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Handbook on health inequality monitoring : with a special focus on low- and middle-income countries
Monitoring health inequality is a practice that fosters accountability and continuous improvement within health systems. The cycle of health inequality monitoring helps to identify and track health differences between subgroups providing evidence and feedback to strengthen equity-oriented policies programmes and practices. Through inequality monitoring and the use of disaggregated data countries gain insight into how health is distributed in the population looking beyond what is indicated by national averages. Data about health inequalities underlie health interventions that aim to reach vulnerable populations. Furthermore they constitute an evidence base to inform and promote equity-oriented health initiatives including the movement towards equitable universal health coverage. _x000D__x000D_ _x000D__x000D_ This Handbook is a user-friendly resource developed to help countries establish and strengthen health inequality monitoring practices. The handbook elaborates on the steps of health inequality monitoring including selecting relevant health indicators and equity stratifiers obtaining data analysing data reporting results and implementing changes. Throughout the handbook examples from low- and middle-income countries are presented to illustrate how concepts are relevant and applied in real-world situations; informative text boxes provide the context to better understand the complexities of the subject. The final section of the handbook presents an expanded example of national-level health inequality monitoring of reproductive maternal and child health. _x000D__x000D_.
eBook
Convergence Between Developed and Developing Countries
Are countries at a low level of socio-economic development catching up with developed countries over time or rather falling further behind? Existing work on the subject is not conclusive, partially due to methodological differences. The aim of the paper is to carry out a broader analysis with longer time series and a more diverse set of indicators. The study divides countries of the world into 21 developed \"benchmark\" countries and 156 developing countries. The distance between the benchmark and developing countries is measured using the \"time lags\" method, applied here to nine indicators covering topics such as the economy, health, education and the environment. The study further utilizes a probabilistic approach to extrapolate missing historical data for developing countries, so that the analysis can cover a full century starting in 1920 and ending with short-term projections to year 2020. The study finds that a majority of developing countries, and the population-weighted developing world as a whole, has reduced its lag in most indicators between 1920 and 2020. Progress was unevenly distributed, with East Asian and European countries converging the most with the benchmark, while most African countries have diverged along with some American ones. Catch-up in education attainment and life expectancy has been more successful than in infant survival rate, GDP per capita or technology adoption. The findings are put in context of United Nations' Sustainable Development Goals, showing how the time lag method could improve setting targets for some of the goals. Further, time lags are used to analyze the current demographic, economic and political situation of developing countries, identifying opportunities and risks for future catch-up with developed countries.
Journal Article
Monitoring for a sustainable tourism transition: the challenge of developing and using indicators
Sustainable tourism is not a static target, but a dynamic process of change, a transition. This book considers how monitoring using indicators can assist tourism to make such a sustainability transition. It encourages the reader to view tourism from a broad, interdisciplinary perspective and draws on material from a wide range of sources. The book explains why monitoring is important for different groups of stakeholders; public and private sector, NGOs and communities. It also examines important monitoring considerations such as what and where to measure, how much will monitoring cost and how the data can be presented. The book puts particular emphasis on indicator use and implementation. It highlights the process and techniques to develop and use indicators and then provides clear and detailed examples of monitoring in practice around the globe at different geographic scales.
eBook
Atlas of sustainable development goals 2018 : from world development indicators
The Atlas of Sustainable Development Goals 2018 is a visual guide to the trends, challenges and measurement issues related to each of the 17 Sustainable Development Goals. The Atlas features maps and data visualizations, primarily drawn from World Development Indicators (WDI) - the World Bank's compilation of internationally comparable statistics about global development and the quality of people's lives. Given the breadth and scope of the SDGs, the editors have been selective, emphasizing issues considered important by experts in the World Bank's Global Practices and Cross Cutting Solution Areas. Nevertheless, The Atlas aims to reflect the breadth of the Goals themselves and presents national and regional trends and snapshots of progress towards the UN's seventeen Sustainable Development Goals related to: poverty, hunger, health, education, gender, water, energy, jobs, infrastructure, inequalities, cities, consumption, climate, oceans, the environment, peace, institutions, and partnerships.
eBook
Improving health service delivery in developing countries : from evidence to action
Reliable information on how health service strategies affect the poor is in short supply. In an attempt to redress the imbalance, 'Improving Health Service Delivery in Developing Countries' presents evidence on strategies for strengthening health service delivery, based on systematic reviews of the literature, quantitative and qualitative analyses of existing data, and seven country case studies. The authors also explore how changes in coverage of different health services affect each other on the national level. Finally, the authors explain why setting international targets for health services has been not been successful and offer an alternative approach based on a specific country's experience. The book's findings are clear and hopeful: There are many ways to improve health services. Measuring change and using information to guide decisions and inform stakeholders are critically important for successful implementation. Asking difficult questions, using information intelligently, and involving key stakeholders and institutions are central to the \"learning and doing\" practices that underlie successful health service delivery.
eBook
Understanding food loss patterns across developed and developing countries using a GDP, growth rate, and health expenditure-based typology
Food loss and waste (FLW) threaten progress toward Sustainable Development Goals (SDG) 12.3, yet their distribution by development stage remains under-quantified. We created a time-weighted K-means typology for 105 countries (2000–2022) using Gross Domestic Product (GDP) per capita, GDP growth, and per-capita health expenditure—indicators chosen to capture economic capacity, growth momentum, and institutional investment. The scheme classified nations as developed (
n
= 13), developing (
n
= 92), or hybrid, with > 98% membership stability across weighting parameters. Linking this typology with FAO’s FLW data, we modelled food loss percentages (FLP) across ten commodity groups and eight supply-chain stages using multilevel mixed-effects regression. Developed countries lost the most food at consumption (22.5%), dwarfing developing (6.8%) and hybrid cases (9.0–14.2%), whereas developing nations suffered greater upstream losses at harvest/on-farm (3.7%). FLP in developing economies was significantly lower for grains (β = − 8.02,
p
= 0.007), oilseeds (β = − 19.29,
p
= 0.016) and pulses (β = − 5.43,
p
= 0.021). From 2000 to 2022, oilseed and sugar losses rose (β = 0.26,
p
< 0.001), while roots/tubers and dairy/eggs declined (β = − 0.31, − 0.89;
p
< 0.01). Stage analyses revealed pronounced development gaps at consumption (β = − 16.06,
p
< 0.001) and processing (β = − 5.58,
p
= 0.014), alongside a rising trend in marketing/retail losses (β = 0.25,
p
= 0.005). Country-level random effects explained up to 90% of variance, underscoring the dominance of local conditions. The evidence supports consumer-behaviour interventions in high-income settings, upstream infrastructure investment in developing regions, and dual-track strategies in hybrids. Our typology provides a scalable, policy-ready lens for designing targeted FLW actions aligned with SDG 12.3.
Journal Article
Estimating Trade Restrictiveness Indices
Studies of the impact of trade restrictiveness on growth, poverty or unemployment are frequent in the academic literature. Few authors, however, provide a precise definition of what they mean by trade restrictiveness. When they do, the definition is unlikely to have tight links with trade theory. The objective of this article is to fill this gap by providing for 78 developing and developed countries clearly defined indicators of trade restrictiveness that are well grounded in trade theory. Results suggest that poor countries tend to have more restrictive trade policies but they also face higher trade barriers on their exports.
Journal Article
Drying Climates and Gendered Suffering
HIV/AIDS represents the leading cause of death among women of reproductive age globally, and gender inequalities in the burden of HIV/AIDS are most pronounced in poorer countries. Drawing on ideas from feminist political ecology, we explore linkages between suffering from drought, food insecurity, and women's vulnerability to HIV. Using data from 91 less-developed countries, we construct a structural equation model to analyze the direct and indirect influence of these factors, alongside other socio-economic indicators, on the percentage of the adult population living with HIV that are women. We find that droughts are significant in shaping gender inequalities in the HIV burden indirectly through increased food insecurity. We draw on prior research to argue that due to gendered inequalities, food insecurity increases women's vulnerability to HIV by intensifying biological susceptibilities to the disease, reducing access to social and health resources, and motivating women to engage in risky sexual behaviors, such as transactional sex. Overall, our findings demonstrate that droughts serve as an important underlying factor in promoting HIV transmission among vulnerable women in poor countries, and that food insecurity is a key mechanism in driving this relationship.
Journal Article
Catechizing the Environmental-Impression of Urbanization, Financial Development, and Political Institutions: A Circumstance of Ecological Footprints in 110 Developed and Less-Developed Countries
This study stabs to probe the impact of financial development, urbanization, trade openness, political institutions, and energy consumption on the ecological footprints (EF), within the framework of EKC, of 110 countries congregated by income levels, over the time span of 1996–2016. The final outcome of cross-sectionally weighted Panel EGLS and multi-step A-B GMM evidently reinforced the existence of EKC hypothesis in case of EF both in developed and less-developed countries. This study finds the destructive environmental impact of composition effect and energy consumption while political institutions, trade openness, and urbanization have constructive environmental effect. Financial development reduces the human demand on nature only in less-developed countries. The ultimate consequences of this study are equipped with several policy recommendations for the concerned authorities.
Journal Article