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Full-Text Articles in Health Policy

Pepfar’S Declining Investment In Treatment, Matthew Kavanagh, Marguerite Thorp Nov 2011

Pepfar’S Declining Investment In Treatment, Matthew Kavanagh, Marguerite Thorp

Matthew M. Kavanagh

Since its inception in 2003, the President’s Emergency Plan for AIDS Relief (PEPFAR) has saved millions of lives through providing anti-retroviral (ARV) treatment to people living with HIV/AIDS. However, our analysis of publicly available PEPFAR operational plans shows that funding to AIDS treatment has actually fallen significantly since 2008 in both absolute dollars and as a portion of total budgets—just at a pivotal moment when investment could change the course of the epidemic.


Differences In Pandemic Influenza Vaccination Policies For Pregnant Women In Europe, Gordon Marnoch, Michiel Luteijn, Helen Dolk Nov 2011

Differences In Pandemic Influenza Vaccination Policies For Pregnant Women In Europe, Gordon Marnoch, Michiel Luteijn, Helen Dolk

Gordon Marnoch

Background: An important component of the policy to deal with the H1N1 pandemic in 2009 was to develop and implement vaccination. Since pregnant women were found to be at particular risk of severe morbidity and mortality, the World Health Organization and the European Centre for Disease Prevention and Control advised vaccinating pregnant women, regardless of trimester of pregnancy. This study reports a survey of vaccination policies for pregnant women in European countries. Methods: Questionnaires were sent to European competent authorities of 27 countries via the European Medicines Agency and to leaders of registries of European Surveillance of Congenital Anomalies in …


Unanswered Questions Of A Minority People In International Law: A Comparative Study Between Southern Cameroons & South Sudan, Bernard Sama Mr Oct 2011

Unanswered Questions Of A Minority People In International Law: A Comparative Study Between Southern Cameroons & South Sudan, Bernard Sama Mr

Bernard Sama

The month July of 2011 marked the birth of another nation in the World. The distressful journey of a minority people under the watchful eyes of the international community finally paid off with a new nation called the South Sudan . As I watched the South Sudanese celebrate independence on 9 July 2011, I was filled with joy as though they have finally landed. On a promising note, I read the UN Secretary General Ban Ki-moon saying “[t]ogether, we welcome the Republic of South Sudan to the community of nations. Together, we affirm our commitment to helping it meet its …


Ownership Unbundling In European Energy Market & Legal Problems Under Eu Law, Michael Diathesopoulos Sep 2011

Ownership Unbundling In European Energy Market & Legal Problems Under Eu Law, Michael Diathesopoulos

Michael Diathesopoulos

In this paper we will examine the issue of ownership unbundling and forced divestiture remedies imposed in a series of recent competition law cases of the energy market - examined in other papers - in relation to the possible existence of a series of legal obstacles. These energy market decisions belong to a group of antitrust cases in which a structural divestiture remedy has been imposed under the provisions of Article 9 of Regulation 1/2003. This divestiture refers to transmission networks and to generation capacity and is meant to lead to severe structural changes, which are compatible with the findings …


Redefining Security In Sub-Saharan Africa, Winta Sintayehu Gebremariam Aug 2011

Redefining Security In Sub-Saharan Africa, Winta Sintayehu Gebremariam

UNLV Theses, Dissertations, Professional Papers, and Capstones

New and challenging threats to humans are currently on the rise. These threats to human well being have been neglected and ignored within the traditional conception of security. Security studies have mainly focused on traditional threats, mostly military and political. Although still important, this perspective lacks the ability to address nontraditional threats that are killing and injuring millions each year. Each year, millions die of diseases such as HIV/AIDS, tuberculosis, malaria, hunger, and water related diseases among others. Although these threats are widespread throughout the world, Sub-Saharan Africa bears the brunt of these threats. This thesis proposes an ecological approach …


Progress Delayed: State Of Tobacco Control Policymaking In Oklahoma From 2005-2011, Michael Givel, Ami Stearns, Andrew Spivak Jun 2011

Progress Delayed: State Of Tobacco Control Policymaking In Oklahoma From 2005-2011, Michael Givel, Ami Stearns, Andrew Spivak

Michael S. Givel

EXECUTIVE SUMMARY • Oklahoma’s 1987 Smoking In Public Places Act required the inclusion of smoking sections in restaurants and pre-empted more stringent local anti-tobacco laws with state regulations. • With the 2001 arrival of an aggressive new Commissioner of Health, Dr. Leslie Beitsch, the tide turned with new legislation (Senate Joint Resolution 21 in 2003) that prohibited smoking inside public places and restaurants were allowed to build separately-ventilated “smoking rooms.” • In 2004, State Question 713 increased the cigarette tax by 80 cents per package. • Dr. Beitsch resigned in 2003 and since that time, efforts toward clean air have …


The Politics Of Health Outcomes And Income Inequality: A Time Series Cross-Sectional Analysis Of County-Level Mortality Rates In The United States, Timothy H. Callaghan May 2011

The Politics Of Health Outcomes And Income Inequality: A Time Series Cross-Sectional Analysis Of County-Level Mortality Rates In The United States, Timothy H. Callaghan

Honors Scholar Theses

: Health inequalities are pervasive in the United States today. Despite social epidemiologists frequently citing political and economic factors for this variance, political science has largely ignored these issues. Given this gap in the literature and the importance of the issue, more research is clearly needed to better understand the political and economic causes and implications of these health disparities. This study analyzes the topic in depth, examining how income inequality, which is believed to be a key factor in explaining health inequalities, is related to mortality rates at the county level. Examining aggregate data from all US counties from …


Competition Law And Sector Regulation In The European Energy Market After The Third Energy Package: Hierarchy And Efficiency, Michael Diathesopoulos Apr 2011

Competition Law And Sector Regulation In The European Energy Market After The Third Energy Package: Hierarchy And Efficiency, Michael Diathesopoulos

Michael Diathesopoulos

The aim of this research is to provide the basic parameters for a model for the definition of the relation between the general competition and sector specific frameworks and rules regarding the regulation of the Internal Energy Market, especially after the Third Energy Package. The research considers the recent sector specific framework in relation to a series of recent competition law cases of the Energy Market where structural remedies were applied under the commitments procedure. Essential facilities doctrine and generally competition law tools do not seem to provide a suitable framework for effectively addressing the dynamic competition concept, treating the …


A State-In-Society Approach To The Nonprofit Sector: Welfare Services In Japan, Mary Alice Haddad Feb 2011

A State-In-Society Approach To The Nonprofit Sector: Welfare Services In Japan, Mary Alice Haddad

Mary Alice Haddad

This article uses the case of Japan to advocate for a new theoretical approach to the study of the nonprofit sector. In particular, it examines how theoretical models based on the European and North American experiences have difficulty explaining the relationship between the nonprofit sector and the state in Japan, and argues that a state-in-society approach is better suited to explaining complex state–society relations in diverse cultural contexts. It does this by examining the evolution of social welfare service provision in Japan. This article is motivated to explain an apparent paradox: Japan’s recent efforts toward greater government decentralization and privatization …


In Search Of The Less Hazardous Cigarette, Michael Givel Jan 2011

In Search Of The Less Hazardous Cigarette, Michael Givel

Michael S. Givel

Since the 1950s, despite considerable and long-term tobacco industry and government efforts, attempts to develop a less risky cigarette that reduces harmful ingredients, generally or specifically, have failed. Moreover, even under ideal conditions with adequate scientific testing, the efficacy of purportedly reducing the severe health effects cannot be scientifically verified for up to 20 years after the introduction of a product on the market. A key and central provision in the 2009 U.S. Food and Drug Administration (FDA) legislation is to reduce the risk or harm of cigarettes. Because creating a less risky cigarette is not currently possible, this renders …


Deconstructing Social Constructionist Theory In Tobacco Policy: The Case Of The Less Hazardous Cigarette, Michael Givel Jan 2011

Deconstructing Social Constructionist Theory In Tobacco Policy: The Case Of The Less Hazardous Cigarette, Michael Givel

Michael S. Givel

Scholars in tobacco control have utilized a social construction approach to test and explain tobacco control policy and advocacy. Some recent tobacco control policy research has contended that Philip Morris's support of the U.S. Food and Drug Administration (FDA) regulation of tobacco (including purportedly reducing the harm of cigarettes) is to obtain the social construction goal of a socially responsible company. However, the primary motivation for Philip Morris's support of proposed FDA regulation and harm reduction for cigarettes was to maintain the company's market stability and profitability implemented by U.S. political process and institutions. In tandem with this, Philip Morris …


Party Politics & Enactment Of “Obamacare”: Another Look At Minority Party Influence, Elizabeth Rigby, Jennifer Hayes Clark, Stacey Pelika Jan 2011

Party Politics & Enactment Of “Obamacare”: Another Look At Minority Party Influence, Elizabeth Rigby, Jennifer Hayes Clark, Stacey Pelika

Jennifer Hayes Clark

Despite President Obama’s early calls for a bipartisan approach to health reform, the Patient Protection and Affordable Care Act of 2010 passed with no Republican votes in either the House or the Senate. Its passage was accompanied by intense criticism that the reform was “rammed through” the legislative process by the majority party, whereas the administration emphasized the extensive, year-long debate over health reform and argued that the final bill represented a compromise of good ideas from both parties. We examine these conflicting claims, drawing on real-time accounts of the policy debate published in the Capitol Hill newspaper Roll Call. …


Innovation Cooperation: Energy Biosciences And Law, Prof. Elizabeth Burleson Jan 2011

Innovation Cooperation: Energy Biosciences And Law, Prof. Elizabeth Burleson

Prof. Elizabeth Burleson

This Article analyzes the development and dissemination of environmentally sound technologies that can address climate change. Climate change poses catastrophic health and security risks on a global scale. Universities, individual innovators, private firms, civil society, governments, and the United Nations can unite in the common goal to address climate change. This Article recommends means by which legal, scientific, engineering, and a host of other public and private actors can bring environmentally sound innovation into widespread use to achieve sustainable development. In particular, universities can facilitate this collaboration by fostering global innovation and diffusion networks.


Drug And Alcohol Policy Under New Labour: Pandering To Populism?, Julian Buchanan Jan 2011

Drug And Alcohol Policy Under New Labour: Pandering To Populism?, Julian Buchanan

Julian Buchanan

Coming to power with an overwhelming majority in 1997, New Labour had the opportunity to lead the world by adopting a much needed progressive, pragmatic and scientifically informed approach to the management of substance use and misuse in the twenty-first century: by some distance, they failed to deliver on the election promise of change. Instead, they mistakenly continued the pursuit of eradicating drugs through prohibition, perpetuated the misleading distinction between legal and illegal drugs, and failed to overhaul the much criticised and outdated Misuse of Drugs Act 1971, which continues to inform (or some would argue misinform) the public about …


Health Care Reform, Jeffery J. Duffy Jan 2011

Health Care Reform, Jeffery J. Duffy

PPPA Paper Prize

Although one of the most medically-advanced nations in the world, the United States has lagged behind other nations in extending health care insurance to its citizens. This paper explores the issue of U.S. health care reform by tracing the history of reform efforts and examining factors and trends contributing to the rising cost of health care. Particular attention is given to the Patient Protection and Affordable Care Act (PPACA) and the controversies surrounding it. Based on this analysis, the author discusses several recurring barriers to health care reform and offers recommendations on how to overcome them.


Do State Policies Constrain Local Actors? The Impact Of English Only Laws On Language Instruction In Public Schools, Melissa Marschall, Elizabeth Rigby, Jasmine Jenkins Dec 2010

Do State Policies Constrain Local Actors? The Impact Of English Only Laws On Language Instruction In Public Schools, Melissa Marschall, Elizabeth Rigby, Jasmine Jenkins

Elizabeth Rigby

This study examines how instrumental and symbolic messages embedded in state law shape the practices of ‘street-level’ bureaucrats. Specifically, we investigate whether passage of state-level English Only laws influences the way English language learners are instructed in local public schools. Using data on state English Only laws from 1987-2004 and school-level data from the National Center for Educational Statistics, we find that instrumental aspects of English Only laws serve to constrain, but not eliminate, schools’ use of bilingual instruction, while those sending only symbolic messages are less constraining. Further, when state laws are vague in scope, adherence to the English …