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Lancet. 2009 May 2; 373(9674):1500-2.The world is off track to achieve the health-related targets of the Millennium Development Goals (MDGs) by 2015. Maternal mortality has stagnated for two decades, child mortality is not declining fast enough, HIV/AIDS still infects people faster than the pace of antiretroviral treatment roll-out, and inequalities are widening within and across countries. Addressing these crises will require increased funding and more efficient spending. The next Board meetings of the Global Fund to Fight AIDS, Tuberculosis and Malaria and the GAVI Alliance, scheduled for May and June, respectively, present an opportunity to tackle these issues. We propose that the exceptional approach created for the fight against AIDS should be expanded: the entire global health agenda must adopt a rights-based approach, which in some countries requires challenging the model of national financial autonomy. We therefore recommend that the Global Fund and the GAVI Alliance gradually move towards becoming a global fund for all the health MDGs, which will require substantially greater resources to address the broader mandate. As a first step the next Global Fund and GAVI Alliance board meetings should expand the review of their architecture to provide greater support to national health plans, including co-financing non-disease-specific human resources for health. A global fund for the health MDGs would eventually allow the delivery of prevention and treatment services for specific diseases through revamped general health services, reducing transaction costs and streamlining the global health architecture. Such radical, yet rational, action is our best chance of meeting-or at least making significant progress toward-the health-related MDG targets by 2015.
Washington, D.C., World Bank, 2007. 51 p. (World Bank Working Paper No. 120)The UN Millennium Development Goals call for not only greater financial commitment in international assistance programs but also innovative strategies to tackle the serious economic, health, education, and other basic human rights problems in the developing world. This paper is organized as follows: Chapter 2 is an overview of key theoretical models of development communication. Chapter 3 describes the characteristic patterns of recent empirical studies in development communication in terms of theoretical models and types of communication strategies. Chapter 4 presents some outstanding evidence of the impacts of communication on development initiatives. Chapter 5 discusses weak spots in the evidence. The concluding chapter will make suggestions for further research by drawing attention to the theoretical, methodological and empirical gaps in the existing academic research in development communication.
Washington, D.C., Population Reference Bureau [PRB], BRinging Information to Decisionmakers for Global Effectiveness [BRIDGE], 2007.  p. (USAID Cooperative Agreement No. GPO-A-00-03-00004-00)Poverty reduction strategies form the basis of World Bank and International Monetary Fund (IMF) assistance in the poorest developing countries. The detailed guidelines, or poverty reduction strategy papers (PRSPs), are prepared in the host country and influence the investments made in most sectors of development. While population programs have promoted family planning for decades as part of development efforts, family planning has received less attention and dedicated funding since the advent of PRSPs. Therefore, those who support continued investments in family planning need to understand the process through which the strategies are developed and monitored and stay engaged to ensure that support for population and family planning programs is sustained. (excerpt)
New York, New York, UNFPA, . 44 p.This document is based on the Fund's commitment to invest in adolescents and youth and help them gain access to opportunities. For countries experiencing or about to experience the demographic transition and for countries showing a significant youth bulge, social investments in young people can help to achieve a healthy, socio-economically productive and poverty-free society. This document's primary focus is on translating the Fund's commitment to action. It is based on UNFPA's extensive experience of working for more than thirty years in the area of adolescents and youth. It does not provide all the answers, but it charts a roadmap for positioning UNFPA for action. (excerpt)
New York, New York, UNFPA, 2006.  p.Today, women constitute almost half of all international migrants worldwide - 95 million. Yet, despite contributions to poverty reduction and struggling economies, it is only recently that the international community has begun to grasp the significance of what migrant women have to offer. And it is only recently that policymakers are acknowledging the particular challenges and risks women confront when venturing into new lands. Every year millions of women working millions of jobs overseas send hundreds of millions of dollars in remittance funds back to their homes and communities. These funds go to fill hungry bellies, clothe and educate children, provide health care and generally improve living standards for loved ones left behind. For host countries, the labour of migrant women is so embedded into the very fabric of society that it goes virtually unnoticed. Migrant women toil in the households of working families, soothe the sick and comfort the elderly. They contribute their technical and professional expertise, pay taxes and quietly support a quality of life that many take for granted. (excerpt)
Global Fund-supported programmes' contribution to international targets and the Millennium Development Goals: An initial analysis.
Bulletin of the World Health Organization. 2007 Oct; 85(10):805-811.The Global Fund to Fight AIDS, Tuberculosis and Malaria is one of the largest funders to fight these diseases. This paper discusses the programmatic contribution of Global Fund-supported programmes towards achieving international targets and Millennium Development Goals, using data from Global Fund grants. Results until June 2006 of 333 grants supported by the Global Fund in 127 countries were aggregated and compared against international targets for HIV/AIDS, tuberculosis and malaria. Progress reports to the Global Fund secretariat were used as a basis to calculate results. Service delivery indicators for antiretrovirals (ARV) for HIV/AIDS, case detection under the DOTS strategy for tuberculosis (DOTS) and insecticide-treated nets (ITNs) for malaria prevention were selected to estimate programmatic contributions to international targets for the three diseases. Targets of Global Fund-supported programmes were projected based on proposals for Rounds 1 to 4 and compared to international targets for 2009. Results for Global Fund-supported programmes total 544 000 people on ARV, 1.4 million on DOTS and 11.3 million for ITNs by June 2006. Global Fund-supported programmes contributed 18% of international ARV targets, 29% of DOTS targets and 9% of ITNs in sub-Saharan Africa by mid-2006. Existing Global Fund-supported programmes have agreed targets that are projected to account for 19% of the international target for ARV delivery expected for 2009, 28% of the international target for DOTS and 84% of ITN targets in sub-Saharan Africa. Global Fund-supported programmes have already contributed substantially to international targets by mid-2006, but there is a still significant gap. Considerably greater financial support is needed, particularly for HIV, in order to achieve international targets for 2009. (author's)
Bulletin of the World Health Organization. 2007 Oct; 85(10):734.posited that the process of development entails changes in incomes over time. Larger income levels achieved via positive economic growth, appropriately discounted for population growth, would constitute higher levels of development. As many have noted, however, the income measure fails to adequately reflect development in that per-capita income, in terms of its levels or changes to it, does not sufficiently correlate with measures of (human) development, such as life expectancy, child/infant mortality and literacy. The United Nations Development Programme's (UNDP) human development index (HDI) constitutes an improved measure for development. HDI has been modified to be gender-sensitive with variants that reflect gender inequality. Various measures reflecting Sen's "capability" concept, such as civil and political rights, have also been incorporated. Countries where the level of poverty is relatively large tend also to exhibit low values of human development, thus lowering the mean values of the development measures. Where inequalities of development indicators are very large, however, the average values may not sufficiently reflect the conditions of the poor, requiring the need to concentrate on poverty per se. (excerpt)
Support to mainstreaming AIDS in development. UNAIDS Secretariat strategy note and action framework, 2004-2005.
Geneva, Switzerland, UNAIDS, . 10 p.Twenty years into the pandemic, there is now ample evidence for the complex linkages between AIDS and development: development gaps increase people's susceptibility to HIV transmission and their vulnerability to the impact of AIDS; inversely, the epidemic itself hampers or even reverses development progress so as to pose a major obstacle to the achievement of the Millennium Development Goals. The growing understanding of this two-way relationship between AIDS and development has led to the insight that, in addition to developing programmes that specifically address AIDS, there is a need to strengthen the way in which existing development programmes address both the causes and effects of the epidemic in each country-specific setting. The process through which to achieve this is called 'Mainstreaming AIDS'. In recognition of this, the 2001 United Nations General Assembly Special Session Declaration of Commitment on HIV/AIDS requires countries to integrate their AIDS response into the national development process, including poverty reduction strategies, budgeting instruments and sectoral programmes. (excerpt)
London, England, ActionAid International, . 27 p. (P1625/01/04)UNAIDS estimated that in Africa in 2003, more than 2.3 million people died from AIDS, 3 million were newly infected and a total of 12 million children were orphaned. Antiretroviral drugs are reaching a mere 50,000 of those with AIDS in developing countries. The HIV/AIDS pandemic is clearly a human and developmental disaster. This paper looks at the response to the HIV/AIDS crisis by the World Bank as a key member of the international donor/lending community, a leader in the international health community, and as Africa's principal development partner. In its seminal document, Intensifying Action Against HIV/AIDS, the World Bank acknowledges both its special leadership role in fighting HIV/AIDS and the need that it be held accountable for its stewardship. (excerpt)
New York, New York, United Nations, Department of Economic and Social Affairs, Population Division, 2005.  p. (ST/ESA/SER.A/247)The HIV/AIDS epidemic has been a gathering force for nearly a quarter-century, and it continues to be a major global challenge. AIDS finds its victims in both rich and poor countries. There is no region of the world where HIV/AIDS is not a potentially serious threat to the population. Sub-Saharan Africa has so far borne the brunt of the AIDS devastation, and the region continues to experience high rates of infection. About 3 million people in the region were newly infected with the virus in 2004. Countries in Eastern Europe and Asia now have the fastest-growing rates of HIV infection in the world, and the populous countries of China, India and Indonesia are of particular concern. In some more developed countries, there are signs of a resurgence of risky sex between men. (excerpt)
New York, New York, United Nations, Department of Economic and Social Affairs, .  p.This Toolkit is meant for national youth organizations and/or representatives working with youth. It can be used as a tool to: Assess your country's progress in reaching the WPAY goals; Prioritize your organization's work, based on your findings; Initiate actions at the national level. This Toolkit should be used as a starting point for determining what your government, and civil society, has done to better the lives of young people, since 1995. In addition to providing methods for evaluating this progress, the Toolkit also contains concrete tools to further your youth work. As such, we hope that you will find it both informative and useful, and a good resource for your organization. (excerpt)
Geneva, Switzerland, World Health Organization [WHO], 2007. 31 p.This report, the third of its kind, reviews the progress that has been made in the field of violence prevention since the October 2002 launch of the World report on violence and health and the Global Campaign for Violence Prevention. More importantly, it sets out what the World Health Organization (WHO) and its partners can do over the next 5 years to expand violence prevention programming and to demonstrate, in terms of lives saved lives and suffering averted, the impact of violence prevention. Violence is a major obstacle to health and development, but as Nelson Mandela said in the foreword to the World report on violence and health, "Violence can be prevented. Violent cultures can be turned around ... Governments, communities and individuals can make a difference". As well as increased awareness that violence is preventable, notable achievements of the first 5 years of the Global Campaign for Violence Prevention detailed here include consolidating and disseminating normative guidance on how to prevent violence; carving a niche within government health ministries for focal persons to promote violence prevention; and taking stock of the scale and nature of the violence problem and the responses to it. At the individual level, tens of thousands of people in scores of countries have been touched by violence prevention programmes and thousands of victims have been helped to cope with the aftermath of their experience through services established as part of the Global Campaign for Violence Prevention. (excerpt)
New York, New York, United Nations Population Fund [UNFPA], 2006 Dec.  p.A human rights-based approach to programming is a conceptual framework and methodological tool for ensuring that human rights principles are reflected in policies and national development frameworks. Human rights are the minimum standards that people require to live in freedom and dignity. They are based on the principles of universality, indivisibility, interdependence, equality and non-discrimination. Through the systematic use of human rights-based programming, UNFPA seeks to empower people to exercise their rights, especially their reproductive rights, and to live free from gender-based violence. It does this by supporting programmes aimed at giving women, men and young people ('rights holders') the information, life skills and education they need to claim their rights. It also contributes to capacity-building among public officials, teachers, health-care workers and others who have a responsibility to fulfill these rights ('duty bearers'). In addition, UNFPA strengthens civil society organizations, which often serve as intermediaries between governments and individuals, and promotes mechanisms by which duty bearers can be held accountable. (excerpt)
New York, New York, UNDP, Bureau for Crisis Prevention and Recovery, 2002 Oct. 28 p.This manual was compiled during a seminar entitled "Approccio di genere in situazioni di emergenza, conflitto e post-conflitto" (Gender approach in emergency, conflict, and postconflict situations), which was held in Rome on 2-6 April 2001. The seminar was organized by the UNDP Bureau for Crisis Prevention and Recovery in Rome and the Emergency division of the Italian Ministry of Foreign Affairs and included participants from various Italian non governmental organizations (NGOs) and UN agencies directly involved in emergency, crisis response and recovery operations. During the seminar, a needs assessment session was held and participants expressed their interest in having a "how to" manual that could help them better integrate a gender approach during humanitarian, recovery and development activities. The first chapter contains information on the approaches to women and gender issues over the last 20 years. It provides the basic concepts necessary to understand how to address gender issues and improve the impact of humanitarian assistance. In the second chapter, the relevant international instruments protecting the rights of people affected by war and other emergency situations are presented. Relevant passages are quoted and explained. The full text of these instruments can be found in the annexed CD-ROM. The third chapter contains information that can be used as reference in programming and organizing humanitarian interventions with a gender perspective. (excerpt)
Public choices, private decisions: sexual and reproductive health and the Millennium Development Goals.
[New York, New York], United Nations Development Programme, UN Millennium Project, 2006.  p.Sexual and reproductive health (SRH) was given an international consensus definition at the International Conference on Population and Development (ICPD) in 1994. At its core is the promotion of healthy, voluntary and safe sexual and reproductive choices for individuals and couples, including decisions on family size and timing of marriage, that are fundamental to human well-being. Sexuality and reproduction are vital aspects of personal identity and key to creating fulfilling personal and social relationships within diverse cultural contexts. SRH does not only involve the reproductive years but emphasizes the need for a life-cycle approach to health. It touches on sensitive, yet important, issues for individuals, couples and communities, such as sexuality, gender discrimination and male/female power relations. Attainment of SRH depends vitally on the protection of reproductive rights, a set of long-standing accepted norms found in various internationally agreed human rights instruments. The ICPD adopted the goal of ensuring universal access to reproductive health by 2015 as part of its framework for a broad set of development objectives. The Millennium Declaration and the subsequent Millennium Development Goals (MDGs) set priorities closely related to these objectives. Progress towards the MDGs depends on attaining the ICPD reproductive health goals. The leaders of the world ratified that understanding in the 2005 World Summit Outcome Document. (excerpt)
Lancet. 2007 May 5; 369(9572):1499-1501.The World Bank has a new 10-year health strategy. Since its previous health strategy, developed in 1997, the global health landscape has been transformed. International spending on health has increased from about US$7 billion in 2000 to almost $14 billion in 2005. While the Bank used to be the pre-eminent international health-financing agency, spending about $1.5 billion a year on health, it now operates in a more crowded field, with established players, such as WHO, UNICEF, and bilateral donor agencies, and newer players such as the US President's Emergency Fund for AIDS Relief (PEPFAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Bill & Melinda Gates Foundation, and the GAVI Alliance. Unsurprisingly, the Bank has taken a step back to think about its role. In doing so it has prioritised strengthening of health systems, citing expertise in health financing; incentives for health workers; logistical, and financial management; governance of health systems; demand-side interventions,such as conditional cash transfers and reforms for patient choice; sector-wide strategic planning; health-service quality-control; epidemiological surveillance; and public-private collaboration. The Bank also seems intent on establishing itself as the lead global agency for health-systems policy-development, even suggesting that WHO and UNICEF should focus on the technical aspects of disease control and health-facility management. (author's)
YouandAIDS. 2003 Aug; 2(1):16-17.In September 2000, at the United Nations Millennium Summit world leaders endorsed a set of time-bound and measurable goals and targets to combat poverty, hunger, disease, illiteracy, environmental degradation, discrimination against women and create a global partnership for development. This global compact - now known as the Millennium Development Goals - was endorsed by all members of the United Nations. It sets out a series of time-bound and quantifiable targets ranging from halving extreme poverty to halting the spread of HIV/AIDS by 2015. The Summit's Millennium Declaration also outlined a consensus on how to proceed, with a stronger focus on human rights, good governance and democracy as well as conflict prevention and peace-building. The political framework for achieving the Millennium Development Goals was provided by the new global deal struck in 2002 in Monterrey, Mexico, between North and South. The rich nations represented at the Monterrey "Financing for Development" summit pledged to remove trade barriers and provide more aid and meaningful debt relief to developing countries that undertake tough political and economic reforms. This global compact was reaffirmed at the World Summit for Sustainable Development held in Johannesburg, South Africa, in August 2002. (excerpt)
Is trade liberalization of services the best strategy to achieve health-related Millennium Development Goals in Latin America? A call for caution.
Revista Panamericana de Salud Pública / Pan American Journal of Public Health. 2006 Nov; 20(5):341-346.In September 2000, at the United Nations (UN) Millennium Summit, 147 heads of state adopted the Millennium Declaration, with the aim of reflecting their commitment to global development and poverty alleviation. This commitment was summarized in 8 goals, 14 targets, and 48 measurable indicators, which together comprise the Millennium Development Goals (MDGs), to be attained by 2015. All of the MDGs contribute to public health, and three are directly health-related: MDGs 4 (reduce child mortality), 5 (improve maternal health), and 6 (combat HIV/AIDS, malaria, and other diseases). Progress towards these goals has proved difficult. In an attempt to identify practical steps to achieve the MDGs, the UN Development Programme initiated the UN Millennium Project in 2002. This three-year "independent" advisory effort established 13 task forces to identify strategies and means of implementation to achieve each MDG target, and each task force produced a detailed report. A Task Force on Trade was created for MDG 8 to develop a global partnership for development. The mandate of the Task Force on Trade was to explore how the global trading system could be improved to support developing countries, with special attention to the needs of the poorest nations. (excerpt)
Bulletin of the World Health Organization. 2007 Apr; 85(4):245-324.There is an old saying that "amateurs talk strategy and professionals talk logistics". A professional approach to achieving the health-related Millennium Development Goals (MDGs) requires us to move beyond the discussion of possible strategies that could be used. It requires active planning of the practical actions that need to be taken, including raising the necessary funds to ensure these actions can be financed. This cannot be done without information on the costs of implementing the logistical plans. Without detailed plans, countries cannot be sure if they will meet the MDGs. Without accurate costing, countries and donors do not know the extent of the additional funds that will be required. This is a particularly important issue now that we are nearly halfway between the signing of the Millennium Declaration and the target date for achievement, 2015. All recent assessments suggest that few countries are on track and that intensified efforts to raise and use funds well are needed. How much additional funding is required, and where should it be spent? (excerpt)
Africa Renewal. 2007 Jan; 20(4):10-11.In October, more than 23 million people -- some 3.6 million of them in Africa -- set a world record by literally standing up to bring attention to persistent global poverty and to prompt world leaders to act on their promises to eradicate the scourge. The message of the Stand Up Against Poverty campaign, coordinated by the New York--based UN Millennium Campaign, reached people at more than 11,000 events in over 80 countries -- cricket fans in Jaipur, India, music lovers at a concert in Harare, Zimbabwe, children in school in Lebanon and soccer supporters in Mexico. Organizers timed the global campaign to coincide with other events marking the International Day for the Eradication of Poverty. "Together, we sent a clear message to our political leaders that we are going to keep pushing them to deliver on aid, on debt cancellation, on trade justice and to provide good and accountable governments," said Mr. Kumi Naidoo of the Global Call to Action Against Poverty (GCAP). An alliance of community organizations, faith-based groups, trade unions and campaigners in over 100 countries, GCAP was one of the organizations supporting the Stand Up campaign. (excerpt)
New York, New York, United Nations Development Programme [UNDP], . 14 p.The deepening of democratic institutions, gains in macroeconomic stability and rapid expansion of prosperity contribute to an overall encouraging context for sustainable development in Brazil. Yet, despite these numerous advances, real poverty has only moderately declined, and inequality persists. In Brazil, economic and social status tends to vary by geography, race and gender, a legacy of the country's history. Imposed and de facto colonial and post-colonial divisions among indigenous peoples and descendents of Portuguese settlers, African slaves and European, Middle Eastern and Asian immigrants created persistent structures of exclusion and inequality. In the 1950s, during the military government, a strategy of import substitution prioritized rapid industrial expansion, and helped to bring about significant, sustained economic growth. Benefits, however, accrued disproportionately to the upper classes at the expense of workers and unions. The industrialization contributed to the expansion of the favelas (urban slums), one of Brazil's greatest contemporary challenges, by promoting urban migration while infrastructure and social support did not expand at the same pace. (excerpt)
Food and Nutrition Bulletin. 2005; 26(2 Suppl 2):S170-S178.Universal access to basic education is a prerequisite for long-term food security, which, in turn, is critical to achieving the Millennium Development goals. This paper examines how Food for Education interventions can contribute to improved food security, improved education outcomes, and a broader set of development goals. Food for Education entails the distribution of food commodities to children who attend school. The commodities may be locally grown and purchased or contributed by aid donors. The food may be consumed by students in school snack, breakfast, or lunch programs. Alternatively, it may be given as a take-home ration for consumption by a family that regularly sends "at-risk" children (usually girls) to school. Four interrelated ideas are discussed: (1) the universalization of primary school education is a prerequisite for food security (defined here as availability of, access to, and proper biologic utilization of food supplies); (2) Food for Education boosts primary school participation and, therefore, food security; (3) the effects of primary school education on food security are greatest wherever "quality standards" are met, although important effects are present even when education quality is modest; and (4) efforts to improve primary education participation (demand) and efforts to improve primary education quality (supply) are highly interrelated and mutually reinforcing. Food for Education is a versatile resource that can be used to address a broad range of issues related to both education supply and demand. To be effective, Food for Education interventions must reflect local education supply and demand realities. (author's)
Lancet. 2006 Nov 25; 368(9550)The first African Regional Health Report, finally released this week more than a year after its initial launch target, is one of the first products to emerge from Luis Sambo's Directorship of WHO's African Regional Office. In his inaugural speech on Feb 1, 2005, Sambo urged his colleagues, in country offices and regional headquarters, to "intensify efforts at identifying the best practices in health" and "document and disseminate" them so they can be replicated. This regional health report is, he believes, a key step in upgrading WHO AFRO's stewardship role in the region. It is a disappointing effort, one that reveals WHO's weaknesses rather than its strengths. It is clearly intended as an overview rather than as a detailed analysis, but even so it still suffers from being light on facts and heavy on well-rehearsed rhetoric. Much is simply lifted from past World Health Reports that have emerged from Geneva headquarters, supplemented by data from the World Bank and other institutions. There are some useful asides: briefly reported successes, such as a remarkable reduction in road traffic deaths in Rwanda and improvements to health-service access in South Africa's rural areas. However, it will take much more than an assemblage of isolated anecdotes to create a strategy for Africa's renaissance. (excerpt)
Round Table. 2006 Jul; 95(385):383-386.The author, formerly Head of Secretariat at the Commission for Africa, responds to the criticisms of the Commission's report and process made by Ian Taylor. While the latter is right to emphasize the need for sound governance and for addressing the issue of looted assets, he appears to have overlooked sections of the report which do just that. He is also wrong to assert that aid does not work; the CfA believes that, when combined with other mechanisms, it is effective. (author's)
Lancet. 2006 Dec 9; 368(9552):2095-2100.At the United Nations International Conference on Population and Development in Cairo in 1994, the international community agreed to make reproductive health care universally available no later than 2015. After a 5-year review of progress towards implementation of the Cairo programme of action, that commitment was extended to include sexual, as well as reproductive, health and rights. Although progress has been made towards this commitment, it has fallen a long way short of the original goal. We argue that sexual and reproductive health for all is an achievable goal--if cost-effective interventions are properly scaled up; political commitment is revitalised; and financial resources are mobilised, rationally allocated, and more effectively used. National action will need to be backed up by international action. Sustained effort is needed by governments in developing countries and in the donor community, by inter-governmental organisations, non-governmental organisations, civil society groups, the women's health movement, philanthropic foundations, the private for-profit sector, the health profession, and the research community. (author's)