In the early 1990s, selling condoms was highly controversial in Vietnam. For so long, condoms had been distributed to each household throughout the country for free for family planning use only. Condoms were not used for promoting safe sex. It was extremely difficult to convince the media to advertise condoms, very hard to convince the government that it was possible to generate revenue from selling condoms. People found it embarrassing to buy condoms in shops or drugs stores.
Data on Millennium Development Goals (MDG) indicator trends for developing countries and for different groups of countries are curated in the World Development Indicator (WDI) database. Each year we use these data in the Global Monitoring Report (GMR) to track progress on the MDGs. Many colleagues, as well as non-Bank staff, approach us on a weekly basis with questions regarding where their region, or country, or sector stands in regard to achieving the core MDGs. Oftentimes in the same breath, they will also ask us whether or when we expect that a particular country or region will meet a certain MDG.
With less than 1,000 days remaining to the MDG deadline, work on the Post-2015 agenda is in full swing. In response to the growing demand for additional info about GMR analytics and the underlying data, we developed a suite of open and interactive data diagnostics dashboards available at: http://data.worldbank.org/mdgs. Below is an extract which summarizes the progress status towards meeting various MDGs among countries in various regions, income and other groups. Select different indicators and highlight categories of progress status to interact with the visualization.
This will be my last post on Africa Can. Having recently started a new adventure as Chief Economist of the World Bank’s Middle East and North Africa (MENA) region, I will be blogging on that region’s issues in the MENA blog as well as starting a more general blog (tentatively titled “Economics to end poverty”) with some of my fellow bloggers. It has been a privilege to moderate Africa Can, and I want to thank our readers for the stimulating, lively and frank discussions, as well as for having made this the most popular blog at the Bank.
Cũng có ở Tiếng Việt
Doing something useful for my country, Vietnam, always makes me happy. And I’ve tried to get this feeling through my work in developing the transport infrastructure network in Vietnam for over 10 years. Vietnam has come a long way, but there are still many related challenges ahead to make such development sustainable.
I still recall a conversation with a Bank’s specialist on HIV/AIDS a few years ago. We were discussing about the people who have recently availed of the Voluntary Counseling and Testing centers in the Mekong Delta region for HIV tests. She pointed out that they were mostly wives of construction workers employed in infrastructure projects. Sometime later I visited the construction sites and talked to the workers and their managers about the subject. I felt so worried, as their understanding on HIV/ AIDS was quite limited and wondered what could be done to protect this group of people from such a deadly disease?
How can states best promote active citizenship, in particular to improve the quality and accountability of state services such as education? This was the topic of a great two hour brainstorm with half a dozen very bright sparks from the secretariat of South Africa’s National Planning Commission yesterday. The NPC, chaired by Trevor Manuel (who gave us a great plug for the South African edition of From Poverty to Power) recently brought out the National Development Plan 2030 (right), and the secretariat is involved with trying to turn it into reality.
I kicked off with some thoughts which should be familiar to regular readers of this blog: the importance of implementation gaps, the shift in working on accountability from supply side (seminars for state officials) to demand side (promote citizen watchdogs to hold the state to account) and the challenge from the ODI-led Africa Power and Politics Programme that accountability work needs to break free of such supply/demand thinking and pursue ‘collective problem-solving in fragmented societies hampered by low levels of trust’, which seems a pretty good description of South Africa, according to the NPC. I gave the example of the Tajikistan Water Supply and Sanitation Network as an example of how this can be done through ‘convening and brokering’.
Once I shut up, it got more interesting (funny how often that happens). Some of the most interesting questions (and responses from me and others).
The Global Burden of Disease Study 2010 (GBD 2010), a systematic effort to assess the global distribution and causes of major diseases, injuries, and health risk factors, was launched last week in London.
And a special issue of The Lancet has published its results (http://www.thelancet.com/themed/global-burden-of-disease).
What are some of the main findings for Africa that can be drawn from the GBD 2010?
- Since 1990, the largest gains in life expectancy worldwide occurred in sub-Saharan African countries, especially in Angola, Ethiopia, Niger and Rwanda, where life expectancy increased by 12-15 years for men and women. Overall, male life expectancy increased from 48.8 in 1990 to 53.2 years in 2010 in central sub-Saharan Africa, 50.9 to 59.4 years in eastern sub-Saharan Africa, and 53.0 to 57.9 years in western sub-Saharan Africa.
Although I have committed much of my career to the global fight against HIV and AIDS, this year's World AIDS Day is a special one for me in two ways. First, there's the remarkable news from UNAIDS that more than 8 million people globally are now on treatment, and 25 countries have achieved more than a 50 percent decline in HIV prevalence. With this progress, I am more optimistic than ever about our ability to end AIDS.
As the US government’s new blueprint for an AIDS-free generation demonstrates, today we have the science, the knowledge, the experience, and the tools to fight the epidemic. I was particularly happy to see that the blueprint included multi-year, sustainability strategies and that it stressed the need to support country leadership. With that leadership, and with a long-term plan owned by countries, these efforts can succeed.
|Photo from Aktionsbündnis gegen Aids through a Creative Commons license|
It was Christmas dinner two years ago, in 2010, among my gay friends. I just came back from an expat assignment in the US, and was greatly enjoying the uniquely Filipino way of celebrating the cheery season. Towards the end of that dinner, one of my close friends came up to me saying he wanted to speak with me in private.
The two of us went outside the restaurant, and in a dark corner of the parking lot he told me he wanted me to be among the first to know. Early that month, he had himself tested for HIV, and found out he was positive. I was so shocked that no words came out of my mouth, I remember just giving him the tightest hug I could, my mind blank, my heart racing, not knowing what to say or do next. He was my first close friend who came out to me as HIV-positive.
In Malaysia, over half of all HIV infections are transmitted through sharing contaminated needles and syringes. To combat the spread of the epidemic, the government in 2006 spearheaded 'harm reduction' interventions (pdf) which included a program where people who inject drugs are provided unused needles and syringes in exchange for used injecting equipment. Those who are addicted to opioids such as heroin, the most commonly used illicit substance in Malaysia, can also enroll in rehabilitation for synthetic opioid replacement therapy. Synthetic opioids, taken orally, help stabilize the opioid cravings of patients, thus enabling them to work. The move to introduce harm reduction in Malaysia revealed something that caught people by surprise—many of the fishermen from port city on the east coast of peninsular Malaysia use drugs.
Amid political statements and declarations of commitment, several sessions at the ongoing International AIDS Conference 2012 have shined a bright light on the future of the pandemic and the global response.
In one session, Dr. Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID) at the U.S. National Institutes of Health, gave a keynote address, “Ending the HIV/AIDS Pandemic: From Scientific Advances to Public Health Implementation.”
According to Dr. Fauci, who has been at the forefront of the fight against HIV/AIDS since the discovery of the virus in the early 1980s, the scientific developments in the last three decades that have helped understand, treat and prevent HIV infection bode well for the promise of a world free of AIDS. He noted that the robust arsenal of nearly 30 antiretroviral drugs and scientifically proven interventions now available to treat and prevent HIV infection and improve people’s health and longevity, offer an unprecedented opportunity in the years ahead. However, he was clear in cautioning that this will not be accomplished without sustained global commitment and effort. This means that the international community cannot retreat in the face of the current economic slowdown, but rather build upon those advances, adjusting, adapting and strengthening the response on the basis of accumulated experience and lessons learned from across the world.
If we heed Dr. Fauci’s advice, it should be clear to all of us that while we need international funding from current and new donors to sustain the global effort, developing country governments also can and should step in and prioritize funding and investments to contribute to the fight against HIV/AIDS and for other health priorities. While some people argue that the unprecedented funding for AIDS in the last decades has created imbalances in the global health agenda, we should also remember that in previous decades the underfunding and underdevelopment of health systems in most of the world, and the resulting lack of or limited access to basic health services for the majority of the population, was a common phenomenon that came before the AIDS response.