occasional paper

A new health reform is in progress in Peru. Current proposals show a gap in defining the critical role of the community in health.   Recommendations are to incorporate the successful Peruvian experience since 1994 in government-community shared administration with Local Health Administration Communities (CLAS) that have community members on local boards of directors that now administer one-third of primary health care services in Peru.  Evidence-based decision-making should guide health reform.   The most recent evidence on CLAS is presented.

With the collapse of longtime Somali dictator Mohammed Siad Barre’s regime in 1991, the Somali state disintegrated and left in its wake the prototype of a failed state. Since then its people have endured endless factional fighting, foreign invasions and occupations, the rise and fall of transitional governments, drone strikes from the Global War on Terror, and a rising radical Islamic insurgency known as the Shabaab.

A decade-long Maoist insurgency in Nepal killed more than 10,000 people. In 2006, a Seven Party Alliance (SPA) reached a 12-point understanding with the Maoists toward a common goal of ending the rule of King Gyanendra, reinstating parliament, and opening elections to all parties for a Constituent Assembly to draft a constitution.

Venture down the Zambezi River in Zambia on a canoe trip with Robert L. Fleming, Jr., a faculty member of the Future Generations Graduate School. Dr. Fleming celebrates the biodiversity of this river system and highlights community based partnerships that link nature conservation with community development.

This 16 page report has 11 full-color photographs of hippos, elephants, and more.