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Food Prices, Nutrition and the Millennium Development Goals

Jos Verbeek's picture

How are communities around the world coping with the higher and more volatile food prices? What is the impact on poverty, or on nutritional outcomes? And, how should policymakers respond to such price spikes that can eat away at already-tight budgetary resources?

These are only some of the questions that a key World Bank-IMF report is delving into as it provides an annual assessment on progress towards the Millennium Development Goals (MDGs) as well as the challenges which developing countries face in achieving them. 

Seasonal Hunger: A Forgotten Reality

Shahid Khandker's picture

Harvesting crops. Bangladesh. Photo: Thomas Sennett / World BankThe seasonality of poverty and food deprivation is a common feature of rural livelihood in Bangladesh, but it is more marked in the northwest region of Rangpur.  The recently launched policy interventions in the region provide a test case of what works and what does not in combating seasonal hunger.

Key messages
The analysis of Bangladesh’s experience with seasonal hunger vis-à-vis year-round poverty shows a clear distinction between what is observed and what is excluded from placement and evaluation of poverty-mitigation policies, based on official poverty statistics. The key recommendations from this analysis are as follows: 

Health System Innovation in India Part III

Adam Wagstaff's picture

Taking high-quality affordable primary care to the rural poor with the help of handheld computers, telemedicine, and P4P.

In our first post in this series, we showed how illness in India causes financial hardship and leaves Indians—especially poor ones—with limited access to affordable good-quality health care that can actually make them better. In our last post, we outlined the Aarogyasri scheme—a novel government-sponsored health insurance program in the state of Andhra Pradesh that has the potential not just to reduce financial impoverishment but also raise quality standards in hospital care. In this post, we discuss an innovative private-sector approach to delivering and financing primary health care in rural Andhra Pradesh.

Health System Innovation in India Part II: Aarogyasri

Adam Wagstaff's picture

More than health insurance for the poor

In our last post, we showed how illness in India causes financial hardship and leaves Indians—especially poor ones—with limited access to affordable good-quality health care that can actually make them better. In this post, we outline a novel government-sponsored health insurance program in the state of Andhra Pradesh (AP)—a program that has the potential not just to reduce financial impoverishment but also raise quality standards in hospital care.

a) “Actors”, and their rights and responsibilities

Initiated by the then chief minister of AP, the medical doctor YSR Reddy, the Rajiv Aarogyasri scheme started in 2007 and is targeted at the below-poverty line (BPL) population. The scheme focuses on life-saving procedures that aren’t covered elsewhere in India’s patchwork of health programs, for which treatment protocols are available, and for which specialist doctors and equipment are required. Currently 938 tertiary care procedures are covered. The scheme revolves around five key “actors”, one unique to Aarogyasri and all with interesting rights and responsibilities.

Health System Innovation in India Part I: India’s health system challenges

Adam Wagstaff's picture

India’s health system faces some major challenges. In some respects, the hill India’s health system has to climb is steeper than that facing other developing countries. The good news is that the innovation that India is famous for in other sectors, as well as in health technology, is now starting to make itself felt in the health system. Not only may these ideas benefit India’s poor; they may also provide food for thought for other countries.

In this post, we sketch out the challenges facing India’s health system. In the next two, we outline two innovative approaches—one government, one private—in the state of Andhra Pradesh.

Why Civil Registration matters in the countdown to the Millennium Development Goals

Sulekha Patel's picture

With just four years to the target date of 2015, progress on the health-related Millennium Development Goals (MDGs) has been slow. Measuring progress has been hampered by the lack of quality and timely data; this is especially true when measuring progress toward goals that rely on civil registration for their information, such as Goal 4 on reducing child mortality. Available data in the new edition of World Development Indicators show that of the 144 countries for which data are available, more than 100 countries remain off-track to reach the MDG 4 by 2015.  

Health reform: A consensus emerging in Asia?

Adam Wagstaff's picture

Amanda Glassman’s blog post on Ghana’s health insurance program and the firestorm it produced (hat tip to Mead Over) is a reminder of the passions that health reform debates still generate. This is intriguing because my sense is that while we health-reform aficionados are berating one another in the blogosphere, policymakers in Asia are quietly iterating toward something of a consensus on a whole swathe of key issues on health reform. The process isn’t always driven by hard evidence, but that’s because there isn’t much hard evidence either way. I certainly don’t see compelling evidence against the emerging consensus—if that’s what it is. And what’s emerging is rather interesting.

Could easier access to AIDS treatment increase risky sexual behaviors?

Damien de Walque's picture
 Photo: istockphoto.com

By the end of 2009, an estimated 5.2 million people in low- and middle-income countries received antiretroviral therapy (ART). In sub-Saharan Africa, nearly 37% [34%–40%] of people eligible for treatment had access to those life-saving medicines (UNAIDS 2010). This is an extraordinary achievement, considering that as recently as 2003, relatively few people living with HIV/AIDS had access to ART in Africa. The scaling-up of ART in Africa and other regions has saved the lives of countless people and we hope will continue to do so.

 At the same time, access to HIV/AIDS treatment might have transformed the perception of AIDS from a death sentence to a manageable, chronic condition, not necessarily different from any other chronic disease. Such a change in perception could lead to change in sexual behaviors. If AIDS is not perceived as a killer disease anymore, it might induce complacency and increase risky behaviors and the mixing between higher- and lower-risk groups in the population. That’s what has been described as the “disinhibition” hypothesis.

Schooling in Haiti: Persistent Challenges and Glimmers of Success at the 1-year Anniversary

Peter Holland's picture

 A school girl in Haiti.  Photo © World Bank
The one-year anniversary of Haiti’s catastrophic earthquake gives us pause to reflect on the progress of the reconstruction efforts, despite the tremendous challenges the country has faced.   The human tragedies (one million still homeless, about 150,000 infected with cholera) compounded by the ongoing political standoff can be despairing.  Still, there are some glimmers of success that provide some motivation for those of us working to transform and modernize Haiti.  The findings from our recent working paper provide a bit more confidence that we are heading in the right policy direction in Haiti’s education sector.  Given the country’s data-scarce environment, this kind of objective reassurance is hard to come by, and very welcome. 

Improving public health with open data

Tamar Manuelyan Atinc's picture

Major funders of public health research – the World Bank included – have today issued a joint statement to champion the wider sharing of data to achieve better public health worldwide.

Mother and boy being attended to by Health Education nurse. Sri Lanka. Photo © Dominic Sansoni / World Bank

This is a great step forward: advances in public health throughout the decades, perhaps like no other discipline, have been underpinned by careful research based on data. An early and celebrated example is the epidemiologist John Snow’s study of the relationship between the water supply and cholera outbreaks in central London in 1854, which used public data to establish the link between contaminated water and the disease. More recently, the mapping of the human genome was completed by a global collaborative effort based on the sharing of effort and data.

In many fields and in many countries, sharing of data is fast becoming normal practice (www.data.gov). An environment where data are open, freely available and easily accessible to all can provide tremendous benefits for development. At the World Bank we opened our databases last April. And there are great examples of agencies starting to routinely provide access to their datasets, which were previously closely guarded, such as data collected through household surveys.

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