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The author presents a promising tool to increase the coverage rate
of community-based health insurance schemes (CBHI) and access to
medical care for poor population groups in developing countries. He
addresses a key problem of CBHI: Authorities cannot sanction
non-members and membership cannot be enforced. Therefore, it is
proposed to award membership by offering incentives such as raffle
participation for joining a CBHI. This approach attracts new
members and can be a motivation to continue membership payments of
healthy insurance members. The results of an ex-ante demand
analysis conducted in the Philippines are promising. More than 80%
of the respondents would like to participate in the raffle and
would even agree to higher premium payments covering additional
costs of the raffle.
Evaluation pro-poor growth enhancing investments in infrastructure
and rural development requires comprehensive appraisal tools.
Traditional methods have taken a project or sector perspective that
did not capture economy-wide effects. However, in addition to
inter-sectoral effects, large-scale investments can also have
long-term impacts on national capital formation, the government
budget and the foreign trade balance. This study builds a
computable general equilibrium model and links it to a
micro-accounting module for poverty analysis in Vietnam. The
spatial dimension is captured by incorporating two regions into the
model: the lagging mountainous province of Son La is compared to
the rest of Vietnam. This model is applied to several
infrastructure investments and identifies economic growth rates
that would be needed to achieve the first Millennium Development
Goal.
Hunger and malnutrition are the plight of millions of people,
especially in developing countries. This study argues that the lack
of a comprehensive measure for nutrition and food security has
impeded progress towards eradicating hunger and undernutrition. The
author seeks to fill this gap by designing an international
Nutrition Index (NI). Using this NI, the study ranks 106 countries
and analyses patterns and trends in their nutrition situation. The
correlations between the NI and other international indicators show
its ability to reflect micronutrient deficiencies as well as its
sensitivity to poverty and inequality. Multivariate regressions
reveal that the NI tends to improve with economic development and
the amelioration of health services, whereas warfare has
detrimental effects.
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