Lately, stories about outbreaks seem to be spreading faster than the diseases themselves. An outbreak of measles in Ohio is just part of an 18-year high of U.S. cases. Meanwhile, polio continues to circulate in Pakistan, Afghanistan, and Nigeria, while spreading to other countries.
Less than 5% of Nigerians have insurance; two-thirds of all health care costs are paid out of pocket. When people must pay out of pocket for health care at the point of service, this restricts access, excludes the poorest and most vulnerable, and leads to delays in patients seeking help.
The historical record suggests that when many hostages are involved, rescues are bloody affairs. Early RAND research on hostage situations showed that of all the ways hostages may be killed—during the initial abduction, trying to escape, murdered by their captors or during the rescue—79 percent died during the rescue.
Off the western coast of Africa, just north of the equator, the Gulf of Guinea has endured piracy for decades. But recent spikes in new, more dangerous forms of piracy imply a troubling sense of invincibility in the minds of the perpetrators.
Bold and innovative approaches are being developed in different parts of the African continent in the quest to reduce maternal mortality. A noteworthy example of this is the Abiye Safe Motherhood program in Ondo State, Nigeria.
If NATO wants to avoid strategic irrelevance, it needs to give increasing attention to the threats from the Middle East and North Africa region. A southern strategy should draw on recent experience, such as NATO's intervention in Libya and the successful operation in Mali.
Government stewardship appears to have some cumulative association with quality for clinics, suggesting that comprehensive engagement with providers may influence quality. However, our research indicates that continued medical education (CME) by itself is not associated with improved care.
A U.S. Official has confirmed that two mariners thought to be U.S. Citizens were kidnapped from an American ship in a pirate attack off of the West African coast — the 40th such attack reported in the Gulf of Guinea in 2013. The current security situation in the Gulf has affected petroleum and natural gas production.
Free and fair elections are important, to be sure, but what Mali really needs is a leader who is dedicated to democracy, unity and reform of Mali's politics and institutions, write Stephanie Pezard and Michael Shurkin.
Discusses how lasting security and stability can be established in northern Mali after the 2012 conflict there, with an emphasis on understanding the region's complex dynamics and engaging northerners in security solutions.
Scholars have identified ethnic divisions as a leading cause of underdevelopment, due partially to their adverse effects on public goods. We investigate this issue in post-war Sierra Leone, one of the world's poorest and most ethnically diverse countries.
The establishment of a U.S. base in Niger is intended to facilitate intelligence collection and will provide a more complete picture of militant movements in Niger, Mali, and other countries in the Sahel, writes Seth Jones. The United States will share this intelligence with Malian and French forces.
Most interventions in the past 25 years have been followed by improved security, some degree of democratization, and significant economic growth—with only a modest commitment of international military and civilian manpower and economic assistance.
Coinciding with continuing, contentious hearings on the U.S. response to last September's terrorist attack in Benghazi, the attack on the Amenas natural gas facility in Algeria has elevated a more general debate about the war on terrorism and U.S. policy in Africa, writes Brian Michael Jenkins.
An attack of this complexity would have required months of reconnaissance, planning, recruiting of inside confederates, and training of participants. France's intervention in Mali was used to “justify” an attack that would likely have taken place anyway, writes Brian Michael Jenkins.
France is in Mali not just to prop up a failing state in French Africa, but because Mali was becoming a magnet for jihadis from around the world and Paris rightly feared the country could become the next Afghanistan—only much closer to Europe, writes Christopher Chivvis.
Last week's terrorist attack at the In Amenas gas complex in Algeria, along with the recent success of the militant groups fighting government forces in Mali, indicate al Qaeda and other terrorist groups are gaining influence in North Africa. RAND experts weigh in on the latest developments.
There is a danger in viewing Mali through the prism of counter-terrorism, since the rebel element there is tangled up in movements and groups with a wide variety of interests and motives, ranging from sincere religious conviction to local political rivalries to base economic opportunism, writes Michael Shurkin.
No solution is likely to offer more than a short-term reprise if it is not accompanied by real progress toward resolving Mali's political crisis and strengthening the Malian state and Malian democracy, write Stephanie Pezard and Michael Shurkin.