwick, UK.
10School of Tropical Medicine, University of Liverpool, UK.
11Warwick Mathematics Institute, University of Warwick, Coventry, UK.
12Department of Statistical Science, University College London, London, UK.
13Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
14Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA.
15Department of Zoology, University of Oxford, Oxford, UK, and Department of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.
16Heriot-Watt University, Edinburgh, UK.
17Department of Biology–Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.
18Division of International Epidemiology and Population Studies, Fogarty International Center, NIH, Bethesda, MD, USA.
19Institute of Natural and Mathematical Sciences, Massey University, Auckland, New Zealand.
Abstract
BACKGROUND
Despite many notable successes in prevention and control, infectious diseases remain an enormous threat to human and animal health. The ecological and evolutionary dynamics of pathogens play out on a wide range of interconnected temporal, organizational, and spatial scales that span hours to months, cells to ecosystems, and local to global spread. Some pathogens are directly transmitted between individuals of a single species, whereas others circulate among multiple hosts, need arthropod vectors, or persist in environmental reservoirs. Many factors, including increasing antimicrobial resistance, human connectivity, population growth, urbanization, environmental and land-use change, as well as changing human behavior, present global challenges for prevention and control. Faced with this complexity, mathematical models offer valuable tools for understanding epidemiological patterns and for developing and evaluating evidence for decision-making in global health.
ADVANCES
During the past 50 years, the study of infectious disease dynamics has matured into a rich interdisciplinary field at the intersection of mathematics, epidemiology, ecology, evolutionary biology, immunology, sociology, and public health. The practical challenges range from establishing appropriate data collection to managing increasingly large volumes of information. The theoretical challenges require fundamental study of many-layered, nonlinear systems in which infections evolve and spread and where key events can be governed by unpredictable pathogen biology or human behavior. In this Review, we start with an examination of real-time outbreak response using the West African Ebola epidemic as an example. Here, the challenges range from underreporting of cases and deaths, and missing information on the impact of control measures to understanding human responses. The possibility of future zoonoses tests our ability to detect anomalous outbreaks and to estimate human-to-human transmissibility against a backdrop of ongoing zoonotic spillover while also assessing the risk of more dangerous strains evolving. Increased understanding of the dynamics of infections in food webs and ecosystems where host and nonhost species interact is key. Simultaneous multispecies infections are increasingly recognized as a notable public health burden, yet our understanding of how different species of pathogens interact within hosts is rudimentary. Pathogen genomics has become an essential tool for drawing inferences about evolution and transmission and, here but also in general, heterogeneity is the major challenge. Methods that depart from simplistic assumptions about random mixing are yielding new insights into the dynamics of transmission and control. There is rapid growth in estimation of model parameters from mismatched or incomplete data, and in contrasting model output with real-world observations. New data streams on social connectivity and behavior are being used, and combining data collected from very different sources and scales presents important challenges.
All these mathematical endeavors have the potential to feed into public health policy and, indeed, an increasingly wide range of models is being used to support infectious disease control, elimination, and eradication efforts.
OUTLOOK
Mathematical modeling has the potential to probe the apparently intractable complexity of infectious disease dynamics. Coupled to continuous dialogue between decision-makers and the multidisciplinary infectious disease community, and by drawing on new data streams, mathematical models can lay bare mechanisms of transmission and indicate new approaches to prevention and control that help to shape national and international public health policy.

Reduced vaccination and the risk of measles and other childhood infections post-Ebola

Science
13 March 2015 vol 347, issue 6227, pages 1169-1284
http://www.sciencemag.org/current.dtl

n Depth
Infectious Diseases
As Ebola fades, a new threat
Leslie Roberts
A second, often overlooked, public health crisis is brewing in the countries hardest hit by Ebola, epidemiologists warn. The Ebola epidemic has devastated already weak public health systems and disrupted childhood vaccinations in Liberia, Guinea, and Sierra Leone. As a result, unless action is taken quickly, preventable childhood diseases will likely soar. Measles, in particular, is considered a sentinel of a broken health system, often hitting early and hard in the aftermath of a disaster. In a paper in this week’s issue of Science, researchers put some sobering numbers on the size of a potential measles outbreak in the region post-Ebola. In the worst case, they warn, a measles outbreak could kill thousands more people than Ebola has.

Report
Reduced vaccination and the risk of measles and other childhood infections post-Ebola
Saki Takahashi1, C. Jessica E. Metcalf1,2, Matthew J. Ferrari3, William J. Moss4, Shaun A. Truelove4, Andrew J. Tatem5,6,7, Bryan T. Grenfell1,6, Justin Lessler4,*
Author Affiliations
1Department of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ 08544, USA.
2Woodrow Wilson School, Princeton University, Princeton, NJ 08544, USA.
3Centre for Infectious Disease Dynamics, Pennsylvania State University, State College, PA 16801, USA.
4Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
5Department of Geography and Environment, University of Southampton, Southampton SO17 1BJ, UK.
6Fogarty International Center, National Institutes of Health, Bethesda, MD 20892, USA.
7Flowminder Foundation, 17177 Stockholm, Sweden.
Abstract
The Ebola epidemic in West Africa has caused substantial morbidity and mortality. The outbreak has also disrupted health care services, including childhood vaccinations, creating a second public health crisis. We project that after 6 to 18 months of disruptions, a large connected cluster of children unvaccinated for measles will accumulate across Guinea, Liberia, and Sierra Leone. This pool of susceptibility increases the expected size of a regional measles outbreak from 127,000 to 227,000 cases after 18 months, resulting in 2000 to 16,000 additional deaths (comparable to the numbers of Ebola deaths reported thus far). There is a clear path to avoiding outbreaks of childhood vaccine-preventable diseases once the threat of Ebola begins to recede: an aggressive regional vaccination campaign aimed at age groups left unprotected because of health care disruptions.

Stability: International Journal of Security & Development [accessed 14 March 2015]

Stability: International Journal of Security & Development
[accessed 14 March 2015]
http://www.stabilityjournal.org/articles

Research Article
The Politics, Practice and Paradox of ‘Ethnic Security’ in Bosnia-Herzegovina
12 Mar 2015
4(1):Art. 11
Vesna Bojicic-Dzelilovic

Research Article
‘And Then He Switched off the Phone’: Mobile Phones, Participation and Political Accountability in South Sudan’s Western Equatorial State
9 Mar 2015
4(1):Art. 10
Mareike Schomerus, Anouk Rigterink

The Sentinel

Human Rights Action :: Humanitarian Response :: Health ::
Holistic Development :: Sustainable Resilience
__________________________________________________
Week ending 7 March 2015

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortiums and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor &
Founding Managing Director
GE2P2 – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf verion: The Sentinel_ week ending 7 March 2015

blog edition: comprised of the 35+ entries to be posted below on 8 March 2015

States must uphold human rights principles in struggle against violent extremism – UN High Commissioner for Human Rights Zeid Ra’ad Al Hussein

States must uphold human rights principles in struggle against violent extremism
UN High Commissioner for Human Rights Zeid Ra’ad Al Hussein

GENEVA (5 March 2015) – UN High Commissioner for Human Rights Zeid Ra’ad Al Hussein, in a major speech on Thursday, warned that the world may be “at a turning point in our young and troubled century,” and urged States not “to lose their grasp” of the human rights principles underlying their societies in their struggle against violent extremism.

“There is real danger that in their reaction to extremist violence, opinion-leaders and decision-makers will lose their grasp of the deeper principles that underpin the system for global security which States built 70 years ago to ward off the horror of war,” the UN Human Rights Chief said.

“The fight against terror is a struggle to uphold the values of democracy and human rights – not undermine them,” Zeid added. “Counter-terrorist operations that are non-specific, disproportionate, brutal and inadequately supervised violate the very norms that we seek to defend. They also risk handing the terrorists a propaganda tool – thus making our societies neither free nor safe,” he said.

The use of torture, neglect of due process and collective punishment do not make the world any safer, he said, quoting former US President George W. Bush’s statement that Guantanamo became “a propaganda tool for our enemies.”

The wide-ranging speech to the 47-member UN Human Rights Council spanned numerous major issues affecting countries and individuals all across the world, including many forms of discrimination, as well as racial and religious hatred.

“I am appalled by the rising tide of attacks around the world that target people on account of their religious beliefs,” he said. “…We continue to observe horrific acts of racial and religious hatred, including in many countries in Western Europe and North America, as well as evidence of unfair policing, daily insults and exclusion…. It should be obvious that Islamophobia, anti-Semitism, and attacks that single out Christians or other groups because of their beliefs are identical manifestations of the same poisonous intolerance.”

The High Commissioner also addressed the failure to give enough attention to economic and social rights, as well as related issues such as poverty, migration, climate change, and the root causes of the Ebola epidemic.

The tentacles of the extremist Takfiri movement reach into not just Iraq and Syria, he noted, but also Nigeria, Yemen, Libya, Somalia and beyond. The High Commissioner said he was deeply concerned at measures that restrict freedom of expression and democratic space in numerous countries including Armenia, Azerbaijan, Bangladesh, Burundi, the Democratic Republic of the Congo, Egypt, Hungary, Myanmar, the Occupied Palestinian Territory, the Russian Federation, Saudi Arabia, Tanzania, Thailand, Turkey, Venezuela, and Viet Nam.

“When powerful leaders feel threatened by a tweet, a blog, or a high-school student’s speech, this speaks of profound underlying weakness,” he said. “And when writers are abducted, jailed, whipped, or put to death; when journalists are assaulted, subjected to sexual violence, tortured and killed; when peaceful protestors are gunned down by thugs; when human rights lawyers, human rights defenders and land activists are arrested and jailed on spurious charges of sedition; when newspapers are attacked or shut down – such cases attack and undermine the foundations of stable governance.”

Zeid also expressed regret at the renewed use of the death penalty in Indonesia, Jordan, and Pakistan, and the continuing extensive use of the death penalty in China, Iraq, Iran and the United States. He also highlighted the human rights situation in the Central African Republic, the Democratic People’s Republic of Korea, Mexico, Sri Lanka, South Sudan, Sudan, and Ukraine, as well as Australia’s approach to irregular migrants and asylum seekers. The High Commissioner commended Colombia and Tunisia for important advances in human rights.

“It is the people who sustain government, create prosperity, heal and educate others and pay for governmental and other services with their labour. It is their struggles that have created and sustain States. Governments exist to serve the people – not the other way round,” Zeid said.

Urgent action needed to stop organized crime preying on migrants, says UNODC chief at irregular migration meeting

Urgent action needed to stop organized crime preying on migrants, says UNODC chief at irregular migration meeting
04/03/2015 – London/Vienna, 04 March 2015 – We must act to stop the horrific treatment of migrants by criminal smugglers said Yury Fedotov, the Executive Director of the UN Office on Drugs and Crime (UNODC), today at an international meeting on the movement of irregular migrants by sea.

He told his audience that overcrowded boats, makeshift vessels capsizing and sinking; unguided cargo ships abandoned, with migrants left to their fate at sea; women, men and children drowning or dying of hypothermia were part of a global tragedy.

“We cannot allow desperate people, escaping conflict and humanitarian disasters, to fall prey to organized crime. We need urgent and resolute action to save lives and punish the criminals,” said Mr. Fedotov.

To help counter criminal networks and safeguard the rights of migrants, Mr. Fedotov said UNODC has developed a new strategy that would contribute to overall international efforts in the Mediterranean. He said the strategy was founded on five essential pillars: research and analysis, strengthening countries’ abilities to develop effective criminal justice responses, promoting cooperation, building coordination and protecting migrant rights.

So far, he said, 185 countries have signed the UN Convention on Transnational Organized Crime and 141 have signed its protocol on migrant smuggling, but Mr. Fedotov said that full implementation of these instruments was needed…

International Women’s Day 2015 – Statements, New Research

Editor’s Note:
We include below some of the more substantial announcements and salutes honoring International Women’s Day. Additional statements are presented in the agency and NGO sections below.

International Women’s Day 2015 – Human Rights Council Working Group
International Women’s Day Statement by the United Nations Human Rights Council’s Working Group on the Issue of Discrimination Against Women in Law and in Practice
GENEVA, Thursday, 5 March 2015
Nothing short of full rights – protecting the hard-fought progress and allowing no space for retrogression

8 March marks a day of celebration not only for girls and women of the world, but also for the entire humanity, as it celebrates fundamental values of equality and historical achievements. It is a celebration of women’s courage in demanding, more than a hundred years ago, nothing short of equal rights – equal rights as workers and equal rights as citizens.

Each year the International Women’s Day presents an opportunity for the world to remember the long journey that women have travelled in the struggle for equality and to celebrate the remarkable progress made over the last one hundred years in all spheres of life – political, economic, social, and cultural. Today not only have women gained the right to vote in every corner of the world, they are becoming parliamentarians, heads of States and Governments. More women participate in the labour market and become business leaders, entrepreneurs and economic decision-makers. More women receive higher education and contribute to the cultural and scientific lives of their communities and their countries.

The last century also witnessed the development of an impressive body of international standards, including for the protection of the human rights of women, from the Universal Declaration of Human Rights in 1948, to the International Covenant on Civil and Political Rights and the International Covenant on Economic, Social and Cultural Rights in 1966, and to the Convention on the Elimination of All Forms of Discrimination Against Women in 1979. Women’s right to equality has become legally guaranteed. The 1995 World Conference on Women saw a consolidation of these hard-fought progress and achievements, by agreeing on a most comprehensive plan to advance women’s right to equality – the Beijing Platform of Action. In 2010, the United Nations Human Rights Council decided to establish the Working Group on the Issue of Discrimination Against Women in Law and in Practice as part of its independent fact-finding and monitoring mechanisms.

Persistent discrimination and risk of retrogression
Despite these progress and achievements over long years of struggle, discrimination against women persists in both public and private spheres, in times of conflict as in times of peace, and in all regions of the world. No country in the world has yet achieved full substantive equality of women. The participation of women in political and public life remains much too low – averaging 20% of parliamentarians and 17% of heads of States or Governments. Women continue to be paid less for work of equal value and are severely underrepresented in top leadership in decision-making bodies in business, finance and trade, including in international institutions such as the IMF and the WTO as well as in cooperatives and trade unions.

We are seeing retrogressive signs, often in the name of culture, religion, and traditions, that threaten the hard-fought progress in achieving women’s equality. We have seen attempts to restrict women’s place in the domestic sphere. Attention and focus on family value and on protection of the family is important, but it is neither an equivalent nor a replacement of women’s equal rights and autonomy. Protection of the family must include protecting the human rights of individual members of the family, especially the right to equality between women and men as well as between girls and boys. The Working Group has expressed concerns about the silence in the Human Rights Council on the right of women to equality in the family when adopting a resolution in June 2014 on protection of the family and the panel discussion that followed. Recognition of women’s right to equality in the family constituted a significant departure from the prior social and religious status quo of the patriarchal family. The advancement of women and girls depends on the recognition in law and practice of their right to equality as members of communities and families.

Violence against women remains pervasive, estimated to affect one in three women globally. We continue to witness, in the name of perceived honour, beauty, purity and tradition, girls and women are subject to “honor” killings, child marriages, and female genital mutilation. Too many women are being deprived of their sexual and reproductive health and rights, fundamental human rights of women. Each year, some 50,000 women die as a result of unsafe abortions and some 5 million women suffer from disabilities due to lack of, or negligent reproductive health services, according to a recent study of the World Health Organisation. Completely avoidable maternal deaths are still very high in many countries. There are still countries that impose a total prohibition of abortion in all circumstances and imprison women accused of abortions for up to 30 years.

At the same time, the lack of access to proper sexual education and family planning information and services for adolescents and the practice of child marriages lead to teenager pregnancies and exclusion of girls from education and employment, hence limits their enjoyment of many other rights.

Pregnancy and child birth for girls is one of the most common causes of death in developing countries, with girls under 15 years of age facing five times the danger. Abortion for pregnant teenagers should be allowed as equality and health measures.

Seize the opportunity
For the 21st century to be “the century of women”, in the words of the UN Secretary General, it requires us, men and women of the world, to work systematically to make it a century in which the equal contribution of women is recognised, facilitated and properly rewarded and women are effectively protected from abuses and violence. The Working Group believes that quota systems and temporary special measures are essential to ensure proper representation of women in public, political, and economic decision-making and leadership. The expert Working Group has called for a social protection floor for care which would facilitate the participation of women equally with men in economic and social activities.

2015 is a year of opportunities for the international community. Twenty years after the historic world conference on women and 15 years of the Millennium Development Goals, time has come to review with a critical lens the unfulfilled commitments made to women and take corrective actions. The expert Working Group has welcome that women’s equal rights is both a stand-alone goal and is mainstreamed throughout all goals in the post-2015 sustainable development agenda.

Recalling the legal nature of women’s right to equality, it is therefore essential to apply the existing human rights obligations of Member States to interpret and understand the goals, targets, and indicators of the post-2015 sustainable development agenda, making sure that there is both awareness of and accountability for elimination of discrimination against women and empowerment of women within this framework. This is incumbent on Member States which have a duty to respect women’s human rights and to exercise due diligence to ensure that there be no violation of such rights whether by the State, its agents or private corporations and individuals. Equality in law and practice, which enables women to participate fully in economic and social life, is also crucial factor for sustainable development to succeed.

It has been a century since women were out on the street demanding equal rights. Women are asking for immediate actions. There is no acceptable justification to wait for 2030 to achieve the target of eliminating discriminatory legislation. It is a long overdue political commitment which must be fulfilled without delay. There is no acceptable justification to deny the human rights of girls and women by allowing practices to continue which are harmful and dangerous to their physical and mental health. Furthermore, the costs in health, education and economic development of these practices is a clear barrier to sustainable development.

Just like the century old foot binding, which caused excruciating pain and irreversible harm to girls, practices such as child marriages, female genital mutilation, and “honor” killings have no place in the 21st century.

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International Women’s Day 2015 – UN Women
Summary Report: The Beijing Declaration and Platform for Action turns 20
UN Women
March 2015 :: 60 pages
View online/download: http://www.unwomen.org/~/media/headquarters/attachments/sections/library/publications/2015/sg%20report_synthesis-en_web.pdf

The present report is a synthesis of the Secretary-General’s report (E/CN.6/2015/3) on the 20-year review and appraisal of the implementation of the Beijing Declaration and Platform for Action and the outcomes of the twenty-third special session of the General Assembly. The report provides a review of national-level implementation of the Beijing Declaration and Platform for Action and the outcome of the twenty-third special session of the General Assembly, including current challenges that affect the implementation of the Platform for Action and the achievement of gender equality and the empowerment of women, as well as opportunities for strengthening gender equality and the empowerment of women in the post-2015 development agenda through the integration of a gender perspective, as mandated in the Economic and Social Council resolution 2013/18.

The first section of the report provides an overview of 20 years of implementation of the Platform for Action. The following sections highlight the trends and priorities in the implementation of the 12 critical areas of concern, concluding with an overview of remaining challenges and actions needed to accelerate implementation. The synthesis report concludes with an analysis of the lessons learned and priorities for accelerating the implementation of the Platform for Action and the realization of gender equality, the empowerment of women and the human rights of women and girls in the post-2015 context.

UN Women – Press conference: “Collective failure of leadership on progress for women”
As authoritative global review finds pace of advancement unacceptably slow, UN Women Executive Director calls on leaders to Step It Up, launching initiative to record concrete new commitments
06 March 2015
New York—Progress for women in the past 20 years has been unacceptably slow, with areas of stagnation and regression. This is the conclusion of an authoritative global review of progress on gender equality, to mark the 20th anniversary of the 1995 Fourth World Conference on Women in Beijing, which UN Secretary-General Ban Ki-moon will present to Members States on Monday.

The survey covers an unprecedented 167 countries, drawing on rich inputs from governments and civil society. Prepared for the 59th Commission on the Status of Women, it shows that despite some progress, world leaders have not done nearly enough to act on commitments made in the visionary Beijing Declaration and Platform for Action.

“The Secretary-General’s report makes this very clear: The disappointing gap between the norms and implementation of the Beijing Platform for Action points to a collective failure of leadership on progress for women,” says Under-Secretary-General and UN Women Executive Director Phumzile Mlambo-Ngcuka. “The leaders entrusted with the power to realize the promises made in Beijing have failed women and girls.”

Given the findings of the report, UN Women today launched a new initiative “Planet 50-50 by 2030: Step It Up for Gender Equality” to galvanize government pledges for action, as part of UN Women’s wider Beijing+20 campaign. A dedicated web platform www.unwomen.org/stepitup will draw global attention to all new commitments made by countries around the world.

“Today, we are calling on governments, everywhere in the world, to Step It Up,” says Ms. Mlambo-Ngcuka. “By 2030 at the latest, we want to live in a world where at least half of all parliamentarians, university students, CEOs, civil society leaders and any other category, are women. Real progress requires 50-50.”…

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International Women’s Day 2015 –UNICEF
International Women’s Day: 10 quick facts on girls
NEW YORK, 7 March 2015 – To mark International Women’s Day and the 20th anniversary of the Beijing Declaration and Platform for Action on women’s empowerment, UNICEF presents a statistical snapshot of progress and trends for girls and women.

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International Women’s Day 2015 – International Labour Organization
Women and the Future of Work: Beijing + 20 and Beyond
ILO Briefing note | 06 March 2015 :: 4 pages
Pdf: http://www.ilo.org/wcmsp5/groups/public/—dgreports/—dcomm/documents/briefingnote/wcms_348087.pdf
Despite significant progress since the 4th World Conference on Women in Beijing in 1995, women continue to experience widespread discrimination and inequality in the workplace. Twenty years later, and as we approach the ILO’s centenary in 2019, the ILO has launched the Women at Work initiative alongside the Future of Work initiative, to place a spotlight on gender and drill down into some of the most crucial areas. The future of work means more women at work, and this future must deliver on gender equality.

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The motherhood pay gap: A review of the issues, theory and international evidence
ILO Working paper | 06 March 2015 :: 82 pages
Conditions of Work and Employment Series No. 57
Damian Grimshaw and Jill Rubery, University of Manchester
Evidence that mothers suffer a wage penalty over and above the penalty for being a woman raises concerns not only for gender equality but also for the capacity of societies to manage a sustainable balance between their economic aims of active female participation in paid work and the social aims of providing a fair distribution of income to support the reproduction and rearing of children. These concerns underpin ILO Conventions designed to combat inequality in women’s position in paid employment, especially associated with motherhood status.

Excerpt from Executive Summary
What is the motherhood pay gap?
The motherhood pay gap measures the pay gap between mothers and non-mothers, the latter defined in most econometric studies as women without dependent children. It also measures the pay gap between mothers and fathers. This is different from the gender pay gap, which measures the pay gap between all women and all men in the workforce.
While there is a considerable international literature on the motherhood gap, differences both in methodologies and in how mothers, non-mothers and fathers are defined using available data create difficulties in comparing estimates. Moreover, in many countries, the data are often unsuitable for analysis, typically because the questions posed in surveys make it difficult to establish the identity of a child’s mother or father (particularly in developing countries where the nuclear family is less common).

Nevertheless, many studies draw on international harmonized pay and employment data which provide a useful basis for cross-country comparison, and others provide informative trend analyses for single countries.

Trends in the motherhood pay gap
From the available data it appears that the unadjusted motherhood gap tends to be larger in developing countries than in developed countries. Globally, the motherhood gap increases as the number of children a woman has increases; in many European countries, for example, having one child has only a small negative effect, but women with two and especially three children experience a significant wage penalty. In developing countries, evidence suggests the gender of the child may matter as daughters may be more likely than sons to help with household and caring tasks, thereby reducing the motherhood gap.

Whether the wage penalty associated with motherhood is a one-off event or accumulates over time also varies from one country to the next. For example, mothers who have a strong job attachment are found to experience a wage decrease immediately on return to employment but soon catch up with non-mothers. In contrast, mothers taking longer leave periods experience a longer-lasting wage penalty. In short, while the existence of a motherhood gap seems universal, the magnitude and duration of the effect motherhood has on wages varies from country to country…

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“The future of work must also deal with the future of women at work”
Statement by Guy Ryder, ILO Director-General, on the occasion of International Women’s Day,8 March 2015 [Full text]

Two decades ago the 4th World Conference on Women in Beijing adopted a visionary and far-reaching Declaration and Platform for Action on gender equality and women’s empowerment. What progress there has been since then must be tempered by the reality that it is far less than what we had hoped to see by now.

In the areas of national gender equality policies, and legislation against discrimination based on sex, much has been accomplished. Nevertheless, progress on the ground remains elusive.

Globally, only about half the world’s women are in the labour force, compared to nearly 80 per cent of men – a figure basically unchanged in 20 years. A large gender pay gap hasn’t narrowed much, with women still earning on average 23 per cent less than men. And new evidence is emerging that mothers suffer a wage penalty, often over and above the gender pay gap.

The percentage of women in top management and in positions of political leadership has improved. But women head up only 5 per cent of Fortune 500 companies, and only one out of 12 governments worldwide. The percentage of women who work as self-employed or unpaid family members has declined. But women remain over-represented in low-wage employment.

We cannot accept that at current rates of change, it may take more than 70 years for women to achieve equal pay status with men. Nor can we accept that one out of every three women today will suffer some form of physical and/or sexual violence that cripples their ability to work.

On this International Women’s Day, it’s time to ask the hard questions. This anniversary should spur us to act, to rethink and to innovate.

What needs to be done?
– Support maternity protection and work-family policies: despite some progress, globally more than 800 million women workers, or 41 per cent, still don’t have adequate maternity protection, and take-up rates among men of parental leave are low. Could we not design maternity protection and work-family policies that are more inclusive, and supportive of gender equality?
– Address the issue of care work: The services and facilities that recognize, value and support such work, either paid or unpaid, are generally lacking. Could we not promote a new ethos of “care for work, and work for care” expressed in policies dealing with issues such as maternity, paternity, childcare and elder care needs?
– Support women’s entry into the labour force: many women wish to enter the labour market. Could we not give more attention to active labour market policies and create a supportive workplace culture that breaks down occupational segregation, values equitably the jobs dominated by women, and supports quality jobs for women and men?
– Act early to close the gender gap: the gap begins in childhood and compounds through the life course. Quality education, training and skills development for girls and boys, women and men, needs to be ensured, together with effective strategies for youth employment.
– Equality for women at work benefits everyone. We need to show men why they need to be part of the conversation, and part of the solution. Including men in gender equality strategies will be necessary to accelerate change – gender equality is about all women and men, and benefits individuals, families, workplaces and societies.

Promoting decent jobs for women is imperative, now and for the next generation. The future of work must also deal with the future of women at work. It is a matter of rights and what is right for women and for sustainable development.

Destruction of Ancient Iraqi Sites – UNESCO, UNWTO+

Jihadists May Have Wrecked an Ancient Iraqi Site
By ANNE BARNARD
New York Times
MARCH 7, 2015 [15:03]
BAGHDAD — Iraqi officials said Saturday that they were investigating reports that Islamic State militants had destroyed Hatra, an archaeological site dating to the first century B.C., two days after officials confirmed that the group had bulldozed another nearby site, the ancient Assyrian city of Nimrud.

Officials have been unable to review visual evidence, Qais Hussein Rashid, the deputy minister for tourism and antiquities, said in a telephone interview, because their local contacts have not had Internet access for several days. But, he said, “our local sources confirmed it to us.”

Iraqis living nearby and across the country lamented the wholesale destruction of their heritage, with Kurdish and Shiite militias and army troops on the ground, and an international coalition bombing from the air, apparently unable to stop it.

“We are in despair with the government,” Ali al-Nashmi, a professor of history at Mustansiriya University in Baghdad, said in a telephone interview. He was nearly in tears after hearing the reports about Hatra, which he said had been rare in Iraq for its classical ruins. “We are losing the country.”…

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UNESCO Director General condemns destruction of Nimrud in Iraq
06.03.2015 – UNESCOPRESS
“I condemn in the strongest possible manner the destruction of the archaeological site of Nimrud site in Iraq. This is yet another attack against the Iraqi people, reminding us that nothing is safe from the cultural cleansing underway in the country: it targets human lives, minorities, and is marked by the systematic destruction of humanity’s ancient heritage,” said UNESCO Director General Irina Bokova.

“We cannot remain silent. The deliberate destruction of cultural heritage constitutes a war crime. I call on all political and religious leaders in the region to stand up and remind everyone that there is absolutely no political or religious justification for the destruction of humanity’s cultural heritage.

“I call on all of those who can, especially youth, in Iraq and elsewhere, to do everything possible to protect this heritage, to claim it as their own, and as the heritage of the whole of humanity.

“I appeal also to all cultural institutions, museums, journalists, professors, and scientists to share and explain the importance of this heritage and the Mesopotamian civilization. We must respond to this criminal chaos that destroys culture with more culture.

“I have alerted the president of the Security Council as well as the Prosecutor of the International Criminal Court. The entire international community must join its efforts, in solidarity with the government and people of Iraq, to put an end to this catastrophe.

Likewise, UNESCO is determined to do whatever is needed to document and protect the heritage of Iraq and lead the fight against the illicit traffic of cultural artefacts, which directly contributes to the financing of terrorism. At stake is the survival of the Iraqi culture and society.”

The city of Nimrud (Kahlka), was founded more than 3,300 years ago. It was one of the capitals of the Assyrian empire. Its frescos and works are celebrated around the world and revered in literature and sacred texts. The Iraqi government has confirmed that the site was attacked by armed extremists using bulldozers on the 5th of March.
[Google Maps GPS: 28.550158, 77.260616]

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UNWTO strongly condemns the destruction of cultural heritage
PR No.: 15019
Madrid
04 Mar 15
UNWTO is appalled by the systematic destruction of cultural and religious artefacts in Syria and Iraq, the last of which in the Mosul Museum in Iraq. On behalf of the international tourism community, UNWTO joins UNESCO in urging immediate action to safeguard the world’s cultural heritage.

“As stated by UNESCO Director-General Irina Bokova, the recent systematic destruction of Iraq’s unique cultural heritage is intolerable and must come to an end immediately”, said UNWTO Secretary-General, Taleb Rifai.

“The world´s diverse cultural heritage tells mankind’s story; it tells our story. It gives a sense of pride and self-esteem to local communities, and motivates millions of people to travel and discover the world each year. As such, cultural artefacts are a source of understanding, tolerance and respect between peoples and nations. These inexcusable acts of terrorism are attacks on these values and the international community must stand united in condemning them”, he added.