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Poverty

Celebrating World Universal Health Coverage Day in Sri Lanka

Owen Smith's picture


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. 

Reflections on International Day of Persons with Disabilities

Maitreyi Bordia Das's picture
international-day-persons-disabilities
"Disability is no barrier. Landmine victims play volleyball." Photo: AusAID

I am often asked how “we” – development professionals and practitioners at large - can make a difference to social exclusion. It is an opportune day to reflect on this by thinking about a diverse group of historically excluded people. The focus of today’s International Day of Persons with Disabilities is appropriately on Sustainable Development: The Promise of Technology.” Because the power of technology in rehabilitation and hence, for inclusion, is uncontested. Let me quickly add that technology is a necessary, but by no means a sufficient condition for enhancing the functional ability of persons with disabilities. 

Technology attenuates many barriers that disability raises. It has changed the way persons with disabilities live, work and study. The seminal World Report on Disability emphasizes the role of technology for the inclusion of persons with disabilities in markets, in services and in physical, political and social spaces. It points out for instance, that assistive devices can substitute or supple­ment support services, possibly even reduce care costs. The National Long-Term Care Survey in the United States found that higher use of technology was associated with lower reported disabil­ity among older people. The fascinating Digital Accessible Information SYstem (DAISY) consortium of talking-book libraries aims to make all published information acces­sible to people with print-reading disabilities. And the examples could go on.

Recognizing Prior Competence: Increasing Skilled Manpower in Bangladesh

Ahamad Tanvirul Alam Chowdhury's picture



Sweety, Liza, Asad, Zulfikar and many others like them had a common dream – to have good careers and let their families have a better life. Realization of that dream should have been simple – incomes that matched their accumulation of skills and years of job experience. They however, found this hard to achieve because they did not have accreditation that could assure prospective employers that they could actually deliver. What was needed – for both sides in the employee-employer relationship – was a mechanism to open the pathway to professional empowerment. That mechanism came about in the form of the Recognition of Prior Learning (RPL) policy of the Government of Bangladesh. Sweety, Liza, Asad and Zulfikar can now proclaim to the world – openly and without reservation – that they possess skills and expertise certified by the Bangladesh Technical Education Board (BTEB).

India: Jeevika Empowers Women in Rural Bihar through New Livelihoods

South Asia's picture
India: Jeevika Empowers Women in Rural Bihar through New Livelihoods
“We went to sleep hungry.” Women in rural Bihar, India, home to over 100 million people living in poverty, had a difficult time meeting basic needs. A project called Jeevika is organizing these women into self-help groups where they decide how to invest funds, distribute staples, learn basic banking skills, improve rice cultivation, and meet the nutritional needs of mothers.

Raising the Game to Deliver Pro-Poor Growth for Bangladesh

Iffath Sharif's picture
Arne Hoel/World Bank

Bangladesh has set an ambitious goal to become a middle-income country by 2021—the year it celebrates the 50th anniversary of its independence. Equally important to achieving the coveted middle income status is making sure that all Bangladeshis share in the accelerated growth required to achieve this goal, particularly the poor. The Government of Bangladesh’s Vision 2021 and the associated Perspective Plan 2010-2021 lay out a series of development targets that must be achieved if Bangladesh wants to transform itself to a middle income country. Among the core targets used to monitor the progress towards this objective is attaining a poverty head-count rate of 14 percent by 2021. Assuming population growth continues to decline at the same rate as during the 2000-2010 period, achieving this poverty target implies lifting approximately 15 million people out of poverty in the next 8 years. Can Bangladesh achieve this target? Not necessarily so. A simple continuation of the policies and programs that have proven successful in delivering steady growth and poverty reduction in the past decade will not be sufficient to achieve the poverty target set for 2021.

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