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Health

From goals to achievements

Ngozi Okonjo-Iweala's picture

Almost two thirds of developing countries reached gender parity at the primary school level by 2005. Maternal mortality rates have dropped by a third. As many as 76 developing nations are on track to reach the goal of access to safe drinking water. 

The statistics tell us there is a clear path to achieving the goals.  So in New York, the focus should be on action and the next concrete steps to turning the goals from paper targets to reality. Given a decade has passed, the time for just more talk has also passed. 

Early action means healthy children, mothers

Meera Shekar's picture

Malnutrition happens early in life, and we have a critical, 1,000-day window of opportunity between the time before birth, (what we call pre-pregnancy) until the age of two. This is a special time when we can make a huge difference in a child’s life. If we miss that opportunity, we miss an entire generation because the damage that happens in the early months is irreversible. Such damage affects not just the child’s ability to learn, but also his or her ability to become a fully capable and productive citizen.

Celebrating MDG successes

Kavita Watsa's picture

The Millennium Development Goals Awards ceremony last night in New York was a brief moment of celebration for the wonderful progress that some countries have made towards the goals. Even as we dwell this week on sobering statistics and the tough road ahead, these awards are an inspiring reminder that success is possible in the face of tremendous odds in poor countries.

Will we remember 2010 as the turning point for women, girls, and babies?

Kavita Watsa's picture

This morning, on my way to an advocacy event on “Delivering for Girls, Women, and Babies” at the Waldorf Astoria hotel in New York, I was thinking about a pregnant Tanzanian woman in a film preview I saw recently. The preview of No Woman, No Cry had captured with terrifying clarity the helplessness of a sick pregnant woman in a remote village in Tanzania. I couldn’t help thinking the Manhattan streets around me were far removed from such painful realities.

But, as Graca Machel pointed out during the event, this wasn’t always the case. A women’s hospital had once occupied the site of the historic Waldorf Astoria—it was in fact the last hospital in the United States for women with obstetric fistulas. “We should make every fistula hospital in the world just as unnecessary as this one was found to be,” Machel said.

Aid effectiveness = working together

Axel van Trotsenburg's picture


 

It’s been 10 years since the World Bank signed on to the Millennium Development Goals. At the time, I managed the Bank's HIPC initiative, providing debt relief for the most heavily indebted countries, and I remember the hope we all felt.  I am now responsible for IDA—the World Bank’s fund for 79 of the poorest countries, for whom the MDGs are critical, and I can say that our commitment to these goals remains as strong today, if not stronger. 

We have made considerable progress on many of the goals. Growth over the past decade has contributed to reductions in extreme poverty.  In 1990, over 40 percent of the population in developing countries lived on less than $1.25 per day.  By 2005, that share fell to roughly 25 percent and is expected to fall to 15 percent by 2015, more than meeting the goal to halve extreme poverty. 

Words are not enough this week in New York

Tamar Manuelyan Atinc's picture

As the global summit gets off and running in New York to look at progress toward the Millennium Development Goals, we have a great deal to celebrate. At the same time, we have some big challenges ahead in order to realize the promise of the goals: a world that overcomes poverty and hunger, where all citizens have access to opportunity and hope.

On the celebration side: 30 years ago, 52 percent of people in developing countries lived in extreme poverty; by 2005, that share had been cut by more than half. In Africa before the triple blow of the food, fuel and financial crises in 2008, primary school enrollment rates were rising faster than in any other continent, and child mortality rates had fallen by 25 percent in about 13 countries in just 4 years.
 

Women Champions Speak Out on Maternal Health

Julia Ross's picture

 

Earlier today, the bank hosted a film preview and panel discussion on maternal health and progress toward Millennium Development Goal 5, which focuses on reducing maternal deaths. 

The film clip shown—part of a moving documentary titled “No Woman, No Cry”, directed by Christy Turlington Burns—tells the story of a pregnant Tanzanian woman facing a difficult delivery in a remote village. The local clinic is understaffed and ill-equipped for complicated cases, and finding transport to the nearest hospital is difficult and expensive.

The UN, the World Bank—and Twitter—help raise the game on malaria

Kavita Watsa's picture

Ray Chambers, the UN Secretary General’s Special Envoy for Malaria, was here today to thank President Zoellick for $200 million to fund bed nets that will help prevent malaria in Africa. Chambers, who wants to bring a swift end to what he calls “the genocide of apathy,” conveyed a sense of great urgency as he described the UN’s sweeping campaign with 50 celebrities on Twitter—from Ashton Kutcher to Bill Gates. Through them, and through millions of tweets and re-tweets, money is being raised to ensure that all vulnerable people have bed nets by the end of the year. Yes, that’s this year.

As African governments look for ways to help the poorest people in the wake of the food, fuel, and financial crises, I think this was a very good moment for President Zoellick and Africa Vice President Oby Ezekwesili to note that anti-malaria efforts are relatively straightforward, with high returns on investment. The Bank’s effort to help close the gap—by funding 25 million of the 50 million remaining nets needed—is a timely one. It will cover seven countries—the Democratic Republic of Congo (DRC), Ethiopia, Ghana, Kenya, Mozambique, Sierra Leone and Zambia—among the 31 hardest hit by malaria.

“This was a highlight of my trip to Washington this spring,” said Uhuru Kenyatta, Kenya’s Finance Minister, “It is a key step to restore dignity to so many African men, women, and children.” Kenyatta called for a concerted effort by African governments to make sure that funds are used as intended and to scale up their own malaria funding. Finance Minister Mapon of the DRC spoke of great successes against malaria in his country, but noted that the “need remains sizeable.” And Zambia’s Minister Musokotwane echoed this conclusion, calling malaria “an obstacle to development.”

Why crossing the Congo was so special

Eva Jarawan's picture

Eva Jarawan in the DRC

Even during the busy Spring Meetings here in Washington, my thoughts keep going back to two places I visited this month that lie on either side of the Congo River. I crossed the great river by boat from Brazzaville to Kinshasa, a special journey for many reasons. In Brazzaville, capital of the tiny Republic of Congo, I’d been impressed by the quality of leadership in managing additional financing for one of our projects which addresses HIV/AIDS, and on the other side of the river, I was returning to the Democratic Republic of Congo after a long gap, to find that a health systems rehabilitation project I’d worked on many years ago was in fact thriving and delivering good results.

Today being World Malaria Day, I must register that I saw some extremely useful work going on in Kikimi, a very poor neighborhood near Kinshasa. Our partnership with local NGOs to provide better health services across DRC looks like it’s working well here. Instead of just being shown reports on inputs and equipment, which I’ve found frustrating in the past, this time I met a large number of women who told me about insecticide-treated bed nets they’d received during routine visits to their health center and how useful these nets were to prevent malaria. I saw pharmacy shelves well-stocked with malaria drugs, oral rehydration therapy for diarrhea, and basic antibiotics. The project wasn’t perfect but it was delivering results that I could see with my own eyes.

Scaling Up Nutrition: Remembering the 'Forgotten MDG'

Julia Ross's picture

April 24, 2010- Washington DC. World Bank/IMF Spring Meetings. Meeting for a high-level nutrition roundtable in Washington—co-hosted by Canada, Japan, the United States, through the U.S. Agency for International Development (USAID), and the World Bank—ministers and other senior representatives heard how better nutrition. John Rwangombwa, Minister of Finance and Economic Planning, Rwanda

The consensus at today’s high-level meeting on “Scaling Up Nutrition” was this: the world can do better for its hungry children.  Many of the Ministers and donor agency leaders who spoke at the event acknowledged the global commitment to fighting malnutrition had fallen short.  As many as 3 million mothers and young children die each year due to lack of nutritious food.

OECD figures show that development aid for nutrition has been modest, with commitments of less than $300 million a year – one reason why nutrition has been labeled the “forgotten” Millennium Development Goal.

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