Progress Toward the Health MDGs : Are the Poor Being Left Behind?

This paper looks at differential progress on the health Millennium Development Goals between the poor and better-off within countries. The findings are based on original analysis of 235 Demographic and Health Surveys and Multiple Indicator Cluster...

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Main Authors:	Wagstaff, Adam, Bredenkamp, Caryn, Buisman, Leander R.
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2014
Subjects:	ABSOLUTE INEQUALITY ABSOLUTE TERMS ABSOLUTE VALUE ABSOLUTE INEQUALITY AGED ANNUAL GROWTH ANNUAL GROWTH RATE ANTENATAL CARE ANTENATAL VISITS BABIES BCG BIRTH ATTENDANT BIRTH ATTENDANTS BREASTFEEDING CAREGIVERS CHILD HEALTH CHILD MORTALITY CIVIL SOCIETY CIVIL SOCIETY ORGANIZATIONS CONDOM CONDOM USE CONTRACEPTION CONTRACEPTIVE PREVALENCE COUNTRY LEVEL DEATH RATE DEATH RATES DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT POLICY DEVELOPMENT RESEARCH DIARRHEA DISEASES DYSENTERY ECONOMICS ECONOMICS LETTERS EMERGENCY OBSTETRIC CARE ENERGY CONSUMPTION EXERCISES FEVER GINI COEFFICIENT GROWTH PROCESS GROWTH RATE GROWTH RATES HEALTH CARE HEALTH CARE PROFESSIONALS HEALTH ECONOMICS HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH POLICY HEALTH SECTOR HEALTH STATUS INDICATORS HEALTH SURVEYS HIGH GROWTH HIGH GROWTH RATE HIV HIV/AIDS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUNGER IMMUNIZATION IMMUNIZATIONS INCOME INCOME DISTRIBUTION INCOME GROWTH INCOME INEQUALITY INDEPENDENT VARIABLES INEQUALITIES IN HEALTH STATUS INEQUALITY MEASURES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANTS INTERVENTION KEY HEALTH INTERVENTIONS LIVE BIRTHS LIVING STANDARDS MALARIA MALARIA PREVENTION MALARIA TREATMENTS MALARIA-ENDEMIC COUNTRIES MALARIOUS AREAS MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICINE METHOD OF CONTRACEPTION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NATIONAL GOVERNMENTS NUMBER OF CHILDREN NUMBER OF DEATHS NUTRITION ORAL REHYDRATION ORAL REHYDRATION THERAPY ORT PATIENTS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLIO POOR PEOPLE POPULATION INDICATORS PREGNANCY PREGNANT WOMEN PRO-POOR PRO-POOR GROWTH PROGRESS PUBLIC SERVICES QUALITY OF HEALTH QUALITY OF HEALTH CARE RATE OF GROWTH RATES OF GROWTH RELATIVE INEQUALITY SEX SEXUAL INTERCOURSE SEXUALLY TRANSMITTED INFECTION SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SLEEP SOCIAL SCIENCE SOCIOECONOMIC DIFFERENCES SOCIOECONOMIC INEQUALITIES SUSTAINABLE DEVELOPMENT SYMPTOMS SYPHILIS TB TELEVISION TREATMENT TUBERCULOSIS TUBERCULOSIS CASES UNDER-FIVE MORTALITY USE OF CONTRACEPTION VACCINE WEALTH DISTRIBUTION
Online Access:	http://documents.worldbank.org/curated/en/2014/05/19581319/progress-toward-health-mdgs-poor-being-left-behind http://hdl.handle.net/10986/18792

id	okr-10986-18792
recordtype	oai_dc
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ABSOLUTE INEQUALITY ABSOLUTE TERMS ABSOLUTE VALUE ABSOLUTE INEQUALITY AGED ANNUAL GROWTH ANNUAL GROWTH RATE ANTENATAL CARE ANTENATAL VISITS BABIES BCG BIRTH ATTENDANT BIRTH ATTENDANTS BREASTFEEDING CAREGIVERS CHILD HEALTH CHILD MORTALITY CIVIL SOCIETY CIVIL SOCIETY ORGANIZATIONS CONDOM CONDOM USE CONTRACEPTION CONTRACEPTIVE PREVALENCE COUNTRY LEVEL DEATH RATE DEATH RATES DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT POLICY DEVELOPMENT RESEARCH DIARRHEA DISEASES DYSENTERY ECONOMICS ECONOMICS LETTERS EMERGENCY OBSTETRIC CARE ENERGY CONSUMPTION EXERCISES FEVER GINI COEFFICIENT GROWTH PROCESS GROWTH RATE GROWTH RATES HEALTH CARE HEALTH CARE PROFESSIONALS HEALTH ECONOMICS HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH POLICY HEALTH SECTOR HEALTH STATUS INDICATORS HEALTH SURVEYS HIGH GROWTH HIGH GROWTH RATE HIV HIV/AIDS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUNGER IMMUNIZATION IMMUNIZATIONS INCOME INCOME DISTRIBUTION INCOME GROWTH INCOME INEQUALITY INDEPENDENT VARIABLES INEQUALITIES IN HEALTH STATUS INEQUALITY MEASURES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANTS INTERVENTION KEY HEALTH INTERVENTIONS LIVE BIRTHS LIVING STANDARDS MALARIA MALARIA PREVENTION MALARIA TREATMENTS MALARIA-ENDEMIC COUNTRIES MALARIOUS AREAS MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICINE METHOD OF CONTRACEPTION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NATIONAL GOVERNMENTS NUMBER OF CHILDREN NUMBER OF DEATHS NUTRITION ORAL REHYDRATION ORAL REHYDRATION THERAPY ORT PATIENTS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLIO POOR PEOPLE POPULATION INDICATORS PREGNANCY PREGNANT WOMEN PRO-POOR PRO-POOR GROWTH PROGRESS PUBLIC SERVICES QUALITY OF HEALTH QUALITY OF HEALTH CARE RATE OF GROWTH RATES OF GROWTH RELATIVE INEQUALITY SEX SEXUAL INTERCOURSE SEXUALLY TRANSMITTED INFECTION SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SLEEP SOCIAL SCIENCE SOCIOECONOMIC DIFFERENCES SOCIOECONOMIC INEQUALITIES SUSTAINABLE DEVELOPMENT SYMPTOMS SYPHILIS TB TELEVISION TREATMENT TUBERCULOSIS TUBERCULOSIS CASES UNDER-FIVE MORTALITY USE OF CONTRACEPTION VACCINE WEALTH DISTRIBUTION
spellingShingle	ABSOLUTE INEQUALITY ABSOLUTE TERMS ABSOLUTE VALUE ABSOLUTE INEQUALITY AGED ANNUAL GROWTH ANNUAL GROWTH RATE ANTENATAL CARE ANTENATAL VISITS BABIES BCG BIRTH ATTENDANT BIRTH ATTENDANTS BREASTFEEDING CAREGIVERS CHILD HEALTH CHILD MORTALITY CIVIL SOCIETY CIVIL SOCIETY ORGANIZATIONS CONDOM CONDOM USE CONTRACEPTION CONTRACEPTIVE PREVALENCE COUNTRY LEVEL DEATH RATE DEATH RATES DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT POLICY DEVELOPMENT RESEARCH DIARRHEA DISEASES DYSENTERY ECONOMICS ECONOMICS LETTERS EMERGENCY OBSTETRIC CARE ENERGY CONSUMPTION EXERCISES FEVER GINI COEFFICIENT GROWTH PROCESS GROWTH RATE GROWTH RATES HEALTH CARE HEALTH CARE PROFESSIONALS HEALTH ECONOMICS HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH POLICY HEALTH SECTOR HEALTH STATUS INDICATORS HEALTH SURVEYS HIGH GROWTH HIGH GROWTH RATE HIV HIV/AIDS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUNGER IMMUNIZATION IMMUNIZATIONS INCOME INCOME DISTRIBUTION INCOME GROWTH INCOME INEQUALITY INDEPENDENT VARIABLES INEQUALITIES IN HEALTH STATUS INEQUALITY MEASURES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANTS INTERVENTION KEY HEALTH INTERVENTIONS LIVE BIRTHS LIVING STANDARDS MALARIA MALARIA PREVENTION MALARIA TREATMENTS MALARIA-ENDEMIC COUNTRIES MALARIOUS AREAS MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICINE METHOD OF CONTRACEPTION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NATIONAL GOVERNMENTS NUMBER OF CHILDREN NUMBER OF DEATHS NUTRITION ORAL REHYDRATION ORAL REHYDRATION THERAPY ORT PATIENTS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLIO POOR PEOPLE POPULATION INDICATORS PREGNANCY PREGNANT WOMEN PRO-POOR PRO-POOR GROWTH PROGRESS PUBLIC SERVICES QUALITY OF HEALTH QUALITY OF HEALTH CARE RATE OF GROWTH RATES OF GROWTH RELATIVE INEQUALITY SEX SEXUAL INTERCOURSE SEXUALLY TRANSMITTED INFECTION SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SLEEP SOCIAL SCIENCE SOCIOECONOMIC DIFFERENCES SOCIOECONOMIC INEQUALITIES SUSTAINABLE DEVELOPMENT SYMPTOMS SYPHILIS TB TELEVISION TREATMENT TUBERCULOSIS TUBERCULOSIS CASES UNDER-FIVE MORTALITY USE OF CONTRACEPTION VACCINE WEALTH DISTRIBUTION Wagstaff, Adam Bredenkamp, Caryn Buisman, Leander R. Progress Toward the Health MDGs : Are the Poor Being Left Behind?
relation	Policy Research Working Paper;No. 6894
description	This paper looks at differential progress on the health Millennium Development Goals between the poor and better-off within countries. The findings are based on original analysis of 235 Demographic and Health Surveys and Multiple Indicator Cluster Surveys, spanning 64 developing countries over the period 1990-2011. Five health status indicators and seven intervention indicators are tracked for all the health Millennium Development Goals. In most countries, the poorest 40 percent have made faster progress than the richest 60 percent. On average, relative inequality in the Millennium Development Goal indicators has been falling. However, the opposite is true in a sizable minority of countries, especially on child health status indicators (40-50 percent in the cases of child malnutrition and mortality), and on some intervention indicators (almost 40 percent in the case of immunizations). Absolute inequality has been rising in a larger fraction of countries and in around one-quarter of countries, the poorest 40 percent have been slipping backward in absolute terms. Despite reductions in most countries, relative inequalities in the Millennium Development Goal health indicators are still appreciable, with the poor facing higher risks of malnutrition and death in childhood and lower odds of receiving key health interventions.
format	Publications & Research :: Policy Research Working Paper
author	Wagstaff, Adam Bredenkamp, Caryn Buisman, Leander R.
author_facet	Wagstaff, Adam Bredenkamp, Caryn Buisman, Leander R.
author_sort	Wagstaff, Adam
title	Progress Toward the Health MDGs : Are the Poor Being Left Behind?
title_short	Progress Toward the Health MDGs : Are the Poor Being Left Behind?
title_full	Progress Toward the Health MDGs : Are the Poor Being Left Behind?
title_fullStr	Progress Toward the Health MDGs : Are the Poor Being Left Behind?
title_full_unstemmed	Progress Toward the Health MDGs : Are the Poor Being Left Behind?
title_sort	progress toward the health mdgs : are the poor being left behind?
publisher	World Bank, Washington, DC
publishDate	2014
url	http://documents.worldbank.org/curated/en/2014/05/19581319/progress-toward-health-mdgs-poor-being-left-behind http://hdl.handle.net/10986/18792
_version_	1764442694536396800
spelling	okr-10986-187922021-04-23T14:03:49Z Progress Toward the Health MDGs : Are the Poor Being Left Behind? Wagstaff, Adam Bredenkamp, Caryn Buisman, Leander R. ABSOLUTE INEQUALITY ABSOLUTE TERMS ABSOLUTE VALUE ABSOLUTE INEQUALITY AGED ANNUAL GROWTH ANNUAL GROWTH RATE ANTENATAL CARE ANTENATAL VISITS BABIES BCG BIRTH ATTENDANT BIRTH ATTENDANTS BREASTFEEDING CAREGIVERS CHILD HEALTH CHILD MORTALITY CIVIL SOCIETY CIVIL SOCIETY ORGANIZATIONS CONDOM CONDOM USE CONTRACEPTION CONTRACEPTIVE PREVALENCE COUNTRY LEVEL DEATH RATE DEATH RATES DEVELOPING COUNTRIES DEVELOPING WORLD DEVELOPMENT POLICY DEVELOPMENT RESEARCH DIARRHEA DISEASES DYSENTERY ECONOMICS ECONOMICS LETTERS EMERGENCY OBSTETRIC CARE ENERGY CONSUMPTION EXERCISES FEVER GINI COEFFICIENT GROWTH PROCESS GROWTH RATE GROWTH RATES HEALTH CARE HEALTH CARE PROFESSIONALS HEALTH ECONOMICS HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH POLICY HEALTH SECTOR HEALTH STATUS INDICATORS HEALTH SURVEYS HIGH GROWTH HIGH GROWTH RATE HIV HIV/AIDS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUNGER IMMUNIZATION IMMUNIZATIONS INCOME INCOME DISTRIBUTION INCOME GROWTH INCOME INEQUALITY INDEPENDENT VARIABLES INEQUALITIES IN HEALTH STATUS INEQUALITY MEASURES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANTS INTERVENTION KEY HEALTH INTERVENTIONS LIVE BIRTHS LIVING STANDARDS MALARIA MALARIA PREVENTION MALARIA TREATMENTS MALARIA-ENDEMIC COUNTRIES MALARIOUS AREAS MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEASLES MEASLES IMMUNIZATION MEDICINE METHOD OF CONTRACEPTION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINORITY MORTALITY MORTALITY RATE MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NATIONAL GOVERNMENTS NUMBER OF CHILDREN NUMBER OF DEATHS NUTRITION ORAL REHYDRATION ORAL REHYDRATION THERAPY ORT PATIENTS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLIO POOR PEOPLE POPULATION INDICATORS PREGNANCY PREGNANT WOMEN PRO-POOR PRO-POOR GROWTH PROGRESS PUBLIC SERVICES QUALITY OF HEALTH QUALITY OF HEALTH CARE RATE OF GROWTH RATES OF GROWTH RELATIVE INEQUALITY SEX SEXUAL INTERCOURSE SEXUALLY TRANSMITTED INFECTION SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SLEEP SOCIAL SCIENCE SOCIOECONOMIC DIFFERENCES SOCIOECONOMIC INEQUALITIES SUSTAINABLE DEVELOPMENT SYMPTOMS SYPHILIS TB TELEVISION TREATMENT TUBERCULOSIS TUBERCULOSIS CASES UNDER-FIVE MORTALITY USE OF CONTRACEPTION VACCINE WEALTH DISTRIBUTION This paper looks at differential progress on the health Millennium Development Goals between the poor and better-off within countries. The findings are based on original analysis of 235 Demographic and Health Surveys and Multiple Indicator Cluster Surveys, spanning 64 developing countries over the period 1990-2011. Five health status indicators and seven intervention indicators are tracked for all the health Millennium Development Goals. In most countries, the poorest 40 percent have made faster progress than the richest 60 percent. On average, relative inequality in the Millennium Development Goal indicators has been falling. However, the opposite is true in a sizable minority of countries, especially on child health status indicators (40-50 percent in the cases of child malnutrition and mortality), and on some intervention indicators (almost 40 percent in the case of immunizations). Absolute inequality has been rising in a larger fraction of countries and in around one-quarter of countries, the poorest 40 percent have been slipping backward in absolute terms. Despite reductions in most countries, relative inequalities in the Millennium Development Goal health indicators are still appreciable, with the poor facing higher risks of malnutrition and death in childhood and lower odds of receiving key health interventions. 2014-06-26T21:11:44Z 2014-06-26T21:11:44Z 2014-05 http://documents.worldbank.org/curated/en/2014/05/19581319/progress-toward-health-mdgs-poor-being-left-behind http://hdl.handle.net/10986/18792 English en_US Policy Research Working Paper;No. 6894 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research

Progress Toward the Health MDGs : Are the Poor Being Left Behind?

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