The millennium development goals for health: rising to the challenges
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Washington, DC
World Bank
2004
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XIV, 186 S. graph. Darst. |
| ISBN: | 0821357670 |
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Datensatz im Suchindex
| _version_ | 1804132768884457472 |
|---|---|
| adam_text | ix Foreword
x Acknowledgments
xi Key Messages and Policy Highlights
xiii Statistical Highlights
xv Abbreviations
1 Overview: Rising to the Challenges
PART I
The Millennium Development Goal
Challenges
CHAPTER 1
25 Backdrop to the Millennium Development Goals
CHAPTER 2
31 The Millennium Development Goals for Health:
Progress and Prospects
CHAPTER 3
47 Effective Interventions Exist—They Need to
Reach More People
PART II
Rising to the Challenges
CHAPTER 4
55 Extra Government Health Spending Is
Necessary but Not Sufficient—Health Sector
Strengthening Is Also Required, and Spending
Needs to Be Better Targeted
CHAPTER 5
69 Households—Key but Underrated Actors in the
Health Sector
CHAPTER 6
93 Improving Service Delivery
CHAPTER 7
111 Tackling Human Resource and Pharmaceutical
Constraints
CHAPTER 8
131 Strengthening Core Public Health Functions
CHAPTER 9
145 Financing Additional Spending for the
Millennium Development Goals—In a
St4stainable Way
CHAPTER 10
155 Applying the Lessons of Development Assistance
for Health
Appendixes
APPENDIX A
169 Data and Methods
APPENDIX B
175 Why Tracking Progress toward the Health
Goals Isn t Easy
179 Index
Boxes
2 Box 1 The health related Millennium
Development Goals
27 Box 1.1 Worlds apart:The poor die earlier
29 Box 1.2 The promising (and challenging) array
of health related partnerships
43 Box 2.1 Why the decline in maternal mortality
is slowing
53 Box 3 A Low coverage of HIV/AIDS
interventions
62 Box 4.1 Coupling targeting with institutional
innovation through social investment funds
63 Box 4.2 Marginal budgeting for bottlenecks
71 Box 5.1 Key family practices for the production
of child health and nutrition
72 Box 5.2 Why people can go hungry when food
is plentiful
72 Box 5.3 Social solidarity in Cote d lvoire
74 Box 5.4 Blanket subsidies often benefit the
better off most
75 Box 5.5 Vouchers for sex workers in Nicaragua
76 Box 5.6 Increasing coverage of key
interventions through demand side incentives
77 Box 5.7 Helping poor women protect
themselves—India s SEWA
79 Box 5.8 Working with the private sector to
improve hygiene behaviors
80 Box 5.9 Radio dramas to promote
contraception
81 Box 5.10 Argentina s water privatization
program saved young lives
94 Box 6.1 The changing mix of cure and care:
Who treats what—and where?
95 Box 6.2 Who delivers which care for the
Millennium Development Goals for health?
97 Box 6.3 Different management styles, different
countries—but just miles apart
99 Box 6.4 Management in India s Tamil Nadu
Integrated Nutrition Program
100 Box 6.5 Innovative and effective management
of public health workers in Ceara, Brazil
104 Box 6.6 Contracting health services in
Cambodia, Guatemala, and Pakistan
113 Box 1.1 Ghana s loss of health sector workers
114 Box 1.2 The devastating impact of HIV/AIDS
on the health workforce
115 Box 1.3 Competing with the private sector in
Bolivia
116 Box 7.4 What do health workers in India want
most?
117 Box 7.5 Lack of drugs threatens the Millennium
Development Goals
118 Box 7.6 Inappropriate or irrational drug use
118 Box 7.7 The problem of counterfeit drugs
119 Box 7.8 Do we know how affordable drugs
really are?
119 Box 7.9 High drug costs in Vietnam deter use
and cause impoverishment
121 Box 7.10 Perverse provider incentives and
tuberculosis drugs in Georgia
123 Box 7.11 Drug subsidies and drug insurance:
Different countries, different policies
124 Box 7.12 The attractions of pooled
procurement
125 Box 7.13 The Accelerating Access Initiative for
antiretroviral drugs
126 Box 7.14 Global public private partnerships to
accelerate the introduction of new vaccines
134 Box 8.1 Increasing the supply of and demand
for insecticide treated bednets
135 Box 8.2 Reducing communicable diseases
through disease surveillance in Brazil
135 Box 8.3 Monitoring progress toward the
Millennium Development Goals in the
Dominican Republic
136 Box 8.4 Core public health functions and the
case for public management
138 Box 8.5 Strengthening core public health
functions to combat HIV/AIDS
148 Box 9.1 Raising tax levels in the developing
world—hard but doable
157 Box 10.1 The importance of country
commitment: How Bangladesh and Thailand
have fared in reducing malnutrition
158 Box 10.2 Helping eradicate polio through IDA
credit buy downs
162 Box 10.3 Improving performance of the health
sector in Guinea
162 Box 10.4 Increasing health sector spending and
immunization coverage by reforming the budget
process in Mauritania
164 Box 10.5 Harmonizing, monitoring, and
evaluating HIV/AIDS programs
165 Box 10.6 Key actions to accelerate progress on
the health, nutrition, and population
Millennium Goals: The Ottawa consensus
166 Box 10.7 Summary of recommendations for
action from the High Level Forum on the
Millennium Development Goals for Health held
January 8 9,2004
Figures
2 Figure 1 The poorest countries suffer the
highest burdens of premature mortality and
malnutrition
5 Figure 2 Faster economic growth and other
changes outside the health sector will help move
regions toward the targets, but in most cases it
will not get them there
6 Figure 3 Full use of existing interventions would
reduce maternal deaths dramatically
8 Figure 4 Paths to better health, nutrition, and
population outcomes
11 Figure 5 What makes service providers
accountable
14 Figure 6 What health workers in Andhra
Pradesh want from their jobs—and whether
they get it
35 Figure 2.1 Progress on malnutrition, under five
mortality, and maternal mortality, by region and
income
35 Figure 2.2 People on track to hit malnutrition,
under five mortality, and maternal mortality
targets
36 Figure 2.3 Countries on track to hit
malnutrition, under five mortality, maternal
mortality targets
36 Figure 2.4 Some countries are reducing
malnutrition quickly. In others malnutrition has
fallen less slowly, and in some it has increased.
37 Figure 2.5 How the poor have fared on
malnutrition reductions—absolutely and
compared with the less poor
37 Figure 2.6 How the poor have fared on under
five mortality reductions—absolutely and
compared with the less poor
38 Figure 2.7 Child mortality—the pace of decline
is too slow, and in the developing world it s
getting even slower
38 Figure 2.8 Child mortality—percentage of
countries with a faster rate of decline in the
1990s than in the 1980s
39 Figure 2.9 Trends in HIV prevalence among
pregnant women in Uganda, 1990 2001
39 Figure 2 A 0 Tuberculosis DOTS detection rates,
selected countries in Sub Saharan Africa,
1995 2001
39 Figure 2.11 Tuberculosis DOTS cure rates,
selected countries in Sub Saharan Africa,
1994 2000
39 Figure 2.12 Past performance is not necessarily a
good predictor of future performance: under
five mortality
40 Figure 2.13 Growth rates of per capita income:
actual 1990 2000 and forecasts for 2001 15
41 Figure 2.14 Girls catching up with boys at
secondary school level—growth needed in the
share of female population over age 15 who
have completed secondary education to
eliminate the secondary education gender gap
41 Figure 2.15 In all but two regions access to
drinking water needs to grow faster to achieve
the water target
48 Figure 3. i Why children die
50 Figure 3.2 The arsenal of effective interventions
against childhood killers
51 Figure 3.3 Interventions for reducing maternal
mortality
52 Figure 3.4 Low income countries lag behind on
key preventive interventions for maternal and
child health
52 Figure 3.5 Use of key preventive interventions
for maternal and child health is lower in some
regions than others
52 Figure 3.6 Some children with acute respiratory
infections receive treatment—others don t
53 Figure 3.7 Proportion of children age 12 23 mos
who received full basic immunization coverage—
poorest 20 percent vs. population as a whole
54 Figure 3.8 Use trends for household delivered and
professionally delivered interventions
54 Figure 3.9 Full use of existing interventions
would dramatically cut child deaths
54 Figure 3.10 Full use of existing interventions
would dramatically cut maternal deaths
57 Figure 4.1 CPIA scores across Bank regions
58 Figure 4.2 The contributions of faster growth of
government health spending in countries with
good policies and institutions
65 Figure 4.3 Paths to better health, nutrition, and
population outcomes
74 Figure 5.1 Who gets subsidies?
74 Figure 5.2 Under Bolivia s National Maternal
and Child Insurance Program key maternal
health interventions rose fastest among the poor
77 Figure 5.3 Poor women have less of a say in
spending their own money
78 Figure 5.4 Fewer poor women have completed
the fifth grade
112 Figure 7.1 Doctors across the world in the
1990s—how many and how much change
112 Figure 7.2 Doctors across Sub Saharan Africa in
the 1990s—how many and how much change
114 Figure 7.3 Stocks and flows in human resources
146 Figure 9. Government health spending is
higher in richer countries, but private health
spending is higher in low income countries
147 Figure 9.2 Some countries spend considerably
less than expected on government health
programs—and some spend more
149 Figure 9.3 Health absorbs a higher share of
government spending, and general revenues
absorb a higher share of GDP in richer countries
150 Figure 9.4 Small health shares and low
government revenues cause some low income
countries to spend less than they can afford to on
health
151 Figure 9.5 General revenues as a share of GDP
rose significantly during the 1990s in some
countries and fell in others
157 Figure 9.6 The share of GDP going to
government health spending during the 1990s
rose significantly in some countries and fell in
others
152 Figure 9.7 Importance of external financing in
total health expenditures in selected countries in
Sub Saharan Africa
156 Figure 10.1 Official development assistance and
other flows for health are rising
Tables
3 Table 1 Progress toward selected health
Millennium Development Goals (percent)
33 Table 2.1 Goals, targets, and indicators—many
of them for health
42 Table 2.2 Economic growth and attainment of
the gender and water targets will push countries
toward the health targets but leave many a long
way from them
48 Table 3.1 Effective interventions for reducing
illness, deaths, and malnutrition
57 Table 4.1 Elasticities of Millennium
Development Goal outcomes to government
health spending, as a percent of GDP, by quality
of policies and institutions
59 Table 4.2 How far would the share of GDP
devoted to government health spending need to
rise in well governed countries to meet the
Millennium Development Goals?
64 Table 4.3 Marginal budgeting for bottlenecks—
how targeting can raise government health
spending elasticities
86 Table 5. i Reducing barriers facing households
in the use of effective child health interventions
89 Table 5.2 Reducing barriers to the use of
effective maternal health interventions by
households
91 Table 5.3 Reducing barriers to the use of
effective interventions for malaria, HIV/AIDS,
and tuberculosis by households
133 Table 8.1 Public health responsibilities and
functions
137 Table 8.2 Potential for intersectoral synergies to
achieve the Millennium Development Goals for
health and nutrition
140 Table 8.3 Examples of public health functions
and infrastructure requirements for preventing
and controlling communicable diseases
152 Table 9.1 Some uncomfortable arithmetic—
how long to raise domestic resources for health?
|
| any_adam_object | 1 |
| author | Wagstaff, Adam Claeson, Mariam |
| author_facet | Wagstaff, Adam Claeson, Mariam |
| author_role | aut aut |
| author_sort | Wagstaff, Adam |
| author_variant | a w aw m c mc |
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| callnumber-raw | RA427.8 UN9 MG 2004.M32 .ENG |
| callnumber-search | RA427.8 UN9 MG 2004.M32 .ENG |
| callnumber-sort | RA 3427.8 |
| callnumber-subject | RA - Public Medicine |
| classification_rvk | QX 700 |
| ctrlnum | (OCoLC)54803731 (DE-599)BVBBV019343458 |
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| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie Wirtschaftswissenschaften |
| format | Book |
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| id | DE-604.BV019343458 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T19:58:05Z |
| institution | BVB |
| isbn | 0821357670 |
| language | English |
| lccn | 2004047781 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-012807877 |
| oclc_num | 54803731 |
| open_access_boolean | |
| owner | DE-703 |
| owner_facet | DE-703 |
| physical | XIV, 186 S. graph. Darst. |
| publishDate | 2004 |
| publishDateSearch | 2004 |
| publishDateSort | 2004 |
| publisher | World Bank |
| record_format | marc |
| spelling | Wagstaff, Adam Verfasser aut The millennium development goals for health rising to the challenges by Adam Wagstaff and Mariam Claeson Rising to the challenges Washington, DC World Bank 2004 XIV, 186 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Planejamento em saúde larpcal Planificación de la salud Planificación de la salud - Estudios interculturales Politique de la santé rasuqam Politique gouvernementale rasuqam Politique sanitaire Politique sanitaire - Études transculturelles Política de saúde larpcal Política médica Política médica - Estudios interculturales Promoción de la salud Promoción de la salud - Estudios interculturales Promotion de la santé Promotion de la santé - Études transculturelles Promotion de la santé rasuqam Promoção da saúde larpcal Santé publique - Planification Santé publique - Planification - Études transculturelles Étude transculturelle rasuqam Cross-Cultural Comparison Health Planning Health Policy Health Promotion Health planning Health planning Cross-cultural studies Health promotion Health promotion Cross-cultural studies International Cooperation Medical policy Medical policy Cross-cultural studies Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Kulturvergleich (DE-588)4114328-0 gnd rswk-swf Gesundheitsförderung (DE-588)4294611-6 gnd rswk-swf Gesundheitsförderung (DE-588)4294611-6 s Kulturvergleich (DE-588)4114328-0 s DE-604 Gesundheitspolitik (DE-588)4113743-7 s Claeson, Mariam Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012807877&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Wagstaff, Adam Claeson, Mariam The millennium development goals for health rising to the challenges Planejamento em saúde larpcal Planificación de la salud Planificación de la salud - Estudios interculturales Politique de la santé rasuqam Politique gouvernementale rasuqam Politique sanitaire Politique sanitaire - Études transculturelles Política de saúde larpcal Política médica Política médica - Estudios interculturales Promoción de la salud Promoción de la salud - Estudios interculturales Promotion de la santé Promotion de la santé - Études transculturelles Promotion de la santé rasuqam Promoção da saúde larpcal Santé publique - Planification Santé publique - Planification - Études transculturelles Étude transculturelle rasuqam Cross-Cultural Comparison Health Planning Health Policy Health Promotion Health planning Health planning Cross-cultural studies Health promotion Health promotion Cross-cultural studies International Cooperation Medical policy Medical policy Cross-cultural studies Gesundheitspolitik (DE-588)4113743-7 gnd Kulturvergleich (DE-588)4114328-0 gnd Gesundheitsförderung (DE-588)4294611-6 gnd |
| subject_GND | (DE-588)4113743-7 (DE-588)4114328-0 (DE-588)4294611-6 |
| title | The millennium development goals for health rising to the challenges |
| title_alt | Rising to the challenges |
| title_auth | The millennium development goals for health rising to the challenges |
| title_exact_search | The millennium development goals for health rising to the challenges |
| title_full | The millennium development goals for health rising to the challenges by Adam Wagstaff and Mariam Claeson |
| title_fullStr | The millennium development goals for health rising to the challenges by Adam Wagstaff and Mariam Claeson |
| title_full_unstemmed | The millennium development goals for health rising to the challenges by Adam Wagstaff and Mariam Claeson |
| title_short | The millennium development goals for health |
| title_sort | the millennium development goals for health rising to the challenges |
| title_sub | rising to the challenges |
| topic | Planejamento em saúde larpcal Planificación de la salud Planificación de la salud - Estudios interculturales Politique de la santé rasuqam Politique gouvernementale rasuqam Politique sanitaire Politique sanitaire - Études transculturelles Política de saúde larpcal Política médica Política médica - Estudios interculturales Promoción de la salud Promoción de la salud - Estudios interculturales Promotion de la santé Promotion de la santé - Études transculturelles Promotion de la santé rasuqam Promoção da saúde larpcal Santé publique - Planification Santé publique - Planification - Études transculturelles Étude transculturelle rasuqam Cross-Cultural Comparison Health Planning Health Policy Health Promotion Health planning Health planning Cross-cultural studies Health promotion Health promotion Cross-cultural studies International Cooperation Medical policy Medical policy Cross-cultural studies Gesundheitspolitik (DE-588)4113743-7 gnd Kulturvergleich (DE-588)4114328-0 gnd Gesundheitsförderung (DE-588)4294611-6 gnd |
| topic_facet | Planejamento em saúde Planificación de la salud Planificación de la salud - Estudios interculturales Politique de la santé Politique gouvernementale Politique sanitaire Politique sanitaire - Études transculturelles Política de saúde Política médica Política médica - Estudios interculturales Promoción de la salud Promoción de la salud - Estudios interculturales Promotion de la santé Promotion de la santé - Études transculturelles Promoção da saúde Santé publique - Planification Santé publique - Planification - Études transculturelles Étude transculturelle Cross-Cultural Comparison Health Planning Health Policy Health Promotion Health planning Health planning Cross-cultural studies Health promotion Health promotion Cross-cultural studies International Cooperation Medical policy Medical policy Cross-cultural studies Gesundheitspolitik Kulturvergleich Gesundheitsförderung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012807877&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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