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9781844072248

Who's Got the Power?

by ; ; ; ;
  • ISBN13:

    9781844072248

  • ISBN10:

    184407224X

  • Format: Paperback
  • Copyright: 2005-03-30
  • Publisher: Routledge

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Summary

* One of 14 publications comprising the official UN strategy on how to reduce extreme poverty and achieve the fundamental worldwide human development goals for the coming decade * Project directed by Jeffrey D. Sachs, named one of the 100 most influential people in the world by Time Magazine, current Director of The Earth Institute, Columbia University, and Special Adviser to UN Secretary-General Kofi Annan * The essential reference work for all governments, policymakers, aid and donor agencies, development practitioners, researchers, and students worldwide The central thrust of "Who's Got the Power?" is that dramatic, meaningful, sustainable progress toward decreasing child and maternal mortality requires an intense focus on improving health systems. The authors highlight that change is possible and they advance a comprehensive action plan that recommends the rapid and equitable scale-up of interventions such as integrated management of childhood illness, the universal provision of emergency obstetric care and sexual and reproductive health services, and the provision of strengthened health systems. This bold yet practical approach will enable every country to reduce the under-five mortality rate by two-thirds and the maternal mortality rate by three-quarters within ten years. The UN Millennium Development Library Who's Got the Power?, in conjunction with the flagship publication Investing in Development, is one of 13 thematic publications that comprise the UN Millennium Library. This set of reference handbooks charts world progress and presents strategies for dramatically reducing extreme poverty in its many dimensions--income poverty, hunger, disease, exclusion, lack of infrastructure, and shelter--by 2015, while promoting gender equality, education, health, and environmental sustainability. This Library is the official, comprehensive point of reference and action plan for achieving the fundamental development objectives embodied in the Millennium Development Goals (MDGs) adopted by the UN and world leaders in 2000.

Table of Contents

Foreword iii
Contents v
Task force members viii
Preface xi
Acknowledgments xiii
Millennium Development Goals xvi
Executive summary 1(17)
Introduction
18(7)
Analytical context
25(24)
Global health from three perspectives
25(4)
First principles: equity and human rights
29(7)
The health systems crisis in historical context
36(9)
Evidence and the challenge of scaling up
45(4)
Health status and key interventions
49(46)
Connecting maternal health and child health
49(2)
Child health
51(18)
Adolescent health
69(3)
Sexual and reproductive health
72(5)
Conflict-affected and displaced populations
77(1)
Maternal mortality and morbidity
77(18)
Transforming health systems
95(35)
Market-based approaches to healthcare: a critique
96(1)
Defining health systems
97(1)
Thinking about health systems
98(1)
Taking redistribution seriously
99(8)
Healthcare financing
107(6)
Organizing the health system
113(4)
Health management
117(2)
A health workforce to meet the Millennium Development Goals
119(11)
Monitoring Goals 4 and 5: targets and indicators
130(9)
What lies behind the averages? Monitoring equity
130(2)
Goal 4: Child health, neonatal mortality and nutrition
132(1)
Goal 5: Improving maternal health
132(4)
Monitoring health systems
136(1)
Monitoring the Goals: the role of health information
137(2)
Global policy and funding frameworks
139(14)
Influence of international financial institutions
139(2)
Debt relief, poverty reduction, and public expenditure management
141(6)
Poverty reduction loans and poverty and social impact assessments
147(1)
Donor coordination and harmonization
148(2)
Sectorwide approaches need to be promoted
150(1)
Other global initiatives' impact on the health sector
151(2)
Conclusions and recommendations
153(4)
Notes 157(3)
References 160

Supplemental Materials

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