Developing a Sustainable Nutrition Research Agenda in Sub-Saharan Africa—Findings from the SUNRAY Project

PLoS Medicine
(Accessed 1 February 2014)
http://www.plosmedicine.org/

Developing a Sustainable Nutrition Research Agenda in Sub-Saharan Africa—Findings from the SUNRAY Project
Carl Lachat equal contributor, Eunice Nago equal contributor, Dominique Roberfroid, Michelle Holdsworth, Karlien Smit, Joyce Kinabo, Wim Pinxten, Annamarie Kruger, Patrick Kolsteren mail
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001593

Summary Points
:: Here we present the findings of a collaborative effort by stakeholders in sub-Saharan Africa (SSA) to identify priorities for nutrition research and actions to create an enabling research environment.

:: 117 stakeholders from 40 countries in SSA defined priorities using participatory approaches.

:: The priority areas for nutrition research were (i) community interventions to improve nutritional status, (ii) behavioral strategies to improve nutritional status, and (iii) food security interventions to improve nutrition.

:: The priority actions for creating an enabling nutrition research environment were (i) better governance of nutrition research, (ii) alignment of nutrition research funding with priorities identified within SSA, (iii) increased capacity development for nutrition research competencies, and (iv) enhanced information sharing and communication of nutrition research findings.

:: We propose a new approach for nutrition research in SSA that stimulates a demand from SSA policy makers for research in SSA and holds them accountable for incorporating research into policy and practice.

Editorial: Aboriginal Populations and Their Neglected Tropical Diseases

PLoS Neglected Tropical Diseases
January 2014
http://www.plosntds.org/article/browseIssue.action

Editorial
Aboriginal Populations and Their Neglected Tropical Diseases
Peter J. Hotez mail
Published: January 30, 2014
DOI: 10.1371/journal.pntd.0002286

http://www.plosntds.org/article/info%3Adoi%2F10.1371%2Fjournal.pntd.0002286;jsessionid=84447999FBEE427B6A38C560D70AF48F
Extract
Although Aboriginal people make up a small percentage of the worlds population, they are disproportionately affected by poverty and neglected tropical diseases (NTDs). Unless prioritized, Aboriginal populations may be the last to receive access to essential medicines as part of global NTD elimination efforts.

An estimated 370 million people are today classified as belonging to Indigenous or Aboriginal groups [1], [2]. According to Gracey and King, included among the major criteria defining these populations are self-identification as belonging to an Indigenous group historical ties to specified geographic areas and natural resources, frequently followed by external invasion or colonization a distinct culture with beliefs and ceremonies and resolve to maintain ancestral environments and manage their own affairs [1]. However, there is not universal agreement on what constitutes an Aboriginal group, leading in some cases to exclusion or further marginalization [1]. As a whole, Aboriginal populations are disproportionately impoverished, accounting for 15 of global poverty even though they comprise only 5 of the global population [3]. Poverty, especially rural poverty, and its associated poor housing and sanitation, environmental degradation, inadequate or improper nutrition, forced migrations, and lack of access to health care, combine and synergize to create a number of adverse health consequences for Aboriginal populations [1], [2]. These include a spectrum of non-communicable diseases such as diabetes, obesity, hypertension, and cardiovascular disease (frequently related to tobacco consumption), as well as interpersonal violence and suicide often linked to alcohol and drugs [1], [2]…

Livestock production, animal source food intake, and young child growth: The role of gender for ensuring nutrition impacts

Social Science & Medicine
Volume 104,   In Progress   (March 2014)
http://www.sciencedirect.com/science/journal/02779536/104

Livestock production, animal source food intake, and young child growth: The role of gender for ensuring nutrition impacts
Original Research Article
Minchao Jin, Lora L. Iannotti

Abstract
Animal source foods (ASF) provide critical micronutrients in highly bioavailable forms, with the potential to efficiently address undernutrition among young children living in developing countries. There is limited evidence for how livestock ownership might increase ASF intake in poor households either through own-consumption or income generation. Along with lack of nutrition knowledge, gender dimensions may affect the pathways leading from livestock ownership to child ASF intake and ultimately to young child growth. Using data from a large-scale impact evaluation conducted in Kenya, this study tested the hypothesis that co-owned/female-owned livestock would be associated with improved child growth, mediated by increases in ASF consumption. Data were collected from September 2010 to January 2011 from households in six provinces in Kenya on a broad range of agricultural, economic, social, health and nutrition factors. Children ages 6–60 months were included in this analysis (n = 183). In this sample, co-owned/female-owned livestock was valued at 18,861 Kenyan shillings in contrast with male-owned livestock valued at 66,343 Kenyan shillings. Multivariate linear regression models showed a positive association between co-owned/female-owned livestock with child weight-for-age z score (WAZ) after adjusting for caregiver education level, income, child age, and child sex. A mediating effect by child ASF intake was evident, explaining 25% of the relationship of livestock ownership with child WAZ, by Sobel–Goodman test (p < .05). A trend towards significance was demonstrated for co-owned/female-owned livestock and height-for-age z score (HAZ), and no effect was apparent for weight-for-height z score (WHZ). The partial mediating effect may be indicative of other factors inherent in co-owned/female-owned livestock such as higher status of females in these households with greater influence over other child care practices promoting growth. Nonetheless, our study suggests targeting females in livestock production programming may better ensure improvements in child nutrition

Budget process bottlenecks for immunization financing in the Democratic Republic of the Congo (DRC)

Vaccine
http://www.sciencedirect.com/science/journal/0264410X/32
Volume 32, Issue 9, Pages 1029-1130 (19 February 2014)

Budget process bottlenecks for immunization financing in the Democratic Republic of the Congo (DRC)
Review Article
Jean-Bernard Le Gargasson, Benoît Mibulumukini, Bradford D. Gessner, Anaïs Colombini
Abstract
Background
In Democratic Republic of the Congo (DRC), the availability of domestic resources for the immunization program is limited and relies mostly on external donor support. DRC has introduced a series of reforms to move the country toward performance-based management and program budgets.

Methods
The objectives of the study were to: (i) describe the budget process norm, (ii) analyze the budget process in practice and associated bottlenecks at each of its phases, and (iii) collect suggestions made by the actors involved to improve the situation. Quantitative and qualitative data were collected through: a review of published and gray literature, and individual interviews.

Results
Bottlenecks in the budget process and disbursement of funds for immunization are one of the causes of limited domestic resources for the program. Critical bottlenecks include: excessive use of off-budget procedures; limited human resources and capacity; lack of motivation; interference from ministries with the standard budget process; dependency toward the development partner’s disbursements schedule; and lack of budget implementation tracking. Results show that the health sector’s mobilization rate was 59% in 2011. For the credit line specific to immunization program activities, the mobilization rate for the national Expanded Program for Immunization (EPI) was 26% in 2011 and 43% for vaccines (2010). The main bottleneck for the EPI budget line (2011) and vaccine budget line (2011) occurs at the authorization phase.

Discussion
Budget process bottlenecks identified in the analysis lead to a low mobilization rate for the immunization program. The bottlenecks identified show that a poor flow of funds causes an insufficient percentage of already allocated resources to reach various health system levels.

Trend in proportions of missed children during polio supplementary immunization activities in the African Region: Evidence from independent monitoring data 2010–2012

Vaccine
http://www.sciencedirect.com/science/journal/0264410X/32
Volume 32, Issue 9, Pages 1029-1130 (19 February 2014)

Trend in proportions of missed children during polio supplementary immunization activities in the African Region: Evidence from independent monitoring data 2010–2012
Original Research Article
Pages 1067-1071
Joseph Okeibunor, Alex Gasasira, Richard Mihigo, Mbaye Salla, Alain Poy, Godwin Orkeh, Keith Shaba, Deo Nshimirimana

Abstract
This is a comparative analysis of independent monitoring data collected between 2010 and 2012, following the implementation of supplementary immunization activities (SIAs) in countries in the three sub regional blocs of World Health Organization in the African Region. The sub regional blocs are Central Africa, West Africa, East and Southern Africa. In addition to the support for SIAs, the Central and West African blocs, threatened with importation and re-establishment of polio transmission received intensive coordination through weekly teleconferences. The later, East and Southern African bloc with low polio threats was not engaged in the intensive coordination through teleconferences. The key indicator of the success of SIAs is the proportion of children missed during SIAs. The results showed that generally there was a decrease in the proportion of children missed during SIAs in the region, from 7.94% in 2010 to 5.95% in 2012. However, the decrease was mainly in the Central and West African blocs. The East and Southern African bloc had countries with as much as 25% missed children. In West Africa and Central Africa, where more coordinated SIAs were conducted, there were progressive and consistent drops, from close to 20–10% at the maximum. At the country and local levels, steps were undertaken to ameliorate situation of low immunization uptake. Wherever an area is observed to have low coverage, local investigations were conducted to understand reasons for low coverage, plans to improve coverage are made and implemented in a coordinated manner. Lessons learned from close monitoring of polio eradication SIAs are will be applied to other campaigns being conducted in the African Region to accelerate control of other vaccine preventable diseases including cerebrospinal meningitis A, measles and yellow fever.

The introduction of new vaccines into developing countries. V: Will we lose a decade or more in the introduction of dengue vaccines to developing countries?

Vaccine
Volume 32, Issue 8, Pages 897-1028 (12 February 2014)
http://www.sciencedirect.com/science/journal/0264410X/32/8

The introduction of new vaccines into developing countries. V: Will we lose a decade or more in the introduction of dengue vaccines to developing countries?
Review Article
Richard Mahoney
Abstract
Dengue results in as many as 390 million infections annually and causes significant morbidity. A number of efforts are underway to develop vaccines against dengue. The public sector is undertaking efforts to create an enabling environment for vaccine introduction. Recent work by Brooks et al. provides a framework for analyzing which efforts should be undertaken before licensure. They conclude that actions before licensure are required to eliminate the decade or more it normally takes to introduce new vaccines into developing countries. We apply their methodology to dengue and identify a number of critical areas where public sector actions before licensure can greatly accelerate vaccine uptake.

From Google Scholar+ [to 1 February 2014]

From Google Scholar+
Selected content from beyond the journals and sources covered above, aggregated from a range of Google Scholar monitoring algorithms and other monitoring strategies.

Book: Delivering Sustainable Growth in Africa – African Farmers and Firms in a Changing World
Takahiro Fukunishi
Palgrave Macmillan, Dec 18, 2013 – 242 pages
The economic situation in Sub-Saharan Africa has recently undergone a process of change. After a long period of stagnation during the 1980s and 1990s, GDP per capita has shown significant growth in the 2000s. Although the growth rate is lower than that of East Asia, it is significantly higher than that in previous decades. The most significant factor yielding the better economic performance is the increase in commodity prices including oil, mineral and agricultural products, which are the main export products for most African countries. Another factor has been the scaling up of aid flows following the commencement of the Millennium Development Goals. The enhanced commitment of the donor community increased aid flow to Africa, which in turn increased GDP through consumption of locally sourced products and services, such as with the construction industry.

This book aims to fill the lack of micro evidences on a structural change of African producers. By collecting studies on single industries, the authors attempt to demonstrate firms’ and farmers’ responses to the recent economic trend such as growth of demand, emergence of FDI and improvement in infrastructure. Since the economic trend differs by industry, its impacts on producers can be observed more clearly by focusing on a single industry. Based on case studies, this book covers four industries in five countries that experienced significant external changes; namely, horticulture in Ghana, construction in Burkina Faso, textiles in Madagascar, agriculture in Uganda, and wood processing in Tanzania. All studies are based on original data collected through the authors’ field work.

Chapter: The Governance of Global Value Chains, Upgrading Processes and Agricultural Producers in Sub-Saharan Africa
J Keane
There have been significant structural changes in the way trade, production and marketing are organized in recent decades. There is now wide recognition that global trade increasingly involves spreading the production of a final good over firms in several …

Thesis:  Agency Through Adaptation: Explaining The Rockefeller and Gates Foundation’s Influence in the Governance of Global Health and Agricultural Development
M Stevenson – 2014
Abstract
The central argument that I advance in this dissertation is that the influence of the Rockefeller Foundation (RF) and the Bill and Melinda Gates Foundation (BMGF) in the governance of global health and agricultural development has been derived from their ability to advance knowledge structures crafted to accommodate the preferences of the dominant states operating within the contexts where they have sought to catalyze change.

Consequently, this dissertation provides a new way of conceptualizing knowledge power broadly conceived as well as private governance as it relates to the provision of public goods. In the first half of the twentieth-century, RF funds drove scientific research that produced tangible solutions, such as vaccines and high-yielding seed varieties, to longstanding problems undermining the health and wealth of developing countries emerging from the clutches of colonialism. At the country-level, the Foundation provided advanced training to a generation of agricultural scientists and health practitioners, and RF expertise was also
pivotal to the creation of specialized International Organizations (IOs) for health (e.g. the League of Nations Health Organization) and agriculture (e.g. the Consultative Group on International Agricultural Research) as well as many informal international networks of experts working to solve common problems. Finally in the neo-liberal era, RF effectively demonstrated how the public-private partnership paradigm could provide public goods in the face of externally imposed austerity constraining public sector capacity and the failure of the free-market to meet the needs of populations with limited purchasing power.

Since its inception, the BMGF has demonstrated a similar commitment to underwriting innovation through science oriented towards reducing global health disparities and increasing agricultural productivity in poor countries, and has greatly expanded the application of the Public-Private Partnership (PPP) approach in both health and agriculture. Unlike its intellectual forebear, BMGF has been far more focused on end-points and silver bullets than investing directly in the training of human resources. Moreover whereas RF has for most of its history decentralized its staff, those of BMGF have been concentrated mainly at its headquarters in Seattle. With no operational programs of its own, BMGF has instead relied heavily on external consultants to inform its programs and remains dependent on intermediary organizations to implement its grants.

Despite these and other differences, both RF and BMGF have exhibited a common capacity to catalyse institutional innovation that has benefited historically marginalized populations in the absence of structural changes to the dominant global power structure. A preference for compromise over contestation, coupled with a capacity for enabling innovation in science and governance, has resulted in broad acceptance for RF and BMGF knowledge structures within both state and international policy arenas. This acceptance has translated into both Foundations having direct influence over (i) how major challenges related to disease and
agriculture facing the global south are understood (i.e. the determinants and viable solutions); (ii) what types of knowledge matters for solving said problems (i.e. who leads); and (iii) how collective action focused on addressing these problems is structured (i.e. the institutional frameworks).

[PDF] Convergence and contention: The Least Developed Countries in post-2015 debates
IIED Issue Paper. 2014
Tighe Geoghegan
ISBN 978-1-78431-013-4
The 48 diverse nations characterised as Least Developed Countries (LDCs) face some of the world’s greatest development challenges, from poverty to climate change. LDCs are counting on the global development framework that will succeed the Millennium Development Goals post-2015 to help them meet those challenges. But the jury is out on how to shape global goals and targets with the priorities of LDCs in mind. This paper scans perspectives from a range of sources to identify areas of converging and contentious opinion. By laying these perspectives on the table, the paper aims to help LDC negotiators clarify their own positions and identify issues where they can increase their collective bargaining power in post-2015 debates through joint negotiation.

Strengthening psychological resilience in humanitarian practice: resource-centred and risk-centred approaches
M Höfler – Resilience: International Policies, Practices and Discourses
http://www.tandfonline.com/doi/abs/10.1080/21693293.2014.878541#.Uu6XI7Sy-F8
Abstract
The concept of resilience holds great importance for the humanitarian sector today, given the risks posed to both the individual and the collective from traumatic events such as natural disasters, poverty and terrorism. Psychological resilience, however, has had only marginal attention compared to analysis of resilience capacities considered on broader social levels. This article reflects on psychological resilience-building strategies for mental health support in high-risk populations. Two strategy types, based on the concept, are identified – risk-centred strategies and resource-centred strategies. By means of a review of the theoretic-conceptual foundations of resilience research and drawing on empirical results – primarily observational studies – these strategies are outlined and their possible positive consequences are discussed on both personal and social functioning levels. The article further discusses their possibilities for generating psychological resilience and the potential limits to their feasibility, depending on how these fundamental insights are deployed by researchers aiming to build on existing opportunities.

[PDF] NGO Proposals for an Asia-Pacific Human Rights System
R Wilde – Yale Human Rights and Development Journal, Vol 1. No. 1, 2014
Excerpt
The Asia-Pacific region is the only area of the world without a human rights regime. This piece evaluates current NGO proposals. Since 1982, regional workshops have been held between Asia-Pacific state representatives under the aegis of the United Nations. The most recent was held in Tehran from February 28 to March 2 1998. At that meeting it was agreed that the first building block for a regional regime would be a technical cooperation program to further develop national human rights structures and education programs. This approach would help to foster local human rights protection, and explore the possibilities of regional co-operation by identifying the issues of concern common to the countries involved.3 NGOs are skeptical of these developments. They agree on the importance of promoting a local culture of human rights, but find no inconsistency between this local development and a robust regional human rights regime.
In addition, states were very reluctant to allow full NGO participation in the workshops. Despite these obstacles, a series of activist meetings developed in tandem, and, as is the zeitgeist, this was a highly participatory process involving NGOs and human rights activists from across the region.5

Aid work as edgework–voluntary risk-taking and security in humanitarian assistance, development and human rights work
S Roth – Journal of Risk Research, 2014
Abstract
Contemporary societies have been characterized as risk societies. While considerable research on individualized risk and risk management exists, voluntary risk taking has so far found less attention. This article explores the tensions between voluntary risk-taking at the individual level and risk management at the organizational level by analysing aid work as edgework. Between 1990s and 2009, the number of attacks on aid personnel including killing, kidnapping and armed attacks has steadily increased. Security and how to deal with it has become a central concern of aid organizations. While the increased insecurity of aid workers and the responses of aid organizations to security threats have been widely documented, less attention has been paid to the role risk-taking plays in aid workers lives. Edgework is a form of voluntary risk-taking and has been primarily studied in the context of risk-taking leisure such as action and adventure sport. Aid work encompasses a wide range of interventions, including development and emergency relief. Depending on assignment and region, people working in the aid industry find themselves in high- or low-risk situations. Based on biographical interviews with people working in aid, this article addresses motivations for getting involved in aid work and experiences of danger in Aidland. Contrasting individualized risks with security procedures of aid organizations, my article contributes to a better understanding of risk-taking behaviour in general and in the context of overseas aid in particular.

Speech: The next global development agenda: From aspiration to delivery

Speech: The next global development agenda: From aspiration to delivery
Helen Clark, UNDP
International Growth Centre Public Lecture the London School of Economics, London, UK
21 Jan 2014

Excerpt
– My thanks go to the London School of Economics and the International Growth Centre for this opportunity to discuss the prospects for the post-2015 development agenda. I also commend the International Growth Centre for the role it is playing in providing independent and research-based advice to developing country governments on economic growth…
The signs are that this agenda can be bolder than the MDGs were, responding to the challenges faced by developed and developing countries alike. It will be a sustainable development agenda with poverty eradication as a central imperative…
Already the UN’s Member States have agreed that the agenda should have a “single framework and set of goals – universal in nature and applicable to all countries, while taking account of differing national circumstances and respecting national policies. It should promote peace, and security, democratic governance, the rule of law, gender equality, and human rights for all.” Those were the words of the outcome document of the leader-level meeting on the MDGs and post-2015 last September in New York…

The Global Challenges to Sustainable Development: These encompass but go well beyond the major environmental challenges to include:
:: Persistently high income inequality, inequality of opportunity, and other non-income disparities, together with significant numbers of people still living in extreme poverty.
Equality was highlighted as a fundamental value in the United Nations Millennium Declaration in 2000, when world leaders acknowledged that: “in addition to our separate responsibilities to our individual societies, we have a collective responsibility to uphold the principles of human dignity, equality and equity at the global level.”
Yet little progress has been made in combating inequality in its various forms. Global income inequality stands at a very high level: eight per cent of the world’s population earns half the world’s income, with the remaining 92 per cent earning the other half. Such a distribution is rightly viewed by global civil society networks as unacceptably high, as it is both unjust and undermines development progress.
Evidence suggests that income inequality impedes long-term growth; is associated with poorer health outcomes; generates political instability; contributes to higher rates of violence, including for homicide; erodes social cohesion; and undermines the capacity for the collective decision-making necessary for effective reform. Economic exclusion compounded by political exclusion can be a toxic mix – as a number of uprisings in recent years suggest.
Beyond income inequality, gender-related discrimination, and inequalities related to geography, ethnicity, religion, age, and disability – to name just a few – plague countries in both North and South, and are detrimental to all. Using the inequality-adjusted Human Development Index, which takes into account not only the average achievements of a country on health, education, and income, but also their distribution, the 2013 Human Development Report concludes that the average loss to human development worldwide due to inequality was 23 per cent….
:: The jobs crisis: The ILO estimates that more than 34 million workers lost their jobs with the onset of the global recession of 2008, and an additional 185 million workers joined the ranks of the working poor who subsist on under US $2 dollars a day. Despite a moderate pick-up in output growth expected for 2013–14, the number of unemployed worldwide was projected to rise by 5.1 million last year to more than 202 million, and by another three million this year. Six hundred million more jobs are needed over the next fifteen years just to keep unemployment rates at their current level.
:: Environmental degradation, including to climate, ecosystems, and disasters associated with this: These threaten the health and livelihoods of people around the globe. The Fifth Assessment Report of the Inter-Governmental Panel on Climate Change, issued last September, considered new evidence and painted a grim picture. It noted that: “Continued emissions of greenhouse gases will cause further warming and changes in all components of the climate system. Limiting climate change will require substantial and sustained reductions of greenhouse gas emissions.”…

The Process from here?
Since early last year, an Open Working Group on Sustainable Development Goals, appointed by the UN General Assembly, has been meeting to formulate proposals for post-2015. It is expected to report by September this year. Parallel to that an expert group on financing for sustainable development is also meeting.
Before the end of the year the UN Secretary-General will bring a synthesis report to the General Assembly on all the inputs to date to support the Member State negotiations to be launched next September. The aim is to have world leaders agree on a new agenda at a world leader’s summit in September 2015.
To support the process, the UN development system is continuing consultations on how a new agenda might be implemented and monitored, and will work with a number of governments to test how targets and indicators might be developed in more challenging areas like governance, peace and security, and disaster risk reduction…

Advancing the agenda; some key points
1.    Target setting: The MDGs were time bound, measurable, and easy to communicate. That helps an agenda get traction. But the targets have not always been a good match with national or local contexts, because they were established as global targets and on the basis of global trends. To be most relevant, targets often need to be localized to reflect what can be achieved – which may be more or less than the indicative global targets suggest.
On this basis, the Secretary-General’s High Level Panel on Post-2015 recommended that “all Goals in the future agenda be universal, representing the common aspirations of all countries; while almost all targets be set at national or local levels, to account for different starting points and contexts”.
This proposal has gained traction in the UN Member State’s discussions. Recently the proposals have gone further, suggesting that a core set of global goals and targets should be agreed, alongside a ‘menu’ of potential priorities. Using that menu, countries would select those priorities most relevant to them and define realistic, yet ambitious, national and local targets in these areas….
2.    Partnerships and mutual accountability: Big partnerships across governments and many non-state actors – civil society, NGOs, academia, the private sector – are needed to make a global agenda move. Should an accountability framework go beyond the usual suspects – governments – to include the non-state actors? The High Level Panel argued that as the number and importance of non-state development actors grows, including them is essential for the effectiveness of the agenda. They suggest indicative targets to incentivise businesses, for example, to adopt transparent and green accounting practices and codes of behaviour which strengthen accountability norms….

Conclusion
Global agendas matter. They draw attention to critical priorities; they can identify emerging issues; and they can galvanize partnerships for change.
Progress against the MDG targets at the global level has been broadly encouraging. One would not want to assume cause and effect between target setting and a benchmark being reached. Yet with respect to the health MDGs, the rate of decline in the burden of disease in targeted areas is considered to be rather greater than the pre-MDG trends would have produced. In these cases and no doubt others, the global goal-setting focused action and resources, and got results.
So, what goes into the post-2015 agenda and SDGs matters. They will set the global sustainable development agenda for the next fifteen years – years when we need decisive breakthroughs on poverty eradication in all its dimensions, on achieving greater equality, and on ensuring we live within nature’s boundaries while advancing human development.
My final message is: stay engaged. Member States need to continue to hear from their citizens on post-2015. At UNDP and our sister organisations, we will continue to advocate for the voices of the global public to be heard, and for a big, bold agenda. But your voices need to be heard by your governments, and your networks need to be heard by all governments, as they negotiate through the UN process to determine what the next agenda will be.

[Full text here ]

Comment: From bright ideas to lives saved

Comment: From bright ideas to lives saved
Steve Davis, President and CEO, PATH. 
World Economic Forum Blog – Jan 25th 2014  http://forumblog.org/2014/01/bright-ideas-lives-saved/

We have less than two years to hold ourselves accountable to worldwide health and development goals set for 2015. As leaders from the private, public and nonprofit sectors convene at Davos, we must ask ourselves, “How can we do better?”

Collectively, we have made significant strides in improving health. Fewer young children are dying of preventable diseases – yet 18,000 children still die each day. We have nearly halved the number of women dying from complications due to pregnancy or childbirth – yet still, one woman dies every minute.

In the last decade, the global community has invested in one of the largest pipelines of life-saving technologies the world has ever seen. At PATH alone, the leading innovator in global health, we have more than 200 technologies in our pipeline, and we are also working with emerging-country vaccine suppliers from China and India to accelerate their innovations. From rapid diagnostic tests for malaria to affordable devices to prevent postpartum hemorrhage, many solutions exist, and others are on the horizon.

Yet, too often, the bright ideas fail to reach the people who need them most. One key approach – one that’s being discussed fervently this week at Davos – is creating partnerships that transcend sectors. To transform ideas into solutions that help millions of people, we need intentional collaboration between strange bedfellows who bring different, but complementary, resources.

In the quest for a stable supply of malaria treatments, for example, PATH gathered experts from academia, biotechnology and the pharmaceutical industry to develop the world’s first semisynthetic form of artemisinin for malaria treatment. Together, over nine years, we moved the product from an idea to large-scale industrial production. Our partner Sanofi is currently on track to produce enough artemisinin for approximately 150 million treatments a year. Consider the impact this will have on a disease that kills 660,000 people each year and costs Africa an estimated US$ 12 billion in lost productivity.

As conversations this week reflect, the expanded use of technology and increased civic participation around the world add exciting promise to these intentional collaborations by bringing fresh voices and new approaches to old challenges.

We have an unprecedented opportunity to solve long-standing problems by partnering with new allies, including developing countries who offer new sources for innovative solutions. So what can we do? Let’s connect the dots between the leaders convening here this week and the sectors they represent to make sure we seize this moment.

Analysis: Strategies for Ending a Tax on Private-sector Growth [Corruption]

Analysis: Strategies for Ending a Tax on Private-sector Growth
Daniel F. Runde, Sadika Hameed Contributor: Jeremiah Magpile
JCCSIS Jan 21, 2014 ISBN 978-1-4422-2825-2 (pb); 978-1-4422-2826-9 (eBook)

Corruption remains a priority area for both the private sector and development implementers. However, there is no consensus on practical steps to address it on a global level. This issue is especially important in the context of international trade and development as the private sector plays an increasing role in development outcomes. Moreover, countries with the weakest governance structures tend to be those that most need economic development.

This report reviews the literature surrounding corruption; identifies the opportunity costs of corruption; and posits actionable steps for the private sector to effectively address corruption worldwide, as well as ways for private-sector actors to work with governments to achieve this goal.

WHO: 134th WHO Executive Board session Jan 2014

[Editor’s Note: WHO’s Executive Board session held last week in Geneva covered a broad range of issues and themes. Below, we select documentation from the full inventory here which we believe of key interest to our readers]

WHO: 134th WHO Executive Board session
Date: 20–25 January 2014
Place: Geneva, Switzerland
Selected Documentation
Agenda
pdf, 281kb

Main documents
EB134/31 Access to essential medicines

EB134/35 Poliomyelitis: intensification of the global eradication initiative

EB134/54 Contributing to social and economic development: sustainable action across sectors to improve health and health equity (follow up of the 8th Global Conference on Health Promotion)

Conference Papers
EB134/CONF./3 Biological medicines: access to medicines and ensuring safety, quality and efficacy

EB134/CONF./8 Rev.1 Contributing to social and economic development: sustainable action across sectors to improve health and health equity (follow-up of the 8th Global Conference on Health Promotion)

EB134/CONF./9 Health intervention and technology assessment in support of universal health coverage

EB134/CONF./10 The role of the health system in addressing violence, in particular against women and girls

EB134/CONF./14 Access to essential medicines

AMREF

AMREF

AMREF Appeals for Support for South Sudan
24 January 2014
It is now almost six weeks since violence broke out in South Sudan. On January 22, South Sudanese officials and rebels signed a ceasefire agreement which has been hailed as the first step towards…

…To respond to the crisis, AMREF South Sudan is focused on increasing access to emergency medical and surgical services through mobilising and facilitating surgical, anaesthetic and nursing specialists to provide emergency surgical services in various hospitals; providing physical rehabilitation, psychosocial support and post-trauma counseling services as well enhancing the capacity of particular hospitals to respond to emergency and essential medical and surgical services.
Since 2011, AMREF’s Medical Services Outreach Programme has been providing essential medical, surgical, anaesthetic and nursing services to 14 hospitals in all the ten states of South Sudan via a service delivery and capacity building programme conducted in conjunction with the Ministry of Health and partners.  We have a team of committed and recognised specialist surgeons, physicians and nursing staff across the region as well as a well-established flying doctors emergencies service, radio communication networks and disaster response unit.

BRAC

BRAC

BRAC ‏@BRACworld Jan 21
BRAC, @MCFoundation and the Ugandan Ministry of Education and Sports are unleashing #youth potential! http://www.youtube.com/watch?v=CkFdgUqRqEw&list=PL5sHBH5T4J5tvWDZuDokKx5nLT7LYGMrf&feature=share …
7:24 PM – 21 Jan 2014

BRAC ‏@BRACworld Jan 21
RT @ikrukkert Babar Kabir presents #BRACWASH #BMGF workshop. Scale (reaching 60 million plus) brings costs p/capita down
2:21 AM – 21 Jan 2014

BRAC ‏@BRACworld Jan 20
Advancing a southern voice in the #global #development discourse – See more at: http://blog.brac.net/2014/01/advancing-a-southern-voice-in-the-global-development-discourse/#sthash.i68yZV9v.dpuf …
11:10 PM – 20 Jan 2014

BRAC ‏@BRACworld Jan 20
Higher #education located in a laboratory of #socialinnovation – See more at: http://blog.brac.net/2014/01/higher-education-located-in-a-laboratory-of-social-innovation/#sthash.WDJvSaxI.dpuf …
11:09 PM – 20 Jan 2014

BRAC ‏@BRACworld Jan 20
RT @MHTF #Maternalhealth targets need to be hard and heard, but realistic: http://bit.ly/1apbrUX  says Kaosar Afsana of @BRACworld #MDGs
1:58 AM – 20 Jan 2014

ECPAT

ECPAT

ECPAT-USA ‏@ecpatusa 4h
Tomorrow, ECPAT-USA Exec Director Carol Smolenski testifies at a Congressional Hearing about #SuperBowl! Watch live > http://ow.ly/sXxgU 
8:40 AM – 26 Jan 2014

ECPAT International ‏@ECPAT Jan 24
Check out highlights from the 2013 Beyond Borders ECPAT #Canada Media Awards. http://buff.ly/1eJCD4S  @Beyond_Borders
6:41 AM – 24 Jan 2014

ECPATUSACarol ‏@ECPATUSACarol Jan 22
Recap of #SCOTUS arguments today abt #paroline http://tinyurl.com/ko2zjst  Hope judges decide for restitution ECPAT brief: http://tinyurl.com/l3c7u3w 
1:56 PM – 22 Jan 2014

ECPAT-USA ‏@ecpatusa Jan 17
We’re in it to #ENDIT! ECPAT-USA is proud to be joining the @enditmovement as an official coalition partner! http://ow.ly/sGGWA 
12:10 PM – 17 Jan 2014

Handicap International

Handicap International

New study shows the Syrian conflict’s terrible legacy of disability
January 21, 2014
Excerpt
With the Geneva II Middle East peace conference poised to begin, Handicap International has published a study into the causes and types of injuries observed by its teams working with Internally Displaced Persons (IDPs) in Syria. Out of the interviewed people who had new injuries due to the crisis, 60% were victims of explosive weapons and were suffering from serious physical injuries. Handicap International calls on the international community to bring an end to the use of explosive weapons in populated areas and to ensure that civilian populations can access humanitarian aid and health care. The association wishes to draw the international community’s attention to the terrible legacy the Syrian conflict will leave in terms of the number of people left disabled and who will require extensive, long-term care management.

From November 2012 to October 2013, Handicap International conducted 1,847 interviews with displaced persons in Syria, in the areas where the association works to provide them with better psychological and physical care. Almost half (913) of those interviewed had sustained injuries related to the current conflict. One in five of these people were under the age of 17.

It is particularly disturbing to note that 60% of these victims had been injured by explosive weapons, while 31% had sustained gunshot wounds. The people harmed by explosive weapons were often suffering from severe physical injuries: more than 60% had fractures or complex fractures, 25% had undergone an amputation, 21% were suffering from peripheral nerve injury, and 7% had irreversible spinal cord injuries.
“These devastating injuries require immediate and adequate care to avoid permanent disabilities or even putting the victim’s life in danger,” said Elizabeth MacNairn, Executive Director of Handicap International U.S. In addition, 88.49% of all respondents with new injuries related to the crisis reported they had not had satisfactory access to rehabilitation services prior to Handicap International’s intervention. Victims of explosive weapons need to access appropriate health services urgently, thus avoiding complications and in some cases death…

Handicap Int’l-US ‏@HI_UnitedStates Jan 20
Great @CBSNews photo gallery featuring our work in #Cambodia helping #landmine victims get prosthetic legs. http://cbsn.ws/1cMuc4B 
8:07 AM – 20 Jan 2014

Handicap Intl UK ‏@HI_UK Jan 24
Looking for quality and up-to-date information resources on disability? Check out the latest update on Source http://bit.ly/1d0O5Fe 
9:45 AM – 24 Jan 2014

Handicap Intl UK ‏@HI_UK Jan 23
VIDEO: “I feel much safer now” – Film about our Disaster Risk Management project in South Asia http://bit.ly/KL4iaA  #DRR #humanitarian
6:31 AM – 23 Jan 2014

Handicap Intl UK ‏@HI_UK Jan 21
Our Director, Aleema, giving evidence to the @CommonsIDC #Disability and #Development session right now- Watch here > http://bit.ly/1cPqzel 
2:10 AM – 21 Jan 2014

Heifer International

Heifer International

January 22, 2014
Pete Kappelman Named to Heifer International Board of Directors
LITTLE ROCK, AR
Pete Kappelman, a fourth-generation dairy farmer from Two Rivers, Wisconsin, has been elected to an at-large position of the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty.
Full Press Release

January 22, 2014
Arlene Falk Withers Named Chair of Heifer International Board of Directors
LITTLE ROCK, AR
Arlene Falk Withers has been named Chair of the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty while caring for the Earth.
Full Press Release

January 22, 2014
Esther Cohen Named to Heifer International Board of Directors
LITTLE ROCK, AR
Esther Cohen, the chief operating officer for Episcopal Relief & Development, the international humanitarian agency of the Episcopal Church, was recently named to the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty.
Full Press Release

January 22, 2014
Andrew Kang Bartlett Named to Heifer International Board of Directors
LITTLE ROCK, AR
Andrew Kang Bartlett of Louisville, Ky. has been elected to the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty. Kang Bartlett will serve the volunteer board as a Covenant Agency Director representing the Presbyterian Hunger Program.
Full Press Release

January 22, 2014
Jerry Jones Named to Heifer International Board of Directors
LITTLE ROCK, AR
Jerry C. Jones, Chief Ethics and Legal Officer, Executive Vice President for Acxiom Corporation, has been elected to an at-large position of the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty.
Full Press Release

January 22, 2014
Nikolaus Hutter Named to Heifer International Board of Directors
LITTLE ROCK, AR
Nikolaus Hutter, of Toniic Europe, has been elected to an at-large position to the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty.
Full Press Release

January 22, 2014
Susan Grant Named Vice Chair of Heifer International Board of Directors
LITTLE ROCK, AR
Susan Grant, Executive Vice President of CNN News Services, has been named Vice Chair of the Board of Directors of Heifer International, an international development organization whose mission is to end hunger and poverty while caring for the Earth. Grant was elected to the Heifer Board in 2011.
Full Press Release

Pierre Ferrari ‏@HeiferCEO Jan 22
ICYMI: MT @Heifer: Heifer awarded $25.5M grant from the @GatesFoundation to build upon existing work in Africa: http://hefr.in/1kUfwun 
11:56 AM – 22 Jan 2014

Pierre Ferrari ‏@HeiferCEO Jan 20

.@Heifer VP, @mayangelango talks making dairy program “model of success” in Africa http://www.heifer.org/join-the-conversation/blog/2014/January/heifer-vp-talks-eadd-continuation.html …
9:14 AM – 20 Jan 2014

HelpAge International

HelpAge International

Toby Porter ‏@tobyhporter Jan 25
Going home. Gr8 #davos & discussions on ageing but more attention needed on implications 4 developing world pic.twitter.com/KFrIFtgq8T
Retweeted by HelpAge
2:22 AM – 25 Jan 2014

HelpAge ‏@helpage Jan 24
Older people main victims of Japanese earthquake and tsunami: Our new study http://shar.es/UxGX3  via @sharethis
2:21 AM – 24 Jan 2014

Toby Porter ‏@tobyhporter Jan 22
For inclusive growth, need more ageing data, spec Africa, Middle East & Caribbean. Shown by our ageing index http://bit.ly/V8d7t  #WEF2014
Retweeted by HelpAge
7:36 AM – 22 Jan 2014

HelpAge ‏@helpage Jan 20
Age Helps is out! http://paper.li/helpage/1360751304 … Stories via @Aging_Society @ILCUK @HelpAge_USA
2:30 AM – 20 Jan 2014

International Rescue Committee

International Rescue Committee

IRC Blog
On the ground in northern Ethiopia
Posted by The IRC on January 25, 2014
New blog post from IRC president David Miliband, in Ethiopia: “I am here to get a ground-level view of what the policy papers and the headlines can only hint at: the human reality of conflict, demographic change, religious fear and climate change.” more »

Syrian children in Lebanon warmer this winter, but needs are great
Posted by Ned Colt on January 24, 2014
With two months of cold winter nights to come, the IRC and UNICEF have been working together to provide coats, sweaters and other clothing to protect refugee children from the elements. “Our priority for winter is to make sure children are warm,” says the IRC’s Marwan Lahoud. more »

Caught in crisis [Video]
Posted by The IRC on January 22, 2014
From Syria to the Central African Republic, the IRC is reaching millions of men, women and children caught in crisis. Hear their stories. more »

The IRC rebuilds after devastating fires roar through Thailand refugee camps
Posted by Peter Biro on January 21, 2014
The International Rescue Committee has started to reconstruct destroyed water pipes, bathing facilities and latrines after a fire whipped through the Ban Mai Nai Soi camp on the Thailand-Myanmar border on Dec. 28. more »

David Miliband ‏@DMiliband 6h
In Eastern Ethiopia, Abdulahi Muhamud told me, “Water is life and IRC gave me life.” pic.twitter.com/DX7sSka1iF
6:41 AM – 26 Jan 2014

Intl Rescue Comm IRC ‏@theIRC 3h
IRC is one of the longest standing agencies active in #Ethiopia. Here’s a first-hand account from @DMiliband>> http://bit.ly/1aVnzR3 
9:37 AM – 26 Jan 2014

Intl Rescue Comm IRC ‏@theIRC Jan 21
Kids being kids, wherever they are- part2. This time, at an IRC #CARcrisis distribution camp. http://bit.ly/1eHniAj  pic.twitter.com/lawq9mjKR2
11:52 AM – 21 Jan 2014

IRCT

IRCT

News
Concerns over possible intelligence activities by the Mexican state targeting human rights defenders
21 January 2014

News
Iraqi torture rehabilitation organisation joins IRCT movement
20 January 2014
A new torture rehabilitation organisation, offering support to thousands of torture victims in northern Iraq, has joined the IRCT.
The Kirkuk Centre for Torture Victims has an extensive network of rehabilitation centres in the north of the country, operating through six branches in the Kurdish region of Iraq and in the Domiz refugee camp.
It is the second IRCT member based in Iraq and already treats around 2,000 torture survivors a year, half of whom are women and children.
The centre offers a range of services catering for the needs of all victims of torture and is a particularly important resource in the region, especially with a rise in Syrian refugees entering the country seeking physical and psychological assistance…