The document discusses accountability for global health efforts. It asks if governments of poor countries are accountable for not spending more on domestic health and if so, to whom. It also asks if international organizations like the IMF and World Bank are accountable for policies that discourage health spending and if rich country governments are accountable for not providing more international health aid. It notes challenges to mutual accountability given both national and international responsibilities for health.
1. The document discusses the current state of the world and need for change, outlining two potential futures - a chaotic "Military World State" or an "Intelligent World" based on intelligence, innovation, integration and prosperity.
2. It describes the many crises facing the current unsustainable world and argues that a comprehensive transformation is needed to a smarter world prioritizing knowledge, innovation and technology.
3. A vision is outlined for creating an "Intelligent World" through building intelligent communities and digital infrastructures, guided by sustainability and innovation across society. Major technology companies are promoting concepts like smarter planets and smart connected communities to model and structure the future world.
The document criticizes the U.S. medical system as being the most ineffective, unjust, inequitable and unethical among wealthy nations. It argues that the 2009 health reforms made the system worse. It provides examples showing racial and socioeconomic disparities in access to healthcare and health outcomes. It also discusses issues like the high costs of the system, medical bankruptcy, and how viewing patients as consumers is problematic.
This document summarizes a report by the UN Special Rapporteur on extreme poverty and human rights. It finds that claims of impending eradication of extreme poverty are exaggerated and rely too heavily on flawed measures like the World Bank's international poverty line. In reality, billions still live in poverty without adequate standards of living. It argues the Sustainable Development Goals are failing on key issues like poverty, inequality, and climate change. To eliminate poverty, it says we must rethink the relationship between growth and poverty reduction, tackle inequality through redistribution, implement universal social protection, and center the role of government.
The document discusses strategies for poverty reduction in Indonesia, noting that prior to the 1997/98 Asian financial crisis, Indonesia had seen significant reductions in poverty through rapid economic growth coupled with investments in social infrastructure, agriculture, and rural development. However, the crisis severely impacted poverty levels. The document examines post-crisis poverty reduction programs and efforts to promote more equitable development across regions in Indonesia.
Wider determinants of health include community empowerment and anti-poverty measures. There are different perspectives on health: as a right, consumption good, or investment. Health as a right involves government responsibility to ensure access and equity. As a consumption good, health is a personal objective not requiring special government responsibilities. As an investment, health affects workforce productivity. Development encompasses improving standards of living and expanding economic and social opportunities. It differs from economic growth, which is a quantitative increase, by transforming society for better well-being. Health plays a key role in development by increasing productivity.
Foreign aid can contribute to economic growth by increasing investment, imports of capital goods, and human capital development. However, aid can also fuel conflict by being stolen or appropriated by governments and militias to support warring factions. Pakistan is cited as an example - despite receiving over $100 billion in aid over decades, it has not experienced reduced conflict or improved development outcomes. The effectiveness of aid depends on factors like governance and policies in the receiving country.
This testimony argues that funding international health and development programs is crucial for national security. It notes that diseases like HIV/AIDS and drug-resistant tuberculosis already cost the US health system greatly. It argues that reducing poverty and improving health globally through programs like those funded by USAID and UNICEF is far cheaper than dealing with disease outbreaks after they reach the US. Investing in these programs aligns with constitutional duties to provide for the common defense and general welfare.
Africa’s immiserization and declining development interventions in a globaliz...
This document discusses how globalization has contributed to the immiserization (increasing misery and poverty) of African countries in two key ways:
1. Accelerated economic liberalization policies imposed by international financial institutions in response to debt crises have reduced the ability of African governments to intervene in their economies and allocate resources to development programs.
2. African countries have been marginalized in the global economy, recording stagnating or declining GDP per capita in contrast to growth in wealthier nations. Poverty levels have risen substantially in Africa while falling elsewhere in the developing world.
The document argues that globalization has undermined the policy autonomy of African nations and exacerbated poverty, contradicting the promise of shared
UNCTAD - The Least Developed Countries Report 2011 - The Potential Role of So...
The Least Developed Countries Report 2011 puts forward a policy framework for enhancing the development impact of South–South cooperation, and proposes ways to leverage South–South financial cooperation for development in the LDCs.
The Refugee Responsibility and Sustainability Index was created as part of my Personal Project at Lincoln Community School. This index asses the responsibility level of a country towards tackling refugee crises in three parts: One, whether or not a country has a responsibility to absorb and resettle refugees within their territories; Two whether or not a country has a responsibility to increase its contribution to humanitarian aid efforts; and Three the amount of overall contribution a country should make to help tackle any refugee crisis. To accurately and objectively measure this, parameters such as GDP Per-Capita, Natives per refugee, humanitarian aid given, and poverty rate amongst others have been taken into consideration.
Made in collaboration with Mr. Stephan Anagnost (Mr. A)
This document discusses the impact of crises on social programs and poverty. It notes that the current global economic crisis has led to a sharp decline in global GDP growth and industrial production in Turkey. Crises particularly hurt the poor, who have limited resources and coping abilities. An estimated 90 million more people will fall into extreme poverty by 2010 due to the crisis. The document also discusses lessons from previous crises, highlighting the need to anticipate social impacts and protect vulnerable groups from the early stages of crisis response. Effective crisis responses have been rapid, sizable, and focused on social safety nets and pro-poor policies.
1) The article discusses the promise of microfinance in alleviating poverty by providing financial services like small loans to low-income households that have traditionally been excluded from formal banking.
2) While microfinance programs report high repayment rates of over 95%, most programs remain subsidized and are not financially self-sufficient. There is also limited evidence on the social and economic impacts of microfinance.
3) Going forward, there is a need for more rigorous impact evaluations, understanding how different financial products and incentive structures can best serve the poor, and ensuring microfinance reaches those in deepest poverty rather than just the "better off poor".
How do population dynamics affect greenhouse gases and climate change? Will urbanization and an ageing population help or hinder efforts to adapt to a warming world? And could better reproductive health care and improved relations between women and men make a difference in the fight against climate change? Find the answers in the State of World Population 2009.
SAHARO works without regard to creed, race, gender, or ethnicity, and is one of the reputed humanitarian networks.
SAHARO provides a beacon of hope for thousands of women, men and children in times of hardship and contributes to the development of social justice in times of peace. Saharo’ mandate includes integral development, emergency relief, advocacy, peace building, respect for human rights and support for proper stewardship of the planet’s environment and resources.
The SAHARO approach is based on the social teaching, which focuses on the dignity of the human person. Saharo’ work on behalf of the poor manifests God’s love for all of creation.
SAHARO believes that the weak and oppressed are not objects of pity, but agents of change leading the struggle to eradicate dehumanizing poverty, unacceptable living and working conditions, and unjust social, political, economic and cultural structures.
What makes SAHARO unique is its ongoing presence in communities, before, during and after crisis situations. Important, too, is that being part of civil society and incorporating the perspective of the poor, Saharo can continuously adapt its strategies to an ever changing environment.
SAHARO fights poverty, exclusion, intolerance and discrimination. More importantly, it empowers people to participate fully in all matters affecting their lives, and it advocates on their behalf at national and international forums.
SAHARO promotes partnership: local autonomy is paramount in ensuring effective teamwork for the good of all. By pooling expertise and resources, SAHARO is able to identify issues at the grassroots, analyze them at national and international levels, and then take action locally, regionally and globally
We need to frame the way we gather and use data in the context of the post-2015 agenda on poverty eradication. Tony German and Judith Randel from Development Initiatives examine issues around disaggregating data for better informed choices about development spending.
The document summarizes health reforms in Mexico from 1943-2004, with a focus on the 2004 reform that established the Health Social Protection System. It overviews declining mortality rates and increasing life expectancy over time. Key aspects of the 2004 reform included establishing universal health care coverage, separating financing from service provision, defining an essential benefits package, and increasing accountability through performance measurement. The reform reorganized Mexico's health system to improve access, quality, and financial protection for all citizens.
This document summarizes strategies used to undermine public acceptance of climate change science and discusses ways to more effectively engage the public on this issue. It notes that corporate interests have funded front groups and think tanks to manufacture doubt about climate science and make lack of certainty a political issue. As a result, news media often portray climate science as a two-sided controversy when there is actually a scientific consensus. It suggests joining online networks for information and action, developing new communication strategies, and promoting a values-based debate around climate solutions rather than perpetuating manufactured controversies.
This document summarizes opposing viewpoints on whether inequality matters for poverty reduction. It discusses the World Bank's perspective that inequality does not necessarily hinder poverty alleviation if economic growth occurs. However, Robert Wade and Simon Maxwell argue that inequality complicates anti-poverty efforts and should be reduced simultaneously with poverty. The author ultimately agrees with Wade and Maxwell, concluding that inequality and poverty are intertwined and comprehensive strategies are needed that incorporate both economic and human development factors to effectively reduce poverty and inequality.
The document discusses the benefits of American aid to third world countries. It argues that American aid helps develop healthcare, education, economy, and government in impoverished nations. American aid also provides hope to these countries. For Americans, there are benefits like fulfilling moral obligations and creating new trade partnerships. Eventually, with American assistance, these foreign countries will be able to become independent and developed nations.
The document discusses health sector financing and various approaches to financing healthcare. It covers topics like levels of healthcare spending in different countries, proposals to spend a certain percentage of GDP on health, factors influencing demand for health insurance, types of health insurance and payment methods, and costs of illness. The key points are that healthcare financing aims to generate resources, ensure equity, and improve efficiency. Methods of financing include taxation, social health insurance, out-of-pocket payments, and donations. Factors like income, risk aversion, and probability of illness impact demand for insurance. Common payment methods are third-party payments, capitation, and out-of-pocket costs. Costs of illness can be direct, incidental,
1. The document discusses the current state of the world and need for change, outlining two potential futures - a chaotic "Military World State" or an "Intelligent World" based on intelligence, innovation, integration and prosperity.
2. It describes the many crises facing the current unsustainable world and argues that a comprehensive transformation is needed to a smarter world prioritizing knowledge, innovation and technology.
3. A vision is outlined for creating an "Intelligent World" through building intelligent communities and digital infrastructures, guided by sustainability and innovation across society. Major technology companies are promoting concepts like smarter planets and smart connected communities to model and structure the future world.
The document criticizes the U.S. medical system as being the most ineffective, unjust, inequitable and unethical among wealthy nations. It argues that the 2009 health reforms made the system worse. It provides examples showing racial and socioeconomic disparities in access to healthcare and health outcomes. It also discusses issues like the high costs of the system, medical bankruptcy, and how viewing patients as consumers is problematic.
This document summarizes a report by the UN Special Rapporteur on extreme poverty and human rights. It finds that claims of impending eradication of extreme poverty are exaggerated and rely too heavily on flawed measures like the World Bank's international poverty line. In reality, billions still live in poverty without adequate standards of living. It argues the Sustainable Development Goals are failing on key issues like poverty, inequality, and climate change. To eliminate poverty, it says we must rethink the relationship between growth and poverty reduction, tackle inequality through redistribution, implement universal social protection, and center the role of government.
The document discusses strategies for poverty reduction in Indonesia, noting that prior to the 1997/98 Asian financial crisis, Indonesia had seen significant reductions in poverty through rapid economic growth coupled with investments in social infrastructure, agriculture, and rural development. However, the crisis severely impacted poverty levels. The document examines post-crisis poverty reduction programs and efforts to promote more equitable development across regions in Indonesia.
Wider determinants of health include community empowerment and anti-poverty measures. There are different perspectives on health: as a right, consumption good, or investment. Health as a right involves government responsibility to ensure access and equity. As a consumption good, health is a personal objective not requiring special government responsibilities. As an investment, health affects workforce productivity. Development encompasses improving standards of living and expanding economic and social opportunities. It differs from economic growth, which is a quantitative increase, by transforming society for better well-being. Health plays a key role in development by increasing productivity.
Foreign aid can contribute to economic growth by increasing investment, imports of capital goods, and human capital development. However, aid can also fuel conflict by being stolen or appropriated by governments and militias to support warring factions. Pakistan is cited as an example - despite receiving over $100 billion in aid over decades, it has not experienced reduced conflict or improved development outcomes. The effectiveness of aid depends on factors like governance and policies in the receiving country.
This testimony argues that funding international health and development programs is crucial for national security. It notes that diseases like HIV/AIDS and drug-resistant tuberculosis already cost the US health system greatly. It argues that reducing poverty and improving health globally through programs like those funded by USAID and UNICEF is far cheaper than dealing with disease outbreaks after they reach the US. Investing in these programs aligns with constitutional duties to provide for the common defense and general welfare.
Africa’s immiserization and declining development interventions in a globaliz...Alexander Decker
This document discusses how globalization has contributed to the immiserization (increasing misery and poverty) of African countries in two key ways:
1. Accelerated economic liberalization policies imposed by international financial institutions in response to debt crises have reduced the ability of African governments to intervene in their economies and allocate resources to development programs.
2. African countries have been marginalized in the global economy, recording stagnating or declining GDP per capita in contrast to growth in wealthier nations. Poverty levels have risen substantially in Africa while falling elsewhere in the developing world.
The document argues that globalization has undermined the policy autonomy of African nations and exacerbated poverty, contradicting the promise of shared
The Least Developed Countries Report 2011 puts forward a policy framework for enhancing the development impact of South–South cooperation, and proposes ways to leverage South–South financial cooperation for development in the LDCs.
The Refugee Responsibility and Sustainability Index was created as part of my Personal Project at Lincoln Community School. This index asses the responsibility level of a country towards tackling refugee crises in three parts: One, whether or not a country has a responsibility to absorb and resettle refugees within their territories; Two whether or not a country has a responsibility to increase its contribution to humanitarian aid efforts; and Three the amount of overall contribution a country should make to help tackle any refugee crisis. To accurately and objectively measure this, parameters such as GDP Per-Capita, Natives per refugee, humanitarian aid given, and poverty rate amongst others have been taken into consideration.
Made in collaboration with Mr. Stephan Anagnost (Mr. A)
This document discusses the impact of crises on social programs and poverty. It notes that the current global economic crisis has led to a sharp decline in global GDP growth and industrial production in Turkey. Crises particularly hurt the poor, who have limited resources and coping abilities. An estimated 90 million more people will fall into extreme poverty by 2010 due to the crisis. The document also discusses lessons from previous crises, highlighting the need to anticipate social impacts and protect vulnerable groups from the early stages of crisis response. Effective crisis responses have been rapid, sizable, and focused on social safety nets and pro-poor policies.
1) The article discusses the promise of microfinance in alleviating poverty by providing financial services like small loans to low-income households that have traditionally been excluded from formal banking.
2) While microfinance programs report high repayment rates of over 95%, most programs remain subsidized and are not financially self-sufficient. There is also limited evidence on the social and economic impacts of microfinance.
3) Going forward, there is a need for more rigorous impact evaluations, understanding how different financial products and incentive structures can best serve the poor, and ensuring microfinance reaches those in deepest poverty rather than just the "better off poor".
How do population dynamics affect greenhouse gases and climate change? Will urbanization and an ageing population help or hinder efforts to adapt to a warming world? And could better reproductive health care and improved relations between women and men make a difference in the fight against climate change? Find the answers in the State of World Population 2009.
SAHARO works without regard to creed, race, gender, or ethnicity, and is one of the reputed humanitarian networks.
SAHARO provides a beacon of hope for thousands of women, men and children in times of hardship and contributes to the development of social justice in times of peace. Saharo’ mandate includes integral development, emergency relief, advocacy, peace building, respect for human rights and support for proper stewardship of the planet’s environment and resources.
The SAHARO approach is based on the social teaching, which focuses on the dignity of the human person. Saharo’ work on behalf of the poor manifests God’s love for all of creation.
SAHARO believes that the weak and oppressed are not objects of pity, but agents of change leading the struggle to eradicate dehumanizing poverty, unacceptable living and working conditions, and unjust social, political, economic and cultural structures.
What makes SAHARO unique is its ongoing presence in communities, before, during and after crisis situations. Important, too, is that being part of civil society and incorporating the perspective of the poor, Saharo can continuously adapt its strategies to an ever changing environment.
SAHARO fights poverty, exclusion, intolerance and discrimination. More importantly, it empowers people to participate fully in all matters affecting their lives, and it advocates on their behalf at national and international forums.
SAHARO promotes partnership: local autonomy is paramount in ensuring effective teamwork for the good of all. By pooling expertise and resources, SAHARO is able to identify issues at the grassroots, analyze them at national and international levels, and then take action locally, regionally and globally
We need to frame the way we gather and use data in the context of the post-2015 agenda on poverty eradication. Tony German and Judith Randel from Development Initiatives examine issues around disaggregating data for better informed choices about development spending.
The document summarizes health reforms in Mexico from 1943-2004, with a focus on the 2004 reform that established the Health Social Protection System. It overviews declining mortality rates and increasing life expectancy over time. Key aspects of the 2004 reform included establishing universal health care coverage, separating financing from service provision, defining an essential benefits package, and increasing accountability through performance measurement. The reform reorganized Mexico's health system to improve access, quality, and financial protection for all citizens.
This document summarizes strategies used to undermine public acceptance of climate change science and discusses ways to more effectively engage the public on this issue. It notes that corporate interests have funded front groups and think tanks to manufacture doubt about climate science and make lack of certainty a political issue. As a result, news media often portray climate science as a two-sided controversy when there is actually a scientific consensus. It suggests joining online networks for information and action, developing new communication strategies, and promoting a values-based debate around climate solutions rather than perpetuating manufactured controversies.
Understanding the Effect of the GAVI Initiative on Reported Vaccination Cover...UWGlobalHealth
This document discusses the critical role of health metrics and evaluation in ensuring accountability, transparency and reducing corruption in global health. It provides two examples: tracking childhood immunization coverage shows investments have increased coverage gradually over 20 years but initiatives can lead to over-reporting; India's conditional cash transfer program for facility births increased coverage and likely reduced mortality, but quality issues remain. Overall, independent monitoring of health indicators and evaluation of programs is needed to show resources are having their intended impact.
Foreign funding to NGOs in Nicaragua has undermined their accountability to grassroots organizations and limited their ability to catalyze social change. Due to short-term funding cycles tied to donor priorities, NGOs are more accountable to foreign donors than the communities they are meant to serve. This has contributed to a façade of civil society dominated by urban NGO elites rather than empowered grassroots organizations. As a result, NGOs have had minimal policy impact and have demobilized, rather than empowered, the people. Long-term funding structures that strengthen accountability to local constituencies may help NGOs better support grassroots organizations and social movements.
This document makes the case for universal healthcare in the United States. It begins by defining universal healthcare and noting that no American should lack access to care due to inability to pay. It then reviews the moral, economic and cultural arguments for universal coverage. The moral argument is that denying care due to cost is wrong. The economic argument is that universal coverage could save money by reducing uncompensated care and increasing productivity. The cultural argument is that universal coverage aligns with American values like equality and pursuing happiness. The document advocates for universal coverage options that control costs.
A new health and development paradigm post-2015: grounded in human rightsLisa Hallgarten
Marge Berer, Editor of RHM, presentation at meeting
Divided we stand? Universal health coverage and the unfinished agenda of the health MDGs
Institute of Tropical Medicine, Antwerp February 11th 2014
Analysis On The Result And Implication Of The PolicyCrystal Torres
The document analyzes the results and implications of a poverty reduction policy in Indonesia called PNPM. It notes that while the policy showed some early success in decreasing poverty rates, the progress was slow. There were also issues with misuse of funds intended for poverty programs. The policy failed to properly target the poor. Additionally, there was a lack of coordination between government agencies regarding poverty reduction efforts. Overall, the analysis finds that while the policy aimed to help the poor, weaknesses in implementation meant it did not fully achieve its goals.
an article on "unprecedented times requires unprecedented measures" during the COVID-19 pandemic.
The struggle and pain with which the time was been passed and we together moved forward. Little stories around the corner of the world.
Harvard global economic burden non communicable diseases 2011paulovseabra
This document provides an overview and analysis of the global economic burden of non-communicable diseases (NCDs). It finds that NCDs already pose a substantial economic burden, expected to grow tremendously over the next two decades to $47 trillion in lost global output. This represents 75% of global GDP in 2010. Cardiovascular diseases and mental health conditions are the leading contributors. While high-income countries currently bear most of the burden, the developing world will see a rising share due to population and economic growth. Business leaders also express significant concern about the economic impacts of NCDs. The findings suggest a pressing need for increased prevention and control efforts to curb this mounting threat.
Healthcare system being a priority in the world.Also, healthcare systems in low middle income countries should draw attention especially with the world witnessing global pandemic, COVID-19.
Prompted by the 20th anniversary of the 1993 World Development Report, a Lancet Commission revisited the case for investment in health and developed a new investment frame work to achieve dramatic health gains by 2035. Our report has four key messages, each accompanied by opportunities for action by national governments of low-income and middle-income countries and by the international community.
The document discusses key concepts related to international health systems management. It covers major features of international health including communicable diseases, malnutrition, and health issues affecting women and children. It also discusses basic concepts of health, determinants of health, definitions of health systems, and components used to compare health systems. Additionally, it outlines changing trends in international health from the 1940s to 2000s and factors contributing to rising health care costs such as an aging population, chronic diseases, prescription drug costs, and new technologies.
The document discusses standards of living and key indicators used to measure human development such as GDP, life expectancy, and literacy rates. It compares standards of living in developing countries like Mali, newly industrialized countries like India and China, and developed countries like the US and Japan. Developing countries have low infrastructure and rely on cash crops or commodities, while newly industrialized countries are building infrastructure and industries. The document also examines causes of poverty in developing countries such as debt, lack of education, and infectious diseases, as well as responses like debt relief, international aid, and work by organizations like UNICEF and WHO.
Research done while in PwC Mexico. A short version was included as part of a PwC publication "Future of Pacific Alliance", that was presented at the presidental summit in Chile on July 2016.
Foreign aid aims to help developing countries through financial assistance, vaccines, healthcare, education, and infrastructure development. However, some argue it can also slow economic growth by hindering local businesses, undermining government responsibilities, and promoting corruption and dependence. The goal of the article is to evaluate both the benefits of foreign aid in improving public health and reducing poverty, as well as the limitations, such as perpetuating government bureaucracies and enriching elites. While foreign aid has increased global growth, some critics argue it has also wasted money and resources.
Roadmap for Universal Health Care. FDR, PHFI, and Loksatta are convening a Roundtable of experts, thinkers and practitioners to have a purposive dialogue and help evolve a viable, effective model of universal healthcare delivery in India
The document discusses the potential international consequences of the current global financial crisis across three key areas:
1) The crisis is impacting economies worldwide, with forecasts of slowing growth in most major countries and regions over the next year.
2) There are calls for international cooperation to mitigate social and economic impacts, reform financial systems, and enact green economic policies to promote sustainable recovery.
3) Long-term scenarios consider possibilities like financial regionalism, renewed efforts for multilateral reform, and the risks of fragmented protectionist responses.
I NEED A+, 5-6 pages EssayWhitepaper on Food SecurityThekarinorchard1
I NEED A+, 5-6 pages Essay
Whitepaper on Food Security
The members of the United Nations found great value in the whitepaper you provided on population growth. They are now asking you to expand the whitepaper to include global food security as it relates to population growth and poverty. Read the overview and provide an assessment based on the questions below.
I.
Overview
We can define global food security as the effort to build food systems that can feed everyone, everywhere, and every day by improving its quality and promoting nutritional agriculture (1). That said, there are certain practices that can advance this project:
Identifying the underlying causes of hunger and malnutrition
Investing in country-specific recovery plans
Strengthening strategic coordination with institutions like the UN and the World Bank
Encouraging developed countries to make sustained financial commitments to its success
We must bear in mind that more than 3 billion people—nearly one-half of the world’s population—subsist on as little as $2.50 a day, with nearly 1.5 billion living in extreme poverty on less than $1.25 a day. According to the World Health Organization, the United Nations, and other relief agencies, about 20,000 people (mostly children) starve to death in the world every day, for a total of about 7 million people a year. In addition, about 750 million (twice the population of the United States) do not have access to clean drinking water, meaning that some one million people die every year from diarrhea caused by water-borne diseases.
The earth’s population has grown since it reached 7 billion in 2010. It is expected to reach 8 billion in 2025, 9 billion in 2040, and 11 billion by the end of the 21st century (2). If the demand for food is predicted to rise 50% by 2030 and 70% by 2050, the real problem is not necessarily growing enough food, but rather making that amount available to people. Moreover, food illnesses are prevalent, with nearly 600 million reported cases of foodborne diseases each year. These mainly affect children but can also negatively impact the livelihood of farmers, vendors, trade associations, and ultimately, can reduce the Gross Domestic Product (national income) of a country. These issues can impose tremendous human, economic, social, and fiscal costs on countries, so addressing them allows governments to devote more resources to making desperately needed infrastructure improvements that raise the quality of life for everyone.
It is not enough to have adequate supplies of food available. Policies that focus exclusively on food production can exacerbate the problem, particularly if, to satisfy the need for quantity, the quality of the food is left wanting.
Reasons for Food Insecurity
Certainly, poverty and the contributing systemic internal conditions are the driving factors behind keeping adequate food resources from reaching people, but it is only one of several. Others are discussed next.
Inadequate Foo ...
Development planning and foreign aid aim to promote economic growth and improve living standards in developing countries. However, aid has had mixed results and its effectiveness depends on factors within recipient countries. Five-year plans in Pakistan focused on expanding education, but aid did not always achieve its objectives due to issues like weak policies, corruption, and donors pursuing strategic interests over development. For aid to be effective, recipient countries need sound economic management through policies promoting stability, trade, and self-sufficiency over aid dependence.
This document summarizes a needs assessment conducted in Bangkok, Thailand to inform diabetes prevention efforts. Surveys found exercise was the top perceived need, with 28.9% reporting no exercise. However, participants noted a lack of community spaces and access barriers to physical activity. While organizers were concerned about a lack of cooperation and commitment to community-centered programs. The needs assessment identifies structural and participation barriers to address to effectively promote diabetes prevention in the community.
The Power of Numbers- Communities Use Government Budget Data to Advocate for ...UWGlobalHealth
The International Budget Partnership provides concise summaries of documents in 3 sentences or less:
The document outlines the work of the International Budget Partnership (IBP), including building budget literacy, training on fiscal analysis, and monitoring government budgets and expenditures. IBP partners with civil society organizations around the world to increase budget transparency and hold governments accountable. The document also describes IBP's role in providing funding, capacity building, information sharing, and networking opportunities to support its partners' budget work.
Perspectives and Controversies surrounding human rightsUWGlobalHealth
This document discusses the right to health from a human rights perspective. It begins by defining key concepts like health, human rights, and the relationship between health and human rights. It then examines how the right to health is established under international law through conventions like the International Covenant on Economic, Social and Cultural Rights. The document also summarizes commentary on the right to health from the UN Committee on Economic, Social and Cultural Rights. Finally, it discusses some controversies and challenges regarding a human rights-based approach to health, such as issues of universality and developing appropriate indicators.
Politics and Health Reform:Lessons From a Year in Washington, D.C.UWGlobalHealth
This document summarizes the history of health reform efforts in the United States from the late 19th century to 2009. It discusses how a national health insurance system has been proposed since the 1880s but consistently opposed by groups like the AMA and insurance industry. The US now spends over twice as much per capita on healthcare as other OECD countries but has lower life expectancy and more administrative waste. Creating a universal, publicly financed system could reduce costs while improving access and outcomes.
"What Will It Take To Control TB?" Richard Chaisson, MDUWGlobalHealth
Dr. Richard Chaisson, Professor of Medicine, Epidemiology and International Health and Director of the Center for Tuberculosis Research at the Johns Hopkins University in Baltimore was the keynote Jan. 19 as part of the Washington Global Health Discovery Series. His talk was on ""What Will It Take To Control TB?"
This document discusses health as a societal right. It begins by discussing how health has traditionally been viewed as an individual responsibility but argues that there are no biological reasons why entire populations cannot be healthy. It then explores how health can be considered a societal or human right. The document examines how determinants of health are influenced by societal factors like inequality and poverty rather than just individual behaviors or access to healthcare. Overall, it promotes a view of health as a societal issue that governments should aim to improve and protect for entire populations, rather than just an individual concern.
"The Aid Enclave: Mapping and Emerging Geography of Global Health"UWGlobalHealth
The document discusses how global health initiatives have led to the emergence of "aid enclaves" - self-contained areas focused on health research and aid that become isolated from their surroundings. It describes how these enclaves develop through economic, political, and ethical processes. Economically, they exist as tax-free zones that offer higher pay and privileges to foreigners compared to locals. Politically, they represent a return to colonial-style projects. Ethically, they position themselves as spaces of biomedical and moral correctness but may marginalize local healing practices. The document critiques how enclaves can act as "parasites" detached from the communities they aim to serve.
1) The US ranks last among seven countries in overall health system performance and ranks last or near last on most measures of health care quality, access, efficiency, and equity.
2) While the US spends much more per capita on health care than other countries, it has poorer population health outcomes and shorter life expectancies.
3) Rising health care costs are consuming an increasing share of family budgets in the US. The percentage of families spending over 10% and over 25% of pre-tax income on health care doubled from 2000 to 2008.
"The Health System and Aid Effectives: Sudan's Experience"UWGlobalHealth
The document summarizes Sudan's health system and aid effectiveness. It provides background on Sudan's location and history as a 4000 year old civilization. It then discusses Sudan's socio-economic context, including its potentially rich natural resources and decentralization of services. The health delivery system is described as providing free healthcare, with increasing expenditures over time. Main health issues are outlined and data is given on international NGO presence and beneficiaries across regions. The document concludes with some of the challenges facing Sudan's health system.
The IHOP program allows medical students to spend 8 weeks in a developing country to learn about global health challenges. Students conduct a community health assessment and partner with local organizations to address health needs. The experience aims to provide cultural immersion and help students understand how to incorporate global health into their careers. Students are responsible for costs of $3,000-$5,000 and must complete assignments while abroad and after returning. Strong applicants have a genuine interest in global health and experience with underserved populations.
The document discusses health care systems and funding in Mozambique. It outlines the various sectors involved in health including public, private, NGOs, and traditional/alternative care. It also describes the types of funding for health care including vertical, horizontal, and diagonal funding. Vertical funding for specific diseases has increased from organizations like PEPFAR, Global Fund, and foundations. While this funding has increased dramatically, questions remain about whether NGOs effectively strengthen health systems or divert resources and can fragment services.
The document summarizes research into how NGOs are implementing a voluntary Code of Conduct for Health Systems Strengthening. Interviews found that while most signatories are aware of the Code and value its principles, they still face challenges adhering to provisions around hiring health workers from ministries of health and matching government salaries. Some promising practices discussed include building workforce capacity through training, advocating for improved public sector opportunities, and coordinating hiring and compensation policies among NGOs. Overall, signatories are committed to the Code's goals but continuing to test practical solutions for balancing them with operational needs.
The document discusses the erosion of public sector health systems and increased privatization. It argues that without strong public sectors, healthcare will be inequitable and exclude the poor, rural communities, and marginalized groups. Public health measures also risk being neglected. It examines factors driving privatization like international financial institutions and private sector interests, and argues the private sector did not compensate for declines in public investment as hoped.
The document discusses PATH's approach to collaborating with private sector partners to advance global health technologies. It focuses on PATH bringing expertise in developing country health systems and strategic relationships, while partners contribute product development expertise, intellectual property, and distribution systems. The collaboration aims to improve availability, accessibility, and affordability of important health products for public health programs.
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.UWGlobalHealth
The document discusses the state of global health in 2009 and opportunities for universities to help address global health challenges through collaboration. It outlines five major global health agendas, including communicable diseases, maternal and child health, injuries and violence, chronic diseases, and environmental health issues related to climate change. There are many workforce and infrastructure needs in developing countries that universities could help meet by training skilled professionals. New opportunities exist through partnerships, technologies, and increased resources and interest from different sectors. The Consortium of Universities for Global Health aims to leverage these opportunities by promoting effective interdisciplinary collaboration between universities and other institutions.
King Holmes, MD, PhD: Present and Future Challenges in Global Public HealthUWGlobalHealth
King Holmes, MD, PhD: Present and Future Challenges in Global Public Health, Interscience Conference on Antimicrobial Agents and Chemotherapy, Sept. 12, 2009.
The document summarizes the West African Infectious Diseases Institute (WAIDI) model, which aims to build infectious disease capacity in West Africa through partnerships. It describes how WAIDI was developed through collaboration between the Infectious Diseases Institute (IDI) in Uganda, Nigerian IDI alumni, and other partners. Key steps taken so far include developing a team of WAIDI master trainers and an initial training program. Ongoing work focuses on sustaining local leadership and partnerships to fully establish WAIDI.
This document summarizes a needs assessment conducted in Bangkok, Thailand to inform diabetes prevention efforts. Surveys found exercise was the top perceived need, with 28.9% reporting no exercise. However, participants identified a lack of community spaces and access limitations as barriers. Exercise organizers noted a lack of community cooperation and commitment to participate. The needs assessment identified structural and participation barriers to address to effectively promote exercise in diabetes prevention.
Globalization has increased the risk of pandemic influenza as emergent strains can migrate globally through air travel from North to South and vice versa. Surveillance may be missing sentinel populations like farmers, veterinarians, and animal workers who are at high risk of zoonotic influenza based on recent studies. While travel and trade connect the world, global vulnerability to infectious diseases persists due to uneven "defense" with low and middle income countries lacking resources to implement core public health capacities as outlined by the International Health Regulations.
1. Accountability for global health efforts that are NOT being made Gorik Ooms Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium MacMillan Center for International and Area Studies at Yale, USA May 2010
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3. 1. Are governments of poor countries accountable for potential domestic resources they are NOT spending on health? If so, to whom? 2. Are the International Monetary Fund (IMF) and the World Bank accountable for policies that are based on mutual NON-responsibility between states for global health? If so, to whom? 3. Are governments of rich countries accountable for the potential financial resources they are NOT allocating to international health aid? If so, to whom? 4. Challenges for mutual accountability, if we accept that responsibility for health is both national and international
4. Are governments of poor countries accountable for potential domestic resources they are NOT spending on health? If so, to whom?
5. Possible answers: They are accountable to their inhabitants, because these all have a right to health, and it’s the government’s responsibility to realize that right; They are accountable to governments of donor countries, because it is just not fair to ask for aid, and then reduce domestic resources; They are accountable to inhabitants of other countries because poor health fuels epidemics (and they spill over), and poor health fuels unhappiness and ‘grunge’ (and that spills over too…)
6. Are the IMF and the World Bank accountable for policies that are based on mutual NON-responsibility between states for global health? What is mutual NON-responsibility between states for global health? What do the IMF and the World Bank have to do with this? To whom are the IMF and the World Bank accountable?
7. A few words about mutual NON-responsibility The February 2000 floods in southern Mozambique were so predictable that MSF created a base with rescue team and rubber boat in Chowke, three days before the city was flooded; During the days before the floods, MSF could not find funding for this rubber boat (US$ 2000 to buy it); During the days after the floods, donors were stumbling over each other to finance helicopters for MSF operations (US$ 2000 to rent it for an hour). The days before: no crisis -> ‘sustainable’ solutions (rich countries do not feel responsible) The days after: crisis -> ‘sustainability’ no longer matters (rich countries are willing to pay, because it is only for a while; a temporary solution for a temporary crisis)
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9. More contradictions… After the floods, many families were left without food reserves -> food distributions ; Food distributions are never perfect, always some households are left out -> malnourished kids -> therapeutic feeding center; Some kids did not get better, they were malnourished not because of the floods, but because of AIDS, and chronic diarrhea; AIDS treatment for these kids would have cost US$ 2000 for 10 years (same kids were rescued at US$ 2000 per hour)... Helicopters: Yes! Antiretroviral medicines? No!
10. So how did AIDS treatment get started then? As an emergency response!
11. Different concepts of sustainability: Ann Veneman, executive director of UNICEF, about interventions to address child mortality: “These plans and budgets should emphasise the continuum of care from maternal to neonatal to child survival. But they should also ensure that interventions are prioritised and phased in according to the ability of both the health system to deliver them at scale, and of governments to afford them and to sustain them in the longer term .” The World Health Report 2008 of the WHO: “In a significant number of these low-expenditure, low-growth health economies, particularly in sub-Saharan Africa and fragile states, the steep increase in external funds directed towards health through bilateral channels or through the new generation of global financing instruments has boosted the vitality of the health sector. These external funds need to be progressively re-channelled in ways that help build institutional capacity towards a longer-term goal of self-sustaining , universal coverage.”
12. Different concepts of sustainability: The World Bank’s ‘Health Financing Revisited: A Practitioner’s Guide’: “Although the practical definition of fiscal sustainability may change for programs supported by the IMF and IDA, it is extremely unlikely that such definitions will be divorced from a country’s capacity to accommodate expenditures financed with aid within the domestic budget constraint in a reasonable period of time , while maintaining sustainable levels of debt to GDP and debt service to exports.” Michel Kazatchkine, executive director of the Global Fund to fight AIDS, Tuberculosis and Malaria: “The Global Fund has helped to change the development paradigm by introducing a new concept of sustainability. One that is not based solely on achieving domestic self-reliance but on sustained international support as well.”
13. So what do the IMF and the World Bank have to do with this? Peter Piot, former executive director of UNAIDS, during a speech at the World Bank: “ ...when I hear that countries are choosing to comply with medium-term expenditure ceilings at the expense of adequately funding AIDS programmes, it strikes me that someone isn’t looking hard enough for sound alternatives... For countries emerging from conflict, the Bank has pioneered a careful programme of exceptions, running a calculated risk on the grounds that inaction would be riskier still. Let us now do something similar for AIDS, a risk far greater than conflict for many countries.”
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15. Catch 22 Rich countries are reluctant to take long term responsibility for health in poor countries… IMF and World Bank assume that international aid for health is not reliable, therefore fiscal space is limited… Poor countries are discouraged from using all the available aid to increase expenditure, but they will not refuse the aid, they would rather decrease their domestic contribution… Rich countries find out that ‘aid does not work’, so they discontinue, or try yet another approach… IMF and World Bank are right to assume that international aid for health is not reliable…
16. To whom are the IMF and the World Bank accountable? Branko Milanovic, a World Bank economist: “ Global bodies tend to be either irrelevant if representative, or if relevant, to be dominated by the rich. A stark example of the latter situation is provided by the quota and the voting rights enjoyed by member countries of the IMF. There, as well as in the World Bank, votes do not follow either what may be deemed a truly global one person = one vote formula, or the international formula of one country = one vote (as, for example, in the United Nations General Assembly). The voting rights match rather closely the one dollar = one vote rule.”
17. Are governments of rich countries accountable for financial resources they are NOT spending on international health aid? Public health expenditure in G8 countries (2006) Total (% of GDP) Public (% of total) Canada 10.0% x 70.4% = 7.0% of GDP France 11.0% x 79.9% = 8.8% of GDP Germany 10.6% x 76.9% = 8.2% of GDP Italy 9.0% x 77.2% = 6.9% of GDP Japan 8.1% x 81.3% = 6.6% of GDP Russia 5.3% x 63.2% = 3.3% of GDP UK 8.2% x 87.3% = 7.1% of GDP USA 15.3% x 45.8% = 7.0% of GDP International aid for health? 0.03% of GDP
18. Remember one possible answer to the question about governments of poor countries being accountable to for the potential domestic resources they are not spending on health: “They are accountable to inhabitants of other countries because poor health fuels epidemics (and they spill over), and poor health fuels unhappiness and ‘grunge’ (and that spills over too…)” If you agreed with that, would you agree that governments of rich countries are accountable to their own inhabitants , for the epidemics they are not stopping elsewhere, and for the ‘grunge’ they are not ending elsewhere?
19. Reasons for international ‘grunge’ It requires very (very) little efforts from rich countries, to make a huge (huge) difference in poor countries There is something wrong with the politics of globalization: Our world view for primary distribution of wealth is a global one, without state borders (the ‘global free market’) Our world view for secondary redistribution of wealth is globe composed of states, with clear state borders (national ‘social protection’)
20. Low-income countries: one billion people, with an average Gross Domestic Product (GDP) of US$565 per year. If they can spend US$3 out of every US$100 on health, that makes US$17 per person per year. High-income countries: one billion people with an average GDP of US$43,000 per year. If they could spend US$0.13 out of every US$100 on international aid for health, that would make US$56 per person per year.
21. The problem with two very different superimposed world views, one global (free market), one national (social protection); based on the economic theory of Gunnar Myrdal: A free market does not evolve towards equilibrium, but away from equilibrium Economic growth centers (families, clans, cities, regions) invest their gains in more comparative advantages Economic growth centers continue to ‘win’ the competition, and attract human skills and capital from elsewhere, a self-amplifying dynamic The government needs to intervene constantly, impose taxes and invest them in social protection, to create equal opportunity But what if the self-amplifying dynamic happens at the global level, and the correction at the national level?
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23. Mahboob Mahmood, quoted by Kishore Mahbubani, in ‘Beyond the age of innocence: rebuilding trust between America and the World’: “ The central promise of militant Islam is creation of a just society. The importance of the notion of justice in Islamic societies cannot be overemphasized—in these societies, freedom, democracy and rule of law are weak memes—but justice is a strong meme. The delivery of justice is and has always be the kernel of Islamic socio-political thought. Up to today, militant Islam has succeeded by emphasizing the injustice of the prevailing order—… A good policy will only succeed if it is capable of addressing and defeating militant Islam on the grounds of its central promise and its ultimate incapability—the creation of a just society.”
24. Thomas Pogge: “ Responsibility for a person’s human rights falls on all and only those who participate with this person in the same social system . It is their responsibility, collectively, to structure this system so that all its participants have secure access to the objects of their human rights.” What is the social system we want to promote? The family, the city, the nation, the state, the globe? Or a combination?
25. Challenges for mutual accountability, if we accept that responsibility for health is both national and international There is no global government… Can we agree, by convention (respecting state sovereignty) on minimum domestic efforts? Can we agree, by convention, on burden sharing between all rich countries? Can we agree, by convention, on some kind of institution that oversees and coordinates both?