Reaching the Poor with Health, Nutrition, and Population Services: What Works, What Doesn't, and Why

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This volume presents eleven case studies that document how well or poorly health, nutrition, and population programs have reached disadvantaged groups in the countries of Africa, Asia, and Latin America where they were undertaken. The studies were commissioned by the Reaching the Poor Program, undertaken by the Word Bank in cooperation with the Bill and Melinda Gates Foundation and the Dutch and Swedish governments, in an effort to find better ways of ensuring that health, nutrition, and population programs benefit the neediest.

These case studies, reinforced by other material gathered by the Reaching the Poor Program, indicate clearly that health programs do not have to be inequitable. Although most health, nutrition, and population services achieve much lower coverage among disadvantaged groups than among the better-off, many significant and instructive exceptions exist. These show that the poor can be reached much more effectively than at present and point to potentially promising strategies for doing so.

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Product Details

  • ISBN-13: 9780821359617
  • Publisher: World Bank Publications
  • Publication date: 8/28/2005
  • Series: Bks.
  • Pages: 376
  • Product dimensions: 6.10 (w) x 9.20 (h) x 1.00 (d)

Table of Contents

1 Why were the reaching the poor studies undertaken? 3
2 How were the reaching the poor studies done? 27
3 What did the reaching the poor studies find? 47
4 Ghana and Zambia : achieving equity in the distribution of insecticide-treated bednets through links with measles vaccination campaigns 65
5 Kenya : reaching the poor through the private sector - a network model for expanding access to reproductive health services 81
6 South Africa : who goes to the public sector for voluntary HIV/AIDS counseling and testing? 97
7 Bangladesh : inequalities in utilization of maternal health care services - evidence from matlab 117
8 Cambodia : using contracting to reduce inequity in primary health care delivery 137
9 India : assessing the reach of three SEWA health services among the poor 163
10 India : equity effects of quality improvements on health service utilization and patient satisfaction in Uttar Pradesh State 189
11 Nepal : the distributional impact of participatory approaches on reproductive health for disadvantaged youths 211
12 Argentina : assessment of changes in the distribution of benefits from health and nutrition policies 243
13 Brazil : are health and nutrition programs reaching the neediest? 281
14 Peru : is identifying the poor the main problem in reaching them with nutritional programs? 307
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