THE GLOBAL BURDEN OF DISEASE IN AGING POPULATIONS Research

THE GLOBAL BURDEN OF DISEASE 2000 IN AGING POPULATIONS Research Paper No. 01 .5 Improving Forecasts of State Failure Gary King Lanche Zeng July 2001 ISSN 0000 0000 HARVARD BURDEN OF DISEASE UNIT NATIONAL INSTITUTE ON AGING GRANT 1-P01-AG17625 THE GLOBAL BURDEN OF DISEASE 2000 IN AGING POPULATIONS This research paper series reports on research supported by the National Institute on Aging program grant entitled The Global Burden of Disease 2000 in Aging Populations (1-P01AG17625). The purpose of the grant is to strengthen the methodological and empirical bases for undertaking comparative assessments of health problems, their determinants and consequences in aging populations. Since the publication of the Global Burden of Disease Study 1990, there has been increasing interest in comparative analyses of health outcomes, determinants and consequences. A major revision of the Global Burden of Disease Study has been launched for the year 2000 with the full commitment of the World Health Organization (WHO). The Global Programme on Evidence for Health Policy at WHO has developed a Global Burden of Disease Network, which operates in parallel to the research conducted as part of the program project. The program project will strengthen the scientific basis for the large-scale undertaking led by WHO at the global, regional and national level. The purpose of this series is to present original research that emerges from the various project components of this program grant. The views expressed in these research papers are those of the author(s) and do not necessarily reflect the views of the Harvard Burden of Disease Unit, the World Health Organization nor the National Institute on Aging. THE HARVARD BURDEN OF DISEASE UNIT The Harvard Burden of Disease Unit was established to design, test, and implement methodologies to aid in the effective allocation of health resources. To achieve this end, the Unit conducts research in collaboration with national governments, international agencies and other researchers and policy-makers. The Unit's research has two main foci: • • to forge the theory, design, and implementation of approaches to the combined measurement of mortality and non-fatal health outcomes, in order to develop valid, reliable, comparable and comprehensive measures of population health and comparative assessments of the burden of diseases, injuries and risk factors; and to investigate the costs, efficacy and effectiveness of major health interventions applied in diverse settings, toward the goal of establishing a broad database on costeffectiveness. Harvard Burden of Disease Unit Center for Population and Development Studies 9 Bow Street Cambridge, MA 02138 www.hsph.harvard.edu/organizations/bdu Improving Forecasts of State Failure1 Gary King2 and Lanche Zeng3 Abstract We offer the first independent scholarly evaluation of the claims, forecasts, and causal inferences of the State Failure Task Force and their efforts to forecast when states will fail. State failure refers to the collapse of the authority of the central government to impose order, as in civil wars, revolutionary wars, genocides, politicides, and adverse or disruptive regime transitions. This task force, set up at the behest of Vice President Gore in 1994, has been led by a group of distinguished academics working as consultants to the U.S.\ Central Intelligence Agency. State Failure Task Force reports and publications have received attention in the media, in academia, and from public policy decision-makers. In this article, we identify several methodological errors in the task force work that cause their reported forecast probabilities of conflict to be too large, their causal inferences to be biased in unpredictable directions, and their claims of forecasting performance to be exaggerated. However, we also find that the task force has amassed the best and most carefully collected data on state failure in existence, and the required corrections which we provide, although very large in effect, are easy to implement. We also reanalyze their data with better statistical procedures and demonstrate how to improve forecasting performance to levels significantly greater than even corrected versions of their models. Although still a highly uncertain endeavor, we are as a consequence able to offer the first accurate forecasts of state failure, along with procedures and results that may be of practical use in informing foreign policy decision making. We also describe a number of strong empirical regularities that may help in ascertaining the causes of state failure. This work has been supported by the National Institute on Aging Grant 1-P01-AG17625. This paper has been published in World Politics (July 2001). 2 Professor of Government, Harvard University, and Senior Advisor, Global Programme on Evidence for Health Policy, World Health Organization, Center for Basic Research in the Social Sciences, Harvard University, Cambridge, MA 02138 3 Department of Political Science, George Washington University, Washington, DC 20052 1

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