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  • 1
    ISBN: 9781464805370
    Language: English
    Pages: Online-Ressource
    Series Statement: World Bank Studies
    Series Statement: World Bank E-Library Archive
    Parallel Title: Erscheint auch als
    DDC: 368.4/20095492
    Keywords: Gesundheitsversorgung ; Gesundheitspolitik ; Bangladesch ; Governance ; Health, Nutrition, and Population ; Public Sector Development ; Economic modeling ; Health finance ; Health policy ; Health workforce ; Human resources ; Labor scarcity ; Universal Health Coverage ; Worker retention
    Abstract: Bangladesh is committed to achieving universal health coverage (UHC) by 2032; to this end, the government of Bangladesh is exploring policy options to increase fiscal space for health and expand coverage while improving service quality and availability. Despite Bangladesh's impressive strides in improving its economic and social development outcomes, the government still confronts health financing and service delivery challenges. In its review of the health system, this study highlights the limited fiscal space for implementing UHC in Bangladesh, particularly given low public spending for health and high out-of-pocket expenditure. The crisis in the country's human resources for health (HRH) compounds public health service delivery inefficiencies. As the government explores options to finance its UHC plan, it must recognize that reform of its service delivery system with particular focus on HRH has to be the centerpiece of any policy initiative
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  • 2
    ISBN: 9781464809644
    Language: English
    Pages: Online-Ressource (1 online resource (192 p.))
    Edition: Online-Ausg.
    Series Statement: World Bank Studies
    Series Statement: World Bank E-Library Archive
    Parallel Title: Erscheint auch als
    Keywords: Maternal Health ; Emergency Obstetrics Care ; Women's Education ; Reproductive Health ; Family Planning ; Multisectoral
    Abstract: South Asia Region (SAR) has decreased maternal mortality ratio (MMR) by 65 percent between 1990 and 2013, which was the greatest progress among all world regions. Such achievement implores the question, What made SAR stand out against what is predicted by standard socioeconomic outcomes? Improving Maternal and Reproductive Health in South Asia: Drivers and Enablers identifies the interventions and factors that contributed to reducing MMR and improving maternal and reproductive health (MRH) outcomes in SAR. In this study, the analytical framework assumes that improving MRH outcomes is influenced by a multitude of forces from within and outside the health system and considers factors at the household and community levels, as well as interventions in other sectors and factors in the enabling environment. The analysis is based on a structured literature review of the interventions in SAR countries, relevant international experience, and review of the best available evidence from systematic reviews. The focus of the analysis is mainly on assessing the effectiveness of interventions. The findings from this study indicate that the most effective interventions that prevent maternal mortality are those that address the intra-partum stage - the point where most maternal deaths occur - and include improving skilled birth attendance coverage, increasing institutional delivery rates, and scaling up access to emergency obstetric care. There is also adequate evidence that investing in family planning to increase contraceptive use also played a key role during the inter-partum phase by preventing unwanted pregnancies and thus averting the risk of maternal mortality in SAR countries. Outside the programmatic interventions, the levels of household income, women's education, and completion of secondary education of girls were also strongly correlated with improved MRH outcomes. Also, there is strong evidence that health financing schemes - both demand and supply side - and conditional cash transfer programs were effective in increasing the uptake of MRH services. The study points out to many other interventions with different degrees of effectiveness. The study also identified four major reasons for why SAR achieved this progress in MMR reduction. The best practices and evidence of what works synthesized in this study provide an important way forward for low- and middle-income countries toward achieving the health-related Sustainable Development Goals
    Note: Description based on print version record
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 3
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health, Nutrition and Population (HNP) Discussion Papers
    Series Statement: World Bank E-Library Archive
    Abstract: This study outlines the initial challenge presented by the HIV/AIDS epidemic, describes Djibouti's response, reviews the results achieved and the enabling factors in curbing the spread of the epidemic, and identifies remaining challenges. Between 2002 and 2008, HIV prevalence among young pregnant women aged 15-24 was reduced from 2.7 percent to 1.9 percent and among sentinel surveillance groups from 2.5 percent to 1.9 percent. HIV prevalence among tuberculosis patients was reduced from an estimated 22 percent to 12 percent. Condom use during last intercourse outside marriage increased from 27 percent to 55 percent and reached 95 percent among sex workers. Among the general population, awareness of HIV/AIDS increased to 95 percent and knowledge about transmission and prevention rose to 50 percent. Political commitment, engagement of community and religious leaders, rigorous communication, social marketing and the provision of an integrated package of medical and social services, and donor harmonization were among the key factors that contributed to the achievement of these results. Despite these impressive results in a relatively short period, Djibouti still has to address several challenges and consolidate program gains, but most importantly, funds are being mobilized from government resources to sustain the national AIDS control program
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 4
    Online Resource
    Online Resource
    Mandaluyong City :World Bank Publications,
    Language: English
    Pages: 1 online resource
    DDC: 304.632
    Keywords: Fertility, Human.
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  • 5
    Online Resource
    Online Resource
    Washington, DC : The World Bank
    ISBN: 9780821399217 , 9780821399200
    Language: English
    Pages: 1 online resource (140 pages)
    Series Statement: Directions in development
    Parallel Title: Erscheint auch als Tackling noncommunicable diseases in Bangladesh
    DDC: 362.1095492
    Keywords: Chronic diseases ; Health transition
    Note: Description based on print version record
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 6
    Language: English
    Pages: 1 Online-Ressource (252 pages)
    Series Statement: International Development in Focus
    Parallel Title: Erscheint auch als
    Keywords: Cancer ; Diabetes ; Economic Burden ; Human Capital ; Hypertension ; Life Expentancy ; Non-Communicable Diseases ; Obesity ; Sedentary Lifestyles ; Smoking ; Strategic Planning ; Unhealthy Diet
    Abstract: Saudi Arabia is at an early stage of its demographic transition to an older population, and so it has an opportunity to prepare early for a rising noncommunicable disease (NCD) epidemic. NCDs, such as cancers, cardiovascular diseases, diabetes, and chronic respiratory diseases and their associated behavioral risk factors-tobacco use, unhealthy diet, and physical inactivity-are an increasing economic and public health challenge. An aging population is expected to significantly increase the prevalence of NCDs and the related demand for costlier health care services. Interventions and reforms to prevent NCDs, and to minimize current and future treatment costs, are needed now, particularly if Saudi Arabia is to achieve the Vision 2030 goal of increasing life expectancy from 75 years in 2021 to 80 years in 2030. To support strategic planning efforts, Noncommunicable Diseases in Saudi Arabia: Toward Effective Interventions for Prevention assesses the latest evidence on the prevalence and risk factors; explores the health and economic burden of NCDs, as well as their impact on human capital; and identifies key gaps in prevention efforts and ways to address these gaps. The book discusses the need for a national master plan for NCD prevention-one that is selective and targeted, with a particular focus on improving the implementation of cost-effective interventions and achieving results. To be successful, the national master plan will need to take into account the roles of the different stakeholders and their likely responsibilities in implementation. The book will be of interest to all those who work on NCDs in Saudi Arabia and beyond
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  • 7
    Language: English
    Pages: 1 Online-Ressource (220 pages)
    Series Statement: International Development in Focus
    Parallel Title: Erscheint auch als
    Keywords: Contraception ; Demographic Dividend ; Demography ; Early Marriage ; Economic Growth ; Female Labor Force ; Fertility Rate ; Human Capital ; Investment ; Savings ; School Dropouts ; Social Protection
    Abstract: The Arab Republic of Egypt was well on the path to achieving its demographic dividend at the turn of this century but has gone off track due to a reversal in its earlier fertility decline. But what is the demographic dividend? It reflects the economic benefits when a country undergoes a rapid decline in mortality, then fertility, and the consequent demographic transition. Due to lower fertility and fewer children per household, a growing working-age population increases productivity and per capita income, leading to accumulated savings, investments, and economic growth, underscoring the strong link between demographics and economic growth. Fortunately, Egypt has the political will, resources, and capacity to achieve its demographic dividend in the next decade, as this report by a team of Egyptian and World Bank experts shows. It reviews the trends in determinants of the rising total fertility rate, the likely factors that contributed to Egypt's fertility decline reversal, the government's initial response, and the sectoral and social drivers that may have influenced this fertility decline reversal. It also assesses the economic impact of the demographic changes, including estimates of forgone savings due to the increased fertility and of potential future gains if the country were to regain and then accelerate its fertility decline. Drawing on global evidence, the report proposes six policy and strategic priorities, complemented by four policy imperatives. These priorities aim to increase the contraceptive prevalence rate (the most important of the six), reduce school dropouts, increase female labor force participation, delay early marriage, leverage social protection programs, and improve governance of the country's population program. The four imperatives aim to assure broad-based socioeconomic development and they include creating productive jobs; investing in and leveraging human capital; enhancing financial inclusion and entrepreneurship, especially for women; and sustaining macroeconomic stability. The president's "Decent Life Initiative" and the "National Project for the Development of the Egyptian Family" can be used as the platform to implement many of the proposed policies and strategies. In such a manner, Egypt will be back on track to achieve its demographic dividend
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  • 8
    Language: English
    Pages: 1 Online-Ressource (124 pages)
    Series Statement: World Bank E-Library Archive
    Series Statement: International Development in Focus
    Parallel Title: Erscheint auch als
    Abstract: The formation of human ca ...
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  • 9
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health, Nutrition and Population (HNP) Discussion Papers
    Abstract: This paper examines the global implications of COVID-19 on mental health, with a focus on four particularly vulnerable populations: (1) unemployed adults; (2) youth; (3) older-age populations; and (4) healthcare workers. Considering the global public health burden of mental disorders, understanding COVID-19's psychological impact on vulnerable populations may provide policy makers with the information necessary to effectively direct resources. The paper focuses on these populations because racial, gender, and social class disparities endure in most educational and work opportunities.25 Additionally, health systems and work environments can perpetuate inequality among vulnerable populations, often leading to worse health outcomes. Previous pandemics and natural disasters have exacerbated income and health disparities for vulnerable populations.25 Similarly, the economic shutdown may disproportionately affect low-income or racial minority workers who work in sector most affected by COVID-19. Youth and older populations remain vulnerable because of factors associated with their age, whereas frontline healthcare workers face overwhelmed health systems and a higher risk of infection. Focusing on these vulnerable populations, the narrative review summarizes the literature addressing mental health and the COVID-19 pandemic. This paper is organized as follows: the next section summarizes current literature on the psychological impact of COVID-19 on four vulnerable populations. The following section then summarizes the findings for each of the populations, followed by a section discussing those results. The next sections provide an understanding of the current state of global mental health and recommend short, medium, and long-term policy solutions
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  • 10
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Series Statement: World Bank E-Library Archive
    Abstract: Strengthening public health, that is, improving the health of whole populations through action across all relevant sectors is at the heart of the World Bank's mission. This policy note takes stock of the global progress in public health over the past decade; lays out the challenges that must be addressed for this progress to be sustained and accelerated; and proposes an approach for the Bank to maximize its contribution to public health in the years ahead. This note comes at a critical juncture, given the important gains made in public health over the past decade. Key global indicators, including life expectancy at birth, under-five mortality and maternal mortality, have shown steady improvement, while initiatives such as the scale-up of polio vaccination and the distribution of bed nets to combat malaria have saved millions of lives. The Bank is proud to have worked with countries and development partners to contribute to these achievements. The note emphasizes that the Bank will need to root its future public health efforts in its areas of comparative advantage, including its capacity to analyze the economic and development impact of health investments, and its extensive experience in working across sectors for health results. The Bank finances investments in all the sectors that impact health, including education, social protection, infrastructure, water and sanitation and transportation, to name a few, and is well placed to help mobilize such sectors through coordinated, population-based interventions to improve health and accelerate development. Given its analytic capability, the Bank has a potentially critical role to play in focusing finite budgets on the most cost-effective actions, particularly in prevention and health promotion
    URL: Volltext  (Deutschlandweit zugänglich)
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