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  • 1
    Language: English
    Pages: Online-Ressource
    Edition: Online-Ausg. World Bank E-Library Archive Also available in print
    Series Statement: Policy research working paper 3647
    Parallel Title: Das Gupta, Monica Improving child nutrition outcomes in India
    Keywords: Children Nutrition ; Malnutrition in children ; Children Nutrition ; Malnutrition in children
    Abstract: "Levels of child malnutrition in India fell only slowly during the 1990s, despite significant economic growth and large public spending on the Integrated Child Development Services (ICDS) program, of which the major component is supplementary feeding for malnourished children. To unravel this puzzle, the authors assess the program's placement and its outcomes using National Family Health Survey data from 1992 and 1998. They find that program placement is clearly regressive across states. The states with the greatest need for the program - the poor northern states with high levels of child malnutrition and nearly half of India's population - have the lowest program coverage and the lowest budgetary allocations from the central government. Program placement within a state is more progressive: poorer and larger villages have a higher probability of having an ICDS center, as do those with other development programs or community associations. The authors also find little evidence of program impact on child nutrition status in villages with ICDS centers. "--World Bank web site
    Note: Includes bibliographical references , Title from PDF file as viewed on 8/22/2005 , Also available in print.
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 2
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: Online-Ressource (28 p)
    Edition: 2013 World Bank eLibrary
    Parallel Title: Das Gupta, Monica Population, Poverty, and Climate Change
    Abstract: The literature is reviewed on the relationships between population, poverty, and climate change. While developed countries are largely responsible for global warming, the brunt of the fallout will be borne by the developing world, in lower agricultural output, poorer health, and more frequent natural disasters. Carbon emissions in the developed world have leveled off, but are projected to rise rapidly in the developing world due to their economic growth and population growth-the latter most notably in the poorest countries. Lowering fertility has many benefits for the poorest countries. Studies indicate that, in high fertility settings, fertility decline facilitates economic growth and poverty reduction. It also reduces the pressure on livelihoods, and frees up resources to cope with climate change. And it helps avert some of the projected global warming, which will benefit these countries far more than those that lie at higher latitudes and/or have more resources to cope with climate change. Natural experiments indicate that family planning programs are effective in helping reduce fertility, and that they are highly pro-poor in their impact. While the rest of the world wrestles with the complexities of reducing emissions, the poorest countries will gain much from simple programs to lower fertility
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  • 3
    Language: English
    Pages: Online-Ressource (1 online resource (19 p.))
    Edition: Online-Ausg. World Bank E-Library Archive
    Parallel Title: Das Gupta, Monica Does Hepatitis B Infection Or Son Preference Explain The Bulk of Gender Imbalance In China?
    Keywords: Disease Control and Prevention ; Gender ; Gender and Health ; Gender and Law ; Health, Nutrition and Population ; Human Development ; Immunization ; Law and Development ; Policy ReseaRch ; Policy ReseaRch WoRking PaPeR ; Population Policies ; Progress ; Public Services ; Reproductive Health ; Sex ; Sex ratios ; Social institutions ; Son Preference ; Disease Control and Prevention ; Gender ; Gender and Health ; Gender and Law ; Health, Nutrition and Population ; Human Development ; Immunization ; Law and Development ; Policy ReseaRch ; Policy ReseaRch WoRking PaPeR ; Population Policies ; Progress ; Public Services ; Reproductive Health ; Sex ; Sex ratios ; Social institutions ; Son Preference ; Disease Control and Prevention ; Gender ; Gender and Health ; Gender and Law ; Health, Nutrition and Population ; Human Development ; Immunization ; Law and Development ; Policy ReseaRch ; Policy ReseaRch WoRking PaPeR ; Population Policies ; Progress ; Public Services ; Reproductive Health ; Sex ; Sex ratios ; Social institutions ; Son Preference
    Abstract: China has a large deficit of females, and public policies have sought to reduce the son preference that is widely believed to cause this. Recently a study has suggested that up to 75 percent of this deficit is attributable to hepatitis B infection, indicating that immunization programs should form the first plank of policy interventions. However, a large medical dataset from Taiwan (China) shows that hepatitis B infection raises women's probability of having a son by only 0.25 percent. And demographic data from China show that the only group of women who have elevated probabilities of bearing a son are those who have already borne daughters. This pattern makes it difficult to see how any biological factor can explain a large part of the imbalance in China's sex ratios at birth -- unless it can be shown that it somehow selectively affects those who have borne girls, or causes them to first bear girls and then boys. The Taiwanese data suggest that this is not the case with hepatitis B, since its impact is unaffected by the sex composition of previous births. The data support the cultural, rather than the biological, explanation for the "missing women
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  • 4
    Language: English
    Pages: Online-Ressource (39 p)
    Edition: 2013 World Bank eLibrary
    Parallel Title: Das Gupta, Monica Multisectoral Preventive Health Services in Sri Lanka
    Abstract: What can other developing countries learn from Sri Lanka on achieving good health at low cost? While its well-organized medical and maternal-child health services have been documented elsewhere, this paper fills a gap in documenting how it organizes services to reduce the population's exposure to disease-a pure public good. The key factors underlying the effectiveness of these services are (1) strong focal points in the central Health Ministry for supporting preventive services; (2) pro-active outreach by the health line agency to collaborate with other sectors/ agents whose work influences public health outcomes; and (3) community-level delivery institutions with well-trained multivalent Public Health Inspectors-all underpinned by (4) assured tax-based financing. This paper describes this system in some detail such that other countries can learn from Sri Lanka's successful approach to improving population health. It also makes some recommendations for strengthening the system in response to changing conditions
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  • 5
    Language: English
    Pages: Online-Ressource (25 p)
    Edition: 2009 World Bank eLibrary
    Parallel Title: Das Gupta, Monica How To Improve Public Health Systems
    Abstract: Public health systems in India have weakened since the 1950s, after central decisions to amalgamate the medical and public health services, and to focus public health work largely on single-issue programs - instead of on strengthening public health systems’ broad capacity to reduce exposure to disease. Over time, most state health departments de-prioritized their public health systems. This paper describes how the public health system works in Tamil Nadu, a rare example of a state that chose not to amalgamate its medical and public health services. It describes the key ingredients of the system, which are a separate Directorate of Public Health - staffed by a cadre of professional public health managers with deep firsthand experience of working in both rural and urban areas, and complemented with non-medical specialists-with its own budget, and with legislative underpinning. The authors illustrate how this helps Tamil Nadu to conduct long-term planning to avert outbreaks, manage endemic diseases, prevent disease resurgence, manage disasters and emergencies, and support local bodies to protect public health in rural and urban areas. They also discuss the system’s shortfalls. Tamil Nadu’s public health system is replicable, offering lessons on better management of existing resources. It is also affordable: compared with the national averages, Tamil Nadu spends less per capita on health while achieving far better health outcomes. There is much that other states in India, and other developing countries, can learn from this to revitalize their public health systems and better protect their people’s health
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  • 6
    Language: English
    Pages: Online-Ressource (34 p)
    Edition: 2009 World Bank eLibrary
    Parallel Title: Das Gupta, Monica Family Systems, Political Systems, and Asia's 'Missing Girls'
    Abstract: Son preference is known to be found in certain types of cultures, that is patrilineal cultures. But what explains the fact that China, South Korea, and Northwest India manifest such extreme child sex ratios compared with other patrilineal societies? This paper argues that what makes these societies unique is that their pre-modern political and administrative systems used patrilineages to organize and administer their citizens. The interplay of culture, state, and political processes generated uniquely rigid patriliny and son preference. The paper also argues that the advent of the modern state in these settings has unraveled the underpinnings of the rigid patrilineal rules, and unleashed a variety of forces that reduce son preference. Firstly, the modern state has powerful tools for incorporating and managing its citizenry, rendering patrilineages a threat rather than an asset for the state. Secondly, the modern state has brought in political, social, and legal reforms aimed to challenge traditional social hierarchies, including the age and gender hierarchies of the kinship system. Thirdly, industrialization and urbanization have ushered in new modes of social organization, which reduce the hold of clans and lineages. Studies of the impact of the media suggest that states can accelerate the resultant decline in son preference, through media efforts to help parents perceive that daughters can now be as valuable as sons
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  • 7
    Language: English
    Pages: Online-Ressource (39 p)
    Edition: 2010 World Bank eLibrary
    Parallel Title: Das Gupta, Monica China's Marriage Market and Upcoming Challenges for Elderly Men
    Abstract: Fertility decline has fueled a sharp increase in the proportion of 'missing girls' in China, so an increasing share of males will fail to marry, and will face old age without the support normally provided by wives and children. This paper shows that historically, China has had nearly-universal marriage for women and a very competitive market for men. Lower-educated men experience higher rates of bachelorhood while women favor men with better prospects, migrating if needed from poorer to wealthier areas. The authors examine the anticipated effects of this combination of bride shortage and hypergamy, for different regions of China. Their projections indicate that unmarried males will likely be concentrated in poorer provinces with low fiscal ability to provide social protection to their citizens. Such geographic concentration of unmarried males could be socially disruptive, and the paper’s findings suggest a need to expand the coverage of social protection programs financed substantially by the central government
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  • 8
    Language: English
    Pages: Online-Ressource (28 p)
    Edition: 2009 World Bank eLibrary
    Parallel Title: Das Gupta, Monica How Might India's Public Health Systems Be Strengthened ?
    Abstract: The central government’s policies, though well-intentioned, have inadvertently de-emphasized environmental health and other preventive public health services in India since the 1950s, when it was decided to amalgamate the medical and public health services and to focus public health services largely on single-issue programs. This paper discusses how successive policy decisions have diminished the Health Ministry’s capacity for stewardship of the nation’s public health. These decisions have introduced policies and fiscal incentives that have inadvertently enabled states to prioritize medical services and single-issue programs over broader public health services, and diminished the capacity of the public health workforce to deliver public health services. Diseases resulting from poor environmental health conditions continue to impose high costs even among the more affluent, and hinder development. There are many approaches to strengthening the public health system, and the authors suggest one that may require relatively little modification of existing structures and systems. They suggest establishing a focal point in the Health Ministry for public health stewardship, and re-vitalizing the states’ public health managerial cadres as well as the grassroots public health workers. The central government could consider linking its fiscal support to states with phased progress in four areas: (1) the enactment of state Public Health Acts; (2) the establishment by states of separate public health directorates; (3) the re-vitalization of grassroots public health workers; and (4) health department engagement in ensuring municipal public health. The central focal point could provide the needed support, oversight, incentives, and sanctions to ensure that states build robust public health systems. These measures can do much to help governments use public funds more effectively for protecting people’s health
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  • 9
    Online Resource
    Online Resource
    In:  American Anthropologist : Journal of the American Anthropological Association 97(1995), Seite 481-491
    ISSN: 0002-7294
    Titel der Quelle: American Anthropologist : Journal of the American Anthropological Association
    Publ. der Quelle: Washington, 1995
    Angaben zur Quelle: 97(1995), Seite 481-491
    Keywords: Gesundheit; Frauenautonomie ; Frauen ; Women ; Les femmes
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  • 10
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