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December 2013

What exactly is the public-private mix in health care?

Adam Wagstaff's picture

I’ve been in quite a few meetings recently and read quite a lot of documents where people have made claims about the relative sizes of the public and private sectors in health care delivery. A recent report from the World Bank Group on the private sector in Africa claims that “the private health sector now provides half of all health services in the region.” A document I reviewed recently claimed that “much” of medical care is provided by the private sector – an assertion I hear quite often.

As far as I can make out, the data underlying such claims reflect a very partial picture. The Africa data are from the Demographic Health Survey which captures only treatment for (outpatient) maternal and child health services (MCH); it also covers only the developing world, and only the poorer part of it. Some claims reflect data for just one country. I’ve heard a lot about India, but these data (obviously) cover just India, and only outpatient visits.

Toing and Froing in Freetown

Mark Roland Thomas's picture



Countries coming out of crises undergo rapid structural changes, including migration and big economic shifts. This can complicate the measurement of their progress, sometimes in unexpected ways, as we found out recently in Sierra Leone.

Harness the Private Sector to End Poverty – But How?

Donna Barne's picture

World Bank Group President Jim Yong Kim has started a conversation about development and the private sector on Oxfam’s blog.

The evolving discussion isn’t so much about whether to harness the private sector to cut poverty, but how to do it.

In an Oct. 28 blog post, Kim said the Bank needs to work with many partners to help meet the goals of ending extreme poverty and boosting shared prosperity. Private sector investment “is needed to stretch scarce development resources.”

“Engaging the private sector is not about how we feel about business; it’s about how high our aspirations are for poor people. If we rely only upon foreign aid, then our aspirations are far too low.”

Brazil, Korea: Two Tales of a Macroprudential Regulation

Otaviano Canuto's picture
The pervasiveness and relevance of asset price booms and busts in modern economies has now been fully acknowledged. So has the case for combining prudential regulation and monetary policy in the complementary pursuit of financial and macroeconomic stability.

The Global State of AIDS in 4 Charts

Tariq Khokhar's picture

Yesterday was World Aids Day - an annual event to raise awareness about HIV and the global fight against it. When it comes to international data about HIV and AIDS, the cross-organisational UNAIDS program publishes age and gender disaggregated data on indicators such as prevalence, new infections and deaths. In turn, we incorporate some of these data into the World Development Indicators

Here are some highlights from the data that have been released:

1) There are more adults and children living with HIV than ever before

In 2012, there were an estimated 35.3 million adults and children living with HIV in the world. The majority of these people are in Sub-Saharan Africa and parts of Asia. As you can see from the decreasing slope of the “global” line - while people continue to become infected, the rate of new infections is going down.

Who Can Answer the Ghanaian Schoolboy’s Question?

David Lawrence's picture



“Why is America so rich and we are so poor?” The question came from a schoolboy in Ghana. It caught me by surprise. I hesitated before answering.
 
I didn’t have the knowledge to give him a solid answer. I was not an economist. I knew nothing about Ghana’s business enabling environment or its financial markets system. I didn’t know about the causes of poverty in Ghana, and was totally unaware of what the international donor community was doing about it. My knowledge of politics, colonialism and history was limited, although I was aware that Ghana had become independent from Great Britain on March 6, 1957.
 
Every schoolboy in Ghana knew that. Even me. The boy who asked the question was my classmate at Prempeh College in Kumasi. It was 1975. We were both 11 years old, and we wore the same uniform: khaki shorts and a short-sleeved green shirt. Neither of us understood that donor aid was already streaming into Africa to alleviate poverty, an effort that would later come under heavy fire.
                                                                                                    
In hindsight, it’s easy to criticize traditional poverty-fighting assistance. One of the sharpest critics is Dr. Dambisa Moyo, an international economist and author of "Dead Aid: Why Aid Is Not Working and How There Is a Better Way for Africa." Dr. Moyo notes that development aid has fueled corruption, has removed incentives for governments to become efficient, has created a culture of aid dependency, and has distorted markets. In a 2009 article in the Wall Street Journal, she points out that in spite of $1 trillion of aid delivered over 60 years, real per capita income in Africa has fallen. She argues that countries that rely on markets rather than aid are more successful, citing Ghana as an example.  “Governments need to attract more foreign direct investment by creating attractive tax structures and reducing the red tape and complex regulations for businesses,” she writes.
 

Going the last mile in Nicaragua: local communities pave the road to end poverty

Stephen Muzira's picture


I remember a visit to Nicaragua like it was only yesterday. Three years have passed, and it is still etched in my mind. I was visiting a road construction project when I realized that the paving surface was not the typical asphalt I was used to seeing on many road projects but some form of concrete like paving blocks known as adoquines.

How Can We Promote A More Entrepreneurial Environment Together?

Siddhartha Nanayakkara's picture

 CAAYE Facebook“If you cannot do great things, do small things in a great way.” - Napoleon Hill
 
Eight Commonwealth Asian Nations joined hands to discuss the contemporary needs of young entrepreneurs in the region at the Commonwealth Asia Alliances of Young Entrepreneurs (CAAYE) Summit held in Colombo, Sri Lanka from the 9th - 11th of November, in parallel to the Commonwealth Heads of Governments Meetings (CHOGM). The theme of the summit was highlighted as “Profit with a Purpose” which argued around its key objectives in promoting an ecosystem that supports the development of young entrepreneurs who contribute to economic, social and environmental sustainability across CAAYE countries. CAAYE 2013 was hosted by the Federation Chamber of Commerce and Industry Sri Lanka (FCCISL) in partnership with the Commonwealth Secretariat
 
South Asia concurrently holds the greatest opportunities and the risks of been responsible for the world’s largest youth populations in transition, therefore facing reality and addressing those contemporary needs should be key to those respective stakeholders such as governments, for a more stable and prosperous economy. Common challenges faced by young entrepreneurs in Asia are “fundamentals” concerns, which could easily been eliminated if there is right focus and continuous review by the relevant authorities in these countries. Those concerns that caught my eye included the need for updated knowledge and curriculum development at all level, need to not jail but celebrate failure, revamping of “extensive” government and organizational procedures allowing to reduce the lead time.


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