Under the Knife

Although Nigeria "is arguably the worst-run of the world’s major countries," it's biggest city is providing a model for how to turn poor governance around. Lagos, a historically fragile city like the rest of Nigeria, has devolved more power to civilian rule, which has shown positive results for the health of the city.

The pressure is on for the federal government to spend tax money more wisely. Evidence-based policy making is gaining in popularity as a way for the government to spend tax money wisely. While not quite as flashy or exciting as past ways, this has a proven track record of positive impact.

Amidst a world struggling with smart ways to confront climate change, Hawaii's 2050 Plan for sustainability is working to be a model for the rest of the world. So far, it is on it's way to being a leader in solar energy, with Honolulu having the most "solar panels per capita than any other North American city," and the state is working to produce more food locally, as well.

Colombia has attempted to decrease murder and homicide rates by setting up curfews for teenagers, forcing bars to close earlier in the evening, and creating gun laws to prevent the carrying of weapons. As a result of this epidemiological, data-driven approach, along with other governmental factors, the homicide rate has decreased significantly in most of the cities in which it was implemented.

At St. John Hospital in Detroit, the principles of cultural sensitivity and collaboration—as well as lots of fundraising—have boosted previously low breastfeeding rates by black mothers.

While critics argue that Naloxone isn't safe for over-the-counter use, some cities have found success distributing Naloxone to community members to help save lives of addicts who overdose. Naloxone can be administered to help those overdosing survive and jump-start the withdrawal process.

As Vermont struggles to create legislation regulating school district management and financial efficiency, the state looks to models in Maine and New Hampshire for guidance. In Maine, school districts have tried to save money and resources through consolidation; in New Hampshire, officials have reworked the way schooling is financed altogether.

South Dakota’s “24/7 Sobriety” initiative breathalyzers tens of thousands of people every day in an effort to curb drunk driving. Rather than legislation that takes penalizes offenders by taking away their license, the state addresses the behavioral issue instead. In counties that use the “24/7 Sobriety,” they’ve seen a 12% decrease in repeat drunken-driving arrests.

Colorado causes a large decline in teen pregnancy and abortions by implementing free, long-term birth control to prevent pregnancy. While demonstrating massive success, its continuity is in the air considering the ongoing fight over health insurance at the federal level.

India has, for years, been a hotbed of polio. Supported by the WHO as well as local health-care workers, immunizations have officially rid the country of the disease. There are still challenges in maintaining records and reaching everyone, but the message continously changes and adapts.