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"Lieberman, Samuel S"
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Health financing and delivery in Vietnam : looking forward
Vietnam's successes in the health sector are remarkable. Between 2000 and 2005, Vietnam achieved reductions in mortality rates for all ages, while some of its neighbors saw little change or even increases. To date, its infant and under-five mortality rates are comparable to those of countries with substantially higher per capita incomes. According to the data assembled in 'Health Financing and Delivery in Vietnam', the country continues to perform strongly in the sector, but its health care system is facing new challenges, as do those of other countries. By international standards, for example, a large percentage of Vietnamese households make out-of-pocket health care payments that exceed a reasonable fraction of their income. The country has been expanding the breadth of health insurance coverage, but questions remain on how to further expand coverage, how to decrease health care costs, and how to increase the overall quality of care. 'Health Financing and Delivery in Vietnam' reviews the country's successes and the challenges it faces, and suggests some options for further reforming the country's health system. These include the issue of stewardship—what different parts of government (for example, the Health Ministry and the health insurer) should be doing at each level of government, and what different levels of government (for example, the central government and the provincial government) ought to be doing. 'Health Financing and Delivery in Vietnam' will be of interest to readers working in the areas of public health and social analysis and policy.
eBook
Health financing and delivery in Vietnam
Vietnam's successes in the health sector are legendary. Its rates of infant and under-five mortality are comparable to those of countries with substantially higher per capita incomes. Vietnam continues to be an over-achiever in the health sector according to data assembled in this book. Like other countries, though, Vietnam faces challenges in its health system. By international standards, for example, Vietnam has a high incidence of catastrophic household health spending-a large fraction of households make out-of-pocket payments for health care that exceeds a reasonable fraction of their inco
Book
Demographic Perspectives on Pakistan's Development
The incidence, accommodation, and control of population growth in Pakistan are addressed in the context of alternative development strategies, past and prospective. The issue of accommodation of population growth in different regions and development phases is explored, including micro and social structural responses to population increase, income-generating and insurance functions of children, and policy adjustments and initiatives with a bearing on such accommodation. A \"commercial holdings\" strategy is suggested as a vehicle for population accommodation in a rural setting in which the landless rival the landed poor in numbers and in need. The paper also discusses justifications for family planning policies and identifies strategies appropriate for such programs. Possible repercussions of further population growth and likely benefits of family planning are considered. The paper concludes by describing rural development options in Pakistan.
Journal Article
Field-level perspectives on Maharashtra's Employment Guarantee Scheme
This paper examines the implementation of the Employment Guarantee Scheme (EGS), the large scale rural works programme in operation since 1974 in the Indian state of Maharashtra. The analysis of programme management and execution of individual EGS projects draws on the experiences and observations of the unique cadre of employment officers, from different departments, with field‐level responsibilities. The first section of the paper describes the organization which administers EGS and reviews the body of directives which guides EGS field operations. Subsequent sections discuss the background characteristics of field functionaries and focus on various problems encountered and solutions adopted by these officers in implementing EGS projects. The discretionary powers enjoyed by field officers as a result of the absence or impracticality of government guidelines for many issues influence the implementation of the project and make officials vulnerable to political pressures. The implications of this discretion need to be recognized by the Government of Maharashtra. Knowledge gained from EGS operations needs to be used to prepare officials for project work.
Journal Article
Rural Development and Fertility Transition in South Asia: The Case for a Broad-based Strategy
THE AUTHOR EMPLOYS THE \"JAPANESE\" MODEL OF BROAD-BASED DEVELOPMENT AND FERTILITY TRANSITION AS A POINT OF DEPARTURE FOR A DISCUSSION OF AGRICULTURAL STRATEGY AND DEMOGRAPHIC CHANGE IN SOUTH ASIA. THE LINKAGE BETWEEN RURAL DEVELOPMENT AND FERTILITY DECLINE IS INVESTIGATED AND ITS LIMITATIONS DISCUSSED. THE AUTHOR ALSO QUESTIONS THE APPLICABILITY OF THE \"JAPANESE\" MODEL TO SOUTH ASIAN DEVELOPMENT.
Journal Article
Afghanistan: Population and Development in the \Land of Insolence\
Most assessments of the current crisis in Afghanistan have focused on the turbulent political events of the country's recent past. The present crisis, however, has clear historical origins in the tensions built into the Afghan state from its inception; the divisive geographic and ethnodemographic features; the demographic regime in a country of exceptionally high fertility and mortality and rapid population growth; and the limited gains resulting from a strategy of \"guided\" development and reform that was adopted in the 1950s. This paper describes the emergence of an independent Afghan state, surveys demographic patterns, and reviews efforts to foster development and to arrive at an equilibrium of social and political forces. The final section comments on some of the factors likely to have a bearing on the resolution of the crisis and on the longer term development of the country.
Journal Article
Prospects for Development and Population Growth in Iran
This note discusses recent demographic, economic, and social changes in Iran and evaluates the approach to development that was pursued during the regime of Shah Mohammed Reza Pahlavi. Questions of growth strategy in industry and agriculture are raised, and attention is drawn to the need to shape development policy to accommodate increases in population and labor force and to create conditions favorable to a decline in fertility and an eventual reduction in population growth. Available options and constraints, especially demographic constraints, are identified that are likely to have a bearing on development strategy and performance regardless of the views and the approach to development associated with present and future governments in Iran.
Journal Article
Family planning in Iran: results of a survey and a mass media campaign
This article presents some of the general findings and, in particular, the information on family planning practice in Isfahan City and Ostan compiled in two phases of the Isfahan Communications Project (ICP). In terms of information generated, the project had two main stages: (1) the ostan-wide sample presurvey (May, 1970), and (2) the ostan-wide mass media campaign (August, 1970-March, 1971). The presurvey was made to obtain demographic information and data on the knowledge, attitudes, and practice (KAP) of family planning among the population and their exposure to the various media. The media campaign was directed at those couples who because of their media behavior and previous experiences with contraception were thought to be predisposed to adopt modern family planning methods.
Journal Article