Health Aid and Health Improvement in Sub-Saharan Africa: Accounting for the Heterogeneity Between Stable States and Post-Conflict States

2014 ◽  
Vol 27 (7) ◽  
pp. 1178-1196 ◽  
Author(s):  
Urbain Thierry Yogo ◽  
Douzounet Mallaye
2019 ◽  
Vol 101 (912) ◽  
pp. 1067-1089
Author(s):  
Edoardo Borgomeo

AbstractThis note discusses the challenges of water service delivery before, during and after protracted armed conflict, focusing on barriers that may impede successful transition from emergency to development interventions. The barriers are grouped according to three major contributing factors (three “C”s): culture (organizational goals and procedures), cash (financing practices) and capacity (know-how). By way of examples, the note explores ways in which development agencies can overcome these barriers during the three phases of a protracted armed conflict, using examples of World Bank projects and experiences in the Middle East and Sub-Saharan Africa. Before the crisis, development agencies need to work to prevent armed conflict. In a situation of active armed conflict or when conflict escalates, development agencies need to remain engaged as much as possible, as this will speed up post-conflict recovery. When conflict subsides, development agencies need to balance the relative effort placed on providing urgently needed emergency relief and water supply and sanitation services with the effort placed on re-establishing sector oversight roles and capacity of local institutions to oversee and manage service delivery in the long term.


2017 ◽  
Vol 55 (3) ◽  
pp. 395-422 ◽  
Author(s):  
Matt Kandel

ABSTRACTRising competition and conflict over land in rural sub-Saharan Africa continues to attract the attention of researchers. Recent work has especially focused on land governance, post-conflict restructuring of tenure relations, and large-scale land acquisitions. A less researched topic as of late, though one deserving of greater consideration, pertains to how social differentiation on the local-level shapes relations to land, and how these processes are rooted in specific historical developments. Drawing on fieldwork conducted in Teso sub-region of eastern Uganda, this paper analyses three specific land conflicts and situates them within a broad historical trajectory. I show how each dispute illuminates changes in class relations in Teso since the early 1990s. I argue that this current period of socioeconomic transformation, which includes the formation of a more clearly defined sub-regional middle class and elite, constitutes the most prominent period of social differentiation in Teso since the early 20th century.


2001 ◽  
Vol 17 (suppl) ◽  
pp. S37-S46 ◽  
Author(s):  
Johann Baumgärtner ◽  
Markus Bieri ◽  
Giuseppe Buffoni ◽  
Gianni Gilioli ◽  
Hiremagalur Gopalan ◽  
...  

A concept of an ecosystem approach to human health improvement in Sub-Saharan Africa is presented here. Three factors mainly affect the physical condition of the human body: the abiotic environment, vector-transmitted diseases, and natural resources. Our concept relies on ecological principles embedded in a social context and identifies three sets of subsystems for study and management: human disease subsystems, natural resource subsystems, and decision-support subsystems. To control human diseases and to secure food from resource subsystems including livestock or crops, integrated preventive approaches are preferred over exclusively curative and sectorial approaches. Environmental sustainability - the basis for managing matter and water flows - contributes to a healthy human environment and constitutes the basis for social sustainability. For planning and implementation of the human health improvement scheme, participatory decision-support subsystems adapted to the local conditions need to be designed through institutional arrangements. The applicability of this scheme is demonstrated in urban and rural Ethiopia.


Hawwa ◽  
2016 ◽  
Vol 14 (2) ◽  
pp. 166-186
Author(s):  
Maimuna Mohamud

The aftermath of violent conflict provides opportunities for fresh debates about gender politics. In sub-Saharan Africa, several post-conflict states have introduced constitutional reforms and quotas to promote women’s participation in government. Yet, women’s political representation in Somalia is a matter that goes beyond the hotly-debated gender quotas which are often championed by international donors and other peacebuilding actors. In post-war Somalia, women believe that the question of political representation is closely linked to the recognition of women’s ongoing contributions to society. For many women, the contemporary post-war Islamic discourses in Somalia have eroded some rights previously guaranteed—if imperfectly—by the pre-war state. Such discourses today have also constructed a new ideal version of Somali women in an Islamic society which largely dispossesses them from public life. In this article, I highlight Somali women’s forms of activism which are centered on engaging Islamic discourses in an attempt to change current perceptions about women’s roles in politics and public life. I examine women’s narratives for insights into the root causes of women’s exclusion and the strategies used to resist, counter, and challenge oppositional Islamic discourses. I conclude by considering how women’s ‘unorganized’ movements across Somalia—premised on working within a framework of Islam, are suggestive of multifaceted expressions of women’s agency in patriarchal and non-liberal contexts.


Author(s):  
Babacar Ndiaye ◽  
Louis Thiam ◽  
Gahee Ham ◽  
Yunsung Choi ◽  
Eunmi Lee ◽  
...  

Maternal mortality remains a major global health challenge in sub-Saharan Africa. Senegal is one of the countries in the region that lagged behind in reaching the Millennium Development Goal 5, the deadline of which passed in 2015. The objective of this study was to assess the effects of information, education, and communication (IEC) activities conducted in Louga, Senegal. Community groups and facilitators conducted IEC campaigns, home visits, and various awareness-raising activities. This study used secondary data as part of the baseline and mid-term evaluations. Participants included women and men who had one or more children under five years of age. It was found that the level of awareness of at least three danger signs of pregnancy recognised by men significantly increased, and husbands/partners more frequently accompanied their wives during antenatal care in 2019 than in 2018. Women’s empowerment improved significantly in terms of women making their own health decisions, joining community decision-making associations or groups, and using contraception. This project indicates that policies and programs are needed to increase men’s involvement and empower women to further women’s reproductive health to achieve the Sustainable Development Goal 3 and reduce maternal mortality in Senegal.


2021 ◽  
Author(s):  
Brandon Kendhammer ◽  
Wyatt Chandler

Drawing on an extensive literature review and four case studies from leading examples of post-conflict local peacebuilding in sub-Saharan Africa, this report argues that the “local” in local peacebuilding is best defined as local knowledge of conflict drivers and dynamics and locally defined, contextually specific definitions of peace. This does not necessarily mean working through or empowering “traditional” actors and institutions (a highly contested category, in any case). Nor should it mean a narrow focus on subnational conflict drivers and peace actors to the detriment of assessing how national and international dynamics shape local peace challenges (and vice versa). International donors and peace actors are most successful when they operate with a keen awareness that all potential peacebuilding actors (national and local actors, but also external donors, "experts," and implementers) have their own agendas and that peacebuilding efforts that work at the sub-national level and engage local actors are not automatically endowed with legitimacy and community buy-in just because of their "localness." International actors must also be flexible and open to partnering with a wide range of local actors, including those that don’t meet preconceived international expectations about what an effective local partner looks like (often, old, male, and "traditional").


Author(s):  
Lisa Kindervater ◽  
Sheila Meintjes

Women have the opportunity to make significant economic, political, and sociocultural gains during transitions to peace and democracy; however, these gains are frequently lost when competitive electoral politics resumes. This chapter identifies the key mechanisms responsible for this loss, providing examples from several countries in sub-Saharan Africa. These mechanisms include institutional constraints, historical political conditions, donor-driven agendas, prevailing cultural norms, and the nature of the women’s movement. The chapter suggests that while the enactment of laws and policies related to women’s rights are an important first step, a feminist and transformational agenda in post-conflict societies requires focus on patriarchal cultures and practices. The chapter argues that such transformation is aided by the fostering of strong relationships between grassroots women activists and politically elite women.


Sign in / Sign up

Export Citation Format

Share Document