In Tajikistan, primary health care (PHC) accounts for just 27 percent of public health spending and yet PHC accounts for over 70 percent of all referrals and health visits across the country.
Given this imbalance, in April 2014 the country launched the pre-pilot of a new PHC financing mechanism, using a Performance-Based Financing (PBF) approach, which should significantly improve the quality and coverage of PHC services. The pre-pilot phase focuses primarily on the prevention and early detection of maternal and child health (MCH) related diseases and non-communicable diseases.
Women are emerging as a major force for change. Countries that have invested in girls’ education and removed legal barriers that prevent women from achieving their potential are now seeing the benefits.
Let’s take Latin America. More than 70 million women have joined the labor force in recent years. Two-thirds of the increase in women’s labor force participation in the last two decades can be attributed to more education and the fact that women marry later and have fewer children. As a result, between 2000 and 2010, women's earnings contributed to about 30% of the reduction in extreme poverty in the region.
In fact, for countries to leave poverty behind, both men and women need to get to equal and push the frontiers of equal opportunities even further. But to get there, we need to tackle three issues.
First, violence against women needs to end. More than 700 million women worldwide are estimated to have been subject to violence at the hands of a husband or partner. Domestic violence comes with great cost to individuals but also has significant impact on families, communities, and economies. Its negative impact on productivity costs Chile up to 2% of its GDP and Brazil 1.2%.
Many girls and women have little control over their sexual and reproductive health: If current trends persist, more than 142 million girls will be married off over the next decade while they are still children themselves.
In a couple of days, I’ll join leaders from the worlds of business, governments, politics, arts, and academia at the World Economic Forum in Davos, Switzerland. The Forum is one of the premier events for discussing global risks. Many if not most of these risks are identified in the Forum’s annual Global Risks report.
As we get ready to kick off the new year, let’s recount the voices and stories about how we can enhance the way we interact with our planet. From Ethiopia to Indonesia, we’ve seen our efforts improve lives and help incomes grow as countries and communities strive for greener landscapes, healthier oceans and cleaner air.
Take a look back at some of the most popular stories you may have missed in 2014:
Can the world end extreme poverty by 2030? Will it be able to avert the worst effects of climate change or stop Ebola? These challenges are among the biggest we face today. In 2014, the World Bank Group tapped its knowledge, finance, and influence to confront global problems.
1) Taking on economic growth
In the wake of the financial crisis, developing countries were the engine of the global economy. In 2014, they faced new risks: lower growth, less financing, and lower prices for their commodities. In January and again in June, the World Bank urged developing countries to get their houses in order. Countries need blueprints to maintain the kind of growth that helped cut extreme poverty nearly in half globally in the last couple of decades. With the financial crisis fading, now is the time for developing countries to strengthen their economies so they can keep reducing poverty, according to the twice-yearly Global Economic Prospects.
Just as a patient with a weak immune system is more susceptible to disease, the Ebola crisis reminds us that a nation with a weak health system is more susceptible to epidemics. This lesson is on our minds not only because of the crippling impact of the worst Ebola outbreak in history, but also because today is the inaugural Universal Health Coverage Day.
Today also marks the second anniversary of the United Nations' declaration in support of Universal Health Coverage (UHC), so that no one should fall into poverty to pay for the health care they need. A global coalition of more than 500 organizations, including the World Bank Group and the Rockefeller Foundation, are engaging citizens around the world in support of this goal as both a human right and a smart investment.
This mobilization toward UHC defies a one-size-fits-all approach, recognizing that diverse contexts will drive country-specific paths. Whatever the path taken, it's indisputable that progress towards UHC will bolster weak health systems.
This week, the Global Food Safety Partnership will hold its third annual meeting in Cape Town, just ahead of the holiday season when food safety issues are not on everyone’s minds. They should be. Unsafe food exacts a heavy toll on people and whole economies, and is cited as a leading cause of more than 200 illnesses. However, safe food does not need to be a luxury—which is something that motivates and animates our work at the World Bank Group. Food availability alone does not guarantee food safety. Increasingly, we are learning how food safety affects people, and disproportionately impacts the lives and livelihoods of poor people.This growing awareness about food safety is partly because of the food scares that have shaken many countries in recent years. Food safety incidents occur anywhere in the world—both in industrialized and developing countries alike and in countries large and small...
Thirty years ago, toxic gas leaking from Union Carbide’s factory in Bhopal claimed more than 5,000 lives and exposed more than half a million people to harmful toxins. The negligence and human tragedy made Bhopal synonymous with industrial disaster and showed just how harmful chemical pollution is to health and well-being. The enormous human loss calls for remembering the victims and stronger engagement on a wide range of pollution management and environmental health issues to prevent similar tragedies.
What Happened Then?
A chemical gas spilled from a pesticide factory owned by Union Carbide. More than 40 tons of gas created a dense cloud over more than half a million people and killed thousands. None of the six safety systems at the plant worked to prevent the disaster. The company’s own documents prove the plant was designed with “untested” technology, and that it cut corners on safety and maintenance in order to save money.
The State of Bhopal Today
Today, clean-up of the site is still pending, those who survived the disaster don’t have alternate livelihood opportunities and victims are still suffering.
Imagine a football team at the World Cup, just standing around the field watching as the other team breezes right past them and scores a goal. Without taking action to not only help the sick, but protect the healthy, then we, as global citizens, are letting Ebola win this game of life and death.
According to the World Health Organization, as of Nov. 9, a total of 14,098 confirmed, probable, and suspected cases of Ebola virus disease have been reported in six countries. There have been 5,160 deaths. Guinea, Liberia, and Sierra Leone have seen the highest number of cases.
The global apparel industry has been forced to face some tough and unpleasant realities in recent years, and has been criticized for engaging in a “race to the bottom” especially as it relates to the conditions under which some garments are manufactured.