Engaging stakeholders in embedded newborn health services/systems research in Kenya; a continuous process involving multiple actors

Background Engaging relevant stakeholders throughout the research cycle is increasingly recognised as critical to conducting quality health systems research. There are few descriptions and analyses of stakeholder engagement in practice for embedded health systems research especially those that must navigate multi-level decentralised health systems. We describe and reflect on the stakeholder engagement activities of an international multi-disciplinary programme of research focused on newborn care in hospitals in Kenya. Methodology Our experienced project stakeholder engagement group coordinated engagement activities across multiple stakeholders with differing interests in the research. We conducted a stakeholder mapping and analysis using an engagement matrix to include national and county-level policymakers, professional communities, associations and regulators, health managers, frontline healthcare workers, patients, families and patient representative groups. Our engagement group maintained a log of engagement activities and had regular programme feedback meetings and discussions. As part of our analysis of stakeholder engagement, we drew on project documents and meeting minutes, and on a conceptual framework which distinguishes between the moral, strategic and practicaldimensions of stakeholder engagement. Results Stakeholder engagement was essential but complex in practice. Although we had significant prior engagement experience and relationships at the hospitals and the counties, introducing new staff into NBUs triggered complexities that required careful consultation along the bureaucracies at the counties. Despite the counties having similar hierarchical architectures, engagement processes varied and achieved different outcomes across counties. There were also multiple officeholder transitions over the research period, occasioned by factors in our external environment, often necessitating engaging afresh. Conclusion Even with a carefully developed stakeholder engagement plan, an experienced team, and a landscape backed by long-term embeddedness, health research stakeholder engagement can unfold in unexpected ways and requires continuous effort, resources, and adaptability. Meeting the moral, strategic, and practical potential of engagement requires flexibility, responsiveness, and commitment, including adequate resources.

Advancing SDG7 in Least Developed Countries, Landlocked Developing Countries and Small Island Developing States

The Policy Brief underscores urgent international attention is needed to address the inequalities in access to sustainable energy that are faced by the three groups of countries. Unless efforts are scaled up significantly in these countries, the world will fall short of its target of universal access to affordable, reliable and modern energy services by 2030. Supported by technological leapfrogging, faster deployment of renewables in the LDCs, LLDCs and the SIDS can help bridge the sustainable energy access gap, strengthen energy security and support climate goals. A major shift in strategy is required, however, to significantly increase these countries’ access to accessible and appropriate financing and support clean or low-carbon energy initiatives. The SDG7 Policy Briefs are developed in support of the High-level Political Forum which this year will review progress and action needed on SDG7. UN-OHRLLS as a member of the SDG7 Technical Advisory Group (SDG7 TAG), is the lead contributor to this Policy Brief on LDCs, LLDCs and SIDS

Progressive realism and the EU’s international actorness: towards a grand strategy?

The EU lacks a coherent strategy to guide its international actions.This is a problem that has been amply discussed in both academic and policy-making circles, but that remains to be fully addressed. The December 2013 European Council recognised the issue, and the EU High Representative Federica Mogherini is in charge of a strategic review that will lead to a global strategy by June 2016. Most arguments in favour of a grand strategy rely on utilitarian arguments that highlight the EU’s potential for a more efficient foreign policy. By linking a progressive realist approach to the importance of an EU grand strategy, this article intends to demonstrate the normative need for such a guiding document. As it will be argued, a grand strategy is a necessary step in the consolidation of the EU as a pluralist postnational polity that has in the fulfilment of its citizens’ interests its raison d’être

Assessment of Social Vulnerability to Natural Hazards in the Mountain Kingdom of Lesotho

Lesotho's landlocked mountainous setting with thin regolith cover and poor economic situation make it vulnerable to hazardous events associated with climate such as drought, floods, strong winds, heavy snowfall, and severe frost. To date, no quantitatively based vulnerability assessment has been undertaken in this heavily populated, developing region in southern Africa. The primary aim of this study was to assess social vulnerability of communities to natural hazards by applying a place-based social vulnerability index developed for the United States, to the Lesotho context. The study used 2006 Lesotho census data, district government records, and household interviews to identify 27 indicators of social vulnerability in southern Lesotho, and then used principal components analysis to generate a social vulnerability index for the study region. Index scores were summed and then mapped to quantify spatial variability in social vulnerability. The study results show a clustering of highly vulnerable communities in the rural highlands as a result of underdevelopment, poverty, and inaccessibility

De-centring the securitization of asylum and migration in the European Union: Securitization, vulnerability and the role of Turkey

This article contributes to the debates on de-centring the analysis of migration governance in Europe by focusing on the potential role of external actors in the securitisation of asylum and migration in the European Union (EU). Although there has been a growing amount of literature on the securitisation of asylum and migration in the EU, the role possibly played by external actors in this securitisation process has not been considered to date. This article addresses this gap using the case of Turkey. Theoretically, it contributes to the development of the securitisation framework by de-centring the study of securitisation processes. It argues that, from the vantage point of an external actor, a securitisation process highlights the existence of a vulnerability to a specific phenomenon that is perceived to be threatening. An external actor can then decide to exploit this vulnerability for its own gain, notably by making threats that play on the fears of the other political actor. Empirically, the article demonstrates how the Turkish government has been able to exploit the vulnerability of European countries to migration flows, which had been highlighted by the social construction of asylum and migration as security issues. By repeatedly threatening to send more asylum-seekers and migrants Europe’s way, the Turkish authorities have managed to secure some significant financial and political benefits for themselves in the last few years

Open Debate on Silencing the Guns in Africa, New York, United States, 27 February 2019

Speech: New York, 27 February 2019: Briefing by H.E Mr. Ramtane Lamamra, African Union High Representative for Silencing the Guns in Africa by 2020 at UN Security Council Open Debate on Silencing the Guns in Afric