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151. Public-Private Partnerships for Health Care in Punjab

Author:
Nirvikar Singh
Publication Date:
09-2011
Content Type:
Working Paper
Institution:
Center for the Advanced Study of India
Abstract:
This study examines the current state of public-private partnerships (PPPs) in health care in Punjab, and possibilities for new kinds of initiatives in this broad category of institutional arrangements. Health care outcomes in India are below the levels that might be expected even at India's specific level of development. The Indian government has recognized the need for public policy action, and is implementing a massive National Rural Health Mission (NRHM) to improve public sector delivery of health care services, especially in poorer states, and especially to the poor all over the country. The NRHM involves substantial increases in funding, and many innovations in organizational arrangements, including collaborations with a range of private sector entities.
Topic:
Development, Health, and Governance
Political Geography:
South Asia and Punjab

152. FDI in retailing and inflation: The case of India

Author:
Nandita Dasgupta
Publication Date:
12-2011
Content Type:
Policy Brief
Institution:
Columbia Center on Sustainable Investment
Abstract:
India's food price inflation is a major driving factor behind the country's overall accelerating inflation over the past few years. Agricultural food prices in particular have risen recently: over the past year vegetables have become costlier by 18%, pulses by 14%, milk by 10%, and eggs, meat and fish by 12%. The rise in fruit prices was, however, relatively smaller (5%), and the same happened for cereals (3%). This price escalation is largely due to an inefficient supply chain in agriculture. Some of the supply side constraints have been identified: poor agricultural productivity, lack of corporate involvement in agriculture, ceilings on landholding size, existence of middlemen, hoarding, and, more importantly, insufficient cold storage facilities and transportation infrastructure. Around 50% of fresh produce in India rots and goes to waste between the farm gate and the market because of inadequate cold storage facilities and a poor distribution network. These factors unfavorably affect agricultural supply, create a supplydemand gap and help raise food prices.
Topic:
Security, Agriculture, Development, Economics, Food, and Foreign Direct Investment
Political Geography:
South Asia and India

153. Pakistan 2020: A Vision for Building a Better Future

Author:
Hassan Abbas
Publication Date:
05-2011
Content Type:
Working Paper
Institution:
Asia Society
Abstract:
In recent years, Pakistan has stumbled from one crisis to another. A number of political and socioeconomic challenges threaten to further destabilize a country that already is reeling from insurgencies along its northwestern border. Pakistan's newest democratic government is struggling to maintain control over parts of its territory where militant religious groups are intent on challenging its authority and legitimacy. The country's conflict with India over Kashmir, now in its seventh decade, appears as intractable as ever, and the war in neighboring Afghanistan has deepened instability throughout Pakistan. The transition from a near-decade-long rule under a military dictatorship is slow and complicated, as rampant corruption and politicization of the bureaucracy present huge obstacles to the state-building process.
Topic:
Conflict Resolution, Foreign Policy, Democratization, Development, Economics, Education, and Health Care Policy
Political Geography:
Pakistan, Afghanistan, and South Asia

154. India's Growth in the 2000s: Four Facts

Author:
Arvind Subramanian and Utsav Kumar
Publication Date:
11-2011
Content Type:
Working Paper
Institution:
Peterson Institute for International Economics (PIIE)
Abstract:
This paper marks the first attempt at examining the growth performance across Indian states for the 2000s, a period also marked by the global financial crisis. Four key findings are reported. First, consistent with the fact that the 2000s was the best ever decade for Indian macroeconomic performance, growth increased across almost all major states in 2001–09 compared to 1993–2001. Second, nevertheless, there is a continued phenomenon of divergence or rising inequality across states: On average the richer states in 2001 grew faster in 2001–09. Third, during the crisis years of 2008 and 2009, states with the highest growth in 2001–07 suffered the largest deceleration. Since states with the highest growth were also the most open, it seems that openness creates dynamism and vulnerability. Finally, although the demographic dividend—a young population boosting economic dynamism—was evident before 2000, there is little evidence that there was any dividend in the 2000s. Demography alone cannot be counted on for future economic growth.
Topic:
Demographics, Development, Economics, Industrial Policy, International Trade and Finance, and Social Stratification
Political Geography:
South Asia and India

155. India-Brazil: Combating the double disease burden

Author:
Mohit Nair and Abhijeet Deshmukh
Publication Date:
11-2011
Content Type:
Special Report
Institution:
Gateway House: Indian Council on Global Relations
Abstract:
Today, both India and Brazil face the risk of an increase in communicable and non-communicable diseases, given the inefficient healthcare delivery systems. How can these nations help each other implement policy changes – to weed out hiccups to healthcare systems – and serve as a model for developing nations? When the term BRIC was first coined in 2001, Brazil and India were reputed as two leading emerging markets with tremendous growth potential. While both nations have sustained high growth rates for almost a decade, both are increasingly facing the onerous double disease burden that could prove to be economically and socially crippling if left unchecked. The double disease burden refers to the rise of communicable and non-communicable diseases (NCDs). Inefficient healthcare delivery systems and high rates of urbanization have contributed to periodic rises in communicable diseases such as tuberculosis, malaria and HIV. At the same time, as life expectancy increases in both nations, there has been a concomitant hike in the prevalence of NCDs such as cancer, diabetes and cardiovascular disease. This double disease burden is a common characteristic of developing nations and the increasing morbidity and loss of economic activity has the risk of hampering economic growth. According to the World Health Organization (WHO), the estimated loss in income from heart disease, stroke and diabetes alone was $8.7 billion in India and $2.7 billion in Brazil in 2005. This is expected to increase to $54 billion in India and $9.3 billion in Brazil by 2015. By implementing proper policy measures, both Brazil and India can avoid a health care catastrophe and serve as a model for developing nations.
Topic:
Development, Health, World Health Organization, Infectious Diseases, and Public Policy
Political Geography:
South Asia, India, Brazil, and South America

156. A winning strategy for the North East

Author:
Akshay Mathur
Publication Date:
07-2011
Content Type:
Special Report
Institution:
Gateway House: Indian Council on Global Relations
Abstract:
This paper examines the political & economic landscape of North East India and explains how diplomacy, policing and development brought peace to Assam and the North-East. For most Indians, the North East (NE) has remained largely on the fringes of our sense of India as well as on the periphery of its geography. This is partly because India has ignored the region politically and economically for a long time, and partly because the complex social and cultural dynamics have made it difficult to integrate the region with the rest of the country. Now, however, India ignores it at its own peril. India can never achieve sustained high economic growth or become a powerful integrated nation if it continues to think of developing NE as a rural infrastructure project. It is a region of seven states – Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland and Tripura that has four international borders—China, Myanmar, Bangladesh and Bhutan— and accounts for a major source of hydrocarbons (oil and gas), coal, limestone, tea, bamboo and other resources. The successful triumvirate of diplomacy, policing and development in Assam has brought the ULFA to the point of peace negotiations. This has renewed hope for sustained peace and a fresh economic opportunity in Assam. It is now time to cement peace and define a new vision for the region. A big, bold, tangible, all-encompassing strategy is suggested to kick-start an economic revolution in the NE using domestic businesses and partnerships neighbouring South East Asian countries. The paper uses the model of the Delhi Mumbai Industrial Corridor (DMIC), a Rs. 400,995 Crores ($90 billion) effort funded jointly by Government of India and Government of Japan to make western India in to an economic powerhouse. Part 1 of this paper examines the political and economic landscape of the region and explains how diplomacy, policing and development brought peace to Assam and to NE at large. Part 2 proposes a bold economic plan for the future with Thailand as partner.
Topic:
Development, Diplomacy, Economics, Infrastructure, Peace, and Police
Political Geography:
South Asia, India, and Myanmar

157. India-Brazil: Combating the double disease burden

Author:
Mohit Nair and Abhijeet Deshmukh
Publication Date:
11-2011
Content Type:
Special Report
Institution:
Gateway House: Indian Council on Global Relations
Abstract:
When the term BRIC was first coined in 2001, Brazil and India were reputed as two leading emerging markets with tremendous growth potential. While both nations have sustained high growth rates for almost a decade, both are increasingly facing the onerous double disease burden that could prove to be economically and socially crippling if left unchecked. The double disease burden refers to the rise of communicable and non-communicable diseases (NCDs). Inefficient healthcare delivery systems and high rates of urbanization have contributed to periodic rises in communicable diseases such as tuberculosis, malaria and HIV. At the same time, as life expectancy increases in both nations, there has been a concomitant hike in the prevalence of NCDs such as cancer, diabetes and cardiovascular disease. This double disease burden is a common characteristic of developing nations and the increasing morbidity and loss of economic activity has the risk of hampering economic growth. According to the World Health Organization (WHO), the estimated loss in income from heart disease, stroke and diabetes alone was $8.7 billion in India and $2.7 billion in Brazil in 2005. This is expected to increase to $54 billion in India and $9.3 billion in Brazil by 2015. By implementing proper policy measures, both Brazil and India can avoid a health care catastrophe and serve as a model for developing nations. There is no doubt that Brazil has outperformed India in terms of controlling the spread of communicable diseases. Yet, challenges remain. While rates of HIV/AIDS and tuberculosis are comparatively lower in Brazil than in India, rates of dengue fever in Brazil are six times higher than they were in the 1990s, with 3.5 million cases in the last decade and no available vaccine (Barreto et. al, 2011). Control of neglected tropical diseases such as visceral leishmaniasis is also currently very poor. India has an even more unsettling disease profile with major diseases like tuberculosis responsible for more than 300,000 deaths per year. In addition, while the government boasts a reduction in prevalence rates of HIV/AIDS, it is still home to over 2.4 million HIV/AIDS patients. Equally worrying is the monumental rise in rates of cardiovascular disease and diabetes. According to the WHO, non-communicable diseases currently cause 35 million deaths per year and 80 percent of these occur in low- or middle-income countries (World Diabetes Foundation 2010). India will incur an accumulated loss of over $200 billion due to non-communicable diseases by 2015, and Brazil will see an estimated loss of $49.2 billion due to diabetes and cardiovascular disease alone (World Diabetes Foundation 2010). It is clear that Brazil and India will not be able to achieve the Millennium Development Goals by 2015 unless the double disease burden and associated challenges of alleviating the rising economic and human costs are addressed. Overall, Brazil’s efforts and programs have been more effective than India’s. Brazil’s acceptance of health care as a constitutional right for all citizens in 1988, regardless of their ability to pay, has led to groundbreaking health care reforms by the Brazilian government. Its HIV/AIDS program has served as an exemplar of government intervention. In the 1990s, the World Bank had estimated that 1.2 million people would be living with AIDS in Brazil by 2000, but in reality, the actual figure was less than 600,000 due to effective government intervention (Avert n.d.). India however, still struggles with a lack of effective communication between federal, state and municipal governments and woeful implementation of health coverage across sectors. Since India has a disproportionate share (21 percent) of the global disease burden, it is essential that it learn from Brazil a country that has achieved several significant milestones in addressing the health care needs of its citizens who are below the poverty line. India could adopt similar health care strategies to promote collaboration between the two nations to combat the double disease burden.
Topic:
Development, International Cooperation, Infectious Diseases, Health Care Policy, and Public Health
Political Geography:
South Asia, India, Brazil, and South America

158. The Global Glass Ceiling

Author:
Isobel Coleman
Publication Date:
05-2010
Content Type:
Journal Article
Journal:
Foreign Affairs
Institution:
Council on Foreign Relations
Abstract:
Over the last several decades, it has become accepted wisdom that improving the status of women is one of the most critical levers of international development. When women are educated and can earn and control income, a number of good results follow: infant mortality declines, child health and nutrition improve, agricultural productivity rises, population growth slows, economies expand, and cycles of poverty are broken.
Topic:
Development and Human Rights
Political Geography:
Africa, South Asia, and Middle East

159. Globalisation, Domestic Market Integration, and the Regional Disparities of India

Author:
Arne Melchior
Publication Date:
10-2010
Content Type:
Working Paper
Institution:
Norwegian Institute of International Affairs
Abstract:
Using a world trade model with India subdivided into states, the paper examines how regional disparities are affected by domestic inter-state trade as well as international trade. According to the analysis, international liberalisation promotes decentralisation and convergence, not divergence, so trade is not to blame for India's growing regional disparities. High economic growth within India makes domestic markets more important and the geographical effect of this is opposite to that of globalisation. This may counterbalance the geographical impact of international liberalisation and explain why recent changes in geographical clustering in India are limited. The empirical results are consistent with this. They also indicate that Indian services expansion is largely driven by increases in domestic demand due to growth, and that domestic market integration is essential for India's manufacturing sector. We argue that for larger nations, the domestic inter-regional trade is important and India should have a trade policy that addresses domestic as well as international market integration.
Topic:
Development, Globalization, and International Trade and Finance
Political Geography:
South Asia, India, and Asia

160. Hydropolitics in Pakistan's Indus Basin

Author:
Daanish Mustafa
Publication Date:
11-2010
Content Type:
Working Paper
Institution:
United States Institute of Peace
Abstract:
Water problems in Pakistan result largely from poor management, but the consequences of management failures are accentuated, both materially and politically, by international and subnational hydropolitics. There is enough water in the Indus basin to provide for the livelihoods of its residents for a long time, provided that the water is managed efficiently and equitably and that additional water is made available not just through storage but, more importantly, through higher efficiency and intersectoral transfers. The Indus Waters Treaty (IWT) seems to moderate the worst impulses of India and Pakistan toward each other, and perhaps therein lies IWT's greatest strength. Pakistani engineers typically interpret the IWT's extensive technical annexures very literally, whereas the Indian engineers tend to emphasize the treaty's criteria for techno-economi¬cally sound project design. No single completed or proposed Indian project on the three western rivers of the Indus basin alone has the potential to significantly limit flows of water to Pakistan. But the long list of proposed Indian projects on the those rivers will in the future give India the cumulative storage capacity to reduce substantively water flows to Pakistan during the low-flow winter months. The IWT, by performing an amputation surgery on the basin, made matters simple and allowed India and Pakistan to pursue their nationalist agendas without much need for more sophisticated and involved cooperation in the water field. This lack of cooperative sharing of water leaves the ecological and social consequences of the treaty to be negotiated and contested at the subnational scale. The interprovincial conflict over water distribution in Pakistan has potential—albeit entirely avoidable—repercussions for stability, at both the subnational and international levels. Instead of constructing very expensive, environmentally damaging, and economically dubious water-storage megaprojects in Pakistan, enhancement of the existing infrastructure's efficiency, coupled with better on-farm water management and more appropriate irrigation and farming techniques, would perhaps more than make up for any additional water that might be gained from megaprojects. Since the drought in southern Pakistan in the latter half of the 1990s, the single-minded focus of the Pakistani water bureaucracy on water development has made the issue of the construction of the Kalabagh Dam project a surrogate for a litany of Sindhi grievances against the Punjabi-dominated political, military, and bureaucratic system in Pakistan. The emphasis on maximizing water withdrawals and on greater regulation of the Indus river system contributed to accentuating the very high flood peaks in 2010. Although the floods are being used by the pro-dams lobby to call for construction of more storage on the Indus, the tragedy ought to inspire a more nuanced and comprehensive reevaluation of the water-management system in the basin. The IWT is a product of its time and could be fruitfully modified and renegotiated to bring it more in line with contemporary international watercourse law, the Helsinki rules, and emerging concerns with water quality, environmental sustainability, climate change, and principles of equitable sharing. But that renegotiation, if it ever happens, is going to be contingent upon significant improvement in bilateral relations between India and Pakistan. India could be more forthcoming with flow data and be more prompt and open in communicating its planned projects on the Indus basin to Pakistan, particularly in the western basin. Pakistan can engage with India within the context of the IWT more positively than defensively, and also educate its media and politicians so as not to sensationalize essentially technical arguments by presenting them as existential threats.
Topic:
Conflict Resolution, Development, and Water
Political Geography:
Pakistan, South Asia, and India