Your search found 323 Results
Washington, D.C., World Bank, 2018. 91 p.he Atlas of Sustainable Development Goals 2018 is a visual guide to the trends, challenges and measurement issues related to each of the 17 Sustainable Development Goals. The Atlas features maps and data visualizations, primarily drawn from World Development Indicators (WDI) - the World Bank’s compilation of internationally comparable statistics about global development and the quality of people’s lives. Given the breadth and scope of the SDGs, the editors have been selective, emphasizing issues considered important by experts in the World Bank’s Global Practices and Cross Cutting Solution Areas. Nevertheless, The Atlas aims to reflect the breadth of the Goals themselves and presents national and regional trends and snapshots of progress towards the UN’s seventeen Sustainable Development Goals related to: poverty, hunger, health, education, gender, water, energy, jobs, infrastructure, inequalities, cities, consumption, climate, oceans, the environment, peace, institutions, and partnerships.
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.
Reproductive Health Matters. 2011 Nov; 19(38):35-41.This paper explores the actors who replaced the agreements about the global development agenda made in the International Conference on Population and Development (ICPD) in Cairo 1994 and the 4th UN World Women's Conference in Beijing in 1995 with the Millennium Development Goals (MDGs). It also surveys the processes which shape and affect the exercise of power, which can lead to radical changes.
Trips and public health: solutions for ensuring global access to essential AIDS medication in the wake of the Paragraph 6 Waiver.
Journal of Contemporary Health Law and Policy. 2008 Fall; 25(1):142-65.In 2003, the World Trade Organization (WTO) proposed a waiver to the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), known as the "Paragraph 6 Waiver," in order to create flexibility for developing countries and to allow easier importation of cheap generic medication. ... To the companies who own pharmaceutical patents, the notion that a government can use their product without the permission of the patent holder seems unfair and counterproductive. ... Canada was one of the first countries to enact legislation for the sole purpose of exporting generic drugs to developing countries and its experience is indicative of the problems presented by compulsory licensing and the Paragraph 6 Waiver. ... Exact amounts and methods for determining remuneration vary but presumably a fair system would compensate patent holders for the loss of their patent rights while maintaining the system's cost effectiveness for countries issuing the compulsory licenses. (excerpt)
BMJ. British Medical Journal. 2008 Sep 15; 337:958-960.In sub-Saharan Africa, 3% of the world's health workforce cares for 10% of the world's population bearing 24% of the global disease burden. Developing countries need an extra 4.3 million health workers, and urgent action is required to scale up education and training. Last month the World Health Organization's Commission on Social Determinants of Health emphasised the importance of building and strengthening the health workforce if the goal of achieving health equity within a generation is to be realised. International cooperation will be essential to strengthen health systems and to manage the migration of health workers from developing to developed countries. But these measures will take time. What can African and Asian health systems do to recruit and retain health workers now? How can health workers be persuaded to practise in rural areas? Guidelines, commissioned by the Global Health Workforce Alliance, aim to help countries make the best use of incentives to attract and retain health professionals. (excerpt)
Africa Renewal. 2008 Jan; 21(4):8-11.Pumwani Maternity Hospital, in Nairobi, Kenya, is the largest maternal health centre in East and Central Africa. Located close to Mathare and Korogocho, two of Nairobi's biggest slums, the hospital helps some 27,000 women give birth each year. Most are poor and young, between the ages of 14 and 18. The government-run hospital struggles to provide even the most basic services, since it lacks sufficient resources, equipment and staff. "We told patients to buy their own things because of the shortage of supplies," explains Evelyn Mutio, the former head of the hospital's nursing staff. "We told patients to come with gloves, to buy their own syringes, needles, cotton wool and maternity pads." The Pumwani Maternity Hospital exemplifies the state of the health infrastructure in Africa. According to the World Health Organization (WHO), high service costs, lack of trained staff and supplies, poor transport and patients' insufficient knowledge mean that 60 per cent of mothers in sub-Saharan Africa do not have a health worker present during childbirth. That heightens the risks of complications, contributing to greater maternal and child death and disability. (excerpt)
Poverty in Focus. 2007 Oct; (12): p.A major problem facing both the International Monetary Fund and its critics is the limited knowledge about key economic relationships that determine how macroeconomic policies will influence growth and poverty outcomes in a particular country, e.g. how different types of public spending will affect future economic capacity and competitiveness, how private investment might respond to lower fiscal deficits or how long any increase in aid flows will last. What key actors assume about these relationships influences fiscal policies. For example, whether higher aid-financed spending may cause adverse macroeconomic effects of concern for the longer term depends critically on the likely supply response to such spending. If higher aid-financed spending on nontraded goods pushes up the real exchange rate in the short-term-i.e. causes some temporary 'Dutch disease' effects-we should not be too concerned provided the spending improves competitiveness in the longer term. So, the most important challenge facingaid-dependent countries is often not a 'macro' one at all. It is to ensure that additional spending is used effectively, which requires good governance, sound public financial management, and strong sector-level policies. If those are right, the more narrowly 'macro' challenges will be manageable. (excerpt)
Washington, D.C., World Bank, Development Economics Prospects Group, 2007 Nov. 20 p. (Policy Research Working Paper No. 4383)This paper summarizes the policy lessons from applications of the Maquette for MDG Simulations (MAMS) model to two low income countries: Ghana and Honduras. Results show that costs of MDGs achievement could reach 10-13 percent of GDP by 2015, although, given the observed low productivity in the provision of social services, significant savings may be realized by improving efficiency. Sources of financing also matter: foreign aid inflows can reduce international competitiveness through real exchange appreciation, while domestic financing can crowd out the private sector and slow poverty reduction. Spending a large share of a fixed budget on growth-enhancing infrastructure may mean sacrificing some human development, even if higher growth is usually associated with lower costs of social services. The pursuit of MDGs increases demand for skills: while this encourages higher educational attainments, in the short term this could lead to increased income inequality and a lower poverty elasticity of growth. (author's)
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)
Lancet. 2007 Sep 22; 370(9592):1034.The association between domestic violence and the first five Millennium Development Goals is bidirectional. Violence has a negative effect on efforts to alleviate poverty (MDG 1), and poverty has been shown to increase the likelihood of violence. Similarly, education, women's empowerment, child mortality, and maternal health are all linked to domestic violence. Simwaka and colleagues discussed the association between women's empowerment and violence against women and poor access and control over resources, and recommended putting gender issues in the African agenda to achieve MDG 5. Hence, monitoring the progress in preventing violence should not be separated from monitoring the development process in developing countries. Other challenges such as discrimination, inequity, extremism, religious fanaticism, human rights violations, and the faded democracy process have hampered efforts to combat violence in these countries. Ammar stated that "Egypt would be able to combat public violence (eg, terrorism) better if it addresses co-occurrence of spousal and child abuse than by changing its school curriculum". Moreover, we will not be able to estimate properly the magnitude of domestic violence if its economic costs are not investigated. Therefore, the growing political will to take action against violence is not enough in itself, especially when women feel that spousal abuse is justified and when judges and lawyers are part of a culture that tolerates violence against women. (full text)
New York, New York, Human Rights Watch, 2007 Sep. 108 p. (Human Rights Watch Vol 19, No. 14(A))Since mid-2005, hundreds of civilians have been killed, more than 10 thousand houses burned, and approximately 212,000 persons have fled their homes in terror to live in desperate conditions deep in the bush in northern Central African Republic (CAR). Bordering eastern Chad and war-ravaged Darfur in Sudan, this area has been destabilized by at least two major rebellions against the government of President Francois Bozize. The vast majority of summary executions and unlawful killings, and almost all village burnings, have been carried out by government forces, often in reprisal for rebel attacks. While both main rebel groups have been responsible for widespread looting and the forced taxation of the civilian population in areas they control - and rebels in the northeast have committed killings, beatings, and rape - their abuses pale in comparison to those of the Central African Armed Forces (Forces armees Centrafricaines, FACA) and the elite Presidential Guard (Garde presidentielle, GP). As the International Criminal Court (ICC) begins investigations into atrocities committed during the 2002-2003 rebellion against former President Patasse, it should also investigate possible war crimes under its jurisdiction committed in the current round of fighting. (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)
Achieving the Millennium Development Goals in sub-Saharan Africa: a macroeconomic monitoring framework.
World Economy. 2006; 29(11):1519-1547.3,000 Africans die every day of a mosquito bite. Can you think about that, malaria? That's not acceptable in the 21st century and we can stop it. And water-borne illnesses - dirty water takes another 3,000 lives - children, mothers, sisters . . . If we're to take this issue seriously, and we must, because in 50 years, you know, when they [G-8 Heads of State] look back at this moment . . . they'll talk about what we did or didn't do about this continent bursting into flames. It is the most extraordinary thing to watch people dying three in a bed, two on top and one underneath, as I have seen in Lilongwe, Malawi. I mean, it is an astonishing thing. And it's avoidable. It's an avoidable catastrophe. You saw what happened with the tsunami. You see the outpouring, you see the dramatic pictures. Well, there's a tsunami happening every month in Africa, but it's an avoidable catastrophe. It is not a natural calamity. (author's)
Lancet. 2006 Sep 23; 368(9541):1042-1044.Children are our best investment. What we do for the world's children, more than anything else we do, forms our legacy as political leaders in the world. Thus, I, as Prime Minister of Norway, call for courageous steps to protect our children, our common future. The new millennium has given mankind unprecedented opportunities. Today we are moving towards a tightly knit global community at an accelerating pace. What we do as individual countries and what we do together will determine the character of this emerging global community, its values, its welfare, and our future. Protecting our children is a moral and political imperative. It is also essential for socioeconomic development. (excerpt)
New York, New York, UNDP, 2002 Aug. 20 p. (Policy Note)UNDP Policy Notes are intended to inform and strengthen the delivery of policy and programme support to countries. This note provides policy guidance on the important challenge of integrating HIV/AIDS priorities into poverty reduction strategies, including Poverty Reduction Strategy Papers (PRSPs). Poverty reduction strategies are becoming the main development planning instrument in many countries, determining national priorities and domestic as well as external resource allocation. In the case of HIPC countries, poverty reduction strategies shape the speed of debt relief, and the allocation of debt relief savings. Integrating HIV/AIDS into poverty reduction strategies therefore helps to create the necessary policy and planning environment for a comprehensive, multi-sectoral and adequately funded response to the epidemic. The Policy Note provides a synthesis of cutting-edge thinking on the interface between poverty reduction strategies and efforts to reverse the spread of HIV/AIDS. It proposes nine policy areas that UNDP and its partners must focus on as a matter of priority. At the core of the Policy Note is a checklist with specific guidance on how to integrate HIV/AIDS into poverty reduction strategies, relevant for all countries regardless of their current HIV prevalence rates. The Note concludes by bringing the discussion to the global level. It recommends that UNDP--in the context of the Millennium Development Goals Campaign--step up its advocacy for placing HIV/AIDS at the centre of the international development agenda, capitalizing and building on its work at country level. (excerpt)
Perspectives on Global Development and Technology. 2004; 3(1-2):171-196.Global reproductive health policy is based on assumptions, couched in scientific language, that technological methods of birth control are superior to traditional methods, use of these methods is more modern and "rational" than alternatives, and abortion should not be considered a form of birth control. The authority these assumptions have achieved in global health circles prevents alternative options from being considered. Our research on women's birth control experiences in Mongolia suggests that reproductive health programs based on such global assumptions fail to consider the local cultural contexts of reproductive decision-making address women's needs, and are therefore seriously flawed. (author's)
Bulletin of the World Health Organization. 2006 May; 84(5):338.The context for this theme collection is the publication of the report of the Commission on Intellectual Property Rights, Innovation and Public Health. The report of the Commission -- instigated by WHO's World Health Assembly in 2003 -- was an attempt to gather all the stakeholders involved to analyse the relationship between intellectual property rights, innovation and public health, with a particular focus on the question of funding and incentive mechanisms for the creation of new medicines, vaccines and diagnostic tests, to tackle diseases disproportionately affecting developing countries. In reality, generating a common analysis in the face of the divergent perspectives of stakeholders, and indeed of the Commission, presented a challenge. As in many fields -- not least in public health -- the evidence base is insufficient and contested. Even when the evidence is reasonably clear, its significance, or the appropriate conclusions to be drawn from it, may be interpreted very differently according to the viewpoint of the observer. (excerpt)
UN Chronicle. 2005 Mar-May; 42(1): p..Natural disasters devastate many parts of the world, whether they were high-intensity hurricanes battering the Pacific islands or gigantic ocean waves killing thousands in its wake. From strengthening coordination of humanitarian and disaster relief assistance, including special economic aid to individual countries or regions, to correcting global trade imbalances and promoting information technology for development, the Second Committee worked hard on these issues during the fifty-ninth session of the General Assembly. With 2005 marking the start of the ten-year countdown to 2015, the target date for the UN Millennium Development Goals (MDGs) that aim, among others, at halving the proportion of people without sustainable access to safe drinking water and eliminating gender disparity in primary and secondary education, the Committee worked towards aligning its objectives with the framework of the MDGs. (excerpt)
In: Global health and governance. HIV / AIDS, edited by Nana K. Poku and Alan Whiteside. Basingstoke, England, Palgrave Macmillan, 2003 Dec. 109-122.Today in much of Africa economic growth has slowed and living standards for the majority have suffered in the face of rising unemployment and mass poverty, resulting in incomes that are presently below the 1970 level. One problem that has been the focus of much attention and contention over the past 20 years is the huge foreign debt owed by African countries to bilateral donors and multilateral institutions. Debt servicing is consuming a disproportionate amount of scarce resources at the expense of the provision of basic services to the poor. In order to receive help in servicing their debts, countries must agree to implement structural economic reforms. This often entails drastic cuts in social expenditures, the privatisation of basic services, and the liberalisation of domestic trade consistent with WTO rules. These policy decisions have had a direct impact on the capacity of African countries to promote, fulfill and protect the right to health of their citizens. This is further compounded by ill-conceived privatisation of basic services such as water and health services, without any regard for the ability of the poor to access these essential services at a cost they can afford. Finally, adherence to WTO trade rules, which often comes as an extension of liberalisation policy, hampers the capacity of African governments to produce or purchase less expensive generic drugs for their citizen without fear of retaliation from the developed countries. (author's)
New Haven, Connecticut, Yale University, Economic Growth Center, 1996 Sep. 28 p. (Center Discussion Paper No. 762)This paper reviews the development experience since the 1980's and finds room for guarded optimism about what we can learn from it. Firstly, a global consensus is emerging on the need for macro-economic stability through prudent fiscal, monetary and foreign exchange policies. However, at the micro or structural level, while governments need to decentralize their decision- making authority more fully than they have thus far, in reaction to the recent reappraisal of the East Asian model there is some danger that development policy will swing too far in rejecting liberalization and returning to government intervention. Secondly, the paper points out that, while there exists a well-recognized causal nexus between exports and growth, the reverse causation also holds, i.e. domestic growth patterns conditioned by education and R&D expenditures and policies determine whether or not a country can take full advantage of existing export opportunities. Finally, although fast-disbursing policy-based loans have not been as successful as they could be, largely because of the World Bank's chosen modus operandi, they represent potentially highly effective instruments that should not be abandoned. Rather, the Bank should help render such loans more fully "owned" by recipients, replace country-specific lending quotas by aid ballooning related to carefully worked out reform packages, and develop a better division of labor with other multilateral and bilateral donors. (author's)
UN Chronicle. 1989 Sep; 26(3): p..Children are paying the third world debt with their lives: that is the alarming news carried in the hard-hitting 1989 "State of the World's Children", issued, symbolically, for the first time in a third world capital--New Delhi, India. More than war, flood or famine, the ravages of poverty have caused at least half a million children to die over the last 12 months, as families in developing countries slide back into poverty as a result of these nations' crushing external debt. Two thirds of these deaths have been in Africa, the rest in Latin America, where higher average incomes mask "the grossest inequalities of any continent", UNICEF reports. (excerpt)
Economic drought strangles African recovery: Assembly calls for increased aid, debt relief - UN General Assembly - includes interview with Stephen Lewis, Permanent Representative of Canada to the United Nations.
UN Chronicle. 1988 Mar; 25(1): p..Despite courageous internal reform by African Governments since 1986, spiralling debt, cuts in foreign aid and the crash of commodity prices threaten to exacerbate the ongoing African economic crisis, devastating millions of people across the continent. "The economic crisis now facing Africa can exact a toll every bit as deadly as the drought (of 1983-1985)," Secretary-General Javier Perez de Cuellar reported to the forty-second General Assembly in October 1987. The situation has deteriorated, he said, since the Assembly adopted the United Nations Programme of Action for African Economic Recovery and Development, 1986-1990, at a special session of the General Assembly in May 1986. His report examines conditions in Africa one year after the adoption of the Programme, under which African Governments agreed to adjust internal policies, and the international community pledged to increase aid and improve terms of trade. (excerpt)
The challenge of Africa: ministers debate vicious cycle of poverty and conflict, new initiatives for development - UN Economic and Social Council.
UN Chronicle. 1995 Dec; 32(4): p..Faced with unrelenting impoverishment, marginalization and social strife engulfing Africa - home to the greatest proportion of least developed nations in the world - ministers from every region of the world convened during the 1995 session of the UN Economic and Social Council to tackle the complex range of interrelated issues and problems that have made the economic and social development of Africa a formidable challenge. "Today, this continent often baffles the world by continually giving the international community reasons for alternating between hope and discouragement", UN Secretary-General Boutros Boutros-Ghali said on 4 July in an address to the opening of the Council's three-day high-level segment, whose purpose is to set UN policy on major international matters. (excerpt)
UN Chronicle. 1990 Dec; 27(4): p..A new Programme of Action aimed at advancing the world's poorest countries offers a "menu approach" for donors to increase their official aid to the least developed countries (LDCs), stressing bilateral assistance in the form of grants or highly concessional loans and calling on donors to help reduce LDC debt. The Programme was adopted by consensus at the conclusion of the Second United Nations Conference on the LDCs (Paris, 3- 14 September). The UN recognizes more than 40 developing countries as "least developed". Although individual nation's indicators vary, in general LDCs have a per capita gross domestic product (GDP) of approximately $200 a year, a low life expectancy, literacy rates under 20 per cent and a low contribution of manufacturing industries to GDP. Reflecting the emergence during the 1980s of new priorities in development strategy, the Programme of Action for the LDCs for the 1990s differs from the Action Programme adopted at the first UN Conference on LDCs held in 1981 in Paris. The new Programme emphasizes respect for human rights, the need for democratization and privatization, the potential role of women in development and the new regard for population policy as a fundamental factor in promoting development. Greater recognition of the role of non-governmental organizations in LDC development is also emphasized. (excerpt)
UN proclaims 1996 as Poverty Eradication Year: progress on 'Agenda for Development.' - includes related article on outline of program for September 5-13, 1994 International Conference on Population.
UN Chronicle. 1994 Mar; 31(1): p..The year 1996 was proclaimed the Year for the Eradication of Poverty by the General Assembly on 21 December. That text was among 52 resolutions and 18 decisions adopted by the General Assembly on the recommendation of its Second Committee (Economic and Financial). Issues considered ranged from the environment to the international economy, from population and human settlements to international humanitarian assistance. The Assembly welcomed the intended completion of the Secretary-General's proposed Agenda for Development" this year. It also decided to convene in Japan in 1994 a World Conference on Natural Disaster Reduction. The concept of development had to be rethought, Nitin Desai, Under- Secretary-general for Policy Coordination and Sustainable Development, told the Second Committee on 8 October. The world today is not the same as 30 years ago, when the concept of development was originally framed, he said. The urge to rethink development had grown from the gap between promise and results, as well as from interdependence, the globalization of production, the impact of regional integration and the effects of global communication. A development policy had to give priority to health and education, as well as such areas as the protection of the environment. (excerpt)