Just when health care financing in Africa is expected to pick up due to perceptible improvements in many economies, including those of Ethiopia, Rwanda, and Angola, the global financial crisis gathers momentum for contagion. This paper examines how the financial crisis is undermining access to health care in Africa, and offers some suggestions to help improve the situation. The paper sees access as a multifaceted concept, imbued with various social, economic, and geographic characteristics. The study found that the revenue constrictions wrought by the ongoing financial crises (e.g., through reductions in donor funding, tourist bookings, and remittance to Africa) have affected the supply of health care services, put pressure on personal finances, and compelled many households to reduce their demand for formal health care services.
Health equity in economic and trade policies
Africa is fast becoming the go-to continent for countries wanting access to the vast and rich resources. But can the continent harness its potential, negotiate effectively and have the confidence to take charge of its own future, without allowing global financial giants to ride rough-shod over it? This article discusses the current state of investment into the region, the influence of China and America and the implications for Africans.
In the World Trade Organization intellectual property committee meeting in February, least-developed countries (LDCs) submitted a request to extend a waiver allowing them not to enforce intellectual property rights on pharmaceutical products that goes to 2016. The countries have extended the waiver before, but this time they are seeking to make it indefinite, until they are no longer considered LDCs are disproportionately exposed to the health risks associated with poverty, and “patent protection contributes to high costs, placing many critical treatments outside the reach of LDCs, according to a communication by the group.
The Rockefeller Foundation, the African Development Bank and the United Nations Economic Commission for Africa convened in December 2014 at the Africa Forum on Inclusive Economies, a Pan African convening aimed at bringing together key thought leaders and policy makers to closely interrogate and propel forward, thinking around the theme of advancing inclusive economies. The convening aimed to focus new ideas and narratives towards the advancement of an inclusive economies approach with key African institutions and influencers and to provide a platform to further enhance thinking and critical debate on the issue of inclusive economies. Reports, videos and a blog from the convening can be found on the website.
The Heretic's Guide to Global Finance: Hacking the Future of Money is a friendly guide to the complex maze of modern finance but also tells us how to utilise and subvert it for social purposes in innovative ways. It sets up a framework to illuminate the financial sector and helps the reader develop a diverse DIY toolbox to undertake their own adventures in guerilla finance and activist entrepreneurialism. Part 1 (Exploring) covers the major financial players, concepts and instruments. Part 2 (Jamming) explores innovative forms of financial activism. Part 3 (Building) showcases the growing alternative finance movement - including peer-to-peer systems, alternative currencies, and co-operative economies - and shows how people can get involved in building a democratic financial system.
In recent months, the International Monetary Fund (IMF) has announced US$430 million of funding to fight Ebola in Sierra Leone, Guinea, and Liberia. By making these funds available, the IMF aims to become part of the solution to the crisis, even if this involves a departure from its usual approach. As IMF Director Christine Lagarde said at a meeting on the outbreak, “It is good to increase the fiscal deficit when it's a matter of curing the people, of taking the precautions to actually try to contain the disease. The IMF doesn't say that very often.” Yet, could it be that the IMF had contributed to the circumstances that enabled the crisis to arise in the first place? A major reason why the outbreak spread so rapidly was the weakness of health systems in the region. There were many reasons for this, including the legacy of conflict and state failure. Since 1990, the IMF has provided support to Guinea, Liberia, and Sierra Leone, for 21, 7, and 19 years, respectively, and at the time that Ebola emerged, all three countries were under IMF programmes. However, IMF lending comes with strings attached—so-called “conditionalities”—that require recipient governments to adopt policies that have been criticised for prioritising short-term economic objectives over investment in health and education. Indeed, it is not even clear that they have strengthened economic performance. Here the authors review the policies advocated by the IMF before the outbreak, and examine their effect on the three health systems.
In any economy, the extractive sector consists mainly of oil, gas and mining activities. Experience in countries such as Norway, Canada, Botswana and Ghana suggests that extractives can be effectively managed to contribute to sustainable economic growth. Experience, however, in other parts of the world including Nigeria, the Democratic Republic of Congo, South Sudan, and the Central African Republic suggest that extractives if not well managed can lead to conflict. Extractives in Kenya contribute approximately one per cent to gross domestic product. The sector is however emerging. In the recent past, there have been oil and more mining discoveries in Kenya. For instance, oil has been discovered in Turkana County, and there are new discoveries in the mining sectors for minerals such as titanium in Kilifi County and coal in Kitui County. In addition, Kenya is actively undertaking off shore explorations with the aim of making gas discoveries. The growing extractive sector in Kenya means that there is need to give more attention to the social and economic dynamics of the sector. For instance, when Kenya discovered oil in Turkana County in March 2012, the Government was faced with emergent issues such as environmental implications, community obligations and rights, a suitable governance framework, and effective utilisation of resources generated from the sector.
The Alliance for Food Sovereignty in Africa (AFSA), a Pan African platform comprising civil society networks and farmer organisations working towards food sovereignty, has submitted this Open Letter to the Bill and Melinda Gates Foundation, Dr. Wendy White from Iowa State University and the Human Institutional Review Board of Iowa State University expressing fierce opposition to the human feeding trials taking place at Iowa State University involving genetically modified (GM) bananas. The Letter is supported by more than 120 organizations from around the world. The letter states:"This so-called ‘Super-banana’, has been genetically modified to contain extra beta-carotene, a nutrient the human body uses to produce vitamin A. Unlike current GM crops in commercial production where agronomic traits have been altered, scientists have spliced genes into the GM banana to produce substances for humans to digest (extra beta carotene). The GM banana is a whole different ballgame, raising serious concerns about the risks to African communities who would be expected to consume it. Production of vitamin A in the body is complex and not fully understood. This raises important questions including inter alia, whether high levels of beta- carotene or vitamin A may carry risks and what the nature of those risks might be. While a risk assessment is a pre-requisite for GM foods under many national jurisdictions, the need for specific and additional food safety assessment for nutritionally enhanced GM crops such as the GM banana is acknowledged by the Codex Alimentarius Commission, as genetic modifications result in a composition that may be significantly different from their conventional counterparts".
SciDev.Net’s focus groups in Sub-Saharan Africa (SSA) are part of a global programme that aims to understand regional needs and contexts for science and technology in development. The programme started in 2012 in South East Asia and the Pacific, and reports are available online at www.scidev.net/global/content/learning-series.html This report highlights the key areas of interest in for development, and barriers and gaps in the use of science and technology evidence. It also provides suggestions for how communications about science and technology can be improved.
Agricultural export restrictions have been seen by many as worsening food price volatility, and pushing up world prices, to the detriment of poor consumers in developing countries. At the same time, others have argued that these measures can help safeguard domestic food security, support government revenues and help countries add value to farm exports. This paper examines the likely trade, food security and development implications of various options for disciplining agricultural export restrictions. The paper seeks to provide policy-makers, negotiators and other policy actors with an impartial, evidence-based analysis of the likely trade, food security and development implications of various options for disciplining agricultural export restrictions.