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There is a vast literature for and against privatizing public services. Those who are against privatization are often confronted with the objection that they present no alternative. This book takes up that challenge by establishing theoretical models for what does (and does not) constitute an alternative to privatization, and what might make them ‘successful’, backed up by a comprehensive set of empirical data on public services initiatives in over 40 countries. This is the first such global survey of its kind, providing a rigorous and robust platform for evaluating different alternatives and allowing for comparisons across regions and sectors. The book helps to conceptualize and evaluate what has become an important and widespread movement for better public services in the global South. The contributors explore historical, existing and proposed non-commercialized alternatives for primary health, water/sanitation and electricity. The objectives of the research have been to develop conceptual and methodological frameworks for identifying and analyzing alternatives to privatization, and testing these models against actually existing alternatives on the ground in Asia, Africa and Latin America. Information of this type is urgently required for practitioners and analysts, both of whom are seeking reliable knowledge on what kind of public models work, how transferable they are from one place to another and what their main strengths and weaknesses are.
In several developing countries, undernourishment is still prevalent while obesity and its related co-morbidities, including chronic non-communicable diseases (NCDs) such as heart disease, diabetes and cancer, are emerging and contributing increasingly to morbidity and mortality. Several countries are now facing a double burden of malnutrition, i.e. caloric (energy) and micronutrient deficiencies and, at the same time, obesity and diet-related chronic diseases. This "nutrition transition" is associated with rapid economic development, urbanization and global changes, which lead to shifts towards a more energy dense diet, including more fat and sugar and more processed foods, and at the same time dramatic alterations in physical activity patterns and lifestyles. While infectious diseases and maternal and child undernutrition continue to take an enormous toll in lives and health worldwide, the rapid rise of NCDs represents one of the major health challenges to global development in the twenty-first century and threatens economic and social development of nations as well as the lives and health of millions globally. This publication explores the situation of the double burden of malnutrition in six geographically and culturally diverse case study countries and presents conclusions and recommendations from a follow-up workshop with the case study authors.
This publication considers the final reports of three research projects that explored how investing in health can benefit economic growth, household productivity, and poverty reduction in Latin America and the Caribbean. It contains case studies of health systems and policies in a number of countries including Brazil, Jamaica, Mexico and Peru; as well as a review of experiences from other regions in the world regarding health inequalities and poverty alleviation.