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Securing Health

Lessons from Nation-Building Missions

Cover: Securing Health: Lessons from Nation-Building Missions

By: Seth G. Jones, Lee H. Hilborne, C. Ross Anthony, Lois M. Davis, Federico Girosi, Cheryl Benard, Rachel M. Swanger, Anita Datar Garten, Anga R. Timilsina

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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Paperback Cover Price: $30.00

Discounted Web Price: $27.00

Pages: 388

ISBN/EAN: 0-8330-3729-3

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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.

This product is part of the RAND Corporation monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity.

This research in the public interest was supported by RAND, using discretionary funds made possible by the generosity of RAND's donors, the fees earned on client-funded research, and independent research and development (IR&D) funds provided by the Department of Defense.

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