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Health

India's Air Pollution Woes

Muthukumara Mani's picture

The World Health Organization’s recent Global Burden of Disease (GBD) Assessment estimates that outdoor air pollution causes 620,000 premature deaths per year in India, a six fold increase since 2000. The main causes are growing emissions of particulate emissions (PM10) from transport and power plants. GBD in this analysis has ranked air pollution as the sixth most dangerous killer in South Asia and fifth leading cause of deaths in India.

Also, according to the WHO, across the G-20 economies, 13 of the 20 most polluted cities are in India and over 50% of the sites studied across India had critical levels of PM10 pollution. A recent rapid survey by Delhi based Center for Science and Environment revealed that almost 75% of respondents considered air pollution as a major cause of concern and as responsible for respiratory illnesses.

Growing Older, Working Longer

Tehani Ariyaratne's picture

Courtesy Centre for Poverty AnalysisOn Jan. 7 from 2-4 p.m., there will be a live chat on Sri Lanka's aging population at facebook.com/worldbanksrilanka. Tehani Ariyaratne, from the Centre for Poverty Analysis, will be joining the chat. Here, she discusses her recent work on the subject.

The Centre for Poverty Analysis recently put the finishing touches on a photo documentary portraying an oft-forgotten side in the discussion on demographic transitions and the elderly: productivity.

In Sri Lanka, an individual above the age of 60 is considered 'elderly'. Our documentary focussed on individuals in two districts, Hambantota and Batticaloa, and captures a diverse, rural elderly population. During the course of our fieldwork, we met and spoke with many individuals about their ideas regarding the benefits of and constraints to maintaining an active lifestyle.

Live Chat: Sri Lanka Is Young but Aging Fast

Dilinika Peiris's picture

Sri Lanka's population is young now, but getting older quickly. What does this demographic transition mean to you and for Sri Lanka?

Join a live chat Jan. 7 on the World Bank Sri Lanka Facebook page with experts including Indralal De Silva, professor at the University of Colombo; Sundararajan Gopalan, senior health, nutrition, and population specialist with the World Bank; Shalika Subasinghe, social protection consuiltant with the World Bank; and Tehani Ariyaratne of the Center for Poverty Analysis (CEPA).

The discussion will focus on the dimensions of growing old in Sri Lanka and move on to the challenge Sri Lanka is facing in dealing with an aging population with limited resources.

Public Health Insurance in India: The Real Story

Jesko Hentschel's picture

You might not think of health insurance as a suspenseful subject, but a recently released book on the subject proves different. As such, there is one missing entry on the back cover, describing the book "Government-Sponsored Health Insurance in India: Are You Covered?" by authors Gerard La Forgia and Somil Nagpal. Perhaps something like “The authors play with their readers’ nerves as they drill deeper and deeper into the mysterious workings of health insurance programs in India. Slowly a multi-faceted picture emerges, which the authors skillfully bring to bustling life, not least by adding fiscal and political economy spice throughout.”

No More Hungry Children

John Stein's picture

An Indian mother with her newbornAs the World Bank Group, we are dedicated to a world free of poverty. Poverty has many manifestations, of course, but few are sadder than child hunger and malnutrition. It is not just the heart-rending pangs of hunger or the susceptibility of a malnourished infant or child to ailments and diseases. The persistent effects are even more troubling. Poor nutrition impairs physical and mental development so that children benefit less from education and are less productive as adults. It leads to increased morbidity and mortality, causing output losses and increased spending on health and social support. Long ago William Blake wrote "some are born to endless night," poignantly capturing the tragedy of lives blighted by childhood deprivation.

If the extent of hungry children in the world – more than 350 million – is an inconvenient truth, their numbers in the South Asia region are acutely embarrassing. 

Hard Facts on Poverty in Afghanistan

Lea Gimenez's picture

Women in AfghanistanImagine you are an ER doctor trying to treat a very ill patient who has no medical history and only a vague recollection of symptoms. What would you do if you were the doctor? Trust your gut? Trust that the patient has chronicled his symptoms accurately enough to warrant an accurate diagnosis? This is perhaps how policymakers and aid workers felt back in 2001 when they were deciding where to begin the reconstruction of Afghanistan.

More Bang for the Buck

Amit Bhattacharya's picture

Back in the mid-1980s, India's then-Prime Minister Rajiv Gandhi lamented that out of every rupee spent on welfare schemes, only 15 paise reached the poor. More than a quarter of a century later, the scale and ambition of India’s social sector programs have become far bigger than what even Rajiv’s 21st-century vision could have comprehended. But one thing has remained constant – the system still leaks.

That’s not to say the problem hasn’t received attention. There is increased awareness about pilferage and diversion of assets meant for a target population. Programs now are better designed to detect leakages, estimate what’s being delivered and allow monitoring at various stages.

But these measures have met with varying degrees of success. Clearly some states – and indeed some projects – have been better at drawing benefits and utilizing funds than others.

So how do you get more bang for your buck when it comes to development projects? When the World Bank invited me to visit some of its assisted projects in Tamil Nadu in early May this year, I got a firsthand opportunity to mull this issue.

What Can South Asia Do to Make the Big Leap?

Ejaz Ghani's picture

Last week, I discussed the optimistic and pessimistic views of South Asia's development potential. As I highlighted in my book, Reshaping Tomorrow, South Asia is among the fastest growing regions in the world, but it is also home to the largest concentration of people living in conditions of debilitating poverty, human misery, gender disparities, and conflict.

I also ask if South Asia is Ready for the Big Leap. The optimistic view is that India will achieve double-digit growth rates benefiting the rest of South Asia. The pessimistic view is that growth will be derailed by structural and transformational challenges. In this entry, I will make some suggestions on how South Asia could realize the optimistic view.

What can be done?

On a Recent Trip to Tamil Nadu…

Charukesi Ramadurai's picture

Five years ago, M. Revathy was a single mother abandoned by her husband, living in the small town of Tirunellikaval in Tamil Nadu. She is high school educated but was unable to find any employment except in a loom in her town. She was paid a pittance there and had the status of a bonded laborer. Today, she has her own loom at home and sells her saris at a good price to the wholesale market. She has a smile on her face as she says proudly that she sends her three sons to school and supports them and her father on her income.

Revathy was one of the women identified under the Tamil Nadu Empowerment and Poverty Reduction Project, 75% funded ($274 million) by the World Bank a few years ago. This project called Pudhu Vaazhvu (meaning New Life) has given a livelihood, and hope for thousands of women, unemployed youth and the differently abled in the state and has also been recognized by the World Bank as one of the best such projects in the world.

Drug-Resistant TB – A Battle India Must Win

Patrick Mullen's picture

Ten year old Vibha Kumari looks like any Delhi school girl. Except that a clean but well- worn old handkerchief masks her young face. For Vibha has multi-drug resistant TB - or MDR-TB - caused by a strain of bacteria that has developed resistance to the first line of antibiotics.

Vibha’s is a classic case of drug-resistant TB. Two years ago, when she had a terrible cough that just wouldn’t go away, she was treated by a village doctor at home in Bihar. When she didn’t get any better even after eight months of treatment, the family moved to Delhi where her father sold drinking water on the teeming streets of the city.

Moving into a one-room tenement in an overcrowded urban slum – where large families share small badly-ventilated rooms in conditions that are ripe for the infection to spread –Vibha was tested for TB. When MDR TB was found, probably as a result of inappropriate treatment in the village, she was put on the second line of drugs for a two-year course of treatment.

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