Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population

Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population PDF

Author: World Bank

Publisher: World Bank Publications

Published: 2009-01-01

Total Pages: 228

ISBN-13: 0821379518

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This study evaluates the effectiveness of the World Bank Group's support for health, nutrition, and population (HNP) in developing countries from 1997 to 2008 - totaling more than $17 billion - and distills lessons for greater impact in the future. It finds that the Bank Group now funds a smaller share of global support for HNP than a decade ago, but its support remains substantial and adds considerable value. About two-thirds of the Bank's HNP support has had satisfactory outcomes, often in difficult environments. But in a number of country settings, particularly in Africa, it has not performed well, in part due to high complexity and weak capacity. Only half of HNP support had a pro-poor focus, while support to reduce high fertility and promote family planning has dwindled. The evaluation highlights the contribution of investments in water supply, sanitation, and hygiene to improving the health of the poor and the lessons from support for sector-wide approaches, communicable disease control, and health reform. Moving forward, the World Bank needs to improve the performance of its HNP support and the Bank and IFC need to take actions to ensure their support reaches the poor and contributes greater social benefits, respectively.

Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population

Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population PDF

Author: Weltbank

Publisher:

Published: 2012

Total Pages: 0

ISBN-13:

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The Bank Group now funds a smaller share of global support for health, nutrition, and population (HNP) than it did a decade ago, but its support remains significant-$17 billion in country-level project financing, in addition to policy advice, analytic work, and engagement in global partnerships by the World Bank and $873 million in private health and pharmaceutical investments by International Finance Corporation (IFC) from 1997 to mid-2008. The Bank Group continues to play an important role and add value in HNP. About two-thirds of the Bank's HNP projects show satisfactory outcomes. Performance can be substantially improved by reducing project complexity, strengthening risk assessment and mitigation, conducting more up-front institutional analysis, and incorporating more evaluation to promote evidence-based decisions. The performance of IFC health investments, mainly hospitals, has improved markedly, but IFC has had limited success at diversifying its health portfolio. The Bank's investments often have a pro-poor focus, but their objectives need to address the poor explicitly and outcomes among the poor need to be monitored. Importantly, the Bank needs to increase support to reduce high fertility and malnutrition among the poor and ensure discussion of HNP in poverty assessments. IFC-financed hospitals mainly benefit the non-poor; IFC needs to support more activities that both make business sense and yield broader benefits for the poor. Adding HNP objectives to Bank projects in other sectors, such as water supply and sanitation, raises the incentive to deliver health benefits. Strengthening the complementarity of investments in HNP and other sectors can also improve outcomes. In IFC, incentives, institutional mechanisms, and an integrated approach to health are needed to improve coordination across units.

Investing in Health

Investing in Health PDF

Author: Timothy A. Johnston

Publisher: World Bank Publications

Published: 1999-01-01

Total Pages: 96

ISBN-13: 9780821343104

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World Bank lending for health, nutrition, and population (HNP) activities is accelerating. The Bank's emphasis has evolved from expanding HNP service delivery capacity to encouraging systemic reform. The Bank is now the major source of external finance for the sector in the developing world. The policy influence of its nonlending services is potentially significant.With the current generation of projects, the Bank and its partners are attempting to address underlying constraints to sector performance, while remaining cognizant of the difficulty of improving health sector effectiveness and efficiency, even in developed countries. This volume recommends that the Bank seek to: • do better, not more, in the HNP sector, • improve project monitoring and evaluation, and • strengthen its ties with the World Health Organization and other interested organizations.

The World Bank Strategy for Health, Nutrition and Population in the East Asia and Pacific Region

The World Bank Strategy for Health, Nutrition and Population in the East Asia and Pacific Region PDF

Author: Fadia Saadah

Publisher: World Bank Publications

Published: 2000

Total Pages: 82

ISBN-13: 9780821347393

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"The past three decades have seen impressive advances in development in the East Asia and Pacific (EAP) region. Gains in income and education have been accompanied by reductions in high levels of infant and child mortality and fertility, improved nutritional levels, better hygiene and sanitation and increased access to health care."This book is intended to help address the development challenges and policy directions for the World Bank's Health, Nutrition, and Population (HNP) sector in the region. It highlights key lessons learned in the EAP region and presents policy options and recommendations to strengthen the quality and effectiveness of Bank-supported HNP operations.The development of this strategy is closely linked to the Bank's overall sector strategy that identified three major development priorities: • Improve the health, nutrition, and population outcomes of the poor • Enhance the performance of health care systems • Secure sustainable health care financing.A Health, Nutrition, and Population Strategy for the East Asia and Pacific Region is meant to provide the guidelines and parameters to be used at the country-level. Strategy development will be ongoing, building on best practices within the region as well as internationally.This book is an invaluable resource for all those interested in the field of health, nutrition, and population in the context of international development.

Reaching the Poor with Health, Nutrition, and Population Services

Reaching the Poor with Health, Nutrition, and Population Services PDF

Author: Davidson R. Gwatkin

Publisher: World Bank Publications

Published: 2005-01-01

Total Pages: 380

ISBN-13: 0821359622

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This volume presents eleven case studies that document how well or poorly health, nutrition, and population programs have reached disadvantaged groups in the countries of Africa, Asia, and Latin America where they were undertaken. The studies were commissioned by the Reaching the Poor Program, undertaken by the Word Bank in cooperation with the Bill and Melinda Gates Foundation and the Dutch and Swedish governments, in an effort to find better ways of ensuring that health, nutrition, and population programs benefit the neediest. These case studies, reinforced by other material gathered by the.

Healthy Development

Healthy Development PDF

Author:

Publisher: World Bank Publications

Published: 2007-01-01

Total Pages: 246

ISBN-13: 0821371940

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After an extensive consultative process with governments and global partners, including civil society organizations and bilateral and multilateral organizations, the World Bank's new health, nutrition, and population strategy aims to help developing countries strengthen their health systems and improve the health and well-being of millions of the world's poorest people, boost economic growth, reduce poverty caused by catastrophic illness, and provide the structural "glue" that supports multiple health-related programs within countries."--BOOK JACKET.

The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-02-01

Total Pages: 536

ISBN-13: 0309133181

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Communities in Action

Communities in Action PDF

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

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