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Cover Art for Fatal Indifference: The G8, Africa and Global Health
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Fatal Indifference: The G8, Africa and Global Health
Author(s): Labonte, Ronald; Schrecker, Ted; Sanders, David; Meeus, Wilma; Cushon, Jennifer (CON); Torgerson, Renee (CON)
ISBN10:  1919713840
ISBN13:  9781919713847
Format:  Paperback
Pub. Date:  9/28/2004
Publisher(s): Paul & Co Pub Consortium

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SummaryTable of ContentsAuthor Biography
The commitments of three recent G8 summits (1999–2001) are reviewed, analyzed, and critiqued in this report card on G8 actions. The most powerful political force behind multilateral institutions and contemporary globalization, the G8 group of industrialized countries sets policies based on a market-oriented development model in such areas as debt relief, foreign aid, trade, global health research, and investment that shape the development possibilities in poor countries but often do not serve their best interests, according to this analysis. Special attention is paid to the G8's treatment of Africa, a continent that has been exposed to market liberalization and structural adjustment policies that have not reaped benefits for African people.
Dedication vi
Acknowledgements vi
Table of Acronyms
vii
A Note on Country Designation ix
Foreword x
Introduction xii
Why a Focus on the G8? xiv
The Report Card Project xv
Outline of the Book xix
Limitations of the Analysis xxi
Globalization, Health and Development: The Right Prescription?
1(12)
Introduction
1(1)
Contemporary Globalization
2(2)
Globalization, Health and Development: Competing Arguments, Conflicting Evidence
4(2)
A Framework for Understanding Globalization's Impacts on Health
6(4)
Poverty and Income Inequality
10(1)
The Environment and Sustainable Development
11(2)
Macroeconomic Policy, Structural Adjustment and Debt Relief
13(26)
Introduction
13(1)
`Debt Crises' and Structural Adjustment
14(4)
The Need for Debt Relief and the HIPC Initiative
18(8)
HIPC Conditionality: Are PRSPs Just the Reincarnation of Structural Adjustment?
26(3)
Poverty Reduction and Foreign Direct Investment
29(3)
International Finance, Tax Competition and Offshore Financial Centers
32(3)
Summary: Chapter Two
35(4)
Health and Health Systems
39(40)
Introduction
39(3)
The Global Fund to Fight AIDS, Tuberculosis and Malaria
42(5)
Essential Health Interventions as Global Public Goods
47(2)
Health System Infrastructure
49(4)
G8 Official Development Assistance to Health-Systems Development
53(5)
The Brain Drain
58(3)
Access to Essential Medicines
61(3)
Macroeconomic Policies and Health Care
64(2)
Privatization, Liberalization and GATS
66(5)
Tobacco Control: Deadly Silence from the G8
71(2)
Summary: Chapter Three
73(6)
Education
79(17)
Introduction
79(1)
Education for All and the Dakar Framework for Action
80(4)
Policy Challenges, G8 Responses
84(9)
Summary: Chapter Four
93(3)
Nutrition, Food Security and Biotechnology
96(20)
Introduction
96(1)
Nutrition and Food Security
97(3)
G7 ODA to Agriculture
100(3)
Child Malnutrition, Food Security and Africa
103(2)
Biotechnology and Food Security
105(4)
Agricultural Exports and Food Security
109(3)
Food Security: An Epilogue
112(1)
Summary: Chapter Five
113(3)
Official Development Assistance
116(22)
Introduction
116(2)
Trends in G7 Official Development Assistance
118(14)
ODA in the Near Future
132(1)
The Politics of Aid
133(2)
Summary: Chapter Six
135(3)
Trade and Market Access
138(15)
Introduction
138(1)
Improving Market Access
139(4)
Protected and Subsidized Agriculture
143(2)
Market Access: Necessary but Not Sufficient
145(1)
WTO Participation
146(3)
Market Liberalization and Changes in Taxation
149(1)
Summary: Chapter Seven
150(3)
Environment
153(19)
Introduction
153(2)
Drinking Water and Sanitation
155(2)
Privatization, Water and GATS
157(2)
Environmental Assessments of ECA Activities
159(2)
Commitments on Multilateral Environmental Agreements
161(2)
Energy Conservation and Renewable Energy
163(5)
Johannesburg and the Retreat from Sustainable Development
168(1)
Summary: Chapter Eight
169(3)
Equity, Health and NEPAD: A Case Study
172(33)
Introduction
172(1)
Global Policy, African Realities
173(14)
The NEPAD Report Card Project
187(16)
Conclusion
203(2)
Promises Kept and Broken, Right or Wrong
205(25)
Introduction
205(1)
Promises Kept, Promises Broken
206(3)
Promises Right, Promises Wrong
209(4)
Areas for Further Research
213(11)
Conclusion: The G8 and the Question of Global Governance
224(6)
Epilogue 230(3)
References 233(38)
Appendix 1: G7 and G8 Health-Related Commitments Matrix: 1999-2001 271(46)
Appendix 2: Data Tables 317(15)
Appendix 3: NEPAD's Health Commitments 332(39)
Index 371
Ronald Labonte is a director of the Saskatchewan population health and evaluation research unit at the University of Saskatchewan and University of Regina. Ted Schrecker is a professional research associate. David Sanders is a pediatrician and the founding director of the School of Public Health at University of the Western Cape. Wilma Meeus is a pediatrician for the Zambian health ministry.

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