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Social Determinants of Health

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Dennis Raphael <[log in to unmask]>
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Tue, 16 May 2006 09:21:50 -0400
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---------------------- Forwarded by Dennis Raphael/Atkinson on 05/16/2006
09:24 AM ---------------------------


"Claudio" <[log in to unmask]>@lists.kabissa.org on 05/16/2006 09:16:01
AM

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To:    "pha-exchange" <[log in to unmask]>
cc:

Subject:    PHA-Exchange> A New Equity Agenda?



From: Ruggiero, Mrs. Ana Lucia (WDC)
 [log in to unmask]

Is this the way academics see  it...?
Claudio

Key issues and  questions

Inequality is  therefore a key issue in debates about achieving the MDGs.
Nevertheless, there  are still important issues which need to be resolved
before one can design  sensible and effective policies for addressing
inequality. These issues are  highlighted by three main questions:

·          which  inequalities matter?

·          what  drives inequalities, and how can they be affected by
policy?

·          which  specific policy instruments work best where?



Which inequalities  matter?

Like poverty,  inequality can exist in a range of dimensions (e.g. income,
life expectancy,  mortality, education). One needs to first ask which
inequalities matter, and of  those that matter, which matter most.

This  paper was written as a background paper for a roundtable discussion
on 'Equity  and Development' held at the
 Overseas Development Institute on 31 March  2006


A  New Equity Agenda?

Reflections  on the 2006 World Development Report, the 2005 Human
Development Report and the  2005 Report on the World Social Situation



Edward  Anderson and Tammie O’Neil

Overseas  Development Institute, Working Paper 265, April  2006

London,  UK



Available online as  PDF file [37p.] at:
http://www.odi.org.uk/publications/working_papers/wp265.pdf



“……In  terms of implications for policy-makers in governments and national
organisations, the paper has three main conclusions.

·          The  first is that there are good reasons for placing more
emphasis on equity, and  related concepts such as social justice and
fairness, as policy objectives – in  addition to, or as a broader concept
which includes, the elimination of absolute  deprivation.

·          The  second is that, although making equity a more explicit
policy objective does not  require a fundamentally different approach to
development policy, it does  require that governments and donors do some
things they are not doing now, and  some things they are already doing, but
doing then differently.

·          The  third is that the institutional inequalities at the core of
‘inequality traps’  reflect political disparities that are historically
rooted and therefore  persistent.
However, even within this institutional landscape, there are  opportunities
for social actors to negotiate, to strategically manage reform  processes
and to build coalitions for pro-equity change. Donors will need to  invest
in political analysis in order to support these  processes.



A final  point is that the main focus of the paper is on inequalities
within  countries….”



Contents

1  Introduction

2  Do Inequalities Matter for Development and If So Why?

2.1  Arguments from WDR 2006, HDR 2005 and RWSS 2005

2.2  Comparison with existing arguments

2.3  Discussion

2.3.1  The focus on equity

2.3.2  The definition of equity

2.3.3  Additional instrumental and intrinsic arguments

3  Policies for Addressing Inequality

4  Politics, Implementation and the Role of External Agencies  18

4.1  Political economy and pro-poor reform

4.2  Strategies for policy change in WDR 2006, HDR 2005 and RWSS 2005

4.3  Strategies for pro-equity change?

4.3.1  Extending institutional analysis

4.3.2  Recognising the role of elite reformers

4.3.3  Recognising the importance of alliances for change

4.3.4  What role for donors?

References

Annexes



Regional  Synthesis:

[IMAGE]Regional  Synthesis: Africa by  Christiana Okojie and Abebe Shimeles
(2006) [IMAGE]

[IMAGE]Regional  Synthesis: Asia by Arsenio M.  Balisacan and Geoffrey M.
Ducanes (2006) [IMAGE]

[IMAGE]Regional  Synthesis: Latin America by  Dante Contreras, Patricia
Medrano  & Claudia Sanhueza (2006) [IMAGE]

                 Policy  Briefs

[IMAGE]Policy Brief 1: Social grants, South Africa [IMAGE]
[IMAGE]Policy Brief 2: Familias en Acción, Colombia [IMAGE]
[IMAGE]Policy Brief 3: Red de Protección Social, Nicaragua [IMAGE]
[IMAGE]Policy Brief 4: Programme for Advancement through Health and
Education, Jamaica [IMAGE]
[IMAGE]Policy Brief 5: Social safety nets, Indonesia [IMAGE]
[IMAGE]Policy Brief 6: Maharashtra Employment Guarantee Scheme, India
[IMAGE]
[IMAGE]Policy Brief 7: National Employment Fund, Tunisia [IMAGE]
[IMAGE]Policy Brief 8: Youth Training, Chile and Argentina [IMAGE]
[IMAGE]Policy Brief 9: National Functional Literacy Program, Ghana  [IMAGE]
[IMAGE]Policy Brief 10: Universal Primary Education, Uganda  [IMAGE]
[IMAGE]Policy Brief 11: Educational opportunities for the poor, Sri  Lanka
[IMAGE]
[IMAGE]Policy Brief 12: Health insurance for the poor, India  [IMAGE]
[IMAGE]Policy Brief 13: Affirmative action, Malaysia [IMAGE]
[IMAGE]Policy Brief 14: Affirmative action, India [IMAGE]
[IMAGE]Policy Brief 15: Affirmative action, Nigeria [IMAGE]


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