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Health

An Inclusive Approach to Safeguarding the Basic Needs of the Poor

Mark Ellery's picture

If it were possible to separate public services into a public good aspect and a private good aspect, then government could probably ensure better outcomes for the poor by focusing primarily on the public good aspect.

A public good is both non-rival (the consumption of a unit does not reduce the units available for others) and non-excludable (it is not possible to include some while excluding others from this good). For example an illiteracy free community is a pure public good that demonstrates both non excludable and non rival qualities. It is non-excludable as it is not possible to exclude someone from the benefits of an illiteracy free jurisdiction while including others; and non-rival as one person consuming an illiteracy free jurisdiction does not reduce the stores for others. The private good have both rival and excludable characteristics (the consumption of a unit reduces the availability for others and it is possible to include some while excluding others during consumption). Alternatively a school is a private good - it is rival (there are only a certain number of children you can fit in a classroom) and excludable (you can be excluded if you do not meet certain socio-economic standards).

Assuming that all public services have rival and non-rival, excludable and non-excludable characteristics, it should be conceptually possible to separate the public good aspect and the private good aspect.

First Month on the Job in Bhutan: Trial by Earthquake

Mark LaPrairie's picture

As the newly appointed (and first) World Bank Representative to Bhutan, my first month on the job has been challenging. A magnitude 6.3 earthquake with an epicenter in eastern Bhutan struck on September 21. There were 12 fatalities, including a mother breast-feeding her infant daughter by the hearth in their stone-walled kitchen. While there was fortunately relatively little loss of life, there was considerable damage to houses, schools, health clinics, temples, religious monuments and roads. In Bhutan's mountainous terrain, many affected villages are several hours walk away, so the provision of relief supplies and carrying out reconstruction is difficult.

In collaboration with the Office of the UN Resident Coordinator in Bhutan, Claire Van der Vaeren, who took up her assignment in Bhutan in June, the World Bank fielded a team of disaster experts. Claire and I accompanied the team of six (four from the UN, two from the Bank) to the eastern districts ("dzongkhags") of Mongar and Tashigang. The drive from Thimphu -- Bhutan's capital city of 100,000 people -- to the affected villages in Mongar takes two days.

First Month on the Job in Bhutan: Trial by Fire

Mark LaPrairie's picture

After our rest at the Home Minister, Lyonpo Minjur’s rural ancestral home, the team embarked on the long journey back to Thimphu the next day -- only a couple hundred miles as the crow flies (if even that), yet a two day adventure across high mountain passes and along narrow endlessly winding roads with precipitous drops below. We reached the Swiss Guest House in Bumthang around 7pm, looking forward to hot showers and a meal.

Upon pulling up to the lodge, I received a call on my mobile from my friend Tashi, who was recently appointed by His Majesty to serve on the National Council (senate). Tashi was in eastern Bhutan to support earthquake relief efforts on the part of the National Council. Tashi called to inform me that, Wamrong, the town I lived in 21 years ago when I first came to Bhutan as a volunteer teacher, had mostly burned to the ground that afternoon.

Gross Domestic Product Not Sole Indicator of Progress

Joe Qian's picture

What is Happiness? Many of us equate it with money. However, since 1972, the kingdom of Bhutan under the leadership of its former King, Jigme Singye Wangchuck has measured its developmental success not solely through the economic lens of Gross Domestic Product (GDP) but also through a more complete approach known as Gross National Happiness (GNH). Its laurels were based upon the original four pillars of sustainable development, preservation and promotion of cultural values, conservation of the natural environment, and good governance.

These indicators have become increasingly important over the last three decades as it became apparent that blindly pursuing economic expansion has created growing pains in a number of countries. GNH has appeared to be very successful in Bhutan, a nation the size of Switzerland with a population of around 700,000. With initiatives such as maintaining at least 60% (currently 72%) of the land for forests and conservation, while maintaining 165 indigenous mammal species such as the rare snow leopard, Bhutan also has a fast growing economy.

Government spending on health and education is the highest in the region at 18% and Bhutan boasts a GDP growth rate of 21.4% and a per capita income level that is almost twice as much as much as India’s, although it was much poorer as recently as the 1980’s. Independent sources also seem to echo these sentiments as Business Week magazine rated Bhutan the world’s 8th happiest country.

South Asia Advances on Visual Tool Comparing Development over Time

Joe Qian's picture

The World Bank released its Data Visualizer tool last week, which compares 209 countries through the lens of 49 development indicators utilizing data ranging from 1960 to 2007. Using three dimensional bubbles whose sizes are proportional to populations and are color coded to the different regions (purple represents South Asia), they move horizontally or vertically based on their achievements on a number of indicators that range from GDP per capita to the percentage of children that are inoculated against measles.

Users will find similarities with the groundbreaking Gapminder World tool that Swedish Health Professor Hans Rosling first presented to the TED Conference in 2006. He concluded that the world is converging and that old notions of contrasting developed country (generally small families and long lives) with developing country (large families and short lives) to be grossly out of date.

Act Responsibly to Save Our Children’s Planet

Dilinika Peiris's picture

“Responsible Actions”, “Scientific Thinking” and “Partnerships to Mitigate and Adapt to Climate Change”…. These are some phrases from my loot bag of thoughts taken away from the World Congress of Environmental Journalists organized by the Asia Pacific Forum of Environmental Journalists in Colombo. The theme of this Congress was “Educate to End Climate Poverty” – Copenhagen Summit and Beyond…..

So what does this really mean to me? I learnt that I am much to be blamed for these changes that are taking place in the climate than any other person, organization or country that is blamed for contributing to this change whether deliberate or not. I felt that all participants in the forum learnt that when they point one finger at someone or a group to blame, they are actually pointing three fingers in the direction of his or herself. I learnt that it’s time to STOP BLAMING and START ACTING.

24 Hours in the Life of Some Horizontal Learners

Mark Ellery's picture
In the face of families whose relatives have just died of arsenic poisoning advocating for institutional reform can seem a touch inane.

On the flip side, an urgent response to provide clean water or some relief to those affected is often neither sustainable nor scalable.

During a visit to Chapai Nawabganj we discovered that the Horizontal Learning Program enables rapid response - without undermining a sound policy position.

While visiting Meherpur municipality in Bangladesh last week, we learnt that 15 people had recently died in the nearby Amjhupi Union Parishad (UP) from arsenicosis. In a village meeting with the District Commissioner and UP Chairman we discovered that the citizens were drinking from both wells marked green (safe) as well as red (unsafe) because they were not confident that either of these sources had been correctly marked.

We were overwhelmed with the need for an immediate response but aware that any top-down solution could at best be partial. However, because of the Horizontal Learning Program (initiated by Union Parishads, facilitated by the Government of Bangladesh and supported by development partners) we were aware that local solutions to this problem had been developed by other Union Parishads.

At around 11 pm that night, it was resolved that a three member team from Amjhupi Union Parishad would join us to visit the nearby Ranihati Union Parishad of the neighboring Chapai Nawabganj Upazila (sub-district) to see how they had solved this problem. The solution was surprisingly simple, low cost and comprehensive.

An Unconventional Tactic for the Fight Against Poverty

Ben Safran's picture

Earlier this summer, Pakistan defeated Sri Lanka to win the Twenty20 Cricket World Cup. Like any triumph in an international competition, there was a great sense of national pride, this time coming in a country with great need for such a unifying force. But, as Tunku Varadarajan wrote,  the victory was much more than just a boost to national morale:

“As Pakistan fights for its survival against the barbarian Taliban…its people find themselves possessed of a weapon with which to vanquish the forces of darkness. I speak here not of drones or tanks or helicopter gunships, but of the glorious game of cricket.”

This is a powerful concept: that cricket is a key weapon needed to defeat the “darkness” imposed by extremism in Pakistan. But why limit ourselves to discussing the power cricket possess to fight the Taliban? What about the effects all sports have to instill happiness, empowerment, and hope in people? Could using sports for development be an unconventional tactic for the fight against poverty?

Building Commitment for Nutrition

Ashi Kathuria's picture

Imagine that after an animated discussion on nutrition, a film star commits: 'From now on, in all my movies, I will dedicate 5 minutes to the issue of malnutrition and build awareness about prevention.' or

The mayor pledges: 'I will organize awareness camps on malnutrition in all the wards of my city and will try to involve everybody.' or

A Member of Parliament promises: 'Malnutrition free villages will be created in 21 impoverished hamlets. If more money is required, we will provide it from our funds.' or

An editor undertakes: 'Every week we will provide space for the views of experts on malnutrition.' or

The University Vice Chancellor vows: 'We will start a course on health and nutrition in our university, so that we have enough trained people to deal with this problem in India.' or

An industry representative pledges: 'We will adopt 10 malnourished children every year and see to their health care, education, and other day to day requirements.'

Well, these and many more such commitments were publicly made in 21 high-malnutrition districts of Uttar Pradesh and Bihar – two states in India where the levels of malnutrition are alarming.

Renewable biogas provides clean, affordable energy for rural households in Nepal

Environmental Specialist Javaid Afzal demonstrates supervision practices of Bank staff as he inspects the internal workings of a biogas plant currently under construction.

Trecking through the remote and rugged mountainous areas of Nepal, it was evident to me that the abundance of natural beauty starkly contrasted with the scarcity of access to affordable and environmentally sustainable energy sources.

In Nepal, Most households still rely on traditional energy sources for cooking and heating, such as firewood or agriculture residue with few having access to electricity.

The high demand for firewood has created a number of environmental problems such as deforestation, soil degradation, and flooding. Firewood also requires considerable time for families to collect and its use results in indoor air pollution which particularly impacts women and children.

A solution has been the introduction of biogas as a way to bring cleaner, safer, and more affordable energy to rural households. It is created when animal and human waste are converted into clean sources of cooking fuel, replacing the need for wood, dried dung, and fossil fuel based sources of energy. Its byproduct can also be used as a natural fertilizer to increase agricultural yield.

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