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In this thesis, trade with waste between developed countries and the third world will be presented to analyze whether waste‐trading can create a possible win-win situation. To carry on this question problem, three theories have been considered to explain why and how developing countries can be affected by international waste-trade. A few case-studies regarding waste-trade in developing countries such as, India, China and Vietnam, will show the situation of waste-trade today. These theories and case-studies will set the foundation for analysis and conclusion. To sum up, trade with waste is a complex problem that can affect the importing country in both positive and negative ways. If the negative externality that is caused by handling waste is controlled with a tax or regulation, trade with waste can be a win-win situation for the trading countries.

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The Poverty Reduction Strategy (PRS) process is an initiative by the World Bank and International Monetary Fund (IMF) and various Highly Indebted Poor Countries (HIPC) deal with poverty. It is in some sense an updated and improved version of the Structural Adjustment Programmes (SAPs) that were implemented in the 1980s. This study examines one of the central aspects of the PRS process which is national ownership that is expected to be achieved by means of the participation of various interested groups and individuals in the formulation of the Poverty Reduction Strategy Paper (PRS Paper). These would include: non – governmental organizations, civil society organizations, faith based organizations, academics, women’s groups, academics and members from the private sector. National ownership of the formulation of the RPS Paper is examined by looking at 4 country studies, namely, Malawi, Mozambique, Tanzania and Zambia. / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2009.

Developing countries face imminent choices for introducing needed, effective but expensive new vaccines, given the substantial immunization resources now available from international donors. Cost-effectiveness analysis (CEA) is a tool that decision-makers can use for efficiently allocating expanding resources. However, although CEA has been increasingly applied in developing-country settings since the 1990’s, its use lags behind that in industrialized countries. This thesis explored how CEA could be made more relevant for decision-making in developing countries through 1) identifying the limitations for using CEA in developing countries 2) identifying guidelines for CEA specific to developing countries 3) identifying the impact of donor funding on CEA estimation 4) identifying areas for enhancement in the 1996 “Reference Case” (a standard set of methods) recommended by the US Panel on Cost-Effectiveness in Health and Medicine, and 5) better understanding the decision-making environment in developing countries. Focusing on pediatric immunization in developing countries, thematic analysis was used to distill key concepts from 157 documents spanning health economics, clinical epidemiology and health financing. 11 key informants, researchers active in developing countries, were also interviewed to explore the production and use of evidence in public health decision-making. Results showed a divergence between industrialized and developing nations in the emphases of methodological difficulties, in the general application of CEA, and the types of guidelines available. Explicitly considering donor funding costs and effects highlighted the need to specify an appropriate perspective and address policy-related issues of affordability and sustainability. Key informant interviews also revealed that opinion-makers, international organizations and the presence of local vaccine manufacturing have significant influence on decision-making. It is suggested that CEA could be more useful with a broadened reference case framework that included multiple perspectives, sensitivity analysis exploring differential discount rates (upper limits exceeding 10% for costs, declining from 3% for benefits) and supplemental reports to aid decision-making (budgetary and sustainability assessments). This study has implications for improving health outcomes globally in the context of public-private collaborative health funding. Further research could explore defining an extra-societal (multi-country) perspective to aid in efficient allocation of immunization resources among countries.

Developing countries face imminent choices for introducing needed, effective but expensive new vaccines, given the substantial immunization resources now available from international donors. Cost-effectiveness analysis (CEA) is a tool that decision-makers can use for efficiently allocating expanding resources. However, although CEA has been increasingly applied in developing-country settings since the 1990’s, its use lags behind that in industrialized countries. This thesis explored how CEA could be made more relevant for decision-making in developing countries through 1) identifying the limitations for using CEA in developing countries 2) identifying guidelines for CEA specific to developing countries 3) identifying the impact of donor funding on CEA estimation 4) identifying areas for enhancement in the 1996 “Reference Case” (a standard set of methods) recommended by the US Panel on Cost-Effectiveness in Health and Medicine, and 5) better understanding the decision-making environment in developing countries. Focusing on pediatric immunization in developing countries, thematic analysis was used to distill key concepts from 157 documents spanning health economics, clinical epidemiology and health financing. 11 key informants, researchers active in developing countries, were also interviewed to explore the production and use of evidence in public health decision-making. Results showed a divergence between industrialized and developing nations in the emphases of methodological difficulties, in the general application of CEA, and the types of guidelines available. Explicitly considering donor funding costs and effects highlighted the need to specify an appropriate perspective and address policy-related issues of affordability and sustainability. Key informant interviews also revealed that opinion-makers, international organizations and the presence of local vaccine manufacturing have significant influence on decision-making. It is suggested that CEA could be more useful with a broadened reference case framework that included multiple perspectives, sensitivity analysis exploring differential discount rates (upper limits exceeding 10% for costs, declining from 3% for benefits) and supplemental reports to aid decision-making (budgetary and sustainability assessments). This study has implications for improving health outcomes globally in the context of public-private collaborative health funding. Further research could explore defining an extra-societal (multi-country) perspective to aid in efficient allocation of immunization resources among countries.

Successive Canadian federal governments have officially indicated their support of human rights in foreign policy, including as they relate to aid-giving. This thesis quantitatively tests this rhetoric with the actual practice of bilateral aid-giving in two time periods – 1998-2000 and 2007-2009. This, however, revealed that Canada has actually tended to give more bilateral aid to countries with poorer human rights records. A deeper quantitative analysis identifies certain multilateral memberships – notably with the Commonwealth, NATO, and OECD – and the geo-political and domestic considerations of Haiti as significant and confirms a recipient state’s human rights performance is not a consideration. These multilateral relationships reflect state self-interests, historical connections, security, and a normative commitment to poverty reduction. It is these factors that those promoting a human rights agenda need to contemplate if recipient state performance is to become relevant in bilateral aid decisions. Thus, it is necessary to turn to international relations theory, in particular liberal institutionalism, to explain Canada’s bilateral aid-giving in these periods. / vi, 141 leaves ; 29 cm

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