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Challenges in Health and Development: From Global to Community Perspectives / Edition 1

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At the turn of the 21st century, human health and economic growth are inextricably linked components of international development. Challenges in Health and Development is a primer on the changing configurations of population health and economic growth in development policy. It examines strategies of investing in human health and investing in economic growth as distinct approaches to development, explores the symbiotic relationship of these tactics, and considers the applications and outcomes from a global, national and community level perspective. Each chapter introduces concepts of economic development and population health, and uses case studies to illustrate the same. These case studies include program and policy examples from Bangladesh, Chile, Haiti, Rwanda, South Africa and Sri Lanka. This text examines the impact of macroeconomic adjustment programs, health care restructuring, investment in primary health care, public-private partnerships, and the challenges of program co-ordination and up-scaling in stable and conflict-ridden countries. Discussion questions are provided at the end of each chapter to facilitate classroom activities.

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Product Details

  • ISBN-13: 9789048199525
  • Publisher: Springer Netherlands
  • Publication date: 12/3/2010
  • Edition description: 2011
  • Edition number: 1
  • Pages: 196
  • Product dimensions: 6.40 (w) x 9.30 (h) x 0.80 (d)

Meet the Author

Sandy Johnson holds a Ph.D. in Latin American Studies from Tulane University. Her research explores the interaction of environmental and social change on human well-being. She is the director of the B.A. Program in International Studies at the Josef Korbel School of International Studies, University of Denver.

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Table of Contents

Chapter 1 1

1.1 Industrial Expansion, Globalization and Population Health: The Cases of England and Panama 2

1.2 Comparative Measurement of Health and Development 5

1.3 A Century's Worth of Global Change in Development and Health 7

1.4 What Accounts for the Difference in Regional Change? 14

1.4.1 Standard of Living 15

1.4.2 Public Investment, Health Infrastructure, and Public Health Campaigns 16

1.4.3 Medical Innovations 17

1.4.4 Technological Innovation 18

1.4.5 Behavior Change 19

1.4.6 Access to Care 20

1.4.7 Political Will 20

1.5 A Model for Exploring Health and Development 21

1.6 Conclusion 23

1.7 Discussion Questions 24

References 25

Chapter 2 27

2.1 Health and Development as Concepts in the International System 28

2.1.1 International Health Before WWII 30

2.1.2 The United Nations and the Modern Story of Health and Development 33

2.2 The World Health Organization 38

2.2.1 WHO Early Years: Health as a Biomedical Condition 40

2.2.2 Malaria and Smallpox Campaigns 41

2.2.3 WHO: Health as a Human Right 41

2.2.4 Social Determinants of Health and the Who in the Twenty-first Century 48

2.3 The World Bank 49

2.3.1 The World Bank: Evolution of Development 50

2.4 The Beginning of Convergence: State and Human Security 60

2.5 True Convergence and the Way Forward in the Twenty-first Century 64

2.6 Conclusion 65

2.7 Discussion Questions 67

References 67

Chapter 3 71

3.1 Trade-offs Between Internal and External Factors, Social and Economic Outcomes 74

3.2 Health Inputs 78

3.3 Chile: Economic Growth Without Equity 81

3.4 Sri Lanka: Equity Without Growth 90

3.5 Conclusion 98

3.6 Discussion Questions 99

References 99

Chapter 4 103

4.1 The Importance of Community 107

4.1.1 Community-Based Health Care 110

4.1.2 Pholela Health Center: An Early Innovator 112

4.1.3 Gonoshasthaya Kendra: A Continuing Success 114

4.1.4 Implications for Local Health and National Development 116

4.2 Microcredit and Microfinance 117

4.2.1 Grameen Bank: Early Innovator and Continuing Success 119

4.2.2 Implications for Development and Well-Being 122

4.3 Conclusion 124

4.4 Discussion Questions 126

References 127

Chapter 5 131

5.1 Development, Failed States and States in Conflict 132

5.1.1 Issues of Health 134

5.1.2 Refugees and IDPs 136

5.1.3 Long Term Impacts 137

5.2 The Challenge of Rebuilding 138

5.2.1 Building Dependency 140

5.3 The Pros and Cons of Scaled Approaches 141

5.4 Haiti: Partners in Health/Zanmi Lasante 143

5.5 Rwanda Rising from the Ashes 148

5.6 Conclusion 154

5.7 Discussion Questions 155

References 156

Chapter 6 159

6.1 Global Public-Private Partnerships 160

6.1.1 GPPPs, Global Research and Clinical Trials 165

6.2 Methods of the GPPPs 167

6.3 Examples of Recent GPPPs 170

6.4 Pros and Cons of GPPPs 172

6.5 Conclusion 175

6.6 Discussion Questions 176

References 176

Chapter 7 179

7.1 Conclusion 179

Chapter 8 183

8.1 Discussion Question Answers 183

8.1.1 Chapter 1 Questions 183

8.1.2 Chapter 2 Questions 184

8.1.3 Chapter 3 Questions 186

8.1.4 Chapter 4 Questions 187

8.1.5 Chapter 5 Questions 188

8.1.6 Chapter 6 Questions 189

Index 191

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