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Washington, D.C., Population Action International, 2008.  p.This report was developed through review of the early literature on HIV/AIDS policies and programs in non-industrialized countries and of media material promoting prevention of heterosexual transmission of HIV in those countries. Material from the early days of the epidemic was difficult to obtain. Most materials were long ago archived or are in personal files in "basements". While the report focuses on the experiences of three countries, it also examines the early responses of international organizations to HIV in many other developing countries. Additional data were obtained using a snowball sampling technique through which the authors contacted people who had worked in HIV/AIDS prevention strategies. The pool of respondents is not intended to be exhaustive, but the respondents provide important voices of those working in the developing world at the beginning of the epidemic.
In: The global family planning revolution: three decades of population policies and programs, edited by Warren C. Robinson and John A. Ross. Washington, D.C., World Bank, 2007. 155-174.In Jamaica, as in many countries, the pioneers of family planning were men and women who sought to improve the well-being of their impoverished women compatriots, and who perhaps were also conscious of the social threats of rapid population growth. When, eventually, population control became national policy, the relationship between the initial private programs and the national effort did not always evolve smoothly, as the Jamaican experience shows (see box 10.1 for a timeline of the main events in relation to family planning in Jamaica). A related question was whether the family planning program should be a vertical one, that is, with a staff directed toward a sole objective, or whether it should be integrated within the public health service. These issues were not unique to Jamaica, but in one respect Jamaica was distinctive: it was the setting for the World Bank's first loan for family planning activities. Family planning programs entailed public expenditures that were quite different from the infrastructure investments for which almost all Bank loans had been made, and the design and appraisal of a loan for family planning that did not violate the principles that governed Bank lending at the time required a series of decisions at the highest levels of the Bank. These decisions shaped World Bank population lending for several years and subjected the Bank to a good deal of external criticism. For that reason, this chapter focuses on the process of making this loan. (excerpt)
Bulletin of the World Health Organization. 2007 Aug; 85(8):631-636.Following the destruction of Cambodia's health infrastructure during the Khmer Rouge period (1975-1979) and the subsequent decade of United Nations sanctions, international development assistance has focused on reconstructing the country's health system. The recognition of Cambodia's heavy burden of tuberculosis (TB) and the lapse of TB control strategies during the transition to democracy prompted the national tuberculosis programme's relaunch in the mid-1990s as WHO-backed health sector reforms were introduced. This paper examines the conflicts that arose between health reforms and TB control programmes due to their different operating paradigms. It also discusses how these tensions were resolved during introduction of the DOTS strategy for TB treatment. (author's)
Population and Development Review. 2005 Jun; 31(2):389-398.The Millennium Ecosystem Assessment, an elaborate international project set up in 2001 under UN auspices, aims “to assess the consequences of ecosystem change for human wellbeing and to establish the scientific basis for actions needed to enhance the conservation and sustainable use of ecosystems and their contributions to human well-being.” It involves over 1,000 experts as panel and working group members, authors, and reviewers. Numerous reports are planned, covering the global and regional situations, scenarios of the future, and options for sustainable management. The first of these, the Millennium Ecosystem Assessment Synthesis Report, was issued in March 2005. The Report is organized around four main findings. The first two concern the past: what has happened and what it has meant for human welfare. The other two concern the future: what may happen and what might be done to improve matters. The time frame is the last 50 years and the next 50. Ecological change is assessed in terms of ecosystem services— the benefits humans receive from ecosystems. These include: provisioning services (supplying food, fresh water, timber, etc.); regulating services (climate regulation, erosion control, pollination); cultural services (recreation, aesthetic enjoyment); and supporting services (soil formation, photosynthesis, nutrient cycling). Of 24 services examined in the assessment, 15 are determined to be in decline or are being drawn on at an unsustainable rate. The welfare costs of these changes are disproportionately borne by the poor. Four world scenarios are developed to explore plausible ecological futures, varying in degrees of regionalism and economic liberalization and in approaches to ecosystem management. Under all of them the outlook is for continued pressure on consumption of ecosystem services and continued loss of biodiversity. In particular, ecosystem degradation “is already a significant barrier to achieving the Millennium Development Goals agreed to by the international community in September 2000 and the harmful consequences of this degradation could grow significantly worse in the next 50 years.” Remedy will be demanding: “An effective set of responses to ensure the sustainable management of ecosystems requires substantial changes in institutions and governance, economic policies and incentives, social and behavior factors, technology, and knowledge.” Such changes “are not currently under way.” The excerpt below, covering Findings #1 and #2 of the Assessment, is taken from the section of the report titled Summary for Decision-makers. Most of the charts are omitted. Parenthetical levels of certainty correspond to the following probabilities: very certain, = 98%; high certainty, 85–98%; medium, 65–85%; low, 52–65%. (author's)