Poverty and health

Every day 10 children die in SA
IOL, 29 May 2006: Hall K , Leatt A

The death of a child is always tragic, and in South Africa it is not an unusual occurrence. Every hour, 10 children under five years of age die. Almost one in 10 children will not survive to see their fifth birthday. The majority of these deaths are entirely avoidable.

Treating diseases of poverty: Creating markets for advance drug purchasing
id21 Health, May 2006: Towse A, Kettler H

While new drugs and vaccines are needed to treat diseases of poverty, not enough is being invested in developing these products because of the lack of a demand or market for them. Advance price or purchase commitments potentially offer a solution, yet a number of structure and design issues first need to be resolved.

Targeting services towards the poor: A review of targeting mechanisms and their effectiveness
Eldis Health Systems/ Health Systems Resource Guide: Hanson K, Worrall E, Wiseman V

This chapter analyses the alternative approaches to targeting the poor that have been used in healthcare delivery and draws together evidence from a range of countries about their effectiveness. The authors emphasise the importance of programme design and implementation issues and argue that successful programmes will need to identify these issues and devote adequate resources to overcoming them. The authors propose a conceptual framework for understanding the key elements of targeting policies.

The scandal of poor peoples diseases
Pambazuka News

People with AIDS all over the world are fortunate to have fellow sufferers in America and Europe, says this New York Times article. "In poor countries as well, it helps that AIDS strikes all social classes. Brazil would never have become the first poor country to guarantee free AIDS treatment to all who need it without the activism of its many homosexual organizations. For every AIDS victim, though, there are many more suffering from diseases that lack this kind of constituency. Today, contracting a serious disease that affects only poor people is the worst luck of all.

Defining and measuring gender: A social determinant of health whose time has come
Phillips SP: International Journal for Equity in Health 2005, 4:11

This paper contributes to a nascent scholarly discussion of sex and gender as determinants of health. Health is a composite of biological makeup and socioeconomic circumstances. Differences in health and illness patterns of men and women are attributable both to sex, or biology, and to gender, that is, social factors such as powerlessness, access to resources, and constrained roles. Using examples such as the greater life expectancy of women in most of the world, despite their relative social disadvantage, and the disproportionate risk of myocardial infarction amongst men, but death from MI amongst women, the independent and combined associations of sex and gender on health are explored. A model for incorporating gender into epidemiologic analyses is proposed.

Indigenous and tribal peoples: an ethnic audit of selected Poverty Reduction Strategy papers
Tomei M: International Labour Office 2005

The incidence of extreme poverty is higher among Indigenous and tribal peoples than among other social groups and they generally benefit much less than others from overall declines in poverty. The audit of 14 countries include: Bangladesh, Bolivia, Cambodia, Guyana, Honduras, Kenya, Lao PRD, Nepal, Nicaragua, Pakistan, Sri Lanka, Tanzania, Viet Nam and Zambia. The ethnic audit shows that there are significant differences between regions and, within regions, between countries in terms of whether and how indigenous questions are addressed.

Namibia: No rest - and limited government support - for the aged
Sasman C: Inter Press Service (Johannesburg), 20 March 2006

The sight of an elderly person caring for children with AIDS-related illnesses (and grandchildren who may have been orphaned by the pandemic) has become a common one in Namibia, and the Southern African region as a whole. Have policies in Namibia kept pace with the extent to which the aged are taking on responsibility for sick children, and orphaned grandchildren?

No magic bullets to end poverty: Q&A With Jeffrey Sachs
UN Integrated Regional Information Networks : 20 March 2006

In 2005 economist Jeffrey Sachs presented an action plan to meet the UN's poverty-slashing Millennium Development Goals (MDGs) by 2015, which included practical and affordable interventions such as bed-nets to fight malaria, vaccinations to combat infectious diseases, the provision of anti-AIDS drugs, fertilisers to improve crop yields and drilling wells to provide safe drinking water. In this wide-ranging interview with IRIN, Sachs defended his plan and provided some details on how the project is going to help poor countries help themselves.

Geographic aspects of poverty and health in Tanzania: does living in a poor area matter?
Mahmud Khan et al, Health Policy and Planning 2006; 21: 110-122.

Previous studies have consistently found an inverse relationship between household-level poverty and health status. However, what is not well understood is whether and how the average economic status at the community level plays a role in the poverty–health relationship. The study investigated the concentration of poverty at the community level in Tanzania and its association with the availability and quality of primary health care services, the utilization of services, and health outcomes among household categories defined by wealth scores.

Health and wellbeing in Udaipur and South Africa
PAHO

This paper presents a descriptive account of health and economic status in India and South Africa – countries in very different positions in the international hierarchy of life expectancy and income. It analyses the correlates of health and wellbeing in our sites.

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