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This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences...
"The prevalence of child undernutrition in India is among the highest in the world, nearly double that of Sub-Saharan Africa, with dire consequences for morbidity, mortality, productivity and economic growth. Drawing on qualitative studies and quantitative evidence from large household surveys, this book explores the dimensions of child undernutrition in India and examines the effectiveness of the Integrated Child Development Services (ICDS)program, India's main early child development intervention, in addressing it. Although levels of undernutrition in India declined modestly during the 1990s, the reductions lagged behind those achieved by other countries with similar economic growth. Nutritional inequalities across different states and socioeconomic and demographic groups remain large. Although the ICDS program appears to be well-designed and well-placed to address the multi-dimensional causes of malnutrition in India, several problems exist that prevent it from reaching its potential. The book concludes with a discussion of a number of concrete actions that can be taken to bridge the gap between the policy intentions of ICDS and its actual implementation."
Offers evidence that opportunity structures created by state weakness can allow NGOs to exert unparalleled influence over local human rights law and practice.
In Sexual Exploitation and Abuse by UN Military Contingents: Moving Beyond the Current Status Quo and Responsibility under International law RóisÃn Burke explores the legal, conceptual and practical difficulties of dealing with sexual offences committed by military contingent personnel deployed on UN peace operations. Some of the inadequacies of current legal frameworks for dealing with such abuses are examined. The book addresses the difficulties with applying international humanitarian law, human rights law and/or international criminal law in this context, and the broader issue of state/international organization responsibility. The book proposes policy options to increase accountability both for perpetrators and for troop contributing nations otherwise indifferent to the crimes of their national contingents.
This report is the first of its kind to measure health service coverage and financial protection to assess countries' progress towards universal health coverage. It shows that at least 400 million people do not have access to one or more essential health services and 6% of people in low- and middle-income countries are tipped into or pushed further into extreme poverty because of health spending. Universal health coverage (UHC) means that all people receive the quality essential health services they need without being exposed to financial hardship. A significant number of countries at all levels of development are embracing the goal of UHC as the right thing to do for their citizens. It is a...
Violence affects the economy of production and the ecology of reproduction— the production of economic goods and services and the generational reproduction of workers, the regeneration of the capacity to work and maintenance of workers on a daily basis, and the renewal of culture and society through community relations and the education of children Gender and the Political Economy of Conflict in Africa explores the persistence of violence in conflict zones in Africa using a political economy framework. This framework employs an analysis of violence on both edges of the spectrum—a macro-economic analysis of violence against workers and a micro-political analysis of the violence in womenâ€...
Because malnutrition in early life significantly affects the physical and mental development of children, addressing malnutrition is fundamental to the development of Vietnam’s human capital. Economic development of the nation depends on the strength, resilience, and intelligence of its workforce. Governments dedicate millions of dollars annually to health and education, recognizing that individual losses in productivity may run as high as 10 percent of lifetime earnings and that as much as 11 percent of GDP could be lost each year in Asia and Africa due to undernutrition. The ethnic minority groups living mainly in the northern midlands and in the mountainous and central highlands regions...
Sub-Saharan Africa is no longer a troubled ‘dark continent.’ Most of its constituent countries are now enjoying significant economic growth and political progress. The new Africa has begun to banish the miseries of the past, and appears ready to play an important role in world affairs. Thanks to shifts in leadership and governance, an African renaissance could be at hand. Yet the road ahead is not without obstacles. As world renowned expert on African affairs, Robert Rotberg, expertly shows, Africa today maybe poised to deliver real rewards to its long suffering citizens but it faces critical new crises as well as abundant new opportunities. Africa Emerges draws on a wealth of empirical ...
This book expands the current 'weapon of war' discourse on sexual violence, highlighting a wider spectrum of conflict-related violence against women.
The East Asia and Pacific Economic Update provides regular, biannual analyses of development trends and economic policy issues across the East Asia and Pacific region.