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World Health Organization : Year 1998 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector.29: Poverty and Health ; Aligning Sectoral Programmes with National Health Policies

By Debra J. Lipson

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Book Id: WPLBN0000157153
Format Type: PDF eBook
File Size: 2.2 MB
Reproduction Date: 2005
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Title: World Health Organization : Year 1998 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector.29: Poverty and Health ; Aligning Sectoral Programmes with National Health Policies  
Author: Debra J. Lipson
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Lipson, D. J. (n.d.). World Health Organization : Year 1998 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector.29. Retrieved from http://self.gutenberg.org/


Description
Medical Reference Publication

Excerpt
EXECUTIVE SUMMARY Health improvement of the poor and poverty reduction are two sides of the same coin. Better health makes it more likely that the poor can take advantage of economic opportunities. And improvements in the poor's standard of living will contribute to better health. Health policymakers tend to focus their attention on the first part of this equation by seeking to improve the health of the population through the provision of health care. Yet, they may be missing important opportunities for health improvement of the poor by not actively participating in poverty reduction efforts with other sectors. This paper is designed to stimulate national policy-makers and advisers in developing countries to consider the value of intersectoral action for poverty reduction as a strategy for easing demands on limited health system resources. It also provides guidance to national policymakers and their advisers on how to set priorities among other sectors with which to work in reducing poverty, so as to use limited resources most productively,

Table of Contents
CONTENTS ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv EXECUTIVESUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v INTRODUCTIONANDPURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 . POVERTY ASSESSMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 I .I Participatory poverty assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.2 Official poverty assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 1.3 Enhancing poverty assessments for health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 2 . ASSESSING DETERMINANTS OF HEALTH AMONG THE POOR . . . . . . . . . . . . . . 6 2.1 Grouping cause of death into common risk factors . . . . . . . . . . . . . . . . . . . . . . . 7 2.2 Analysis of key health and socio-economic indicators . . . . . . . . . . . . . . . . . . . . . 8 2.3 Sub-national Mapping of health disparities . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 2.4 Attributing disease burden to risk factors associated with poverty . . . . . . . . . . 10 2.5 Health impact assessments of development projects . . . . . . . . . . . . . . . . . . . . . 12 3 . SETTING PRIORITIES AMONG SECTORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 3.1 What the poor regard as most important to their health . . . . . . . . . . . . . . . . . . . 16 3.2 Ministries with which you are on good terms . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 3.3 Political factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.6 3.4 Priorities of donors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 3.5 Distributional impact on the poor's health stock . . . . . . . . . . . . . . . . . . . . . . . 17 3.6 Distributional impact on the economic activity of the poor . . . . . . . . . . . . . . . . 17 3.7 Direct impact on health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 7 3.8 Multi-sectoral balance sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 3.9 Multi-sectoral cost-effectiveness (CE) comparisons . . . . . . . . . . . . . . . . . . . . . I8 3.10 Using the criteria to set priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 4 . INTERSECTORAL ACTION FOR HEALTH .C ASE EXAMPLES . . . . . . . . . . . . . . .2 2 4.1 Microenterprise development and community economic development . . . . . . . 22 4.2 Agriculture and food policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.4 4.3 Education policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26. 4.4 Macroeconomic policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.6 4.5 Environmental and infrastructure projects to improve water and sanitation ... 27 5 . WITIATING AND MAINTAINING INTERSECTORAL ACTION . . . . . . . . . . . . . . . 30 5.1 Prerequisites for intersectoral action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.0 5.2 When to initiate intersectoral action for health ? . . . . . . . . . . . . . . . . . . . . . . . . 30 5.3 How to initiate and plan intersectoral action . . . . . . . . . . . . . . . . . . . . . . . . . . .3 1 5.4 Implementing and maintaining intersectoral action . . . . . . . . . . . . . . . . . . . . . . 31 REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

 

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