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Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize efficiency and accountability for results, and that give stewards of the health sector greater leverage to steer providers to deliver on public health priorities. Evidence from the analysis of 54 household surveys corroborates that investments in extending coverage are yielding results. Though the poor still have worse health outcomes than the rich, disparities have narrowed considerably - particularly in the early stage of the life course. Countries have reached high levels of coverage and equity in utilization of maternal and child health services; coverage of noncommunicable disease interventions is not as high and service utilization is still skewed toward the better off. Catastrophic health expenditures have declined in most countries; the picture regarding equity, however, is mixed. While the rate of impoverishment owing to health-care expenditures is low and generally declining, 2-4 million people in the countries studied still fall below the poverty line after health spending. Efforts to systematically monitor quality of care in the region are still in their infancy. Nonetheless, a review of the literature reveals important shortcomings in quality of care, as well as substantial differences across subsystems. Improving quality of care and ensuring sustainability of investments in health remain an unfinished agenda.
This document examines the global and regional evolution of Foreign Direct Investment (FDI) and offers recommendations so these flows can contribute to the region's productive development processes.
Obesity Epidemic and the Environment: Latin America and the Caribbean Region provides a broad analysis of the macroeconomic impact of the obesity epidemic on environmental degradation in the LAC region. Case studies combine theory and practice to achieve critical conclusions (and subsequent policy implications), providing useful tools for those working on actual health, energy and environmental challenges. Written for researchers, policymakers, international organizations and practitioners in various fields, especially those in public health, health economics, energy and environmental economics and social sciences, this book thoroughly highlights the obesity epidemic in this region. In the LAC region, obesity has become a public health issue. The increase of this problem is related to the economic gains obtained from the process of liberalization and privatization, the increase of foreign investment, and infrastructure investments. Analyzes the macroeconomic impact of the obesity epidemic in the Latin America and Caribbean region Examines the effect of environmental degradation (CO2 emissions) and the contribution it plays Develops working tools for the reader to access econometric techniques to grasp empirical approaches on health, energy and environmental economics
This book is a collection of readings that explore environmental issues in Latin America and the Caribbean using natural science and social science methods. These papers demonstrate the value of interdisciplinary approaches to analyze and solve environmental problems. The essays are organized into five parts: conservation challenges; national policies, local communities, and rural development; market mechanisms for protecting public goods; public participation and environmental justice; and the effects of development policies on the environment.