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Global Health
Pages 37-44

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From page 37...
... Dean-Emeritus, London School of Hygiene and Tropical Medicine, and Senior Advisor, Human Development Department, The World Bank , would like to pick up the story of global health and global population change, begun by Lincoin Chen. As he stated?
From page 38...
... As they improve, so will health improve. Now, curiously enough, when a team of people gathered in 1991 and 1992 at the World Bank to write what became the 1993 World Development Report entitled Investment in Health, they discovered to their amazement that there was no map of mortality for the world.
From page 39...
... One of the most common causes of morbidity in the developing world skin infections, which cause almost no mortality does not show up on mortality statistics but nonetheless is important. Another example is mental illness.
From page 40...
... We are spending public money on highly inefficient investments at the same time we are failing to purchase highly efficient investments. This is not only true of Ghana; it is also true of the United Kingdom, the United States, and all other countries.
From page 41...
... What of the work of the World Bank in this changing scene? For all regions of the world, the Bank currently has a portfolio worth $8 billion, which is invested in 153 projects in 78 countries.
From page 42...
... A dimension of this that cannot be avoided if one is speaking in this particular capital city is the IDA, the International Development Association. As some of you are aware, the loan and credit money provided by the World Bank is provided partly by IBRD, the International Bank for Reconstruction and Development, at near commercial interest rates, and partially by IDA, at zero percent interest with a 50-year repayment period-highly concessionary lending.
From page 43...
... These things have a huge effect on global human health. Environmentalists who comment on Central and Eastern Europe like to believe that the environment, particularly air pollution, is a major cause of some of the negative health trends that I discussed, but the evidence is to the contrary.
From page 44...
... We have to deal formally with governments, but we are aware of and interested in broadening the debate to include all those able to contribute to our common goal of improved health and more equitable and efficient health services.


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