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
This 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 bec...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor http://hdl.handle.net/10986/13693 |
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okr-10986-136932021-04-23T14:03:09Z 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 Gwatkin, Davidson R. ABSOLUTE POVERTY ADAPTATION ADVERSE EFFECTS ALCOHOL AVERAGE LEVEL CHILD MORTALITY COMMUNICABLE DISEASES CONTRACEPTIVES DATA SET DEATHS DEVELOPING COUNTRIES DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT NETWORK DEVELOPMENT POLICY DEVELOPMENT PROGRAMME EDUCATION ETHNIC MINORITIES EXPENDITURE DATA EXTREME POVERTY FAMILY PLANNING HEALTH HEALTH CARE HEALTH CONDITIONS HEALTH SURVEYS HEALTH TARGETS HIGH FERTILITY HOUSEHOLD ASSETS HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD SURVEYS HOUSEHOLD WEALTH HOUSING HUMAN DEVELOPMENT HUNGER HYGIENE IMMUNIZATION INCOME COUNTRIES INCOME LEVEL INJURIES INSURANCE LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKETING MORTALITY MORTALITY RATE MORTALITY RATES MOTHERS NUTRITION NUTRITION PROGRAMS POOR GAIN POOR INDIVIDUALS POOR PEOPLE POPULATION GROUPS POPULATION SIZE POVERTY ALLEVIATION POVERTY LINE POVERTY REDUCTION PUBLIC RESOURCES REDUCING POVERTY REGIONAL CONDITIONS REGIONAL POPULATION RURAL AREAS SCHOOL HEALTH SERVICE PROVIDERS SOCIAL JUSTICE URBAN AREAS WEALTH INDEX POVERTY & HEALTH DEVELOPMENT GOALS HEALTH TARGETS HEALTH CARE HEALTH GOALS This 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. 2013-05-30T16:06:42Z 2013-05-30T16:06:42Z 2002-12 http://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor http://hdl.handle.net/10986/13693 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |
| repository_type |
Digital Repository |
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Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABSOLUTE POVERTY ADAPTATION ADVERSE EFFECTS ALCOHOL AVERAGE LEVEL CHILD MORTALITY COMMUNICABLE DISEASES CONTRACEPTIVES DATA SET DEATHS DEVELOPING COUNTRIES DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT NETWORK DEVELOPMENT POLICY DEVELOPMENT PROGRAMME EDUCATION ETHNIC MINORITIES EXPENDITURE DATA EXTREME POVERTY FAMILY PLANNING HEALTH HEALTH CARE HEALTH CONDITIONS HEALTH SURVEYS HEALTH TARGETS HIGH FERTILITY HOUSEHOLD ASSETS HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD SURVEYS HOUSEHOLD WEALTH HOUSING HUMAN DEVELOPMENT HUNGER HYGIENE IMMUNIZATION INCOME COUNTRIES INCOME LEVEL INJURIES INSURANCE LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKETING MORTALITY MORTALITY RATE MORTALITY RATES MOTHERS NUTRITION NUTRITION PROGRAMS POOR GAIN POOR INDIVIDUALS POOR PEOPLE POPULATION GROUPS POPULATION SIZE POVERTY ALLEVIATION POVERTY LINE POVERTY REDUCTION PUBLIC RESOURCES REDUCING POVERTY REGIONAL CONDITIONS REGIONAL POPULATION RURAL AREAS SCHOOL HEALTH SERVICE PROVIDERS SOCIAL JUSTICE URBAN AREAS WEALTH INDEX POVERTY & HEALTH DEVELOPMENT GOALS HEALTH TARGETS HEALTH CARE HEALTH GOALS |
| spellingShingle |
ABSOLUTE POVERTY ADAPTATION ADVERSE EFFECTS ALCOHOL AVERAGE LEVEL CHILD MORTALITY COMMUNICABLE DISEASES CONTRACEPTIVES DATA SET DEATHS DEVELOPING COUNTRIES DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT NETWORK DEVELOPMENT POLICY DEVELOPMENT PROGRAMME EDUCATION ETHNIC MINORITIES EXPENDITURE DATA EXTREME POVERTY FAMILY PLANNING HEALTH HEALTH CARE HEALTH CONDITIONS HEALTH SURVEYS HEALTH TARGETS HIGH FERTILITY HOUSEHOLD ASSETS HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD SURVEYS HOUSEHOLD WEALTH HOUSING HUMAN DEVELOPMENT HUNGER HYGIENE IMMUNIZATION INCOME COUNTRIES INCOME LEVEL INJURIES INSURANCE LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKETING MORTALITY MORTALITY RATE MORTALITY RATES MOTHERS NUTRITION NUTRITION PROGRAMS POOR GAIN POOR INDIVIDUALS POOR PEOPLE POPULATION GROUPS POPULATION SIZE POVERTY ALLEVIATION POVERTY LINE POVERTY REDUCTION PUBLIC RESOURCES REDUCING POVERTY REGIONAL CONDITIONS REGIONAL POPULATION RURAL AREAS SCHOOL HEALTH SERVICE PROVIDERS SOCIAL JUSTICE URBAN AREAS WEALTH INDEX POVERTY & HEALTH DEVELOPMENT GOALS HEALTH TARGETS HEALTH CARE HEALTH GOALS Gwatkin, Davidson R. 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 |
| relation |
HNP discussion paper series; |
| description |
This 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. |
| format |
Publications & Research :: Working Paper |
| author |
Gwatkin, Davidson R. |
| author_facet |
Gwatkin, Davidson R. |
| author_sort |
Gwatkin, Davidson R. |
| title |
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 |
| title_short |
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 |
| title_full |
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 |
| title_fullStr |
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 |
| title_full_unstemmed |
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 |
| title_sort |
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 |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/12/3495234/would-gain-most-efforts-reach-millennium-development-goals-health-inquiry-possibility-progress-fails-reach-poor http://hdl.handle.net/10986/13693 |
| _version_ |
1764424325645991936 |