Description: Who Would Gain Most from Efforts to reach the Millennium Development Goals for Health? An Inquiry into the Possibility of Progress that Fails to Reach the Poor

Who Would Gain Most from Efforts to reach the Millennium Development Goals for Health? An Inquiry into the Possibility of Progress that Fails to Reach the Poor

This paper is an inquiry into the possibility of progress toward the Millennium Development Goals (MDGs) targets for health that does not significantly benefit the disadvantaged people whom the MDGs are intended to serve. The possibility arises bec...

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Bibliographic Details
Main Author:	Gwatkin, Davidson R.
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ABSOLUTE POVERTY ADAPTATION ADVERSE EFFECTS ALCOHOL AVERAGE LEVEL CHILD MORTALITY COMMUNICABLE DISEASES CONTRACEPTIVES DATA SET DEATHS DEVELOPING COUNTRIES DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT NETWORK DEVELOPMENT POLICY DEVELOPMENT PROGRAMME EDUCATION ETHNIC MINORITIES EXPENDITURE DATA EXTREME POVERTY FAMILY PLANNING HEALTH HEALTH CARE HEALTH CONDITIONS HEALTH SURVEYS HEALTH TARGETS HIGH FERTILITY HOUSEHOLD ASSETS HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD SURVEYS HOUSEHOLD WEALTH HOUSING HUMAN DEVELOPMENT HUNGER HYGIENE IMMUNIZATION INCOME COUNTRIES INCOME LEVEL INJURIES INSURANCE LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKETING MORTALITY MORTALITY RATE MORTALITY RATES MOTHERS NUTRITION NUTRITION PROGRAMS POOR GAIN POOR INDIVIDUALS POOR PEOPLE POPULATION GROUPS POPULATION SIZE POVERTY ALLEVIATION POVERTY LINE POVERTY REDUCTION PUBLIC RESOURCES REDUCING POVERTY REGIONAL CONDITIONS REGIONAL POPULATION RURAL AREAS SCHOOL HEALTH SERVICE PROVIDERS SOCIAL JUSTICE URBAN AREAS WEALTH INDEX POVERTY & HEALTH HEALTH GOALS
Online Access:	http://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor http://hdl.handle.net/10986/13693

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Summary:	This paper is an inquiry into the possibility of progress toward the Millennium Development Goals (MDGs) targets for health that does not significantly benefit the disadvantaged people whom the MDGs are intended to serve. The possibility arises because the MDGs health targets, unlike most other prominent MDGs targets, are stated in terms of improvement in societal averages rather than in terms of gains among poor groups within societies. Since improvements in any group, including the better-off, would produce improvements in societal averages, progress toward targets expressed in those terms does not necessarily reflect improvements in conditions among the poor. The inquiry begins by examining the implications of two alternative scenarios for progress toward the MDGs under-five mortality target: a "top-down" scenario, with gains highly concentrated among the better-off; and a converse, "bottom-up" scenario, under which gains flow primarily to the poor. The second part of the inquiry examines the plausibility the two scenarios. The conclusion is that, while the "pure" top-down scenario is unlikely, some approximation of it is considerably less improbable than a bottom-up scenario. The implication is that special efforts will be required to ensure that health and development initiatives reach poor people if they are to gain significantly from progress toward the MDGs health targets.

Who Would Gain Most from Efforts to reach the Millennium Development Goals for Health? An Inquiry into the Possibility of Progress that Fails to Reach the Poor

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