Presentation by Paul Forster, STEPS Centre, at the First Global Symposium on Health Systems Research, 17 November 2010

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Politics, power and economics:
debt and avian influenza (H5N1) risk
in Jakarta’s poultry supply chains
Paul Forster
STEPS Centre
I i f D l S diInstitute of Development Studies
First Global Symposium on Health Systems Research
Montreux 17 November 2010
H5N1 avian influenza outbreaks in domestic and wild birds
1 January 2005 - 31 May 2010
Source: OIE WAHID
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H5N1 avian influenza animal outbreaks and human cases
Indonesia 1 January 2004 - 6 May 2010
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Source: WHO
Poultry density and human H5N1 cases
Indonesia November 2008
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Source: DGLS-MoA

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Poultry supply chains to JABODETABEK
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Detailed socio-economic studies
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Source: Fig. 3 POULTRY MARKET CHAIN
STUDY IN NORTH SUMATRA, Albiner
Siagian, Philipus Sembiring, Zulfikar
Siregar, Ma’ruf Tafsin, Nevy Diana Hanafi,
Rasmaliah, Dwi Suryanto, and Rosdanelli
Hasibuan; FAO, Japan Development
Assistance, North Sumatra University;
undated

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Political economy studies
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See: Charnoz O. and Forster P. (2010 in press) The Global Health Impact
of Local Power Relations: Fragmented Governance, Big business and
Organisational Bias in Indonesian Animal Health Policies; Paris, AFD
Debt and power relations
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New slaughter house
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Conclusions
• Research on the environment is essential
• The environment includes money and power
• Socio-economic studies may not capture
issues of money and power
• Hard science studies will avoid money and power
• Political economy studies offer flexible
multi-disciplinary approaches
• Change will always involve the political economy• Change will always involve the political economy
• These are challenging areas to research
Thank you.
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