‘Common but Differentiated Responsibilities and Respective Capabilities’ (CBDR-RC) is a core principle in the United Nations Framework Convention on Climate Change (UNFCCC) used to operationalize equity, but it could be defined in many ways. To date, the bulk of attention has been on the first part of this principle – CBDR – because of the importance of addressing responsibility. However, we propose that a more robust notion of RC is possible, useful and timely as countries are currently articulating their first Nationally Determined Contributions, a process that is expected to ratchet up over time under the new regime. We combine Sen and Nussbaum's notion of a ‘capabilities approach’ with the framework provided by the UNFCCC to identify five sub-elements of RC and propose metrics for each of them. These sub-elements are human development, economic capacity, resilience to climate impacts, governance capacity, and technical and innovation capacity. We are not proposing replacing discussions of responsibili...

01 Sep 2015·Journal on Migration and Human Security

Immigration Reform and Administrative Relief for 2014 and Beyond: A Report on Behalf of the Committee for Immigration Reform Implementation (CIRI), Human Resources Working Group

Author: Tudi, Courtney ; Kamasaki, Charles ; Collins, Amelia ; O'Brien, Kerry ; Holmgren, Jack ; Timmons, Susan ; Kerwin, Donald

01 Aug 2014·Journal of Immigrant and Minority HealthQ4 · MEDICINE

Barriers to Healthcare Access Among Refugees with Disabilities and Chronic Health Conditions Resettled in the US Midwest

Q4 · MEDICINE

Article

Author: Mansha Parven Mirza ; Elizabeth Hebert ; Allison Niebauer ; Uma Devi Mishra ; Rene Luna ; Bhuttu Mathews ; Rooshey Hasnain

Chronic conditions and related functional disabilities are highly prevalent among resettled refugees in the United States. There is a need to explore this population's access to appropriate healthcare services in order to identify service disparities and improve interventions. Using a community-based participatory research approach, semi-structured interviews were conducted with key informants to identify healthcare access barriers affecting disabled and chronically ill refugees. Eighteen participants were interviewed, revealing three main barriers: (1) inadequate health insurance, (2) language and communication barriers, and (3) a complex maze of service systems. These barriers were found to operate at systems, provider, and individual levels. Broad-based policy and practice interventions are required to address barriers including: an expanded pool of medical interpreters, peer navigators, innovative health information technologies, and greater collaboration and information-sharing between service systems. Further research is needed to monitor the impact the Affordable Care Act on service access of refugees with disabilities and chronic conditions.

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