17 research outputs found

    African participation and partnership in performance-based financing : a case study in global health policy

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    This report forms part of a research programme led by the Regional Network for Equity in Health in East and Southern Africa (EQUINET). The case study focuses on the participation of African actors in global health governance in terms of performance-based funding (PBF). It investigates how global health actors in South Africa, Tanzania and Zambia participate in decision-making processes related to the PBF mechanisms associated with the Global Fund and World Bank. African agency lies in the strength of a country’s health system, which determines the ability to say no to external funders and to set their own policy preferences

    A narrative review of health research capacity strengthening in low and middle-income countries: lessons for conflict-affected areas

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    Abstract Conducting health research in conflict-affected areas and other complex environments is difficult, yet vital. However, the capacity to undertake such research is often limited and with little translation into practice, particularly in poorer countries. There is therefore a need to strengthen health research capacity in conflict-affected countries and regions. In this narrative review, we draw together evidence from low and middle-income countries to highlight challenges to research capacity strengthening in conflict, as well as examples of good practice. We find that authorship trends in health research indicate global imbalances in research capacity, with implications for the type and priorities of research produced, equity within epistemic communities and the development of sustainable research capacity in low and middle-income countries. Yet, there is little evidence on what constitutes effective health research capacity strengthening in conflict-affected areas. There is more evidence on health research capacity strengthening in general, from which several key enablers emerge: adequate and sustained financing; effective stewardship and equitable research partnerships; mentorship of researchers of all levels; and effective linkages of research to policy and practice. Strengthening health research capacity in conflict-affected areas needs to occur at multiple levels to ensure sustainability and equity. Capacity strengthening interventions need to take into consideration the dynamics of conflict, power dynamics within research collaborations, the potential impact of technology, and the wider political environment in which they take place

    Structural violence and the paradox of humanitarian intervention

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    Humanitarian interventions tend to be justified by claims to the existence of an obligation upon ‘us’ (the benevolent saviours) to intervene militarily when a state is responsible for large-scale atrocity crimes against its own population. However, this justification is paradoxical, given that there is rarely held to exist a commensurate obligation to address structural violence (even when ‘we’ may be partly responsible for, or complicit within, structures that are violent). The paradox arises because structural violence can be harmful – even evil – in its own right, and can also lead to – or exacerbate – direct violence. Hence, intervening militarily, and inevitably causing further harm in the act of intervening, results in a moral shortfall. This shortfall is indicative of a prevailing understanding of harm that is blind to the potential for structures to be violent. In responding to the paradox, I adopt a critical cosmopolitan perspective to argue that because structural violence can be harmful on a great scale, and because it is co-constitutive of direct violence, we ought not to countenance intervening with the use of military force (with what this brings in the form of inevitable intended and unintended harm) to stop direct violence without also considering and addressing violent structures, especially if they are violent structures that we are, ourselves, embedded within. Therefore, it is morally imperative to engage in an ongoing process of illumination and addressing of evil structures to rectify the harms they cause, alongside any efforts to stem direct violence, if any sort of intervention is to be legitimate and just. This requires us to a) expand our understanding of harm and evil at the global level, and b) engage in consistent and sustained deliberative processes that bring to the forefront structural violence and structural underpinnings of direct violence

    Ethics and Security

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    An overview of literature on ethics and security. This is a thoroughly revised editoin of a 2010 review piece for the International Studies Encyclopeadia

    Ethics and Security

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    An overview of literature on ethics and security. This is a thoroughly revised editoin of a 2010 review piece for the International Studies Encyclopeadia

    Data-Driven Analytics towards Software Sustainability: The Case of Open-Source Multimedia Tools on Cultural Storytelling

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    The continuous evolution of modern software technologies combined with the deluge of available “ready-to-use” data has triggered revolutionary breakthroughs in several domains, preservation of cultural heritage included. This breakthrough is more than obvious just by considering the numerous multimedia tools and frameworks that actually serve as a means of providing enhanced cultural storytelling experiences (e.g., navigation in historical sites using VR, 3D modeling of artifacts, or even holograms), which are now readily available. In this context and inspired by the vital importance of sustainability as a concept that expresses the need to create the necessary conditions for future generations to use and evolve present artifacts, we target the software engineering domain and propose a systematic way towards measuring the extent to which a software artifact developed and applied in the cultural heritage domain is sustainable. To that end, we present a data-driven methodology that harnesses data residing in online software repositories and involves the analysis of various open-source multimedia tools and frameworks

    Ethics & Security

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