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East Africa

Report
Pathways from Climate Change to Conflict in U.S. Central Command
This report presents an analysis of the pathways from climate change to conflict and how that relationship is unfolding in the U.S. Central Command area of responsibility.
Nov 29, 2023
Journal Article
Food Insecurity During the COVID-19 Pandemic: A Longitudinal Mixed-Methods Study from a Cohort of HIV Clients in Uganda
The paper utilized a longitudinal mixed-methods approach to evaluate the economic impact of COVID-19 on food security and ART-taking behaviors among people living with HIV in Kampala, Uganda.
Jan 19, 2023
Journal Article
Incentives and Reminders to Improve Long-term Medication Adherence (INMIND): Protocol for a Pilot Randomized Controlled Trial
This study aims to test the feasibility, acceptability, and preliminary efficacy of a novel intervention that uses SMS text messages and conditional incentives to support ART initiators in establishing pill-taking habits.
Nov 22, 2022
Dissertation
Three Essays on HIV Investments in Sub-Saharan Africa
Examines the HIV-related health decisions and investments that are made by people living with HIV as well as the institutions that serve them, and it assesses their indirect effects.
Sep 6, 2022
Journal Article
Stepped Care for Depression at Integrated Chronic Care Centers (IC3) in Malawi: Study Protocol for a Stepped-Wedge Cluster Randomized Controlled Trial
This study will compare the effects of an evidence-based depression care model versus usual care on depression symptom remediation as well as physical health outcomes for chronic care conditions.
Mar 29, 2022
Report
U.S. Security Governance and Competition Objectives in Africa
Institutional capacity-building (ICB) efforts have been critical to achieving U.S. security objectives in Africa. But as U.S. policy shifts from counterterrorism to strategic competition, could ICB programs also help the United States gain influence in Africa?
Jan 18, 2022
Commentary
Addressing Climate Migration
As the effects of climate change increase in scope and severity, more people will relocate to preserve or enhance their lives and livelihoods. A review of how six countries are managing climate mobility provides options for policymakers considering the needs of climate migrants and their host communities.
Dec 7, 2021
Report
China's Military Interventions: Patterns, Drivers, and Signposts
China has undertaken two broad types of military interventions in its post-1949 history. The authors assess which one of two patterns is likely to predominate in China's future and on what factors the answer to this question is likely to depend.
Sep 27, 2021
Blog
The Fight Against COVID, Sexual Violence in the Military, Disinformation on Social Media: RAND Weekly Recap
This weekly recap focuses on the ongoing fight against COVID-19, countering sexual assault and sexual harassment in the military, disinformation on social media, and more.
Jul 23, 2021
Commentary
The Pandemic's Effects on Strategic Competition in Sub-Saharan Africa
What have been the public health, political, and economic ramifications of COVID-19 in sub-Saharan Africa? And has the pandemic allowed China and Russia to gain more influence on the continent?
Jul 20, 2021
Journal Article
Examination of Mediators and Moderators to Understand How and in What Context Game Changers Increases HIV Prevention Advocacy Among Persons Living With HIV in Uganda
These findings highlight the importance of helping PLWH cope with self-stigma and gain comfort with disclosure, as well as the potential influence of network support, trustworthiness, connectedness, and stigmatization on engagement in prevention advocacy.
Apr 28, 2021
Journal Article
Addressing Impact Evaluation Gaps in Belt and Road Initiative Projects in Africa: The Standard Gauge Railway Project in Kenya as a Proof of Concept
Proposing new directions for evaluation framework development targeting the Belt and Road Initiative projects, using the Standard Gauge Railway project in Kenya as a proof of concept of our proposed evaluation framework.
Oct 7, 2020
Journal Article
Hybrid Governance of Disaster Management in Freetown, Monrovia, and Dar Es Salaam
This article introduces a hybrid governance perspective to disaster management. Hybrid governance refers to situations where state and non-state actors collectively provide key services.
Sep 16, 2020
Journal Article
A Complexity Approach for Reducing Disaster Risks for Marginalized Urban Populations: Comparing DRR Interventions Across Four Cities
This chapter conceptualizes cities and their risks as a complex adaptive system and examines the methods for risk reduction.
Sep 3, 2020
Journal Article
A Pilot Test of Game Changers, a Social Network Intervention to Empower People with HIV to Be Prevention Advocates in Uganda
We developed and conducted a pilot test of Game Changers, a 6-session group-based intervention that aims to empower people with HIV to be agents for HIV prevention by initiating conversations about HIV with social network members.
Aug 7, 2020
Commentary
Repression in Mozambique Is Stoking an Islamist Insurgency, Risking Wider Unrest
While Southern Africa has largely remained immune from violent extremism, the situation in northern Mozambique threatens to destabilize the country and could potentially spread to other parts of the region. To effectively counter the growing threat, the government could devise a less heavy handed approach.
Jun 5, 2020
Journal Article
Changes in ART Adherence Relate to Changes in Depression as Well! Evidence for the Bi-directional Longitudinal Relationship Between Depression and ART Adherence from a Prospective Study of HIV Clients in Uganda
While other research has examined and supported the influence of depression on ART adherence, our data support the reciprocal relationship: that non-adherence and changes in adherence are associated with levels and changes in depression.
May 12, 2020
Commentary
'New Zimbabwe' Looks an Awful Lot Like the Old One
Zimbabwe's president Emmerson Mnangagwa promised a break from Mugabe's repressive rule and economic decline. To help support Zimbabwe's recovery, international actors would be wise to push the government to respect the country's 2013 constitution and push for genuine political, security, and economic reforms.
Mar 11, 2020
Blog
Infectious Diseases, Zimbabwe, Students with Disabilities: RAND Weekly Recap
This weekly recap focuses on the U.S. response to infectious diseases, Zimbabwe after Mugabe, the support for students with disabilities, and more.
Feb 14, 2020
Journal Article
When Financial Incentives Backfire: Evidence from a Community Health Worker Experiment in Uganda
Despite stronger financial incentives for community health workers, the entrepreneurial model led to substantially less effort (fewer household visits) than the free delivery model. Our results call into question the notion that an entrepreneurial model necessarily increases community health worker effort relative to free distribution.
Feb 13, 2020

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