response How is Pakistan balancing religion and politics in its response to the coronavirus? By webfeeds.brookings.edu Published On :: Fri, 24 Apr 2020 21:26:05 +0000 As Ramadan begins, Pakistan has loosened social distancing restrictions on gatherings in mosques, allowing communal prayers to go forward during the holy month. David Rubenstein Fellow Madiha Afzal explains how Prime Minister Imran Khan's political compromise with the religious right and cash assistance programs for the poor help burnish his populist image, while leaving it… Full Article
response How Congress can address the international dimensions of the COVID-19 response By webfeeds.brookings.edu Published On :: Wed, 15 Apr 2020 16:20:50 +0000 Congress and the Trump administration are beginning to pull together the components of a fourth COVID-19 emergency supplemental. The first package included initial emergency funding to bolster foreign assistance programs. In the third package, while containing critical funding for the safety of our diplomatic and development workers, less than half of 1 percent of the… Full Article
response The politics of Congress’s COVID-19 response By webfeeds.brookings.edu Published On :: Mon, 20 Apr 2020 09:30:25 +0000 In the face of economic and health challenges posed by COVID-19, Congress, an institution often hamstrung by partisanship, quickly passed a series of bills allocating trillions of dollars for economic stimulus and relief. In this episode, Sarah Binder joins David Dollar to discuss the politics behind passing that legislation and lingering uncertainties about its oversight… Full Article
response Webinar: How federal job vacancies hinder the government’s response to COVID-19 By webfeeds.brookings.edu Published On :: Mon, 20 Apr 2020 20:52:41 +0000 Vacant positions and high turnover across the federal bureaucracy have been a perpetual problem since President Trump was sworn into office. Upper-level Trump administration officials (“the A Team”) have experienced a turnover rate of 85 percent — much higher than any other administration in the past 40 years. The struggle to recruit and retain qualified… Full Article
response More on the Easterlin Paradox: A Response to Wolfers By webfeeds.brookings.edu Published On :: Wed, 15 Dec 2010 10:11:00 -0500 Justin Wolfers’ column titled “Debunking the Easterlin Paradox, Again” dismisses Richard Easterlin’s work as just plain wrong. I argue here, as I have elsewhere, that where you come out on the Easterlin paradox depends on the happiness question (and therefore the definition of happiness) that you use, as well as the sample of countries and the period of time.Richard Easterlin finds no clear country-by-country relationship between average per capita GDP and life satisfaction (among wealthy countries), despite a clear relationship between income and happiness at the individual level within countries. Easterlin also found – and continues to find, based on methods different from Wolfers’ – an absence of a relationship between life satisfaction and long-term changes in GDP per capita. Different well-being questions measure different dimensions of “happiness”, and, in turn, they correlate differently with income (something they themselves show at the end of their last paper, and admit that the relationship between income and well-being is complex). The best possible life question – which Justin Wolfers and Betsey Stevenson primarily use in the first work, and also in the second – asks respondents to compare their life today to the best possible life they can imagine for themselves. This introduces a relative component, and, not surprisingly, the question correlates most closely with income of all of the available subjective well-being questions. Life satisfaction, which they use in the second work, also correlates with income more than open-ended happiness, life purpose or affect questions, but not as closely as the best possible life question. Wolfers and Stevenson used the most recent and extensive sample of countries available from the Gallup World Poll, and, as the measure of “happiness”, the best possible life question therein, and challenged the Easterlin paradox. In more recent work, with Stevenson and Dan Sacks (2010), referenced in this blog, the authors look at the relationship between life satisfaction and economic growth, based on the World Values survey and GDP levels and the best possible life question, based on the Gallup World Poll. They isolate a clear relationship between life satisfaction and GDP levels, and their statistical analysis is spot on. Recent studies by Kahneman and Deaton (2010), and Diener and colleagues (2010), for example, find that happiness in a life evaluation sense (as measured by the best possible life question) correlates much more closely with income than does happiness in a life experience sense (as measured by affect or more open ended happiness questions). This holds within the United States (Kahneman and Deaton) and across countries (Diener et al.). My own work on Latin America, with Soumya Chattopadhyay and Mario Picon, tested various questions against each other and finds a similar difference in correlation, with affect and life purpose questions having the least correlation with income and the best possible life question the most. My work on happiness in Afghanistan found that Afghans were happier than the world average (on par with Latin Americans) as measured by an open ended happiness question, and 20 percent more likely to smile in a day than Cubans. Yet they scored much lower than the world average on the best possible life question. This is not a surprise. While naturally cheerful and able to make the best of their lot, the Afghans also know that the best possible life is outside Afghanistan. Thus the conclusions that one draws on whether there is an Easterlin paradox or not in part rest on the definition of happiness, and therefore the question that is used as the basis of analysis. Wolfers and co-authors find a clear relationship between GDP levels and life satisfaction and best possible life – clearly important dimensions of well-being. Yet in the same paper they find much less clear relationships when they use happiness, affect and life purpose questions. There is also the question of the sample of countries, and whether one is examining cross section or time series data. The most recent debate with Easterlin is about the trends over time rather than cross-sectional patterns. Dropping the transition economies, as Easterlin does, may be a mistake, as Wolfers contends. But it is also important to recognize the extent to which including a large sample of countries that experienced unprecedented economic collapse and associated drops in happiness alters the slope in the cross-country income-happiness relationship (making it steeper). Wolfers also criticizes Easterlin for relying on financial satisfaction data for his Latin American time series sample (because there is not enough life satisfaction data); financial satisfaction correlates closely, but not perfectly, with life satisfaction. Easterlin’s technique allows for the inclusion of a much larger sample of middle income developing countries, a sample of countries that one can imagine is very important to the growth and happiness debate. Wolfers and co-authors use far fewer Latin American countries because comparable life satisfaction data is limited. Either approach is plausible and, as with all work with limited data, is not perfect. But I would not go as far as calling one or the other “plain wrong”. Finally, there is the simpler question of giving credit where credit is due. We would not be having this debate, nor would we have a host of analysis on well-being beyond what is measured by income, had Easterlin not triggered our thinking on this with his original study of happiness and income over three decades ago (and his patient and thoughtful mentoring of many economists since then). In the big picture of things, Easterlin had the idea. Authors Carol Graham Image Source: © Jorge Silva / Reuters Full Article
response How surveillance technology powered South Korea’s COVID-19 response By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 17:30:00 +0000 South Korea has been widely praised for its use of technology in containing the coronavirus, and that praise has, at times, generated a sense of mystique, suggesting that Korea has developed sophisticated new tools for tracing and stopping the outbreak. But the truth is far simpler. The tools deployed by Korean authorities are readily available… Full Article
response The federal government’s coronavirus response—Public health timeline By webfeeds.brookings.edu Published On :: Tue, 31 Mar 2020 14:58:27 +0000 By now, it is obvious to everyone seeking to understand the United States’ response to the novel coronavirus (officially SARS-CoV-2) that there were massive failures of judgment and inaction in January, February, and even March of this year. While mistakes are inevitable in the face of such a massive and rapidly evolving domestic and global… Full Article
response School closures, government responses, and learning inequality around the world during COVID-19 By webfeeds.brookings.edu Published On :: Tue, 14 Apr 2020 19:27:29 +0000 According to UNESCO, as of April 14, 188 countries around the world have closed schools nationwide, affecting over 1.5 billion learners and representing more than 91 percent of total enrolled learners. The world has never experienced such a dramatic impact on human capital investment, and the consequences of COVID-19 on economic, social, and political indicators… Full Article
response A gender-sensitive response is missing from the COVID-19 crisis By webfeeds.brookings.edu Published On :: Thu, 16 Apr 2020 14:51:51 +0000 Razia with her six children and a drug-addicted husband lives in one room in a three-room compound shared with 20 other people. Pre-COVID-19, all the residents were rarely present in the compound at the same time. However, now they all are inside the house queuing to use a single toilet, a makeshift bathing shed, and… Full Article
response Adapting approaches to deliver quality education in response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 23 Apr 2020 21:08:11 +0000 The world is adjusting to a new reality that was unimaginable three months ago. COVID-19 has altered every aspect of our lives, introducing abrupt changes to the way governments, businesses, and communities operate. A recent virtual summit of G-20 leaders underscored the changing times. The pandemic has impacted education systems around the world, forcing more… Full Article
response Recognizing women’s important role in Jordan’s COVID-19 response By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 18:47:07 +0000 Jordan’s quick response to the COVID-19 outbreak has made many Jordanians, including myself, feel safe and proud. The prime minister and his cabinet’s response has been commended globally, as the epicenter in the country has been identified and contained. But at the same time, such accolades have been focused on the males, erasing the important… Full Article
response Mobilizing the Indo-Pacific infrastructure response to China’s Belt and Road Initiative in Southeast Asia By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 13:45:20 +0000 EXECUTIVE SUMMARY China has become a significant financier of major infrastructure projects in Southeast Asia under the banner of its Belt and Road Initiative (BRI). This has prompted renewed interest in the sustainable infrastructure agenda in Southeast Asia from other major powers. In response, the United States, Japan, and Australia are actively seeking to coordinate… Full Article
response How Congress can address the international dimensions of the COVID-19 response By webfeeds.brookings.edu Published On :: Wed, 15 Apr 2020 16:20:50 +0000 Congress and the Trump administration are beginning to pull together the components of a fourth COVID-19 emergency supplemental. The first package included initial emergency funding to bolster foreign assistance programs. In the third package, while containing critical funding for the safety of our diplomatic and development workers, less than half of 1 percent of the… Full Article
response Figures of the week: The costs of financing Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 16:21:13 +0000 Last month’s edition of the International Monetary Fund (IMF)’s biannual Regional Economic Outlook for Sub-Saharan Africa, which discusses economic developments and prospects for the region, pays special attention to the financial channels through which COVID-19 has—and will—impact the economic growth of the region. Notably, the authors of the report reduced their GDP growth estimates from… Full Article
response What do we know about the coronavirus and the global response? By webfeeds.brookings.edu Published On :: Mon, 10 Feb 2020 20:04:36 +0000 David Dollar is joined in this special episode of Dollar & Sense by Amanda McClelland, the senior vice president of the Prevent Epidemics team at Resolve to Save Lives, to discuss the severity of the Wuhan coronavirus and the Chinese response to prevent the disease from spreading. McClelland, who worked on the response to the… Full Article
response Webinar: How federal job vacancies hinder the government’s response to COVID-19 By webfeeds.brookings.edu Published On :: Mon, 20 Apr 2020 20:52:41 +0000 Vacant positions and high turnover across the federal bureaucracy have been a perpetual problem since President Trump was sworn into office. Upper-level Trump administration officials (“the A Team”) have experienced a turnover rate of 85 percent — much higher than any other administration in the past 40 years. The struggle to recruit and retain qualified… Full Article
response How instability and high turnover on the Trump staff hindered the response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 18:04:06 +0000 On Jan. 14, 2017, the Obama White House hosted 30 incoming staff members of the Trump team for a role-playing scenario. A readout of the event said, “The exercise provided a high-level perspective on a series of challenges that the next administration may face and introduced the key authorities, policies, capabilities, and structures that are… Full Article
response A gender-sensitive response is missing from the COVID-19 crisis By webfeeds.brookings.edu Published On :: Thu, 16 Apr 2020 14:51:51 +0000 Razia with her six children and a drug-addicted husband lives in one room in a three-room compound shared with 20 other people. Pre-COVID-19, all the residents were rarely present in the compound at the same time. However, now they all are inside the house queuing to use a single toilet, a makeshift bathing shed, and… Full Article
response Adapting approaches to deliver quality education in response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 23 Apr 2020 21:08:11 +0000 The world is adjusting to a new reality that was unimaginable three months ago. COVID-19 has altered every aspect of our lives, introducing abrupt changes to the way governments, businesses, and communities operate. A recent virtual summit of G-20 leaders underscored the changing times. The pandemic has impacted education systems around the world, forcing more… Full Article
response Recognizing women’s important role in Jordan’s COVID-19 response By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 18:47:07 +0000 Jordan’s quick response to the COVID-19 outbreak has made many Jordanians, including myself, feel safe and proud. The prime minister and his cabinet’s response has been commended globally, as the epicenter in the country has been identified and contained. But at the same time, such accolades have been focused on the males, erasing the important… Full Article
response How is Pakistan balancing religion and politics in its response to the coronavirus? By webfeeds.brookings.edu Published On :: Fri, 24 Apr 2020 21:26:05 +0000 As Ramadan begins, Pakistan has loosened social distancing restrictions on gatherings in mosques, allowing communal prayers to go forward during the holy month. David Rubenstein Fellow Madiha Afzal explains how Prime Minister Imran Khan's political compromise with the religious right and cash assistance programs for the poor help burnish his populist image, while leaving it… Full Article
response Figures of the week: The costs of financing Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 16:21:13 +0000 Last month’s edition of the International Monetary Fund (IMF)’s biannual Regional Economic Outlook for Sub-Saharan Africa, which discusses economic developments and prospects for the region, pays special attention to the financial channels through which COVID-19 has—and will—impact the economic growth of the region. Notably, the authors of the report reduced their GDP growth estimates from… Full Article
response What do we know about the coronavirus and the global response? By webfeeds.brookings.edu Published On :: Mon, 10 Feb 2020 20:04:36 +0000 David Dollar is joined in this special episode of Dollar & Sense by Amanda McClelland, the senior vice president of the Prevent Epidemics team at Resolve to Save Lives, to discuss the severity of the Wuhan coronavirus and the Chinese response to prevent the disease from spreading. McClelland, who worked on the response to the… Full Article
response Recognizing women’s important role in Jordan’s COVID-19 response By webfeeds.brookings.edu Published On :: Wed, 29 Apr 2020 18:47:07 +0000 Jordan’s quick response to the COVID-19 outbreak has made many Jordanians, including myself, feel safe and proud. The prime minister and his cabinet’s response has been commended globally, as the epicenter in the country has been identified and contained. But at the same time, such accolades have been focused on the males, erasing the important… Full Article
response Webinar: Public health and COVID-19 in MENA: Impact, response and outlook By webfeeds.brookings.edu Published On :: Tue, 05 May 2020 11:47:01 +0000 The coronavirus pandemic has exacted a devastating human toll on the Middle East and North Africa (MENA) region, with over 300,000 confirmed cases and 11,000 deaths to date. It has also pushed the region’s public healthcare systems to their limits, though countries differ greatly in their capacities to test, trace, quarantine, and treat affected individuals. MENA governments… Full Article
response Africa in the news: South Africa looks to open up; COVID-19 complicates food security, malaria response By webfeeds.brookings.edu Published On :: Sat, 25 Apr 2020 11:30:28 +0000 South Africa announces stimulus plan and a pathway for opening up As of this writing, the African continent has registered over 27,800 COVID-19 cases, with over 1,300 confirmed deaths, according to the Africa Centers for Disease Control and Prevention. Countries around the continent continue to instate various forms of social distancing restrictions: For example, in… Full Article
response Figures of the week: The costs of financing Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 16:21:13 +0000 Last month’s edition of the International Monetary Fund (IMF)’s biannual Regional Economic Outlook for Sub-Saharan Africa, which discusses economic developments and prospects for the region, pays special attention to the financial channels through which COVID-19 has—and will—impact the economic growth of the region. Notably, the authors of the report reduced their GDP growth estimates from… Full Article
response Putting women and girls’ safety first in Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Fri, 08 May 2020 15:12:51 +0000 Women and girls in Africa are among the most vulnerable groups exposed to the negative impacts of the coronavirus pandemic. Although preliminary evidence from China, Italy, and New York shows that men are at higher risk of contraction and death from the disease—more than 58 percent of COVID-19 patients were men, and they had an… Full Article
response From Responsibility to Response: Assessing National Approaches to Internal Displacement By webfeeds.brookings.edu Published On :: Tue, 01 Nov 2011 00:00:00 -0400 Editor's Note: Launched at a December 5, 2011 event at Brookings, this study is based on a publication developed in 2005 by the Brookings-Bern Project on Internal Displacement: Addressing Internal Displacement: A Framework for National Responsibility. EXECUTIVE SUMMARY It is a central tenet of international law that states bear the primary duty and responsibility to protect the fundamental rights and freedoms of persons within their borders, including the internally displaced. While internally displaced persons (IDPs) remain entitled to the full protection of rights and freedoms available to the population in general, they face vulnerabilities that nondisplaced persons do not face. Therefore, in order to ensure that IDPs are not deprived of their human rights and are treated equally with respect to nondisplaced citizens, states are obligated to provide special measures of protection and assistance to IDPs that correspond to their particular vulnerabilities. Reflecting these key notions of international law, the rights of IDPs and obligations of states are set forth in the Guiding Principles on Internal Displacement (hereafter, “the Guiding Principles”). Using the Guiding Principles as a departure for analysis, this study examines government response to internal displacement in fifteen of the twenty countries most affected by internal displacement due to conflict, generalized violence and human rights violations: Afghanistan, the Central African Republic, Colombia, the Democratic Republic of the Congo, Georgia, Iraq, Kenya, Myanmar, Pakistan, Nepal, Sri Lanka, Sudan, Turkey, Uganda and Yemen. The analysis seeks to shed light on how and to what extent, if any, governments are fulfilling their responsibility toward IDPs, with a view to providing guidance to governments in such efforts. In so doing, this study also seeks to contribute to research and understanding regarding realization of the emerging norm of the “Responsibility to Protect.” To frame the analysis, the introduction to this volume examines the connections among the concepts of national responsibility, “sovereignty as responsibility” and the “Responsibility to Protect” (R2P). The comparative analysis across the fifteen countries, presented in chapter 1, is based on a systematic application of the document Addressing Internal Displacement: A Framework for National Responsibility (hereafter, “Framework for National Responsibility,” “the Framework”). Seeking to distill the Guiding Principles, the Framework outlines twelve practical steps (“benchmarks”) that states can take to directly contribute to the prevention, mitigation and resolution of internal displacement: 1. Prevent displacement and minimize its adverse effects. 2. Raise national awareness of the problem. 3. Collect data on the number and conditions of IDPs. 4. Support training on the rights of IDPs. 5. Create a legal framework for upholding the rights of IDPs. 6. Develop a national policy on internal displacement. 7. Designate an institutional focal point on IDPs. 8. Support national human rights institutions to integrate internal displacement into their work. 9. Ensure the participation of IDPs in decision making. 10. Support durable solutions. 11. Allocate adequate resources to the problem. 12. Cooperate with the international community when national capacity is insufficient. Full Article
response "From Responsibility to Response" Report Launch By webfeeds.brookings.edu Published On :: Mon, 05 Dec 2011 10:00:00 -0500 Event Information December 5, 201110:00 AM - 11:30 AM ESTStein RoomThe Brookings Institution1775 Massachusetts Avenue, N.W.Washington, DC 20036 On December 5, 2011, the Brookings-LSE Project on Internal Displacement held a private launch event for its report, From Responsibility to Response: Assessing National Approaches to Internal Displacement, which examines government response to internal displacement in fifteen of the twenty countries most affected by internal displacement due to conflict, generalized violence and human rights violations. The analysis presented in the report is based on the first ever systematic use as an assessment tool of the document, Addressing Internal Displacement: A Framework for National Responsibility, developed by the Brookings-Bern Project on Internal Displacement in 2005 to provide guidance to governments in their response to internal displacement.Roberta Cohen (nonresident senior fellow at Brookings and former co-director of the Project) moderated the event, which featured remarks from the co-authors of the report, Elizabeth Ferris (senior fellow at Brookings and co-director of the Brookings-LSE Project on Internal Displacement), Erin Mooney (senior IDP and protection adviser at the United Nations and former deputy director of the Project) and Chareen Stark (senior research assistant, Brookings-LSE Project on Internal Displacement). In attendance were representatives from the US Department of State and international NGOs, as well as researchers from think tanks and universities. Cohen opened the event by discussing the background and significance of the Guiding Principles on Internal Displacement. From the very beginning of discussions about internal displacement, there was an emphasis on the fundamental responsibility of national governments to protect and assist those displaced within their territory. And yet over the years there has been an awareness that international actors also have a role to play. She noted the positive strides that have occurred over the past twenty years in regards to government response to internal displacement. Country visits by the UN experts on IDPs—the Representatives of the Secretary-General on IDPs—have been instrumental to improving government response, in some instances leading governments to address internal displacement for the first time. Today, most governments understand their obligations and responsibilities to protect and assist IDPs; the challenge is often translating that understanding into concrete actions. Elizabeth Ferris gave an overview of the Framework for National Responsibility, which was used to assess government response in each of the fifteen countries in the report (Afghanistan, The Central African Republic, Colombia, the Democratic Republic of the Congo, Georgia, Iraq, Kenya, Myanmar, Pakistan, Nepal, Sri Lanka, Sudan, Turkey, Uganda and Yemen). The Framework outlines twelve minimum steps—or benchmarks—that governments can take to address the protection and assistance needs of internally displaced persons within their territory, from preventing displacement to appointing a focal point on IDP issues, to facilitating the work of the international community. She explained the methodology used in the study and described the challenges the authors faced in conducting the research. For example, basic data on various aspects of government response was lacking in many instances and it was often difficult to determine the impact of a particular government policy in addressing internal displacement. In addition to analyzing the response of the fifteen governments on each of the twelve benchmarks, the study included four extended case studies commissioned for this report: Afghanistan, Georgia, Kenya and Sri Lanka. Ferris discussed some of the overall findings of the study, noted that the Framework had proven to be a useful assessment tool for examining national responses to displacement, and suggested a number of areas where further research is needed. Erin Mooney briefed the audience on benchmark seven—designating an institutional focal point on IDPs—and benchmark ten—supporting durable solutions for IDPs. Mooney noted that designating a governmental focal point for addressing internal displacement is important for clarifying institutional responsibilities and, therefore, for increasing governmental accountability. Of the 15 countries assessed, all but one had designated a national institutional focal point for addressing internal displacement. She discussed some of the challenges institutional focal points often face, including a lack of funding and a lack of political clout which often challenge their ability to coordinate across government agencies. Benchmark ten, the achievement of durable solutions, was one of the most complex and politicized areas of government action, and is arguably the one in which government commitment to addressing displacement becomes most apparent. Governments tend to emphasize return as the primary solution to displacement, but, in situations where return has occurred, there is usually little information about whether IDPs have in fact achieved a durable solution. Mooney discussed some of the challenges the fifteen governments faced in finding durable solutions, noting that in none of the countries have durable solutions to displacement been fully achieved. Chareen Stark discussed the report’s findings on benchmark one—the prevention of arbitrary displacement—and the study’s overall recommendations. Given that the study assessed governments already experiencing large-scale displacement and, in most instances, multiple waves of displacement, Stark said it was obvious that all fifteen governments had failed to prevent displacement. There were three major limitations to governments’ ability to prevent displacement: many of the governments are themselves parties to conflict; many of the governments assessed do not exercise effective sovereignty over all of their territory, due to the presence of nonstate armed actors and/or foreign militaries; and all of the assessed countries face financial and human capacity limitations. She explained that the study found that nearly half of the countries assessed had developed some sort of preventive measures (at least on paper), including several governments that had taken measures to prevent displacement from natural disasters but not conflict. Stark discussed some of these laws, policies and institutional mechanisms as well as the challenges to their effective implementation. She also outlined the report’s recommendations to governments of countries with IDP populations, such as developing and implementing laws and policies in line with the UN Guiding Principles on Internal Displacement and devoting adequate resources at the national and local levels. Concluding the discussion, the panel responded to questions from the audience on issues such as incentives for governments to address internal displacement using the Framework for National Responsibility and challenges in data reporting and analysis. Specific questions were also raised on benchmarks five (laws on internal displacement), six (policies on internal displacement), three (designating an institutional focal point for IDPs) and twelve (working with the international community). Event Materials From Responsibility to Response Nov 2011doc Full Article
response From National Responsibility to Response – Part I: General Conclusions on IDP Protection By webfeeds.brookings.edu Published On :: Tue, 21 Feb 2012 00:00:00 -0500 Editor's Note: This is the first part of a two piece series on internal displacement that originally appeared online in TerraNullius. The second part is available here. The Brookings-LSE Project on Internal Displacement recently released a study entitled "From Responsibility to Response: Assessing National Response to Internal Displacement." The study examined 15 out of the 20 countries with the highest number of internally displaced persons (IDPs) due to conflict, generalized violence and human rights violations—Afghanistan, the Central African Republic, Colombia, the Democratic Republic of the Congo, Georgia, Iraq, Kenya, Myanmar, Pakistan, Nepal, Sri Lanka, Sudan, Turkey, Uganda and Yemen.According to estimates, these 15 countries represent over 70 percent of the world’s 27.5 million conflict-induced IDPs. Wherever possible, we also tried to include government efforts to address internal displacement by natural disasters. But in this and the subsequent blog post, we will focus on our main general conclusions as well as particular issues around housing, land and property (HLP) rights that emerged from our analysis (see Part II of this posting). The study looks at how governments have fared in terms of implementing 12 practical steps (“benchmarks”) to prevent and address internal displacement, as outlined in the 2005 Brookings publication entitled "Addressing Internal Displacement: A Framework for National Responsibility." The 12 benchmarks are as follows: 1. Prevent displacement and minimize its adverse effects. 2. Raise national awareness of the problem. 3. Collect data on the number and conditions of IDPs. 4. Support training on the rights of IDPs. 5. Create a legal framework for upholding the rights of IDPs. 6. Develop a national policy on internal displacement. 7. Designate an institutional focal point on IDPs. 8. Support national human rights institutions to integrate internal displacement into their work. 9. Ensure the participation of IDPs in decisionmaking. 10. Support durable solutions. 11. Allocate adequate resources to the problem. 12. Cooperate with the international community when national capacity is insufficient. Stepping back from HLP issues (to be addressed in a subsequent set of comments in Part II of this guest posting), we drew several key observations on our overall findings. The study found that political will was the main determining factor of response to internal displacement. Governments cannot always control the factors that cause displacement, or may themselves be responsible for displacement, but they can take measures to improve the lives and uphold the rights and freedoms of IDPs. Internal displacement due to conflict derives from political issues, and all aspects of a government’s response to it therefore are affected by political considerations, including, for example, acknowledgment of displacement, registration and collection of data on IDPs, ensuring the participation of IDPs in decision-making, assistance and protection offered to different (temporal) caseloads of IDPs, support for durable solutions, which durable solutions are supported, and the facilitation of efforts by international organizations to provide protection and assistance to IDPs. While none of the governments surveyed was fully protecting and assisting IDPs, four stand out in particular—Colombia, Georgia, Kenya and Uganda—for implementing their responsibility toward IDPs while three others—Central African Republic, Myanmar and Yemen—had particular difficulties in fulfilling their responsibilities toward IDPs. In Myanmar, the obstacles were primarily political while in Yemen and the Central African Republic, as in many of the countries surveyed, the limitations appear to arise primarily from inadequate government capacity. The other eight countries were somewhere in between. For example, some, such as Nepal, have demonstrated a significant commitment at one particular point in time but have failed to follow through. Others, such as Sri Lanka, have at times demonstrated blatant disregard for their responsibility and have moved swiftly to try to bring an end to displacement. Sudan, Pakistan, and to a certain extent, Turkey, have very problematic records with respect to preventing displacement in one part of the country yet have supported efforts to bring an end to displacement in others. In some cases, such as Afghanistan and Yemen, the continuing conflict and the role of nonstate actors (and in Afghanistan, the presence of foreign militaries as well) have made it difficult for the government to respond effectively to internal displacement. Prevention of internal displacement is paramount, but is probably the most difficult measure to take and the least likely to be taken in the countries assessed, which all had large IDP populations. Given the scale of displacement in the fifteen countries surveyed, it was to be expected that these governments would not have been successful in preventing displacement. Nearly half of the fifteen countries assessed had adopted some preventive measures on paper, but all fifteen have fallen short of actually preventing displacement in practice. Moreover, many national authorities themselves have been or are perpetrators of violence or human rights abuses that have led to displacement, and many states foster a culture of impunity for alleged perpetrators of serious human rights violations. Further, the presence of foreign military forces and/or non-state armed actors limits the ability of many states to exercise full sovereignty over their territory and therefore to prevent the conditions that drive people into displacement. Some countries have taken steps to prevent displacement due to natural disasters or development but not due to conflict, indicating that the former is perhaps less politically taboo and/or practically less difficult to implement than the latter. Sustained political attention by the highest authorities is a necessary, though not sufficient, condition for taking responsibility for IDPs. Nearly all of the governments surveyed, at least at some point, have exercised their responsibility to IDPs by acknowledging the existence of internal displacement and their responsibility to address it as a national priority, for example, by drawing attention to IDPs’ plight. However, government efforts to raise awareness of internal displacement through public statements was not always a useful indicator of a government’s commitment to upholding the fundamental human rights and freedoms of IDPs. Among the five countries with laws on or related to internal displacement, there were notable limitations to the scope of the laws and gaps in implementing them. Legislation was quite comprehensive in scope in at least two cases and was narrow in others, addressing specific rights of IDPs or a phase of displacement. Other countries lacked a national legislative framework on IDPs but had generic legislation relevant to IDPs. Still others had laws that violated or could violate the rights of IDPs. Laws on internal displacement must be viewed in the context of other legislation and administrative acts applicable to the general population (e.g., those related to documentation, residency, housing, land and property, and personal status), which this study reviews to the extent possible, particularly in the case studies on Georgia, Kenya, Afghanistan and Sri Lanka. In Africa, the region with the most IDPs, states have recognized in legally binding instruments the importance of addressing internal displacement by incorporating the Guiding Principles on Internal Displacement into domestic legislation and policy. Many of the governments surveyed have adopted policies or action plans to respond to the needs of IDPs, but adequate implementation and dissemination were largely lacking. Nine of the countries surveyed had developed a specific policy, strategy or plan on internal displacement, implemented to varying degrees; those in six of these countries were still active at the time of writing. In addition, at least two countries had national policies in draft form, and one country that does not recognize conflict-induced displacement had a plan for mitigating displacement by cyclones and a plan on disaster risk reduction, although it did not discuss displacement. While in some cases positive steps had been taken, by and large implementation of policies on internal displacement remains a challenge and has, in some cases, stalled. Available information indicates that efforts to raise awareness of IDP issues and policies have largely been inadequate. It is difficult to assess governments’ commitment of financial resources to address internal displacement, but some trends were identified. Addressing internal displacement, especially over time, is a costly venture. While it was difficult to obtain a full picture of a country’s expenditure on IDPs, several countries allocated funds to assist IDPs, including a few that had no national laws or policies on IDPs. In at least two countries, funds for assisting IDPs seemed to diminish in recent years. In many countries, difficulties arise at the district or municipal levels, where local authorities bear significant responsibility for addressing internal displacement but face many obstacles, including insufficient funds, to doing so. Allegations of corruption and misallocation of funds intended to benefit IDPs at certain points has been observed in some of the countries assessed. Some countries seem to rely on international assistance to IDPs rather than national funds. National human rights institutions (NHRIs) contribute invaluably to improving national responses to internal displacement in a number of countries. In recent years, an increasing number of NHRIs around the world have begun to integrate attention to internal displacement into their work. NHRIs have played an important role in raising awareness of internal displacement, monitoring displacement situations and returns, investigating individual complaints, advocating for and advising the government on the drafting of national policies to address internal displacement, and monitoring and reporting on the implementation of national policies and legislation. In particular, the NHRIs of six of the countries surveyed stand out for their efforts to promote the rights of IDPs in their countries. Interestingly, almost all of their work with IDPs is funded by international sources, raising the question of whether national governments themselves should not be doing more to increase their funding of NHRIs in order to support their engagement with IDP issues. International actors are valuable resources for efforts aiming to improve government response to IDPs. In many cases, the past Representatives of the UN Secretary-General (RSGs) mandated to study the issue of internal displacement (Francis Deng and his successor Walter Kälin) and the current UN Special Rapporteur on the Human Rights of Internally Displaced Persons (Chaloka Beyani) had exercised significant influence on governments in encouraging and supporting action on behalf of IDPs. Along with these actors, UNHCR and the Brookings Project on Internal Displacement have provided technical assistance to support governments’ efforts to develop national legal frameworks to ensure IDPs’ access to their rights. Durable solutions: Return was the durable solution most often supported by the governments assessed. The Framework for National Responsibility identifies three durable solutions—return, local integration and settlement elsewhere in the country. However, the fifteen countries surveyed herein reflect a global tendency to emphasize return, often excluding the other durable solutions. Yet for solutions to be voluntary, IDPs must be able to choose among them, and local integration or settlement elsewhere in the country may in fact be some IDPs’ preferred solution. Especially in situations of protracted displacement, those may be the only feasible solutions, at least in the near future. The most difficult benchmarks to analyze were those whose underlying concepts are very broad and those for which data was seemingly not publicly available. Chief among these were the benchmarks on preventing internal displacement (Benchmark 1), raising national awareness (Benchmark 2), promoting the participation of IDPs in decisionmaking (Benchmark 9), and allocating adequate resources (Benchmark 11). Analysis on all other benchmarks also faced data constraints as in many cases data were outdated or incomplete or simply were not available. Nonetheless, we found that the twelve benchmarks all directed attention to important issues in governments’ responses to internal displacement. We also found that while protection is central to the Framework, the issue is of such importance that there should be a benchmark explicitly focused on it—and specifically on protection as physical security, provided to IDPs during all phases of displacement. This benchmark would also underscore the responsibility of governments to protect the security of humanitarian workers engaged with IDPs. Overall, the study found that the Framework for National Responsibility is a valuable tool for analyzing government efforts to prevent displacement, to respond to IDPs’ needs for protection and assistance and to support durable solutions. But this study also reveals certain limitations to using the Framework as an assessment tool, particularly in terms of accounting for the responsibility of nonstate actors; accounting for national responsibility for protection, particularly during displacement; and accounting for causes of displacement other than conflict, violence and human rights violations. Authors Elizabeth FerrisErin MooneyChareen Stark Publication: TerraNullius Full Article
response From National Responsibility to Response – Part II: Internally Displaced Persons' Housing, Land and Property Rights By webfeeds.brookings.edu Published On :: Wed, 22 Feb 2012 00:00:00 -0500 Editor's Note: This is the second part of a two piece series on internal displacement that originally appeared online in TerraNullius. The first part is available here. This post continues our discussion of the study entitled "From Responsibility to Response: Assessing National Response to Internal Displacement" recently released by the Brookings-LSE Project on Internal Displacement.Addressing housing, land, and property (HLP) issues is a key component of national responsibility. Principle 29 of the non-binding but widely accepted Guiding Principles on Internal Displacement emphasizes that competent authorities have a duty to assist IDPs to recover their property and possessions or, when recovery is not possible, to obtain appropriate compensation or another form of just reparation. The 2005 Framework for National Responsibility – which set the benchmarks we applied in our current study – reaffirms this responsibility (in Benchmark 10, “support durable solutions”) and flags a number of the challenges that often arise, such as IDPs’ lack of formal title or other documentary evidence of land and property ownership; the destruction of any such records due to conflict or natural disaster; and discrimination against women in laws and customs regulating property ownership and inheritance. The Framework for National Responsibility stresses that, “Government authorities should anticipate these problems and address them in line with international human rights standards and in an equitable and non-discriminatory manner.” The extent to which a government has safeguarded HLP rights, including by assisting IDPs to recover their housing, land, and property thus was among the indicators by which we evaluated the efforts of each of the 15 governments examined in our study. Our findings emphasized the importance of both an adequate legal and policy framework for addressing displacement related HLP issues and the role that bodies charged with adjudication and monitoring can play in ensuring implementation. HLP Law and Policy Frameworks One of the most encouraging signs of governments taking seriously their responsibility to address internal displacement has been the development, adoption and implementation in all regions of the world of specific laws and policies that respect the rights of IDPs. Some of the countries surveyed have developed laws, decrees, orders, and policies that protect IDPs’ HLP rights, but these measures are also not without their limits and challenges. A few examples are presented below. In Colombia, while Law 387 on Internal Displacement (1997) stipulates the right of IDPs to compensation and restitution (Article 10), the government has been hard-pressed to establish measures enabling them to realize that right (see further, below). In Colombia, the constitutional complaint process – the acción de tutela petition procedure – has made the government accountable to IDPs and has influenced government policy toward IDPs, including the policy of allocation of government assistance such as housing subsidies. In Georgia, the legal framework for IDP protection includes a property restitution law for IDPs from South Ossetia, adopted in 2007, which provided for the establishment of a Commission on Restitution and Compensation; however, this body never became operational and the status of the law is unclear following the August 2008 conflict. The State Strategy on IDPs, also adopted in 2007, protects IDPs against “arbitrary/illegitimate eviction” and sets out a large-scale program for improving the living conditions of IDPs in their place of displacement, all the while reaffirming their right to property restitution.[1] Displaced families whose homes were destroyed or damaged during the August 2008 received $15,000 from the government to rebuild their homes, although many IDPs have held off reconstruction efforts due to concerns about insecurity. The RSG on IDPs recommended in 2009 the established of a comprehensive mechanism for resolving HLP claims for both the South Ossetia and Abkhazia conflicts. In addition, in 2010, Georgia adopted procedures for vacating and reallocating IDP housing, which, among other things, addresses those cases in which removal of IDPs from a collective center is ordered by the government and may require an eviction, and spells out safeguards for guaranteeing the right of IDPs.[2] Iraq’s 2005 Constitution protects Iraqis against forced displacement (Article 44(2)). Through its Property Claims Commission, formerly the Commission on the Resolution of Real Property Disputes established by Order No. 2 (2006), Iraq has sought to recover property seized between 1968 and 2003, although significant gaps and challenges remain. For those internally displaced between 2006 and 2008, Prime Ministerial Order 101 (2008) sets out a framework for providing property restitution for registered IDPs with a view to encouraging and facilitating their return to Baghdad governorate, the origin of the majority of post-2006 IDPs and the location of the majority of post-2006 returnees. However, there have been few claims; many IDPs lack the necessary documentation, do not trust government institutions, fear retribution or cannot afford the requisite costs.[3] In Afghanistan, where national authorities have not yet defined “internally displaced persons,” property and land rights of IDPs are either specifically addressed or generally implicated in substantive and procedural provisions found in a series of executive acts that have been issued since 2001, including the most IDP-specific of them, Presidential Decree No. 104 on Land Distribution for Settlement to Eligible Returnees and Internally Displaced Persons (2005). This decree sets forth a basic framework for distributing government land to both IDPs and returnees as a means of addressing their housing needs. However, IDPs seeking access to land are required to provide their national identity cards (tazkera) and documentation proving their internal displacement status—documentation which they may have lost. Moreover, the decree does not recognize other fundamental rights or needs of the internally displaced; it is valid only in areas of origin; and its implementation has been marred by inefficiency and corruption within the very weak ministry that is tasked with its implementation. Although the 2006 peace agreement in Nepal included a commitment to return occupied land and property and to allow for the return of displaced persons, four years after the peace agreement (and three years after the adoption of a national policy), between 50,000 and 70,000 people remained displaced. Nearly half of the returnees interviewed by the Nepal IDP Working Group reported serious land, housing and property problems. Of the more than 10,000 claims for compensation for property filed in 2007 only 2,000 families had received support to reconstruct or repair their houses by 2009. It is widely reported that IDPs with non-Maoist political affiliations have been the least likely to recover land and property. In Turkey, the government has yet to take full responsibility for displacement caused by its security forces against a largely Kurdish population. In its Law 5233 on Compensation of Damages That Occurred Due to Terror and the Fight against Terror (27 July 2004) and its Return to Village and Rehabilitation Program, displacement is defined in terms of “terrorism” or the “fight” against it. This law does not specifically focus on internal displacement, but it does benefit IDPs among other affected populations. Law 5233 and its related amendments and regulations compensate for “material damages suffered by persons due to terrorist acts or activities undertaken during the fight against terror” between 1987 and 2004. Compensation is provided for three types of damage: loss of property; physical injuries, disabilities, medical treatment, death and funerals; and inability to access property due to measures taken during “the fight against terrorism.” According to the law, compensation is to be determined by damage assessment commissions (DACs) at the provincial level, with funding provided by the Ministry of the Interior. From 2004 to August 2009, the commissions received just over 360,000 applications. Of those, over 190,000 claims were decided: 120,000 were approved and the claimants awarded compensation; the remaining 70,000 were denied. Around $1.4 billion in compensation was awarded, of which close to $1.1 billion has been paid.[4] The existing legal and policy framework do not adequately address the obstacles to return, including the village guard system, insecurity and the presence of landmines and unexploded ordnance. In Kenya, the government’s promotion of return included a National Humanitarian Emergency Fund for Mitigation and Resettlement of Victims of 2007 Post-Election Violence which was to meet the full costs of resettlement of IDPs, including reconstruction of basic housing, replacement of household effects and rehabilitation of infrastructure. But in practice, the government has been criticized for promoting return before conditions were safe. The government has also tended to focus on IDPs who own land and to attach durable solutions to land; there is no clear strategy for dealing with landless IDPs, such as squatters and non-farmers. Awareness among IDPs as to their housing, land, and property rights under existing law – where there is law addressing those rights – is inadequate in many instances. For example, in Turkey, about half of IDPs surveyed in 2006 were not aware of their entitlements under the Return to Village and Rehabilitation Program or the Law on Compensation. [5] National Human Rights Institutions and Constitutional Courts In some cases, national human rights institutions (NHRIs) and constitutional courts have a critically important role to play in supporting as well as in holding governments accountable to guarantee the rights of IDPs. In a number of the countries our study examined, the work of NHRIs on internal displacement has included a focus on HLP issues. In Georgia, for example, the Public Defender has been actively monitoring and reporting on the country-wide housing program begun in 2009 and has raised concerns about evictions of IDPs and the quality of housing in relocation sites. The Public Defender’s office also has undertaken a study on the conditions of the hidden majority of IDPs living in private accommodation rather than in collective centers. The Afghanistan Independent Human Rights Commission has reported on and raised concerns about the large number of IDPs living in urban slums and informal settlements and about the fact that many IDPs were unable to return to their homes due to disputes over land and property. Constitutional courts have in some instances played a role in strengthening the national legal framework for protecting the property rights of IDPs. Notably, Colombia’s activist Constitutional Court, in its Decision T-821 in October 2007, ordered the government to ensure respect for IDPs’ right to reparation and property restitution. In January 2009, the Constitutional Court ordered the government to comprehensively address land rights issues and to establish mechanisms to prevent future violations. Subsequently, the government has sought to ensure these rights by adopting in 2011 the historic and ambitious Law 1448, known as the Victims and Land Restitution Law. In this law, government acknowledges for the first time ever the existence of an internal armed conflict in Colombia, and recognizes as “victims” those individuals or communities whose rights were violated under international humanitarian law or international human rights law. The law regulates reparations for all victims of the armed conflict since 1985 – numbering over 5 million – including through land restitution or compensation for IDPs which is to occur over the next decade. However, restitution of land does not guarantee returnees’ security and may even endanger people given that land disputes and seizures remain a driving force of displacement. Aiming to prevent further victimization of returnees as a result of insecurity and violence, the government established a new security body, the Integrated Center of Intelligence for Land Restitution (Centro Integrado de Inteligencia para la Restitución de Tierras, also known as CI2-RT) within the Ministry of Defense. Additional participants include the Office of the Vice President, the Ministry of Justice and Interior, the Department of Administrative Security (DAS), Social Action (Acción Social), Incoder, and organizations representing victims of violence. Time will tell how successful the implementation of this ambitious law will be. In Georgia, the Constitutional Court has also played an important role by recognizing the rights of IDPs to purchase property without losing their IDP status or in any way jeopardizing their right to return. Conclusion Securing HLP rights for IDPs is, of course, a key component of finding durable solutions to displacement. The study found that land and property disputes are almost always sources or manifestations of lingering conflict and often an obstacle to IDPs’ free exercise of their right to return. While some governments have made efforts to provide mechanisms for property restitution or compensation, those mechanisms have rarely been adequate to deal—at least in a timely manner—with the scale and complexity of the problem. National human rights institutions and constitutional courts can play a key role in holding governments accountable for HLP and other rights and freedoms of IDPs. [1] Government of Georgia, State Strategy for Internally Displaced Persons–Persecuted Persons, Chapter V. [2] The Standard Operating Procedures for Vacation and Reallocation of IDPs for Durable Housing Solutions (2010) (www.mra.gov.ge) [3] IDMC, Iraq: Little New Displacement but around 2.8 Million Iraqis Remain Internally Displaced: A Profile of the Internal Displacement Situation, 4 March, 2010, p. 240 (www.internal-displacement.org) [4] IDMC, Turkey: Need for Continued Improvement in Response to Protracted Displacement: A Profile of the Internal Displacement Situation, 26 October 2009, p. 12, citing correspondence with the government of Turkey, 17 September 2009 (www.internal-displacement.org) [5] Hacettepe University, Institute of Population Studies, "Findings of the Turkey Migration and Internally Displaced Population Survey," press release, 6 December 2006, cited in IDMC, Turkey: Need for Continued Improvement in Response to Protracted Displacement: A Profile of the Internal Displacement Situation, 26 October 2009, p. 11 (www.internal-displacement.org) Authors Elizabeth FerrisErin MooneyChareen Stark Publication: TerraNullius Full Article
response Lessons learned from Felipe Calderón’s swift response to H1N1 in 2009 By webfeeds.brookings.edu Published On :: Mon, 30 Mar 2020 18:41:36 +0000 Motivated by a false hope to save Mexico’s tanking economy, the feeble non-response of President Andres Manuel Lopez Obrador (AMLO) to the coronavirus (COVID19) has ranged from the President burring his head in the sand to making criminally-negligent statements urging the opposite of social distancing. Such an attitude is disastrous and can cost the lives… Full Article
response AMLO’s feeble response to COVID-19 in Mexico By webfeeds.brookings.edu Published On :: Mon, 30 Mar 2020 20:39:27 +0000 Like many other populist leaders around the world, including Donald Trump, Jair Bolsanaro in Brazil, and Imran Khan in Pakistan, Mexican President Andrés Manuel López Obrador (commonly known as AMLO) has mostly taken a dangerously dismissive and outright irresponsible attitude toward the coronavirus. Late into March, he failed to adopt any necessary preparation for the… Full Article
response Webinar: Public health and COVID-19 in MENA: Impact, response and outlook By webfeeds.brookings.edu Published On :: Tue, 05 May 2020 11:47:01 +0000 The coronavirus pandemic has exacted a devastating human toll on the Middle East and North Africa (MENA) region, with over 300,000 confirmed cases and 11,000 deaths to date. It has also pushed the region’s public healthcare systems to their limits, though countries differ greatly in their capacities to test, trace, quarantine, and treat affected individuals. MENA governments… Full Article
response Putting women and girls’ safety first in Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Fri, 08 May 2020 15:12:51 +0000 Women and girls in Africa are among the most vulnerable groups exposed to the negative impacts of the coronavirus pandemic. Although preliminary evidence from China, Italy, and New York shows that men are at higher risk of contraction and death from the disease—more than 58 percent of COVID-19 patients were men, and they had an… Full Article
response Webinar: How federal job vacancies hinder the government’s response to COVID-19 By webfeeds.brookings.edu Published On :: Mon, 20 Apr 2020 20:52:41 +0000 Vacant positions and high turnover across the federal bureaucracy have been a perpetual problem since President Trump was sworn into office. Upper-level Trump administration officials (“the A Team”) have experienced a turnover rate of 85 percent — much higher than any other administration in the past 40 years. The struggle to recruit and retain qualified… Full Article
response What Americans think about President Trump’s response to the coronavirus pandemic By webfeeds.brookings.edu Published On :: Wed, 15 Apr 2020 09:00:02 +0000 In this special edition of the podcast, with Brookings Senior Fellows Bill Galston and Elaine Kamarck discuss President Trump’s handling of the coronavirus pandemic, his administration's response, and public opinion on that response. Also, what effect will the crisis and response to it have on the election in November? Galston is the Ezra K. Zilkha… Full Article
response Africa in the news: South Africa looks to open up; COVID-19 complicates food security, malaria response By webfeeds.brookings.edu Published On :: Sat, 25 Apr 2020 11:30:28 +0000 South Africa announces stimulus plan and a pathway for opening up As of this writing, the African continent has registered over 27,800 COVID-19 cases, with over 1,300 confirmed deaths, according to the Africa Centers for Disease Control and Prevention. Countries around the continent continue to instate various forms of social distancing restrictions: For example, in… Full Article
response AMLO’s feeble response to COVID-19 in Mexico By webfeeds.brookings.edu Published On :: Mon, 30 Mar 2020 20:39:27 +0000 Like many other populist leaders around the world, including Donald Trump, Jair Bolsanaro in Brazil, and Imran Khan in Pakistan, Mexican President Andrés Manuel López Obrador (commonly known as AMLO) has mostly taken a dangerously dismissive and outright irresponsible attitude toward the coronavirus. Late into March, he failed to adopt any necessary preparation for the… Full Article
response How instability and high turnover on the Trump staff hindered the response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 18:04:06 +0000 On Jan. 14, 2017, the Obama White House hosted 30 incoming staff members of the Trump team for a role-playing scenario. A readout of the event said, “The exercise provided a high-level perspective on a series of challenges that the next administration may face and introduced the key authorities, policies, capabilities, and structures that are… Full Article
response Putting women and girls’ safety first in Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Fri, 08 May 2020 15:12:51 +0000 Women and girls in Africa are among the most vulnerable groups exposed to the negative impacts of the coronavirus pandemic. Although preliminary evidence from China, Italy, and New York shows that men are at higher risk of contraction and death from the disease—more than 58 percent of COVID-19 patients were men, and they had an… Full Article
response Figures of the week: The costs of financing Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 16:21:13 +0000 Last month’s edition of the International Monetary Fund (IMF)’s biannual Regional Economic Outlook for Sub-Saharan Africa, which discusses economic developments and prospects for the region, pays special attention to the financial channels through which COVID-19 has—and will—impact the economic growth of the region. Notably, the authors of the report reduced their GDP growth estimates from… Full Article
response Putting women and girls’ safety first in Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Fri, 08 May 2020 15:12:51 +0000 Women and girls in Africa are among the most vulnerable groups exposed to the negative impacts of the coronavirus pandemic. Although preliminary evidence from China, Italy, and New York shows that men are at higher risk of contraction and death from the disease—more than 58 percent of COVID-19 patients were men, and they had an… Full Article
response How instability and high turnover on the Trump staff hindered the response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 18:04:06 +0000 On Jan. 14, 2017, the Obama White House hosted 30 incoming staff members of the Trump team for a role-playing scenario. A readout of the event said, “The exercise provided a high-level perspective on a series of challenges that the next administration may face and introduced the key authorities, policies, capabilities, and structures that are… Full Article
response India’s coronavirus response, anti-China sentiment, and the communalization of Covid-19 By webfeeds.brookings.edu Published On :: Tue, 21 Apr 2020 19:46:59 +0000 Full Article
response Who's Talking Turkeys? Crafted in Response to the CARE Tool Debate By webfeeds.brookings.edu Published On :: Wed, 18 Jun 2014 11:00:00 -0400 A recent blog suggested that CMS’ efforts to standardize assessment data was based on a goal of “….creating a functional measurement tool that could be used throughout the industry.” In fact, CMS has been working since 2005 to meet the Congressional directive to standardize assessment information at hospital discharge, and post-acute care (PAC) admission and discharge for payment and quality reporting purposes (Deficit Reduction Act of 2005). The CARE tool was developed as part of the national Post-Acute Care Payment Reform Demonstration (PAC PRD). The conceptual domains and items were selected with the input of the wide range of stakeholder communities working with PAC populations. Clinicians from acute hospitals and each of the four PAC settings, including long term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health agencies (HHAs) identified items to test in four areas: medical status, functional status, cognitive status, and some social support factors. Input was given by physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, social workers and case managers working in each of the different levels of care. Initial item selection was based on a review of existing assessment items, including those in the three Federally-mandated instruments, (the IRF-PAI, MDS 2.0, and OASIS-B which were in effect at this time) and the input of each of the scientific communities working in these areas. Developers of proprietary systems such as the UDS-MR©, Inter-RAI ©, and AM-PAC ©, as well as public domain items tested in clinical trials such as the PROMIS items, were all reviewed as part of this process. The selected items needed to be in the public domain so the measures could be modified as science advanced practice. Over 200 providers participated nationwide to submit over 53,000 CARE assessments over the course of the PAC PRD. Participating clinicians also provided feedback during training and exit interviews. In general, positive feedback was provided on most items. Feedback showed that almost all items were commonly collected on existing instruments in hospitals and PAC providers, although some of the information may have been informally noted in charts rather than provided in the structured form of the CARE items. The items were tested for reliability so they could be applied consistently across populations and settings. Most of the items were previously tested and found reliable in at least one of the five levels of care. Two types of reliability tests were conducted on the final CARE tool item set used in the PAC PRD. The results showed that most items when applied to the other four settings were at least as reliable as the existing Federal assessment items (Kappa scores of 0.6 or better) ensuring their reliable use in future quality measures or payment models would reach consistent results. Complete reports on item reliability and PAC PRD results can be found here. Data standardization is critical to allow providers to exchange information as they follow the patient. The Deficit Reduction Act of 2005 directed CMS to use standardized assessment items at acute hospital discharge and PAC admission and discharge to allow for empirical comparisons of key questions arising out of changing incentives in the Medicare payment policies. The standardized CARE items are consensus-based versions of the items already collected by clinicians. These and additional items being incorporated into CMS’ assessment item library represent the “best in class.” The team developing the CARE item set represented the leading experts in each of the areas – Dr. Margaret Stineman of the University of Pennsylvania, developer of the function-related groups associated with the proprietary FIM©, Dr. Deborah Saliba, UCLA, lead developer of the MDS 3.0, and Dr. Chris Murtaugh of the Visiting Nurse Service of New York. Team members included Drs. Anne Deutsch and Trudy Mallinson of the Rehabilitation Institute of Chicago. Input was also given by Dr. David Hittle, of the University of Colorado who has worked closely with the OASIS tool, Dr. Samuel Markello, formerly of the UDS-MR©, and Dr. Patrick Murray of Case Western University. The blog suggested that, “the early reviews of the CARE tool have been poor.” While this clearly is not true, it is worth pointing out that the author owns one of the key proprietary assessment instruments. The CARE items have been evaluated for reliability and they meet the national standards; they allow providers and others the opportunity to download the e-specification of the items without charge and to have the clinicians trained for free under CMS’ regular assessment training initiatives. CMS is currently developing quality measures using the “best in class” assessment items which all meet scientific standards. The quality measure development process already requires CMS to submit measures for endorsement by the National Quality Forum. The “loophole” identified by the UDS-MR© author is non-existent. The Measures Application Partnership is part of the existing NQF process included in the IMPACT legislation. Further, use of uniform data elements across settings, such as those used in the currently collected pressure ulcer measure, allows for exchangeability and improves communication across the system, finally creating a “data follows the person” system. Authors Barbara J. Gage Publication: The Hill, Congress Blog Full Article
response How instability and high turnover on the Trump staff hindered the response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 18:04:06 +0000 On Jan. 14, 2017, the Obama White House hosted 30 incoming staff members of the Trump team for a role-playing scenario. A readout of the event said, “The exercise provided a high-level perspective on a series of challenges that the next administration may face and introduced the key authorities, policies, capabilities, and structures that are… Full Article
response Putting women and girls’ safety first in Africa’s response to COVID-19 By webfeeds.brookings.edu Published On :: Fri, 08 May 2020 15:12:51 +0000 Women and girls in Africa are among the most vulnerable groups exposed to the negative impacts of the coronavirus pandemic. Although preliminary evidence from China, Italy, and New York shows that men are at higher risk of contraction and death from the disease—more than 58 percent of COVID-19 patients were men, and they had an… Full Article
response U.S. policy and East Asian security: Challenge and response By webfeeds.brookings.edu Published On :: Mon, 25 Jan 2016 05:00:00 +0000 Evans J.R. Revere discusses the security challenges for U.S. policymakers in East Asia, especially with regards to a militarily powerful China and a nuclear North Korea. Full Article