This week, more on the global movement toward universal health coverage. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and other content of note. For more, follow us @worldbankhealth.
I’m a big believer in setting highly ambitious targets in order to galvanize communities and countries to take action on serious issues. When I was at the World Health Organization in 2003, we set a target called “3 x 5” – committing to treat 3 million people with HIV/AIDS in the developing world by 2005.
At the time, just a few hundred thousand people in the developing world had access to the life-saving treatment. When we announced the target, the global health community was still arguing about whether HIV treatment in poor countries was possible. Some called it an impossible dream that would give people false hope.
I responded that no one ever said treating 3 million people would be easy. But we needed a measurable and time-limited target to change fundamentally the way we thought about the challenges of HIV in developing countries. The target helped change the way we worked – we had fewer arguments about if we should do it, and focused on how to get it done.
In this week's edition, we lead with World Malaria Day. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and other content of note. For more, follow us @worldbankhealth.
In this week's edition, we lead with a new World Bank report on the impact of road accidents worldwide. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and other content of note. For more, follow us @worldbankhealth.
Each Friday, we share a selection of global health Tweets, infographics, stories, blog posts, videos and other content of note. For more, follow us @worldbankhealth.
Jim Yong Kim knows something about prejudice. When he was growing up Asian American in Iowa, kids would make “kung fu” gestures and hurl racial slurs at him. In an op-ed published in the Washington Post, the World Bank Group president writes that his experiences are “trifling indignities” compared to what gay and lesbian citizens of Uganda and Nigeria are now experiencing, in the wake of new laws making homosexuality a crime punishable by up to life in prison.
Institutionalized discrimination goes far beyond those countries, he notes; 81 other countries also criminalize homosexuality. It also goes beyond sexual orientation to encompass laws that discriminate against women and members of minority groups. And aside from being wrong, Kim writes, “Widespread discrimination is also bad for economies. There is clear evidence that when societies enact laws that prevent productive people from fully participating in the workforce, economies suffer.”
He points out the irony that AIDS activists, many of them gay, fought to ensure access to life-saving drugs for people with AIDS, most of them African. Kim concludes, “Eliminating discrimination is not only the right thing to do; it’s also critical to ensure that we have sustained, balanced, and inclusive economic growth in all societies.”
Read the full op-ed here.
World Press Freedom Index 2014
Reporters Without Borders
The 2014 World Press Freedom Index spotlights the negative impact of conflicts on freedom of information and its protagonists. The ranking of some countries has also been affected by a tendency to interpret national security needs in an overly broad and abusive manner to the detriment of the right to inform and be informed. This trend constitutes a growing threat worldwide and is even endangering freedom of information in countries regarded as democracies. Finland tops the index for the fourth year running, closely followed by Netherlands and Norway, like last year. At the other end of the index, the last three positions are again held by Turkmenistan, North Korea and Eritrea, three countries where freedom of information is non-existent. READ MORE
Throwing the transparency baby out with the development bathwater
In recent weeks, a number of leading voices within the international development movement – including the billionaire philanthropist Bill Gates as well as development economist Chris Blattman and tech-for-development expert Charles Kenny - have come out arguing that corruption and governance efforts in developing countries should be de-prioritized relative to other challenges in health, education, or infrastructure. Their basic argument is that while yes, corruption is ugly, it’s simply another tax in an economic sense and while annoying and inefficient, can be tolerated while we work to improve service delivery to the poor. The reality is more complicated and the policy implications precisely the opposite: corruption’s “long tail” in fact undermines the very same development objectives that Gates, Blattman, and Kenny are advocating for. READ MORE
Building social movements. I often hear about the need to create social movements to tackle a number of entrenched global challenges such as ending extreme poverty, promoting greater income equality, and combatting climate change.
History is full of social movements that have succeeded and failed. The lessons from one ongoing movement that I know well – the fight against AIDS – should be examined closely by those looking to build movements today.
Lesson No. 1 from the AIDS movement is to believe only in the possibility -- not the inevitability -- of success. Opponents will fight and appear immovable. As those of us who lived through the early days of the AIDS fight, it was always far from certain that we would reach our goals.
“You cannot eat a sweet with the wrapping,” young men from South Africa told researchers as part of a recent World Bank study, explaining why they refuse to wear condoms despite a high and well-known risk of HIV. Men often don’t see condoms as manly, and women feel unable to insist.
What does this mean? A 2011 Gallup poll of 19 sub-Saharan African countries, home to more than two-thirds of the world's HIV-infected population, found most adults know how to prevent the spread of HIV. But while 72 percent agreed people should use latex condoms every time they have sex, only 40 percent said they ever had.