Syndicate content

universal health coverage

Why do finance ministries matter to achieving universal health coverage?

Maxwell Bruku Dapaah's picture
Also available in: Español | 日本語 
コスモクロック21を背景にみなとみらい21地区を歩く「競争力のある都市づくり」実務者研修会合の参加者たち。みなとみらい21地区は、横浜市の中でも付加価値の高い活動が集中し、生活の質の高さに重点をおいた地区となっている。 写真提供:東京開発ラーニングセンター(TDLC)
都市の首長たちの業務を考えるとき、市民に効率的な都市サービスを提供することに加え、雇用創出を行うことは、世界的な経済成長の最優先事項となっています。

こうした中、都市には、市民の雇用と、基礎的なサービスに対応する事業のための税収を生み出す手段が必要になっています。 競争都市に関する世界銀行の主要報告書(2015年発行)では、 早急に大規模な雇用を創出することが不可欠だ と指摘されています。
 
2017年11月 、アルゼンチン、チリ、クロアチア、エジプト、エチオピア、マレーシア、フィリピン、ルーマニア、南アフリカ、チュニジア、ウガンダ等から約30名の都市および国の政府関係者、政策担当者が1週間にわたる「競争力のある都市づくり」実務者研修会合を行いました。世界中の都市を代表する参加者にとって、それぞれの都市や地域が競争力を高める手法を探すことが目的でした。

多くの都市では組織構造の断片化や管轄区域の重複などが起こり、組織内プロセスの透明化が必要となっています。また、経済開発戦略を民間セクターと調整することが困難な都市もあります。根拠に基づく政策課題を推進するための適切な準国家社会経済データの欠如も挙げられます。自治体の首長は、理論上の教訓ではなく、実践的で実現可能な知見を模索しているのです。

日本の横浜市と神戸市で行われた本 実務者研修会合では、都市の競争力に関連し、日本の優れた知見を学ぶことができました。横浜市と 神戸市は特に以下について豊富な知見を有しています。
  • 人口流入
  • 急速な産業化
  • 環境課題への対応
  • 先端技術の取得
  • 住宅バブル
  • 大規模な災害(阪神淡路大震災)と復興

Towards Universal Health Coverage: Tackling the health financing crisis to end poverty

Juhie Bhatia's picture


The Stade Vélodrome in Marseille, France. Photo Credit: Ben Sutherland via Flickr Creative Commons

In June 2016, nearly 2.5 million enthusiastic spectators gathered in France to attend the Euro 2016 soccer tournament.

Those participating in matches in Lille, Bordeaux, Marseille or Nice would have noticed the brand new facilities and bold architectural design, but most probably didn’t realize these stadiums had been either constructed or modernized with financing through the relatively new “Contrat de partenariat” public-private partnership (PPP) scheme.

Fighting for Breath: A call to action on childhood pneumonia

Kevin Watkins's picture
credit: Save The Children

Sarah Ruteri*, aged 14 months, is a survivor. A few months ago, I saw her admitted to the pediatric ward of Lodwar hospital in northern Kenya’s drought-affected Turkana district. Suffering from severe pneumonia, Sarah was gasping for breath – and fighting for her life. Her tiny ribcage was convulsed by a losing struggle to get air into her lungs. Doctors told her mother to expect the worst. But with a combination of oxygen therapy and intravenous antibiotics, Sarah pulled through.

Lao PDR’s transition on the path to Universal Health Coverage

Somil Nagpal's picture
Ouvriers qui coulent du béton au Timor-Leste. © Alex Baluyut/Banque mondiale


Cette semaine, les pays du monde entier se réunissent au siège des Nations Unies à New York pour adopter les 17 Objectifs de développement durable (ODD) qui guideront les efforts mondiaux de développement jusqu’en 2030. Les ODD bénéficient d’un engagement actif et d’un appui massif de la part du Groupe de la Banque mondiale et des autres organisations multilatérales, mais ce sont les pays eux-mêmes qui en définissent le contenu.

Ce programme est à la fois ambitieux (le nombre d’objectifs a été multiplié par plus de deux par rapport aux 8 objectifs du Millénaire pour le développement, qui seront officiellement remplacés par les ODD à la fin de 2015) et plus complet que le précédent. Par exemple, le premier OMD visait à « mettre fin à l’extrême pauvreté et la faim d’ici 2015 ». Les ODD qui lui succèdent reprennent intégralement ces défis : « Éliminer la pauvreté sous toutes ses formes et partout dans le monde » (Objectif n° 1) et « Éliminer la faim, assurer la sécurité alimentaire, améliorer la nutrition et promouvoir l’agriculture durable » (Objectif n° 2). Et dans un monde où les « marchés émergents » englobent désormais des économies plus vastes que nombre de membres de l’Union européenne, les pays ont choisi de rendre ces objectifs universels, afin qu’ils s’appliquent autant aux nations les plus riches qu’aux plus pauvres de la planète.

Realizing the promise of universal health coverage

Tim Evans's picture

Près de 300 millions d’Africains de l’Est et de l’Ouest vivent en zone aride et dépendent d’activités liées au milieu naturel pour survivre. Un chiffre qui pourrait atteindre 540 millions en 2030 sachant que, sous l’effet du changement climatique, les zones arides pourraient augmenter de 20 % en Afrique.

Income inequality and differential mortality: An ominous combination

Patricio V. Marquez's picture

A man smokes in Indonesia. © Curt Carnemark/World Bank

It is safe to argue that the issue of income and wealth inequality is nowadays at the center of political debate across the world. Leading intellectuals such as Thomas Piketty in his seminal work, “Capital in the Twenty-First Century,” and Joseph Stiglitz in “The Price of Inequality” have rigorously analyzed the evolution of this social phenomenon and argued that increased inequality and lack of opportunity are creating divided societies that are endangering the future of nations.

Those working in public health have for years documented and discussed how low and decreasing incomes, decline in standards of living, and lack of or limited access health care and other essential services contribute to inequalities in health, manifested in a widening gap in life expectancy between the rich and the poor.

Shaping a new era for health financing

Tim Evans's picture


Когда специалисты-практики в области развития, такие как мы, размышляем о бедности, в первую очередь на ум приходит, конечно же не ЕС. И хотя средний уровень доходов в Европе выше, чем в большинстве регионов мира, справедливо и то, что глобальный финансовый кризис 2008 года оказал огромное влияние на благосостояние наиболее уязвимых групп населения во многих странах европейского региона.

Saturday, December 12 was UHC Day. What have we learned in the last 12 months about Universal Health Coverage?

Adam Wagstaff's picture

Maintaining and restoring ocean ecosystems – or ‘ocean health’ – is synonymous with growing ‘ocean wealth,’ according to a soon-to-be published report by the World Bank and European Union. With rapid population growth, limited land and fewer terrestrial resources to house, feed and provide citizens with their energy needs, coastal nations across South Asia are looking seaward. In doing so, countries are clueing in on the fact that sustainably managing and developing ocean spaces is critical to a nation’s economic advancement.

Thinking Blue - thinking how best to sustainably tap ocean spaces as new sources of sustainable growth and transition to a blue economy - is new, although South Asian nations have used the sea for food and trade for centuries. Five years ago, few had an inkling of the emerging importance of the term 'blue economy.'

By late 2017, at the Second International Blue Economy Dialogue hosted by the Government of Bangladesh in Dhaka, interest in what the blue economy is and why it matters is at an all-time high and rising. Perhaps this not surprising. 

Will India leapfrog toward universal health coverage?

Somil Nagpal's picture
 
Over a billion people—about 15% of the world’s population—have disabilities. Almost 80% of them live in the developing world, which is undergoing rapid urbanization.

While urbanization brings people closer to new economic and sociocultural opportunities, persons with disabilities still face a range of constraints in many cities, such as inaccessible buildings and public spaces, limited transportation options, inaccessible housing, and barriers in using technology-enabled virtual environments.

These urban constraints have a significant impact on those living with disabilities in terms of mobility, ability to engage in education and skills development, employability and income generation, and larger social and political participation.

Therefore, urban development must acknowledge and plan for the needs of a diverse population which includes persons with disabilities. And there is no better time than now to make that happen. 

Pages