When a hurricane comes ashore or a wildfire ignites, most of a community's vulnerability to disaster is already set. Emergency managers including FEMA, states, and localities could do much more to identify statewide risks and build community resilience before an event makes headlines.
Documenting high levels of food insecurity and overweight among people with HIV in Latin America and the Caribbean and highlighting food gaps have important implications for interventions, since prior efforts to address food insecurity among people with HIV have focused on underweight and wasting.
A qualitative approach was used to explore the impact of an HIV diagnosis on women in the Dominican Republic and coping strategies after diagnosis. We conducted in-depth, semistructured interviews with a purposive sample of women living with HIV.
For American policymakers, economic sanctions are too often the soft choice between doing nothing and taking effective but risky or expensive action. Yet, before they inflict years, perhaps decades of impoverishment and worse on entire populations, they should ask if their efforts are likely to succeed and are worth punishing an entire people to do so.
Edward Gonzalez, a longtime RAND resident consultant and political science professor at UCLA who spent decades studying Fidel Castro's Cuba and its relations with the United States and the former Soviet Union, has died. He was 85.
Most of the 41 terror suspects who remain confined at Guantanamo Bay are unlikely to be released from custody any time soon. But the possibility that new detainees may soon be sent to the facility argues for early action to accelerate the legal proceedings against those already being held.
A small team of RAND researchers went to Puerto Rico two weeks after the island was struck by Hurricane Maria. They are compiling their observations into a series of studies for the Army, with recommendations to smooth its response to future disasters.
High U.S. health care costs do not yield corresponding health outcomes for its citizens. But Cuba, for less than a tenth of U.S. costs, has attained comparable outcomes on many indicators, such as life expectancy and infant mortality. Cuba prioritizes primary care and prevention and addresses social determinants of health.
When Hurricane Matthew swept across Haiti, it left a resurgence of cholera in its wake. Tackling cholera head-on should be on the short list of health priorities for disaster relief in the island nation.
Luck, serendipity, and longtime relationships fostered success in Haiti relief efforts, though actual performance is impossible to measure because metrics and plans were not in place before the earthquake hit. U.S. Department of Defense policy on humanitarian assistance and disaster relief needs to be updated.
Stories discuss world demographic trends, Afghan peace prospects, U.S. health care spending, California prisoner reentry, Latin American inequalities, global health, veterans' mental health, highway investments, teacher bonuses, and charter schools.
It has been a year since the devastating earthquake. The question now is how to use international aid and assistance wisely. This RAND Review cover story describes actions that could yield positive outcomes in Haiti in three to five years.
In this October 2010 Congressional Briefing, RAND experts discuss how the billions of dollars in aid pledged to help Haiti rebuild after the January earthquake can be used to create a resilient state that is capable of responding effectively to natural disasters and providing public services like education and health care.