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32. The Effects of Socioeconomic Status and Health Insurance on the Demand for Prenatal and Postnatal Health Care in Ghana
- Publication Date:
- 11-2012
- Content Type:
- Policy Brief
- Institution:
- African Economic Research Consortium (AERC)
- Abstract:
- Ghana is committed to achieving Millennium Development Goals (MDG) 4 and 5, which aim to reduce child and maternal deaths by 2015. This commitment is manifested in the way prenatal and postnatal health care services are being made accessible to women of reproductive age. Prenatal care refers to the medical and nursing care recommended for women before and during pregnancy. Postnatal care is an essential part of safe motherhood. The access to and use of prenatal and postnatal health care services are crucial for improved maternal-child survival. Ill health of women and children can arise due to the under utilization of prenatal and postnatal health care services.
- Topic:
- Development, Economics, Health, Poverty, Health Care Policy, Children, Millennium Development Goals, and Infants
- Political Geography:
- Africa and Ghana
33. Saving Mothers, Giving Life: Attainable or Aspirational?
- Author:
- Janet Fleischman
- Publication Date:
- 06-2012
- Content Type:
- Working Paper
- Institution:
- Center for Strategic and International Studies
- Abstract:
- Each day, nearly 800 women die around the world from complications in pregnancy or childbirth. That's one woman losing her life, every 100 seconds, every day. And while, from 1990 to 2010, global maternal mortality rates declined by roughly 47%, from about 546,000 to 287,000, the regional disparities are enormous: 85% of all maternal deaths occur in sub-Saharan Africa and South Asia—and more than half of these occur in sub-Saharan Africa. These deaths are largely preventable with interventions and training to address complications such as hemorrhage, infection, and obstructed labor, and more broadly with increased access to reproductive health services.
- Topic:
- Foreign Policy, Health, International Affairs, Foreign Aid, and Health Care Policy
- Political Geography:
- Africa, United States, and South Asia
34. Understanding the Links Between Sexual and Reproductive Health Status and Poverty Reduction
- Author:
- Nata Duvvury and Philip Oxhorn
- Publication Date:
- 01-2012
- Content Type:
- Policy Brief
- Institution:
- Institute for the Study of International Development, McGill University
- Abstract:
- The interrelationship between poverty and sexual and reproductive health status (SRHS) is widely noted in academic, policy and programmatic discourses, though none establishes causality. The primary emphasis in these discourses is that poor SRHS is an outcome of poverty, and thus can be addressed through poverty reduction programmes. The purpose of this brief is to understand what factors contribute to the interrelationship between SRHS and poverty, with a specific focus on understanding how SRHS impacts household poverty. Future studies may then focus specifically on these factors in order to address issues of causality. This brief is based on desk research involving two sources of data: 1) a review of global literature and 2) three country case studies. The global literature review examined literature documenting the nature, extent and strength of the interrelationship between poverty and SRHS. The literature search was conducted using keywords from different disciplinary perspectives demography, economics, development, women’s studies, sociology, human rights and public health. Key databases such as JSTOR, PubMed, MEDLINE and Elsevier Science Direct were consulted, as well as the specific library databases at National University of Ireland, Galway and McGill University. Researchers at McGill compiled an annotated bibliography of literature on India. The three country case studies were undertaken in Brazil, Ghana and Lebanon. Consultants in each country undertook an extensive search of academic, policy and programmatic literature including journal publications, research reports, policy briefs, and non-governmental organization (NGO) reports. The literature search in each country followed the same method as the global literature review, including identifying keywords from different disciplines and exploring different databases. In addition, the consultants searched grey literature through contacting various NGOs and research institutions. They also obtained statistical information from governmental and institutional databases. All country case studies explored three key questions: 1) Is there literature that demonstrates the impact of poor SRHS on poverty? 2) What factors have been highlighted in the literature as influencing the relationship between SRHS and poverty? 3) Are there trade-offs involved for women between education, fertility, status and work participation? and 4) Do programmes by civil society organizations, such as micro-credit or income-generating programmes, promote sexual and reproductive health?
- Topic:
- Development, Education, Poverty, Health Care Policy, and Reproductive Health
- Political Geography:
- Africa, Middle East, Brazil, South America, Lebanon, and Ghana
35. Antiretroviral Therapy Awareness and Risky Sexual Behaviors: Evidence from Mozambique
- Author:
- Mead Over, Damien de Walque, and Harounan Kazianga
- Publication Date:
- 01-2011
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- This paper studies the effect of increased access to antiretroviral therapy on risky sexual behavior, using data collected in Mozambique in 2007 and 2008. The survey sampled both households of randomly selected HIV-positive individuals and households from the general population. Controlling for unobserved individual characteristics, the findings support the hypothesis of disinhibition behaviors, whereby risky sexual behaviors increase in response to the perceived changes in risk associated with increased access to antiretroviral therapy. Furthermore, men and women respond differently to the perceived changes in risk. In particular, risky behaviors increase for men who believe, wrongly, that AIDS can be cured, while risky behaviors increase for women who believe, correctly, that antiretroviral therapy can treat AIDS but cannot cure it. The findings suggest that scaling up access to antiretroviral therapy without prevention programs may not be optimal if the objective is to contain the disease, since people would adjust their sexual behavior in response to the perceived changes in risk. Therefore, prevention programs need to include educational messages about antiretroviral therapy and address the changing beliefs about HIV in the era of increasing antiretroviral therapy availability.
- Topic:
- Education and Health Care Policy
- Political Geography:
- Africa
36. Food Crisis, Household Welfare, and HIV/AIDS Treatment: Evidence from Mozambique
- Author:
- Mead Over, Damien de Walque, Harounan Kazianga, and Julia Vaillant
- Publication Date:
- 01-2011
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- Using panel data from Mozambique collected in 2007 and 2008, the authors explore the impact of the food crisis on welfare of households living with HIV/AIDS. The analysis finds that there has been a real deterioration of welfare in terms of income, food consumption, and nutritional status in Mozambique between 2007 and 2008, among both HIV and comparison households. However, HIV households have not suffered more from the crisis than others. Results on the evolution of labor-force participation suggests that initiation of treatment and better services in health facilities have counterbalanced the effect of the crisis by improving the health of patients and their labor-force participation. In addition, the authors look at the effect of the change in welfare on the frequency of visits to health facilities and on treatment outcomes. Both variables can proxy for adherence to treatment. This is a particularly crucial issue as it affects both the health of the patient and public health because sub-optimal adherence leads to the development of resistant forms of the virus. The authors find no effect of the change in welfare on the frequency of visits, but they do find that people who experienced a negative income shock also experienced a reduction or a slower progress in treatment outcomes.
- Topic:
- Food and Health Care Policy
- Political Geography:
- Africa
37. Achieving a Shared Goal: Free universal health care in Ghana
- Publication Date:
- 03-2011
- Content Type:
- Working Paper
- Institution:
- Oxfam Publishing
- Abstract:
- Coverage of the National Health Insurance Scheme (NHIS) has been hugely exaggerated, and could be as low as 18% Every Ghanaian citizen pays for the NHIS through VAT, but as many as 82% remain excluded Twice as many rich people are signed up to the NHIS as poor people. 64% of the rich are registered compared with just 29% of the poorest Those excluded from the NHIS still pay user fees in the cash and carry system. Twenty five years after fees for health were introduced by the World Bank, they are still excluding millions of citizens from the health care they need An estimated 36% of health spending is wasted due to inefficiencies and poor investment. Moving away from a health insurance administration alone could save US$83 million each year. Enough to pay for 23,000 more nurses Through savings, good quality aid but primarily improved progressive taxation of Ghana's own resources, especially oil, the government could afford to increase spending on health by 200%, to US$54 per capita, by 2015 This would mean the government could deliver on its own promise to make health care free for all – not just the lucky few at the expense of the many.
- Topic:
- Health, Human Welfare, and Health Care Policy
- Political Geography:
- Africa and Ghana
38. IDA at 65: Heading Toward Retirement or a Fragile Lease on Life?
- Author:
- Todd Moss and Benjamin Leo
- Publication Date:
- 03-2011
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- Even under conservative assumptions, IDA will likely face a wave of country graduations by 2025. We project that it will lose more than half of its client countries and that the total population living in IDA-eligible countries will plunge by two-thirds. The remaining IDA-eligible countries will be significantly smaller in size and overwhelmingly African, and a majority are currently considered fragile or post-conflict. This drastically altered client base will have significant implications for IDA's operational and financial models. We conclude with three possible options for IDA and recommend that World Bank shareholders and management begin frank discussions on its future sooner rather than later.
- Topic:
- Demographics, Development, Health, World Bank, and Health Care Policy
- Political Geography:
- Africa
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