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Who Would Gain Most from Efforts to reach the Millennium Development Goals for Health? An Inquiry into the Possibility of Progress that Fails to Reach the Poor

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dc.contributor.authorGwatkin, Davidson R.
dc.date.accessioned2013-05-30T16:06:42Z
dc.date.available2013-05-30T16:06:42Z
dc.date.issued2002-12
dc.description.abstractThis paper is an inquiry into the possibility of progress toward the Millennium Development Goals (MDGs) targets for health that does not significantly benefit the disadvantaged people whom the MDGs are intended to serve. The possibility arises because the MDGs health targets, unlike most other prominent MDGs targets, are stated in terms of improvement in societal averages rather than in terms of gains among poor groups within societies. Since improvements in any group, including the better-off, would produce improvements in societal averages, progress toward targets expressed in those terms does not necessarily reflect improvements in conditions among the poor. The inquiry begins by examining the implications of two alternative scenarios for progress toward the MDGs under-five mortality target: a "top-down" scenario, with gains highly concentrated among the better-off; and a converse, "bottom-up" scenario, under which gains flow primarily to the poor. The second part of the inquiry examines the plausibility the two scenarios. The conclusion is that, while the "pure" top-down scenario is unlikely, some approximation of it is considerably less improbable than a bottom-up scenario. The implication is that special efforts will be required to ensure that health and development initiatives reach poor people if they are to gain significantly from progress toward the MDGs health targets.en
dc.identifierhttp://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor
dc.identifier.doi10.1596/13693
dc.identifier.urihttps://hdl.handle.net/10986/13693
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABSOLUTE POVERTY
dc.subjectADAPTATION
dc.subjectADVERSE EFFECTS
dc.subjectALCOHOL
dc.subjectAVERAGE LEVEL
dc.subjectCHILD MORTALITY
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCONTRACEPTIVES
dc.subjectDATA SET
dc.subjectDEATHS
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT GOALS
dc.subjectDEVELOPMENT INDICATORS
dc.subjectDEVELOPMENT NETWORK
dc.subjectDEVELOPMENT POLICY
dc.subjectDEVELOPMENT PROGRAMME
dc.subjectEDUCATION
dc.subjectETHNIC MINORITIES
dc.subjectEXPENDITURE DATA
dc.subjectEXTREME POVERTY
dc.subjectFAMILY PLANNING
dc.subjectHEALTH
dc.subjectHEALTH CARE
dc.subjectHEALTH CONDITIONS
dc.subjectHEALTH SURVEYS
dc.subjectHEALTH TARGETS
dc.subjectHIGH FERTILITY
dc.subjectHOUSEHOLD ASSETS
dc.subjectHOUSEHOLD EXPENDITURES
dc.subjectHOUSEHOLD INCOME
dc.subjectHOUSEHOLD SURVEYS
dc.subjectHOUSEHOLD WEALTH
dc.subjectHOUSING
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUNGER
dc.subjectHYGIENE
dc.subjectIMMUNIZATION
dc.subjectINCOME COUNTRIES
dc.subjectINCOME LEVEL
dc.subjectINJURIES
dc.subjectINSURANCE
dc.subjectLIFE EXPECTANCY
dc.subjectLOW INCOME
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMALARIA
dc.subjectMALNUTRITION
dc.subjectMARKETING
dc.subjectMORTALITY
dc.subjectMORTALITY RATE
dc.subjectMORTALITY RATES
dc.subjectMOTHERS
dc.subjectNUTRITION
dc.subjectNUTRITION PROGRAMS
dc.subjectPOOR GAIN
dc.subjectPOOR INDIVIDUALS
dc.subjectPOOR PEOPLE
dc.subjectPOPULATION GROUPS
dc.subjectPOPULATION SIZE
dc.subjectPOVERTY ALLEVIATION
dc.subjectPOVERTY LINE
dc.subjectPOVERTY REDUCTION
dc.subjectPUBLIC RESOURCES
dc.subjectREDUCING POVERTY
dc.subjectREGIONAL CONDITIONS
dc.subjectREGIONAL POPULATION
dc.subjectRURAL AREAS
dc.subjectSCHOOL HEALTH
dc.subjectSERVICE PROVIDERS
dc.subjectSOCIAL JUSTICE
dc.subjectURBAN AREAS
dc.subjectWEALTH INDEX POVERTY & HEALTH
dc.subjectDEVELOPMENT GOALS
dc.subjectHEALTH TARGETS
dc.subjectHEALTH CARE
dc.subjectHEALTH GOALS
dc.titleWho Would Gain Most from Efforts to reach the Millennium Development Goals for Health? An Inquiry into the Possibility of Progress that Fails to Reach the Pooren
dspace.entity.typePublication
okr.date.doiregistration2025-05-05T12:38:46.026757Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor
okr.globalpracticePoverty
okr.globalpracticeHealth, Nutrition, and Population
okr.guid147521468763783410
okr.identifier.externaldocumentum000265513_20040517171154
okr.identifier.internaldocumentum3495234
okr.identifier.report28874
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/05/17/000265513_20040517171154/Rendered/PDF/288740Gwatkin1Who0Would01Whole.pdfen
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicHealth, Nutrition and Population::Demographics
okr.topicHealth Economics and Finance
okr.topicPoverty Reduction::Poverty Assessment
okr.unitHealth, Nutrition & Popultn Team (HDNHE)
okr.volume1 of 1
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