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Association of Human Capital with Physical Growth from Birth to Adulthood : Evidence from the New Delhi Birth Cohort, India
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Year: 2020 Publisher: Washington, D.C. : The World Bank,

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Undernutrition begins early in life and has lifelong consequences. The cost of undernutrition both for the individual and the economy are substantial. Analyzing data from an Indian cohort, the New Delhi Birth Cohort, formed between 1969 and 1972, this paper provides evidence on the associations between attained human capital in the third and fourth decade of life and measures of growth from birth to adulthood. For the purpose of this paper, attained human capital is defined through three metrics: educational status, male occupation, and material possession score. Growth measures (height, weight, body mass index (BMI)) during five age intervals (0 to 6 months, 6 to 24 months, 2 to 5 years, 5 to 11 years, and 11 years to adulthood) were related to human capital metrics using multivariate regression models. Sensitivity analyses were also performed to assess the stability of associations. All three human capital metrics had a significant positive association with birth size and measures of physical growth in children under-five years of age, in particular for children under two years. Length at birth and height gain from 6 to 24 months were consistently associated with all metrics. Faster weight and BMI gain from five years onward significantly predicted material possession scores. Among socioeconomic and behavioral characteristics at birth, maternal and paternal education, and paternal occupation also had a consistent positive association with all three human capital metrics. The findings reinforce the focus on interventions during the first 1,000 days of life to promote larger birth size and linear growth and suggest an additional window of opportunity between 2 to 5 years to improve human capital. The benefits can be enhanced by simultaneous investments in parental (especially maternal) literacy, livelihoods, safe water supply and sanitation, access to health care, and enhancing incomes. These interventions also have a nutrition-sensitive effect to promote early life growth.


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Health at a Glance: Europe 2014
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ISBN: 9264227458 9264223576 9264223274 9789264227453 Year: 2015 Publisher: Paris OECD Publishing

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This third edition of Health at a Glance: Europe presents a set of key indicators related to health status, determinants of health, health care resources and activities, quality of care, access to care, and health expenditure and financing in 35 European countries, including the 28 European Union member states, four candidate countries and three EFTA countries. The selection of indicators is based largely on the European Core Health Indicators (ECHI) shortlist, a set of indicators that has been developed to guide the reporting of health statistics in the European Union. This is complemented by


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World Happiness Report

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"The World Happiness Report reflects a worldwide demand for more attention to happiness and well-being as criteria for government policy. It reviews the state of happiness in the world today and shows how the science of happiness explains personal and national variations in happiness. Life evaluations from the Gallup World Poll provide the basis for the annual happiness rankings. They are based on answers to the main life evaluation question. The Cantril Ladder asks respondents to think of a ladder, with the best possible life for them being a 10 and the worst possible life being a 0. They are then asked to rate their own current lives on that 0 to 10 scale. The rankings are from nationally representative samples over three years. We use observed data on the six variables and estimates of their associations with life evaluations to explain the variation across countries. They include GDP per capita, social support, healthy life expectancy, freedom, generosity, and corruption. Our happiness rankings are not based on any index of these six factors – the scores are instead based on individuals’ own assessments of their lives, in particular, their answers to the single-item Cantril ladder life-evaluation question, much as epidemiologists estimate the extent to which life expectancy is affected by factors such as smoking, exercise, and diet. The World Happiness Report and much of the growing international interest in happiness exist thanks to Bhutan. They sponsored Resolution 65/309, “Happiness: Towards a holistic approach to development,” adopted by the General Assembly of the United Nations on 19 July 2011, inviting national governments to “give more importance to happiness and well-being in determining how to achieve and measure social and economic development.” On 2 April 2012, chaired by Prime Minister Jigmi Y. Thinley and Jeffrey D. Sachs, the first World Happiness Report was presented to review evidence from the emerging science of happiness for the ‘Defining a New Economic Paradigm: The Report of the High-Level Meeting on Well-being and Happiness.’ On 28 June 2012, the United Nations General Assembly adopted Resolution 66/281, proclaiming the 20 March International Day of Happiness to be observed annually. The World Happiness Report is released annually around March 20th as part of the International Day of Happiness celebration. From 2024, the World Happiness Report is a publication of the Wellbeing Research Centre at the University of Oxford, UK. Research support is provided from the Center for Sustainable Development at Columbia University; the Centre for Economic Performance at the London School of Economics and Political Science; the Vancouver School of Economics at the University of British Columbia; and the Helping and Happiness Lab at Simon Fraser University."--from publisher's website.


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Macroeconomic Effects of Financing Universal Health Coverage in Armenia
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Year: 2021 Publisher: Washington, D.C. : The World Bank,

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Armenia has made significant progress in improving population health outcomes over the past two decades. However, essential health care for non-communicable diseases (NCDs) is underutilized in part due to the cost of access. Armenia has also committed as a signatory to the Sustainable Development Goals, to making progress towards Universal Health Coverage (UHC). This commitment involves guaranteeing access to essential health care for all its citizens. The Ministry of Health (MoH) has developed a concept note for the introduction for Universal Health Insurance that proposes to mobilize additional revenue through payroll taxes or higher budgetary allocations to the sector. However, the Ministry of Finance (MoF) has noted that revenue mobilization options should ideally demonstrate positive returns in terms of economic growth and employment. Therefore, at the request of the MoH, the World Bank has modeled the macroeconomic impacts of options to increase domestic resource mobilization to finance universal access to essential health services in the basic benefits package. The analysis assumes that through UHC reforms that mobilize additional public spending, the government would cover the cost of ninety-five percent of household needs for health care from 2021 to 2050, and that the increase in the demand for care will be supported by improvements in supply-side efficiency. The results suggest that increasing direct taxes is better than increasing indirect taxes as the former are less distortionary and cause smaller allocative inefficiencies.


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COVID-19 Age-Mortality Curves for 2020 are Flatter in Developing Countries using Both Official Death Counts and Excess Deaths
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Year: 2021 Publisher: Washington, D.C. : The World Bank,

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Using official COVID-19 death counts for 64 countries and excess death estimates for 41 countries, this paper finds a higher share of pandemic-related deaths in 2020 were at younger ages in middle-income countries compared to high-income countries. People under age 65 constituted on average (1) 11 percent of both official deaths and excess deaths in high-income countries, (2) 40 percent of official deaths and 37 percent of excess deaths in upper-middle-income countries, and (3) 54 percent of official deaths in lower-middle-income countries. These contrasting profiles are due only in part to differences in population age structure. Both COVID-19 and excess death age-mortality curves are flatter in countries with lower incomes. This is a result of some combination of variation in age patterns of infection rates and infection fatality rates. In countries with very low death rates, excess mortality is substantially negative at older ages, suggesting that pandemic-related precautions have lowered non-COVID-19 deaths. Additionally, the United States has a younger distribution of deaths than countries with similar levels of income.


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De kwaliteit van leven in medisch onderzoek : een inleiding
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ISBN: 9053562060 9789053562062 Year: 1996 Volume: 18 Publisher: Amsterdam University Press


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Ungleiche Gesundheitschancen in modernen Gesellschaften : Vorgetragen am 11. 2. 2006
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ISBN: 9783825354152 3825354156 Year: 2007 Volume: 44 Publisher: Heidelberg : Winter,

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Mental Health Patterns and Consequences : Results From Survey Data in Five Developing Countries, Volume 1 of 1
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Year: 2008 Publisher: Washington, D.C., The World Bank,

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The social and economic consequences of poor mental health in the developing world are presumed to be significant, yet are largely under-researched. The authors argue that mental health modules can be meaningfully added to multi-purpose household surveys in developing countries, and used to investigate this relationship. Data from nationally representative surveys in Bosnia and Herzegovina, Indonesia, and Mexico, along with special surveys from India and Tonga, show similar patterns of association between mental health and socioeconomic characteristics across countries. Individuals who are older, female, widowed, and report poor physical health are more likely to report worse mental health outcomes. Individuals living with others with poor mental health are also significantly more likely to report worse mental health themselves. In contrast, there is little observed relationship between mental health and poverty or education, common measures of socio-economic status. The results instead suggest that economic and multi-dimensional shocks such as illness or crisis can have a greater impact on mental health than overall levels of poverty. This may have important implications for social protection policy. The authors also find significant associations between poor mental health and lowered labor force participation (especially for women) and higher frequency visits to health centers, suggesting that poor mental health can have significant economic consequences for households and the health system. Finally, the paper discusses how measures of mental health are distinct from general subjective welfare measures such as happiness and indicate useful directions of future research.


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COVID-19 Age-Mortality Curves are Flatter in Developing Countries
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Year: 2020 Publisher: Washington, D.C. : The World Bank,

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A greater share of reported COVID-19 deaths occur at younger ages in low- and middle-income countries (LMICs) compared to high-income countries (HICs). Based on data from 26 countries, people age 70 and older constitute 37 percent of deaths attributed to COVID-19 in LMICs on average, versus 87 percent in HICs. Only part of this difference is accounted for by differences in population age structure. In this paper, COVID-19 mortality rates are calculated for each age group by dividing the number of COVID-19 deaths by the underlying population. The resulting age-mortality curves are flatter in countries with lower incomes. In HICs, the COVID-19 mortality rate for those ages 70-79 is 12.6 times the rate for those ages 50-59. In LMICs, that ratio is just 3.5. With each year of age, the age-specific mortality rate increases by an average of 12.6 percent in HICs versus 7.1 percent in LMICs. This pattern holds overall and separately for men's and women's mortality rates. It reflects some combination of variation across countries in age patterns of infection rates, fatality rates among those infected, and under-attribution of deaths to COVID-19. The findings highlight that experiences with COVID-19 in wealthy countries may not be generalizable to developing countries.


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The Realities of Primary Care : Variation in Quality of Care Across Nine Countries in Sub-Saharan Africa
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Year: 2021 Publisher: Washington, D.C. : The World Bank,

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The COVID-19 pandemic has highlighted the centrality of primary care in protecting people's health and well-being during and beyond crises. It has also provided an opportunity to strengthen and redesign primary care so that it will better serve its purpose. However, to-date there is limited evidence on the quality of service delivery in primary care. Service Delivery Indicators surveys have attempted to fill this gap. Using Service Delivery Indicators surveys of 7,810 health facilities and 66,151 health care providers in nine Sub-Saharan African countries, this paper investigates the quality of care across five domains to understand a citizen's experience of primary care in his/her country. The results indicate substantial heterogeneity in the quality of primary care service delivery between and within countries. The availability of basic equipment, infrastructure, and essential medicines varies-public facilities, facilities in rural areas, and non-hospitals are more lacking compared with private facilities, urban facilities, and hospitals. In terms of patient care, health care providers' ability to correctly diagnose and treat common health conditions is low and variably distributed. COVID-19 has catalyzed a long overdue health system redesign effort, and the Service Delivery Indicators surveys offer an opportunity to examine carefully the quality of service delivery, with an eye toward health system reform.

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