Effective Defense Support for Public Diplomacy (DSPD) with a Sub-Saharan Africa Target Audience: A Case Study of the African Crisis Response Force Proposal
Abstract : The aim of this thesis is to evaluate the effectiveness of Department of Defense (DoD) Defense Support for Public Diplomacy (DSPD) sources and messages using the African Crisis Response Force (ACRF) as a controlled comparison case study. The ACRF case can provide useful lessons for USAFRICOM on how to communicate more effectively with its African partners. From a more narrow DSPD perspective, the absence of an explicit adversary in Africa means that military tactics there should be focused on capturing human terrain through the robust utilization of information operations rather than more conventional stratagems. To accomplish this, the DoD needs to understand how to communicate effectively with Africans. The command's focus on interagency cooperation and building partnerships with African states makes successful Information Operations even more critical and the role of DPSD even more central to ensuring that DoD actions align with and complement other elements of national power to synchronize an American grand strategy in Africa. The focus in this thesis is on informational causal mechanisms, defined as the "physical, social, or psychological processes through which agents with causal capacities operate, but only in specific contexts or conditions, to transfer energy, information, or matter to other entities." Using Wilbur Schramm's disaggregation of communications into a source and message, the case studies will treat the ACRF's and related DSPD sources and messages as independent variables, and the acceptance or rejection of ACRF as the dependent variable. The target audience is composed of the state-level actors who possessed the ability to accept or reject the ACRF proposal.
Africa in the New International Order: Rethinking State Sovereignty and Regional Security
Part 1 Regional Change and Global Security Issues: the Role of Regional and Global Organisations in Addressing Africa's Security Issues, I. Gambari the OAU, State Sovereignty and Regional Security, S. Gomes Regional Security and Changing Patterns of Relations, I.W. Zartman. Part 2 Country Studies: Somalia - a Regional Security Dilemma, A. Simons Civil War and Identity in Sudan's Foreign Policy, F. Deng and K. Medani the International Context of Internal War - Ethiopia/Eritrea, T. Lyons Ethnic Conflict and Security in Southern Africa, M. Ottaway Regional Security in Southern Africa in the Post-Cold War Era, D. Venter. Part 3 ECOMOG: Liberia, and Regional Security in West Africa, R. Mortimer the Involvement of ECOWAS in Peacekeeping in Liberia, M. Vog. Part 4 Extracontinental Actors and Regional Security: removing the shackles? US Policy Toward Africa After the Cold War, P. Schraeder Moscow's Policies in Africa, J. Lefebvre.
Study on essential drug use status and its influencing factors among cerebral infarction inpatients in county level hospitals of Anhui Province, China
Background and purpose Drug costs is one of the main components of hospitalization expenditure for cerebral infarction inpatients. In China, the National Essential Medicine System (NEMS) was created to relieve the heavy drug-cost burden for patients. The objective of this study was to investigate essential drug-use status and its influencing factors among cerebral infarction inpatients in county-level hospitals of Anhui province, China. Methods Three county-level hospitals were selected through a multi-stage cluster random sampling method. The hospitalization cost data of cerebral infarction inpatients in the three hospitals were extracted from the Anhui provincial information platform of the New Rural Cooperative Insurance System (NCMS), and whether the proportion of essential drug cost in the total drug cost reached the median value of 33.05% which was set as the evaluation index for essential drug-use status. Questionnaires for hospitals and physicians were designed and given to them to assess influencing factors. Results We retrieved the cost data of 2,189 inpatients from the NCMS platform and investigated 51 corresponding physicians in total. The drug costs accounted for 52.6% of the total hospitalization cost, and essential drug costs alone accounted for 37.0% of the total drug costs. The essential drug-cost proportion was high among physicians with a higher recognition degree on NEMS, older age, lower final academic degree, longer work experience and lower professional title. Married physicians and those with tight organizational affiliation also prescribed more essential drugs. Conclusions Increasing the proportion of essential drugs was an effective way to reduce the disease burden for cerebral infarction patients. Perfecting the NEMS, increasing government investment, reinforcing education and propaganda, and formulating relevant incentive and restrictive mechanisms were all effective ways to promote and increase the number of essential drug prescriptions written by physicians.