Your search found 11 Results
[Washington, D.C.], World Bank, 2012 Jun. 4 p. (en breve No. 177)The Latin America and Caribbean (LAC) region fares well on achievement of the MDG targets when compared with other regions, but the region has great disparities between and within countries on these goals. The region is also performing better than the rest of the developing world in relation to child mortality, having achieved more than 70% of the progress needed to reduce under-five mortality by two-thirds. However, LAC still faces serious challenges regarding maternal mortality, achieving good public and individual health and alleviating poverty. For LAC, the MDGs are a historic opportunity to address all forms of inequality and attain the political will needed to achieve these goals. (excerpt)
The African Development Bank, structural adjustment, and child mortality: a cross-national analysis of Sub-Saharan Africa.
International Journal of Health Services. 2013; 43(2):337-61.We conduct a cross-national analysis to test the hypothesis that African Development Bank (AfDB) structural adjustment adversely impacts child mortality in Sub-Saharan Africa. We use generalized least square random effects regression models and two-step Heckman models that correct for selection bias using data on 35 nations with up to four time points (1990, 1995, 2000, and 2005). We find substantial support for our hypothesis, which indicates that Sub-Saharan African nations that receive an AfDB structural adjustment loan tend to have higher levels of child mortality than Sub-Saharan African nations that do not receive such a loan. This finding remains stable even when controlling for selection bias on whether or not a Sub-Saharan African nation receives an AfDB structural adjustment loan. We conclude by discussing the methodological implications of the article, policy suggestions, and possible directions for future research.
Effects of the World Bank's maternal and child health intervention on Indonesia's poor: evaluating the safe motherhood project.
Social Science and Medicine. 2011 Jun; 72(12):1948-55.This article examines the impact of the World Bank's Safe Motherhood Project (SMP) on health outcomes for Indonesia's poor. Provincial data from 1990 to 2005 was analyzed combining a difference-in-differences approach in multivariate regression analysis with matching of intervention (SMP) and control group provinces and adjusting for possible confounders. Our results indicated that, after taking into account the impact of two other concurrent development projects, SMP was statistically significantly associated with a net beneficial change in under-five mortality, but not with infant mortality, total fertility rate, teenage pregnancy, unmet contraceptive need or percentage of deliveries overseen by trained health personnel. Unemployment and the pupil-teacher ratio were statistically significantly associated with infant mortality and percentage deliveries overseen by trained personnel, while pupil-teacher ratio and female education level were statistically significantly associated with under-five mortality. Clinically relevant changes (52-68% increase in the percentage of deliveries overseen by trained personnel, 25-33% decrease in infant mortality rate, and 8-14% decrease in under-five mortality rate) were found in both the intervention (SMP) and control groups. Copyright (c) 2010 Elsevier Ltd. All rights reserved.
Finance and Development. 2003 Dec; 40(4):14-19.With just 12 years left to achieve the W Millennium Development Goals, a greater sense of urgency is needed by all sides if the targets are to be met. Many developing countries are making substantial progress toward the MDGs as a result of improved policies, better governance, and the productive use of development assistance. But they could do more with the right mix of policy reforms and additional help. Scaling up efforts to meet the MDGs by 2015 presents both opportunities and challenges. By acting now, developed countries can hasten progress by providing more and better aid and by allowing greater access to their markets. Developing countries, for their part, will need to continue to improve their policies and the way they are implemented. Without greater impetus, there is a serious risk that many countries will fall far short on many of the goals. (excerpt)
Human development report 2003. Millennium Development Goals: a compact among nations to end human poverty.
New York, New York, Oxford University Press, 2003. xv, 367 p.The central part of this Report is devoted to assessing where the greatest problems are, analysing what needs to be done to reverse these setbacks and offering concrete proposals on how to accelerate progress everywhere towards achieving all the Goals. In doing so, it provides a persuasive argument for why, even in the poorest countries, there is still hope that the Goals can be met. But though the Goals provide a new framework for development that demands results and increases accountability, they are not a programmatic instrument. The political will and good policy ideas underpinning any attempt to meet the Goals can work only if they are translated into nationally owned, nationally driven development strategies guided by sound science, good economics and transparent, accountable governance. That is why this Report also sets out a Millennium Development Compact. Building on the commitment that world leaders made at the 2002 Monterrey Conference on Financing for Development to forge a “new partnership between developed and developing countries”—a partnership aimed squarely at implementing the Millennium Declaration—the Compact provides a broad framework for how national development strategies and international support from donors, international agencies and others can be both better aligned and commensurate with the scale of the challenge of the Goals. And the Compact puts responsibilities squarely on both sides: requiring bold reforms from poor countries and obliging donor countries to step forward and support those efforts. (excerpt)
POPULATION AND DEVELOPMENT REVIEW. 1994 Mar; 20(1):239-45.In January 1994, a meeting convened in Tokyo by the government of Japan of 15 experts in the field of population, development, and international cooperation resulted in adoption of a document entitled "Towards a Global Partnership in Population and Development: The Tokyo Declaration." This declaration prefigured the key issues and action recommendations of the September 1994 International Conference on Population and Development (ICPD). The Declaration (presented in this document in its entirety) opens with an introduction which describes the current (and changing) political climate in regard to population issues in which the ICPD will take place. Part 1 of the declaration includes a consideration of the relationship between population and sustainable development, women's role in decision-making and the status of females, reproductive health and family planning (FP), population distribution and migration, and south-south cooperation. The declaration contains specific recommendations for action in each area, with the recommendations addressed to governments, the UN, nongovernmental organizations (NGOs), donors, and the international community. Part 2 stresses a move from commitment to action and strongly recommends that by the year 2015 all governments 1) ensure the completion of the equivalent of primary school by all girls and boys and, as soon as that goal is met, facilitate completion of secondary educational levels; 2) in cases where mortality rates are highest, achieve an infant mortality rate below 50/1000 live births with a corresponding maternal mortality rate of 75/100,000 births; 3) in cases with intermediate levels of mortality, achieve an infant mortality rate below 35/1000, an under age 5 years mortality rate below 45/1000, and a maternal mortality rate below 60/100,000; and 4) provide universal access to a variety of safe and reliable FP methods and appropriate reproductive health services (with safe and effective FP methods available in all country's national FP programs by the year 2000). The international community is further urged to support the goals of the ICPD, and the international donor community is asked to support the participation of NGOs in the ICPD. Part 2 ends with an appeal to the international community to mobilize resources to meet these goals. Finally, the declaration calls upon the international community to stabilize world population and address the interrelated issues, and the participants of the Tokyo meeting pledged their individual support to this effort.
POPULI. 1987; 14(2):45-50.Reaffirming the basic principle of sovereignty of nations and reiterating the right of all nations to formulate and implement population and development policies in the light of their own priorities and practical circumstances the Mexico City Forum calls on governments to enhance their commitment at the highest level to the integration of population and development through appropriate political decisions. Recommendations are made regarding: population growth, including raising standards of living, improving the status of women, and reducing infant and child mortality; population distribution, including reduction in the inequities in quality of life, both perceived and actual, between urban and rural areas; and the integration of population and development policy by establishing appropriate institutional frameworks, creating awareness and promoting training and research.
1988 report by the Executive Director of the United Nations Population Fund. State of world population 1989. UNFPA in 1988.
New York, New York, UNFPA, 1989. 208 p.The United Nations Population Fund (UNFPA) has played a major role in many population/family planning accomplishments and it hoped to continue making an impact in 1989 with the help of >100 donors (3 donors, as compared to 1969 when UNFPA began operations) and a budget of $198 million ($3.9 million, 1969). In 1969, 6 developing countries had population policies and, 20 years later, >70 such countries have them. 12-14% of couples used contraception in 1969 and, by the end of 1988, >45% used it. Despite these accomplishments, the world's population is expected to grow 90 million/year in the 1990s. Therefore, the population interventions and programming with clear and achievable goals are still needed. UNFPA asserts that the earth's future is dependent on population trends, environmental conditions, and the role and status of women. Since economic and social development are contingent on the involvement of women, the 1988 UNFPA report dedicates >60 pages and an extensive bibliography to the status of women, especially in developing countries. For example, in Africa, the lifetime chance of a woman dying from pregnancy related causes is 1/21, yet that chance in North America is 1/6366. Due to dwindling fuel sources, such as woodlands, women have farther to travel to collect wood and cook less often, thereby reducing the amount of already scarce nutritious food consumed each day. Further, since in many cultures the males are considered more important than females, they eat while the female children and mothers either do not or just eat the scraps. The remaining sections on population, the environment, and the state of regional UNFPA activities emphasize women's contributions and roles of development.
Bangkok, Thailand, World Health Organization, Global Epidemiological Surveillance and Health Assessment, and Mahidol University, Faculty of Public Health, Institute for Population and Social Research, 1986. 546 p. (UNFPA Project No. INT/80/P09)This book on new developments in mortality analysis is a product of a joint WHO/UN research program. Part 1 examines mortality transition in terms of the causes and mechanisms of mortality decline in Europe and North America, reflecting on the study of development processes in countries now undergoing development. Part 2 deals with the use of mortality data in health planning and the use of mortality and other epidemiologic information in the assessment of preventable deaths. Attention is paid to the development of an index of preventable deaths. Part 3, Methodological Developments, examines intersectoral aspects of mortality projections (in terms of health care inputs), the measurement of social inequality and mortality, and maternal death and its impact on the female population. Part 4 deals with cause of death analysis: estimation of global mortality patterns by cause of death, trends and differentials in Thailand, and maternal mortality and differentiation by cause of death. Part 5 discusses nutrition, including a Southern Asia-based study of the relationship between nutritional deficiencies and infant and child mortality, and a study on advances in child nutrition and health that have taken place despite slow economic development. Part 6 discusses mortality change: achievements and failures in South and East Asia, a study on changing health in Japan, mortality decline in Mexico, and socioeconomic correlates of mortality in Pakistan. The section concludes with articles on trends and differentials in mortality in Malaysia and Thailand, and a study of the effects of declining mortality and population aging in rapidly-developing Jamaica.
[Unpublished] 1984 Aug 13. 40 p. (E/CONF.76/L.3; M-84-718)This report of the International Conference on Population, held in Mexico City during August 1984, includes: recommendations for action (socioeconomic development and population, the role and status of women, development of population policies, population goals and policies, and promotion of knowledge and policy) and for implementation (role of national governments; role of international cooperation; and monitoring, review, and appraisal). While many of the recommendations are addressed to governments, other efforts or initiatives are encouraged, i.e., those of international organizations, nongovernmental organizations, private institutions or organizations, or families and individuals where their efforts can make an effective contribution to overall population or development goals on the basis of strict respect for sovereignty and national legislation in force. The recommendations reflect the importance attached to an integrated approach toward population and development, both in national policies and at the international level. In view of the slow progress made since 1974 in the achievement of equality for women, the broadening of the role and the improvement of the status of women remain important goals that should be pursued as ends in themselves. The ability of women to control their own fertility forms an important basis for the enjoyment of other rights; likewise, the assurance of socioeconomic opportunities on a equal basis with men and the provision of the necessary services and facilities enable women to take greater responsibility for their reproductive lives. Governments are urged to adopt population policies and social and economic development policies that are mutually reinforcing. Countries which consider that their population growth rates hinder the attainment of national goals are invited to consider pursuing relevant demographic policies, within the framework of socioeconomic development. In planning for economic and social development, governments should give appropriate consideration to shifts in family and household structures and their implications for requirements in different policy fields. The international community should play an important role in the further implementation of the World Population Plan of Action. Organs, organizations, and bodies of the UN system and donor countries which play an important role in supporting population programs, as well as other international, regional, and subregional organizations, are urged to assist governments at their request in implementing the reccomendations.
World Health Statistics Quarterly. Rapport Trimestriel de Statistiques Sanitaires Mondiales. 1982; 35(1):2-10.The goal of health for all by the year 2000 was first stated at the 1977 World Health Assembly and global strategy was launched at the 32nd World Health Assembly in 1979. This article focuses on life expectancy at birth as the most widely used indicator of the health status of populations and also the health status indicators most closely correlated with socioeconomic development. Developing countries have set a target of life expectancy of 60 years; at present 86% of these countries are exposed to mortality conditions which leave life expectancy at age 50. Among 80 countries with GNP per capita of more than $500 61 have life expectancy over 60 years and of the 35 with a life expectancy of 70 or more 28 have GNP over $2500. The largest concentration of countries below the target level is in Asia. Discovering the leading causes of death is crucial in raising life expectancy; in developed countries they are cardiovascular disease, malignant neoplasms, and accidents, accounting for 70% of all deaths. In developing countries there is variation with regard to level of modernization of the cause of death structure but in at least 1/2 the 3 latter causes are also predominant with diarrheal disease and infectious and parasitic conditions related to malnutrition the main causes in the other 1/2. When assessing the health care needs of developing countries the difference between countries regarding their ability to reduce mortality from the traditional diseases must be considered before deciding on use of resources.