May 2000 Of the 27 major armed conflicts that occurred in 1999, all but two took place within national boundaries. As an impediment to development, internal rebellion especially hurts the world’s poorest countries. What motivates civil wars? Greed or grievance? Collier and Hoeffler compare two contrasting motivations for rebellion: greed and grievance. Most rebellions are ostensibly in pursuit of a cause, supported by a narrative of grievance. But since grievance assuagement through rebellion is a public good that a government will not supply, economists predict such rebellions would be rare. Empirically, many rebellions appear to be linked to the capture of resources (such as diamonds in Angola and Sierra Leone, drugs in Colombia, and timber in Cambodia). Collier and Hoeffler set up a simple rational choice model of greed-rebellion and contrast its predictions with those of a simple grievance model. Some countries return to conflict repeatedly. Are they conflict-prone or is there a feedback effect whereby conflict generates grievance, which in turn generates further conflict? The authors show why such a feedback effect might be present in both greed-motivated and grievance rebellions. The authors’ results contrast with conventional beliefs about the causes of conflict. A stylized version of conventional beliefs would be that grievance begets conflict, which begets grievance, which begets further conflict. With such a model, the only point at which to intervene is to reduce the level of objective grievance. Collier and Hoeffler’s model suggests that what actually happens is that opportunities for predation (controlling primary commodity exports) cause conflict and the grievances this generates induce dias-poras to finance further conflict. The point of policy intervention here is to reduce the absolute and relative attraction of primary commodity predation and to reduce the ability of diasporas to fund rebel movements. This paper – a product of the Development Research Group – is part of a larger effort in the group to study civil war and criminal violence
The 2011 World development report looks across disciplines and experiences drawn from around the world to offer some ideas and practical recommendations on how to move beyond conflict and fragility and secure development. The key messages are important for all countries-low, middle, and high income-as well as for regional and global institutions: first, institutional legitimacy is the key to stability. When state institutions do not adequately protect citizens, guard against corruption, or provide access to justice; when markets do not provide job opportunities; or when communities have lost social cohesion-the likelihood of violent conflict increases. Second, investing in citizen security, justice, and jobs is essential to reducing violence. But there are major structural gaps in our collective capabilities to support these areas. Third, confronting this challenge effectively means that institutions need to change. International agencies and partners from other countries must adapt procedures so they can respond with agility and speed, a longer-term perspective, and greater staying power. Fourth, need to adopt a layered approach. Some problems can be addressed at the country level, but others need to be addressed at a regional level, such as developing markets that integrate insecure areas and pooling resources for building capacity Fifth, in adopting these approaches, need to be aware that the global landscape is changing. Regional institutions and middle income countries are playing a larger role. This means should pay more attention to south-south and south-north exchanges, and to the recent transition experiences of middle income countries.
East Sudan has received a continuous influx of internally displaced persons (IDPs) and refugees over the last forty years. Mass influxes were witnessed during years when the region experienced natural catastrophes as droughts and floods, or an escalation of tensions and conflict in neighboring countries, mainly Eritrea and Ethiopia. Presently there is still a steady but smaller in numbers influx of refugees, mostly from Eritrea, but with an apparent change in their social composition and expectations. Present day internal population movements relate to more conventional forms of migration within Sudan, that is, households in search of work and economic opportunities. Still, the situation of the large number of IDPs that moved to the area over 15 years ago and are living in camps is precarious and needs urgent attention. Presently there are not the basic conditions required to provide a durable solution to the refugees in a protracted situation in eastern Sudan. To a large extent that also applies to IDPs with long permanence in camps; there are not conditions to achieve self-reliance by most of the displaced population given the situation of their locations in eastern Sudan in terms of natural environment and its capacity to support sustainable agriculture and other urban and rural economic activities. Within the overall mission of the World Bank, its strategic objective in contributing towards the durable solution of forced displacement situations is to bring the affected countries and displaced population back to the path of peace and development, enabling the application of pro-poor policies and fostering economic growth. Under these conditions, the World Bank will be in a better position to engage the affected countries through its regular operations.
In this essay, we first identify the ways in which women’s interests are disregarded and sacrificed as peace agreements are reached, criminal courts and tribunals are established, and relief efforts are planned. Incorporating reports from nongovernmental organizations (NGOs), the UN, and news accounts, we assess the ethical problems with what might be called a ‘‘perpetrator-centered’’ approach to coping with conflict’s aftermath that exacerbates and prolongs women’s suffering. Not only do conventional trial procedures dismiss the victims’ trauma and needs as secondary to the process of adjudicating the question of the perpetrator’s guilt, but many also privilege the right of the accused to confront and question the victims over the additional suffering the victims must endure in giving testimony. After delineating the gendered effects of conflict, we then study the operation of compensation boards following recent conflicts. Even in those instances in which rape has been specifically identified and prosecuted as a war crime, existing structures fail to provide significant relief to female victims, as they neglect the underlying social, cultural, and economic practices that reinforce patriarchal systems, and thus hold women accountable for their own victimization; the traditional legalistic models that are typically employed in peace settlements and tribunals simply fail to meet the needs of the victims. Finally, in response to the limitations of peace agreements and tribunals in addressing human suffering, we identify an alternative model for conducting such negotiations and for securing restitution to the victims of wartime abuses and their effects—a ‘‘victim-centered’’ approach to war crimes adjudication and compensation procedures.
There is a dearth of information and user-friendly guidance available to staff in the human resources development focal unit to bridge the short-term gap between the point from which they start work in the immediate post-conflict period and the point at which they enter the long-term development phase, when they can use the excellent existing frameworks and tools that already exist. This document is an attempt to provide some information and guidance for use in the short-term post-conflict phase. It is important for such guidance to draw on examples and lessons learnt (both successful and unsuccessful) from a variety of countries and regions. The examples in this guide are based mainly on three post-conflict countries. In the immediate post-conflict period, members of interim administrations tend to reject the advice of aid workers who liken the situation to that in some other post-conflict country of which they have previous experience. Therefore, guidance on different aspects of human resources development also needs to include general and non-directive information that outlines questions and issues to address. General guidance linked to examples and lessons learnt will provide a basis on which de facto health authorities and donors can start to discuss short-term strategies to ensure that short-term interventions in human resources development ultimately contribute to a well-structured and equitable foundation for human resources development. This in turn can contribute to more effective use of short-term financing and to reducing waste that arises because outcomes are inadequate.
In this article, it is argued that concerns about the impact of HIV/AIDS on national and international security do not adequately address the ways in which people, particularly women, are made vulnerable to HIV/AIDS in conflicts. In fact, policies inspired by the security framing of HIV/AIDS can engender new vulnerabilities in post-conflict contexts. The article analyses the ways in which gender relations create vulnerabilities for various groups when such relations are put under pressure during periods of conflict. Drawing on research conducted in Burundi, the article argues that postulated links between security and HIV/AIDS fail to take into account the vulnerability structures that exist in societies, the ways in which these are instrumentalized during conflict and in post-conflict contexts, and how they are also maintained and changed as a result of people’s experiences during conflict.
Public health problems in armed conflicts have been well documented, however, effective national health policies and international assistance strategies in transition periods from conflict to peace have not been well established. After the long lasted conflicts in Sri Lanka, the Government and the rebel LTTE signed a cease-fire agreement in February 2002. As the peace negotiation has been disrupted since April 2003, a long-term prospect for peace is yet uncertain at present. The objective of this research is to detect unmet needs in health services in Northern Province in Sri Lanka, and to recommend fair and effective health strategies for post-conflict reconstruction. First, we compared a 20-year trend of health services and health status between the post-conflict Northern Province and other areas not directly affected by conflict in Sri Lanka by analyzing data published by Sri Lankan government and other agencies. Then, we conducted open-ended self-administered questionnaires to health care providers and inhabitants in Northern Province, and key informant interviews in Northern Province and other areas. The major health problems in Northern Province were high maternal mortality, significant shortage of human resources for health (HRH), and inadequate water and sanitation systems. Poor access to health facilities, lack of basic health knowledge, insufficient health awareness programs for inhabitants, and mental health problems among communities were pointed by the questionnaire respondents. Shortage of HRH and people’s negligence for health were perceived as the major obstacles to improving the current health situation in Northern Province. The key informant interviews revealed that Sri Lankan HRH outside Northern Province had only limited information about the health issues in Northern Province. It is required to develop and allocate HRH strategically for the effective reconstruction of health service systems in Northern Province. The empowerment of inhabitants and communities through health awareness programs and the development of a systematic mental health strategy at the state level are also important. It is necessary to provide with the objective information of gaps in health indicators by region for promoting mutual understanding between Tamil and Sinhalese. International assistance should be provided not only for the post-conflict area but also for other underprivileged areas to avoid unnecessary grievance.
This report describes how the Iraq war and its aftermath continue to have a disastrous impact on the physical and mental health of the Iraqi people, and the urgent measures needed to improve health and health services. It focuses on the many failures of the occupying forces and their governments to protect health, or to facilitate the rebuilding of a health system based on primary health care principles. It assesses the current state of the health system, including the impact of insecurity, and the workforce, supplies, medicines and equipment it lacks. It also looks at health information and health policy. There is a special focus on mental health care, a particularly neglected area. The report ends with conclusions and recommendations, exploring what needs to happen now in Iraq and what lessons can be learned.
A significant number of countries worldwide are described as entering a phase of `post’-conflict transition. Drawing on the experience of the health sector, this paper argues that the nature of the rehabilitation task is often misunderstood. In particular, it is often equated with reconstruction of war-damaged infrastructure and assets. Such an approach derives from a misconception of the origins and nature of contemporary warfare. It also serves to reinforce a linear approach to the transition from relief to development. This paper attempts to redefine the rehabilitation task in situations of `post’-conflict transition, drawing on examples from Cambodia, Ethiopia and Uganda. It argues that the direct effects of military action on the social sector are less significant than the indirect effects of political, economic and social changes which both underlie and are precipitated by conflict. Therefore, rehabilitation needs to go beyond reconstruction and tackle the root causes of instability. Such a reinterpretation of the rehabilitation task raises a number of dilemmas, particularly for international actors concerned to contribute to a sustainable peace. These dilemmas are rooted in both the uncertainty about the legitimacy of incoming governments in transitional situations, and in the organisation of the aid system itself. The paper concludes that confronting these dilemmas implies a fundamental change in the orientation and delivery of aid in `post’-conflict situations.
We define nation-building as efforts carried out after major combat to underpin a transition to peace and democracy. Nationbuilding involves the deployment of military forces, as well as comprehensive efforts to rebuild the health, security, economic, political, and other sectors. The research we conducted focused on one aspect of nation-building-efforts to rebuild the public health and health care delivery systems after major combat. We looked at seven cases- Germany, Japan, Somalia, Haiti, Kosovo, Afghanistan, and Iraq. These are some of the most important cases since World War II in which international institutions, non-governmental organizations (NGOs), and countries such as the United States have taken part in efforts to rebuild the health sector. These missions also have important health components. To date, a significant amount of academic and policy-relevant work has been devoted to efforts to rebuild such areas as police and military forces. Little comprehensive work has examined efforts to rebuild public health and health care delivery systems, however. The work that has been done on health tends to focus on immediate humanitarian and relief efforts rather than long-term health reconstruction. The goal of our research was to fill this void.
Previous research concerning the relationship between conflict and public health finds that countries emerging from war face greater challenges in ensuring the well-being of their populations in comparison with states that have enjoyed political stability. This study seeks to extend this insight by considering how different civil war conflict strategies influence post-conflict public health. Drawing a distinction between deaths attributable to battle and those fatalities resulting from genocide/politicide, we find that the magnitude of genocide/politicide proves the more effective and consistent predictor of future rates of disability and death in the aftermath of civil war. The implications of this research are twofold. First, it lends support to an emerging literature suggesting that important distinctions exist between the forms of violence occurring during civil war. Second, of particular interest to policymakers, it identifies post-civil war states that have experienced the highest rates of genocide/politicide as the countries most in need of assistance in the aftermath of conflict.
The conference on ‘Health Service Delivery in Fragile States for US$ 5 per person per year: Myth or Reality?’ took place on the 24th and 25th October 2007. Merlin and London School of Hygiene and Tropical Medicine, jointly organised the conference to promote discussion dedicated to understanding better how health service delivery can be strengthened in fragile states to assure the right to health for all. Over 130 people attended the conference, representing non-governmental organisations (NGOs), academic institutions, bilateral donors and multi-lateral agencies. The main aim of the conference was to examine how realistic it is to expect that basic health services can be delivered for US$ 5/per day. Numerous themes were covered during these discussions, including an examination of evidence-base and cost of basic health packages, the amount of development aid for health (DAH) available, and the use of service delivery innovations such as contracting and performance based financing. Other mechanisms of working with non-state providers (social marketing, franchising, etc), and opportunities and constraints for scaling up basic service delivery in fragile states were then examined.