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Have gaps in health outcomes between the poor and better off grown? Are they larger in one country than another? Are health sector subsidies more equally distributed in some countries than others? Are health care payments more progressive in one health care financing system than another? What are catastrophic payments and how can they be measured? How far do health care payments impoverish households? Answering questions such as these requires quantitative analysis. This in turn depends on a clear understanding of how to measure key variables in the analysis, such as health outcomes, health expenditures, need, and living standards. It also requires set quantitative methods for measuring ineq...
Since 1978 when it embarked on sweeping agricultural and industrial reforms, China's economic growth has been remarkable. Its success in transforming itself within just three decades from a very poor low-income country to a successful middle-income country is unparalleled. During this period, however, and in contrast to the first 30 years of the People's Republic, progress in the health sector has been disappointing. For example, during the period 1980-2007, China increased its income per head as a percentage of the OECD average from 3 percent to 15 per cent, but infant mortality fell no faste.
This book analyses public sector reform comprehensively in all parts of China’s public sector – government bureaucracy, public service units and state-owned enterprises. It argues that reform of the public sector has become an issue of great concern to the Chinese leaders, who realize that efficient public administration is key to securing the regime’s governing capacity and its future survival. The book shows how thinking about public sector reform has shifted in recent decades from a quantitative emphasis on 'small government', which involved the reduction in size of what was perceived as a bloated bureaucracy, to an emphasis on the quality of governance, which may result in an incre...
Do citizen and police initiatives have any impact on the incidence and fear of crime? This volume brings together studies, undertaken by well-respected criminal justice scholars, of some community crime prevention programmes that were introduced in several major US cities. The volume is unique in its breadth of focus: its contributors address a broad and varied audience, including practitioners, policy-makers and scholars interested in community crime prevention and evaluation research. They present detailed descriptions of the intervention, the evaluation of the intervention and the issues surrounding both. Other topics discussed include the process of encouraging and organizing citizen involvement, the setting of programme goals and useful forms of assessment. Community Crime Prevention promises to stimulate much further discussion, research and policy analysis.
By international standards, health workers in Ethiopia are in short supply. In addition, those who do enter the health fields and remain in the country disproportionately live and work in the capital, Addis Ababa. This paper uses detailed data gathered from nearly 1,000 health workers to examine the incentives and constraints that health workers face when choosing where to work, the likely responses of workers to alternative incentive packages, and the longer term performance of the health worker labor market. This working paper was produced as part of the World Bank s Africa Region Health Systems for Outcomes (HSO) Program. The Program, funded by the World Bank, the Government of Norway, the Government of the United Kingdom and the Global Alliance for Vaccines and Immunization (GAVI), focuses on strengthening health systems in Africa to reach the poor and achieve tangible results related to Health, Nutrition and Population. The main pillars and focus of the program center on knowledge and capacity building related to Human Resources for Health, Health Financing, Pharmaceuticals, Governance and Service Delivery, and Infrastructure and ICT.
Although poverty and gender significantly influence health and socio-economic development, health professionals are not always adequately prepared to address such issues in their work. This publication, one of a set of modules intended for use in pre-service and in-service training of health professionals in the Western Pacific Region, focuses on the inter-relationship between poverty and health, including definitions of poverty and its multiple dimensions; indicators of poverty including methods of determining the prevalence of poverty and inequality within a community; how the health care system can address issues of poverty, with a special focus on low-income women and those from other marginalised or vulnerable groups.
The Government Analytics Handbook presents frontier evidence and practitioner insights on how to leverage data to strengthen public administration. Covering a range of microdata sources—such as administrative data and public servant surveys—as well as tools and resources for undertaking the analytics, it transforms the ability of governments to take a data-informed approach to diagnose and improve how public organizations work.Readers can order the book as a single volume in print or digital formats, or visit worldbank.org/governmentanalytics for modular access and additional hands-on tools. The Handbook is a must-have for practitioners, policy makers, academics, and government agencies....
The goals of universal health coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey have shown how UHC can serve as vital mechanisms for improving the health and welfare of their citizens, and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an im...
China's rise over the past several decades has lifted more than half of its population out of poverty and reshaped the global economy. What has caused this dramatic transformation? In China's Great Migration: How the Poor Built a Prosperous Nation, author Bradley Gardner looks at one of the most important but least discussed forces pushing China's economic development: the migration of more than 260 million people from their birthplaces to China's most economically vibrant cities. By combining an analysis of China's political economy with current scholarship on the role of migration in economic development, China's Great Migration shows how the largest economic migration in the history of th...
Building a capable public service is fundamental to postconflict state building. Yet in postconflict settings, short-term pressures often conflict with this longer-term objective. To ensure peace and stabilize fragile coalitions, the imperative for political elites to hand out public jobs and better pay to constituents dominates merit. Donor-financed projects that rely on technical assistants and parallel structures, rather than on government systems, are often the primary vehicle for meeting pressing service delivery needs. What, then, is a workable approach to rebuilding public services postconflict?Paths between Peace and Public Service seeks to answer this question by comparing public se...