Delegates' Lounge

Five Stories to Watch for during UN Week

Mark Leon Goldberg September 21, 2009 - 11:26 am

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Climate change, nukes, and speeches galore. What to expect when Obama, Hu, Qaddafi, and 120 other world leaders descend on New York.  From Foreign Policy magazine. 

 

Netroots Nation panel video

Mark Leon Goldberg August 31, 2009 - 9:43 am

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For those unable to attend Netroots Nation in Pittsburgh earlier this month, here is the video of the UN Dispatch panel: Global Solutions for Global Poverty. I moderated, with commentary from OXFAM's Ray Offenheiser, Anita Sharma of the UN Millennium Campaign, Ginny Simmons from ONE and Matthew Yglesias.  Let us know what you think. 

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Malaria, Refugees and Life Saving Nets--Ken Bacon Remembered

Ken Bacon August 16, 2009 - 12:22 pm

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Ken Bacon passed away this week.  We honor his memory by reposting this item he originally wrote for us in May 2009.  Please visit his memorial page on the website of Refugees International

When Refugees International visited the Nyabiheke camp for Congolese refugees in Rwanda, we asked a doctor there to describe the camp's biggest health problem and her most urgent need. Without hesitation, Dr. Ann Kao said the biggest problem in the camp was malaria, and her biggest need was bed nets to protect families from mosquito bites in their sleep.

We would have gotten the same answer in almost any refugee camp in Africa. According to the UN High Commissioner for Refugees, 90% of all malaria infections occur in sub-Saharan Africa, where malaria is the leading killer of children. Refugees are particularly vulnerable because they often live in hastily constructed camps which can have poor drainage and sanitary facilities and few medical resources.<!--break-->

Those of us on the trip, including several members of the Refugees International board of directors, quickly raised the amount of money Dr. Kao requested for bed nets and sent it to her organization, which purchased mosquito protection nets for the refugees.

This was an early version of the UN Foundation's Nothing But Nets Campaign http://www.nothingbutnets.net/ , a grassroots effort to save lives by preventing the spread of malaria. For just $10 the campaign purchases a bed net, delivers it to a family in Africa and explains its use. So far the campaign has purchased more than 2.6 million nets. The nets, which are treated with long-lasting insecticide, keep a family safe for four years.

Today is World Malaria Day-a good time to consider these two shocking facts:

o Malaria infects more than 500 million people a year and kills more than a million a year-one person every 30 seconds.

o Malaria is a disease we know how to prevent and treat.

We have, of course, eliminated malaria in large parts of the world-much of Asia, all of Europe, and the Americas. But malaria remains a major public health problem in sub-Saharan Africa, where many people live on less than $1 a day and can't afford a bed net. The costs of malaria in Africa are huge:

o Malaria is the leading killer of children. If untreated, 90% of infected babies and toddlers die within 48 hours of developing malaria symptoms

o Malaria causes up to half of all hospital admissions and outpatient visits

o Malaria related losses from illness and death amount to about $12 billion a year

o The burden of illness reduces school attendance and food harvests

The first, most basic line of defense against malaria is bed nets. They work. They save lives.

Early next month, Refugees International will honor Ted Turner, the founder of CNN and the creator of the UN Foundation, at a dinner celebrating 30 years of live-saving advocacy. We selected Ted because CNN has brought humanitarian crises-wars, natural disasters, and disease-into our living rooms and caused us to open our hearts and pocket books in response. Ted himself responded generously by donating $1 billion to establish the UN Foundation to support UN causes and activities, such as fighting malaria.

In communities and refugee camps across Africa, I have seen first hand the devastating impact of malaria. I have also seen what a huge difference bed nets can make in keeping people alive. I travel with my own personal mosquito net. I wish everybody in Africa had his or her own net.

So on World Malaria Day 2009, Refugees International is sending a contribution to Nothing But Nets. Please join us. http://www.nothingbutnets.net/its-easy-to-help/. You can save a life-maybe a whole family.

Ken Bacon is President of Refugees International

 

Progress on the MDGs?

Matthew Cordell July 31, 2009 - 9:24 am

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The 2009 MDG Report (pdf), leading into the 2010 MDG review conference that represents the last major recommitment before 2015, is both promising and disturbing.  Actual progress has been made, but the economic crisis is cutting severely into those gains, and, at this pace, the world will fall far short of achieving the Goals.

Overall, the number of people living in poverty (under $1.25 a day) had dropped by 400 million from 1990 to 2005 (1.4 billion) despite the growth in world population, an astounding number that, on its own, is proof that the Goals are achievable. However, the economic crisis chiseled away at that progress, and 90 million more people are expected to be added back to those rolls this year.  Success in reducing hunger worldwide is likewise being reversed.

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That news was delivered to the Hill last week at a well-attended briefing helmed by Anita Sharma, North American Coordinator of the Millennium Campaign, Francesca Perucci from UN Stats, and Dan Carucci, Vice President for Global Health at UNF. 

Carucci delivered good news on Goal 4. Deaths of children under the age of five dropped from 12.6 million a year in 1990 to 9 million a year in 2007. He specifically pointed out the dramatic surge in the delivery of bed-nets to combat malaria in Africa and the success of measles vaccination programs. The world is also nearing the goal of universal enrollment in primary education , particulary in southeast Asia and sub-Saharan Africa, where enrollment increased by 11 and 15 percent respectively between 2000 and 2007.

On every other mark though, we're far behind pace. The most stark reminder came from Carucci: "in 2000 500,000 women died while giving birht, 500,000 died in 2005, and 500,000 will die this year."  That is to say, there has been zero progress on Goal 5, reducing the maternal mortality rate by 75 percent.

The report overall is fascinating.  It's rare that you get an engaging accessment of how the entire world is working toward achieving collective goals. I highly recommend at least skimming the whole thing (pdf).

 

UN Plaza: Coup in Honduras

Mark Leon Goldberg July 27, 2009 - 9:46 am

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In this edition of UN Plaza, I interview Peter Hakim of the Inter-American Dialogue.  Peter discusses the origins of the coup in Honduras, the status of the negotiations to return the deposed President and what the United States and international community can do to keep the peace.  In the segment below, Peter offers his thoughts on what the coup in Honduras may say about the stability of other countries in Latin America.  

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On the eve of Hillary Clinton's trip, an insider's look at the Indian political scene

Eriposte July 16, 2009 - 8:28 am

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Eriposte is a regular contributor to The Left Coaster, where he frequently writes on issues pertaining to the Indian sub-continent. In his previous contribution to UN Dispatch, eriposte wrote about the link betweem rural poverty and extremism in Pakistan. 

Secretary of State Hillary Clinton will be in India from July 17 through July 21, visiting both Mumbai and New Delhi. This is a trip aimed at laying a foundation for a deeper and more strategic engagement with India. Interestingly, one of the leading Indian newspapers The Hindu reports that in Mumbai, "she will be staying at the Taj Mahal Hotel in an act of solidarity with the 26/11 victims" - a reference to one of the major sites targeted in the coordinated terrorist attacks last year (26/11).

Clinton will not visit Pakistan during this trip, implicitly sending a message that the United States no longer views India merely "through the Pakistan lens" - a message that was also indirectly conveyed earlier by eliminating India from the charter of Special Envoy Richard Holbrooke. In a recent speech, Secretary Clinton said "We see India as one of a few key partners worldwide who will help us shape the 21st century" and characterized this period as "a third era...U.S.-India 3.0". Some of topics that are expected to be discussed during her trip include global security, nuclear energy, climate change, trade and human development. Given the significance of this trip to US-India relations, this might be an appropriate moment to highlight some of the key players in India when it comes to foreign policy.

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India is the world's largest democracy, and unlike its neighbor Pakistan, has been able to sustain a vibrant democracy since their independence from colonial rule (see here for a discussion on why Pakistan and India took two different paths after partition). India has a parliamentary form of government that is somewhat similar to that of the United Kingdom. The Indian government has a bicameral Legislature (the Lok Sabha and the Rajya Sabha) and an Executive that is led, for all practical purposes, by a Prime Minister (PM). The PM is usually the head of the majority parliamentary coalition in the Lok Sabha and appoints and leads the Council of Ministers that run the Indian government. The Indian President is a Constitutional head of state but holds limited powers and exercises those powers usually on the advice of the PM and the PM's cabinet. As Prime Minister, Manmohan Singh has been very closely involved in shaping India's foreign policy during his first term that ended earlier this year. In fact, for almost a year - from Nov 2005 to Oct 2006 - Singh took direct control of the External Affairs portfolio, acting as India's External Affairs Minister in addition to his duties as Prime Minister. It is generally well known in Indian circles that he has sought to maintain a significant personal influence in India's foreign policy. This was particularly evident in the active role he took during the debate on the India-U.S. Civil Nuclear Agreement.

Traditionally, outside of the PM's Office (PMO), India's Ministry of External Affairs has been a dominant player in India's foreign policy apparatus. However, as security issues became more paramount, an additional player has emerged since the late 1990s. In Nov 1998, the new position of National Security Advisor (NSA) was created, reporting directly to the Prime Minister:

The National Security Advisor (NSA) of India is a member of the National Security Council (NSC), and the primary advisor to the Prime Minister, the Indian Cabinet and the NSC on internal and international security issues. He is tasked with regularly advising the Prime Minister on all matters relating to internal and external threats to the country, and oversees strategic issues. The NSA of India also serves as the Prime Minister's Special Interlocutor on border issues with China, and frequently accompanies the Prime Minister on Foreign State visits.

The directors of R&AW and IB technically report to the NSA rather than the Prime Minister directly. He receives all intelligence reports and co-ordinates them to present before the Prime Minister. He is assisted by a Deputy NSA.

[RAW - which stands for Research and Analysis Wing - is India's external intelligence agency, whereas the IB - the Central Intelligence Bureau - is its internal intelligence agency. In some respects, the analogous agencies in the US are the CIA and the FBI, respectively].

Prior to the creation of the NSA, the Principal Secretary of the Prime Minister used to coordinate national security matters for the Prime Minister's Office (PMO). That role is now in the hands of the NSA - making the NSA a fairly influential person in the Indian government. Unlike ministers in the PM's cabinet, the NSA is not a member of the Legislature and is appointed directly by the PM. The current NSA is M. K. Narayanan. Narayanan was a former head of the IB and hails from the southern state of Kerala. In the immediate aftermath of 26/11, then Home Minister Shivraj Patil was forced to resign. At the time, Narayanan also submitted his resignation to the Prime Minister, but his resignation was not accepted by the PM. In a sign that his advice continues to be valued by Prime Minister Singh, Narayanan retained his position after the recent Indian parliamentary elections, even though the External Affairs Ministry saw numerous changes (more on this below). Most recently, Narayanan also accompanied Prime Minister Singh to the 2009 G8 Summit in Italy. He is a member of key committees in the PMO - Council on Climate Change, Trade and Economic Relations Committee and Energy Coordination Committee (all of which are chaired by the PM). As an aside, the powerful Principal Secretary of the Prime Minister is T. K. A. Nair, who was also asked to stay on after the recent elections. Nair, who also hails from Kerala, was originally from the Indian Administrative Service (IAS) and has held senior posts in the past, including that of Principal Secretary to former Prime Minister I. K. Gujral, principal secretary of the State government of Punjab (in northern India) and subsequently, the Chairman of the Public Enterprises Selection Board (PESB). [The PESB was "set up with the objective of evolving a sound managerial policy for the Central Public Sector Enterprises and, in particular, to advise Government on appointments to their top management posts".]

Since Clinton is expected to have significant dialogue with India's Minister for External Affairs, it's worth noting that the External Affairs department saw multiple changes after the recent Parliamentary elections, with new faces at top positions within the department. Pranab Mukherjee, who was External Affairs Minister, took over the role of Finance Minister and is in the throes of India's annual, all-important Budget session of Parliament. The External Affairs Minister is now S. M. Krishna, who is a member of the Rajya Sabha and hails from the southern state of Karnataka. Among other things, Krishna is a former Chief Minister of Karnataka (whose capital is Bangalore) and a former Governor of the state of Maharashtra (whose capital is Mumbai, India's largest city and business and entertainment mecca). He is partly credited with the transformation of Bangalore into India's IT capital. Krishna has some connection to the United States as well. After his undergraduate Law degree in India, he completed graduate programs in Law at Southern Methodist University in Dallas, Texas and at George Washington University in D.C. and was also a Fulbright scholar. His background is predominantly in law, domestic affairs, industry and finance - so the External Affairs portfolio places him in a new role. India also has Ministers of State, who are usually more junior Ministers who generally report into a Cabinet minister and assist the latter. Within the External Affairs department, there are now two new Ministers of State. One of them is Preneet Kaur who hails from the northern state of Punjab. Kaur, a descendant of royalty from one of India's pre-independence princely states, is a member of the Lok Sabha who has served in numerous government committees over the years on topics relating to women, water resources, agriculture, etc. (she also happens to be the wife of a former Chief Minister of the state of Punjab). The other new Minister of State is London-born Shashi Tharoor, self-described "author, peace-keeper, refugee worker, human rights activist", whose parents hailed from Kerala. Tharoor is respected in India for his accomplished career and his work at the United Nations - starting at UNHCR and ending with his 5 year stint as the UN Under-Secretary General for Communications and Public Information. Tharoor came in a close second in the vote for the UN Secretary General post (to replace Kofi Annan), and his defeat was attributed primarily to the Security Council opposition of the United States under the Bush administration. In early 2009, he began a progressive grassroots campaign for election to India's Lok Sabha from Kerala and was elected by a large margin (read this WSJ piece by Keerthik Sasidharan who was a volunteer in Tharoor's campaign). Tharoor has sought to bring a fresh perspective to government and has been active not just in his external affairs role, but is making some waves in India with his use of Twitter to communicate with the Indian public.

The Ministers of External Affairs are supported and advised by a staff of influential Secretaries, who are at the pinnacle of the Indian Foreign Service (IFS). The current Foreign Secretary is Shivshankar Menon, who also hails from Kerala and made his mark over the years through numerous key assignments. He is however about to retire by the end of this month. Starting next month, India's new Foreign Secretary will be Nirupama Rao. Rao, who also hails from Kerala, is India's current ambassador to China and her past diplomatic postings have taken her to Sri Lanka, Russia and the United States. She has an additional connection to the U.S. - she is a former Fellow of the Center for International Affairs at Harvard University and was Distinguished International Executive in Residence at the University of Maryland at College Park. (Rao's husband, Sudhakar Rao, is the Chief Secretary to the state government of Karnataka).

No doubt, other Ministers also play a role in India's external relations - including the Defense Minister A. K. Antony and the Home Minister P. Chidambaram. Antony hails from Kerala as well and was a former Chief Minister of Kerala and a former Minister in the Indian government. Chidambaram hails from the southern state of Tamil Nadu (that is closest to Sri Lanka). He is a lawyer with an MBA from Harvard, who was most recently India's Finance Minister and previously the Vice-Chairman of India's Planning Commission. A former socialist and trade union activist, Chidambaram has played an important role in the continued liberalization of India's economy and trade policy. His appointment to the Home Ministry followed the 26/11 terrorist attacks in Mumbai.

P.S. Readers should not be surprised by the number of people from Kerala in senior positions in the Indian government - Kerala has a highly educated populace with the highest literacy rate in India. Interestingly, Kerala also happens to be one of India's most left-leaning states, is well known for the much higher level of gender equality and human development indices. It is also interesting to note the significant presence of people from South India in major roles that determine India's foreign and security policies.

 

Pakistan's Malaria Emergency

Dan Carucci May 29, 2009 - 10:00 am

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On top of dealing with drones, a Taliban insurgency, and a government crackdown on that insurgency, the more than 2 million recently displaced persons in Pakistan will be forced to face a new and equally daunting challenge coming in three weeks, the rainy season and the malaria-bearing mosquitoes that soon follow.

This threat is particularly dire because the 18,000-plus families arriving every day, a migration that the United Nations Refugee Agency (UNHCR) has called one the worst since the genocide in Rwanda, have been displaced from regions, the Swat, Lower Dir, and Buner districts of the Northwest Frontier Province, where malaria is not endemic. Refugees are ill-prepared to deal with the disease both because the refugee population has no pre-existing immunity to malaria and because the flow of internally displaced people (IDPs) is quickly overwhelming available resources, including access to life-saving bednets.

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To meet the challenge, UNHCR and the UN Foundation have issued an emergency appeal for 150,000 anti-malarial bed nets to protect the most vulnerable. A bed net costs only $10 to produce, deliver, and train a family on its use, and it dramatically reduces the incidence of malaria. You can help the UNHCR protect these populations by making an emergency, tax-deductible donation today to send insecticide-treated bed nets to families in need.

UNHCR and the UN Foundation are no strangers to facing down malaria in refugee camps. This year, we've already partnered to send more than 275,000 bed nets to protect 27 vulnerable refugee populations in Kenya, Uganda, Sudan, and Tanzania through the UN Foundation's Nothing But Nets campaign, an effort to prevent malaria in Africa.

The UN Foundation and UNHCR have the experience, the skill, and the established framework necessary to respond to a crisis of this magnitude with the urgency it demands. But these nets can not be sent without the support of individuals like you. Together, we can provide life-saving bed nets to families who’ve lost everything, and ensure that they can at least sleep in peace, protected from malaria.

Daniel J. Carucci is Vice President for Global Health at the UN Foundation

 

Summit of the Americas - Let's hope for a good lime

Robert Skinner April 15, 2009 - 10:44 am

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The Republic of Trinidad and Tobago has never been confused for a hotbed of international diplomacy -- the weather is hot, yes, but the diplomacy, not so much. As I prepared to head down to T&T to take up a diplomatic assignment a few years ago, a colleague with a full 15 years in the State Department looked at my name tag, which indicated my upcoming assignment, and said, "Port of Spain, now that's one I've never heard of, where is that?"

So, as President Obama, Secretary of State Clinton, UN Secretary General Ban and the rest of the hemisphere's leaders get ready for this year's Summit of the Americas, more than a few staffers, diplomats and journalists will be pulling out their atlases. One thing I'm sure they'll find in Trinidad is warm hospitality and, if they step away from the formal events, a good lime (more on that later). But, they will also find a small country facing many of the difficult issues that the Obama administration is currently trying to tackle.<!--break-->

Winning the Summit was a major coup for T&T, and the government has been preparing to host it for several years, using its oil and natural gas income to pay for the construction of hotels, conference buildings, and government ministries. In the grand tradition of papering over problems, it has also found a few T&T dollars to build a wall along the highway from the airport to downtown Port of Spain to hide one of the city's worst slums (in fairness, this "safety wall" has apparently been in the works for several years, and its stated purpose is to prevent residents from entering this dangerous stretch of roadway on foot). While T&T has had a strong economy the last several years due to its energy wealth, the social and economic gap between rich and poor has only widened, thus the need to hide this poverty from President Obama and the rest of the heads of state.

With the world economy front and center, T&T presents an interesting case study.   How will a small country with an economy that is almost entirely dependent on oil and natural gas cope with diminishing demands for its products? Will T&T see a diversification of its economy as a necessity, or will it try to ride the recession out and hope that the demand and price for oil and gas rise again? T&T has used the latter tactic in previous downturns, but, this time, the country, like all of us, needs to recognize that, between the economy and the climate, there is a green wave coming and it is time to ride it. With plenty of sun, wind, and a reasonable amount of land that already produces sugar cane, T&T could get a quick start on job-creating renewable energy projects if it so desired. But, like in the US, it will take strong political will to push a green agenda forward.

On the climate front, one would hope that there would be heightened focus on this issue given Secretary General Ban's presence and this year's UNFCCC negotiations that culminate in Copenhagen in December. Even though the actual negotiations are taking place elsewhere, the Summit presents a great opportunity to explore areas of agreement and for an exchange of views between the world's largest emitter of greenhouse gas, the U.S., and the many island nations of the Caribbean that are among the most severely impacted by the globe's shifting climate. There is a growing recognition that not only is U.S. leadership absolutely crucial to get a deal in Copenhagen, but that effective island state inputs to the negotiations can have significant influence on the outcome of these critical talks.

T&T is also a reasonable location to consider crime, security, and drug trafficking -- always major topics for the Western Hemisphere's leaders. T&T's crime rate has spiked in recent years, in part due to an increase in narcotics traffic through the islands -- drugs moving from the mainland of South America to Trinidad and Tobago and then up the chain of Caribbean islands to North America (on a clear day Venezuela can be seen from parts of Trinidad). And, of course, drugs bring guns. So, when U.S. diplomats and law enforcement officials meet with their Mexican counterparts to look for ways to squeeze the balloon of drug flow away from the U.S.-Mexico border, President Obama and his team should remember that this will push greater traffic to the  "southeastern border" of the U.S.  This maritime border is in many ways more problematic given the minimal capacity of security forces in much of the Caribbean and the current lack of trust and cooperation between the U.S. and Venezuela.

When you talk U.S.-Venezuela relations, it is impossible to avoid the 800 pound gorilla of the Summit: Cuba.  President Obama has eased restrictions on travel and remittances for individuals with family in Cuba, but, no matter how quickly he and Congress move to further normalize relations with Cuba, it will not be fast enough for the rest of the leaders he will meet in Port of Spain. While Venezuela's Hugo Chavez is the most vocal of the critics of U.S. policy on Cuba, all of the Caribbean would like to see Cuba brought back into the OAS fold. T&T's Prime Minister, Patrick Manning, certainly falls into this category, as he is a frequent visitor to Cuba and receives medical treatment there.

T&T will have its big moment on the world stage. And, since "lime" is a Trinidadian catch-all phrase for just about any enjoyable social activity or just hanging out -- a cricket match calls for a "cricket lime", a trip to the beach a "beach lime," or a chat over a beer with friends on the sidewalk a "pavement lime" -- let's all hope President Obama takes time to find one. Or maybe, just maybe, he, President Chavez, and the rest of the hemisphere's leaders can make one together and we'll all be able to say "that was one good Summit lime."

 

 

 

Tackling Global Health on the Last Mile: Reflections on World Health Day

Dan Carucci April 7, 2009 - 9:38 am

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In places where there are few cars, where roads remain unpaved, where basic infrastructure services such as clean water and electricity are scant, mobile phone technology has become an enabling power for millions of people. As many readers of UN Dispatch already know, this is particularly the case in the field of global health, where mobile technology is revolutionizing healthcare delivery in the developing world (see some examples here).

Today is World Health Day, a day set aside to highlight a priority area of concern for the World Health Organization. This year’s focus is on the safety of health facilities, and the readiness of health workers who treat those affected by emergencies – a challenge, particularly in remote and resource-poor environments where health workers may have infrequent contact with home offices.<!--break-->

To put the opportunity of mobile technology for healthcare (or “mHealth”) in context, consider these figures. Today, there are 2.2 billion mobile phones in the developing world, compared to 305 million computers and only 11 million hospital beds. Mobile technology is not a panacea for the significant global health challenges we face today. But it is a powerful new tool that has the potential to extend the reach of health care to the “last mile” and may play a powerful role in meeting the Millennium Development Goals by 2015.

There's much work to be done. Each year, millions of children die from diseases that could be prevented through broad-based and routine immunization programs, education programs and health campaigns. Hundreds of thousands of women die as a result of complications during childbirth. Millions still succumb to HIV/AIDS, malaria and tuberculosis. And much of the health care system in the developing world is faced with insufficient resources, lack of adequately trained staff, and frequent shortages of critical vaccines and medicines. The global economic crisis we all face will impose a disproportional share of the burden on the poor, resulting in even greater strains on overly burdened health care systems.

It is a daunting challenge but over the past decade, the world community has rallied to tackle some of these most vexing problems. Increasingly mHealth technology is being used to help meet the global health challenges of today. Electronic survey forms running on mobile devices can bolster a struggling health care system and help ensure timely data transfer on the vaccine stock levels in rural health clinics. SMS text messaging and other mobile-enabled programs can keep remote health workers up-to-date through distance learning programs, and health alerts and can provide patients with the information they need to live healthier lives.

Ongoing mHealth projects are already in motion throughout the world as detailed in our recent mHealth for Development report and involve education and awareness, remote data collection and monitoring, communications and training for health care workers, disease and epidemic outbreak tracking, and diagnostic and treatment support.

The mHealth Alliance, a new umbrella organization announced by the UN Foundation, Vodafone Foundation and the Rockefeller Foundation, will bring together key stakeholders from the public and private sectors, from government and civil society organizations, and from health and mobile technology industries. This collaboration will bolster the ability of sustainable and scalable mobile technologies to address healthcare challenges throughout the developing world, helping us reach the Millennium Development Goals.

Back in 2000, only the optimistic and determined few believed that measles deaths in Africa could be reduced by nearly 75% in less than a decade. But the success of the Measles Initiative showed that broad-based, multi-sector partnerships can enable us to accomplish together what no single actor could alone.

So while we continue to face substantial new global challenges, there is reason for optimism and determination. With the support of technological and scientific innovation, partnerships with developing world governments, the technical expertise and talent of UN agencies, resources from bilateral and multilateral donors and philanthropic organizations, and the generosity and good will of the grassroots public, together the global community will be able to reach those who need help most – especially those on the last mile.

Dr. Daniel J. Carucci is Vice President for Global Health at the United Nations Foundation, which operates a $30 million Technology Partnership with The Vodafone Foundation.

 

How Rural Poverty Fuels Instability in Pakistan

Mark Leon Goldberg February 17, 2009 - 1:06 am

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By Eriposte

Discussions on the precarious situation in Pakistan today tend to be focused mostly on the threat from fundamentalist or "jihadi" militants. The focus on that threat is absolutely critical, however, there are underlying structural factors that also play a key role in Pakistan's instability. Rural poverty is a major factor that, so far, has not garnered the attention is deserves.

Eriposte is a regular contributor to The Left Coaster, where he frequently writes on issues pertaining to the Indian sub-continent. Below the fold is an in-depth post that explores the relationship between rural poverty and state security in Pakistan. For more on the relationship between poverty and terrorism see this post from UN Ambassador Susan Rice.
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[Cross-posted at The Left Coaster]

In my previous post at The Left Coaster, I provided an overview of the dangerous situation that Pakistan finds itself in today and the increase in terrorism-related violence in Pakistan over the past several years. As I pointed out the current turmoil in Pakistan is not just restricted to its Federally Administered Tribal Areas (FATA) and the North-West Frontier Province (NWFP) - other regions of Pakistan are also under the grip of violence. There are many reasons for this - some are unique to the provinces/regions in question and others are somewhat more generic in nature. One of the commonly known "generic" reasons for Pakistan's current state is the blowback from the support that previous Pakistani governments (especially those that were military-dominated) provided to fundamentalist or "jihadi" militants to help Pakistan in its proxy wars - on the eastern frontier against India in Kashmir and on the Western frontier in Afghanistan (initially against the Soviets and subsequently to fight Afghan factions deemed unfriendly to Pakistan). However, another important "generic" reason for the state of affairs in Pakistan is not as commonly discussed and I will focus on that in today's post - a sharp rise in Pakistan's rural poverty since the late 1980s, which is in striking contrast to a significant decrease in rural poverty in India during the same time period.

For clarity, this post is separated into the following sections (all emphasis in this post is mine):

1. Summary
2. Insurgency in Balochistan
3. The Link Between Landlessness and Rural Poverty in Pakistan
4. Rural Poverty Trend (1987-2002): Pakistan v. India
5. Economic/Monetary Policy and Rural Poverty in Pakistan
6. Lessons for Pakistan and the U.S.
References

1. Summary
Discussions on the precarious situation in Pakistan today tend to be focused mostly on the threat from fundamentalist or "jihadi" militants. The focus on that threat is absolutely critical, however, there are underlying structural factors that also play a key role in Pakistan's instability. Rural poverty is a major factor. Approximately two-thirds [1] of Pakistani people live in rural areas. Studies by leading Pakistani economists [2] have established that higher rural poverty in Pakistan is positively correlated with higher landlessness - a long-standing problem due to minimal land reform in post-independence Pakistan. Approximately 67% of Pakistani households don't own any land [2]. However, landlessness is not the only major determinant of poverty in Pakistan's rural areas [2-4]. Unlike India's declining rural poverty in the 1987-2000 time period [5], rural poverty in Pakistan increased dramatically since the late 1980s [2, 4] in part due to misguided economic/monetary policy, some of which was driven by the IMF/World Bank. The increase in rural poverty was also accompanied by a further skewing of Pakistan's income distribution in favor of the wealthy [6] - in contrast increased income inequality in India was largely an urban phenomenon in the comparable time period, with rural income inequality either declining or stagnant [5]. Owing to a confluence of such conditions, Pakistan was not able to adequately protect the real income of its rural citizens during a period of modest GDP growth. Pakistan has also faced balance of payments challenges and given its largely self-inflicted, unstable, and risky profile, has not had the luxury of being able to run large fiscal deficits during times of economic distress - as a result, countercyclical policy actions compounded already flawed policy, thereby worsening the rural poverty situation.

Any solutions aimed at stabilizing Pakistan should focus not just on the internal security threat from "jihadi" or fundamentalist militants, but address long-standing socio-economic issues (especially the factors leading to high rural poverty) and governance issues (these are not really discussed much in this post but pertain mostly to demands of better and more autonomous local/provincial governance that have been a major reason for internal ethnic conflicts in Pakistan, as well as in other South Asian countries like India [7] and Sri Lanka [8]). It is highly unlikely that focusing on any of these facets in isolation would substantially address Pakistan's deep-seated problems. It is hard to overstate this fact because much of the U.S. foreign policy establishment discourse around Pakistan tends to revolve around security issues and terrorism. For example, the recent writings and interviews of Bruce Riedel [9], who has been tapped by the Obama administration to lead an interagency review of U.S. policy towards Pakistan and Afghanistan, reveal content that is heavy on security issues and very light or negligible on socio-economic and governance issues that often create fertile conditions for the proliferation of militancy or terrorism. It is also instructive that even U.S. establishment foreign policy think-tank coverage of Pakistan [10] often tends to be heavy on military/security issues and very light on socio-economic and governance issues, despite the fact that militants and terrorists often thrive by exploiting the vacuum created by poverty and poor governance.

The lessons for Pakistan are clear, but it is also important that both the U.N. and the United States develop a more enlightened policy framework vis-a-vis Pakistan that considers all of these factors. In particular, I would encourage the U.S. State Department to work closely with U.S./U.N. agencies in playing a more active role in helping the current Pakistani government address some of these internal issues more effectively, and thereby develop a truly transformative foreign policy framework along the lines that I have outlined previously [11].

2. Insurgency in Balochistan
To separate out the problem of fundamentalist or "jihadi" militants from some of the other structural issues in Pakistan, it is instructive to consider the Pakistani province of Balochistan - situated in the south-west of Pakistan and bordering both Afghanistan (north) and Iran (west). Since the 1950s, Balochistan has seen multiple, usually ethnically-driven, insurgency movements [12, 13] against successive Pakistani governments, and generally these were strongly put down by the latter, sometimes with help from Iran which has a significant population of ethnic, Iranian Baloch [14]. Akhtar [15] has discussed some of the history behind the Balochistan insurgencies. He points out that the major insurgency in the 1970s that was crushed by the Pakistani military had fairly broad-based support within Balochistan with significant ethno-nationalist hues and was also tied to issues of provincial governance and autonomy. In contrast, the most recent and ongoing insurgency is not as broad-based, although it is partly attributed to the previous government's handling of Balochistan's key natural resources, with questions surrounding the voice that ethnic Baloch have or don't have in these types of decisions. Per Akhtar [15]:

Needless to say there are considerable differences between the present movement and that of the 1970s. The confrontation this time appears to be between a much more amorphous band of militants and the authorities over the fate of Balochistan’s natural resources, the building of military cantonments in the province, and so-called “mega development” projects, including the soon to be completed Gwadar port on the south-western tip of the province. While the broader demand for provincial autonomy continued to inform the ethno-nationalist discourse, it is clear that the present phase of the struggle has emerged in response to the current military regime’s initiatives to establish greater control over the resources and territory of Balochistan.

[...]
Balochistan’s vast land mass – comprising over 40 per cent of Pakistan’s territory – and its reasonable endowment of natural resources including land, gas, minerals, as well as a highly strategic coastline, mean that it is a viable target for spatio-temporal fixes. The fact that the regime plans to construct military cantonments in Sui, home to Pakistan’s largest known supply of natural gas, Gwadar, a highly strategic coastal city, and Kohlu where there are reportedly major deposits of untapped energy reserves, would seem to corroborate this “territorial imperative”. This also seems consistent with the increasingly blatant resource-grabbing antics of the dominant state actor, the military, which has in recent decades built up a huge corporate empire, with capture and commercialisation of land as one of its major components [Siddiqa 2007].10 The establishment of territorial control has also facilitated the expanding interests of multinational capital which has substantively increased its presence in Pakistan during the tenure of the present regime. Most importantly, Chinese companies were given almost exclusive contracts to undertake construction of the Gwadar port,the first phase of investment totalling $ 248 million of which the Chinese provided $ 198 million [GoP 2005].

...The nationalist discourse surrounding Gwadar indicates the broader fears of cultural extinction that remain embedded within Baloch politics. Alongside the demand that “development projects” benefit the Baloch, including but not limited to the provision of employment for Baloch youth, nationalists have also protested that Gwadar is likely to precipitate an influx of non-Baloch into the province – for jobs, and due to broader multiplier effects – that will further skew the demographic imbalance in the province. For at least two decades the Baloch have claimed – the Sindhis have been at it for even longer – that they are being turned into a minority in their own province due to successive waves of in-migration.

Factors such as the ones discussed above, especially fears of ethnic domination or suppression, have been a significant factor in the relationship between some of Pakistan's provinces and the Pakistani government. In fact, linguistic, provincial rights and ethnicity were a major factor in the violent creation of Bangladesh from Pakistan in 1971 [8]. In the case of Balochistan, issues of ethnic rights and provincial autonomy are superimposed on the problem of grinding rural poverty, in a province that is substantially rural. Rural poverty in Balochistan was estimated to be ~42% in 2001-02, a bit lower than in Sindh and the NWFP [2]. However, as of 2001-02, 78% of households owned no land in Balochistan and among the landless, Balochistan's rural poverty rate was the highest in Pakistan, at nearly 70% [2]. As it stands today, not only is the Taliban increasingly using Balochistan (and its capital city Quetta) as a base to fund and manage their operations against the U.S., Pakistan and Afghanistan [16], at the same time, a largely unrelated anti-government insurgency driven by different guerilla groups has resumed after a hiatus [17]:

A separatist group in Pakistan's southwestern Balochistan province set a 72-hour deadline Friday to kill John Solecki, the local head of the United Nations High Commissioner for Refugees, if 141 women held in the torture cells of the country's intelligence agencies were not freed.

The Baloch Liberation United Front (BLUF), a secular and nationalist guerrilla organisation seeking independence from Pakistan, also demanded the release of 6,000 more political prisoners.

The takeaway from the story of Balochistan is simple. Ultimately, one cannot solve Pakistan's security problems without adequately addressing issues of rural poverty and provincial/local governance and rights. In the remainder of this post, I will focus on Pakistan's rural poverty.

3. The Link Between Landlessness and Rural Poverty in Pakistan
The following chart from Anwar et al. [2] shows the trend in rural poverty in Pakistan (red line). The absolute numbers are not as relevant since those are subject to the assumptions and methodology used, but the relative trend is alarming. After decreasing steadily through the 1970s and early 1980s, Pakistan's rural poverty rate has sharply increased through the 1990s.

Anwar et al. point out that [2]:

The landless households are substantially high in Pakistan. About 67 percent households own no land (landless plus non-agriculture, see Table 6). In contrast, about 18.25 percent household own under 5 acres of land and 9.66 percent household own 5 to 12.5 acres of land, which merely provide subsistence level of living standards. A very small proportion of households hold large farm sizes in the country. Strikingly, barely 1 percent (0.64 percent plus 0.37 percent) households own greater than 35 acres of land suggesting a highly skewed landownership pattern. This is also confirmed by the Gini coefficient of land holding which was very high at 0.6151 in 2001-02 (see Table 8). Thus, highly unequal land distribution is the main manifestations [sic] of poverty in rural Pakistan.

[...]

However, poverty levels generally decrease with increases in land holding and eliminates with 55 acres and above. Thus, distribution of landownership seems to be one of the most important determinants of rural poverty in the country.
Distribution of land holding at province level indicates that about 86 percent households own no land in Sindh (landless plus non-agriculture), followed by 78 percent in Balochistan and 74 percent in Punjab (see last column, Table 7). The unequal landownership pattern is clearly reflected by the fact that a very small portion of all households holds large farm size in all provinces.

[...]

It appears that landlessness to agricultural land is one of the most important contributors to rural poverty in Pakistan. A high concentration of landownership and unfair tenancy contracts are major obstacles to agricultural growth and alleviation of poverty. Thus both agricultural growth and poverty alleviation can be achieved, if land inequality is reduced and the tenants are protected by well-enforced tenancy contacts.

Accompanying the increase in rural poverty has been a trend towards greater income inequality. Per Anwar [6]:

The Lorenz curve of 2001-02 for Pakistan lies below the 1984-85 (see Figure 4). Thus, it can be concluded that income distribution worsened resulting in higher income inequality in 2001-02 relative to 1984-85. More changes in income distribution occurred in the higher part of income distribution than the middle and lower part of income distribution. Consequently, the Lorenz curve for 2001-02 became more skewed at upper part of income distribution implying a gain in income share to the richest 20 percent at the expense of the poorest 20 percent and middle 60 percent resulting in increased hardship of these income groups during this period (also see Table A2 at Annexure II). Notably, the kink at upper part of income distribution is indicative of the fact that 1 percent richest who used to gets 10 percent of total income in 1984-85 now get almost 20 percent total income in Pakistan in 2001-02.

4. Rural Poverty Trend (1987-2002): Pakistan v. Indiab
It is instructive to compare the trajectory of rural poverty in India and Pakistan during similar time periods by comparing the chart shown above for Pakistan to the one below for India, based on data from Panagariya [5]. The absolute poverty rates are not directly comparable between Pakistan and India due to different methodologies and assumptions used for estimation (for a chart showing adjusted estimates for India's poverty rates that provide more of an apples-to-apples multi-decadal comparison than the official poverty estimates from the Indian government, click here). It is the relative trend that is illuminating. In comparison to Pakistan's dramatic worsening of rural poverty since the late 1980s, India's rural poverty, that had largely stagnated until the mid-1970s has seen a significant reduction since the early 1980s. Additionally, while Pakistan's income inequality worsened in this time period, the income inequality worsened mostly in urban India, whereas the trend in rural income inequality in India was largely unchanged or may have even declined [5].

[NOTE: Panagariya [5] provides a detailed overview of various factors involved in India's relative success and that is beyond the scope of this post. However, land reform has not played a significant role in Indian poverty reduction efforts and there is still a lot of room for reforming India's landholding and property rights laws, not to mention significantly improving socio-economic policies and human development indicators. The comparison provided here should not be interpreted as a sign that much more progress cannot be made in India - quite the contrary is true [18]. The purpose of the comparison is merely to discuss India vis-a-vis Pakistan.]

5. Economic/Monetary Policy and Rural Poverty
Pakistan's poverty trends have been a bit of a puzzle. As Amjad pointed out [4]:

Pakistan has witnessed over the last three decades periods of high economic growth, as in the 1960s, accompanied with increasing poverty levels, periods of low economic growth, as in the 1970s, accompanied by reductions in poverty levels, periods of high economic growth leading to a decline in poverty as in the 1980s and periods of low economic growth as in the 1990s accompanied by as we shall see by increasing poverty levels.

Our interest in this post is the last period, the 1990s. What are the factors that led to the sharp increase in rural poverty during this period?
There are numerous factors that have been invoked to explain Pakistan's increase in rural poverty rates since the late 1980s, including the decline in net capital inflows. Anwar observed that [6]:

It is noteworthy that the above period of last 15 years has been characterised as an era of stabilisation and adjustment programmes, which were undertaken within the framework of “Washington Consensus” of IMF and the World Bank. The main objectives of these programmes were to improve the efficiency in resource use, enhance economic growth and remove macroeconomic imbalances to a sustainable level. It is important to note IMF adjustment programmes put too much emphasis on removing structural rigidity and macroeconomic imbalances and pay no attention to the equity and welfare of the poor and the vulnerable. The policy reforms pursued under these programmes were the wage and employment restraint policies,6 cut in pro-poor subsidies, cut in development expenditure, increases in sales taxes and utility charges and frequent devaluations. Thus, worsening of distribution of income as well as the rise in both relative and absolute poverty was inevitable.

It may be noted that the adverse implications of adjustment reforms on poverty are suggestive and do not establish a causal link between policy reforms and poverty. To establish a causal link, one needs to develop a macro model. However, non-existence of time series data on poverty precludes establishing a causal link...

Amjad notes the difference in rural poverty trends between India and Pakistan [4]:

To conclude this section on balance we can state that the dominant view that has now emerged from the analysis and review of the data is that poverty levels increased in the 1990s and that there was significant and large increase in poverty in rural areas during this period. This view is now openly acknowledged by the Jamali government which set up in December 2003 a Task Force to come up with policy measures to reverse this trend of rising poverty and unemployment levels in the country. This view is also supported by the latest Human Development Outlook 2003 published by the CRPRID (2003), studies by PIDE , the SPDC in its annual survey last year [SPDC (2002)] and the Asian Development Bank, the ILO, and the UNDP.

[...]

For those who may argue that given India’s size and economic diversity overall trends in poverty may mask regional differences for our study it is important to note that the Indian States bordering Pakistan also witnessed a decline in poverty in the 1990s in line with the overall national trend.

[...]

In India sustained agricultural growth in the 1980s and 1990s which translated itself into real wage increases for farm and non-farm labour in the rural areas was an important factor in leading to a decline in rural poverty. As mentioned earlier Pakistan witnessed on average an over 4 percent growth in agricultural production, albeit with a significantly higher growth rate of population, yet saw poverty levels significantly increasing. What were the structural features and changes in the 1990s in the rural economy which can explain rising rural poverty with a respectably high rate of agricultural growth?

He then goes on to identify several major factors [4] that he believes are mainly responsible for Pakistan's poverty dilemma:
(a) Mistimed financial/monetary reform: Amjad writes: "A striking example of this is the financial sector reform programme adopted in the late 1980s as part of the Banking Sector Adjustment Loan from the World Bank which some have termed as the single biggest disaster in terms of economic decision making in this period. By drastically raising interest rates to market prices on government borrowing it increased many fold the interest payment burden of the government which increased from Rs 33.2 billion or 4.9 percent of GDP in 1987-88 to Rs 243.3 billion or 7.7 percent of GDP in 1999-2000. Clearly the sequencing of the financial sector reform was wrong. The fiscal deficit should have been reduced prior to the financial reforms so that the government did not have to borrow at such high rates of interest. This seriously constrained public sector development expenditures in the 1990s. The same could be said of the sequencing of the tariff reforms and changes in the taxation structure which led to the closing of a very large number of industrial units (around 3000) increasing unemployment and a regressive taxation structure which increased the burden of taxes on the poor and was an important contributory factor in increasing income inequality in the 1990s."

(b) Countercyclical fiscal actions: Amjad observes that the "targeted lowering or the capping of the fiscal deficit as part of the IMF stand by loan agreements at a level during the 1990s ... seriously constrained the Public Sector Development Programme (PSDP) which declined sharply from around 6.4 percent of GDP in 1992-93 to only 2.8 percent in 2000-01. Part of this decline was the result of the government’s decision not to participate in commercial activities but this dramatic decline at a time when private investment was also falling further slowed down the growth of the economy with an adverse impact on poverty and employment in the economy."

(c) The erosion of the safety net for the poor: He discusses "the failure to effectively protect real incomes of the poor and the vulnerable segments of the population against rise in prices of essential items. Of this a pertinent example is the removal or the phasing out of poverty related subsidies in the 1990s particularly on food and essential items." He also mentions the lack of protection against increasing energy prices and that "the safety nets for the vulnerable and the poor proved grossly inadequate, to deal with the deteriorating economic, employment and poverty situation in the 1990s. This is not to underestimate the dedicated work done by NGOs and other welfare bodies in this period the absence of which would have matters worse but a stark recognition of the fact that productive employment is the only real safety net for the majority of the working population in a developing country like Pakistan."

(d) Public spending not optimized for employment creation: Per Amjad, the "special public works programmes started were clearly neither sufficient nor well targeted to halt the rate of rising unemployment and underemployment in the economy. To make matters worse little protection was afforded to workers against falling real wages and deteriorating employment conditions as more and more employment was made precarious in the form of parttime, daily or on contract basis. The weakening bargaining position of workers was dealt a very serious blow with the passage of the Industrial Relations Ordinance 2002 which both curbed workers’ rights for collective bargaining and provided enormous leeway to convert permanent workers into contract workers a practise which has become very common in many of the large scale units in the country."

(e) Poor development of Pakistan's human development indicators: Amjad says that the "efforts to improve the country’s very low human development indicators were on the whole disappointing in terms of results achieved and resources allocated for this critically needed improvement."

(f) Foreign exchange freeze and economic sanctions: Amjad writes that "the freezing of the foreign exchange accounts in the aftermath of the nuclear explosion in May 1999.... not only adversely affected the deposit holders but shattered business confidence from which the country has not yet fully recovered. It can be disputed whether there was any alternative in the wake of economic sanctions (although it may have been worth playing it out for some more time before freezing the accounts) the simple fact was that this situation should never have been allowed to develop."

6. Lessons for Pakistan and the U.S.
The lessons for Pakistan are pretty clear. Fighting militants is probably the most challenging task ahead for the nascent Pakistani government, given that past governments and the Pakistani military have long encouraged and supported militants as long as their target was not Pakistan itself. However, an equally big - and in some ways more daunting - challenge is to drive sound economic/monetary/fiscal policies and adequate land reform that address the root cause of poverty and simultaneously create the conditions for more representative provincial governments that provide an adequate level of provincial autonomy without requiring secession from Pakistan.

Any solutions aimed at stabilizing Pakistan should therefore focus not just on the internal security threat from "jihadi" or fundamentalist militants, but address long-standing socio-economic issues (especially the factors leading to high rural poverty) and governance issues. It is highly unlikely that focusing on any of these facets in isolation would substantially address Pakistan's deep-seated problems. It is hard to overstate this fact because much of the U.S. foreign policy establishment discourse around Pakistan tends to revolve around security issues and terrorism. For example, the recent writings and interviews of Bruce Riedel [9], who has been tapped by the Obama administration to lead an interagency review of U.S. policy towards Pakistan and Afghanistan, reveal content that is heavy on security issues and very light or negligible on socio-economic and governance issues that often create fertile conditions for the proliferation of militancy or terrorism. It is also instructive that even U.S. establishment foreign policy think-tank coverage of Pakistan [10] often tends to be heavy on military/security issues and very light on socio-economic and governance issues, despite the fact that militants and terrorists often thrive by exploiting the vacuum created by poverty and poor governance. It is important that both the U.N. and the United States develop a more enlightened policy framework vis-a-vis Pakistan that considers all of these factors. In particular, I would encourage the U.S. State Department to work closely with U.S./U.N. agencies in playing a more active role in helping the current Pakistani government address some of these internal issues more effectively, and thereby develop a truly transformative foreign policy framework along the lines that I have outlined previously [11].

1. "Rural Poverty in Pakistan", Rural Poverty Portal (IFAD).
2. T. Anwar, S. K. Qureshi, and H. Ali, "Landlessness and Rural Poverty in Pakistan", The Pakistan Development Review, Issue 43, #4, Winter 2004.
3. S. Malik, "Determinants of Rural Poverty in Pakistan: A Micro Study", The Pakistan Development Review, Issue 35, #2, Summer 1996.
4. R. Amjad, "Solving Pakistan’s Poverty Puzzle: Whom Should We Believe? What Should We Do?", The Pakistan Development Review, Issue 42, #4, Winter 2003.
5. A. Panagariya, "India: The Emerging Giant", Oxford University Press, 2008.
6. T. Anwar, "Prevalence of Relative Poverty in Pakistan", The Pakistan Development Review, Issue 44, #4, Winter 2005.
7. Eriposte, "Developing A Framework to Understand and Develop Working Solutions to Major Conflicts: The Case of Mizoram (India) - Part 4", The Left Coaster, Jan 2009.
8. Eriposte, "Language and Ethnic Conflict in South Asia", The Left Coaster, Feb 2009.
9. B. Riedel, "Pakistan and Terror: The Eye of the Storm", Annals of the AAPSS, 2008; T. Rubin, "Bruce Riedel: We need to make the war against al Qaeda Pakistan's war, not just America's war", Academy Blog, 2008; B. Gwertzman interview of B. Riedel, "Riedel: U.S. Needs to Tread Carefully in Pakistan", Council on Foreign Relations, 2008.
10. Council for Foreign Relations, Pakistan Archives.
11. Eriposte, "The State Department and Transformative Foreign Policy", The Left Coaster, Dec 2008.
12. A. Bansal, "Why Balochistan is Burning", Rediff.com, Jan 2006.
13. "Baluchistan Insurgency", GlobalSecurity.Org.
14. "Baloch People", Wikipedia.
15. A. S. Akhtar, "Balochistan versus Pakistan", Economic and Political Weekly, Nov 2007.
16. E. Schmitt and M. Mazzetti, "Taliban Haven in Pakistani City Raises Fears", New York Times, Feb 2009.
17. "UN hostage: Pak dismisses demands as unrealistic", Sify News, Feb 2009.
18. J. Dreze and A. Sen, "India: Development and Participation", Oxford University Press, 2002.

 

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