ODI [to 27 June 2015]

ODI [to 27 June 2015]
http://www.odi.org/media

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Measuring what matters: the role of well-being methods in development policy and practice
Working and discussion papers | June 2015 | Allister McGregor, Sarah Coulthard and Laura Camfield
This project note looks at how the measurement of human well-being might contribute to making development policy and practice more effective. It begins by reviewing the current state of the art in the measurement of well-being field and is organised around a discussion…

(Re)conceptualising maladaptation in policy and practice: towards an evaluative framework
Working and discussion papers | June 2015 | Lindsey Jones; Elizabeth Carabine; Lisa Schipper
What are the characteristics and symptoms of maladaptation, and how can it be diagnosed? Which strategies are likely to lead to maladaptive outcomes? This report aims to help policymakers and practitioners identify the main constituents of maladaptation.

Ghana national climate finance analysis
Research reports and studies | June 2015 | Felix Ankomah Asante, Simon Bawakyillenuo, Neil Bird, Nella Canales Trujillo, Cynthia Addoquaye Tagoe and Nicholas Ashiabi
ODI is building an evidence base on climate change finance delivery and management through a number of country case studies. This report presents the findings of the country study in Ghana.

Disbursements of international climate finance to Tanzania, 2010-2013
Working and discussion papers | June 2015 | Pius Yanda and Neil Bird
This working paper compares the climate finance international donors report as delivered with what Tanzania’s government records as received.

Kellogg Foundation [to 27 June 2015]

Kellogg Foundation [to 27 June 2015]
http://www.wkkf.org/news-and-media#pp=10&p=1&f1=news

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Civil rights organizations issue joint statement on SCOTUS decision in King v. Burwell
June 25, 2015
The W.K. Kellogg Foundation applauds today’s Supreme Court ruling in King v. Burwell. It is welcome news for all Americans, especially our nation’s children, many of whom are among the six million people who can still count on the Affordable Care Act for necessary health access and coverage.

As an organization dedicated to improving conditions for all children, and especially vulnerable children, we see today’s ruling as key to addressing the social determinants of health that artificially prevent some people, particularly those in communities of color, from realizing a healthy and successful life. We stand with the many organizations working to advance racial equity in order to change conditions so that all children can thrive.

La June Montgomery Tabron
President and CEO
W.K. Kellogg Foundation

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The following statement was penned by several grantees of the Kellogg Foundation’s America Healing initiative – a long-term effort to improve life outcomes for vulnerable children by promoting racial equity and eliminating barriers to opportunity.
We, the undersigned organizations working to advance racial justice and health equity in the United States, are pleased that the U.S. Supreme Court has found that health insurance subsidies authorized by the landmark Patient Protection and Affordable Care Act (ACA) will remain intact.

The Court’s ruling in the King v. Burwell case in favor of the government reinforces the fact Congress fully intended in the ACA that all individuals who purchased health insurance through the state or federal exchanges should receive premium tax-credit subsidies if they meet eligibility requirements. This ruling should lay to rest future frivolous attempts by the law’s opponents to obstruct the ACA. Indeed, we hope that this ruling sends a strong signal that the ACA is the law of the land, and that our states and federal government should now work with all deliberate speed to ensure that the law is equitably and effectively implemented.

As a result of the ACA, an unprecedented number of individuals and families now possess health insurance. A large body of research demonstrates that lacking health insurance decreases the likelihood of receiving timely, high-quality care; places families at risk for bankruptcy should a loved one become sick and require health care; decreases productivity; and increases risk for premature mortality. Many of these risks persist and are even exacerbated in communities of color, which continue to have high rates of uninsurance relative to white Americans, and which face a higher burden of disease, disability, and premature death. With the ACA now a settled matter, and with its equitable implementation, these health inequities are likely to be significantly reduced. We as organizations that work to advance racial equity therefor applaud the Court’s ruling, and hope that this ruling strongly discourages future specious attempts to dismantle the ACA.

It is time now to refocus our efforts and ensure that the law works as intended. Much more needs to be done to ensure that everyone in the United States – regardless of race, ethnicity, place of birth, or English language ability – has an equitable opportunity to live a healthy life. The ACA is a necessary, but insufficient step by itself toward this goal. But it represents the most important legislative achievement in the last 50 years to create a healthier nation. We look forward to working to build upon the gains of this historic legislation and ensuring that future generations of people in the United States will not have to fight for the right to health.

Signed:
Asian & Pacific Islander American Health Forum
Demos
National Association for the Advancement of Colored People
National Collaborative for Health Equity
National Congress of American Indians
National Council of La Raza
National Urban League
PICO National Network
Poverty & Race Research Action Council

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New director and three officers announced
June 25, 2015
BATTLE CREEK, Mich. – The W.K. Kellogg Foundation (WKKF) today announced the appointment of Patrick Simpson as a director of programming for WKKF’s Food, Health & Well-being portfolio, Diane Smith and Alana White as program officers supporting the foundation’s Michigan portfolio statewide, and Dr. Kimberly Howard Robinson as a planning, evaluation and research officer.

American Journal of Public Health – Volume 105, Issue S3 (July 2015)

American Journal of Public Health
Volume 105, Issue S3 (July 2015)
http://ajph.aphapublications.org/toc/ajph/current

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Editorials
Embarking on a Science Vision for Health Disparities Research
Irene Dankwa-Mullan, Yvonne T. Maddox
American Journal of Public Health: July 2015, Vol. 105, No. S3: S369–S371.

Calling for a Bold New Vision of Health Disparities Intervention Research
Lisa A. Cooper, Alexander N. Ortega, Alice S. Ammerman, Dedra Buchwald, Electra D. Paskett, Lynda H. Powell, Beti Thompson, Katherine L. Tucker, Richard B. Warnecke, William J. McCarthy, K. Vish Viswanath, Jeffrey A. Henderson, Elizabeth A. Calhoun, David R. Williams
American Journal of Public Health: July 2015, Vol. 105, No. S3: S374–S376.

Beyond Health Equity: Achieving Wellness Within American Indian and Alaska Native Communities
Valarie Blue Bird Jernigan, Michael Peercy, Dannielle Branam, Bobby Saunkeah, David Wharton, Marilyn Winkleby, John Lowe, Alicia L. Salvatore, Daniel Dickerson, Annie Belcourt, Elizabeth D’Amico, Christi A. Patten, Myra Parker, Bonnie Duran, Raymond Harris, Dedra Buchwald
American Journal of Public Health: July 2015, Vol. 105, No. S3: S376–S379.

Review of State Legislative Approaches to Eliminating Racial and Ethnic Health Disparities, 2002–2011
Jessica L. Young, Keshia Pollack, Lainie Rutkow
American Journal of Public Health: July 2015, Vol. 105, No. S3: S388–S394.

BMC Health Services Research (Accessed 27 June 2015)

BMC Health Services Research
http://www.biomedcentral.com/bmchealthservres/content
(Accessed 27 June 2015)

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Research article
Association between health literacy and medical care costs in an integrated healthcare system: a regional population based study
Jolie Haun, Nitin Patel, Dustin French, Robert Campbell, Douglas Bradham, William Lapcevic BMC Health Services Research 20

Research article
The readiness of the national health laboratory system in supporting care and treatment of HIV/AIDS in Tanzania
Leonard Mboera, Deus Ishengoma, Andrew Kilale, Isolide Massawe, Acleus Rutta, Gibson Kagaruki, Erasmus Kamugisha, Vito Baraka, Celine Mandara, Godlisten Materu, Stephen Magesa BMC Health Services Research 20

Rubella outbreak in a Rural Kenyan District, 2014: documenting the need for routine rubella immunization in Kenya

BMC Infectious Diseases
http://www.biomedcentral.com/bmcinfectdis/content
(Accessed 27 June 2015)

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Research article
Rubella outbreak in a Rural Kenyan District, 2014: documenting the need for routine rubella immunization in Kenya
Ian Njeru, Dickens Onyango, Yusuf Ajack, Elizabeth Kiptoo BMC Infectious Diseases 2015, 15:245 (27 June 2015)
Abstract
Background
Rubella infection has been identified as a leading cause of birth defects commonly known as Congenital Rubella Syndrome (CRS). Kenya does not currently have a rubella immunization program nor a CRS surveillance system. In 2014, a rubella outbreak was reported in a rural district in Kenya. We investigated the outbreak to determine its magnitude and describe the outbreak in time, place and person. We also analyzed the laboratory-confirmed rubella cases from 2010 to 2014 to understand the burden of the disease in the country.
Methods
The Rubella outbreak was detected using the case-based measles surveillance system. A suspected case was a person with generalized rash and fever while a confirmed case was a person who tested positive for rubella IgM. All laboratory-confirmed and epidemiologically linked cases were line listed. The measles case-based surveillance database was used to identify rubella cases from 2010 to 2014.
Results
A total of 125 rubella cases were line listed. Fifty four percent of cases were female. Case age ranged from 3 months to 32 years with a median of 4 years. Fifty-one percent were aged less than 5 years, while 82 % were aged less than 10 years. Six percent of the cases were women of reproductive age. All cases were treated as outpatients and there were no deaths. The number of confirmed rubella cases was 473 in 2010, 604 in 2011, 300 in 2012, 336 in 2013 and 646 in 2014.
Conclusions
Analysis of Kenya rubella data shows that rubella is endemic throughout the country, and many outbreaks may be underestimated or undocumented. Six percent of all the cases in this outbreak were women of reproductive age indicating that the threat of CRS is real. The country should consider initiating a CRS surveillance system to quantify the burden with the goal of introducing rubella vaccine in the future.

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Research article
Changing risk awareness and personal protection measures for low to high pathogenic avian influenza in live-poultry markets in Taiwan, 2007 to 2012
Ming-Der Liu, Ta-Chien Chan, Cho-Hua Wan, Hsiu-Ping Lin, Tsung-Hua Tung, Fu-Chang Hu, Chwan-Chuen King BMC Infectious Diseases 2015, 15:241 (24 June 2015

BMC Public Health (Accessed 27 June 2015)

BMC Public Health
http://www.biomedcentral.com/bmcpublichealth/content
(Accessed 27 June 2015)

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Research article
Adverse events and adherence to HIV post-exposure prophylaxis: a cohort study at the Korle-Bu Teaching Hospital in Accra, Ghana
Raymond Tetteh, Edmund Nartey, Margaret Lartey, Aukje Mantel-Teeuwisse, Hubert Leufkens, Priscilla Nortey, Alexander Dodoo BMC Public Health 2015, 15:573 (27 June 2015)

Research article
Initiation to street life: a qualitative examination of the physical, social, and psychological practices in becoming an accepted member of the street youth community in Western Kenya
Juddy Wachira, Allan Kamanda, Lonnie Embleton, Violet Naanyu, Susanna Winston, David Ayuku, Paula Braitstein BMC Public Health 2015, 15:569 (27 June 2015)

Research article
A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
Ibidun Fakoya, Débora Álvarez-del Arco, Melvina Woode-Owusu, Susana Monge, Yaiza Rivero-Montesdeoca, Valerie Delpech, Brian Rice, Teymur Noori, Anastasia Pharris, Andrew Amato-Gauci, Julia del Amo, Fiona Burns BMC Public Health 2015, 15:561 (19 June 2015)

Research article
Use of mobile phone consultations during home visits by Community Health Workers for maternal and newborn care: community experiences from Masindi and Kiryandongo districts, Uganda
Richard Mangwi Ayiasi, Lynn Atuyambe, Juliet Kiguli, Christopher Orach, Patrick Kolsteren, Bart Criel BMC Public Health 2015, 15:560 (18 June 2015)

Research article
Malaria, anaemia and nutritional status among schoolchildren in relation to ecosystems, livelihoods and health systems in Kilosa District in central Tanzania
Leonard Mboera, Veneranda Bwana, Susan Rumisha, Robert Malima, Malongo Mlozi, Benjamin Mayala, Grades Stanley, Tabitha Mlacha BMC Public Health 2015, 15:553 (17 June 2015)

Preparedness explains some differences between Haiti and Nepal’s response to earthquake

British Medical Journal
27 June 2015(vol 350, issue 8014)
http://www.bmj.com/content/350/8014

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Views & Reviews Personal View
Preparedness explains some differences between Haiti and Nepal’s response to earthquake
2015; 350 doi: http://dx.doi.org/10.1136/bmj.h3059 (Published 05 June 2015) Cite this as: 2015;350:h3059
Paul S Auerbach responded to recent disasters in both countries and reflects on why Nepal saw so many fewer deaths and injuries
Excerpt
On 12 January 2010, a magnitude 7 earthquake struck Haiti 25 km from the capital, Port-au-Prince. Between 160 000 and 200 000 people are estimated to have died and more than 300 000 were injured.
Five years later, on 25 April 2015 a 7.8 magnitude earthquake struck Nepal, its epicentre 77 km from Kathmandu. This was followed on 12 May by a 7.3 magnitude earthquake equidistant from Kathmandu but on the opposite side. So far 8604 people are reported to have died and 16 808 have been injured.1
In both countries, buildings collapsed and enormous numbers of people were displaced and relocated to improvised shelters. The risk of communicable diarrhoeal disease loomed because of crowding and rain. Restricted airport capacity delayed relief workers and supplies.
The many differences between the two countries help explain why Haiti was far more vulnerable than Nepal to a similar sized earthquake. Both countries are poor, but Haiti is significantly poorer than Nepal. Haiti is considered politically a fragile, if not failed, …

Implementation of an electronic fingerprint-linked data collection system: a feasibility and acceptability study among Zambian female sex workers

Globalization and Health
http://www.globalizationandhealth.com/
[Accessed 27 June 2015]

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Research
Implementation of an electronic fingerprint-linked data collection system: a feasibility and acceptability study among Zambian female sex workers
Wall KM, Kilembe W, Inambao M, Chen YN, Mchoongo M, Kimaru L, Hammond YT, Sharkey T et al. Globalization and Health 2015, 11:27 (27 June 2015)
Abstract (provisional)
Background
Patient identification within and between health services is an operational challenge in many resource-limited settings. When following HIV risk groups for service provision and in the context of vaccine trials, patient misidentification can harm patient care and bias trial outcomes. Electronic fingerprinting has been proposed to identify patients over time and link patient data between health services. The objective of this study was to determine 1) the feasibility of implementing an electronic-fingerprint linked data capture system in Zambia and 2) the acceptability of this system among a key HIV risk group: female sex workers (FSWs).
Methods
Working with Biometrac, a US-based company providing biometric-linked healthcare platforms, an electronic fingerprint-linked data capture system was developed for use by field recruiters among Zambian FSWs. We evaluated the technical feasibility of the system for use in the field in Zambia and conducted a pilot study to determine the acceptability of the system, as well as barriers to uptake, among FSWs.
Results
We found that implementation of an electronic fingerprint-linked patient tracking and data collection system was feasible in this relatively resource-limited setting (false fingerprint matching rate of 1/1000 and false rejection rate of <1/10,000) and was acceptable among FSWs in a clinic setting (2 % refusals). However, our data indicate that less than half of FSWs are comfortable providing an electronic fingerprint when recruited while they are working. The most common reasons cited for not providing a fingerprint (lack of privacy/confidentiality issues while at work, typically at bars or lodges) could be addressed by recruiting women during less busy hours, in their own homes, in the presence of “Queen Mothers” (FSW organizers), or in the presence of a FSW that has already been fingerprinted.
Conclusions
Our findings have major implications for key population research and improved health services provision. However, more work needs to be done to increase the acceptability of the electronic fingerprint-linked data capture system during field recruitment. This study indicated several potential avenues that will be explored to increase acceptability.

International Migration Review – Summer 2015

International Migration Review
Summer 2015 Volume 49, Issue 2 Pages 271–552, e1–e16
http://onlinelibrary.wiley.com/doi/10.1111/imre.2015.49.issue-2/issuetoc

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DESTINATION AND SKILL SELECTION PROCESS
Recent Immigration to Canada and the United States: A Mixed Tale of Relative Selection (pages 479–522)
Neeraj Kaushal and Yao Lu
Article first published online: 3 MAY 2014 | DOI: 10.1111/imre.12093

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Destination Choices of Recent Pan–American Migrants: Opportunities, Costs, and Migrant Selectivity (pages 523–552)
Christoph Spörlein
Article first published online: 22 MAY 2014 | DOI: 10.1111/imre.12104

Journal of Development Economics (July 2015)

Journal of Development Economics
Volume 115, Pages A1-A2, 1-232 (July 2015)
http://www.sciencedirect.com/science/journal/03043878/115

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Banking the poor via savings accounts: Evidence from a field experiment
Original Research Article
Pages 16-31
Silvia Prina
Abstract
In a setting with low penetration of bank accounts, I randomly gave access to bank accounts with zero fees at local bank-branches to a large sample of female household heads in Nepal. The zero fees and physical proximity of the bank led to high take-up and usage rates compared to similar studies in other settings. However, impact on income, aggregate expenditures, and assets are too imprecisely estimated to draw a conclusion. I do find reallocation of expenditures across categories (e.g. more spending on education and meat and fish, and less on health and dowries), and higher ability to cope with shocks. On qualitative outcomes, I find households report that their overall financial situation has improved. The lack of a clear story on mechanisms, yet strong result on aggregate self-perception of financial wellbeing, is consistent with access to quality savings accounts leading to household improvements via multiple mechanisms.

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Economic shocks, civil war and ethnicity
Original Research Article
Pages 32-44
Thorsten Janus, Daniel Riera-Crichton
Highlights
:: Commodity terms of trade declines cause civil war in countries with intermediate ethnic diversity.
:: Every one percent terms of trade decline increases the risk of civil war onset by about 0.5%.
:: The vulnerable countries are characterized by ethnic dominance or, potentially, ethnic polarization.
:: The paper helps to synthesize the distinct views that ethnicity and economic shocks cause :
:: While previous studies focus on export price fluctuations, we stress the importance of import prices.

A comparison of justice frameworks for international research

Journal of Medical Ethics
July 2015, Volume 41, Issue 7
http://jme.bmj.com/content/current

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Review
A comparison of justice frameworks for international research
Bridget Pratt1,2,3, Bebe Loff4
Author Affiliations
1International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
2Johns Hopkins Berman Institute of Bioethics, Baltimore, Maryland, USA
3Nossal Institute of Global Health, University of Melbourne, Melbourne, Victoria, Australia
4Michael Kirby Center for Public Health and Human Rights, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Abstract
Justice frameworks have been developed for international research that provide guidance on the selection of research targets, ancillary care, research capacity strengthening, and post-trial benefits. Yet there has been limited comparison of the different frameworks. This paper examines the underlying aims and theoretical bases of three such frameworks—the fair benefits framework, the human development approach and research for health justice—and considers how their aims impact their guidance on the aforementioned four ethical issues. It shows that the frameworks’ underlying objectives vary across two dimensions. First, whether they seek to prevent harmful or exploitative international research or to promote international research with health benefits for low and middle-income countries. Second, whether they address justice at the micro level or the macro level. The fair benefits framework focuses on reforming contractual elements in individual international research collaborations to ensure fairness, whereas the other two frameworks aim to connect international research with the reduction of global health inequities. The paper then highlights where there is overlap between the frameworks’ requirements and where differences in the strength and content of the obligations they identify arise as a result of their varying objectives and theoretical bases. In doing so, it does not offer a critical comparison of the frameworks but rather seeks to add clarity to current debates on justice and international research by showing how they are positioned relative to one another.

The Lancet – Jun 27, 2015

The Lancet
Jun 27, 2015 Volume 385 Number 9987 p2547-2644
http://www.thelancet.com/journals/lancet/issue/current

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Editorial
Sustainable equality—a goal to aspire to
The Lancet
DOI: http://dx.doi.org/10.1016/S0140-6736(15)61144-8
Summary
2015 marks a transition point for development which is, in its own way, exhilarating. The Millennium Development Goals (MDGs) will shortly expire, and these familiar and extensively discussed benchmarks can then be judged to have culminated in successes, failures, or opportunities against the extraordinary backdrop of the era—from the response to a catastrophic epidemic of HIV/AIDS to the profound and challenging global shifts in disease epidemiology, demography, and migration. A new set of aspirations must be fashioned to prepare the world’s people for times of continuing, indeed perhaps intensifying, change and uncertainty.

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Comment
Japan’s vision for health care in 2035
Hiroaki Miyata, Satoshi Ezoe, Manami Hori, Machiko Inoue, Kazumasa Oguro, Toshihisa Okamoto, Kensuke Onishi, Kohei Onozaki, Takeshi Sakakibara, Kazuhisa Takeuchi, Yasuharu Tokuda, Yuji Yamamoto, Mayuka Yamazaki, Kenji Shibuya
for the Health Care 2035 Advisory Panel
DOI: http://dx.doi.org/10.1016/S0140-6736(15)61135-7
Summary
Over the past half century Japan has made remarkable achievements in good population health at low cost, with increased equity.1 However, a demographic shift towards rapid ageing, the growth of non-communicable diseases (NCDs), and advances in medical technology have led to great changes in health-care needs. In the Lancet 2011 Series on Japan: Universal Health Care at 50 Years, three major challenges to Japan’s health system were identified: sustainability, governance, and responsiveness.2 In that Series, several reforms were proposed to assure the sustainability and equity of Japan’s health accomplishments: implementation of human-security, value-based reforms; redefinition of the roles of central and local governments; improvements in the quality of health care; and a commitment to global health.

PLoS Medicine (Accessed 27 June 2015)

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 27 June 2015)

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Transmission of Multidrug-Resistant and Drug-Susceptible Tuberculosis within Households: A Prospective Cohort Study
Louis Grandjean, Robert H. Gilman, Laura Martin, Esther Soto, Beatriz Castro, Sonia Lopez, Jorge Coronel, Edith Castillo, Valentina Alarcon, Virginia Lopez, Angela San Miguel, Neyda Quispe, Luis Asencios, Christopher Dye, David A. J. Moore
Research Article | published 23 Jun 2015 | PLOS Medicine 10.1371/journal.pmed.1001843

PLoS Neglected Tropical Diseases (Accessed 27 June 2015)

PLoS Neglected Tropical Diseases
http://www.plosntds.org/
(Accessed 27 June 2015)

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Characterization of the Burkholderia mallei tonB Mutant and Its Potential as a Backbone Strain for Vaccine Development
Tiffany M. Mott, Sudhamathi Vijayakumar, Elena Sbrana, Janice J. Endsley, Alfredo G. Torres Research Article | published 26 Jun 2015 | PLOS Neglected Tropical Diseases 10.1371/journal.pntd.0003863

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Neglected Tropical Diseases in the Ebola-Affected Countries of West Africa
Peter J. Hotez
Editorial | published 25 Jun 2015 | PLOS Neglected Tropical Diseases 10.1371/journal.pntd.0003671

PLoS One [Accessed 27 June 2015]

PLoS One
http://www.plosone.org/
[Accessed 27 June 2015]

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Research Article | published 26 Jun 2015 | PLOS ONE 10.1371/journal.pone.0130217
Access and Attitudes to HPV Vaccination amongst Hard-To-Reach Populations in Kenya
Deborah Watson-Jones, Nelly Mugo, Shelley Lees, Muthoni Mathai, Sophie Vusha, Gathari Ndirangu, David A. Ross
Research Article | published 26 Jun 2015 | PLOS ONE 10.1371/journal.pone.0123701
Abstract
Background
Sub-Saharan Africa bears the greatest burden of cervical cancer. Human papillomavirus (HPV) vaccination programmes to prevent the disease will need to reach vulnerable girls who may not be able access health and screening services in the future. We conducted formative research on facilitators and barriers to HPV vaccination and potential acceptability of a future HPV vaccination programme amongst girls living in hard-to-reach populations in Kenya.
Methods
Stakeholder interviews with Ministry of Health staff explored barriers to and support for the uptake of HPV vaccination. A situation assessment was conducted to assess community services in Maasai nomadic pastoralist communities in Kajiado County and in Korogocho informal settlement in Nairobi city, followed by focus group discussions (n=14) and semi-structured interviews (n=28) with health workers, parents, youth, and community and religious leaders. These covered marriage, knowledge of cervical cancer and HPV, factors that might inhibit or support HPV vaccine uptake and intention to accept HPV vaccine if a programme was in place.
Results
Reported challenges to an HPV vaccination programme included school absenteeism and drop-out, early age of sex and marriage, lack of parental support, population mobility and distance from services. Despite little prior knowledge of cervical cancer and HPV, communities were interested in receiving HPV vaccination. Adequate social mobilisation and school-based vaccination, supplemented by out-reach activities, were considered important facilitating factors to achieve high coverage. There was some support for a campaign approach to vaccine delivery.
Conclusions
Given the high level of support for a vaccine against cervical cancer and the experience of reaching pastoralist and slum-dwellers for other immunizations, implementing an HPV vaccine programme should be feasible in such hard-to-reach communities. This may require additional delivery strategies in addition to the standard school-based delivery, with vaccine offered at multiple venues, potentially through a campaign approach.

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The Cooperative Landscape of Multinational Clinical Trials
David Hsiehchen, Magdalena Espinoza, Antony Hsieh
Research Article | published 23 Jun 2015 | PLOS ONE 10.1371/journal.pone.0130930
Abstract
The scale and nature of cooperative efforts spanning geopolitical borders in clinical research have not been elucidated to date. In a cross-sectional study of 110,428 interventional trials registered in Clinicaltrials.gov, we characterized the evolution, trial demographics, and network properties of multinational clinical research. We reveal that the relative growth of international collaboratives has remained stagnant in the last two decades, although clinical trials have evolved to become much larger in scale. Multinational clinical trials are also characterized by higher patient enrollments, industry funding, and specific clinical disciplines including oncology and infectious disease. Network analyses demonstrate temporal shifts in collaboration patterns between countries and world regions, with developing nations now collaborating more within themselves, although Europe remains the dominant contributor to multinational clinical trials worldwide. Performances in network centrality measures also highlight the differential contribution of nations in the global research network. A city-level clinical trial network analysis further demonstrates how collaborative ties decline with physical distance. This study clarifies evolving themes and highlights potential growth mechanisms and barriers in multinational clinical trials, which may be useful in evaluating the role of national and local policies in organizing transborder efforts in clinical endeavors.

Revista Panamericana de Salud Pública/Pan American Journal of Public Health (RPSP/PAJPH) – April/May 2015

Revista Panamericana de Salud Pública/Pan American Journal of Public Health (RPSP/PAJPH)
April/May 2015 Vol. 37, Nos. 4/5
http://www.paho.org/journal/

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NÚMERO ESPECIAL SOBRE SALUD DE LA MUJER EN LAS AMÉRICAS / SPECIAL ISSUE ON WOMEN’S HEALTH IN THE AMERICAS
This special issue of the Pan American Journal of Public Health on women’s health aims to identify and reflect on the main challenges that demographic, social, and epidemiological changes will pose to women’s health in the Region of the Americas in the coming years. The manuscripts address a variety of subjects ranging from the health of women at different stages of life, sexual and reproductive health, gender-based violence, non-communicable chronic diseases, infectious diseases, and mental and occupational health, to adapting quality health services to meet promotion, prevention, treatment, and rehabilitation needs during the different stages of life and in several regional contexts.

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REFLEXIONES DE LA DIRECTORA / FROM THE DIRECTOR
A new agenda for women’s health in the Americas

EDITORIAL
Women’s health in the Region of the Americas ; La salud de la mujer en la Región de las Américas
Leticia Artiles, Francisco Becerra-Posada, Aníbal Faundes, Suzanne Jacob Serruya, Alejandra López Gómez y Raffaela Schiavon

ARTÍCULOS DE INVESTIGACIÓN ORIGINAL / ORIGINAL RESEARCH ARTICLES
Obstetric transition in the World Health Organization Multicountry Survey on Maternal and Newborn Health: exploring pathways for maternal mortality reduction
[Transición obstétrica en la Encuesta Global de la Organización Mundial de la Salud sobre Salud Materna y Neonatal: exploración de las vías de reducción de la mortalidad materna]
Solange da Cruz Chaves, José Guilherme Cecatti, Guillermo Carroli, Pisake Lumbiganon, Carol J. Hogue, Rintaro Mori, Jun Zhang, Kapila Jayaratne, Ganchimeg Togoobaatar, Cynthia Pileggi-Castro, Meghan Bohren, Joshua Peter Vogel, Özge Tunçalp, Olufemi Taiwo Oladapo, Ahmet Metin Gülmezoglu, Marleen Temmerman, and João Paulo Souza

Can the UN Stabilize Mali? Towards a UN Stabilization Doctrine?

Stability: International Journal of Security & Development
[accessed 27 June 2015]
http://www.stabilityjournal.org/articles

Research Article
Can the UN Stabilize Mali? Towards a UN Stabilization Doctrine?
Arthur Boutellis
Abstract
Almost two years after the deployment of the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA) in July 2013, the increasing number of asymmetric terrorist attacks targeting UN peacekeepers – in the context of a drawn-out peace process – has raised a number of questions in Mali, the sub-region, and in New York, over the relevance and adequacies of MINUSMA’s mandate and capabilities. It also raises a broader issue, of whether the consent-based UN peacekeeping tool is appropriate and can be effective in carrying out stabilization mandates in such a context and what doctrine such operations should be based on. The UN is indeed under increasing pressure from host countries and some African troop-contributing countries to go on the offensive. Member States have also increasingly recognized terrorism and organized crime as a strategic threat, and while opposed to the UN directly engaging in counterterrorism (CT) operations, some may wish to see the UN playing a greater stabilization role following the January 2013 French military intervention in Mali. However, little guidance and means have been given so far to UN missions for dealing with such threats and implementing effective stabilization mandates. The High-Level Panel on Peace Operations, which recently released its report, noted that the usage of the term “stabilization” by the UN requires clarification. This article analyses the complex and evolving nature of threats in northern Mali and implications for MINUSMA and describes the military and political tools – including mediation – so far available within and outside the UN. The article concludes that the UN is bound to move towards stabilization when and if deployed in contexts such as Mali’s if it wants to remain relevant. However, such a move should be based on an overarching UN stabilization doctrine and context-specific UN-wide stabilization strategies which are first and foremost political, and should not be confused with the reestablishment of state authority. Such a move should also be accompanied by reforms in the design of ‘lighter’ but more capable UN operations, and partnership with non-UN parallel fighting forces with shared stabilization objectives, but with a clear division of labor
DOI: http://doi.org/10.5334/sta.fz

The Sentinel

Human Rights Action :: Humanitarian Response :: Health ::
Holistic Development :: Sustainable Resilience
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Week ending 20 June 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, consortia 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 version: The Sentinel_ week ending 20 June 2015

blog edition: comprised of the 35+ entries to be posted below on 22 June 2015

earlier pdf editions archived here

UNHCR warns of dangerous new era in worldwide displacement as report shows almost 60 million people forced to flee their homes

UNHCR warns of dangerous new era in worldwide displacement as report shows almost 60 million people forced to flee their homes
18 June 2015
A UNHCR report, released today, shows that worldwide displacement from wars, conflict, and persecution is at the highest levels we have recorded, and accelerating fast.

UNHCR’s new annual Global Trends report shows a sharp escalation in the number of people forced to flee their homes, with 59.5 million people forcibly displaced at the end of 2014 compared to 51.2 million a year earlier and 37.5 million a decade ago. The increase since 2013 was the highest ever seen in a single year.

The main acceleration has been since early 2011 when war erupted in Syria, propelling it into becoming the world’s single largest driver of displacement. In 2014, an average of 42,500 people became refugees, asylum seekers, or internally displaced every day, representing a four-fold increase in just four years. Worldwide, one in every 122 humans is now either a refugee, internally displaced, or seeking asylum. Were this the population of a country, it would be the world’s 24th biggest.

“We are witnessing a paradigm change, an unchecked slide into an era in which the scale of global forced displacement as well as the response required is now clearly dwarfing anything seen before,” said UN High Commissioner for Refugees António Guterres. “It is terrifying that on the one hand there is more and more impunity for those starting conflicts, and on the other there is seeming utter inability of the international community to work together to stop wars and build and preserve peace.”

UNHCR’s report shows that in region after region, the number of refugees and internally displaced people is on the rise. In the past five years, at least 15 conflicts have erupted or reignited: Eight in Africa (Côte d’Ivoire, Central African Republic, Libya, Mali, northeastern Nigeria, Democratic Republic of the Congo, South Sudan and this year in Burundi); three in the Middle East (Syria, Iraq, and Yemen); one in Europe (Ukraine) and three in Asia (Kyrgyzstan, and in several areas of Myanmar and Pakistan). Few of these crises have been resolved and most still generate new displacement. In 2014 just 126,800 refugees were able to return to their home countries, the lowest number in 31 years.

Meanwhile, decades-old instability and conflict in Afghanistan, Somalia and elsewhere means that millions of people from these places remain either on the move or – and increasingly commonly – stranded for years on the peripheries of society and amid the crippling uncertainty of being long-term internally displaced or refugees. Among recent and highly visible consequences of the world’s conflicts and the terrible suffering they cause has been dramatic growth in numbers of refugees seeking safety by undertaking dangerous sea journeys, including on the Mediterranean, in the Gulf of Aden and Red Sea, and in Southeast Asia.

Half are Children
UNHCR’s Global Trends report shows that in 2014 alone 13.9 million became newly displaced – four times the number in 2010. Worldwide there were 19.5 million refugees (up from 16.7 million in 2013), 38.2 million were displaced inside their own countries (up from 33.3 million in 2013), and 1.8 million people were awaiting the outcome of claims for asylum (against 1.2 million in 2013). Alarmingly, over half the world’s refugees are children.

“With huge shortages of funding and wide gaps in the global regime for protecting victims of war, people in need of compassion, aid and refuge are being abandoned,” said Guterres. “For an age of unprecedented mass displacement, we need an unprecedented humanitarian response and a renewed global commitment to tolerance and protection for people fleeing conflict and persecution.”

Syria is the world’s biggest producer of both internally displaced people (7.6 million) and refugees (3.88 million at the end of 2014). Afghanistan (2.59 million) and Somalia (1.1 million) are the next biggest refugee source countries.

Even amid such sharp growth in numbers, the global distribution of refugees remains heavily skewed away from wealthier nations and towards the less wealthy. Almost nine out of every 10 refugees (86 per cent) were in regions and countries considered economically less developed. A full quarter of all refugees were in countries ranking among the UN’s list of Least Developed nations…

…The full Global Trends report with this information and more, and including data on individual countries, demographics, numbers of people returning to their countries, and available estimates of stateless population is available at http://www.unhcr.org/2014trends

Statement by António Guterres on World Refugee Day 2015

Statement by António Guterres on World Refugee Day 2015
UNHCR Office of the United Nations High Commissioner for Refugees
20 June 2015
Fifteen years into a millennium that many of us hoped would see an end to war, a spreading global violence has come to threaten the very foundations of our international system.

More people fled last year than at any other time in our records. Around the world, almost 60 million have been displaced by conflict and persecution. Nearly 20 million of them are refugees, and more than half are children. Their numbers are growing and accelerating, every single day, on every continent. In 2014, an average of 42,500 people became refugees, asylum-seekers or internally displaced persons, every single day – that is four times more than just 4 years ago. These people rely on us for their survival and hope. They will remember what we do.

Yet, even as this tragedy unfolds, some of the countries most able to help are shutting their gates to people seeking asylum. Borders are closing, pushbacks are increasing, and hostility is rising. Avenues for legitimate escape are fading away. And humanitarian organizations like mine run on shoestring budgets, unable to meet the spiraling needs of such a massive population of victims.

We have reached a moment of truth. World stability is falling apart leaving a wake of displacement on an unprecedented scale. Global powers have become either passive observers or distant players in the conflicts driving so many innocent civilians from their homes.

In this world at war, where power relations are unclear, and unpredictability and impunity have become the name of the game, it is now urgent for all those with leverage over the parties to these conflicts to put aside their differences and come together to create the conditions for ending the bloodshed.

But in the meantime, the world must either shoulder collectively the burden of helping the victims of war, or risk standing by as less wealthy countries and communities – which host 86% of the world’s refugees – become overwhelmed and unstable.

Since the beginnings of civilization, we have treated refugees as deserving of our protection. Whatever our differences, we have recognized a fundamental human obligation to shelter those fleeing from war and persecution.

Yet today, some of the wealthiest among us are challenging this ancient principle, casting refugees as gate crashers, job seekers or terrorists. This is a dangerous course of action, short-sighted, morally wrong, and – in some cases – in breach of international obligations.

It is time to stop hiding behind misleading words. Richer nations must acknowledge refugees for the victims they are, fleeing from wars they were unable to prevent or stop. And then wealthier countries must decide on whether to shoulder their fair share, at home and abroad, or to hide behind walls as a growing anarchy spreads across the world.

For me, the choice is clear: either allow the cancer of forced displacement to spread untreated, or manage the crisis together. We have the solutions and the expertise. It won’t be easy or cheap, but it will be worth it. History has shown that doing the right thing for victims of war and persecution engenders goodwill and prosperity for generations. And it fosters stability in the long run.

The world needs to renew its commitment now to the 1951 Refugee Convention and its principles that made us strong. To offer safe harbor, both in our own countries and in the epicentres of the crises, and to help refugees restore their lives. We must not fail.

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Joint statement on the occasion of the World Refugee Day
European Union
Brussels, 19 June 2015
On the occasion of World Refugee Day, Frans Timmermans, First Vice President for Better Regulation, Inter-institutional Relations, the Rule of Law and the Charter of Fundamental Rights, Federica Mogherini, High Representative of the Union for Foreign Affairs and Security Policy and Vice-President of the Commission, Neven Mimica, Commissioner for International Cooperation and Development, Dimitris Avramopoulos, Commissioner for Migration and Home Affairs, and Christos Stylianides, Commissioner for Humanitarian Aid and Crisis Management, made the following statement:

“Every day, thousands of people are forced to flee their homes to escape violence and seek refuge, in their own countries or abroad. Many leave behind family members without knowing when or whether they will see them again. They are forced to abandon their education and professions.

The scale of displacement is immense and, as conflicts persist, the numbers are growing. Almost 60 million people are displaced worldwide – the world has not seen so many people fleeing conflict since the Second World War. Europe will not turn a blind eye. Nor can we when many of these displaced persons are seeking out safe haven on European shores.

With a crisis situation in the Mediterranean and instability at our borders, in May, the Commission set out a European response on managing migration better, addressing all parts of the chain – from the immediate need to save lives to working on root causes with partner countries and fighting against traffickers to a long term strategy on strengthening our asylum system and borders – making best use of EU agencies and tools, and involving all actors: Member States, EU institutions, International Organisations, civil society, local authorities and third countries. A week before a European Summit where EU leaders will discuss these proposals, solidarity and responsibility are the order of the day. We will be counting on leaders to match our level of ambition.

As part of these efforts, the Commission is working to open up legal channels for people to reach Europe without having to risk their lives on treacherous journeys in unseaworthy boats. We are calling on Member States to follow the Commission’s recommendation by committing to an EU wide pledge to resettle 20,000 refugees from outside Europe over the next two years. Offering protection to those in need is a global responsibility – this is also about alleviating the pressure on our international partners such as Lebanon, Jordan and Turkey, where refugees now make up a considerable proportion of the population.

Beyond our borders, the EU is at the forefront in supporting refugees and internally displaced persons, and addressing the conflicts that force them to flee their homes in the first place. The EU provides humanitarian aid to refugees and internally displaced persons in 33 countries, and EU development assistance supports refugees in their host countries. The Commission is also a leading international donor, supporting refugees in developing countries with €200 million in ongoing projects from development funds and has provided more than €850 million of humanitarian assistance during 2014. Regional Development and Protection Programmes also provide shelter to those in need of international protection, often in close cooperation with the United Nations Refugee Agency (UNHCR).

As long as there is instability, people will continue to flee and seek refuge. There is no simple solution to this complex problem, but it is clear that there is no solution a single country can provide alone. This is why we are working everyday with international partners to try to build stability and preserve peace.

On World Refugee Day, the Commission calls on leaders in Europe to follow through on their commitment to greater solidarity and shared responsibility in addressing refugee crises. These are human lives at stake, and the European Union as a whole has a moral and humanitarian obligation to act.”