<div><br><span class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a><br></span></div>
<p><span class="gmail_quote"></span> </p>
<div><span class="gmail_quote">CAN ANYBODY REVIEW THESE FOR PHA-EXCHANGE?</span></div>
<div><span class="gmail_quote">Claudio</span></div>
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<h1 style="TEXT-INDENT: 0.5in"><b><font face="Arial" color="maroon" size="4"><span style="FONT-SIZE: 13.5pt; COLOR: maroon">Reaching the Poor Policy Brief Series</span></font></b></h1>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The World Bank - March 2008</span></font></b></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">New Reaching the Poor Policy Brief Series, are now available. This installment of two briefs focuses on addressing demand side health care financing, with two cases from Cambodia and Mexico. </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">English versions of this installment are attached and electronic files of these four new briefs will be made available in English, French, Spanish and Russian<br>
World Bank's website: </span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a onclick="return top.js.OpenExtLink(window,event,this)" href="http://go.worldbank.org/PUJ2E7T1Z0" target="_blank"><font color="navy"><span style="COLOR: navy">http://go.worldbank.org/PUJ2E7T1Z0</span></font></a> </span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Health Insurance Initiatives</span></font></b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>
<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span> </span></font></span></span></font><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Mexico</span></font></b><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> (Seguro): </span></font></b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> Providing Subsidized Health Insurance for the Poor<br>
<a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoREV2.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">English</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> (pdf 132kb)</span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoFR.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">French</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> (pdf 134kb)</span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoSP.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Spanish</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> (pdf 119kb) | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoRU.pdf" target="_blank"><font color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy">Russian</span></font></a> (pdf 851kb)</span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Public Private Partnerships</span></font></b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>
<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span> </span></font></span></span></font><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Cambodia</span></font></b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">: Contracting Health Care Services for the Rural Poor<br>
<a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaREV.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">English</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial">(pdf 150kb)</span></font></b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">| <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaFR.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">French</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> (PDF 173kb)</span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaSP.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Spanish</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> (PDF 157kb)</span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> | <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaRU.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Russian</span></font></a></span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 7.5pt; COLOR: navy; FONT-FAMILY: Arial"> (PDF 1MB)</span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><br>This policy brief series is produced by the World Bank Institute with financial support from the Government of the Netherlands.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Motivation: <br></span></font></b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">It has been known for too long that the poor and socially vulnerable die earlier and suffer more from diseases, high fertility, and malnutrition, than the better-off in most countries. This fact has motivated bigger investments in the health sector on the naïve assumption that spending on health is spending on the poor. The overwhelming evidence in the last 10 years have shown that simply spending more on health does not necessarily equal reaching and helping the poor. The Reaching the Poor Program has sought to find evidence that spending in health can be pro-poor and to begin to understand the conditions necessary to attack inequality.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Vigilance, Hope, and Hard Work The research phase of the Reaching the Poor Program funded by the World Bank, with support from the Bill and Melinda Gates Foundation and the Dutch and Swedish Governments, supported evaluations of health programs. A critical finding of the research phase was that health programs do not have to be pro-rich. Addressing and reversing inequality, however, is not easy. <br>
Common success characteristics include:<br>(i) an explicit objective of reaching the poor; <br>(ii) analysis of the bottlenecks facing the poor; <br>(iii) adapting solutions to address local conditions; <br>
(iv) experimentation; <br>(v) monitoring; and <br>(vi) patience.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Each Brief will highlight the main achievements of successful attempts to address health service use inequality. They are short and policy oriented, but they are based on longer and technical evaluation documents. The wide variety of policy instruments that have proven successful shows that there is not one way of addressing inequality, but that motivated policy makers and advocates can make a difference.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Abdo Yazbeck, Lead Health Economist<br>World Bank Institute, the World Bank</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">The RPP II Team (in alphabetical order): Ann Goldman, Jo Hindriks, Michelle Morris, Mary Mugala, Tanya Ringland, Chialing Yang and Abdo Yazbeck</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p><font face="Arial" color="navy" size="2"><span lang="EN-GB" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p></div></div>