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Publication(Washington, DC: World Bank, 2014-09-25) Ikegami, Naoki ; Ikegami, NaokiIn 2011, Japan celebrated the 50th anniversary of its own achievement of universal health coverage (UHC). On this occasion, the government of Japan and the World Bank conceived the idea of undertaking a multi-country study to respond to this growing demand by sharing rich and varied country experiences from countries at different stages of adopting and implementing UHC strategies, including Japan itself. This led to the formation of a joint Japan-World Bank research team under the Japan-World Bank partnership program for UHC. The program was set up as a two-year multi-country study to help fill the gap in knowledge about the policy decisions and implementation processes that countries undertake when they adopt UHC goals. This report brings together 10 in-depth studies on different aspects of Japan's UHC experience, using a common framework for analysis focused on the political economy of UHC reform, and the policies and strategies for addressing challenges in health financing and human resources for health. Japan's commitment to UHC played a key role in the country's economic recovery after World War second, and helped ensure that the benefits of economic growth were shared equitably across the population.
Universal Health Coverage for Inclusive and Sustainable Development : A Synthesis of 11 Country Case Studies(Washington, DC: World Bank, 2014-06-25) Maeda, Akiko ; Araujo, Edson ; Cashin, Cheryl ; Harris, Joseph ; Ikegami, Naoki ; Reich, Michael R.The goals of Universal Health Coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey that have achieved UHC are showing how these programs can serve as vital mechanisms for improving the health and welfare of their citizens, and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an important contribution to ending extreme poverty by 2030 and boosting shared prosperity in low income and middle-income countries (LMICs), where most of the world s poor live.
Publication(World Bank, 2011) World BankThe 2011 World development report looks across disciplines and experiences drawn from around the world to offer some ideas and practical recommendations on how to move beyond conflict and fragility and secure development. The key messages are important for all countries-low, middle, and high income-as well as for regional and global institutions: first, institutional legitimacy is the key to stability. When state institutions do not adequately protect citizens, guard against corruption, or provide access to justice; when markets do not provide job opportunities; or when communities have lost social cohesion-the likelihood of violent conflict increases. Second, investing in citizen security, justice, and jobs is essential to reducing violence. But there are major structural gaps in our collective capabilities to support these areas. Third, confronting this challenge effectively means that institutions need to change. International agencies and partners from other countries must adapt procedures so they can respond with agility and speed, a longer-term perspective, and greater staying power. Fourth, need to adopt a layered approach. Some problems can be addressed at the country level, but others need to be addressed at a regional level, such as developing markets that integrate insecure areas and pooling resources for building capacity Fifth, in adopting these approaches, need to be aware that the global landscape is changing. Regional institutions and middle income countries are playing a larger role. This means should pay more attention to south-south and south-north exchanges, and to the recent transition experiences of middle income countries.
Publication(Washington, DC, 2010) World BankThirty years ago, half the developing world lived in extreme poverty today, a quarter. Now, a much smaller share of children are malnourished and at risk of early death. And access to modern infrastructure is much more widespread. Critical to the progress: rapid economic growth driven by technological innovation and institutional reform, particularly in today's middle- income countries, where per capita incomes have doubled. Yet the needs remain enormous, with the number of hungry people having passed the billion marks this year for the first time in history. With so many still in poverty and hunger, growth and poverty alleviation remain the overarching priority for developing countries. Climate change only makes the challenge more complicated. First, the impacts of a changing climate are already being felt, with more droughts, more floods, more strong storms, and more heat waves-taxing individuals, firms, and governments, drawing resources away from development. Second, continuing climate change, at current rates, will pose increasingly severe challenges to development. By century's end, it could lead to warming of 5°C or more compared with preindustrial times and to a vastly different world from today, with more extreme weather events, most ecosystems stressed and changing, many species doomed to extinction, and whole island nations threatened by inundation. Even our best efforts are unlikely to stabilize temperatures at anything less than 2°C above preindustrial temperatures, warming that will require substantial adaptation. High income countries can and must reduce their carbon footprints. They cannot continue to fill up an unfair and unsustainable share of the atmospheric commons. But developing countries whose average per capita emissions are a third those of high income countries need massive expansions in energy, transport, urban systems, and agricultural production. If pursued using traditional technologies and carbon intensities, these much-needed expansions will produce more greenhouse gases and, hence, more climate change. The question, then, is not just how to make development more resilient to climate change. It is how to pursue growth and prosperity without causing "dangerous" climate change.