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This book assesses financing strategies in Latin America and the Caribbean, in pursuance of the United Nations' millennium development goals (MDGs) and their achievement in 2015. It looks at how to make public policies more conducive to support sustained growth and reduce the still widespread poverty and inequality in the region.
In many low and middle income countries, dismal failures in the quality of public service delivery such as absenteeism among teachers and doctors and leakages of public funds have driven the agenda for better governance and accountability. This has raised interest in the idea that citizens can contribute to improved quality of service delivery by holding policy-makers and providers of services accountable. This proposition is particularly resonant when it comes to the human development sectors – health, education and social protection – which involve close interactions between providers and citizens/users of services. Governments, NGOs, and donors alike have been experimenting with various “social accountability” tools that aim to inform citizens and communities about their rights, the standards of service delivery they should expect, and actual performance; and facilitate access to formal redress mechanisms to address service failures. The report reviews how citizens – individually and collectively – can influence service delivery through access to information and opportunities to use it to hold providers – both frontline service providers and program managers – accountable. It focuses on social accountability measures that support the use of information to increase transparency and service delivery and grievance redress mechanisms to help citizens use information to improve accountability. The report takes stock of what is known from international evidence and from within projects supported by the World Bank to identify knowledge gaps, key questions and areas for further work. It synthesizes experience to date; identifies what resources are needed to support more effective use of social accountability tools and approaches; and formulates considerations for their use in human development. The report concludes that the relationships between citizens, policy-makers, program managers, and service providers are complicated, not always direct or easily altered through a single intervention, such as an information campaign or scorecard exercise. The evidence base on social accountability mechanisms in the HD sectors is under development. There is a small but growing set of evaluations which test the impact of information interventions on service delivery and HD outcomes. There is ample space for future experiments to test how to make social accountability work at the country level.
Reforming Social Policy: Changing Perspectives in Sustainable Human Development
Since the publication of Nobel Laureate Amartya Sens flagship book "Development as Freedom," development has been redefined in terms of human capability and opportunity. This approach has come to underpin the United Nations Development Programs influential Human Development Reports, and has had considerable significance in both academic and policy circles.
Human Development has been advocated as the prime development goal since 1990, when the publication of the first UNDP Human Development Report proposed that development should improve the lives people lead in multiple dimensions instead of primarily pursuing economic growth. This approach forms the foundation of Advancing Human Development: Theory and Practice. It traces the evolution of approaches to development, showing how the Human Development approach emerged as a consequence of defects in earlier strategies. Advancing Human Development argues that Human Development is superior to measures of societal happiness. It investigates the determinants of success and failure in Human Development across countries over the past forty years, taking a multidimensional approach to point to the importance of social institutions and social capabilities as essential aspects of change. It analyses political conditions underlying the performance of Human Development, and surveys global progress in multiple dimensions such as life expectancy, infant mortality, and education and outcomes, whilst reflecting on dimensions which have worsened over time, such as rising inequality and declining environmental conditions. These deteriorating conditions inform Advancing Human Development's account of the challenges to the Human Development approach, covering the insufficient attention paid to macroeconomic conditions and the economic structure needed for sustained success.
The number of children living in poverty in the United States increased dramatically during the 1980s and remains high. Why are so many children growing up in poor families? What are the effects of poverty on children's physical, cognitive, social, and emotional development? What role can public policy and policy research play in preventing or alleviating the damaging effects of poverty on children? Children in Poverty examines these questions, focusing on the child rather than on parents' income or self-sufficiency.
Evidence indicates that actions within four main themes (early child development fair employment and decent work social protection and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommendations and policy guidelines from intergovernmental organizations and international bodies identified practical policy options for action on social determinants within these four themes. Policy options focused on early childhood education and care; child poverty; investment strategies for an inclusive economy; active labour market programmes; working conditions; social cash transfers; affordable housing; and planning and regulatory mechanisms to improve air quality and mitigate climate change. Applying combinations of these policy options alongside effective governance for health equity should enable WHO European Region Member States to reduce health inequities and synergize efforts to achieve the United Nations Sustainable Development Goals.
Governments fail to provide the public goods needed for development when its leaders knowingly and deliberately ignore sound technical advice or are unable to follow it, despite the best of intentions, because of political constraints. This report focuses on two forces—citizen engagement and transparency—that hold the key to solving government failures by shaping how political markets function. Citizens are not only queueing at voting booths, but are also taking to the streets and using diverse media to pressure, sanction and select the leaders who wield power within government, including by entering as contenders for leadership. This political engagement can function in highly nuanced ways within the same formal institutional context and across the political spectrum, from autocracies to democracies. Unhealthy political engagement, when leaders are selected and sanctioned on the basis of their provision of private benefits rather than public goods, gives rise to government failures. The solutions to these failures lie in fostering healthy political engagement within any institutional context, and not in circumventing or suppressing it. Transparency, which is citizen access to publicly available information about the actions of those in government, and the consequences of these actions, can play a crucial role by nourishing political engagement.
This work explores a new development paradigm whose central focus is on human well-being. Increase in income is treated as an essential means, but not as the end of development, and certainly not as the sum of human life. Development policies and strategies are discussed which link economic growth with human lives in various societies. The book also analyzes the evolution of a new Human Development Index which is a far more comprehensive measure of socio-economic progress of nations than the traditional measure of Gross National Product. For the first time, a Political Freedom Index is also presented. The book offers a new vision of human security for the twenty-first century where real security is equated with security of people in their homes, their jobs, their communities, and their environment. The book discusses many concrete proposals in this context, including a global compact to overcome the worst aspects of global poverty within a decade, key reforms in the Bretton Woods institutions of World Bank and IMF, and establishment of a new Economic Security Council within the United Nations.
This book assesses financing strategies in Latin America and the Caribbean, in pursuance of the United Nations' millennium development goals (MDGs) and their achievement in 2015. It looks at how to make public policies more conducive to support sustained growth and reduce the still widespread poverty and inequality in the region