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Securing Health
Lessons from Nation-Building Missions
Rebuilding public health and health care delivery systems has been an important component of nation-building efforts conducted after major conflicts. However, few studies have attempted to examine a comprehensive set of cases, compare the quantitative and qualitative results, and outline best practices. The study assesses seven cases of nation-building operations following major conflicts: Germany and Japan immediately after World War II; Somalia, Haiti, and Kosovo in the 1990s; and Afghanistan and Iraq since 2001. It concludes that two factors increase the likelihood of successful health outcomes: planning and coordination, and infrastructure and resources. In addition, the study argues that health can have an independent impact on broader political, economic, and security objectives during nation-building operations.
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Contents
Chapter One:
Introduction
Chapter Two:
Germany
Chapter Three:
Japan
Chapter Four:
Somalia
Chapter Five:
Haiti
Chapter Six:
Kosovo
Chapter Seven:
Afghanistan
Chapter Eight:
Iraq
Chapter Nine:
Evaluating Health Reconstruction
Appendix A:
Methodology
Appendix B:
Factor Analysis
The research described in this report was carried out under the auspices of the RAND Center for Domestic and International Health Security, a program within RAND Health. Primary funding for the project was provided by a generous gift from David and Carol Richards.
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