Ear, Sophal (2009): Cambodia’s patient zero: The political economy of foreign aid and avian influenza.
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What happens when a developing country with poor health infrastructure and even poorer animal health surveillance is thought to be a potential source for the next emerging infectious disease? This is the story of Cambodia and Avian Influenza. This paper undertakes a review of the relevant literature and analyzes the results of detailed semi-structured interviews of individuals highly engaged in Avian Influenza work in Cambodia. First, the political economy context is detailed with particular attention to aid dependency, tourism and the role of the livestock sector. The role of politics and the bureaucracy in this context is explored. Three competing policy narratives emerge: first, kill the birds, but don’t compensate as it’s too difficult and costly; second, behaviour modification change is the answer; and third, whatever happened to poverty and livelihoods? Finally, the political economy of the policy process in Cambodia is described, including actors, networks and interests. The paper finds that in the context of avian influenza, donors are too often motivated by concerns other than protecting livelihoods, just as traditional aid activities are often dominated by the need to tie aid to donor countries, avian influenza activities have been overtly focused on detecting and preventing pandemic as a threat to the donor countries themselves. As of 2008, donors have committed $35 million to Cambodia, placing it seventh among the top 10 recipients of avian influenza funding globally, fourth in terms of per case and per death from A/H5N1, and second in terms of per capita and per outbreak funding. However, ultimate responsibility for the success or failure of policies in Cambodia must rest with those in charge. Poor governance and pervasive institutional failure have plagued the response in Cambodia. Effective disease response and effective governance must go hand-in-hand. A rushed, emergency oriented response to avian influenza may have undermined already weak governance capacity in Cambodia, fuelling patronage networks and encouraging rent seeking. Whether such funds have increased the ability of Cambodia—and the world—to prevent a future pandemic remains uncertain.
|Item Type:||MPRA Paper|
|Original Title:||Cambodia’s patient zero: The political economy of foreign aid and avian influenza|
|Keywords:||Highly Pathogenic Avian Influenza, Cambodia, Political Economy|
|Subjects:||P - Economic Systems > P3 - Socialist Institutions and Their Transitions > P33 - International Trade, Finance, Investment, Relations, and Aid
P - Economic Systems > P3 - Socialist Institutions and Their Transitions > P32 - Collectives ; Communes ; Agriculture
P - Economic Systems > P2 - Socialist Systems and Transitional Economies > P26 - Political Economy ; Property Rights
|Depositing User:||Sophal Ear|
|Date Deposited:||07. Apr 2010 05:39|
|Last Modified:||30. Dec 2015 09:46|
AED (10 January 2007) ‗―SuperHero‖ Chicken Emerges in Fight Against Avian Influenza‘, Academy for Educational Development Press Release http://www.aed.org/News/Releases/superchicken.cfm (accessed 27 January 2009)
AFP (29 October 2008) ‗Cambodia to Double Budget‘ Agence France Press http://www.straitstimes.com/Breaking%2BNews/SE%2BAsia/Story/STIStory_296171.html (accessed 10 July 2009)
Associated Press (8 May 2003) ‗New SARS-like Mystery illness in Cambodia‘ http://www.mongabay.com/external/mystery_sars_cambodia.htm (accessed 27 January 2009)
BBC (2006) ‗Pandemic‘, Horizons science series, broadcast 7 November 2006, 9pm on BBC Two, Cambodia scenario http://www.youtube.com/watch?v=YeL3pM8L8DA ‗Pandemic‘ program page http://www.bbc.co.uk/sn/tvradio/programmes/horizon/broadband/tx/pandemic/ (accessed 27 January 2009)
Burgos, S. Hinrichs, J., Otte J., Pfeiffer, D., Roland- Holst, D., Schwabenbauer, K., and Thieme, O. (2008) Poultry, HPAI and Livelihoods in Cambodia – A Review, Mekong Team Working Paper 3, Rome http://www.research4development.info/PDF/Outputs/HPAI/wp03_2008.pdf (accessed 27 January 2009)
CENTDOR (2008) ‗Gender and Socio-Economic Impacts of HPAI and Its Control: Rural Livelihood and Bio-Security of Smallholder Poultry Producers and Poultry Value Chain in Siem Reap Province, Cambodia‘, Center for Development Oriented Research in Agriculture and Livelihood Systems Final Report submitted to FAO Cambodia (Food and Agriculture Organization of the United Nations), CENTDOR, June
Chandler, David (1991) The Tragedy of Cambodian History: Politics, War and Revolution since 1945, New Haven: Yale University Press
Chheang, V (2008) ‗The Political Economy of Tourism in Cambodia‘, Asia Pacific Journal of Tourism Research, 13.3: 281-297
Chinaview (10 July 2007) ‗Dengue death toll surpasses all in 2006 in Cambodia‘, www.chinaview.cn, http://www.oudam.com/cambodia/dengue-death-toll-surpasses-all-in-2006-in-cambodia.html (accessed 27 January 2009)
Desvaux, S (2005) ‗FAO Avian Influenza Strategy and Project Formulation mission Cambodia and Lao PDR 09/05/05 to 08/06/05‘, Final report, Food and Agriculture Organization of the United Nations, June
Dy, Cecilia (19 May 2008) ‗Bridging the Gap between Awareness and Practice: Participatory Learning of Rural Beliefs and Practices on HPAI Prevention and Response in Cambodia‘ Email sent to The Communication Initiative and placed on the Communication Initiative site 3 June http://www.comminit.com/en/node/270744/36 (accessed 29 January 2009)
Ear, Sophal (2009a) ‗Cambodia‘s Victim Zero: Global and National Responses to Highly Pathogenic Avian Influenza‘ STEPS Working Paper 16, Brighton: STEPS Centre http://www.steps-centre.org/PDFs/Cambodia%20new.pdf (accessed 9 July 2009)
Ear, Sophal (2009b) ‗Sowing and Sewing Growth: The Political Economy of Rice and Garments in Cambodia‘ SCID Working Paper 384, Stanford, CA: Stanford Center for International Development http://scid.stanford.edu/?q=system/files/shared/pubs/384.pdf (accessed 10 July 2009)
Ear, Sophal and Hall, John (27 July 2008) ‗Managing Democracy: Cambodia's Free Press Under Fire‘ International Herald Tribune, Op-Ed, http://www.nytimes.com/2008/07/27/opinion/27iht-edhall.1.14809126.html?_r=1 (accessed 10 July 2009)
Economist (6 August 2008) ‗Hun Sen, the great survivor‘ Economist.com http://www.economist.com/world/asia/displaystory.cfm?story_id=11877449 (accessed 9 July 2009)
Economic Institute of Cambodia (2007) Addressing the Impact of the Agreement on Textile and Clothing Expiration on Cambodia, Phnom Pen: Economic Institute of Cambodia
Ek, Madra (17 October 2007) ‗Dengue means death for many of Cambodia's children‘ Reuters, http://www.reuters.com/article/latestCrisis/idUSBKK193211 (accessed 9 July 2009).
Food and Agriculture Organization (2007b) ‗Evaluation of FAO Activities in Cambodia (2002-2007)‘, Final Report, Food and Agriculture Organization of the United Nations, Rome, December
Food and Agriculture Organization and WHO (2005) ‗Update on the Avian Influenza Situation‘, Bulletin on Avian Influenza in Cambodia, 10, Food and Agriculture Organization and WHO
Godfrey, Martin (2003) ‗Youth Employment Policy in Developing and Transition Countries - Prevention as well as Cure‘ Social Protection Discussion Paper Series No. 0320, Social Protection Unit, Human Development Network, Washington, DC: The World Bank, October http://siteresources.worldbank.org/SOCIALPROTECTION/Resources/SP-Discussion-papers/Labor-Market-DP/0320.pdf (accessed 29 January 2009)
Guimbert, Stéphane (2009) ‗Cambodia 1998-2008: An Episode of Rapid Growth‘ Unpublished Draft Working Paper dated June 30, 2009.
Heritage Foundation (2005) ―Index of Economic Freedom: Cambodia.‖ Washington, DC: The Heritage Foundation.
Hickler, Benjamin (2007) ‗Bridging the Gap Between HPAI ―Awareness‖ and Practice in Cambodia: Recommendations from an Anthropological Participatory Assessment‖, Mission from July 24 to August 31, 2007 – Cambodia, Emergency Centre for Transboundary Animal Diseases (ECTAD), FAO Regional Office for Asia and the Pacific
Hookway, Jaems (5 March 2005) ‗In rural Cambodia, dreaded avian influenza finds a weak spot‘, The Wall Street Journal, Saturday, March 5
Ifft, Jennifer (2005) Survey of the East Asia Livestock Sector, Rural Development and Natural Resources Sector Unit of the East Asia and Pacific Region of the World Bank Working Paper, September http://go.worldbank.org/32ZO2UBPK0 (accessed 27 January 2009)
Jonas, Olga (2008) ‗Update on Coordinated International Assistance‘, Olga Jonas, Avian and Human Influenza Global Program Coordinator, The World Bank, Sixth International Ministerial Conference on Avian and Pandemic Influenza, Sharm El-Sheikh, 24-26 October
Khoun, Leakhana (2008) The Mekong Times, (25 June 2008) ‗Child dengue deaths down but mortality rate up in 2008‘ http://ki-media.blogspot.com/2008/06/child-dengue-deaths-down-but-mortality.html (accessed 27 January 2009)
Khun, Sokha (2002) ‗Kingdom of Cambodia: National Committee for Disaster Management‘ Powerpoint for the Regional workshop on Methodologies of Assessment of Social Economic Impacts of Disaster in Asia Prepared by Khun Sokha NCDM http://www.em-dat.net/documents/bangkok06/CambodiaDisInfoMgmtDb.pdf (accessed 27 January 2009)
MLG and DFDL (1999) ‗Mekong Law Report: Cambodia Investment Guide‘ Mekong Law Group and Dirksen Flipse Doran and Le, Phnom Penh.
Ministry of Tourism (2006) Annual report on tourism statistics, Phnom Penh, Cambodia
Normile, Dennis (2005) ‗First Human Case in Cambodia Highlights Surveillance Shortcomings‘, Science 307: 1027
Oberndorf, Robert (2004) ‗Law Harmonisation in Relation to Decentralisation‘, Cambodia Development Review, 8. http://www.cdri.org.kh/webdata/cdr/2004/cdr8-2e.pdf (accessed 29 January 2009)
RGC (2007) Comprehensive Avian and Human Influenza National Plan: Part 1 - Prevention and Preparedness, Royal Government of Cambodia, July
Richner, B. (2007) Advertisement, The Cambodia Daily (27 July 2007) ‗The Dengue Disaster: A Mirror of the Hypocrisy of the Health Policy for the Poor World‘ http://www.beat-richner.ch/images/CambiodiaDaily_Richner2777.jpg (accessed 27 January 2009)
Scoones, Ian. (ed.) (2010). Avian Influenza: Science, Policy and Politics. London: Earthscan.
Sen, Sovann (2003) ‗Annex 4: Country Output Presentations‘, Powerpoint Presentation, Livestock Information, Sector Analysis and Policy Branch, Animal Production and Health Division, Food and Agriculture Organization, January 27
Xinhua (2008) ‗Dengue death rate reaches 10% in Cambodia in 2007‘, Phnom Penh: Xinhua News, 4 January 2008 http://www.geocities.com/prevent_dengue2/intpress/04jan08.html (accessed 27 January 2009)
Yahoo Finance (2004) ‗Int‘l - Charoen Pokphand Unit: Didn‘t Spread Bird Flu In Cambodia‘, Yahoo Finance, September 24 http://www.engormix.com/e_news2520.htm (accessed 27 January 2009)