Search

Begin New Search Topic Health Publishing Institution United Nations University

11. Seasonal Migration and Early Childhood Development

Author:
Karen Macours and Renos Vakis
Publication Date:
04-2008
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
This paper provides unique evidence of the positive consequences of seasonal migration for investments in early childhood development. We analyse migration in a poor shockprone border region in rural Nicaragua where it offers one of the main household income diversification and risk coping strategies. IV estimates show, somewhat surprisingly, that mother's migration has a positive effect on early cognitive development. We attribute these findings to changes in income and to the intrahousehold empowerment gains resulting from mother's migration, which offset potential negative ECD effects from temporary lack of parenting. This paper, hence, illustrates how increased opportunities in seasonal migration due to higher South–South mobility might positively affect early childhood development and as such long term poverty reduction.
Topic:
Health, Migration, and Poverty
Political Geography:
Nicaragua

12. The Determinants of Child Weight and Height in Sri Lanka: A Quantile Regression Approach

Author:
Harsha Aturupane, Anil B. Deolalikar, and Dileni Gunewardena
Publication Date:
05-2008
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
Reducing child malnutrition is a key goal of most developing countries. To combat child malnutrition with the right set of interventions, policymakers need to have a better understanding of its economic, social and policy determinants. While there is a large literature that investigates the determinants of child malnutrition, it focuses almost exclusively on mean effects of these determinants. However, socioeconomic background variables and policy interventions may affect child nutrition differently at different points of the conditional nutritional distribution. Using quantile regressions, this paper explores the effect s of variables such as a child's age, sex and birth order; household expenditure per capita; parental schooling; and infrastructure on child weight and height at different points of the conditional distributions of weight and height using data from Sri Lanka's Demographic and Health Survey. Results indicate that OLS estimates can be misleading in predicting the effects of determinants at the lower end of the distributions of weight and height. For example, even though on average Sri Lankan girls are not nutritionally-disadvantaged relative to boys, among children at the highest risk of malnutrition girls are disadvantaged relative to boys. Likewise, although expenditure per capita is associated with strong nutritional improvement on average, it is not a significant determinant of child height or weight at the lower end of the distribution. Similarly, parental education, electricity access, and the availability of piped water have larger effect son child weight and height at the upper quantiles than at the lower quantiles. The policy implication is that general interventions—parental schooling, infrastructure and income growth—are not as effective for children in the lower tail of the conditional weight and height distributions. These children, who are at the highest risk of malnutrition, are likely to need specialized nutritional interventions.
Topic:
Development, Education, and Health
Political Geography:
Asia and Sri Lanka

13. Rehabilitating Health Systems in Post-Conflict Situations

Author:
Gilbert Burnham, Brinnon Garrett, and Hugh Waters
Publication Date:
01-2007
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
Although baseline data for post-conflict situations are frequently unavailable, there is a clear deterioration in the health conditions of populations during and following conflict. Excess mortality and morbidity, displaced populations, and vulnerability to communicable diseases during and following conflict all call for immediate relief and restoration of basic services. As much as possible, short-term relief and assistance programmes should be implemented in a manner compatible with longer term health system rehabilitation.
Topic:
Conflict Resolution, Development, Health, and War

14. International Mobility of Health Professionals: Brain Drain or Brain Exchange?

Author:
Stephen Bach
Publication Date:
08-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
The consequences of health professional mobility have become a prominent public policy concern. This paper considers trends in mobility amongst doctors and nurses and the consequences for health systems. Policy responses are shifting from a reactive agenda that focuses on stemming migration towards a more active agenda of managed migration that benefits source and destination countries. Improved working conditions and effective human resource practice are required to encourage retention of health professionals in both source and destination countries.
Topic:
International Relations, Health, Human Welfare, and Migration

15. National Food Policies Impacting on Food Security: The Experience of India, a Large Populated Country

Author:
S.S. Acharya
Publication Date:
07-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
India accounts for 16.7 per cent of the world's food consumers. With the exception of China, India's size in terms of food consumers is many times larger than the average size of the rest of the countries. At the time of independence in 1947, India was in the grip of a serious food crisis, which was accentuated by the partition of the country. The demand for food far exceeded supply, food prices were high and more than half of the population living below the poverty line with inadequate purchasing power. With high rates of population growth, the dependence on imported food increased further. However, the situation improved considerably after the mid-1960s, when new agricultural development strategy and food policies were adopted. The production of staple cereals increased substantially, mainly contributed by productivity improvements. The dependence on food imports decreased and the country became a marginal net exporter of cereals. There was also an improvement in physical and economic access of households to cereals and other nutritive food products. The proportion of households reporting hunger went down and the incidence of economic poverty reduced. This paper reviews the Indian approach to tackling the severe problem of food insecurity, which India faced immediately after independence. It reviews the evolution of food policy, the major policy instruments deployed, intervention in food marketing system, and the current status of food security/insecurity. The paper also identifies the lessons emerging from the experience of India. In developing countries characterized by large segments of the rural population dependent on food production for livelihood and by the high incidence of poverty, food insecurity and malnutrition, the strategy to improve food security must encompass programmes to increase food production that combine improved technology transfer, price support to food producers and supply of inputs at reasonable prices to farmers, improvements in food marketing system, employment generation, direct food assistance programmes, and improvement in the access to education and primary health care.
Topic:
Health and Human Welfare
Political Geography:
China, India, and Asia

16. Investing in Health for Economic Development: The Case of Mexico

Author:
Nora Lustig
Publication Date:
03-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
Health is an asset with an intrinsic value as well as an instrumental value. Good health is a source of wellbeing and highly valued throughout the world. Health is not only the absence of illness, but capacity to develop a person's potential. Health is also an important determinant of economic growth. Given the importance of health, both as a source of human welfare and a determinant of overall economic growth, the Popular Health Insurance (Seguro Popular) was first introduced in Mexico as a pilot programme by the federal government in 2001, becoming part of the formal legislation in 2003. This study looks at the current situation, and some of the early findings and improvements made so far with regard to public health coverage in Mexico.
Topic:
Development, Economics, and Health
Political Geography:
Central America and Mexico

17. A Wider Approach to Aid Effectiveness: Correlated Impacts on Health, Wealth, Fertility and Education

Author:
Mark McGillivray, Sebastian Torres, and David Fielding
Publication Date:
02-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
In this paper we discuss the results of research into the impact of foreign aid on human development. Rather than focussing on per capita income, as is common in the existing literature, we look at how aid impacts on a range of human development indicators, including measures, of health, education and fertility, and allow for the fact that these different dimensions of wellbeing are likely to interact with each other. Overall, aid is found to have a substantial positive impact on many development outcome.
Topic:
Development, Economics, Health, and Humanitarian Aid

18. Health Improvements and Health Inequality during the Last 40 Years

Author:
Giovanni Andrea Cornia and Leonardo Menchini
Publication Date:
02-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
This paper juxtaposes changes over the last forty years in income growth and distribution with the mortality changes recorded at the aggregate level in about 170 countries and at the individual level in 26 countries with at least two demographic and health surveys covering the last twenty years. Over the 1980s and 1990s, the infant mortality rate, under-5 mortality rate, and life expectancy at birth mostly continued the favourable trends that characterized the 1960s and 1970s. Yet, especially in the 1990s, the pace of health improvement was slower than that recorded during the prior decades. In addition, the distribution between countries of aggregate health improvements became markedly more skewed. These trends are in part explained by the negative changes recorded in sub-Saharan Africa and Eastern Europe, but are robust to the removal of the two regions from the sample. This tendency is observed also at the intraregional level, with the exception of Western Europe. Thirdly, demographic and health survey data for 26 developing countries point to a frequent divergence over time in the within-country distribution of gains in the infant mortality and under-5 mortality rates among children living in urban versus rural areas and belonging to families part of different quantiles of the asset distribution. The paper concludes by underscoring the similarities and linkages between changes in income inequality and health inequality and suggests some tentative explanations of these trends without, however, formally testing them.
Topic:
Development, Health, and Human Welfare
Political Geography:
Europe and Eastern Europe

19. Millennium Development Goal 7: An Assessment of Progress With Respect to Water and Sanitation: Legacy, Synergy, Complacency or Policy?

Author:
P.B. Anand
Publication Date:
01-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
Access to water and sanitation (target 10) is an important ingredient of quality of life. As per WHO-UNICEF assessments, globally, 77 per cent of population had access to water in 1990. This proportion has increase d to 83 per cent in 2002, thus, on track to achieve the target of halving the proportion of population without safe access by 2015. However, there is considerable regional disparity in progress which remains significantly low in many countries in sub- Saharan Africa. Also, the question remains whether increased access is same as sustainable access. In 2002, some 2.6 billion people worldwide did not have access to safe sanitation options. Of these, nearly 2 billion were in the rural areas. While in almost all countries, the proportion of people having access to improved sanitation in 2002 has increased compared to the status in 1990, in 27 countries including India, Ne pal, Lao PDR, Namibia, Ethiopia, Eritrea, and Yemen, two out of three people did not have access to improved sanitation in 2002.
Topic:
Development, Health, and Human Welfare
Political Geography:
India, Yemen, Ethiopia, Eritrea, and Namibia

20. Regulating Bioprospecting: Institutions for Drug Research, Access and Benefit-Sharing

Author:
Padmashree Gehl Sampath
Publication Date:
04-2005
Content Type:
Policy Brief
Institution:
United Nations University
Abstract:
This policy brief summarizes the main arguments and conclusions of a forthcoming book by United Nations University Press, which examines the regulation of bioprospecting for drug research from an interdisciplinary law and economics perspective. Bioprospecting was once touted as a promising opportunity for collaborative ventures in biotechnology-based research and development (R) between the genetic resources-rich South and the technology-rich North, especially in the case of drug research. However this promise has yet to materialize. Understanding why this is so is a central policy question for countries in the South that wish to leverage their biodiversity endowments in the development process.
Topic:
Development, Environment, Health, and Science and Technology