Toward a science of delivering aid with dignity: Experimental evidence and local forecasts from Kenya

Featured Journal Content

PNAS – Proceedings of the National Academy of Sciences of the United States of America
http://www.pnas.org/content/early/
[Accessed 27 June 2020]
Toward a science of delivering aid with dignity: Experimental evidence and local forecasts from Kenya
Catherine C. Thomas, Nicholas G. Otis, Justin R. Abraham, Hazel Rose Markus, and Gregory M. Walton
PNAS first published June 24, 2020. https://doi.org/10.1073/pnas.1917046117
Significance
A new era of international development aspires to increase the dignity and capabilities of people in poverty. Yet narratives accompanying aid often reinforce stigmatizing views of those in poverty as deficient in their circumstances or ability. We find that typical deficit-focused narratives risk undermining the very goals of aid—to empower recipients to pursue their goals and experience dignity rather than shame. In contrast, narratives crafted to counter stigma and leverage culturally resonant forms of agency enhance recipients’ beliefs in themselves and investment in their skills, without reducing donor support. As models of agency differ across sociocultural contexts, program designers need tools for identifying effective narratives. We present “local forecasting” as a particularly efficient methodology for this need.
Abstract
How can governments and nonprofits design aid programs that afford dignity and facilitate beneficial outcomes for recipients? We conceptualize dignity as a state that manifests when the stigma associated with receiving aid is countered and recipients are empowered, both in culturally resonant ways. Yet materials from the largest cash transfer programs in Africa predominantly characterize recipients as needy and vulnerable. Three studies examined the causal effects of alternative aid narratives on cash transfer recipients and donors. In study 1, residents of low-income settlements in Nairobi, Kenya (N = 565) received cash-based aid accompanied by a randomly assigned narrative: the default deficit-focused “Poverty Alleviation” narrative, an “Individual Empowerment” narrative, or a “Community Empowerment” narrative. They then chose whether to spend time building business skills or watching leisure videos. Both empowerment narratives improved self-efficacy and anticipated social mobility, but only the “Community Empowerment” narrative significantly motivated recipients’ choice to build skills and reduced stigma. Given the diverse settings in which aid is delivered, how can organizations quickly identify effective narratives in a context? We asked recipients to predict which narrative would best motivate skill-building in their community. In study 2, this “local forecasting” methodology outperformed participant evaluations and experimental pilots in accurately ranking treatments. Finally, study 3 confirmed that the narrative most effective for recipients did not undermine donors’ willingness to contribute to the program. Together these studies show that responding to recipients’ psychological and sociocultural realities in the design of aid can afford recipients dignity and help realize aid’s potential.

World Organisation for Animal Health (OIE) :: Preserving our future by protecting wildlife health

World Organisation for Animal Health (OIE) [to 27 June 2020]
https://www.oie.int/en/for-the-media/press-releases/2020/
Press Releases
Preserving our future by protecting wildlife health
Today more than ever, the international health community recognises the importance of maintaining a global perspective and foresight on wildlife health and biodiversity and their inextricable connection with veterinary and human public health.

Paris, 22 June 2020 – Anthropogenic impact on the environment alters the delicate balance of ecosystems and their health. The recent spillover events, such as SARS and Ebola, have been associated with poorly regulated or managed wildlife trade and the lack of awareness of risks associated to human contact with potential reservoirs or intermediate hosts. Therefore, the suggestion that COVID-19 originated in wildlife highlights the importance of addressing health risks at the human-animal-ecosystem interface, as well as the need for integrated surveillance systems, all while preserving animal welfare and biodiversity.

Whether in the wild or in captivity, the health of wildlife represents a key component of global health. The OIE Working Group on Wildlife, formed in 1994, informs and advises the OIE on this matter. An overview of the main activities carried out by the group over last year is presented…

Improving wildlife disease surveillance
Wildlife disease surveillance allows early detection of potentially impactful animal and human health threats and implementation of appropriate control measures. This can only be achieved by timely reporting the occurrence of wild and domestic animal diseases. The OIE Working Group on Wildlife regularly encourages countries to notify wildlife diseases through the World Animal Health Information System (WAHIS) – Wild platform…

COVID-19 Therapeutics Accelerator Donors Launch International Alliance to Connect Research Data Sources and Enable Collaboration

Milestones :: Perspectives :: Research

COVID-19 Therapeutics Accelerator Donors Launch International Alliance to Connect Research Data Sources and Enable Collaboration
International COVID-19 Data Research Alliance and Workbench will bring together data to
accelerate the search for new therapies to fight the pandemic and save lives

SEATTLE, JUNE 26, 2020 – The COVID-19 Therapeutics Accelerator donors and partners today announced the formation of the International COVID-19 Data Research Alliance to accelerate clinical research on COVID-19. Composed of academic institutions, research organizations, life sciences and technology companies, and philanthropies, the International Alliance was created to fight the COVID-19 pandemic, but with the promise for use across other health conditions, including readiness for future pandemics.

Accelerator donors, including the Bill & Melinda Gates Foundation, Chan Zuckerberg Initiative, Mastercard, Minderoo Foundation, and Wellcome, will be founding members of the International Alliance. It will be managed by Health Data Research UK, a national institute for health data science with expertise in harnessing data at scale to improve people’s lives, working in partnership with alliance partners from life science companies, academic institutions and clinical research organizations from around the world.

The current pandemic has prompted a great deal of research, but there are few environments where data sets generated by previous studies and trials can be accessed to inform research and development efforts. These data sets could address key questions about the course of COVID-19, how it impacts the body, and what treatments might be effective. In many cases, relevant data sets exist, but researchers cannot easily access or link them for integrated analysis. The International Alliance will provide a variety of ways for researchers to collaborate on data—from pooled to federated analyses—for trustworthy, privacy-protected, and ethical research as determined by a governance board of global specialists in the field.

“In a pandemic, the pathogen has the upper hand. We know very little about it, so access to information becomes an important commodity,” said Trevor Mundel, president of global health at the Gates Foundation. “By entering into agreements on data sharing up front, we can avoid wasting time going down blind alleys, ultimately saving lives by getting definitive answers to key questions more quickly. This grant to form an international data alliance will accelerate efforts and provide a legacy for future collaboration on pandemics. We encourage others to join us and the other founding partners in this important initiative.”…

An Analytical Workbench for Scientific Inquiry
The Workbench will connect to regional and national data infrastructures used by International Alliance members, such as data generated by Therapeutics Accelerator-funded trials, pharmaceutical industry partners, the national BREATHE health data research hub in the United Kingdom, SAIL Databank and others to be confirmed in the coming months. The Workbench, developed by Aridhia Informatics, will enable the discovery of data relevant for answering priority questions from its own repository and federated repositories, and will provide a secure location where analysts can work collectively on a target research hypothesis. Data access and use will be conducted in accordance with the governance requirements of individual data controllers from countries around the world, in a transparent and ethical manner. Authorized users will be able to bring their data to the Workbench and collaborate with others in a secure environment. The Workbench will be designed to encourage and enable responsible data use, including transparency, ethical review, privacy, and data protection…

EMERGENCIES: Coronavirus [COVID-19]

EMERGENCIES

Coronavirus [COVID-19]
Public Health Emergency of International Concern (PHEIC)

WHO – Situation report – 158
Coronavirus disease 2019 (COVID-19)
26 June 2020
Confirmed cases :: 9 653 048
Confirmed deaths :: 491 128
Countries, areas or territories with cases :: 216

Highlights
:: On 25 June, Health Minister Jens Spahn of Germany, and Solidarity and Health Minister Olivier Veran of France, visited WHO headquarters. During a press briefing they expressed their solidarity and additional support to both COVID-19 response and WHO’s core programmes.

Yesterday the Ebola virus disease outbreak in the northeast of the Democratic Republic of the Congo was declared over after nearly two years. The WHO Regional Office for Africa and partners are now building on the Ebola response to tackle COVID-19 in the country. Additionally, WHO is supporting other countries in Africa as the COVID-19 pandemic accelerates in the region.

:: In a press briefing yesterday, Dr Hans Henri P. Kluge, WHO Regional Director for Europe, spoke about COVID-19 in the region and how digital technology and artificial intelligence can empower people and play a leading role in optimizing efforts to control transmission of the disease.

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Ebola – DRC+

Emergencies

Ebola – DRC+
Public Health Emergency of International Concern (PHEIC)

Final Statement on the 8th meeting of the International Health Regulations (2005)
26 June 2020 Statement
Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo (provinces of Ituri, North Kivu, and South Kivu) on 26 June 2020
…Conclusions and Advice
The Committee agreed that the current situation in the Ituri, North Kivu, and South Kivu provinces no longer constitutes a public health emergency of international concern.
The Committee emphasized the importance of continued donors’ funding and human resources to operationalize the 90-day day national response plan.
The Committee provided the following advice to the Director-General for his issuance as revised Temporary Recommendations, in accordance with Article 15(1) of the IHR (2005) “…Temporary Recommendations may be modified or extended as appropriate, including after it has been determined that a public health emergency of international concern has ended, at which time other temporary recommendations may be issued as necessary for the purpose of preventing or promptly detecting its recurrence […] These Temporary Recommendations shall automatically expire three months after their issuance.” …

…Based on this advice, the report made by the affected State Party and the currently available information, the Director-General accepted the Committee’s assessment and on 26 June 2020 declared the end of the Public Health Emergency of International Concern (PHEIC) for this event…

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25 June 2020 News release
10th Ebola outbreak in the Democratic Republic of the Congo declared over; vigilance against flare-ups and support for survivors must continue
Today marks the end of the 10th outbreak of Ebola virus disease in the Democratic Republic of the Congo (DRC). This long, complex and difficult outbreak has been overcome due to the leadership and commitment of the Government of the DRC, supported by the World Health Organization (WHO), a multitude of partners, donors, and above all, the efforts of the communities affected by the virus.

WHO congratulates all those involved in the arduous and often dangerous work required to end the outbreak, but stresses the need for vigilance. Continuing to support survivors and maintaining strong surveillance and response systems in order to contain potential flare-ups is critical in the months to come.

“The outbreak took so much from all of us, especially from the people of DRC, but we came out of it with valuable lessons, and valuable tools. The world is now better-equipped to respond to Ebola. A vaccine has been licensed, and effective treatments identified,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus.

“We should celebrate this moment, but we must resist complacency. Viruses do not take breaks. Ultimately, the best defence against any outbreak is investing in a stronger health system as the foundation for universal health coverage.”

The outbreak, declared in North Kivu on 1 August 2018, was the second largest in the world, and was particularly challenging as it took place an active conflict zone. There were 3470 cases, 2287 deaths and 1171 survivors.

Led by the DRC Government and the Ministry of Health and supported by WHO and partners, the more than 22-month-long response involved training thousands of health workers, registering 250 000 contacts, testing 220 000 samples, providing patients with equitable access to advanced therapeutics, vaccinating over 303 000 people with the highly effective rVSV-ZEBOV-GP vaccine, and offering care for all survivors after their recovery.

The response was bolstered by the engagement and leadership of the affected communities. Thanks to their efforts, this outbreak did not spread globally. More than 16 000 local frontline responders worked alongside the more than 1500 people deployed by WHO. Support from donors was essential, as was the work of UN partner agencies, national and international NGOs, research networks, and partners deployed through the Global Outbreak Alert and Response Network. Hard work to build up preparedness capacities in neighbouring countries also limited the risk of the outbreak expanding…

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Ebola Outbreak in DRC 98: 23 June 2020
[Excerpts]
Situation Update WHO Health Emergencies Programme Page 2
In Ituri, North Kivu and South Kivu provinces of the Democratic Republic of the Congo, no new confirmed cases of EVD have been reported since 27 April 2020…

Conclusion
Tuesday 23 June 2020 marks 41 days with no new cases of EVD since the Ministry of Health began its 42-day countdown to the declaration of the end of the EVD outbreak in Ituri, North Kivu and South Kivu. Maintaining a robust surveillance system in order to detect, isolate, test and treat new suspected cases as early as possible will remain crucial for this response even after the declaration of the end of the outbreak, as will be coordination, among partners, authorities and communities and EVD survivor advocacy .

POLIO :: WHO/OCHA Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)

Polio this week as of 24 June 2020
:: Dr Fiona Braka, Immunization Team Lead for WHO Nigeria, speaks about fighting polio outbreaks and toppling gender barriers.

Summary of new viruses this week (AFP cases and ES positives):
:: Afghanistan: three WPV1 cases, two WPV1 positive environmental samples and fourcVDPV2 cases
:: Pakistan: two WPV1 cases, and five WPV1 positive environmental samples
:: Cameroon: one cVDPV2 positive environmental sample
:: Chad: 23 cVDPV2 cases
:: Côte d’Ivoire: eight cVDPV2 positive environmental samples
:: Togo: two cVDPV2 cases

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WHO Grade 3 Emergencies [to 27 June 2020]

Democratic Republic of the Congo
:: Ebola Outbreak in DRC 98: 23 June 2020
[See Ebola above for detail]

Nigeria – No new digest announcements identified
Somalia – No new digest announcements identified
South Sudan – No new digest announcements identified
Syrian Arab Republic – No new digest announcements identified
Yemen – No new digest announcements identified

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WHO Grade 2 Emergencies [to 27 June 2020]
Burkina Faso [in French]
:: L’OMS appuie la construction des unités de triage des patients dans la lutte contre le COVID 19 21 juin 2020

Angola – No new digest announcements identified
Afghanistan – No new digest announcements identified
Burundi – No new digest announcements identified
Cameroon – No new digest announcements identified
Central African Republic – No new digest announcements identified
Ethiopia – No new digest announcements identified
Iraq – No new digest announcements identified
Libya – No new digest announcements identified
Malawi – No new digest announcements identified
Measles in Europe – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Myanmar – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

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WHO Grade 1 Emergencies [to 27 June 2020]

Chad – No new digest announcements identified
Djibouti – Page not responding at inquiry
Kenya – No new digest announcements identified
Mali – No new digest announcements identified
Namibia – viral hepatitis – No new digest announcements identified
Tanzania – No new digest announcements identified

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UN OCHA – L3 Emergencies
The UN and its humanitarian partners are currently responding to three ‘L3’ emergencies. This is the global humanitarian system’s classification for the response to the most severe, large-scale humanitarian crises. 
Syrian Arab Republic
:: Recent Developments in Northwest Syria – Situation Report No. 16 – As of 26 June 2020

Yemen – No new digest announcements identified

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UN OCHA – Corporate Emergencies
When the USG/ERC declares a Corporate Emergency Response, all OCHA offices, branches and sections provide their full support to response activities both at HQ and in the field.
CYCLONE IDAI and Kenneth
::  26 June 2020 Zimbabwe Situation Report, 26 June 2020

EBOLA OUTBREAK IN THE DRC – No new digest announcements identified

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