PHA-Exchange> 11 - In preparation of PHA II

[Claudio]

No.2 on MDGs:

From: Ruggiero, Mrs. Ana Lucia (WDC) 

 
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  



Davidson Gwatkin

Principal Health and Poverty Specialist

The World Bank, 2002



Available online as PDF file  [4.6 MB] at: 

      http://poverty.worldbank.org/files/13920_gwatkin1202.pdf  



"............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 Millennium Development Goals 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. 



Quantitative illustrations for typical countries in Latin America and the Caribbean, South and Southeast Asia, and Sub-Saharan Africa indicate that the amount of benefit accruing to the poor would vary greatly.



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 Millennium Development Goals health targets....."



            Addressing multiple risks is an important step in addressing health inequalities, many of which are partly related to the clustering of major risks in specific socioeconomic groups....."

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