More often than not, “we” criticize the “system” for being corrupt; yet it is simply a reflection of what we make of it. For example, what would happen if “we” decided never to collect bribes from users in our health service system? Or if we implemented and respected the rule of ‘first come, first served’ instead of paying or collecting bribes for faster service delivery? What would happen when it is brought to our knowledge that there are irregular practices operating within our health centers?
Jean J. De St Antoine and Kanako Yamashita-Allen are co-authors of this post.
During a recent visit to Maseru, we met with staff at the 425-bed Queen ’Mamohato Memorial Hospital which opened in October 2011 and at one of three primary care clinics that have been running since 2010 as part of a Ministry of Health (MOH)--led public private partnership (PPP). The PPP aims to facilitate access to quality health services in a poor country.
In my previous blog entry, I mentioned the expected growing engagement between Brazil and Sub-Saharan African countries in 2012, to exchange knowledge and further economic and social development.
- Sub-Saharan Africa
- south-south partnerships
- slave trade
- Private Sector Development
- Nutrition and Population
- Latin America & Caribbean
- latin america
- international trade
- Information and Communication Technologies
- Agriculture and Rural Development
Stevan Lee, Senior World Bank Economist, is co-author of this post.
Attracted by the prospects of large unexploited natural gas reserves in the south of Tanzania, big players are in town. The British Gas Group has publicly announced that it may invest over US$35 billion in the next 25 years – 1.5 times Tanzania’s current GDP. Policymakers and donors are jockeying to position themselves and understand what is at stake.
Uganda has become a successful exporter of education services to countries in East Africa. In West Africa, Nigerian financial institutions have expanded branch networks throughout the region making available the benefits of scale to consumers in very small countries. African supermarket chains are spreading throughout the continent. These are some of the successes Africa is seeing as it fights to integrate the market for regional trade in services.
In response to this intriguing question, raised by Dele Fatunla on the Diaspora Debate blog at African Arguments Online, we believe the Diaspora is a rich source of much-needed human and financial capital that ought to be better leveraged to benefit Africans on the continent.
As we gather in kitchens and dining rooms during this season of eating and charity, let us pause for a moment to review the state of food trade in Africa: how does cross-border commerce in key crops fare on a continent with pockets of harsh weather and unpredictable politics? How is the traffic in grains and tubers?
It’s clear that prices are high, following the February 2011 peak worldwide. The price of maize in Nairobi has tripled this year alone, while the price of a 50 kg bag of rice in Dakar has risen from $36 to $43.50. These spikes can be blamed partly on increased demand for food crops – including for biofuel production in Europe and the United States. They are also due to supply-side factors, such as higher energy prices which impact transportation and fertilizer costs, and weak harvests in large exporting countries.
But on a global scale there is no food shortage. In 2010, the world produced 2.2 billion tons of cereals, up from 820 million tons 50 years ago (a 268 percent increase). Over the same period, the world’s population has grown from three billion to seven billion people: an increase of 233 percent. In Africa, food staple production is abundant in some areas even though the continent is a net importer of food. Mali grows enough excess sorghum to supply its neighbors, and Uganda, the bread basket of East Africa, makes regular shipments of maize to Kenya, Southern Sudan and Rwanda. The problem is that the surplus food does not always get to those in need. Often shipments of perishable goods are stopped at the border and excessive inspections frequently cause delays.
Linked in the distant past through colonial-era trade enterprises, Brazil and Africa are becoming close partners again. More than two centuries after establishing a slave trade route across the Atlantic, both regions are again re-engaging, this time to exchange knowledge and further economic and social development.
Sub-Saharan African countries are looking to replicate Brazil’s successes in boosting agricultural production and exports, and private investments, which have made Brazil a key economic player in the international arena. This is no coincidence. The world is going though rapid changes, resulting in a new financial architecture, with emerging economies and countries in the South increasingly participating and influencing global decisions.
The U.N. Climate Change Conference in Durban, South Africa, is in full swing now, aiming to reach consensus and agreements on addressing the climate challenge by its close on December 9. While there are high expectations, people also realize that this is not an easy issue to tackle. Uncontrolled, man-made carbon emissions, which climbed to a new record of 30 billion tons worldwide in 2010, are at the core of the climate change dilemma. Curbing this trend is not only a daunting multisectoral task that demands sophisticated technical solutions, but its complexity is intensified by disagreements among countries on the size of the problem and what to do about it.
Climate change should matter to all of us, since changing weather patterns, including more frequent extreme climate events (e.g., the 13 warmest years on record have been in the last 15 years) and natural disasters (e.g. in some regions the number of particularly large hurricanes has increased), negatively impact the lives and well being of ALL people—the raison d’être of development. In this context, climate change should be seen as a critical health challenge that demands increased attention and management. Why?
A landmark 2009 report by The Lancet Commission documented how climate change over the coming decades could have a disastrous effect on health conditions across the world. There are both direct and indirect health threats through changing patterns of disease, water and food insecurity, vulnerable shelter and human settlements, extreme climatic events, and population growth and migration.
In Burundi, a World Bank-supported project focused on educating female sex workers about the risks of contracting HIV/AIDS and other diseases has contributed to Burundi's overall declining infection rate.