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East Africa

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
Report

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
Report

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
Commentary

Little Has Changed in Post-Mugabe Zimbabwe

After decades in power, President Robert Mugabe of Zimbabwe was toppled via a military coup in November 2017. His successor Emmerson Mnangagwa promised a break from Mugabe's authoritarian rule and economic mismanagement. After two years in power, to what extent has Mnangagwa delivered on his promises? In short, it's bleak.

Feb 7, 2020
Report

Has Zimbabwe Changed Since Mugabe's Overthrow?

After 37 years in power, President Robert Mugabe of Zimbabwe was toppled via a military coup in November 2017. His successor and former vice president, Emmerson Mnangagwa, promised a break from authoritarian rule and economic mismanagement. Has he delivered?

Feb 6, 2020
Journal Article

Disaster Risk Reduction Is Not 'Everyone's Business': Evidence from Three Countries

The author examines disaster risk reduction (DRR) by answering the following questions: Who are the main types of actors involved in DRR in different countries, how do they work together, and how much variation is there between countries?

Nov 5, 2019
Commentary

Zimbabwe’s Neighbors Express Solidarity Against a False Enemy

The notion that sanctions are primarily responsible for the economic collapse in Zimbabwe is a useful fiction promoted by that country's authoritarian elite. In reality, the ruling party, in power for 39 years, has no one to blame but itself.

Oct 25, 2019

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