ODI [to 1 August 2015]

ODI [to 1 August 2015]
http://www.odi.org/media

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The impact of free trade agreements between developed and developing countries on economic development in developing countries: a Rapid Evidence Assessment
Research reports and studies | July 2015 |
Chris Stevens, Muhammad Irfan, Isabella Massa, Jane Kennan
This review assesses the impact of free trade agreements (FTAs) on developed and developing countries and examines the evidence of how developing countries can benefit or avoid harm from new FTAs.

BMGF – Gates Foundation [to 1 August 2015]

BMGF – Gates Foundation [to 1 August 2015]
http://www.gatesfoundation.org/Media-Center/Press-Releases

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JULY 23, 2015
The Bill & Melinda Gates Foundation, Global Citizen and FC Barcelona Announce Partnership to Beat Extreme Poverty
SAN FRANCISCO (July 23, 2015) – FC Barcelona, The Bill & Melinda Gates Foundation and Global Citizen today announced they have joined forces and are launching a campaign called “Beat Extreme Poverty” to further the movement to end extreme poverty. The campaign will engage millions of people to learn about global issues, while taking meaningful actions in support of the world’s poor. 2015 marks a turning point for the future of the planet. At September’s United Nations General Assembly, world leaders will set global goals that will form a roadmap for how we’ll tackle poverty, inequality and climate change. Therefore, FC Barcelona, The Bill & Melinda Gates Foundation and Global Citizen’s partnership comes at a crucial time to help make sure millions of people around the world not only understand the goals, but have the opportunity to take effective and meaningful actions.

Clinton Foundation [to 1 August 2015]

Clinton Foundation [to 1 August 2015]
https://www.clintonfoundation.org/press-releases-and-statements

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Press Release
Clinton Foundation Visit to Haiti Shows Progress in Encouraging Economic Growth, Empowering Girls and Women & Supporting Small Businesses
July 29, 2015
Chelsea Clinton and Donna Shalala Saw Progress on Clinton Foundation Projects and CGI Member Commitments; Expansion of Clinton Giustra Enterprise Partnership Chakipi Haitian Distribution Enterprise for Female Entrepreneurs Announced

Kellogg Foundation [to 1 August 2015]

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

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WKKF increases regional investments to support young men and boys of color
Mississippi and New Orleans organizations work to eliminate barriers in order to improve outcomes for young men and boys of color

BATTLE CREEK, MICH.– Today, the W.K. Kellogg Foundation (WKKF) announced a total investment of $4.7 million to 10 community-based organizations in the foundation’s priority places of Mississippi and New Orleans that are working to promote racial equity and healing in order to eliminate barriers to success for young men and boys of color. Two organizations in Mississippi, working in a coalition and broad collaboration with several other partners, and eight in New Orleans will receive investments ranging from $150,000 to $1 million to support their efforts around the major issues that uniquely affect these young men and boys, including school push-out, school discipline policies, policing and workforce training…

MacArthur Foundation [to 1 August 2015]

MacArthur Foundation [to 1 August 2015]
http://www.macfound.org/

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Publication
Index Ranks Clean-Tech Activities Nationwide
Published July 29, 2015
The 2015 U.S. Clean Tech Leadership Index tracks and ranks the clean-tech activities of all 50 states and the 50 largest metro areas in the U.S.—from electric vehicles and renewables adoption to patent and investment activity. Those who download the report can see how their state and city rank. The Index is a valuable tool for the Energy Foundation—a MacArthur grantee and supporting partner of the report—to help analyze clean energy markets.

David and Lucile Packard Foundation [to 1 August 2015]

David and Lucile Packard Foundation [to 1 August 2015]
http://www.packard.org/news/

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PropelNext Selects 15 California Grantees
July 28, 2015 In Foundation News, Local Grantmaking

The PropelNext California Partnership is excited to announce that fifteen nonprofits have been selected to receive PropelNext grants and join its first California grantee cohort.

Five foundations—the William and Flora Hewlett Foundation, the David and Lucile Packard Foundation, the Sobrato Family Foundation, Weingart Foundation, and the Edna McConnell Clark Foundation—are partnering to deliver the PropelNext three-year program to local nonprofits serving economically disadvantaged youth in the San Francisco Bay Area and Southern California.

Each California PropelNext grantee receives a combination of unrestricted funding along with expert coaching, group learning sessions, and a peer learning community so that grantees are able to strengthen their ability to collect, use and apply data for ongoing improvement and learning. Each organization will receive up to $400,000 in funding over 3 years from one of the four California-based funders (noted in parenthesis below). EMCF will invest an equal amount in tailored coaching and consulting, facilitated group learning sessions and an online learning community…

Pew Charitable Trusts [to 1 August 2015]

Pew Charitable Trusts [to 1 August 2015]
http://www.pewtrusts.org/en/about/news-room/press-releases

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Press Release
Pew Finds Complex Relationship Between Debt and Financial Security and Mobility
Report points to debt as a critical factor in family balance sheets
July 29, 2015
Financial Security and Mobility
WASHINGTON—A report released today by The Pew Charitable Trusts finds that Americans’ debt has increased over the past three decades, due particularly to home mortgages and student loans, with important implications for long-term economic mobility. A full 80 percent of Americans hold at least some form of debt, and nearly 7 in 10 say debt is a necessity in their lives, even though they would prefer not to have it.

The report, “The Complex Story of American Debt,” shows that debt is a routine but also complicated aspect of U.S. households’ overall financial health. At high levels, debt can hinder financial security, but sustainable debt, which allows families to invest in their futures without putting undue pressure on their budgets, can also help them take advantage of long-term opportunities, such as those that come from buying a home, getting a college degree, or starting a business…

Robert Wood Johnson Foundation [to 1 August 2015]

Robert Wood Johnson Foundation [to 1 August 2015]
http://www.rwjf.org/en/about-rwjf/newsroom/news-releases.html

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Landmark Study Reveals Connection Between Workforce Health and Community Health
Research details how businesses benefit by investing in community health.
July 28, 2015
New York, N.Y.—A study conducted by the Vitality Institute and supported by the Robert Wood Johnson Foundation (RWJF) finds that the health of the workforce is linked to the overall health of the community in which it is located. Understanding this connection may help businesses improve workforce productivity and reduce health care costs. The study, presented in a report titled Beyond the Four Walls: Why Community is Critical to Workforce Health, is being released today.
Researchers analyzed health data such as obesity, smoking rates and deaths due to cardiovascular disease from more than 3,100 US counties, and compared these associations to workforce health data from across 21 major industries. The analysis revealed that industries with workers more likely to be in poor health are also more likely to be located in counties with poor health…

American Journal of Infection Control – August 2015

American Journal of Infection Control
August 2015 Volume 43, Issue 8, p785-904, e39-e46
http://www.ajicjournal.org/current

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The Ebola transmission paradox
Michael Klompas, MD, MPH, Deborah S. Yokoe, MD, MPH
Published Online: June 11, 2015
DOI: http://dx.doi.org/10.1016/j.ajic.2015.05.006
Abstract
Understanding Ebola’s transmission dynamics is indispensable to arrest its spread and to protect health care workers and community members. The observed dynamic, however, is confusing. Some signals suggest the disease is highly transmissible, whereas others suggest it is not. The disease course of Thomas Duncan, the Liberian national admitted to Presbyterian Hospital in Dallas, Texas, exemplifies the paradox.

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Ebola virus disease: What clinicians in the United States need to know
William A. Fischer II, MD, Timothy M. Uyeki, MD, MPH, MPP, Robert V. Tauxe, MD, MPH
Published Online: June 24, 2015
DOI: http://dx.doi.org/10.1016/j.ajic.2015.05.005
Abstract
In March 2014 the World Health Organization was notified of an outbreak of Ebola virus disease (EVD) in the forest region of Guinea. As of May 2015, the outbreak had become the most devastating EVD epidemic in history with more than 27,000 cases and more than 11,000 deaths. The introduction of EVD into noncontiguous countries, including the United States, from infected travelers highlights the importance of preparedness of all health care providers. Early identification and rapid isolation of patients suspected with EVD is critical to limiting the spread of Ebola virus. Additionally, enhanced understanding of EVD case definitions, clinical presentation, treatment procedures, and infection control strategies will improve the ability of health care workers to provide safe care for patients with EVD.

BMC Health Services Research (Accessed 1 August 2015)

BMC Health Services Research
http://www.biomedcentral.com/bmchealthservres/content
(Accessed 1 August 2015)

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Research article
Enhancing governance and health system accountability for people centered healthcare: an exploratory study of community scorecards in Afghanistan
Anbrasi Edward, Kojo Osei-Bonsu, Casey Branchini, Temor Yarghal, Said Arwal, Ahmad Naeem BMC Health Services Research 2015, 15:299 (31 July 2015)
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Research article
The integrated disease surveillance and response system in northern Ghana: challenges to the core and support functions
Martin N Adokiya, John K Awoonor-Williams, Claudia Beiersmann, Olaf Müller BMC Health Services Research 2015, 15:288 (28 July 2015)
Abstract

Why are people with dengue dying? A scoping review of determinants for dengue mortality

BMC Infectious Diseases
http://www.biomedcentral.com/bmcinfectdis/content
(Accessed 1 August 2015)

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Research article
Why are people with dengue dying? A scoping review of determinants for dengue mortality
Mabel Carabali, Libia Hernandez, Maria Arauz, Luis Villar, Valéry Ridde BMC Infectious Diseases 2015, 15:301 (30 July 2015)
Abstract
Background
Dengue is a viral disease whose clinical spectrum ranges from unapparent to severe forms and fatal outcomes. Although dengue death is 99 % avoidable, every year around 20,000 deaths are estimated to occur in more than 100 countries. We consider that, along with biological factors, social determinants of health (SDHs) are related to dengue deaths as well.
Methods
A scoping review was conducted to explore what has been written about the role of SDHs in dengue mortality. The inclusion criteria were that documents (grey or peer-reviewed) had to include information about dengue fatal cases in humans and be published between 1997 and 2013 and written in English, Spanish, Portuguese or French. The search was conducted using a set of key words related to dengue mortality in several electronic databases: PubMed, LILACS, COCHRANE, Scielo, Science Direct, WHOLIS, OpenGrey, OpenSingle and Google Scholar. Information on SDHs was categorized under individual, social and environmental, and health systems dimensions. A summative content analysis using QDA Miner was conducted to assess the frequency of information on SDHs and its contextual meaning in the reviewed literature. The role of each SDH in dengue mortality was assessed using content analysis results.
Results
From a total of 971 documents retrieved, 78 met the criteria. Those documents were published in the Americas region (50.0 %), Asia (38.4 %), Europe (9.0 %) and Africa (2.6 %). The described SDHs related to dengue deaths included, in the individual dimension: age, ethnicity, education, type of infection and immunological status; and in the social dimension: poverty and care-seeking behavior. The health systems dimension included access, opportunity, and quality of care, as well as health staff knowledge. Ethnicity was considered a determinant that depends on cultural and socioeconomic conditions.
Conclusions
Along with biological factors, there are several SDHs related to dengue mortality. However, only a few of these have been systematically analyzed, suggesting the need for more studies on this subject to inform the design and implementation of sustainable interventions to decrease dengue mortality. These findings nevertheless provide a better understanding of the non-biological factors involved in dengue mortality.

BMC Public Health (Accessed 1 August 2015)

BMC Public Health
http://www.biomedcentral.com/bmcpublichealth/content
(Accessed 1 August 2015)

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Research article
Household antimicrobial self-medication: a systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries
Moses Ocan, Ekwaro Obuku, Freddie Bwanga, Dickens Akena, Sennono Richard, Jasper Ogwal-Okeng, Celestino Obua BMC Public Health 2015, 15:742 (1 August 2015)

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Research article
Socio-economic determinants of disease progression among HIV infected adults in Kenya
Nyawira Gitahi–Kamau, James Kiarie, Kenneth Mutai, Beatrice Gatumia, P. Gatongi, A. Lakati BMC Public Health 2015, 15:733 (31 July 2015)

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Research article
A cost-utility analysis of cervical cancer screening and human papillomavirus vaccination in the Philippines
Anna Melissa Guerrero1*, Anne Julienne Genuino1, Melanie Santillan2, Naiyana Praditsitthikorn3, Varit Chantarastapornchit3, Yot Teerawattananon3, Marissa Alejandria4 and Jean Anne Toral5
Author Affiliations
BMC Public Health 2015, 15:730 doi:10.1186/s12889-015-2046-1
Published: 30 July 2015
Abstract
Background
Cervical cancer is the second leading cause of cancer cases and deaths among Filipino women because of inadequate access to screening and treatment services. This study aims to evaluate the health and economic benefits of HPV vaccination and its combination with different screening strategies to find the most optimal preventive strategy in the Philippines.
Methods
A cost-utility analysis was conducted using an existing semi-Markov model to evaluate different screening (i.e., Pap smear, visual inspection with acetic acid) and vaccination strategies against HPV infection implemented alone or as part of a combination strategy at different coverage scenarios. The model was run using country-specific epidemiologic, cost and clinical parameters from a health system perspective. Sensitivity analysis was performed for vaccine efficacy, duration of protection and costs of vaccination, screening and treatment.
Results
Across all coverage scenarios, VIA has been shown to be a dominant and cost-saving screening strategy with incremental cost-effectiveness ratio (ICER) ranging from dominant to Php 61,059 (1443 USD) per QALY gained. VIA can reduce cervical cancer cases and deaths by 25 %. Pap smear screening was found to be not cost-effective due to its high cost in the Philippines. Adding HPV vaccination at a cost of 54 USD per vaccinated girl on top of VIA screening was found to be potentially cost-effective using a threshold of 1 GDP per capita (i.e., Php 120,000 or 2835 USD/ QALY) with the most favorable assumption of providing lifelong immunity against high-risk oncogenic HPV types 16/18. The highest incremental QALY gain was achieved with 80 % coverage of the combined strategy of VIA at 35 to 45 years old done every five years following vaccination at 11 years of age with an ICER of Php 33,126 (783 USD). This strategy may result in a two-thirds reduction in cervical cancer burden. HPV vaccination is not cost-effective when vaccine protection lasts for less than 20 years.
Conclusion
High VIA coverage targeting women aged 35–45 years old at five-year intervals is the most efficient and cost-saving strategy in reducing cervical cancer burden in the Philippines. Adding a vaccination program at high coverage among 11-year-old girls is potentially cost-effective in the Philippines assuming a life-long duration of vaccine efficacy.

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Research article
Factors influencing full immunization coverage among 12–23 months of age children in Ethiopia: evidence from the national demographic and health survey in 2011
Yihunie Lakew1, Alemayhu Bekele2 and Sibhatu Biadgilign3*
Author Affiliations
BMC Public Health 2015, 15:728 doi:10.1186/s12889-015-2078-6
Published: 30 July 2015
Abstract
Background
Immunization remains one of the most important public health interventions to reduce child morbidity and mortality. The 2011 national demographic and health survey (DHS) indicated low full immunization coverage among children aged 12–23 months in Ethiopia. Factors contributing to the low coverage of immunization have been poorly understood. The aim of this study was to identify factors associated with full immunization coverage among children aged 12–23 months in Ethiopia.
Methods
This study used the 2011 Ethiopian demographic and health survey data. The survey was cross sectional by design and used a multistage cluster sampling procedure. A total of 1,927 mothers with children of 12–23 months of age were extracted from the children’s dataset. Mothers’ self-reported data and observations of vaccination cards were used to determine vaccine coverage. An adjusted odds ratio (AOR) with 95 % confidence intervals (CI) was used to outline the independent predictors.
Results
The prevalence of fully immunized children was 24.3 %. Specific vaccination coverage for three doses of DPT, three doses of polio, measles and BCG were 36.5 %, 44.3 %, 55.7 % and 66.3 %, respectively. The multivariable analysis showed that sources of information from vaccination card [AOR 95 % CI; 7.7 (5.95-10.06)], received postnatal check-up within two months after birth [AOR 95 % CI; 1.8 (1.28-2.56)], women’s awareness of community conversation program [AOR 95 % CI; 1.9 (1.44-2.49)] and women in the rich wealth index [AOR 95 % CI; 1.4 (1.06-1.94)] were the predictors of full immunization coverage. Women from Afar [AOR 95 % CI; 0.07 (0.01-0.68)], Amhara [AOR 95 % CI; 0.33 (0.13-0.81)], Oromiya [AOR 95 % CI; 0.15 (0.06-0.37)], Somali [AOR 95 % CI; 0.15 (0.04-0.55)] and Southern Nation and Nationalities People administrative regions [AOR 95 % CI; 0.35 (0.14-0.87)] were less likely to fully vaccinate their children.
Conclusion
The overall full immunization coverage in Ethiopia was considerably low as compared to the national target set (66 %). Health service use and access to information on maternal and child health were found to predict full immunization coverage. Appropriate strategies should be devised to enhance health information and accessibility for full immunization coverage by addressing the variations among regions.

Bulletin of the World Health Organization – Volume 93, Number 8, August 2015, 513-588

Bulletin of the World Health Organization
Volume 93, Number 8, August 2015, 513-588
http://www.who.int/bulletin/volumes/93/8/en/

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Research
Effectiveness of emergency water treatment practices in refugee camps in South Sudan
Syed Imran Ali, Syed Saad Ali & Jean-Francois Fesselet
Abstract
Objective
To investigate the concentration of residual chlorine in drinking water supplies in refugee camps, South Sudan, March–April 2013.
Methods
For each of three refugee camps, we measured physical and chemical characteristics of water supplies at four points after distribution: (i) directly from tapstands; (ii) after collection; (iii) after transport to households; and (iv) after several hours of household storage. The following parameters were measured: free and total residual chlorine, temperature, turbidity, pH, electrical conductivity and oxidation reduction potential. We documented water handling practices with spot checks and respondent self-reports. We analysed factors affecting residual chlorine concentrations using mathematical and linear regression models.
Findings
For initial free residual chlorine concentrations in the 0.5–1.5 mg/L range, a decay rate of ~5×10-3 L/mg/min was found across all camps. Regression models showed that the decay of residual chlorine was related to initial chlorine levels, electrical conductivity and air temperature. Covering water storage containers, but not other water handling practices, improved the residual chlorine levels.
Conclusion
The concentrations of residual chlorine that we measured in water supplies in refugee camps in South Sudan were too low. We tentatively recommend that the free residual chlorine guideline be increased to 1.0 mg/L in all situations, irrespective of diarrhoeal disease outbreaks and the pH or turbidity of water supplies. According to our findings, this would ensure a free residual chlorine level of 0.2 mg/L for at least 10 hours after distribution. However, it is unknown whether our findings are generalizable to other camps and further studies are therefore required.

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POLICY & PRACTICE
Climate change, cash transfers and health
Frank Pega, Caroline Shaw, Kumanan Rasanathan, Jennifer Yablonski, Ichiro Kawachi & Simon Hales
Abstract
The forecast consequences of climate change on human health are profound, especially in low- and middle-income countries and among the most disadvantaged populations. Innovative policy tools are needed to address the adverse health effects of climate change. Cash transfers are established policy tools for protecting population health before, during and after climate-related disasters. For example, the Ethiopian Productive Safety Net Programme provides cash transfers to reduce food insecurity resulting from droughts. We propose extending cash transfer interventions to more proactive measures to improve health in the context of climate change. We identify promising cash transfer schemes that could be used to prevent the adverse health consequences of climatic hazards. Cash transfers for using emission-free, active modes of transport – e.g. cash for cycling to work – could prevent future adverse health consequences by contributing to climate change mitigation and, at the same time, improving current population health. Another example is cash transfers provided to communities that decide to move to areas in which their lives and health are not threatened by climatic disasters. More research on such interventions is needed to ensure that they are effective, ethical, equitable and cost–effective.

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SYSTEMATIC REVIEWS
Emergency care in 59 low- and middle-income countries: a systematic review
Ziad Obermeyer, Samer Abujaber, Maggie Makar, Samantha Stoll, Stephanie R Kayden, Lee A Wallis, Teri A Reynolds & on behalf of the Acute Care Development Consortium
Abstract
Objective
To conduct a systematic review of emergency care in low- and middle-income countries (LMICs).
Methods
We searched PubMed, CINAHL and World Health Organization (WHO) databases for reports describing facility-based emergency care and obtained unpublished data from a network of clinicians and researchers. We screened articles for inclusion based on their titles and abstracts in English or French. We extracted data on patient outcomes and demographics as well as facility and provider characteristics. Analyses were restricted to reports published from 1990 onwards.
Findings
We identified 195 reports concerning 192 facilities in 59 countries. Most were academically-affiliated hospitals in urban areas. The median mortality within emergency departments was 1.8% (interquartile range, IQR: 0.2–5.1%). Mortality was relatively high in paediatric facilities (median: 4.8%; IQR: 2.3–8.4%) and in sub-Saharan Africa (median: 3.4%; IQR: 0.5–6.3%). The median number of patients was 30 000 per year (IQR: 10 296–60 000), most of whom were young (median age: 35 years; IQR: 6.9–41.0) and male (median: 55.7%; IQR: 50.0–59.2%). Most facilities were staffed either by physicians-in-training or by physicians whose level of training was unspecified. Very few of these providers had specialist training in emergency care.
Conclusion
Available data on emergency care in LMICs indicate high patient loads and mortality, particularly in sub-Saharan Africa, where a substantial proportion of all deaths may occur in emergency departments. The combination of high volume and the urgency of treatment make emergency care an important area of focus for interventions aimed at reducing mortality in these settings.

Food Security – Volume 7, Issue 4, August 201

Food Security
Volume 7, Issue 4, August 2015
http://link.springer.com/journal/12571/7/4/page/1

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A conceptual framework for understanding the impacts of agriculture and food system policies on nutrition and health
Rebecca Kanter, Helen L. Walls, Mehroosh Tak, Francis Roberts, Jeff Waage
Abstract
Agriculture and food systems are important determinants of nutrition and consequent public health. However, an understanding of the links among agriculture, food systems, nutrition, public health and the associated policy levers, is relatively under-developed. A framework conceptualizing these key relationships, relevant to a range of country contexts, would help inform policymakers as to how agriculture and food policy could improve nutrition and public health, particularly in low- and middle-income countries (LMIC). The objectives of this paper are: to present a conceptual framework, relevant to a range of country contexts and focused on the policymaker as the user, which depicts the key relationships among agriculture, the food system, nutrition and public health; and to describe how the framework can be used for understanding the impacts of agriculture and food system policies on nutrition outcomes. Existing conceptual frameworks, highlighting the relationships among agriculture, the food system, nutrition and public health (n  = 37) were identified, reviewed and categorized, based on the key themes they address. Building on this analysis and synthesis a conceptual framework was developed that assists in identifying associated policy levers and their effects on elements of the framework. The end product is a conceptual framework that presents key domains linking agriculture and food systems to nutritional outcomes and public health. The framework is relevant to a range of contexts, for example low-, middle- and high-income settings; and to policymakers wishing to examine the potential direct and indirect impacts of agriculture and food system policies.

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Environmental impacts and constraints associated with the production of major food crops in Sub-Saharan Africa and South Asia
Travis W. Reynolds, Stephen R. Waddington, C. Leigh Anderson, Alexander Chew, Zoe True,
Alison Cullen
Abstract
Many environmental factors constrain the production of major food crops in Sub-Saharan Africa and South Asia. At the same time, these food production systems themselves have a range of negative impacts on the environment. In this paper we review the published literature and assess the depth of recent research (since 2000) on crop x environment interactions for rice, maize, sorghum/millets, sweetpotato/yam and cassava in these two regions. We summarize current understandings of the environmental impacts of crop production systems prior to crop production, during production and post-production, and emphasize how those initial environmental impacts become new and more severe environmental constraints to crop yields. Pre-production environmental interactions relate to agricultural expansion or intensification, and include soil degradation and erosion, the loss of wild biodiversity, loss of food crop genetic diversity and climate change. Those during crop production include soil nutrient depletion, water depletion, soil and water contamination, and pest resistance/outbreaks and the emergence of new pests and diseases. Post-harvest environmental interactions relate to the effects of crop residue disposal, as well as crop storage and processing. We find the depth of recent publications on environmental impacts is very uneven across crops and regions. Most information is available for rice in South Asia and maize in Sub-Saharan Africa where these crops are widely grown and have large environmental impacts, often relating to soil nutrient and water management. Relatively few new studies have been reported for sorghum/millets, sweetpotato/yam or cassava, despite their importance for food security on large areas of marginal farmland in Sub-Saharan Africa – however, there is mounting evidence that even these low-input crops, once thought to be environmentally benign, are contributing to cycles of environmental degradation that threaten current and future food production. A concluding overview of the emerging range of published good practices for smallholder farmers highlights many opportunities to better manage crop x environment interactions and reduce environmental impacts from these crops in developing countries.

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Farmers’ willingness to pay for a village poultry vaccine service in Ethiopia: prospect for enhancing rural livelihoods
Z. G. Terfa, S. Garikipati, T. Dessie, S. Lynch, P. Wigley, J. M. Bettridge, R. M. Christley
Abstract
This research examines farmers’ willingness to pay for village poultry vaccine programmes using data from 400 household heads from two districts in Ethiopia, Horro and Jarso. The study applied a contingent valuation method to elicit farmers’ willingness to pay for village poultry vaccine services. Two hypothetical vaccine programmes were designed for Newcastle disease and Gumboro disease. Both parametric and non-parametric approaches were employed in data analysis. The results show that farmers recognise the benefits of the vaccine programme and that many would be willing to pay for it. Results from non-parametric estimates produced households’ mean willingness to pay Ethiopian Birr (ETB) 80 up to ETB 87 per year based on vaccine programme type. This demonstrates the potential and prospect of reducing the impact of infectious poultry diseases and enhancing rural livelihoods through village poultry. Exponential probit analysis revealed that farmers’ willingness to pay for village poultry vaccine service is influenced by age, education level, and region of respondents. Younger and more-educated farmers were more likely to pay for village poultry vaccine services and farmers from Horro, a relatively food secure and educated area, were more likely to pay than those from the less food secure Jarso district.

On est ensemble: social capital and maternal health care use in rural Cameroon

Globalization and Health
http://www.globalizationandhealth.com/
[Accessed 1 August 2015]

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Research
On est ensemble: social capital and maternal health care use in rural Cameroon
McTavish S and Moore S Globalization and Health 2015, 11:33 (1 August 2015)
Abstract
Background
Every day approximately 1500 women worldwide die due to pregnancy or childbirth related complications. Maternal health care use is critical in reducing maternal mortality worldwide. Cameroon has one of the highest maternal mortality rates worldwide, but there is little knowledge about maternal health care use in Cameroon, particularly in more remote areas. The purpose of this study was to examine the importance of social networks and social capital in maternal health care use in the Far-North province of Cameroon.
Methods
A sample of 110 Cameroonian women was recruited door-to-door in the urban town of Maroua and rural village of Moutourwa in the Far-North province in 2009. A maternal health questionnaire was administered to women between the ages of 18-45. The questionnaire assessed maternal health care history, social network, and social demographic characteristics. Social capital was measured in terms of the average educational level of women’s networks. Bivariate and multivariable poisson regression analysis was used to assess the number of maternal health care visits as a function of social network characteristics, education, ethnicity, age, and urban and rural residence.
Results
Among the 110 participants, 13 percent reported not having visited a health care provider during the last pregnancy – 19 percent of the women sampled in Moutourwa and 6 percent in Maroua. Findings showed that women with higher social capital had a greater tendency to use maternal health care services (IRR: 1.13; 95 % CI: 1.02-1.26). Social network size and social participation were not significant in full models. Ethnic characteristics were also shown associated with MHCU in the Far-North province.
Conclusion
Although the size of women’s health-related networks were not shown significant, the resources to which women might have access through their social networks were associated with women’s maternal health care use in remote areas of Cameroon. Although pregnancy may not be widely discussed in public, women’s social networks may provide key social resources, e.g., information or financial capital, that facilitate MHCU. Leveraging women’s social capital may provide a means to improve maternal health care use among women in low-income countries

Journal of Global Ethics – Volume 11, Issue 2, 2015

Journal of Global Ethics
Volume 11, Issue 2, 2015
http://www.tandfonline.com/toc/rjge20/.U2V-Elf4L0l#.VAJEj2N4WF8

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Moral economy reconfigured: philanthropic engagement in post-tsunami Sri Lanka
DOI:10.1080/17449626.2015.1054562
Carolina Holgersson Ivarssona*
pages 233-245
Published online: 29 Jul 2015
Abstract
This article focuses on the ‘gift of aid’ and its impact upon the local moral economy in a Sri Lankan village affected by the tsunami disaster in 2004. The importance of giving, receiving, and reciprocating for the shaping and consolidation of social relations has long been recognized. The act of giving reflects one of the most basic principles of morality and has constituted a classical anthropological field of inquiry. The impact that humanitarian aid had on the local moral economy of a community struck by disaster and the various ways the ‘gift of aid’ was understood and valued by donors, brokers, and recipients is explored. Also examined is how processes of change were set in motion, benefiting some people and relationships but marginalizing others. Local lifeworlds were shattered in multiple ways and became caught in tensions between competing moral discourses concerning modernity, the collective, and the global. Promoting material recovery disaster aid also generated disorder and fragmentation of local social and moral configurations.

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Accounts along the aid chain: administering a moral economy
Open access
DOI:10.1080/17449626.2015.1054563
Katarina Friberga*
pages 246-256
Published online: 29 Jul 2015
Abstract
The purpose of this article is threefold. First, it aims to delineate the flow of resources and the claims on those resources within the humanitarian aid system by locating task structures and functional units across the aid chain. Second, it draws on this account to highlight tensions in the system. Different stations in the organisational process are conditioned by the tasks assigned to them, how those tasks are anchored in a moral economy, and their historical interrelations. Third, it explores how aid organisations are perceived by experts in different parts of the aid chain. Four key agents were invited to recount their work experiences. We then consider how the outlook of the interviewees was shaped by their place in the aid chain. The interviews are an inventory of experiences, a preliminary corroboration of the organisational analysis that preceded them, and a source of future hypotheses.

Children and Armed Conflict

Pediatrics
August 2015, VOLUME 136 / ISSUE 2
http://pediatrics.aappublications.org/current.shtml

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Pediatrics Perspective
Children and Armed Conflict
Sherry Shenoda, MDa, Ayesha Kadir, MD, MScb, and Jeffrey Goldhagen, MD, MPHa
Author Affiliations
aDepartment of Pediatrics, University of Florida, Jacksonville, Florida; and
bLondon School of Hygiene and Tropical Medicine, London, United Kingdom
[Initial text]
We are really tired of these wars… I’m speaking up for peace. Malala Yousafzai, Nobel Peace Prize laureate and child rights activist
Multiple armed conflicts throughout the world are profoundly impacting the physical and mental health of children. The conflict in Gaza, Syria’s civil war, the targeting of children in Iraq, the kidnapping and murder of schoolchildren in Nigeria, the recruitment of child soldiers by ISIS, and the street violence in inner-city America are among the reasons UNICEF identified 2014 as the most dangerous year in recent history for children.1 In past conflicts, children were collateral damage; now, they are targeted victims of war.
In the shadow of this carnage, it is incumbent upon pediatricians as child advocates to respond to these gross violations of children’s rights. We know that we owe children our voices and protection, but it is not always clear how we can advocate for and protect them. This dilemma is especially true with regard to advocacy and support for children affected by wars and violent conflicts distant from the United States. To date, no American Academy of Pediatrics policy has been established regarding the impact of armed conflict on children.
In these circumstances, the principles, standards, and norms of child rights, equity, and social justice provide pediatricians with the capacity to advocate for affected children with the strength of a unified global voice and the power of legal precedent. The United Nations Convention on the Rights of the Child (CRC)2 provides clear guidelines, through the explicit articulation of 40 substantive child rights, for the protection of children affected by humanitarian crises, as well as the promotion of their well-being and participation in decisions that are being made on their behalf. The CRC establishes the legal basis and precedent for these rights, in addition…

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Identifying Priorities for Mental Health Interventions in War-Affected Youth: A Longitudinal Study
Theresa S. Betancourt, Stephen E. Gilman, Robert T. Brennan, Ista Zahn, and Tyler J. VanderWeele
Pediatrics 2015; 136:e344-e350

PLoS Medicine (Accessed 1 August 2015)

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 1 August 2015)

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Noncommunicable Diseases: A Globalization of Disparity?
Peter J. Hotez, Larry Peiperl
Editorial | published 28 Jul 2015 | PLOS Medicine 10.1371/journal.pmed.1001859
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A year ago, the editors of PLOS Neglected Tropical Diseases and PLOS Medicine launched the PLOS Blue Marble Health Collection, subtitled “the mismatch between national wealth and population health” [1]. The term “blue marble health” (which recalls the appearance of the earth from space) was coined as a differentiator from prior conceptualizations of global health that divided the world’s population according to national economic indices [2]. The basic tenet of blue marble health is that impoverished populations living amidst wealth bear a disproportionate burden of neglected diseases, irrespective of the overall economic strength of their home country. Such an approach is increasingly relevant as differential disease burdens between wealthier countries and regions (including North America, Europe, and Japan) and lower-income countries (including many in Africa, Asia, and Central and South America), evolve through a pronounced, but uneven, economic rise across the planet that leaves pockets of intense poverty in its wake.

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The Individualised versus the Public Health Approach to Treating Ebola
Tom H. Boyles
Perspective | published 28 Jul 2015 | PLOS Medicine 10.1371/journal.pmed.1001858

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Ebola Virus Disease: Experience and Decision Making for the First Patients outside of Africa
David S. Stephens, Bruce S. Ribner, Bryce D. Gartland, Nancye R. Feistritzer, Monica M. Farley, Christian P. Larsen, John T. Fox
Essay | published 28 Jul 2015 | PLOS Medicine 10.1371/journal.pmed.1001857