Who Would Gain Most from Efforts to reach the Millennium Development Goals for Health? An Inquiry into the Possibility of Progress that Fails to Reach the Poor
This paper is an inquiry into the
possibility of progress toward the Millennium Development
Goals (MDGs) targets for health that does not significantly
benefit the disadvantaged people whom the MDGs are intended
to serve. The possibility arises because the MDGs health
targets, unlike most other prominent MDGs targets, are
stated in terms of improvement in societal averages rather
than in terms of gains among poor groups within societies.
Since improvements in any group, including the better-off,
would produce improvements in societal averages, progress
toward targets expressed in those terms does not necessarily
reflect improvements in conditions among the poor. The
inquiry begins by examining the implications of two
alternative scenarios for progress toward the MDGs
under-five mortality target: a "top-down"
scenario, with gains highly concentrated among the
better-off; and a converse, "bottom-up" scenario,
under which gains flow primarily to the poor. The second
part of the inquiry examines the plausibility the two
scenarios. The conclusion is that, while the
"pure" top-down scenario is unlikely, some
approximation of it is considerably less improbable than a
bottom-up scenario. The implication is that special efforts
will be required to ensure that health and development
initiatives reach poor people if they are to gain
significantly from progress toward the MDGs health targets.
Saved in:
Bibliographic Details
| Main Author: |
Gwatkin, Davidson R. |
|---|
| Language: | English
en_US |
|---|
| Published: |
World Bank, Washington, DC
2002-12
|
|---|
| Subjects: | ABSOLUTE POVERTY,
ADAPTATION,
ADVERSE EFFECTS,
ALCOHOL,
AVERAGE LEVEL,
CHILD MORTALITY,
COMMUNICABLE DISEASES,
CONTRACEPTIVES,
DATA SET,
DEATHS,
DEVELOPING COUNTRIES,
DEVELOPMENT GOALS,
DEVELOPMENT INDICATORS,
DEVELOPMENT NETWORK,
DEVELOPMENT POLICY,
DEVELOPMENT PROGRAMME,
EDUCATION,
ETHNIC MINORITIES,
EXPENDITURE DATA,
EXTREME POVERTY,
FAMILY PLANNING,
HEALTH,
HEALTH CARE,
HEALTH CONDITIONS,
HEALTH SURVEYS,
HEALTH TARGETS,
HIGH FERTILITY,
HOUSEHOLD ASSETS,
HOUSEHOLD EXPENDITURES,
HOUSEHOLD INCOME,
HOUSEHOLD SURVEYS,
HOUSEHOLD WEALTH,
HOUSING,
HUMAN DEVELOPMENT,
HUNGER,
HYGIENE,
IMMUNIZATION,
INCOME COUNTRIES,
INCOME LEVEL,
INJURIES,
INSURANCE,
LIFE EXPECTANCY,
LOW INCOME,
LOW-INCOME COUNTRIES,
MALARIA,
MALNUTRITION,
MARKETING,
MORTALITY,
MORTALITY RATE,
MORTALITY RATES,
MOTHERS,
NUTRITION,
NUTRITION PROGRAMS,
POOR GAIN,
POOR INDIVIDUALS,
POOR PEOPLE,
POPULATION GROUPS,
POPULATION SIZE,
POVERTY ALLEVIATION,
POVERTY LINE,
POVERTY REDUCTION,
PUBLIC RESOURCES,
REDUCING POVERTY,
REGIONAL CONDITIONS,
REGIONAL POPULATION,
RURAL AREAS,
SCHOOL HEALTH,
SERVICE PROVIDERS,
SOCIAL JUSTICE,
URBAN AREAS,
WEALTH INDEX POVERTY & HEALTH,
HEALTH GOALS, |
|---|
| Online Access: | http://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor
https://hdl.handle.net/10986/13693
|
|---|
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
|---|
