Human Development Report 2003
Millennium Development Goals:
A compact among nations to end human poverty
Stark Contrasts Between and Within Regions
Moreover, country performance was more homogeneous than in any other
region: except for Afghanistan, no country experienced reversals in the
key indicators for the Millennium Development Goals
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Good Performance by Some of the Poorest
Countries
There were also dramatic
reductions in some of the poorest countries in Asia. Bhutan and Lao
People ’s Democratic Republic reduced under-five deaths from around
16%to 10%, and Bangladesh from 14%to 8%.
Gender Gaps
One clear indicator of the
gender crisis is the gap in mortality rates between men and women.
Despite women ’s biological advantage, they have higher mortality rates
in a number of countries, mainly in South and East Asia.
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Bangladesh large and inland, with
access to the coast
Since Bangladesh’s birth in 1971, it has evolved into a democracy,
achieving major reductions in income and non-income poverty from 48%in 1989 to 34%in 2000.Basic social policies
health, education, reproductive health services, family planning helped
lower population growth and shrink the labour force. More
Increase the number of
nurses, paramedics and community health workers.
Nurses, trained birth
attendants and community health workers are the limbs of the health
system, enabling the outreach that is critical to successful
reproductive health services. More
Focusing on Essential
Interventions
Cash-strapped governments have traditionally tried to ration health
care by limiting over all budgets not directing resources to specific
illnesses or diseases. different approach would be to ration funds based
on essential interventions. Mexico has taken this approach, and
Bangladesh, Colombia and Zambia are beginning to.
Public Policies to Improve People's
Health and Education
Where poor people struggle
to cover charges, they should be helped through credit schemes.
Bangladesh’s Grameen Bank has been extending credit for water and
sanitation, on a group basis, for years.
Making Private Provision Work for
Poor People
To avoid giving
windfall gains to the middle class that customarily purchase private
education, vouchers should be restricted to poor families as in
Bangladesh, Chile, Colombia, Puerto Rico and the United Kingdom. More
Involving Non Governmental
Organizations
Social service provision by
non-governmental organizations (NGOs) has been viewed as the "middle way
" between market and state provision.
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Addressing the Risks of
Privatization
Too often it is assumed
that private sector involvement in water implies the involvement of
foreign multinational companies.
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Preconditions for Effective
Decentralization
Patronage systems whether
dominated by political parties or local elites, or reflecting an
undemocratic environment can also hijack decentralization
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Ensuring that these three
actors state authorities, local authorities and civil society interact
to improve the lives of poor people is a complex challenge.
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Trade Opening Markets, Reducing Subsidies
Most rich countries apply
higher tariffs to agricultural goods and simple manufactures the very
goods that developing countries produce and can export
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