Back in the 1930s, Sri Lanka thought it would be a good idea to give everyone free access to health care. More than 75 years later, as the global health community bangs the drum for universal health coverage (UHC), Sri Lankans can be forgiven for letting out a yawn and wondering what all the fuss is about. But as shown by a workshop organized in Colombo last week to mark the first World UHC Day, the concept of universal health coverage (“all people receive the health services they need without suffering financial hardship”) does still have relevance here.
Start with the history. By 1960 Sri Lanka’s health indicators were already well above the curve for its income level, and it was close to having the best health outcomes in developing Asia. It started the MDG era in 1990 with a level of child mortality that was lower than where most Asian countries – including Vietnam, Philippines, Indonesia, and its South Asian neighbors India, Pakistan and Bangladesh – will finish it in 2015. Vaccination rates are above 99%. And all this was achieved without results-based financing, conditional cash transfers, or today’s other proposed silver bullet solutions for improving health.
Today marks the second annual UN World Toilet Day, an important opportunity to promote global efforts to achieve universal access to sanitation by 2030. With a focus on equality and dignity, this year, World Toilet Day aims to highlight sanitation as a global development priority, especially for women and girls who must compromise their dignity and put their safety at risk when lack of access to sanitation forces them to defecate in the open.
Junaid Ahmad, World Bank Group Senior Director for Water, and Caren Grown, World Bank Group Senior Director for Gender, wrote a blog for Thomson Reuters Foundation ahead of World Toilet Day. Read the blog below, which originally appeared in Thomson Reuters Foundation.
Advancing equality for women in developing countries is not only the right thing to do, it makes good economic sense.
Gender equality enhances productivity, improves well-being, and renders governing bodies more representative. And yet around the world, discriminatory laws, preferences, and social norms ensure that girls and women learn less, earn less, own less, enjoy far fewer opportunities to achieve their potential, and suffer disproportionately in times of scarcity or shock.
Each month, People, Spaces, Deliberation shares the blog post that generated the most interest and discussion.
In August 2014, the most popular blog post was "Entertainment Media Can Help Change Behaviors and Stop the Ebola Outbreak"
In this post, Senior Economist Margaret Miller and Economic Adviser Olga Jonas, in collaobration with the UNICEF Communication for Development Team (C4D), discuss the ways in which entertainment media can be used to raise awareness among publics facing a crisis and to support interventions by encouraging the adoption of safe behaviors.
Using entertainment media in this way to inform, educate and support behavior change is also known as entertainment education (EE). "Entertainment education is effective," states Miller and Jonas "because narratives or stories are emotionally powerful – they help us to organize information and to create the “mental models” that we use to make sense of the world and can help to explain why we behave in particular ways."
Read the blog post to learn more!
In my 10 years of working in the World Bank, I have seen remarkable changes around me. In 2004, Emerald Avenue in Ortigas Center, where the old World Bank office was located, started to wind down after 9 PM. Finding a place to buy a midnight snack whenever I did overtime was hard. It was also hard to find a taxi after work.
Today, even at 3 AM, the street is bustling with 24-hour restaurants, coffee shops, and convenience stores, hundreds of BPO (Business Process Outsourcing) employees taking their break, and a line of taxis waiting to bring these new middle class earners home. Living in Ortigas Center today means that I also benefit from these changes.
“We felt like human beings again” asserts a survivor of sexual violence at the Panzi Hospital in Eastern DRC. Survivors arrive here with serious physical injuries and deep psychological scars. Some are accompanied by children who are painful reminders of the rape and trauma they suffered. They face numerous hurdles to putting their lives back together—stigma, isolation, and hopelessness. While many organizations provide support, only a few are able to offer the full range of services required—medical care, mental health support, legal aid and economic activities.
Rift Valley Fever, which can infect both humans and animals, has long plagued East Africa. And climate change, in combination with urbanization, population growth, and travel, can increase conditions that are favorable for this disease and many others.
Temperature, humidity, and rainfall will be affected by climate change –and each can influence the way that disease develops and spreads. Mosquitoes, for example, thrive in warm, humid climates. As climate change alters the geography of these conditions, the number and range of mosquitoes will also change, spreading the diseases that they carry, and exposing populations that have never before seen them. But this is not just true for mosquitoes – ticks, midges, and other vectors that carry disease also stand to have greater impact with climate change. The impact will be felt—with increasing intensity– by both humans and animals. Of the nearly 340 diseases that have been identified in humans since 1940, ¾ are zoonotic, passing directly from animal species to humans.
Income differences arise from many sources. While some kinds of inequality, caused by effort differences, might be associated with faster economic growth, other kinds, arising from unequal opportunities for investment, might be detrimental to economic progress. A new World Bank study by Francisco H. G. Ferreira, Christoph Lakner, Maria Ana Lugo, and Berk Özler uses two new metadata sets, consisting of 118 household surveys and 134 Demographic and Health Surveys, to revisit the question of whether inequality is associated with economic growth and, in particular, to examine whether inequality of opportunity -- driven by circumstances at birth -- has a negative effect on subsequent growth. The results are suggestive but not robust: while overall income inequality is generally negatively associated with growth in the household survey sample, the study finds no evidence that this is due to the component associated with unequal opportunities.
In this context, and to better assist countries achieve safer and cleaner mobility, the World Bank, in partnership with the Institute for Health Metrics and Evaluation (IHME), has issued a new report: Transport for Health: The Global Burden of Disease from Motorized Road Transport. The IHME is the home of the Global Burden of Disease study, widely considered among the preeminent global health metrics publications.
The Transport for Health report, for the first time, quantifies the global health loss from injuries and air pollution that can be attributed to motorized road transport. The results are stark and call for immediate action: deaths from road transport exceed those from HIV, tuberculosis, or malaria; together, road injuries and pollution from vehicles contribute to six of the top 10 causes of death globally. Moreover, road injuries are among the top-10 causes of death among women of childbearing age and the fourth leading cause among women aged 15-29.