The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 3 September 2016

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 Global Foundation – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf version: The Sentinel_ week ending 3 September 2016

Contents
:: Week in Review
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research
:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 27 August 2016

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 Global Foundation – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf version: The Sentinel_ week ending 27 August 2016

Contents
:: Week in Review
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research
:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 20 August 2016

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 Global Foundation – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf version: The Sentinel_ period ending 20 August 2016

Contents
:: Week in Review
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research
:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________

The Sentinel will resume publication on 20 August 2016 following annual leave for the Editor.


Editor’s Note
While on annual leave, we could not help but take note of yesterday’s [12 August 2016] Security Council action on South Sudan, both extending and expanding the peacekeeping force there.

In exercise of its Chapter VII authority – and over the objection of South Sudan – the Security Council resolution below (see especially bolded text by Editor] authorized the “use all necessary means, including undertaking robust action where necessary and actively patrolling, to accomplish the Regional Protection Force’s mandate.” The resolution further enjoins the Regional Protection Force to “…promptly and effectively engage any actor that is credibly found to be preparing attacks, or engages in attacks, against United Nations protection of civilians sites, other United Nations premises, United Nations personnel, international and national humanitarian actors, or civilians…”

The representative of South Sudan [argued] “The adoption of this resolution goes against the basic principle of United Nations peacekeeping operations, which is the consent of the main parties to the conflict,” he said, noting that the text had contradicted the principles of respect for sovereignty, territorial integrity and political independence of States, principles enshrined in the United Nations Charter.  Recalling that his delegation had provided an official response on the mandate adopted today, he said that the text did not take into account or even consider the views of his Government. “

Most extraordinary…

::::::

Security Council Extends Mission in South Sudan, Authorizes Expanded Peacekeeping Force to Bolster Civilian Protection Efforts – Adopting Resolution 2304 (2016)
SC/12475
12 August 2016
Security Council  7754th Meeting (PM)

The Security Council today renewed the mandate of the United Nations Mission in South Sudan (UNMISS) until 30 June 2017, authorizing the expansion of peacekeeping forces and stressing the priority of civilian protection in its mandate.

Adopting resolution 2304 (2016) by 11 votes in favour to none against, with 4 abstentions (China, Egypt, Senegal, Venezuela), the 15-member Council demanded that all parties immediately put an end to fighting and that the leaders implement the permanent ceasefire declared in the Agreement on the Resolution of the Conflict in South Sudan.

Condemning in the strongest terms the recent fighting in Juba, the Council further demanded that the Transitional Government of National Unity comply with its international obligations and immediately cease obstructing UNMISS and other humanitarian actors in performing their mandates.  It requested that the Secretary-General identify options to enhance the safety and security of Mission personnel.

The Council decided that UNMISS should include a regional protection force, established for an initial period until 15 December 2016, to be based in Juba, tasked with the responsibility of providing a secure environment.  In order to advance cooperation with the Transitional Government and to create an enabling environment for the Agreement’s implementation, the Council authorized the force to use all necessary means to accomplish its mandate.

By the text, the Council decided to increase the force levels of UNMISS up to a ceiling of 17,000 troops, including 4,000 for the Regional Protection Force, and requested that the Secretary-General take necessary steps to expedite force and asset generation.  The Council recognized that full and unrestricted freedom of movement was essential for the force to carry out its tasks and demanded that the Government provide support as needed.

The Council also requested that the Secretary-General provide detailed information within 30 days on force generation, restructuring the UNMISS force, logistical support and civilian personnel and whether the Transitional Government had maintained its consent to the force’s deployment.

The Council decided that in case of political or operational impediments to operationalizing the force or obstructions to UNMISS in performing its mandate, within five days, the body should consider appropriate measures.  They included measures described in Annex A of the draft resolution, particularly an arms embargo…

…The representative of South Sudan [noted] “The adoption of this resolution goes against the basic principle of United Nations peacekeeping operations, which is the consent of the main parties to the conflict,” he said, noting that the text had contradicted the principles of respect for sovereignty, territorial integrity and political independence of States, principles enshrined in the United Nations Charter.  Recalling that his delegation had provided an official response on the mandate adopted today, he said that the text did not take into account or even consider the views of his Government.”…

******

Resolution
The full text of resolution 2304 (2016) reads as follows:

The Security Council,
Recalling its previous resolutions 1996 (2011), 2046 (2012), 2057 (2012), 2109 (2013), 2132 (2013), 2155 (2014), 2187 (2014), 2206 (2015), 2223 (2015), 2241 (2015), 2252 (2015), and 2302 (2016) and statements by its President S/PRST/2014/16, S/PRST/2014/26, S/PRST/2015/9, S/PRST/2016/1, and S/PRST/2016/3,

Reaffirming its strong commitment to the sovereignty, independence, territorial integrity, and national unity of the Republic of South Sudan, and recalling the importance of the principles of non-interference, good-neighbourliness, and regional cooperation,

Reiterating its grave alarm and concern regarding the political, security, economic, and humanitarian crisis in South Sudan, resulting from the internal Sudan People’s Liberation Movement (SPLM) political dispute, and subsequent violence caused by the country’s political and military leaders since December 2013, and emphasizing there can be no military solution to the situation in South Sudan and noting the “Agreement on the Resolution of the Conflict in the Republic of South Sudan” as the framework for durable peace, reconciliation and national cohesion in South Sudan,

Condemning in the strongest terms the fighting in Juba, South Sudan 8-11 July 2016, including attacks against civilians, United Nations personnel, premises and property, and requesting the Secretary-General expedite investigation into these attacks, expressing deep concern at the tense and fragile security situation in the rest of the country, including armed clashes and violence involving the Sudan People’s Liberation Army (SPLA) and SPLA-In Opposition (SPLA-IO), and armed groups, reminding all parties of the civilian character of protection of civilians sites in South Sudan, and recalling resolution 2206 (2015), which states in part that those who engage in attacks against United Nations missions, international security presences, or other peacekeeping operations, or humanitarian personnel may be subject to sanctions,

Further condemning the clashes that took place at the United Nations Protection of Civilians site in Malakal, South Sudan on 17-18 February, and requesting the United Nations Secretariat to ensure that the lessons learned from that incident are applied in the future operation of the mission,

Commending the work of the United Nations Mission in the Republic of South Sudan (UNMISS), and noting with concern that the extensive resources needed to protect civilians at the United Nations Protection of Civilians sites has limited UNMISS’s presence outside the United Nations Protection of Civilians sites,

Condemning the continued obstruction of UNMISS by the Transitional Government of National Unity of South Sudan, including severe restrictions on freedom of movement and constraints on mission operations which may be in violation of its obligations under the Status of Forces Agreement,

Strongly condemning all human rights violations and abuses and violations of international humanitarian law, including those involving extrajudicial killings, ethnically targeted violence, rape and other forms of sexual and gender-based violence, recruitment and use of children, enforced disappearances, arbitrary arrests and detention, violence aimed at spreading terror among the civilian population, targeting of members of civil society, and attacks on schools, places of worship, hospitals, and United Nations and associated personnel, by all parties, including armed groups and national security forces, as well as the incitement to commit such abuses and violations, further condemning harassment and targeting of civil society, humanitarian personnel and journalists, and emphasizing that those responsible for violations of international humanitarian law and violations and abuses of human rights must be held accountable, and that South Sudan’s Transitional Government of National Unity bears the primary responsibility to protect its populations from genocide, war crimes, ethnic cleansing, and crimes against humanity,

Taking note of the decisions adopted by the Intergovernmental Authority on Development (IGAD) Plus Heads of State and Government in their 16 July 2016 Communique for deployment of a “regional protection force,” the African Union Assembly 18 July 2016 communique endorsing the IGAD Plus Heads of State and Government 16 July 2016 communique, and the 5 August 2016 Communique of the Second IGAD Plus Extra-Ordinary Summit on the Situation in South Sudan which notes the Transitional Government of National Unity’s consent to deployment of such a force in principle and welcoming the readiness expressed by member states in the region to increase their contribution of troops to UNMISS for this purpose,

Encouraging countries in the region, the African Union Peace and Security Council, and IGAD to continue firmly engaging with South Sudanese leaders to address the current political crisis,

Determining that the situation in South Sudan continues to constitute a threat to international peace and security in the region,

Acting under Chapter VII of the Charter of the United Nations,

“1.   Demands that all parties immediately end the fighting throughout South Sudan, and further demands that South Sudan’s leaders implement the permanent ceasefire declared in the Agreement on the Resolution of the Conflict in the Republic of South Sudan (Agreement) and ceasefires for which they respectively called on 11 July 2016, and ensure that subsequent decrees and orders directing their commanders control their forces and protect civilians and their property are fully implemented;

“2.   Demands that the Transitional Government of National Unity of South Sudan comply with the obligations set out in the Status of Forces Agreement between the Government of South Sudan and the United Nations, and immediately cease obstructing UNMISS in the performance of its mandate, and further demands the Transitional Government of National Unity immediately cease obstructing international and national humanitarian actors from assisting civilians, and facilitate freedom of movement for the Ceasefire and Transitional Security Arrangements Monitoring Mechanism and calls on the Transitional Government of National Unity to take action, to deter, and to hold those responsible to account for, any hostile or other actions that impede UNMISS or international and national humanitarian actors;

“3.   Urges the Joint Monitoring and Evaluation Commission (JMEC), the Intergovernmental Authority on Development (IGAD), the Ceasefire and Transitional Security Arrangements Monitoring Mechanism (CTSAMM), UNMISS, and the parties to the Agreement to convene a Permanent Ceasefire and Transitional Security Arrangements workshop in Juba to determine by 31 August 2016 the maximum number, type and armaments of security forces to remain in Juba and to assist in executing and verifying the redeployment of those forces and armaments to agreed locations by 15 September 2016 and further urges the IGAD, the Joint Monitoring and Evaluation Commission, UNMISS and the parties to the Agreement to review the status of the Joint Military Ceasefire Commission, the CTSAMM, the Joint Operations Center, the Joint Integrated Police, the Strategic Defense and Security Review, the National Architecture, cantonment, and the unification of forces and to develop revised proposals to ensure their efficacy by 30 September 2016;

“4.   Decides to extend the UNMISS mandate, as set out in resolution 2252 (2015), until 15 December 2016, and authorizes UNMISS to use all necessary means to carry out its tasks;

“5.   Emphasizes that protection of civilians must be given priority in decisions about the use of available capacity and resources within the mission, stresses that UNMISS’s mandate as set out in paragraph 8 of resolution 2252 (2015) includes authority to use all necessary means to protect United Nations personnel, installations and equipment to deter violence especially through proactive deployment and active patrolling, to protect civilians from threats, regardless of source, to create conditions conducive to delivery of humanitarian assistance by international and national actors, and support implementation the Agreement, and stresses that such actions include, but are not limited to, within UNMISS’s capacity and areas of deployment, defending protection of civilians sites, establishing areas around the sites that are not used for hostile purposes by any forces, addressing threats to the sites, searching individuals attempting to enter the sites, and seizing weapons from those inside or attempting to enter the sites, removing from and denying entry of armed actors to the protection of civilians sites;

“6.   Requests the Secretary-General to take all appropriate steps and, in consultation with troop and police contributing countries, to identify options, including seeking the support of Member States, to enhance the safety and security of UNMISS’s personnel to enable UNMISS to execute effectively its mandate in a complex security environment, including through improving UNMISS’s early warning, surveillance, and information gathering capacities, enhancing quick response and crisis management capacity, including providing appropriate training and equipment, implementing more effective casualty and medical evacuation procedures, and taking active and effective steps to improve the planning and functioning of UNMISS’s safety and security facilities and arrangements;

“7.   Recalls its resolution 2086 (2013) and reaffirms the basic principles of peacekeeping, as set forth in Presidential Statement S/PRST/2015/22, including consent of the parties, impartiality, and non-use of force, except in self-defence and defence of the mandate, and recognizes that the mandate of each peacekeeping mission is specific to the need and situation of the country concerned;

“8.   Decides further that UNMISS shall include, consistent with paragraph 7 above, a Regional Protection Force established for an initial period until 15 December 2016, which will report to the overall UNMISS Force Commander, to be based in Juba, with the responsibility of providing a secure environment in and around Juba, including in support of the outcomes of the Permanent Ceasefire and Transitional Security Arrangements Workshop, and in extremis in other parts of South Sudan as necessary, and stresses that the Regional Protection Force will carry out its mandate, as set forth in paragraph 10, impartially and in strict compliance with international law, including, as applicable, international humanitarian law;

“9.   Stresses the critical importance that the Regional Protection Force has a clear, conditions-based exit strategy and express its intent to consider the presence of the Regional Protection Force in light of the changing situation on the ground;

“10.  To advance in cooperation with the Transitional Government of National Unity the safety and security of the people of South Sudan and to create an enabling environment for implementation of the Agreement, authorizes the Regional Protection Force to use all necessary means, including undertaking robust action where necessary and actively patrolling, to accomplish the Regional Protection Force’s mandate, to:

(a)   Facilitate the conditions for safe and free movement into, out of, and around Juba, including through protecting the means of ingress and egress from the city and major lines of communication and transport within Juba;

(b)   Protect the airport to ensure the airport remains operational, and protect key facilities in Juba essential to the well-being of the people of Juba, as identified by the Special Representative of the Secretary-General;

(c)   Promptly and effectively engage any actor that is credibly found to be preparing attacks, or engages in attacks, against United Nations protection of civilians sites, other United Nations premises, United Nations personnel, international and national humanitarian actors, or civilians;

“11.  Requests the Regional Protection Force to carry out these tasks as determined by the Special Representative of the Secretary-General, recognizes that full and unrestricted freedom of movement is essential for the Regional Protection Force to carry out these tasks and demands the government provide support as needed for the Regional Protection Force to fulfill its mission and calls upon IGAD countries to continue to insist that the South Sudanese fulfil their commitments in this regard;

“12.  Notes consultations between the Transitional Government of National Unity and the states of the region referenced in the 5 August 2016 Communique of the Second IGAD Plus Extra-Ordinary Summit on the Situation in South Sudan, expresses its intention to review the results of these consultations and to consider potential action, including any appropriate updates to the mandate of the Regional Protection Force, arising from the results of those consultations;

“13.  Urges member states in the region to expedite contributions of rapidly deployable troops to ensure the full deployment of the Regional Protection Force as soon as possible;

“14.  Decides to increase the force levels of UNMISS up to a ceiling of 17,000 troops, including 4,000 for the Regional Protection Force, and requests the Secretary-General to take the necessary steps to expedite force and asset generation;

“15.  Requests the Secretary-General to strengthen UNMISS’s strategic communications capacity to undertake messaging on the ongoing impartial nature of UNMISS activities, including those of its Regional Protection Force;

Reports

“16.  Requests that the Secretary-General provide detailed information within 30 days on force generation, restructuring of the UNMISS force, logistical support and enablers, and civilian personnel to implement the mandate, as well as whether the Transitional Government of National Unity has maintained its consent in principle to deployment of the Regional Protection Force and not imposed any political or operational impediments to operationalizing the Regional Protection Force or obstructed UNMISS in the performance of its mandate, and requests the Secretary-General to review needs on the ground, and provide an updated assessment of the Regional Protection Force’s operations, deployment, and future requirements, as well as any political or operational impediments to operationalizing the Regional Protection Force and obstructions to UNMISS in performance of its mandate, within 30 days after the adoption of this resolution, and every 30 days thereafter;

“17.  Decides that if in any of the reports pursuant to paragraph 16 above the Secretary General reports political or operational impediments to operationalizing the Regional Protection Force or obstructions to UNMISS in performance of its mandate, due to the actions of the Transitional Government of National Unity, within five days of receipt of such report it shall consider appropriate measures including those measures described in the draft resolution in Annex ;

“18.  Requests the Secretary-General to report to the Council on implementation of the UNMISS mandate including UNMISS’ Regional Protection Force, and to present the recommendations on the steps to adapt UNMISS to the situation on the ground and to increase efficiency of the implementation of its mandate in a comprehensive written report covering issues including strengthening safety and security of United Nations personnel and facilities to be submitted within 90 days of the date of adoption of this resolution, and further expresses its intention to consider the Secretary-General’s recommendations within the context of the next UNMISS mandate extension;

“19.  Decides to remain seized of the matter.”

::::::
::::::

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

 

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 30 July 2016

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 Global Foundation – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf version: The Sentinel_ week ending 30 July 2016

 

The Sentinel will resume publication on 20 August 2016 following annual leave for the Editor.

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 23 July 2016

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 Global Foundation – Center for Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

pdf version: The Sentinel_ week ending 23 July 2016

Contents
:: Week in Review
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research
:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals

:: Journal Watch

:: Journal Watch

The Sentinel will track key peer-reviewed journals which address a broad range of interests in human rights, humanitarian response, health and development. It is not intended to be exhaustive. We will add to those monitored below as we encounter relevant content and upon recommendation from readers. We selectively provide full text of abstracts and other content but note that successful access to some of the articles and other content may require subscription or other access arrangement unique to the publisher. Please suggest additional journals you feel warrant coverage.

BMC Health Services Research (Accessed 23 July 2016)

BMC Health Services Research
http://www.biomedcentral.com/bmchealthservres/content
(Accessed 23 July 2016)

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Research article
Human trafficking and severe mental illness: an economic analysis of survivors’ use of psychiatric services
Previous studies have found a high prevalence of depression and post-traumatic stress disorder (PTSD) among survivors of human trafficking. European countries are required to assist trafficked people in their …
Maria Cary, Siân Oram, Louise M. Howard, Kylee Trevillion and Sarah Byford
BMC Health Services Research 2016 16:284
Published on: 19 July 2016

BMC Infectious Diseases (Accessed 23 July 2016)

BMC Infectious Diseases
http://www.biomedcentral.com/bmcinfectdis/content
(Accessed 23 July 2016)

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Research article
Predicting the international spread of Middle East respiratory syndrome (MERS)
The Middle East respiratory syndrome (MERS) associated coronavirus has been imported via travelers into multiple countries around the world. In order to support risk assessment practice, the present study aime...
Kyeongah Nah, Shiori Otsuki, Gerardo Chowell and Hiroshi Nishiura
BMC Infectious Diseases 2016 16:356
Published on: 22 July 2016

The potential to expand antiretroviral therapy by improving health facility efficiency: evidence from Kenya, Uganda, and Zambia

BMC Medicine
http://www.biomedcentral.com/bmcmed/content
(Accessed 23 July 2016)

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Research article
The potential to expand antiretroviral therapy by improving health facility efficiency: evidence from Kenya, Uganda, and Zambia
Since 2000, international funding for HIV has supported scaling up antiretroviral therapy (ART) in sub-Saharan Africa. However, such funding has stagnated for years, threatening the sustainability and reach of…
Laura Di Giorgio, Mark W. Moses, Nancy Fullman, Alexandra Wollum, Ruben O. Conner, Jane Achan, Tom Achoki, Kelsey A. Bannon, Roy Burstein, Emily Dansereau, Brendan DeCenso, Kristen Delwiche, Herbert C. Duber, Emmanuela Gakidou, Anne Gasasira, Annie Haakenstad…
BMC Medicine 2016 14:108
Published on: 20 July 2016

Does mobile phone ownership predict better utilization of maternal and newborn health services? a cross-sectional study in Timor-Leste

BMC Pregnancy and Childbirth
http://www.biomedcentral.com/bmcpregnancychildbirth/content
(Accessed 23 July 2016)

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Research article
Does mobile phone ownership predict better utilization of maternal and newborn health services? a cross-sectional study in Timor-Leste
Increasingly popular mobile health (mHealth) programs have been proposed to promote better utilization of maternal, newborn and child health services. However, women who lack access to a mobile phone are often...
Juan Nie, Jennifer Anna Unger, Susan Thompson, Marisa Hofstee, Jing Gu and Mary Anne Mercer
BMC Pregnancy and Childbirth 2016 16:183
Published on: 23 July 2016

BMC Public Health (Accessed 23 July 2016)

BMC Public Health
http://bmcpublichealth.biomedcentral.com/articles
(Accessed 23 July 2016)

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Research article
An analysis of three levels of scaled-up coverage for 28 interventions to avert stillbirths and maternal, newborn and child mortality in 27 countries in Latin America and the Caribbean with the Lives Saved Tool (LiST)
Action to avert maternal and child mortality was propelled by the Millennium Development Goals (MDGs) in 2000. The Latin American and Caribbean (LAC) region has shown promise in achieving the MDGs in many coun…
Lauren Arnesen, Thomas O’Connell, Luisa Brumana and Pablo Durán
BMC Public Health 2016 16:613
Published on: 22 July 2016

.

Research article
Social capital and healthy ageing in Indonesia
A large international literature has found a positive association between social capital and measures of physical and mental health. However, there is a paucity of research on the links between social capital …
Junran Cao and Anu Rammohan
BMC Public Health 2016 16:631
Published on: 22 July 2016

Excess mortality in refugees, internally displaced persons and resident populations in complex humanitarian emergencies (1998–2012) – insights from operational data

Conflict and Health
http://www.conflictandhealth.com/
[Accessed 23 July 2016]

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Research
Excess mortality in refugees, internally displaced persons and resident populations in complex humanitarian emergencies (1998–2012) – insights from operational data
Peter Heudtlass, Niko Speybroeck and Debarati Guha-Sapir
Conflict and Health 2016 10:15
Published on: 20 July 2016
Abstract
Background
Complex humanitarian emergencies are characterised by a break-down of health systems. All-cause mortality increases and non-violent excess deaths (predominantly due to infectious diseases) have been shown to outnumber violent deaths even in exceptionally brutal conflicts. However, affected populations are very heterogeneous and refugees, internally displaced persons (IDPs) and resident (non-displaced) populations differ substantially in their access to health services. We aim to show how this translates into health outcomes by quantifying excess all-cause mortality in emergencies by displacement status.
Methods
As standard data sources on mortality only poorly represent these populations, we use data from CEDAT, a database established by aid agencies to share operational health data collected for planning, monitoring and evaluation of humanitarian aid. We obtained 1759 Crude Death Rate (CDR) estimates from emergency assessments conducted between 1998 and 2012. We define excess mortality as the ratio of CDR in emergency assessments over ‘baseline CDR’ (as reported in the World Development Indicators). These death rate ratios (DRR) are calculated separately for all emergency assessments and their distribution is analysed by displacement status using non-parametric statistics.
Results
We found significant excess mortality in IDPs (median DRR: 2.5; 95 % CI: [2.2, 2.93]) and residents (median DDR: 1.51; 95 % CI: [1.47, 1.58]). Mortality in refugees however is not significantly different from baseline mortality in the host countries (median DRR: 0.94, 95 % CI: [0.73, 1.1]).
Conclusions
Aid agencies report the highest excess mortality rates among IDPs, followed by resident populations. In absolute terms however, due to their high share in the total number of people at risk, residents are likely to account for most of the excess deaths in today’s emergencies. Further research is needed to clarify whether the low estimates of excess mortality in refugees are the result of successful humanitarian interventions or due to limitations of our methods and data.

A scoping review of video gaming in rehabilitation

Disability and Rehabilitation: Assistive Technology
Volume 11, Issue 6, 2016
http://informahealthcare.com/toc/idt/current

.
Review Article
A scoping review of video gaming in rehabilitation
pages 445-453
DOI:10.3109/17483107.2015.1029538
Kelly E. Ravenek, Dalton L. Wolfe & Sander L. Hitzig
Abstract
Purpose: To examine the scope of the peer-reviewed literature on the use of commercially available video gaming in rehabilitation. Methods: Five databases (SCOPUS, Cochrane, PsycINFO, PubMed and CINAHL) were searched for articles published between January 1990 and January 2014. The reference lists of selected articles were also reviewed to identify other relevant studies. Results: Thirty articles met the inclusion criteria. Commercially available video gaming in rehabilitation was most commonly recommended by physiotherapists (50% or 15/30 studies) for populations at risk for falls or with decreased balance (67% or 19/30 studies). The most commonly used target outcomes were those assessing balance and/or fall prevention, with the Berg Balance Scale being the most frequently used (53% or 16/30 studies) outcome measure. The Nintendo Wii was the most prevalent gaming system (90% or 27/30 studies) used in the identified studies. Conclusion: Video gaming in rehabilitation is widely used by clinicians. Preliminary findings show that video gaming technology can be applied across a wide variety of rehabilitation populations, with some evidence showing clinical gains in physical functioning (e.g. gait and balance). There is a need for more robust clinical trials evaluating the efficacy of using video game systems as an adjunct to conventional rehabilitation.

.
Implications for Rehabilitation
:: Video gaming is a readily available technology that has been suggested as an enjoyable and motivating activity that engages patients in rehabilitation programming.
:: Video gaming is becoming an increasingly popular adjunct to traditional therapy.
:: Video gaming is most commonly used by physical therapists in a hospital setting for those with balance impairments.
:: Video gaming has been shown to improve functional outcomes.

Health Policy and Planning – Volume 31 Issue 6 July 2016

Health Policy and Planning
Volume 31 Issue 6 July 2016
http://heapol.oxfordjournals.org/content/current

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Original Articles
The emergence of the vertical birth in Ecuador: an analysis of agenda setting and policy windows for intercultural health
Ana Llamas and Susannah Mayhew
Health Policy Plan. (2016) 31 (6): 683-690 doi:10.1093/heapol/czv118
Abstract
Maternal mortality continues to claim the lives of thousands of women in Latin America despite the availability of effective treatments to avert maternal death. In the past, efforts to acknowledge cultural diversity in birth practices had not been clearly integrated into policy. However, in Otavalo (Ecuador) a local hospital pioneered the implementation of the ‘Vertical Birth’—a practical manifestation of an intercultural health policy aimed at increasing indigenous women’s access to maternity care. Drawing on agenda-setting theory, this qualitative research explores how the vertical birth practice made it onto the local policy agenda and the processes that allowed actors to seize a window of opportunity allowing the vertical birth practice to emerge. Our results show that the processes that brought about the vertical birth practice took place over a prolonged period of time and resulted from the interplay between various factors. Firstly, a maternal health policy community involving indigenous actors played a key role in identifying maternal mortality as a policy problem, defining its causes and framing it as an indigenous rights issue. Secondly, previous initiatives to address maternal mortality provided a wealth of experience that gave these actors the knowledge and experience to formulate a feasible policy solution and consolidate support from powerful actors. Thirdly, the election of a new government that had incorporated the demands of the indigenous movement opened up a window of opportunity to push intercultural health policies such as the vertical birth. We conclude that the socioeconomic and political changes at both national and local level allowed the meaningful participation of indigenous actors that made a critical contribution to the emergence of the vertical birth practice. These findings can help us advance our knowledge of strategies to set the agenda for intercultural maternal health policy and inform future policy in similar settings. Our results also show that Kingdon’s model was useful in explaining how the VB practice emerged but also that it needs modifications when applied to low and middle income countries.

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Original Articles
Feasibility and acceptability of delivering adolescent health interventions alongside HPV vaccination in Tanzania
Deborah Watson-Jones, Shelley Lees, Joseph Mwanga, Nyasule Neke, John Changalucha, Nathalie Broutet, Ibrahim Maduhu, Saidi Kapiga, Venkatraman Chandra-Mouli, Paul Bloem,
and David A Ross
Health Policy Plan. (2016) 31 (6): 691-699 doi:10.1093/heapol/czv119
Abstract
Background: Human papillomavirus (HPV) vaccination offers an opportunity to strengthen provision of adolescent health interventions (AHI). We explored the feasibility of integrating other AHI with HPV vaccination in Tanzania.
Methods: A desk review of 39 policy documents was preceded by a stakeholder meeting with 38 policy makers and partners. Eighteen key informant interviews (KIIs) with health and education policy makers and district officials were conducted to further explore perceptions of current programs, priorities and AHI that might be suitable for integration with HPV vaccination.
Results: Fourteen school health interventions (SHI) or AHI are currently being implemented by the Government of Tanzania. Most are delivered as vertical programmes. Coverage of current programs is not universal, and is limited by financial, human resource and logistic constraints. Limited community engagement, rumours, and lack of strategic advocacy has affected uptake of some interventions, e.g. tetanus toxoid (TT) immunization. Stakeholder and KI perceptions and opinions were limited by a lack of experience with integrated delivery and AHI that were outside an individual’s area of expertise and experience. Deworming and educational sessions including reproductive health education were the most frequently mentioned interventions that respondents considered suitable for integrated delivery with HPV vaccine.
Conclusions: Given programme constraints, limited experience with integrated delivery and concern about real or perceived side-effects being attributed to the vaccine, it will be very important to pilot-test integration of AHI/SHI with HPV vaccination. Selected interventions will need to be simple and quick to deliver since health workers are likely to face significant logistic and time constraints during vaccination visits.

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Editor’s Choice:
BRICS countries and the global movement for universal health coverage
Fabrizio Tediosi, Aureliano Finch, Christina Procacci, Robert Marten, and Eduardo Missoni
Health Policy Plan. (2016) 31 (6): 717-728 doi:10.1093/heapol/czv122
Abstract
This article explores BRICS’ engagement in the global movement for Universal Health Coverage (UHC) and the implications for global health governance. It is based on primary data collected from 43 key informant interviews, complemented by a review of BRICS’ global commitments supporting UHC. Interviews were conducted using a semi-structured questionnaire that included both closed- and open-ended questions. Question development was informed by insights from the literature on UHC, Cox’s framework for action, and Kingdon’s multiple-stream theory of policy formation. The closed questions were analysed with simple descriptive statistics and the open-ended questions using grounded theory approach. The analysis demonstrates that most BRICS countries implicitly supported the global movement for UHC, and that they share an active engagement in promoting UHC. However, only Brazil, China and to some extent South Africa, were recognized as proactively pushing UHC in the global agenda. In addition, despite some concerted actions, BRICS countries seem to act more as individual countries rather that as an allied group. These findings suggest that BRICS are unlikely to be a unified political block that will transform global health governance. Yet the documented involvement of BRICS in the global movement supporting UHC, and their focus on domestic challenges, shows that BRICS individually are increasingly influential players in global health. So if BRICS countries should probably not be portrayed as the centre of future political community that will transform global health governance, their individual involvement in global health, and their documented concerted actions, may give greater voice to low- and middle-income countries supporting the emergence of multiple centres of powers in global health.

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Review
Framing and the health policy process: a scoping review
Adam D Koon, Benjamin Hawkins, and Susannah H Mayhew
Health Policy Plan. (2016) 31 (6): 801-816 doi:10.1093/heapol/czv128
Abstract
Framing research seeks to understand the forces that shape human behaviour in the policy process. It assumes that policy is a social construct and can be cast in a variety of ways to imply multiple legitimate value considerations. Frames provide the cognitive means of making sense of the social world, but discordance among them forms the basis of policy contestation. Framing, as both theory and method, has proven to generate considerable insight into the nature of policy debates in a variety of disciplines. Despite its salience for understanding health policy debates; however, little is known about the ways frames influence the health policy process. A scoping review using the Arksey and O’Malley framework was conducted. The literature on framing in the health sector was reviewed using nine health and social science databases. Articles were included that explicitly reported theory and methods used, data source(s), at least one frame, frame sponsor and evidence of a given frame’s effect on the health policy process. A total of 52 articles, from 1996 to 2014, and representing 12 countries, were identified. Much of the research came from the policy studies/political science literature (n = 17) and used a constructivist epistemology. The term ‘frame’ was used as a label to describe a variety of ideas, packaged as values, social problems, metaphors or arguments. Frames were characterized at various levels of abstraction ranging from general ideological orientations to specific policy positions. Most articles presented multiple frames and showed how actors advocated for them in a highly contested political process. Framing is increasingly an important, yet overlooked aspect of the policy process. Further analysis on frames, framing processes and frame conflict can help researchers and policymakers to understand opaque and highly charged policy issues, which may facilitate the resolution of protracted policy controversies.

Health Research Policy and Systems [Accessed 23 July 2016]

Health Research Policy and Systems
http://www.health-policy-systems.com/content
[Accessed 23 July 2016]

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Research
Embedding research in health systems: lessons from complexity theory
Internationally, there has been increasing focus on creating health research systems. This article aims to investigate the challenges of implementing apparently simple strategies to support the development of …
Louise Caffrey, Charles Wolfe and Christopher McKevitt
Health Research Policy and Systems 2016 14:54
Published on: 22 July 2016

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Research
Developing the African national health research systems barometer
A functional national health research system (NHRS) is crucial in strengthening a country’s health system to promote, restore and maintain the health status of its population. Progress towards the goal of univ...
Joses Muthuri Kirigia, Martin Okechukwu Ota, Flavia Senkubuge, Charles Shey Wiysonge and Bongani M. Mayosi
Health Research Policy and Systems 2016 14:53
Published on: 22 July 2016

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Commentary
A global call for action to include gender in research impact assessment
Global investment in biomedical research has grown significantly over the last decades, reaching approximately a quarter of a trillion US dollars in 2010. However, not all of this investment is distributed eve…
Pavel V. Ovseiko, Trisha Greenhalgh, Paula Adam, Jonathan Grant, Saba Hinrichs-Krapels, Kathryn E. Graham, Pamela A. Valentine, Omar Sued, Omar F. Boukhris, Nada M. Al Olaqi, Idrees S. Al Rahbi, Anne-Maree Dowd, Sara Bice, Tamika L. Heiden, Michael D. Fischer, Sue Dopson…
Health Research Policy and Systems 2016 14:50
Published on: 19 July 2016

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Research
Health systems research in fragile and conflict-affected states: a research agenda-setting exercise
There is increasing interest amongst donors in investing in the health sectors of fragile and conflict-affected states, although there is limited research evidence and research funding to support this. Agreein…
Aniek Woodward, Egbert Sondorp, Sophie Witter and Tim Martineau
Health Research Policy and Systems 2016 14:51
Published on: 21 July 2016

The Lancet – Jul 23, 2016

The Lancet
Jul 23, 2016 Volume 388 Number 10042 p307-436
http://www.thelancet.com/journals/lancet/issue/current

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Articles
The burden of mental, neurological, and substance use disorders in China and India: a systematic analysis of community representative epidemiological studies
Fiona J Charlson, Amanda J Baxter, Hui G Cheng, Rahul Shidhaye, Harvey A Whiteford
Summary
Background
China and India jointly account for 38% of the world population, so understanding the burden attributed to mental, neurological, and substance use disorders within these two countries is essential. As part of the Lancet/Lancet Psychiatry China–India Mental Health Alliance Series, we aim to provide estimates of the burden of mental, neurological, and substance use disorders for China and India from the Global Burden of Disease Study 2013 (GBD 2013).
Methods
In this systematic analysis for community representative epidemiological studies, we conducted systematic reviews in line with PRISMA guidelines for community representative epidemiological studies. We extracted estimates of prevalence, incidence, remission and duration, and mortality along with associated uncertainty intervals from GBD 2013. Using these data as primary inputs, DisMod-MR 2.0, a Bayesian meta-regression instrument, used a log rate and incidence-prevalence-mortality mathematical model to develop internally consistent epidemiological models. Disability-adjusted life-year (DALY) changes between 1990 and 2013 were decomposed to quantify change attributable to population growth and ageing. We projected DALYs from 2013 to 2025 for mental, neurological, and substance use disorders using United Nations population data.
Findings
Around a third of global DALYs attributable to mental, neurological, and substance use disorders were found in China and India (66 million DALYs), a number greater than all developed countries combined (50 million DALYs). Disease burden profiles differed; India showed similarities with other developing countries (around 50% of DALYs attributable to non-communicable disease), whereas China more closely resembled developed countries (around 80% of DALYs attributable to non-communicable disease). The overall population growth in India explains a greater proportion of the increase in mental, neurological, and substance use disorder burden from 1990 to 2013 (44%) than in China (20%). The burden of mental, neurological, and substance use disorders is estimated to increase by 10% in China and 23% in India between 2013 and 2025.
Interpretation
The current and projected burden of mental, neurological, and substance use disorders in China and India warrants the urgent prioritisation of programmes focused on targeted prevention, early identification, and effective treatment.
Funding
China Medical Board, Bill & Melinda Gates Foundation.
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Series
Transgender health
Transgender people: health at the margins of society
Sam Winter, Milton Diamond, Jamison Green, Dan Karasic, Terry Reed, Stephen Whittle, Kevan Wylie

Transgender health
Serving transgender people: clinical care considerations and service delivery models in transgender health
Kevan Wylie, Gail Knudson, Sharful Islam Khan, Mireille Bonierbale, Suporn Watanyusakul, Stefan Baral

Transgender health
Global health burden and needs of transgender populations: a review
Sari L Reisner, Tonia Poteat, JoAnne Keatley, Mauro Cabral, Tampose Mothopeng, Emilia Dunham, Claire E Holland, Ryan Max, Stefan D Baral

Beyond the Ebola Battle — Winning the War against Future Epidemics

New England Journal of Medicine
July 21, 2016 Vol. 375 No. 3
http://www.nejm.org/toc/nejm/medical-journal
Perspective
Beyond the Ebola Battle — Winning the War against Future Epidemics
Victor J. Dzau, M.D., and Peter Sands, M.P.A.
N Engl J Med 2016; 375:203-204 July 21, 2016 DOI: 10.1056/NEJMp1605847
[Initial text]
The battle to contain and ultimately defeat the Ebola epidemic of 2014–2015 has been vividly described.1-3 Caught off guard from the start and hindered by myriad coordination, communication, and other problems, a combination of local and international teams fought back with determination, courage, and eventually the deployment of substantial resources to stem the contagion and save lives. Yet more than 11,000 people died, and local economies were brought to a halt. The battle was won, but at immense cost.

With the immediate crisis over, the world’s attention has moved on. Ebola has vanished from the headlines and seemingly from policymakers’ to-do lists. Attention has shifted to Zika and other competing priorities. Yet it would be a huge mistake to turn away and declare the war over, for West Africa remains vulnerable to a resurgence of Ebola. There will undoubtedly be new outbreaks; the only question is how well they will be contained…

Women’s Education and Health Inequalities in Under-Five Mortality in Selected Sub-Saharan African Countries, 1990–2015

PLoS One
http://www.plosone.org/
[Accessed 23 July 2016]

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Research Article
Women’s Education and Health Inequalities in Under-Five Mortality in Selected Sub-Saharan African Countries, 1990–2015
Aristide Romaric Bado, A. Sathiya Susuman
Research Article | published 21 Jul 2016 | PLOS ONE
http://dx.doi.org/10.1371/journal.pone.0159186
Abstract
Background
The aim of the study was to analyse trends in the relationship between mother’s educational level and mortality of children under the year of five in Sub-Saharan Africa, from 1990 to 2015.
Data and Methods
Data used in this study came from different waves of Demographic and Health Surveys (DHS) of Sub-Saharan countries. Logistic regression and Buis’s decomposition method were used to explore the effect of mother’s educational level on the mortality of children under five years.
Results
Although the results of our study in the selected countries show that under-five mortality rates of children born to mothers without formal education are higher than the mortality rates of children of educated mothers, it appears that differences in mortality were reduced over the past two decades. In selected countries for our study, we noticed a significant decline in mortality among children of non-educated mothers compared to the decrease in mortality rates among children of educated mothers during the period of 1990–2010. The results show that the decline in mortality of children under five years was much higher among the children born to mothers who have never received formal education—112 points drop in Malawi, over 80 in Zambia and Zimbabwe, 65 points in Burkina Faso, 56 in Congo, 43 in Namibia, 27 in Guinea, Cameroon, and 22 to 15 in Niger. However, we noted a variation in results among the countries selected for the study—in Burkina Faso (OR = 0.7), in Cameroon (OR = 0.8), in Guinea (OR = 0.8) and Niger (OR = 0.8). It is normally observed that children of mothers with 0–6 years of education are about 20% more likely to survive until their fifth year compared to children of mothers who have not been to school. Conversely, the results did not reveal significant differences between the under-five deaths of children born to non-educated mothers and children of low-level educated mothers in Congo, Malawi and Namibia.
Conclusion
The decline in under-five mortality rates, during last two decades, can be partly due to the government policies on women’s education. It is evident that women’s educational level has resulted in increased maternal awareness about infant health and hygiene, thereby bringing about a decline in the under-five mortality rates. This reduction is due to improved supply of health care programmes and health policies in reducing economic inequalities and increasing access to health care.

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Research Article |
Assessing Progress, Impact, and Next Steps in Rolling Out Voluntary Medical Male Circumcision for HIV Prevention in 14 Priority Countries in Eastern and Southern Africa through 2014
Katharine Kripke, Emmanuel Njeuhmeli, Julia Samuelson, Melissa Schnure, Shona Dalal, Timothy Farley, Catherine Hankins, Anne G. Thomas, Jason Reed, Peter Stegman, Naomi Bock
published 21 Jul 2016 | PLOS ONE
http://dx.doi.org/10.1371/journal.pone.0158767

The Legacy of Past Pandemics: Common Human Mutations That Protect against Infectious Disease

PLoS Pathogens
http://journals.plos.org/plospathogens/
(Accessed 23 July 2016)

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Pearls
The Legacy of Past Pandemics: Common Human Mutations That Protect against Infectious Disease
Kelly J. Pittman, Luke C. Glover, Liuyang Wang, Dennis C. Ko
| published 21 Jul 2016 | PLOS Pathogens
http://dx.doi.org/10.1371/journal.ppat.1005680
[Initial text]
For millennia, pathogens and human hosts have engaged in a perpetual struggle for supremacy. From the earliest recorded smallpox epidemics around 1350 B.C.E to the Black Death due to Yersinia pestis in the Middle Ages and continuing to modern times with HIV, there has been a continuous clash between pathogens and human hosts. But past pandemics are more than just ancient history—they are drivers of human genetic diversity and natural selection. Pathogens can dramatically decrease survival and reproductive potential, leading to selection for resistance alleles and elimination of susceptibility alleles. Despite this persistent struggle between host and pathogen, only in the past century have we developed an understanding of some of the human genetic differences that regulate infectious disease susceptibility and severity…