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Bump to baby on the beaten expat track

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Touring Cambodia: Assessment of process quality in health facilities

31 December 2014 by Nathalie Abejero Leave a Comment

After 3 years, our quality assessment system was finally endorsed by the Ministry of Health [yey]! Then came the task to collect baseline data in all USAID-supported areas by year’s end [gulp]! That’s 33 questionnaires to administer, 80 enumerators fresh out of medical, midwifery and nursing schools to train, and over 601(!) public health facilities across 9 provinces to assess. It’s an enormous logistical feat, and my team made it happen just in time for tonight’s countdown at Angkor Wat! Having a proud professional moment :-)

Happy new year indeed! [Read more…] about Touring Cambodia: Assessment of process quality in health facilities

Filed Under: Work Tagged With: Assessment, Ministry of Health, MOH, process quality of care, public health, public health facilities, QI, quality improvement, survey, usaid

Budget cuts by hatchet or scalpel?

5 August 2011 by Nathalie Abejero Leave a Comment

The excerpt below is from PBS’s Need to Know. Read the entire piece, Budget Cuts by Hatchet or Scalpel, written by Joshua Foust. Follow him on Google+.

This weekend’s “debt deal” in Congress, which raised the debt ceiling and agreed to some cuts in the future, contains a change in how the international affairs budget is calculated within the federal budget. In Section 102 of the bill, Function 150 budgets are reclassified as “security.” This means foreign assistance and development programs — USAID, the Millennium Challenge Corporation (MCC) and lots of State Department programs — are now in the same budget category as the Departments of Defense, Homeland Security and the National Nuclear Safety Administration.

It might seem like a minor thing, but this actually provides a sneaky way for the Congress to cut money from “national security” without actually touching sacred DOD programs. By cutting assistance agencies like USAID — a GOP goal for the last 18 months — Congress can cut from development assistance programs and say it is reducing national security spending. This change in language is damaging in that it furthers the militarization of civilian aid programs.

Respected defense analysts like Gordon Adams and Cindy Williams have argued forcefully that USAID is a part of the national security budget. And they are right to a degree: The argument that the U.S. has a compelling national security interest in developing poor countries, in responding to disasters and in alleviating famine is a perfectly reasonable one. Afghanistan and Pakistan are two of the biggest recipients of USAID money because the Obama administration believes USAID’s programs serve a vital function in America’s relationship to both countries.

But just because USAID can serve a national security function, it doesn’t automatically mean the international affairs budget should be militarized, or even considered part of the security budget. USAID, but also the MCC and other Function 150 programs (consisting of 12 departments, 25 agencies and nearly 60 government offices) perform lots of functions that have no direct bearing on national security. There is intrinsic value in effective programs like the Millennium Challenge Account Philippines that advance American national interests but do not play a security function. But, now they are all fall under a rubric of “security.”

Filed Under: Work Tagged With: aid and development, budget cuts, defense, development, foreign aid, security, usaid

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Those little feet pitter-pattering about rule our lives lately. But on the occasional free moment I get to tap out scatterbrained bursts of consciousness about raising toddlers in Cambodia, traveling with them and working abroad. These posts are my personal updates to friends and family. But since you’re here, have a look around. Thanks for stopping by…

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