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Age with Care
In Latin America and the Caribbean, more than 8 million older people are unable to independently complete at least one basic activity of daily living, such as eating, bathing or showering, or getting in and out of bed. This situation, called care dependence, affects 12% of people over age 60 and nearly 27% of people over age 80 in the region. The demand for long-term care services will more than triple in the next 30 years, due primarily to population aging and the epidemiological transition. The region will also see a drop in the traditional supply of long-term care services, which are based mainly on the unpaid work of women in families. Given this outlook, societies and governments must r...
Recovering Growth
After its worst economic crisis in 100 years, Latin America and the Caribbean countries are emerging from the COVID†?19 pandemic. The need to recover dynamic, inclusive, and sustainable growth to redress both the legacy of the pandemic and long†?standing social needs has never been more acute. However, despite progress in some areas, the region is facing a weaker recovery than expected given the favorable international tailwinds and is likely return to the low growth rates of the 2010s. Moreover, growth could be further slowed by both internal and external factors: the emergence of a new variant of the virus, a rise in international interest rates to combat global inflation, and high lev...
Envejecer con cuidado
En América Latina y el Caribe más de ocho millones de adultos mayores no pueden llevar a cabo de manera independiente al menos una actividad básica de la vida diaria, como bañarse, comer, o acostarse y levantarse de la cama. Es lo que se conoce como dependencia funcional, que afecta al 12% de las personas de 60 años o más de nuestra región, y a casi el 27% de los que tienen 80 años o más. En los próximos 30 años, la demanda de servicios de atención a la dependencia superará al triple de la actual, debido principalmente al envejecimiento poblacional y a la transición epidemiológica. Además, se reducirá la oferta tradicional de servicios de atención, basada principalmente en...
Gender Equality at Work Gender Equality in Peru Towards a Better Sharing of Paid and Unpaid Work
The OECD review of Gender Equality in Peru: Towards a Better Sharing of Paid and Unpaid Work is the second of a series focusing on Latin American and the Caribbean countries. It compares gender gaps in labour and educational outcomes in Peru with other countries.
Better Spending for Better Lives
How can this puzzle of larger demands and fiscal strengthening be solved? This edition of the development in the Americas (DIA) report focuses precisely on this question. The book suggests that the answer is about fiscal efficiency and smart spending rather than the standard solution of across-the-board spending cuts to achieve fiscal sustainability— sometimes at great cost for society. It is about doing more with less. · Analysis of government spending in Latin America and the Caribbean reveals widespread waste and inefficiencies that could be as large as 4.4 percent of the region’s GDP, showing there is ample room to improve basic services without necessarily spending more resources. · The publication argues against across-the-board cuts. It looks at whether countries spend too much or too little on different priorities, whether they invest enough to ensure a better future, and whether those expenditures make inequality better or worse. · Along with the diagnosis, the report offers several policy recommendations on how to improve the efficiency of government spending.
Walking the Talk
Almost half a century ago, policy leaders issued the Declaration of Alma Ata and embraced the promise of health for all through primary health care (PHC). That vision has inspired generations. Countries throughout the world—rich and poor—have struggled to build health systems anchored in strong PHC where they were needed most. The world has waited long enough for high-performing PHC to become more than an aspiration; it is now time to deliver. The COVID-19 (Coronavirus) pandemic has facilitated the reckoning for that shared failure—but it has also created a once-in-a-generation opportunity for transformational health system changes. The pandemic has shown policy makers and ordinary cit...
初级卫生保健衡量框架和指标
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VELHICE, CUIDADO E CUIDADORA
O pressuposto central deste estudo foi que, independentemente da idade, somos seres de cuidado, da infância à velhice, e, sendo assim, o valor da vida não muda em função da dimensão cronológica. Daí a urgência da construção de uma cultura do cuidado numa perspectiva intergeracional e, sobretudo, garantida pelo Estado. Paralelo a essa compreensão, urge também refletir sobre a transformação da sociedade, porém o imaginário coletivo preserva representações de um tempo inconciliável com a contemporaneidade, a exemplo do cuidado ser atribuído como função nata da mulher. Logo, foi de interesse desta pesquisa rever tal determinismo biológico, bem como analisar as configurações das políticas sociais em três países da região mais desigual do mundo, a América Latina, no que concernem ao cuidado voltado à população idosa. Nessa direção, a partir dos contextos da Argentina, do Uruguai e do Brasil, foi relevante identificar em que esses países se assemelham e se distanciam nas relações de cuidado nas suas mais diversas expressões.
Wired
Latin America and the Caribbean continues to face adverse global headwinds: high interest rates, modest G-7 growth, soft commodity prices and uncertain prospects in China will all depress growth. Well-grounded policy responses have led to largely recovering employment and income losses from the pandemic and falling rates of inflation. However, the region faces the mutually reinforcing triple challenges of low growth, limited fiscal space, and citizen dissatisfaction. Expanding digital connectivity offers a possibility to make progress on all three fronts. To maximize the social benefits of connectivity as well as to ensure that it does not exacerbate spatial, educational, gender or racial inequalities, three challenges are important to address: first, expanding coverage to the remaining unconnected areas as well as improving the quality of service; second, increasing the productive use of existing infrastructure, and; third, as with any other infrastructure "hardware," investments in "software" - such as digital and traditional skills, managerial capabilities, supportive regulatory frameworks, and deeper financial markets are critical.
