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.
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Country Partnership Strategies are a central element of the World Bank Group’s effort to act in a coordinated way to end extreme poverty and boost shared prosperity. But they can be hard for the average person to navigate—some are three-volume tomes, and others can be dense with technicalities. When we make them inaccessible to the general public, we often forgo a critical opportunity to build broad support for our work.
This year, the Bank Group’s India team decided to take a more innovative approach—one that has the potential to directly engage the public and perhaps even spur others to join us in our cause. In producing the Country Partnership Strategy for India, the team opted not to create a simple PDF for the website. Instead it produced a well-designed book, flush with easy-to-understand graphics and appealing photographs. It also produced a highly interactive web application that visualizes the strategy—and tracks the strategy’s progress towards its goals over time. The tool shows exactly how individual projects along with knowledge and advisory work line up with our twin goals, and what outcomes we expect in each instance.
Since gaining independence in 1971, food security issues in Bangladesh have been amongst the highest priorities on the government’s agenda. This is because Bangladesh faces a number of demographic, social and ecological challenges, which make it particularly vulnerable to food insecurity. These challenges are further exacerbated by climate change, including the consequences of sea level rise. Silent threats such as soil and river salinity and arsenic contamination have direct and indirect effects on agricultural production and households’ access to food.
In order to target the continuing food security threats the Government of Bangladesh has developed a number of high level policy initiatives, including Vision 2021 and the related Perspective Plan. Achieving food security is also a key objective of the country’s poverty reduction strategy and has been recognised to be the highest risk in the Bangladesh Climate Change Action Plan. Strategic objectives include realizing universal food security, which implies that the country needs to be not only self-sufficient in terms of food production but also manage equitable distribution of nutritious food. Ensuring universal food security is particularly challenging given the multidimensional nature of the food security concept which comprises food availability, physical and financial access to food, food utilisation and food stability.