Governance, public health and the Millennium Development Goals: Some lessons from Burma

2004 ◽  
Vol 3 (2) ◽  
pp. 7-29
Author(s):  
Alfred Oehlers

Current discussions around the lack of progress towards the Millennium Development Goals tend to emphasize deficiencies in governance as a major contributory factor. While agreeing with this assessment, this paper takes issue with the conventional understanding of what “governance” implies. Using Burma as an illustration, it suggests the current focus on purely administrative and organizational concerns must be broadened to encompass the wider political context in which these Goals are to be pursued. Authoritarian political structures must be confronted and challenged, if these worthy Goals are to have any realistic chance of being attained.

2009 ◽  
Vol 11 (1) ◽  
pp. 15-33
Author(s):  
Lynn Thiesmeyer

The Millennium Development Goals are framed within the post-war discourses of development that also gave us Basic Human Needs and Human Security. The Goals set out a consideration of the failures of earlier strategies along with an agenda for the accelerated reduction of poverty and its accompanying human insecurities. Though the more critical aspects of the MDG discourse were sorely needed, they also left space for the repetition of earlier top–down development strategies, and, more generally, for a (re)vision and wider implementation of globalised intervention by developed countries into the less-developed. In this discourse developed countries identify needs on the part of the less-developed and then supply these needs. The ‘need’ discourse focussed on here represents inferior public health that requires services, goods and equipment to be provided by developed countries; what it ignores are negative health consequences that can arise from development schemes themselves.


2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Abhinav Vaidya ◽  
N Jha

The Millennium Development Goals (MDGs) are international objectives on poverty reduction adopted by the world community and provide the broad context for this revolution in thinking and practice. The MDGs place a central focus on public health, in recognition of the fact that improvements in public health are vital not only in their own right but also to break the poverty trap of the world's poorest economies. Nepal has been committed to achieving the MDGs since it endorsed the Millennium Declaration. As we have at present just passed the midway through the 15 years to MDGs deadline of 2015, this article reviews the status of Nepal in achieving the MDGs, the challenges it faces and whether it can achieve the MDGs by 2015.Key words: development, goals, health, millennium, Nepal


2013 ◽  
Vol 17 (3) ◽  
pp. 634-639 ◽  
Author(s):  
Luz Maria De-Regil ◽  
Juan Pablo Peña-Rosas ◽  
Rafael Flores-Ayala ◽  
Maria Elena del Socorro Jefferds

AbstractObjectiveNutrition interventions are critical to achieve the Millennium Development Goals; among them, micronutrient interventions are considered cost-effective and programmatically feasible to scale up, but there are limited tools to communicate the programme components and their relationships. The WHO/CDC (Centers for Disease Control and Prevention) logic model for micronutrient interventions in public health programmes is a useful resource for planning, implementation, monitoring and evaluation of these interventions, which depicts the programme theory and expected relationships between inputs and expected Millennium Development Goals.DesignThe model was developed by applying principles of programme evaluation, public health nutrition theory and programmatic expertise. The multifaceted and iterative structure validation included feedback from potential users and adaptation by national stakeholders involved in public health programmes’ design and implementation.ResultsIn addition to the inputs, main activity domains identified as essential for programme development, implementation and performance include: (i) policy; (ii) products and supply; (iii) delivery systems; (iv) quality control; and (v) behaviour change communication. Outputs encompass the access to and coverage of interventions. Outcomes include knowledge and appropriate use of the intervention, as well as effects on micronutrient intake, nutritional status and health of target populations, for ultimate achievement of the Millennium Development Goals.ConclusionsThe WHO/CDC logic model simplifies the process of developing a logic model by providing a tool that has identified high-priority areas and concepts that apply to virtually all public health micronutrient interventions. Countries can adapt it to their context in order to support programme design, implementation, monitoring and evaluation for the successful scale-up of nutrition interventions in public health.


2010 ◽  
Vol 49 (178) ◽  
Author(s):  
K C Gautam

Public health has come a long way in Nepal, but there is still a long way to go. Over the past years some remarkable achievements have been made in millennium development goals, such as reduction of child mortality, maternal mortality and fertility. However, there still exist wide gaps in healthcoverage among different ethnic groups, geographic regions and gender. In this context, a 10+2 agenda is recommended for scaling-up essentialhealth care in Nepal. These focus on equity, tackling malnutrition, prioritizing non-communicable diseases, preventing accidents, injuries and disabilities, promoting environmental health, harnessing the power of education and communication for behavior change, strengthening healthsystems, fostering public-private partnership, capitalizing on international health partnerships, as well as institutionalizing a culture of non-violence, and consolidating genuine democracy.  KEYWORDS: 10+2 agenda, Nepal, public health


2015 ◽  
Vol 59 (3) ◽  
pp. 239
Author(s):  
Hindol Maity ◽  
Deepu Dowarha ◽  
PiyaPaul Mudgal

BMJ ◽  
2015 ◽  
Vol 350 (apr21 5) ◽  
pp. h1755-h1755 ◽  
Author(s):  
N. J. Brown ◽  
M. P. W. Platt ◽  
R. M. Beattie

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