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151. 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

152. 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

153. 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

154. Estimating ObamaCare's Effect on State Medicaid Expenditure Growth

Author:
Jagadeesh Gokhale
Publication Date:
01-2011
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Unless repeal attempts succeed, the Patient Protection and Affordable Care Act of 2010 (ObamaCare) promises to increase state government obligations on account of Medicaid by expanding Medicaid eligibility and introducing an individual health insurance mandate for all US citizens and legal permanent residents. Once ObamaCare becomes fully effective in 2014, the cost of newly eligible Medicaid enrollees will be almost fully covered by the federal government through 2019, with federal financial support expected to be extended thereafter. But ObamaCare provides states with zero additional federal financial support for new enrollees among those eligible for Medicaid under the old laws. That makes increased state Medicaid costs from higher enrollments by "old-eligibles" virtually certain as they enroll into Medicaid to comply with the mandate to purchase health insurance. This study estimates and compares potential increases in Medicaid costs from ObamaCare for the five most populous states: California, Florida, Illinois, New York, and Texas.
Topic:
Government, Health, Markets, and Health Care Policy
Political Geography:
United States, New York, California, and Florida

155. Population Growth, Reproductive Health and Sustainable Development

Publication Date:
12-2011
Content Type:
Policy Brief
Institution:
Aspen Institute
Abstract:
Sustainable development "meets the needs of the present without compromising the ability of future generations to meet their own needs." In the 20thcentury, a tripling of human numbers was accompanied by dramatic gains in development, as measured in food production and economic growth. But much of that development was unsustainable—it focused on the needs of the present at the expense of future generations. Today, the world's nations must provide for an ever-growing population against a backdrop of food and water shortages, depleted resources, and a changing climate. Slower population growth would make that challenge easier to meet.
Topic:
Climate Change, Demographics, Development, Natural Resources, Food, and Health Care Policy

156. The Role of NGOs in Combating Avian Influenza in Indonesia: A Muhammadiyah Case Study

Author:
Siti Masyitah Rahma
Publication Date:
10-2010
Content Type:
Working Paper
Institution:
Centre for Non-Traditional Security Studies (NTS)
Abstract:
Avian influenza, or 'bird flu', has been detected in Indonesia since 2003 but it was not until 2005 that the first human cases were discovered. It is estimated that economic losses caused by this virus in Indonesia have reached US$470 million, and disrupted the livelihoods of over 10 million people dependent on the poultry industry. The Government of Indonesia has coordinated government and non-government programmes in efforts to control avian influenza in Indonesia. However, it has encountered certain constraints which resulted in a gap between policy and implementation. This allowed non-governmental organisations (NGOs) to play significant roles in terms of providing financial resources and social capital.
Topic:
Health, Islam, Non-Governmental Organization, and Health Care Policy
Political Geography:
Indonesia and Asia

157. Innovations in Cooperation: A Guidebook on Bilateral Agreements to Address Health Worker Migration

Author:
Robert Kapp, Ibadat S. Dhillon, and Margaret E. Clark
Publication Date:
05-2010
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
There is limited international structure to manage the ever important phenomenon of human migration and its associated challenges. This is particularly true with respect to the international migration of health workers, where bilateral agreements between sending and receiving nations have been repeatedly and urgently called for in the context of a global health workforce crisis. There remains, however, significant lack of clarity on the precise role, form, and content bilateral agreements should take to serve a health-related purpose. This Guidebook, including presentation of two model bilateral agreements, aims to provide guidance to further international cooperation around the critical and highly sensitive area of health worker migration.
Topic:
Health, International Cooperation, and Health Care Policy

158. Defying Expectations: Polio Vaccination Programs Amid Political and Armed Conflict

Author:
Leonard S. Rubenstein
Publication Date:
11-2010
Content Type:
Policy Brief
Institution:
United States Institute of Peace
Abstract:
Defying expectations, successful polio vaccination campaigns have taken place in well over two dozen armed conflicts, and continue today. Polio vaccination campaigns amid war have often succeeded in gaining the cooperation of anti-government forces such as Sendero Luminoso in Peru, multiple rebel groups in the Democratic Republic of Congo, and the Taliban in Afghanistan. Diplomatic means have also been employed to overcome severe political obstacles to such campaigns, even when the campaigns have become a flashpoint in places of political turmoil. Such campaigns face many challenges because vaccinators need to reach all villages without threats to their own lives or the programs' implementation. They require security for safe passage for immunizations and sometimes temporary cease-fires. The many successes of vaccination campaigns can be attributed to the programs' exclusive focus on the immunization needs of children; the use of interlocutors who are credible because they demonstrate neutrality; transparent discussions with opposition groups about the reasons for the campaigns; a role for opposition groups in facilitating the campaigns; limits on the number of days vaccinations take place; and the absence of any strategic or political goals for the effort beyond polio eradication.
Topic:
Conflict Resolution, Political Violence, Armed Struggle, and Health Care Policy
Political Geography:
Afghanistan, Taliban, and Peru

159. The Imbalance between Patient Needs and the Limited Competence of Top-Level Health Providers in Urban China: An Empirical Study

Author:
Qunhong Shen, Liyang Tang, Yilin Feng, and Jenny Tang
Publication Date:
11-2010
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
The increasing importance of patient satisfaction is a common trend for the global health delivery system. This development is one of the consequences of wider social movements toward consumerism (Sitzia and Wood 1997) and also is the result of the new public management (Christoffer 2002).
Topic:
Communism, Development, Government, and Health Care Policy
Political Geography:
China

160. Patient Preferences, Concerns, and Satisfaction with Providers before the Chinese Urban Health System Reform: A Social Groups Analysis

Author:
Qunhong Shen and Liyang Tang
Publication Date:
09-2010
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
Many Chinese express dissatisfaction with their healthcare system with the popular phrase Kan bing nan, kan bing gui ("medical treatment is difficult to access and expensive"). Critics have cited inefficiencies in delivery and poor quality of services. Determining the pattern of patient satisfaction with health services in China-and the causes of patient dissatisfaction-may help to improve health care not only in China but in countries in similar predicaments throughout the world.
Topic:
Economics, Markets, Social Stratification, and Health Care Policy
Political Geography:
China