Inequality in human development across the globe

The Human Development Index is the world's most famous indicator of the level of development of societies. A disadvantage of this index is however, that only national values are available, whereas within many countries huge subnational variation exists in income, health and education. Here we present the Subnational Human Development Index (SHDI), which shows within-country variation in human development and its dimension indices for over 1600 regions within 160 countries. The newly observed variation is particularly strong in low and middle developed countries (home to 70% of the world population) but less important in the most developed ones. While education disparities explain most of the SHDI inequality within low-developed countries, income differences are increasingly responsible for SHDI inequality within more highly developed countries. The new SHDI opens the possibility of studying global socio-economic change with unprecedented coverage and detail, increasing the ability of policy-makers to monitor the Sustainable Development Goals

Violent Conflicts and Civil Strife in West Africa:Causes, Challenges and Prospects

The advent of intra-state conflicts or ‘new wars’ in West Africa has brought many of its economies to the brink of collapse, creating humanitarian casualties and concerns. For decades, countries such as Liberia, Sierra Leone, Côte d’Ivoire and Guinea- Bissau were crippled by conflicts and civil strife in which violence and incessant killings were prevalent. While violent conflicts are declining in the sub-region, recent insurgencies in the Sahel region affecting the West African countries of Mali, Niger and Mauritania and low intensity conflicts surging within notably stable countries such as Ghana, Nigeria and Senegal sends alarming signals of the possible re-surfacing of internal and regional violent conflicts. These conflicts are often hinged on several factors including poverty, human rights violations, bad governance and corruption, ethnic marginalization and small arms proliferation. Although many actors including the ECOWAS, civil society and international community have been making efforts, conflicts continue to persist in the sub-region and their resolution is often protracted. This paper posits that the poor understanding of the fundamental causes of West Africa’s violent conflicts and civil strife would likely cause the sub-region to continue experiencing and suffering the brunt of these violent wars

Global Health Education: a cross-sectional study among German medical students to identify needs, deficits and potential benefits (Part 2 of 2: Knowledge gaps and potential benefits)

<p>Abstract</p> <p>Background</p> <p>In Germany, educational deficits or potential benefits involved in global health education have not been analysed till now.</p> <p>Objective</p> <p>We assess the importance medical students place on learning about social determinants of health (SDH) and assess their knowledge of global health topics in relation to (i) mobility patterns, their education in (ii) tropical medicine or (iii) global health.</p> <p>Methods</p> <p>Cross-sectional study among medical students from all 36 medical schools in Germany using a web-based, semi-structured questionnaire. Participants were recruited via mailing-lists of students' unions, all medical students registered in 2007 were eligible to participate in the study. We captured international mobility patterns, exposure to global health learning opportunities and attitudes to learning about SDH. Both an objective and subjective knowledge assessment were performed.</p> <p>Results</p> <p>1126 online-replies were received and analysed. International health electives in developing countries correlated significantly with a higher importance placed on all provided SDH (p ≤ 0.006). Participation in tropical medicine (p < 0.03) and global health courses (p < 0.02) were significantly associated with a higher rating of 'culture, language and religion' and the 'economic system'. Global health trainings correlated with significantly higher ratings of the 'educational system' (p = 0.007) and the 'health system structure' (p = 0.007), while the item 'politics' was marginally significant (p = 0.053).</p> <p>In the knowledge assessment students achieved an average score of 3.6 (SD 1.5; Mdn 4.0), 75% achieved a score of 4.0 or less (Q₂₅= 3.0; Q₇₅= 4.0) from a maximum achievable score of 8.0. A better performance was associated with international health electives (p = 0.032), participation in tropical medicine (p = 0.038) and global health (p = 0.258) courses.</p> <p>Conclusion</p> <p>The importance medical students in our sample placed on learning about SDH strongly interacts with students' mobility, and participation in tropical medicine and global health courses. The knowledge assessment revealed deficits and outlined needs to further analyse education gaps in global health. Developing concerted educational interventions aimed at fostering students' engagement with SDH could make full use of synergy effects inherent in student mobility, tropical medicine and global health education.</p