"Imagine this: A health care worker or parent in a village, with a laptop or mobile device, can access development knowledge in real time through geocoding and geomapping. She can see which schools have feeding programs and which go without, and what is happening to local health... She can upload her own data, throw light on the likely effect of new interventions and mobilise the community to demand better or more targeted health programs." Robert Zoellick, Former President of the World Bank
I found this quote while attending a World Bank facilitated discussion on open data and development at the World Bank/ IMF Annual Meetings in Tokyo, Japan, a few weeks ago. There, and elsewhere, increased interest in the potential of open data is spreading from high level ‘open’ initiatives, such as the Open Government Partnership (OGP) and the International Aid Transparency Initiative (IATI), to tools for enabling local accountability and service provision. These projects aim to introduce greater availability of the most needed ingredient for citizen engagement with their governments: access to public information.
The common assumption in all these initiatives is that ordinary citizen, armed with copious information, can mobilise others and generate resolve to demand better public services. Implicit behind this assumed ‘demand’ is that information will be put to work in an ‘us versus them’ process of holding government to account (us being the mobilised, informed community, and ‘them’ being the holders or monopolisers of public information, often governments).
This past Monday I was present as the 250 megawatt Bujagali hydropower plant on Uganda’s River Nile – supported by MIGA, as well as our sister institutions the World Bank and IFC – was commissioned into active service.
After many years of preparation and planning, this was an auspicious moment indeed for Uganda, with the plant’s opening coinciding with the Jubilee celebrations marking the country’s 50 years of national independence. The new Bujagali power plant comes close to doubling the country’s electricity capacity and in a single step has elevated Uganda to having the second largest kilowatt consumption per capita in East Africa, following Kenya.
Young men from four formerly war-torn African countries put years of conflict and hardship behind them last weekend as they played each other in the finals of the Great Lakes Peace Cup.
I did not expect Burundi to win, but they did! And what a beautiful victory it was. The team came from Bubanza, a small town about an hour north of Burundi’s capital Bujumbura. The players had journeyed more than 18 hours by bus, including about three hours to cross the border into Uganda.
Football players from across East and Central Africa will gather in the Ugandan capital of Kampala on September 21 and 22 to take part in the finals of the Great Lakes Peace Cup, a tournament organized to help former combatants – many of them abducted child soldiers – become part of their communities through the healing power of sport.
The Great Lakes Peace Cup is being organised by the World Bank’s Transitional Development and Reintegration Program (TDRP), and the government amnesty and reintegration commissions of the four competing countries.
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Food crisis warnings are getting louder, with many urging action to head off a repeat of 2007-08’s soaring prices and shortages. The Hindu lists driving forces behind food crises and “corrective steps” in “The Looming Global Crisis and the Way Out.” The story suggests a food crisis is no longer a “freakish phenomenon” in the same way extreme weather is no longer disconnected from global warming. Hot, very hot, and extremely hot summer weather has become more common since 1951, according to research by the National Aeronautics and Space Administration. NASA includes a visualization of temperature changes through the decades in “Research Links Extreme Summer Heat Events to Global Warming.” The just-wrapped London Olympics that dominated the Twittersphere for two weeks wasn’t a mere sporting event, argues The Guardian in “Briefly But Gloriously, London 2012 Bridged the Divide.” The Games at times demonstrated the power to “transcend negative stereotypes and transform perceptions” of developing countries. With concern over an Ebola Virus outbreak easing in Uganda, Development Policy Blog interviews epidemiologist Dr. Kamalini Lokuge, a veteran of responses of Ebola outbreaks, before her trip to the stricken area.
The question was on the pros and cons of HIV/AIDS funding and the tools were sharp insights and passionate views as some of the most influential figures in the fight against AIDS and poverty participated in a lively debate before a packed World Bank auditorium July 23.
The webcast event, co-hosted by the Bank, U.S. Agency for International Development/ U.S. President's Emergency Plan for AIDS Relief, and the medical journal The Lancet, asked a panel of experts to weigh global funding for HIV/AIDS in a fiscally strained, post financial crisis environment. The debate was part of the first International AIDS Conference to be held in Washington in 22 years.
- The World Region
- world bank
- San Francisco
- Roger England
- Richard Horton
- Rajiv Shah
- Michel Sidibé
- Mead Over
- Makere University Medical School
- Jim Yong Kim
- Jeffrey Sachs
- health systems
- financial crisis
- Festus Mogae
- Eric Goosby
- Earth Institute
- David Serwadda
- Columbia University
- Center for Global Development
While participating in a study of HIV spending efficiency in South Africa, I met a young HIV-positive mother who had just received the joyful news that her new-born daughter was healthy and HIV-free. Wiping away tears of relief, she described the gratitude she felt for the antenatal clinic staff, who had helped start her on antiretroviral treatment (ART) and thanks to whom she now had the hope of a bright future for her daughter. This encounter was just one among many similar incidents during the study – and, as our preliminary data show, is representative of the positive impact of the Government’s strong commitment to bringing down rates of HIV.
South Africa has mounted one of the strongest responses to HIV in the world. Its most dramatic success has been the scale-up of ART since 2003, growing from almost nothing to the country’s largest health program that treated about 1.5 million people in 2011 (out of a total HIV-infected population of 5.6 million).
The impacts of this treatment drive are already showing, with overall mortality, maternal and infant deaths all on a downward trend following their HIV-related peaks in the early-to mid-2000s. However, the cost of sustaining this success is huge: South Africa has committed to putting an estimated target of almost 10% of the entire population on a life-long course of expensive drug treatment. And, even with government negotiators bringing down ART drug prices by 65% since 2008, successful testing campaigns coupled with the worrying increase in resistance to first-line therapies look set to further raise the financial risk.
These challenges extend beyond South Africa. An analysis of the fiscal dimensions of HIV/AIDS released by the World Bank earlier this year in a number of countries concluded that without significant additional investments in prevention starting now, the cost of treatment will rapidly become unaffordable for even the most cash-rich countries on the African continent.
The quest for an accurate, timely and affordable medical diagnosis remains elusive in many developing countries. In East Africa, laboratories are often poorly staffed; ill-equipped; and lack quality systems. Obsolete equipment clogs up limited space. Clinicians often resort to presumptive diagnoses rather than requesting lab confirmations. Individuals suffering from infectious diseases, such as tuberculosis, run the risk of going undetected and transmitting the disease to others, or being misdiagnosed, which in turn leads to compromised care and higher health care costs.
Many laboratories are not adequately prepared to respond during public health emergencies, yet their services are critical to detecting new pathogens and containing disease outbreaks.
World Laboratory Accreditation Day, observed recently, offers a good opportunity to draw attention to the critical role of laboratories in health, and the importance of accreditation in promoting quality. Accurate and reliable laboratory services are critical for conducting clinical diagnosis, guiding treatment, and responding to disease outbreaks. There’s a growing recognition of the importance of laboratory services, and several important initiatives have been launched, including the WHO-AFRO Stepwise Laboratory Improvement Process towards Accreditation (SLIPTA).