Governance and participation in health

China and conflict-affected states: Risks and opportunities for building peace
SAFERWORLD: February 2012

China’s growing involvement in countries where peace is fragile brings new responsibilities and policy choices for Beijing, as well as a new reality for Western funders and policy makers, according to this brief. This increased involvement brings risks and opportunities for peace and stability in conflict-affected states, SAFERWORLD argues. The brief summarises the impacts of China’s growing economic, diplomatic and military engagement in conflict-affected states and analyses the implications for peacebuilding. The briefing also offers recommendations for policy makers in China and the West focused on fostering a culture of dialogue, bridging the current policy gap regarding conflict-affected states, and creating an enabling international architecture. A key conclusion is that as Beijing’s approach towards conflict-affected countries evolves, there is an unprecedented opportunity for China and the West to develop more complementary approaches in support of peace and equitable development.

China's tightening grip on Africa
Cameron J: Moneyweb, 7 February 2012

In this article, the author analyses China’s trade and diplomatic relations with Africa in terms of Joseph Nye’s concept of soft power. He argues that examining China's Africa Policy, there is a motivation to change cultural perceptions about China and to influence agenda's through co-option rather than economic or military coercion. Although Chinese leaders often refer to the importance of its soft power in the world, China's policy for engagement with African countries does not mention soft power directly. Instead, it speaks in very general terms of mutual cooperation and win-win strategies. The author argues that China’s well-disguised soft power approach is not very different from the soft power component of US foreign policy.

Development cooperation for health: reviewing a dynamic concept in a complex global aid environment
Hill PS, Dodd R, Brown S and Haffeld J: Globalization and Health 8(5), 15 March 2012

The Fourth High Level Forum on Aid Effectiveness, held in Busan, South Korea in November 2011 again promised an opportunity for a new consensus on development cooperation to emerge. This paper reviews the recent evolution of the concept of coordination for development assistance in health as the basis from which to understand current discourses. Four distinct transitions in the understanding, orientation and application of coordination were identified: coordination within the sector, involving geographical zoning, sub-sector specialisation, external funder (donor) consortia, project co-financing, sector aid, harmonisation of procedures, ear-marked budgetary support, external funding agency reform and inter-agency intelligence gathering; sector-wide coordination, expressed particularly through the Sector-Wide Approach; coordination across sectors at national level, expressed in the evolution of Poverty Strategy Reduction Papers and the national monitoring of the Millennium Development Goals; and, most recently, global-level coordination, embodied in the Paris Principles, and the emergence of agencies such as the International Health Partnerships Plus. The transitions are largely but not strictly chronological, and each draws on earlier elements, in ways that are redefined in the new context. With the increasing complexity of both the territory of global health and its governance, and increasing stakeholders and networks, current imaginings of coordination are again being challenged. The High Level Forum in Busan may have been successful in recognising a much more complex landscape for development than previously conceived, but the challenges to coordination remain.

Policing freedom of assembly: Gone too far?
Mount S and Awori S: Pambazuka News, 22 February 2012

On 9 February 2012, 16 prominent human rights activists were arrested in Dar es Salaam, Tanzania, on the grounds of unlawful assembly. The human rights defenders, who included the executive directors of the Legal and Human Rights Centre and the Tanzania Media Women's Association, were arrested at the Muhimbili National Hospital following a doctor’s strike that had paralysed the provision of health services. The police authorities allege the small group had gathered illegally and were intending to hold an illegal demonstration, although the group maintains that they were not there to protest but to observe the dialogue between the government and health officials. The activists were detained and then later released on bail, pending confirmation of charges. The question is, did the 16 activists cause a breach of the peace, or prejudice public safety and the maintenance of public order? Crucially, were the police, by prohibiting the alleged assembly and subsequently arresting the activists, using their discretion appropriately? The authors’ answer is “No”. A public assembly held to observe (or allegedly protest) negotiations about health sector issues is unlikely to breach public order or public safety. The authors call on the Tanzanian government and police to use their discretion to limit public assemblies wisely and ensure that public assemblies called for a political purpose, which are a common and indeed vital aspect of a healthy democracy, are not arbitrarily restricted or prohibited.

The World Bank and extractives: A rich seam of controversy
Bretton Woods Project: 7 February 2012

As World Bank projects fail to reduce corruption in the mining sector in the Democratic Republic of Congo (DRC), International Finance Corporation (IFC) investments in extractive industries are provoking complaints and protests around the world, according to this article. In 2012 the Bank will launch its new extractives for development (E4D) initiative, a “knowledge sharing platform” aimed at transforming extractives into a force for development, but critics argue that the Bank needs to first take action against corruption and unethical behaviour in the mining projects it funds. In late 2010, the Bank suspended all new programmes in the DRC after allegations of corruption but resumed lending in June 2011 when it judged the government to be in compliance with the economic governance matrix (EGM), a new transparency framework agreed by the government and the Bank. However, only a month later it came to light that state-owned mining companies had again been secretly selling stakes in mining operations, in one case at a sixteenth of their market price. The author notes that the ombudsman set up by the IFC has been inundated with complaints of irregularities, lack of local consultation, mistreatment of miners, environmental degradation and illusory promises of job creation. Critics argue that the Bank and the IFC should take greater ownership of projects they fund and demand more accountability.

‘Civil society needs to be vigilant’: interview with Elizabeth Thompson, Assistant Secretary-General and Executive Coordinator, Rio+20
CIVICUS: February 2012

In this interview the Assistant Secretary-General and Executive Coordinator for the United Nations Conference on Sustainable Development discusses issues related to the upcoming conference to be held in Rio de Jainero, Brazil on 20-22 June 2012 (Rio+). She identifies major sustainability challenges facing the world including economic sustainability, indicating that the global financial and economic system should not be characterised by boom and bust cycles, global, regional and local inequities, poor accountability and decreased civil society engagement, and the continuation of poverty, particularly among women and girls. She reported feeling positive about the potential for Rio+ to provide a platform for countries to evaluate environmental problems and craft solutions tailor-made for different countries. She argued that civil society’s role is invaluable in working at every level of society and educating companies and communities on the importance of sustainable development. Civil society needs to play a role in helping to develop new initiatives which will deliver on sustainability and most of all, civil society needs to be vigilant in ensuring that countries commit to sustainability and continue along the pathway they have defined to achieve it.

Commonwealth Good Governance 2011/12: Democracy, development and public administration
Commonwealth Secretariat: January 2012

Commonwealth Good Governance 2011/12 is a comprehensive guide to public sector reform in the Commonwealth. Articles in this edition examine: the link between democracy and development; political-administrative relations; leadership in the public sector; strengthening local government; aid and governance; and building capacity in national assemblies. The report also contains governance profiles of the 54 Commonwealth member countries.

Global health governance as shared health governance
Ruger JP: Journal of Epidemiology and Community Health (2011), 14 December 2011

The author of this paper develops select components of an alternative model of shared health governance (SHG), which aims to provide a ‘road map,’ ‘focal points’ and ‘the glue’ among various global health actors to better effectuate cooperation on universal ethical principles for an alternative global health equilibrium. Key features of SHG include public moral norms as shared authoritative standards; ethical commitments, shared goals and role allocation; shared sovereignty and constitutional commitments; legitimacy and accountability; country-level attention to international health relations. A framework of social agreement based on ‘overlapping consensus’ is contrasted against one based on self-interested political bargaining. A global health constitution delineating duties and obligations of global health actors and a global institute of health and medicine for holding actors responsible are proposed. Indicators for empirical assessment of select SHG principles are described. The author concludes that global health actors, including states, must work together to correct and avert global health injustices through a framework of SHG based on shared ethical commitments.

Namibia: Coming of age
Lister G: Global, First quarter 2012

This article evaluates progress in governance of Namibia since independence in 1990. Unemployment is high – estimated at 50% - and pass rates at schools are dropping, while the promised fruits of independence have not yet reached the broad spectrum of the population, and the government’s success in attracting investment has not paid much in terms of long-term dividends. However, there have been plenty of immediate and valuable gains, such as regular elections, much wider access to schooling, and government benefits that are available for ex-combatants and war orphans, and other vulnerable groups. While the courts are at times outspoken, they remain visibly understaffed. Despite the fact that democratic commitment remains fragile in the country, the so-called ‘born-frees’ (those people born after independence) are becoming increasingly vocal and more active in the debate over the country’s future, free speech is now more deeply entrenched and there are a number of vibrant public discussion platforms, including social media.

Nationalism, urban poverty and identity in Maputo, Mozambique
Sumich J: London School of Economics and Political Science, Crisis States Working Papers Series No. 2, 2010

This paper examines the changing perceptions of Frelimo's nationalist project amongst members of the middle class in Maputo, Mozambique's capital. The author argues that nationalism in Mozambique has created a system of meaning and new forms of identity that are especially relevant for more privileged urbanites. However, growing urban poverty and inequality has had an effect throughout the social spectrum in Mozambique. and everyday life conflicts with the government's message of unity and progress for all.

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