By  Marcus Tutert, University of Toronto

Abstract

On November 22nd 2013, the fourth strongest typhoon ever recorded struck the Philippines, leaving devastation in its wake. Over a million residents have been left homeless while the death toll has climbed to over 5,000. In addition to this, a lack of effective healthcare provision from the Philippine government has left the region exceedingly vulnerable in the aftermath. Over the past couple of years, the Philippine policy of decentralization has left the country’s healthcare provision under the jurisdiction of smaller organizations. This policy was initiated because larger central bodies have historically lacked accountability and responsiveness. This article will explore this decentralization of healthcare within the Philippines, examine its potential strengths and address its most significant failings and how they contributed to the ineffective national typhoon response. Following that, the article will comment on the challenges involved with improving systems of care within developing nations as a whole, while assessing possible alternatives proposed by the global health community.

By Amy C. Willis

Abstract

With the introduction of the Anti-Homosexuality Bill (AHB) in Uganda in 2009, an environment of fear, stigma and shame now envelopes the countrys lesbian, gay, bisexual and trans (LGBT) community. Ugandas LGBT population is under constant fear of social and legal punishment, with threats of persecution, public outings, and violence constantly bubbling under the surface. To make matters worse, the AHB includes a clause specific to HIV-positive LGBT-identified people under its aggravated homosexuality charge, with the death penalty as the punishment that accompanies a conviction of aggravated homosexuality. The impact of this proposed legislation on the LGBT community and HIV education and prevention is vast and can have a potentially negative impact on the LGBT and men who have sex with men (MSM) communities and beyond.