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ISS MONTHLY NEWSLETTER
May 2022
Communication Breakdown: Lessons from Tunisia's Second Wave of COVID-19
In mid-2020, Tunisia stood out as a star within its region. The first wave of the COVID-19 pandemic had taken a high toll in the Middle East and North Africa. But by the end of the second week of August, as the first wave ebbed, Tunisia had recorded 149 cumulative cases per million people—compared with more than 800 per million in Algeria, Egypt, Morocco, and most of the rest of the region. Tunisia’s epidemic curve was almost flat. However, the good news was short-lived. By mid-August, the number of COVID-19 cases had started to rise, and by October the number of cases per million in Tunisia matched that of other countries in the area. A year later, Tunisia was a regional hot spot. This case study profiles the difficulty of containing the spread of disease when local governments are new and have limited capacity, when public health guidance from a national government modulates or weakens, and when political distrust runs high.
The COVID-19 pandemic has caused more than 17,000 deaths in Tunisia in a population of about 12 million.
Photo by Fethi Belaid/AFP from https://www.aljazeera.com/
A Solid Start for Every Child: The Netherlands Integrates Medical and Social Care
Despite having a sophisticated health-care system and spending more on health care than do most countries in the world, by the early 2010s the Netherlands experienced some of the poorest perinatal-health outcomes in the European Union. After discovering that the problem was rooted in mainly in social and economic challenges, three large cities set out to build integrated, multisectoral teams—local coalitions—that brought together service providers working in both the health-care and social domains. To tailor care to an individual patient’s own circumstances, the coalitions transcended the traditional boundaries that separated physicians, midwives, municipal officials, social workers, and other service providers. They worked to integrate records, agree on ways to monitor progress, and designed referral systems and procedural road maps to deal with individual client problems. In 2018, the Ministry of Health, Welfare and Sport expanded this approach to reduce maternal and early-childhood health disparities in municipalities throughout the country. By early 2022, 275 of the Netherlands’ 345 municipalities were participating in the program, dubbed Solid Start. This case study captures decision-maker reflections about the early stages of this initiative.
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ISS Monthly Newsletter Archive
October 2019 - Seattle Earthquake Preparedness
September 2019 - Indoneisa Anti-Corruption
August 2019 - Amazon Rainforest
June 2019 - Early Childhood Development Urban95
April 2019 - Uganda Revenue Authority
February 2019 - Cape Town Water
January 2019 - Ethiopia Health
November 2018 - Colombia Health
October 2018 - South Africa Health
September 2018 - Rwanda Health, South Bend Smart City
August 2018- Vietnam Tax Chicago Smart City
May 2018 - Rwanda Revenue Authority
March 2018 - Human Trafficking
February 2018 - Liberia Payroll US TIGER
January 2018 - US Heirs Property
December 2017- Indonesia Land Agency
November 2017 - India Open Defecation
October 2017: Anti-Corruption Series
September 2017: Rwanda Land, Colombia Coffee
August 2017: Indonesia Corruption , Brazil Soy
July 2017: Tanzania and Australia Land
June 2017: Reforming Procurement Systems in South Africa
May 2017: Tunisia Open Government
April 2017: Liberia Ebola Response
March 2017: Land Administration
February 2017: Brazil Anti Corruption
January 2017: Property Rights & Land Administration
December 2016: Reconciling the Impossible: South Africa's Government of Unity
November 2016: The Ongoing Drive for Sustainable Cattle Ranching in Brazil
October 2016: Managing Tense Elections
September 2016: Indonesia's 2014 Presidential Transition
August 2016: Reforming Brazil's Military
July 2016: Graduates to Government: The President's Young Professionals Program In Liberia
June 2016: Delivering on Presidential Goals in the Dominican Republic
May 2016: Pockets of Effectiveness in Senegal and Indonesia
April 2016: Evaluation in Benin & Croatia Defense Reform
March 2016: Powersharing in Tunisia and Kenya
February 2016: Morocco Water, Tunisia Microfinance
January 2016: Mexico Veracruz and Ghana Presidential Transition
December 2015: Peru and Kenya Judiciaries
November 2015: Protecting Forests, Mitigating Climate Change
October 2015: Open Government Partnership
September 2015: Mexico's Presidential Transition
August 2015 Indonesia Military
July 2015: Kenya 2030 Strategy
June 2015: Calderon's Prexidency in Mexico, Anti Corruption in Luthuania
May 2015: Bihar India Modernizing Systems to Improve Service Delivery
April 2015: Two New Case Studies on the Philippines
March 2015: Monitoring Kosovo's Courts
February 2015: Pakistan's Citizen Feedback Monitoring Program
January 2015: ISS Announces a New Online Course
January 2015: Reducing Deforestation in the Brazilian Amazon
December 2014: Lagos State and Vietnam: Promoting Reform at the Local Level
November 2014: Political Transitions in Chile
October 2014: Tunisian Elections
September 2014: Strategy Development in Serbia and Estonia
August 2014: Strategy Development in Malayasia
July 2014: Effective Reforms in Brazil
June 2014: Public Sector Innovation in Mexico
May 2014: Short-Route Accountability in Afghanistan
April 2014: Elections in India
March 2014: Transforming Citizen Services
February 2014: Short-Route Accountability in Indonesia & the Philippines
January 2014: Anti-Corruption Agencies
December 2013: South Africa's Transition to a Non-Racial Democracy
November 2013: Reform Leaders on Effective and Accountable Civil Service
October 2013: Improving Policy Management and Service Delivery
September 2013: Combatting Corruption and Mediating Election Conflict
August 2013: Improving Service Delivery and Reducing Election Violence
July 2013: Increasing Accountability and Efficiency in Civil Service
June 2013: Government Delivery Units
May 2013: Anti-Corruption Commissions
April 2013: Election Reforms in Zambia and other Countries
March 2013: Civil Service Reforms in Brazil
February 2013: Infrastructure Projects, Government Investments and Obstacles
January 2013: Anti-Corruption Efforts in the Baltics and Nigerian Elections
December 2012: Reforming City Management in Palmero and Johannesburg
November 2012: ISS Marks 100 Case Studies
October 2012: Kenya Open Data and the Rapid Results Approach
September 2012: Cabinet Reform and Anti-Corruption Agencies
August 2012: City Management in Bangalore and Rapid Results in Madagascar
July 2012: Indonesian and Georgian Reforms
June 2012: Revenue Collection in Liberia
May 2012: Center of Government in the Batics
April 2012: Indonesian Accountability and Nigerian Electoral Reform
March 2012: Improving Government Accountability, Leading Reform