Disaster Medicine and Public Health Preparedness
Volume 9 – Issue 04 – August 2015
http://journals.cambridge.org/action/displayIssue?jid=DMP&tab=currentissue

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Systematic Review
Core Competencies in Disaster Management and Humanitarian Assistance: A Systematic Review
Alba Ripoll Gallardoa1 c1, Ahmadreza Djalalia1, Marco Folettia1, Luca Ragazzonia1, Francesco Della Cortea1, Olivera Lupescua2, Chris Arculeoa3, Gotz von Arnima4, Tom Friedla4, Michael Ashkenazia5, Philipp Fishera5, Boris Hreckovskia6, Amir Khorram-Manesha7, Radko Komadinaa8, Konstanze Lechnera9, Marc Stala10, Cristina Patrua11, Frederick M. Burklea12 and Pier Luigi Ingrassiaa1
a1 CRIMEDIM, Università del Piemonte Orientale, Novara, Italy
a2 URGENTA, Clinical Emergency Hospital, Bucharest, Romania
a3 Hanover Associates, Teddington, London, UK
a4 NHCS, National Health Career School of Management, Hennigsdorf/Berlin,Germany
a5 Bonn International Center for Conversion, Bonn, University Clinic Bonn Department of Orthopedics and Trauma Surgery, Bonn, Germany
a6 CROUMSA, Croatian Urgent Medicine and Surgery Association, Slav. Brod, Croatia
a7 Prehospital and Disaster Medicine Centre, Sahlgrenska Academy, Gothenburg, Sweden
a8 SBC, General & Teaching Hospital Celje, Medical Faculty Ljubljana, Slovenia
a9 German Aerospace Center (DLR), Oberpfaffenhofen, Germany
a10 Global Risk Forum GRF Davos, Davos, Switzerland
a11 Clinical Emergency Hospital Bucharest, Romania
a12 Harvard Humanitarian Initiative, Cambridge, Massachusetts
Abstract
Disaster response demands a large workforce covering diverse professional sectors. Throughout this article, we illustrate the results of a systematic review of peer-reviewed studies to identify existing competency sets for disaster management and humanitarian assistance that would serve as guidance for the development of a common disaster curriculum. A systematic review of English-language articles was performed on PubMed, Google Scholar, Scopus, ERIC, and Cochrane Library. Studies were included if reporting competency domains, abilities, knowledge, skills, or attitudes for professionals involved disaster relief or humanitarian assistance. Exclusion criteria included abstracts, citations, case studies, and studies not dealing with disasters or humanitarian assistance. Thirty-eight papers were analyzed. Target audience was defined in all articles. Five references (13%) reported cross-sectorial competencies. Most of the articles (81.6%) were specific to health care. Eighteen (47%) papers included competencies for at least 2 different disciplines and 18 (47%) for different professional groups. Nursing was the most widely represented cadre. Eighteen papers (47%) defined competency domains and 36 (94%) reported list of competencies. Nineteen articles (50%) adopted consensus-building to define competencies, and 12 (31%) included competencies adapted to different professional responsibility levels. This systematic review revealed that the largest number of papers were mainly focused on the health care sector and presented a lack of agreement on the terminology used for competency-based definition. (Disaster Med Public Health Preparedness. 2015;9:430–439)

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Original Research
The Public Sphere in Emerging Infectious Disease Communication: Recipient or Active and Vocal Partner?
Anat Gesser-Edelsburga1 c1, Yaffa Shir-Raza2, Nathan Waltera2, Emilio Mordinia3, Dimitris Dimitrioua4, James J. Jamesa5 and Manfred S. Greena1
a1 School of Public Health, University of Haifa, Haifa, Israel
a2 Department of Communication, University of Haifa, Haifa, Israel
a3 Responsible Technology SAS, Paris, France
a4 Zadig Communication, Information and Education in Science, Rome, Italy
a5 Society for Disaster Medicine and Public Health, Rockville, MD
ABSTRACT
Objective
Recent years have seen advances in theories and models of risk and crisis communication, with a focus on emerging epidemic infection. Nevertheless, information flow remains unilateral in many countries and does not take into account the public’s polyvocality and the fact that its opinions and knowledge often “compete” with those of health authorities. This article addresses the challenges organizations face in communicating with the public sphere.
Methods
Our theoretical approach is conceptualized through a framework that focuses on the public sphere and that builds upon existing guidelines and studies in the context of health and pandemics. We examine how health organizations cope with the public’s transformation from recipients to an active and vocal entity, ie, how and to what extent health organizations address the public’s anxiety and concerns arising in the social media during outbreaks.
Results Although international organizations have aspired to relate to the public as a partner, this article identifies notable gaps.
Conclusions
Organizations must involve the public throughout the crisis and conduct dialogues free of prejudices, paternalism, and preconceptions. Thereby, they can impart precise and updated information reflecting uncertainty and considering cultural differences to build trust and facilitate cooperation with the public sphere. (Disaster Med Public Health Preparedness. 2015;9:447–458)

The European Journal of Public Health
Volume 25, Issue 4, 1 August 2015
http://eurpub.oxfordjournals.org/content/25/4

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Access to healthcare for undocumented migrants with communicable diseases in Germany: a quantitative study
Maren Mylius, Andreas Frewer
DOI: http://dx.doi.org/10.1093/eurpub/ckv023 582-586 First published online: 15 March 2015
Abstract
Background:
Migrants without residence permits are de facto excluded from access to healthcare in Germany. There is one exception in relevant legislation: in the case of sexually transmitted infections and tuberculosis, the legislator has instructed the local Public Health Authorities to offer free and anonymous counseling, testing and, if necessary, treatment in case of apparent need. Furthermore, recommended vaccinations may be carried out free of charge. This study intends to comprehensively capture the services for undocumented migrants at Public Health Authorities in Germany.
Methods:
An e-mail survey of all Local Public Health Authorities (n = 384) in Germany was carried out between January and March 2011 using a standardized questionnaire.
Results:
One hundred thirty-nine of 384 targeted local Health Authorities completed the questionnaire (36.2%), of which approximately a quarter (n = 34) reported interaction with ‘illegal’ immigrants. Twenty-give authorities (18.4%) gave the indication to carry out treatment. This outpatient treatment option is mostly limited to patients afflicted with sexually transmitted infections with the distinct exception of human immunodeficiency virus/acquired immune deficiency syndrome.
Conclusions:
The study highlights the gap between legislation and the reality of restricted access to medical services for undocumented migrants in Germany. It underlines the need of increased financial and human resources in Public Health Authorities and, overall, the simplification of national legislation to assure the right to healthcare.

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Severe maternal morbidity associated with maternal birthplace in three high-immigration settings
Marcelo L. Urquia, Richard H. Glazier, Laust Mortensen, Anne-Marie Nybo-Andersen, Rhonda Small, Mary-Ann Davey, Mattias Rööst, Birgitta Essén,
DOI: http://dx.doi.org/10.1093/eurpub/cku230 620-625 First published online: 13 January 2015
Abstract
Background:
Maternal mortality and morbidity vary substantially worldwide. It is unknown if these geographic differences translate into disparities in severe maternal morbidity among immigrants from various world regions. We assessed disparities in severe maternal morbidity between immigrant women from various world regions giving birth in three high-immigration countries. Methods:
We used population-based delivery data from Victoria; Australia and Ontario, Canada and national data from Denmark, in the most recent 10-year period ending in 2010 available to each participating centre. Each centre provided aggregate data according to standardized definitions of the outcome, maternal regions of birth and covariates for pooled analyses. We used random effects and stratified logistic regression to obtain odds ratios (ORs) with 95% confidence intervals (95% CIs), adjusted for maternal age, parity and comparability scores.
Results:
We retrieved 2,322,907 deliveries in all three receiving countries, of which 479,986 (21%) were to immigrant women. Compared with non-immigrants, only Sub-Saharan African women were consistently at higher risk of severe maternal morbidity in all three receiving countries (pooled adjusted OR: 1.67; 95% CI: 1.43, 1.95). In contrast, both Western and Eastern European immigrants had lower odds (OR: 0.82; 95% CI: 0.70, 0.96 and OR: 0.64; 95% CI: 0.49, 0.83, respectively). The most common diagnosis was severe pre-eclampsia followed by uterine rupture, which was more common among Sub-Saharan Africans in all three settings.
Conclusions:
Immigrant women from Sub-Saharan Africa have higher rates of severe maternal morbidity. Other immigrant groups had similar or lower rates than the majority locally born populations.

Global Public Health
Volume 10, Issue 7, 2015
http://www.tandfonline.com/toc/rgph20/current

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Policy responses to HIV/AIDS in Central Asia
DOI:10.1080/17441692.2015.1043313
Svetlana Anckera* & Bernd Rechelb
pages 817-833
Published online: 20 Jul 2015
Abstract
The countries of Central Asia (Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan) are confronted with one of the fastest growing HIV/AIDS epidemics worldwide, largely driven through injecting drug use. This article, based on a review of academic and grey literature, explores how they have responded. We find major similarities and differences across the region. At one extreme is Turkmenistan, which denies that there is any problem, does not offer harm reduction services or HIV/AIDS treatment and does not report any meaningful data to the international community. Uzbekistan is also pretty closed to outside influences, has discontinued its opioid substitution project and shares with Turkmenistan the legal prohibition of male-to-male sex. Kyrgyzstan originally led many progressive approaches in the region and, like neighbouring Tajikistan, has received substantial assistance by international agencies, in particular the Global Fund. Kazakhstan, with a much higher gross domestic product per capita, has taken on the financing of harm reduction activities through its national budget and has liberalised its drug policies. Yet, across the region punitive approaches to injecting drug use and people living with HIV/AIDS persist as do stigma and discrimination, while coverage with harm reduction programmes and treatment services is still low although with substantial variation across countries.

The experience of cash transfers in alleviating childhood poverty in South Africa: Mothers’ experiences of the Child Support Grant
Open access
DOI:10.1080/17441692.2015.1007471
Wanga Zembe-Mkabilea*, Rebecca Surrenderb, David Sandersc, Debra Jacksonc & Tanya Dohertyacd
pages 834-851
Published online: 16 Feb 2015
Abstract
Cash transfer (CT) programmes are increasingly being used as policy instruments to address child poverty and child health outcomes in developing countries. As the largest cash-transfer programme in Africa, the South African Child Support Grant (CSG) provides an important opportunity to further understand how a CT of its kind works in a developing country context. We explored the experiences and views of CSG recipients and non-recipients from four diverse settings in South Africa. Four major themes emerged from the data: barriers to accessing the CSG; how the CSG is utilised and the ways in which it makes a difference; the mechanisms for supplementing the CSG; and the impact of not receiving the grant. Findings show that administrative factors continue to be the greatest barrier to CSG receipt, pointing to the need for further improvements in managing queues, waiting times and coordination between departments for applicants trying to submit their applications. Many recipients, especially those where the grant was the only source of income, acknowledged the importance of the CSG, while also emphasising its inadequacy. To maximise their impact, CT programmes such as the CSG need to be fully funded and form part of a broader basket of poverty alleviation strategies.

International Journal of Infectious Diseases
August 2015 Volume 37, p1
http://www.ijidonline.com/current

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Editorial
Middle East Respiratory Syndrome – need for increased vigilance and watchful surveillance for MERS-CoV in sub-Saharan African Africa
Alimuddin Zumla, Roxana Rustomjee, Francine Ntoumi, Peter Mwaba, Matthew Bates, Markus Maeurer, David S. Hui, Eskild Petersen
p77–79
Published online: June 30 2015
Open Access
Abstract
The past two decades have witnessed the emergence of several new and old respiratory tract infectious diseases, which threaten global health security due to their epidemic potential.1,2 These include multi-drug resistant TB, Severe Acute Respiratory Syndrome (SARS), avian and swine influenza and more recently the Middle East Respiratory Syndrome (MERS). MERS is a new zoonotic disease of humans caused by a coronavirus (MERS-CoV) which was first isolated in September, 2012 from a patient who died from a severe respiratory disease in Jeddah Saudi Arabia.

Outbreak of varicella in a highly vaccinated preschool population
Jiye Fu, Juguang Wang, Chu Jiang, Rujing Shi, Tianwei Ma
Beijing Haidian Center for Disease Control and Prevention, NO.5 Xibeiwang 2nd Road, Haidian district, Beijing 100094, People’s Republic of China
Corresponding Editor: Eskild Petersen, Aarhus, Denmark
Open Access
DOI: http://dx.doi.org/10.1016/j.ijid.2015.06.003
Highlights
:: Breakthrough varicella may be as infectious as varicella in unvaccinated persons.
:: The potential for transmission due to breakthrough varicella should be focused on.
:: No increased risk for breakthrough varicella was found in 1-dose vaccine recipients.
:: High 1-dose varicella vaccination coverage is not sufficient to prevent outbreak.
:: To control varicella outbreak, a second dose may deserve additional consideration.
Summary
Background
Varicella vaccine is available for private purchase in Beijing, with single dose recommended for children aged ≥12 months before 2013. Despite the success achieved in reducing varicella incidence, varicella outbreaks continued to occur, including in schools and kindergartens among highly vaccinated children. We investigated a varicella outbreak in a preschool with high varicella vaccination coverage in Haidian district, Beijing.
Methods
Through questionnaires, data including children’s medical and vaccination history were collected from their parents. A case of varicella was defined as an acute, generalized, maculopapulovesicular rash without other apparent cause in a child in the preschool from March 10 through March 29, 2010. Attack rates in vaccinated and unvaccinated children were calculated, and the analyses of vaccine effectiveness (VE) and of risk factors for breakthrough disease (varicella occurring >42 days after vaccination) were conducted.
Results
A total of 12 cases occurred during the outbreak, and ten of them (83.3%) had breakthrough varicella. The index case with mild varicella occurred in a child who had been vaccinated four years previously. Questionnaires were returned for all of 150 children in the preschool. Of all the 150 children, 144 (96.0%) had no prior history of varicella disease. Among these children, 135(93.7%) had received single-dose varicella vaccine before the outbreak. VE was 84.5% [95% confidence interval (CI): 62.8%∼93.5%] in preventing varicella of any severity, and VE was 92.2% (95% CI: 81.4%∼96.8%) against moderate to severe varicella. Age at vaccination (<15 months vs. ≥15 months) and time since vaccination before the outbreak (<3 years vs. ≥3 years) were not associated with the increased risk of breakthrough varicella(P=0.124 and 1, respectively). All the varicella cases with vaccination history verified through immunization records had received varicella vaccine and measles-mumps-rubella vaccine >30 days apart.
Conclusions
Breakthrough infection with fever in vaccinated person may be as infectious as varicella in unvaccinated persons. High single-dose varicella vaccination coverage is effective in reducing varicella incidence, but not sufficient to prevent outbreak. To control varicella outbreak a second dose may deserve additional consideration.

Journal of Humanitarian Logistics and Supply Chain Management
Volume 5 Issue 2
http://www.emeraldinsight.com/toc/jhlscm/5/2

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Measuring while moving (humanitarian supply chain performance measurement – status of research and current practice)
Charles D’Haene (Médecins Sans Frontières, Brussels, Belgium).
Sara Verlinde (Research Group MOBI (Mobility, Logistics and Automotive Technology), Vrije Universiteit Brussel, Brussels, Belgium)
Cathy Macharis (Research Group MOBI (Mobility, Logistics and Automotive Technology), Vrije Universiteit Brussel, Brussels, Belgium)
DOI http://dx.doi.org/10.1108/JHLSCM-04-2013-0016
Abstract:
Purpose
– Raising standards are leading humanitarians to become increasingly interested in measuring the performance of their supply chain. A few researchers have addressed this topic, building on classical measurement theories and trying to identify the salient features of the humanitarian sector. This young body of literature must now be tested against current practice. The paper aims to discuss these issues.
Design/methodology/approach
– The practitioners’ perspective is explored through a multiple case study, based on qualitative evidence, within three major humanitarian organizations. Results are discussed using a situation-actor-process – learning-action-performance model of inquiry. Preceding this investigation, a literature review delves into research on humanitarian supply chain performance measurement and presents the most relevant pieces in a general framework.
Findings
– Humanitarians have elaborated measures whose essential focus is laid on service level. The more comprehensive approach advocated by researchers has received some consideration but is still poorly implemented. An issue that is given more priority by humanitarians is the accelerated supply chain integration they are going through.
Originality/value
– In addition to an unprecedented literature review, this paper offers a comparative study of humanitarian organizations’ practices in the field of supply chain performance measurement. Humanitarian procurement centres, virtually ignored in literature until now, are scrutinized at a turning point of their evolution.

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Three dimensional printing – a key tool for the humanitarian logistician?
Peter Tatham (Department of International Business and Asian Studies, Griffith Business School, Griffith University, Gold Coast, Australia)
Jennifer Loy (Queensland College of Art, Griffith University, Gold Coast, Australia)
Umberto Peretti (Department of Management and Engineering, University of Padova, Vicenza, Italy)
DOI http://dx.doi.org/10.1108/JHLSCM-01-2014-0006
Abstract:
Purpose
– 3D printing (3DP), which is technically known as additive manufacturing, is being increasingly used for the development of bespoke products within a broad range of commercial contexts. The purpose of this paper is to investigate the potential for this technology to be used in support of the preparation and response to a natural disaster or complex emergency and as part of developmental activities, and to offer a number of key insights following a pilot trial based in the East African HQ of a major international non-governmental organisation.
Design/methodology/approach
– Using an illustrative example from the water, sanitation and hygiene (WASH) field this paper demonstrates, from both a theoretical and practical standpoint, how 3DP has the potential to improve the efficiency and effectiveness of humanitarian logistic (HL) operations.
Findings
– Based on the pilot trial, the paper confirms that the benefits of 3DP in bespoke commercial contexts – including the reduction of supply chain lead times, the use of logistic postponement techniques and the provision of customised solutions to meet unanticipated operational demands – are equally applicable in a humanitarian environment. It also identifies a number of key challenges that will need to be overcome in the operationalisation of 3DP in a development/disaster response context, and proposes a hub-and-spoke model – with the design and testing activities based in the hub supporting field-based production at the spokes – to mitigate these.
Research limitations/implications
– In addition to an extensive review of both the HL and additive manufacturing literature, the results of the pilot trial of 3DP in support of humanitarian operations, are reported. The paper recommends further detailed analysis of the underpinning cost model together with further field trials of the recommended organisational construct and testing of the most appropriate materials for a given artefact and environment.
Practical implications
– 3DP has the potential to improve the response to disasters and development operations through the swift production of items of equipment or replacement spare parts. With low capital and running costs, it offers a way of mitigating delays in the supply chain through on site fabrication to meet an identified requirement more swiftly and effectively than via the traditional re-supply route, and it allows for adaptive design practice as multiple iterations of a product are possible in order to optimise the design based on field testing.
Social implications
– The logistic challenges of responding in a disaster affected or development environment are well documented. Successful embodiment of 3DP as part of the humanitarian logistician’s portfolio of operational techniques has the potential to deliver more efficient and effective outcomes in support of the beneficiaries as well as a sense of empowerment in relation to problem solving. In addition, it has the longer term potential for the creation of a new industry (and, hence, income source) for those living in remote locations.
Originality/value
– The research demonstrates that, whilst 3DP is increasingly found in a commercial environment, its use has not previously been trialled in a humanitarian context. The research reported in this paper confirms the potential for 3DP to become a game-changer, especially in locations which are logistically difficulty to support.

Journal of Immigrant and Minority Health
Volume 17, Issue 4, August 2015
http://link.springer.com/journal/10903/17/4/page/1

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HPV Awareness and Vaccine Willingness Among Dominican Immigrant Parents Attending a Federal Qualified Health Clinic in Puerto Rico
Vivian Colón-López, Valerie Quiñones, Lizbeth M. Del Toro-Mejías, Alexandra Conde-Toro, Michelle J. Serra-Rivera, Tania M. Martínez, Verónica Rodríguez, Luis Berdiel,
Héctor Villanueva
Abstract
The purpose of this study was to describe the socio-demographic characteristics, awareness of human papillomavirus (HPV), and willingness to vaccinate among a convenience sample of 60 immigrant Dominican parents of adolescent sons in a Federal Qualified Health Clinic in Puerto Rico. Participation involved completing a self-administered survey. Even though more than half of the parents had not received proper HPV vaccine orientation from healthcare provider (58.3 %) nor asked provider for vaccination recommendation for their adolescent sons (56.7 %), most parents were aware of HPV (91.7 %) and HPV vaccination among males (55.0 %). Among those with unvaccinated sons, willingness to vaccinate the son within the next year was high (83.8 %). The low vaccination percentage (31.7 %) and information exchange between the parents and the son’s healthcare provider indicates an opportunity for future culturally tailored interventions to target HPV vaccination among healthcare providers and parents of foreign descent in order to increase HPV vaccine uptake among males.

Effect of Influenza Vaccination on Acute Respiratory Symptoms in Malaysian Hajj Pilgrims
Habsah Hasan, Zakuan Zainy Deris, Siti Amrah Sulaiman, Mohd Suhaimi Abdul Wahab, Nyi Nyi Naing, Zulkefle Ab Rahman, Nor Hayati Othman
Abstract
Respiratory illness were a major problem and caused high hospital admission during hajj seasons. One of the contributing cause to this illness is infection. Various measures had been implemented to reduce respiratory infections. The aim on the study is to determine the effect of influenza vaccination against acute respiratory illness among Malaysian Hajj pilgrims. This is an observational cohort study. Influenza vaccination was given to pilgrims at least 2 weeks prior to departure. The occurrence of symptoms for respiratory illness such as cough, fever, sore throat and runny nose was monitored daily for 6 weeks during pilgrimage using a health diary. A total of 65 vaccinated hajj pilgrims and 41 controls were analyzed. There was no significant difference in pattern of occurrence of symptoms of respiratory illness by duration of pilgrimage as well as the number of symptoms between both groups. Hajj pilgrims have frequent respiratory symptoms. We were unable to document benefit from influenza vaccination, but our study was limited by a small sample size and lack of laboratory testing for influenza.

The Lancet
Jul 25, 2015 Volume 386 Number 9991 p311-402
http://www.thelancet.com/journals/lancet/issue/current

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Editorial
Financing global health: the poverty of nations
The Lancet
DOI: http://dx.doi.org/10.1016/S0140-6736(15)61392-7
Summary
The Addis Ababa Action Agenda (AAAA), the outcome from the first of three meetings in 2015 intended to set the course for the next 15 years of sustainable development, is remarkable only for its alliteration. The third Financing for Development conference (FFD3), which followed meetings in Monterrey, Mexico, in 2002 and Doha, Qatar, in 2008, was an opportunity for the world to restate its vision of a shared, sustainable, prosperous future, and to make plans for achieving it. In this, FFD3 was a resounding disappointment.

Editorial
Ending institutionalisation of children
The Lancet
DOI: http://dx.doi.org/10.1016/S0140-6736(15)61394-0
Summary
Childhood is a time when the seeds of a person’s future health and wellbeing are sown. Ideally, it happens within a family setting that provides individualised care in a loving, safe, enriching, and happy environment. Sadly, more than 8 million vulnerable children worldwide do not have access to such care and grow up in large institutions or orphanages. Such environments share conditions that can be detrimental to children, such as depersonalisation—through lack of personal possessions, care relationships, or symbols of individuality—strict routines, group treatment, and isolation from wider society.

Special Report
The World Bank under Jim Kim
Sam Loewenberg

Nonprofit and Voluntary Sector Quarterly
August 2015; 44 (4)
http://nvs.sagepub.com/content/current

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Nonprofit Collaboration With Luxury Brands – Positive and Negative Effects for Cause-Related Marketing
Silke Boenigk1, Viktoria Schuchardt2
1University of Hamburg, Germany
2Henkel Germany, Düsseldorf, Germany
Abstract
Luxury brands and nonprofit organizations (NPOs) increasingly engage in cause-related marketing (CRM) relationships. However, most previous studies analyzed CRM effects from a corporate, rather than a nonprofit, perspective. This study reverses the viewpoint to determine if luxury brand partners are beneficial for NPOs. Using a fictitious CRM cooperation between Plan International Germany and the Hotel Adlon Kempinski Berlin, two experimental studies obtained responses from 791 customers and 259 nonprofit employees/volunteers. The results show that partnering with a luxury brand can be beneficial because it enables the NPO to raise additional donations, enhances attitudes toward the nonprofit brand, and increases the chances of acquiring wealthy customers as future donors. Yet negative effects also arise, such as identification conflicts, especially among nonprofit employees and volunteers. Overall, this study reveals that nonprofit managers can pursue cooperation strategies with luxury brands—as long as they consider some important precautions.

Analysis of Audit Fees for Nonprofits
Resource Dependence and Agency Theory Approaches
Sandra Verbruggen1, Johan Christiaens2. Anne-Mie Reheul1, Tom Van Caneghem1
1KU Leuven, Campus Brussels, Belgium
2Ghent University, Ghent, Belgium
Abstract
In contrast to the extensive research on audit fees of for-profit companies, literature on nonprofit audit fees is limited. In this article, audit fee determinants are tested using a Belgian sample of nonprofits. We find that Big4 auditors charge fee premiums, and that nonprofit expert auditors charge lower fees when expertise is measured at audit partner level (as opposed to audit firm level). These findings hold after controlling for self-selection by using propensity score matching. We also address the resource dependence and agency characteristics of nonprofit audit clients and find that both are relevant in explaining audit pricing.

Nonprofit–Public Collaborations – Understanding Governance Dynamics
Chris Cornforth1, John Paul Hayes1, Siv Vangen1
1Open University Business School, Milton Keynes, UK
Abstract
As many of the challenges facing society are too complex to be addressed by single organizations working alone, nonprofit organizations are increasingly working in collaboration with public authorities. The governance of nonprofit–public collaborations is important for their effectiveness, yet it remains poorly understood. Drawing on case study research, this article examines and develops an extant conceptual model developed by Takahashi and Smutny that seeks to explain the formation and demise of nonprofit collaborations in terms of “collaborative windows” and the inability to adapt initial governance structures. The research finds that while initial governance structures are an important constraint on development, they can be adapted and changed. It also suggests that the development of collaborations is not only influenced by changes in the collaborative window but also by how key actors in the collaboration respond to important internal tensions.

PLoS Medicine
http://www.plosmedicine.org/
(Accessed 25 July 2015)

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Guidelines and Guidance
Individual Participant Data (IPD) Meta-analyses of Randomised Controlled Trials: Guidance on Their Use
Jayne F. Tierney, Claire Vale, Richard Riley, Catrin Tudur Smith, Lesley Stewart, Mike Clarke,
Maroeska Rovers
Published: July 21, 2015
DOI: 10.1371/journal.pmed.1001855
Summary Points
:: Systematic reviews are most commonly based on aggregate data extracted from publications or obtained from trial investigators.
:: Systematic reviews involving the central collection and analysis of individual participant data (IPD) usually are larger-scale, international, collaborative projects that can bring about substantial improvements to the quantity and quality of data, give greater scope in the analyses, and provide more detailed and robust results.
:: The process of collecting, checking, and analysing IPD is more complex than for aggregate data, and not all IPD meta-analyses are done to the same standard, making it difficult for researchers, clinicians, patients, policy makers, funders, and publishers to judge their quality.
:: Following our step-by-step guide will help reviewers and users of IPD meta-analyses to understand them better and recognise those that are well designed and conducted and so help ensure that policy, practice, and research are informed by robust evidence about the effects of interventions.

PLoS One
http://www.plosone.org/
[Accessed 25 July 2015]

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Research Article
School-Age Children Are a Reservoir of Malaria Infection in Malawi
Jenny A. Walldorf, Lauren M. Cohee, Jenna E. Coalson, Andy Bauleni, Kondwani Nkanaunena,
Atupele Kapito-Tembo, Karl B. Seydel, Doreen Ali, Don Mathanga, Terrie E. Taylor, Clarissa alim, Miriam K. Laufer
Published: July 24, 2015
DOI: 10.1371/journal.pone.0134061
Abstract
Malaria surveillance and interventions in endemic countries often target young children at highest risk of malaria morbidity and mortality. We aimed to determine whether school-age children and adults not captured in surveillance serve as a reservoir for malaria infection and may contribute to malaria transmission. Cross-sectional surveys were conducted in one rainy and one dry season in southern Malawi. Demographic and health information was collected for all household members. Blood samples were obtained for microscopic and PCR identification of Plasmodium falciparum. Among 5796 individuals aged greater than six months, PCR prevalence of malaria infection was 5%, 10%, and 20% in dry, and 9%, 15%, and 32% in rainy seasons in Blantyre, Thyolo, and Chikhwawa, respectively. Over 88% of those infected were asymptomatic. Participants aged 6–15 years were at higher risk of infection (OR=4.8; 95%CI, 4.0–5.8) and asymptomatic infection (OR=4.2; 95%CI, 2.7–6.6) than younger children in all settings. School-age children used bednets less frequently than other age groups. Compared to young children, school-age children were brought less often for treatment and more often to unreliable treatment sources. Conclusion: School-age children represent an underappreciated reservoir of malaria infection and have less exposure to antimalarial interventions. Malaria control and elimination strategies may need to expand to include this age group.

Investigation of a Measles Outbreak in China to Identify Gaps in Vaccination Coverage, Routes of Transmission, and Interventions
Xiang Zheng, Ningjing Zhang, Xiaoshu Zhang, Lixin Hao, Qiru Su, Haijun Wang, Kongyan Meng, Binglin Zhang, Jianfeng Liu, Huaqing Wang, Huiming Luo, Li Li, Hui Li, Chao Ma
Research Article | published 24 Jul 2015 | PLOS ONE 10.1371/journal.pone.0133983

Effect of Restricting Access to Health Care on Health Expenditures among Asylum-Seekers and Refugees: A Quasi-Experimental Study in Germany, 1994–2013
Kayvan Bozorgmehr, Oliver Razum
Research Article | published 22 Jul 2015 | PLOS ONE 10.1371/journal.pone.0131483

PNAS – Proceedings of the National Academy of Sciences of the United States of America
http://www.pnas.org/content/early/
(Accessed 25 July 2015)

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Global trends in infectious diseases at the wildlife–livestock interface
Anke K. Wiethoeltera, Daniel Beltrán-Alcrudob, Richard Kockc, and Siobhan M. Mora,d,1
Author Affiliations
Significance
Infectious diseases at the wildlife–livestock interface threaten the health and well-being of wildlife, livestock, and human populations, and contribute to significant economic losses to each sector. No studies have sought to characterize the diseases and animals involved on a global level. Using a scoping review framework we show that 10 diseases—mostly zoonoses—have accounted for half of the published research in this area over the past century. We show that relatively few interfaces can be considered important from a disease ecology perspective. These findings suggest that surveillance and research strategies that target specific wildlife–livestock interfaces may yield the greatest return in investment.
Abstract
The role and significance of wildlife–livestock interfaces in disease ecology has largely been neglected, despite recent interest in animals as origins of emerging diseases in humans. Scoping review methods were applied to objectively assess the relative interest by the scientific community in infectious diseases at interfaces between wildlife and livestock, to characterize animal species and regions involved, as well as to identify trends over time. An extensive literature search combining wildlife, livestock, disease, and geographical search terms yielded 78,861 publications, of which 15,998 were included in the analysis. Publications dated from 1912 to 2013 and showed a continuous increasing trend, including a shift from parasitic to viral diseases over time. In particular there was a significant increase in publications on the artiodactyls–cattle and bird–poultry interface after 2002 and 2003, respectively. These trends could be traced to key disease events that stimulated public interest and research funding. Among the top 10 diseases identified by this review, the majority were zoonoses. Prominent wildlife–livestock interfaces resulted largely from interaction between phylogenetically closely related and/or sympatric species. The bird–poultry interface was the most frequently cited wildlife–livestock interface worldwide with other interfaces reflecting regional circumstances. This review provides the most comprehensive overview of research on infectious diseases at the wildlife–livestock interface to date.

Reproductive Health
http://www.reproductive-health-journal.com/supplements/12/S1
[Accessed 25 July 2015]

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Research
Exposure to family planning messages and modern contraceptive use among men in urban Kenya, Nigeria, and Senegal: a cross-sectional study
Chinelo Okigbo, Ilene Speizer, Meghan Corroon, Abdou Gueye
Reproductive Health 2015, 12:63 (22 July 2015)

Study protocol
How women are treated during facility-based childbirth: development and validation of measurement tools in four countries – phase 1 formative research study protocol
Joshua Vogel, Meghan Bohren, Özge Tunçalp, Olufemi Oladapo, Richard Adanu, Mamadou Baldé, Thae Maung, Bukola Fawole, Kwame Adu-Bonsaffoh, Phyllis Dako-Gyeke, Ernest Maya, Mohamed Camara, Alfa Diallo, Safiatou Diallo, Khin Wai, Theingi Myint, Lanre Olutayo, Musibau Titiloye, Frank Alu, Hadiza Idris, Metin Gülmezoglu, On behalf of the WHO Research Group on the Treatment of Women During Childbirth
Reproductive Health 2015, 12:60 (22 July 2015)

Revista Panamericana de Salud Pública/Pan American Journal of Public Health (RPSP/PAJPH)
June 2015 Vol. 37, No. 6
http://www.paho.org/journal/

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Estratégias de desenvolvimento, acompanhamento e avaliação do atendimento da gestante no ciclo gravídico-puerperal [Strategies for development, follow-up, and assessment of care provided to women in the pregnancy-postnatal cycle]
Cristyanne Samara Miranda de Holanda, João Carlos Alchieri, Fátima Raquel Rosado Morais e Técia Maria de Oliveira Maranhão

Moving toward universal access to health and universal health coverage: a review of comprehensive primary health care in Suriname [Avanzando hacia el acceso universal a la salud y la cobertura universal de salud: un análisis de la atención primaria de salud integral en Suriname]
Stephanie Laryea, Hedwig Goede, and Francoise Barten

Regulatory transparency: social, technical, and ethical aspects of clinical trial data access [Transparencia reglamentaria: aspectos sociales, técnicos y éticos del acceso a los datos de los ensayos clínicos]
Varley Dias Sousa and Dâmaris Silveira

A comprehensive protocol to evaluate the use of blood and its components in Latin America and the Caribbean [Un protocolo integral para evaluar el uso de la sangre y sus componentes en América Latina y el Caribe]
Ana E. del Pozo, Maria D. Pérez-Rosales, Cesar de Almeida-Neto, Mirta C. Remesar, Armando D. Cortes, Raquel Baumgratz Delgado, Alfredo Mendrone Jr., and Ester Sabino

Science
24 July 2015 vol 349, issue 6246, pages 341-448
http://www.sciencemag.org/current.dtl

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Policy Forum
Public Health
Toward an HIV vaccine: A scientific journey
Anthony S. Fauci1,*, Hilary D. Marston2
Author Affiliations
1Anthony S. Fauci M.D. is the Director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, Bethesda, MD 20892, USA.
2Hilary D. Marston M.D., M.P.H. is a Medical Officer and Policy Advisor for Global Health at the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, Bethesda, MD 20892, USA.
Summary
In the face of a global pandemic, the search for an effective vaccine against the human immunodeficiency virus (HIV) remains an urgent priority. From the first HIV vaccine trials in the 1980s to the present, a tension has existed between the desire to move quickly to clinical trials to stem the spread of the epidemic and the view that research into HIV pathogenesis and host immunity were necessary predicates to and informative of vaccine design. Those advocating the first strategy—an empirical (or inductive) approach—argued that in vitro and animal studies were poorly predictive of the human response to HIV infection and that the only way to gauge vaccine efficacy was to test candidates in humans. Those advocating the second strategy—a theoretical (or deductive) approach—hoped to establish an understanding of the immune response to natural infection and to find ways to recapitulate and enhance that response through vaccination. Today, these approaches are coalescing into concomitant paths toward a safe and effective HIV vaccine.

Stability: International Journal of Security & Development
http://www.stabilityjournal.org/articles
[accessed 25 July 2015]

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Research Article
The Geography of Justice: Assessing Local Justice in Colombia’s Post-Conflict Phase
Mauricio García-Villegas, Jose Espinosa
Abstract
This article combines descriptive empirical research with theoretical reflections to offer policy guidelines on what the role of local justice institutions in Colombia’s post-conflict phase should be. The article is divided into two parts. In the first, we present empirical evidence to illustrate the ways in which justice operates differently across the territory. In addition to illustrating these disparities, we also demonstrate the connection between these disparities and some phenomena relevant to understanding the Colombian conflict. Based on these findings, the second part of this article defines the state-building challenge confronted by the Colombian State during the post-conflict phase. Following this part, we propose a solution to this state-building challenge: the State must adopt a combination of efficacy and justice, and we provide guidelines on how a post-conflict justice system can operate to achieve that combination.

The Sentinel

Human Rights Action :: Humanitarian Response :: Health ::
Holistic Development :: Sustainable Resilience
__________________________________________________
Week ending 25 July 2015

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

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

pdf version: The Sentinel_ week ending 25 July 2015

blog edition: comprised of the 35+ entries to be posted below on 26 July 2015

The Sentinel

Human Rights Action :: Humanitarian Response :: Health ::
Holistic Development :: Sustainable Resilience
__________________________________________________
Week ending 18 July 2015

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

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

pdf version: The Sentinel_ week ending 18 July 2015

blog edition: comprised of the 35+ entries to be posted below on 19 July 2015

Editor’s Note:
Another key milestone was reached in the SDG process last week with the Third International Conference on Financing for Development in Addis Ababa. We provide the text of selected key documents below.

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Outcome Document: Addis Ababa Action Agenda
16 July 2015 :: 39 pages

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Press Release
Countries reach historic agreement to generate financing for new sustainable development agenda
16 July 2015, Addis Ababa
Countries today agreed on a series of bold measures to overhaul global finance practices and generate investments for tackling a range of economic, social and environmental challenges at the United Nations Third International Conference on Financing for Development, being held in Addis Ababa.

The groundbreaking agreement, the Addis Ababa Action Agenda, provides a foundation for implementing the global sustainable development agenda that world leaders are expected to adopt this September. The agreement was reached by the 193 UN Member States attending the Conference, following negotiations under the leadership of Ethiopian Foreign Minister Tedros Adhanom Ghebreyesus.

The agreement, adopted after months of negotiations between countries, marks a milestone in forging an enhanced global partnership that aims to foster universal, inclusive economic prosperity and improve people’s well-being while protecting the environment.

UN Secretary-General Ban Ki-moon said, “This agreement is a critical step forward in building a sustainable future for all. It provides a global framework for financing sustainable development.” He added, “The results here in Addis Ababa give us the foundation of a revitalized global partnership for sustainable development that will leave no one behind.”

The Conference is the first of three crucial events this year that can set the world on an unprecedented path to a prosperous and sustainable future. Its outcome provides a strong foundation for countries to finance and adopt the proposed sustainable development agenda in New York in September, and to reach a binding agreement at the UN climate negotiations in Paris in December that will reduce global carbon emissions.

Financing is considered the linchpin for the success of the new sustainable development agenda, which will be driven by the implementation of 17 sustainable development goals.
Close to 150 world leaders will adopt the new goals at the Sustainable Development Summit in New York this September. The goals address global priorities including ending poverty and hunger, reducing social inequality, tackling climate change, and preserving the planet’s natural resources.

In support of implementation of the sustainable development goals, the Addis Ababa Action Agenda contains more than 100 concrete measures. It addresses all sources of finance, and covers cooperation on a range of issues including technology, science, innovation, trade and capacity building.

The Action Agenda builds on the outcomes of two previous Financing for Development conferences, in Monterrey, Mexico, and in Doha, Qatar.

Wu Hongbo, the Secretary-General of the Conference, said, “This historic agreement marks a turning point in international cooperation that will result in the necessary investments for the new and transformative sustainable development agenda that will improve the lives of people everywhere.”

Domestic resource mobilization is central to the agenda. In the outcome document, countries agreed to an array of measures aimed at widening the revenue base, improving tax collection, and combatting tax evasion and illicit financial flows. Countries also reaffirmed their commitment to official development assistance, particularly for the least developed countries, and pledged to increase South-South cooperation.

The outcome document also underscores the importance of aligning private investment with sustainable development, along with public policies and regulatory frameworks to set the right incentives. A new mechanism that will facilitate financing for new technologies for developing countries was also agreed upon.

The Addis Ababa Action Agenda includes important policy commitments and key deliverables in critical areas for sustainable development, including infrastructure, social protection and technology. There were agreements for international cooperation for financing of specific areas where significant investments are needed, such as in infrastructure for energy, transport, water and sanitation, and other areas to help realize the proposed sustainable development goals.

Countries also stressed the importance of nationally owned sustainable development strategies, supported by integrated national financing frameworks.
“We reiterate that each country has primary responsibility for its own economic and social development and that the role of national policies and development strategies cannot be overemphasized,” the agreement states.

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The Addis Ababa Action Agenda
To achieve these goals, countries also agreed to new initiatives, including on:

Technology—Countries agreed to establish a Technology Facilitation Mechanism at the Sustainable Development Summit in September to boost collaboration among governments, civil society, private sector, the scientific community, United Nations entities and other stakeholders to support the sustainable development goals.

Infrastructure—Countries agreed to establish a Global Infrastructure Forum to identify and address infrastructure gaps, highlight opportunities for investment and cooperation, and work to ensure that projects are environmentally, socially and economically sustainable.

Social protection—Countries adopted a new social compact in favour of the poor and vulnerable groups, through the provision of social protection systems and measures for all, including social protection floors.

Health—Countries agreed to consider taxing harmful substances to deter consumption and to increase domestic resources. They agreed that taxes on tobacco reduce consumption and could represent an untapped revenue stream for many countries.

Micro, small and medium-sized enterprises—Countries committed to promote affordable and stable access to credit for smaller enterprises. They also pledged to develop and operationalize a global strategy for youth employment and implement the International Labour Organization Global Jobs Pact by 2020.

Foreign aid—Countries recommitted to achieve the target of 0.7 per cent of gross national income for official development assistance, and 0.15 to 0.20 per cent for least developed countries.

A package of measures for the poorest countries—Developed countries commit to reverse the decline in aid to the poorest countries, with the European Union committing to increase its aid to least developed countries to 0.2 per cent of gross national income by 2030. They also agree to adopt or strengthen least developed countries investment promotion regimes, including with financial and technical support. Governments also aim to operationalize the technology bank for this group of countries by 2017.

Taxation—The Agenda calls for strengthening support for the work of the UN Committee of Experts on International Cooperation in Tax Matters to improve its effectiveness and operational capacity, and the engagement with the Economic and Social Council. It emphasizes the importance of inclusive cooperation and dialogue among national tax authorities.

Climate Change—The Action Agenda calls on developed countries to implement their commitment to a goal of jointly mobilizing USD100 billion per year by 2020 from a wide variety of sources to address the needs of developing countries. Countries also committed to phase out inefficient fossil fuel subsidies that lead to wasteful consumption.

In addition, there were about 200 side events, where governments and other stakeholders announced additional commitments. These included additional aid for capacity building in the area of taxation; financing through development banks, including $400 billion from the World Bank Group, as well as establishment of new international development banks; and increased aid and philanthropic funding for social needs.

CSO FfD Forum Declaration (12 July 2015) [Civil Society]
Third International Conference on Financing for Development (Addis Ababa, July 13-16 2015)
12 July 2015 :: 22 pages
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[Introduction excerpt]
We, members of more than 600 civil society organizations and networks from around the world that have been engaged in the process leading up to and including the Third International Conference on Financing for Development (Addis Ababa, July 13-16 2015), convened a CSO Forum in advance of the conference. We have the following reflections and recommendations to convey to the Member States of the United Nations and the international community. We want to express appreciation for the participation and access civil society was accorded in the preparatory process so far.

As the first in three important UN Summits on sustainable development this year, the Addis Ababa Action Agenda (“Addis Agenda”) has the opportunity to set the tone for an ambitious and transformative agenda that will tackle the structural injustices in the current global economic system, as well as ensuring that all development finance is people-centred and protects the environment. The world faces challenges in the form of historic levels of inequality within and among countries, the confluence of financial, food and environmental crises, the under-provision of essential services and pronounced employment deficits. However, the draft outcome document does not yet rise to the challenges that the world currently faces, nor does it contain the leadership, ambition and practical actions that are necessary.

In what follows, we highlight our overarching concerns about the Addis Ababa Action Agenda (“Addis Agenda”), followed by our reflections and suggestions on its different aspects.

The Addis Agenda as it stands undermines agreements in the Monterrey Consensus of 2002 and the Doha Declaration of 2008. It is also hardly suited to function as the operational Means of Implementation (MoI) for the post-2015 development agenda, which is one of the goals of this conference, and to inspire the hope of reaching a successful agreement towards COP 21 in Paris.

The Third Financing for Development (FFD) conference must unequivocally assert that development processes should be led by countries under the ultimate responsibility of the States through participatory processes to include all right-holders. The principles of democratic ownership and leadership have been affirmed in many global forums since Monterrey and it is now time to place it at the heart of the whole financing framework as a fundamental qualification of countries’ policy space, which the draft Addis Agenda itself recalls. An enabling environment for civil society agency is essential.

Likewise, if the Third FFD conference is to contribute to the means of implementation for the Sustainable Development Goals (SDGs), the Rio principle of Common but Differentiated Responsibilities (CBDR) should be taken into account. This principle is, above all other Rio Principles, indispensable for the political legitimacy and real world impact of the FFD agenda. If appropriately applied CBDR can also serve to reinforce all countries’ abilities to fulfill commitments in areas of human rights, labor and environment.

We regret that the negotiations, rather than gearing towards a meaningful outcome, have been bogged down by political disputes which have diminished the FFD mandate to progressively address international systemic issues in macroeconomic, financial, trade, tax, and monetary policies. We strongly believe that the FFD process, underpinned by the normative function and ethos of the United Nations, enjoys the participation of its universal membership and, therefore, a legitimacy to address those issues that no other forum can boast.

It is hard to look upon the next decade and a half with great optimism based upon the Addis Agenda. Rather we fear adverse consequences across the sustainable development agenda. The FFD text has incrementally shed any ambition over the course of negotiations and international solidarity seems to have become a distant concept. Those countries that historically, and with good reason, have taken on a large part of the responsibility to lead in delivering MoI, have gone to great lengths to shed this responsibility. At the same time, the text neglects normative and systemic reforms that would enable developing countries to mobilize their own available resources. This combination makes it impossible for countries to generate the requisite resources to deliver a sustainable agenda.

We express disappointment that the Addis Agenda is almost entirely devoid of actionable deliverables. While not a pledging conference it is deplorable that a conference on financing has so far failed to scale up existing sources and commit new financial resources. This calls into question governments’ commitment to realize a development agenda as expansive and multi-dimensional as the Sustainable Development Goals (SDGs). We note in particular the opposition seen so far to a global tax body under the auspices of the UN, which would create significant sustainable financing for development through, for example, combating corporate tax dodging in developing countries.

We note with deep preoccupation the lack of ambition in undertaking responsibilities and firm commitments to foster sustainable industrialization paths based on decent work and employment opportunities. We strongly regret that the role of social dialogue is neglected when it is actually a key element to address inequalities and to contribute to overall developmental processes. Special measures are needed to address caste and analogous systems of inherited status that perpetuate exclusion and inequalities in the access to economic resources and the benefits of growth.

Concrete commitments to integrated social protection systems, including floors, which would establish universal access to public services, granting redistribution, are completely missing when addressing domestic resource mobilization. We strongly reaffirm the need for the implementation of national social protection schemes and decent work, as enshrined in the provisions of the ILO Convention 102 and Recommendation 202.

The additional steps we see in terms of addressing gender equality and women’s empowerment seem to speak more to “Gender Equality as Smart Economics” than to women and girls’ entitlement to social and economic rights. The Addis Agenda “reiterates the need for gender mainstreaming, including targeted actions and investments in the formulation and implementation of all financial, economic, environmental and social policies.” Yet, the document shows a strong tendency towards the instrumentalization of women when it states that women’s empowerment, and women and girls’ full and equal participation and leadership in the economy are vital to significantly enhance economic growth and productivity.

Controversial initiatives in micro-fields such as financial inclusion or women’s entrepreneurship should not displace attention from structural barriers for women´s economic rights and full and equal access to and control over economic resources that are not present in the Addis Agenda: i.e. the unequal distribution of unpaid care work, the lack of access to care services, the persistent gender discrimination in the labor market (through vertical and horizontal segregation, over-representation of women in precarious and low-paid jobs, and inadequate and insufficient social protection).

We caution that the optimism towards private finance to deliver a broad sustainable development agenda, which is about the social and environmental dimensions as much as it is about the economic, is misplaced. Civil society along with a number of Member States have consistently raised serious concern on the unconditional support for Public Private Partnerships and blended financing instruments. Without a parallel recognition of the developmental role of the state and commitments which safeguard the ability of the state to regulate in the public interest, there is a great risk that the private sector undermines rather than supports sustainable development. The very same risk persists, without the recognition of social partners (workers and employers organizations) as players on an equal stand. The right of social partners to freely negotiate and conclude collective agreements is essential to strengthen democracy, as well as, to enhance transparency and realize sustainable development. States have an obligation to enforce universal standards in the areas of human rights, gender equality, labor and environment, including the Convention on the Elimination of All Forms of Discrimination Against Women and the Convention on the Rights of the Child. Yet the Addis Agenda fails to demand compliance by the private sector with these standards. Financial, social and environmental accountability of the private sector is non-negotiable.

Inclusive development requires access for persons with disabilities to social and disability support services and micro finance. Investments should have safeguards to prevent the creation or perpetuation of legal, institutional, attitudinal, physical and ICT barriers to the inclusion and participation of persons with disabilities and other marginalized groups….

Confronting the Crisis of Global Governance
Report of the Commission on Global Security, Justice & Governance
June 2015 :: 158 pages
Full report pdfs:
[A4] Commission on Global Security, Justice & Governance
[Letter] Commission on Global Security, Justice & Governance
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From the Preface
…This Report targets international policymakers and a concerned global public. The project’s
main partner institutions, The Hague Institute for Global Justice and the Stimson Center, are
committed to tracking progress toward implementation of the Commission’s reform agenda and to encouraging broad-based coalitions of international actors to rally support, including for far-sighted and potentially controversial proposals. The Report and follow-on activities are complemented by background papers elaborating on particular themes addressed in the Report (and found on the Commission’s website), which will be compiled into a companion volume.

The Report has four parts:
:: Part I presents its underlying conceptual framework, defines key terms, and highlights the growing range of nonstate, substate, and regional actors that increasingly influence and participate in key elements of global governance.
:: Part II delves into the three substantive focus areas—state fragility and violent conflict, climate and people, and the hyperconnected global economy—noting challenges and opportunities and offering recommendations to fill gaps in policy or practice using innovative approaches to critical emerging issues.
:: Part III turns to the reform of existing global governance institutions. It draws on the needs and problems identified in Part II and how they might be better addressed. Part III also examines how new forms of collaboration with and among nonstate, substate, and regional actors may produce better governance results for all concerned.
:: Part IV turns to questions of follow-on work and the building of coalitions and partnerships to advocate for the implementation of the Report’s recommendations. Simply presenting the Commission’s proposals to world leaders and informed communities worldwide is not enough. They must be taken up in practice. The Report therefore concludes with a call to action to mobilize support and implement the recommended reform program on or before the seventy-fifth anniversary of the United Nations…

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Press Release
NY, DC & Berlin launches of the Commission Report
July 17, 2015 – The Hague
On Tuesday, July 14 in the Trusteeship Council Chamber of the United Nations, former U.S. Secretary of State Madeleine Albright keynoted the New York launch of the report of the Commission on Global Security, Justice & Governance, followed by a response by Mr. Steve Lamony, Senior Advisor for UN, AU and Africa Situations, Coalition for the International Criminal Court. Chaired by the Permanent Representative of The Netherlands to the United Nations, Ambassador Karel van Oosterom, the session began with opening remarks by UN Deputy Secretary-General Jan Eliasson, Ambassador Nikola Dimitrov, Distinguished Fellow at The Hague Institute, and Ms. Ellen Laipson, President of the Stimson Center.

In his opening remarks, Deputy Secretary-General Eliasson spoke about the importance of the report’s focus on both conflict prevention and post-conflict peacebuilding. In particular, he highlighted the attention given in Confronting the Crisis of Global Governance to functioning institutions and good governance, arguing that they are key for addressing the critical 21st century challenges, such as fragile states, climate change, and governing the world’s interconnected economy.

Eliasson lent support to the Commission’s call for a World Conference on Global Institutions in 2020, expressing his hope to the over 200-strong audience, which included many diplomats, civil society representatives, and UN system staff, that the conference would ideally happen before 2020 – ensuring that the UN could move into the next decade with a concrete vision and roadmap for reform…