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Scaling Up Scaling Down
The individual and institutional capacities required for the prevention and reduction of nutritional insecurity and hunger in lesser-developed countries as the twenty-first century approaches are identified in this book. Household nutritional "security" can be defined as the successful The essays in this book champion the idea of increasing, or scaling up, grass roots operations to provide nutritional security, while scaling down the efforts of national and international institutions. Scaling up involves strengthening local capacities to improve and expand upon current successful programs by building upon existing local culture and organizations. This, in turn, enables the programs to streng...
Measuring Country Performance on Health
"Health outcomes constitute one natural starting point for assessment of the consequences of policies affecting health systems. Yet country characteristics also influence health outcomes." Performance on health outcomes is critical for human welfare, and, until now, country decisionmakers and policy analysts have had no systematic way to judge performance. This report provides them with that capacity. This report contains the results for 15 countries at five-year intervals from 1960 to 1990 on six health indicators: under-five mortality rates, total fertility rates, adult mortality rates for males and females, and life expectancy at birth for males and females. In this report, the authors take aspects of health system performance and describe how countries compare with each other and how their own performance has improved or failed to improve over time. The goal of the study is to prepare a reference document that provides measures that can be used to assess the consequences of policy. Part of the Health, Nutrition, and Population Series (HNP).
Hidden Hunger
For decades, NGOs targeting world hunger focused on ensuring that adequate quantities of food were being sent to those in need. In the 1990s, the international food policy community turned its focus to the "hidden hunger" of micronutrient deficiencies, a problem that resulted in two scientific solutions: fortification, the addition of nutrients to processed foods, and biofortification, the modification of crops to produce more nutritious yields. This hidden hunger was presented as a scientific problem to be solved by "experts" and scientifically engineered smart foods rather than through local knowledge, which was deemed unscientific and, hence, irrelevant. In Hidden Hunger, Aya Hirata Kimur...
Health Expenditures, Services, and Outcomes in Africa
In the past 30 years, African countries have made remarkable improvements in health conditions and status. However, they still suffer from some of the worst health conditions in the world. This study sets out to make available national-level information on health expenditures, health service outputs, and health outcomes in a way that could assist health planning and policy development in Africa. It outlines broad patterns of health spending, service delivery, mortality, fertility and malnutrition in Africa in the early to mid 1990s. By also exploring gaps in information available and potential uses of health information, the paper intends to stimulate discussion on how better to monitor prog...
Nutrition-sensitive social protection programs within food systems
Investments in social assistance programs (SAPs) in low- and middle-income countries (LMICs) are increasing. As investments increase, the objectives of these programs are expanding from focusing on reducing poverty to addressing other social issues such as improving diets and nutrition. At the same time, there is increasing interest in addressing all forms of malnutrition within the framework of food systems. Given the intersections between SAPs and food systems, we reviewed the effectiveness of SAPs (agriculture asset transfers, cash transfers, in-kind transfers, vouchers, public works and school meals programs) for reducing all forms of malnutrition across the lifecycle within a food syste...
Strengthening Country Commitment to Human Development
Annotation Technical and economic issues get the lion's share of attention in designing poverty reduction programs. Yet politicians, bureaucrats, or communities are not committed to implementing them well. This book draws attention to this gap in analysis and planning and suggests practical ways, based on country experience, to build commitment.
The SAGE Handbook of Action Research
The third edition of The SAGE Handbook of Action Research presents an updated version of the bestselling text, including new chapters covering emerging areas in healthcare, social work, education and international development, as well as an expanded ‘skills’ section which includes new consultant-relevant materials. Building on the strength of the previous landmark editions, Hilary Bradbury has carefully developed this edition to ensure it follows in their footsteps by mapping the current state of the discipline, as well as looking to the future of the field and exploring the issues at the cutting edge of the action research paradigm today. This volume is an essential resource for scholars and professionals engaged in social and political inquiry, healthcare, international development, new media, organizational research and education.
Innovations in Health Service Delivery
As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.
