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Since 1994 there have been a number of radical changes in the public health care system in South Africa. Budgets have been reallocated, decision making was decentralised, the clinic network was expanded and user fees for primary health care were abo…
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The challenges that face Africa in the sphere of health care are formidable and often daunting. After decades of stagnant or worsening poverty and health indicators across the continent, the Millennium Development Goals (MDGs) — adopted by the Uni…
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The research for this study was undertaken in Rwanda, Burundi and the Democratic Republic of Congo during the latter part of 1997, three years after the crisis in Rwanda. The study is not an analysis of the crisis of 1994, despite the fact that th…
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This study aims to analyse the status of the critical health infrastructure which is needed to attain sustained progress towards UHC, and to review Uganda’s progress towards UHC. Some of the recent studies that have assessed UHC in Uganda have prima…
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In Southern Africa, social exclusion and inequity remain leading obstacles to inclusive human development. They pose barriers to poverty reduction strategies, and hinder social unity and improved health conditions of populations. Social exclusion …
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This Policy Brief highlights key findings from an international social policy research project examining the scope for enhancing the contributions of Southern multilateral regional organisations to inclusive social development in low-income contex…
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Monitoring pro-poor health policies at the regional level can support both the countries and the regional bodies themselves by identifying gaps in addressing poverty and health, strengthening the link between regions and member states, holding ac…
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In the past decades, health governance has become multi-layered as the combined result of decentralisation, regional integration and the emergence of new actors nationally and internationally. Whereas this has –in principle – enhanced the installe…
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For many years regional organisations were regarded as entities driven mainly by the goals of trade liberalisation, market creation, and in certain instances security communities. After the 1990s many regional organisations widened their mandates …
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This paper discusses conditions under which a regional compulsory license (CL) regime can be feasible and useful for African and Latin (especially) South American regional organizations. We focus on the African Union (AU), the Southern African Dev…
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It is generally acknowledged that health is a form of human capital and a critical factor in the economic growth process. In turn, health production is a major determinant of health outcomes. While the former relationship has been explored extensi…
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This study examines the linkages between fiscal decentralization and social services in Nigeria. It is based on a panel of the 36 states and federal capital territory. Social services in health and education are measured by outcomes such as infant m…
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Botswana’s socio-economic development aspirations as spelt out in its current long-term development strategy, Vision 2036, is to graduate from being an upper-middle-income country (UMIC) to a high-income country (HIC) with prosperity for all. Demogr…
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This brief explores the trends in tobacco taxation in Uganda and highlights the importance of addressing factors that contribute to affordability when using taxation as a tobacco control tool. Drawn from a recent study by EPRC which simulates the po…
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The irony facing many developing countries today is that increased food trade and the implications of globalization has created a situation where certain segments of the population are simply put, eating too much, while just in their proximity lies …
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As Zimbabwe struggled to contain a deadly cholera outbreak in September-October 2018, questions focused again on failures of infrastructure and leadership that continue to leave the country vulnerable to such a preventable, “medieval” disease. Zim…
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Poverty can take many different forms, ranging widely over dimensions both monetary, such as consumption or income, and non monetary, such as health and education. One large class of non monetary measures of poverty is the multidimensional poverty i…
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Many countries in the developing world have implemented non-contributory old-age pensions. Evidence of the impact of such policies on the elderly in Sub-Saharan Africa is scarce, however. In this paper, we provide the first evidence from a randomize…
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Some agricultural practices, such as irrigation, have the potential to buffer seasonal dietary gaps and thus improve diets, particularly for subsistence farmers but also for rural and urban households that purchase irrigated produce from local mar…
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The Covid-19 pandemic has had a profound impact on education systems around the world. It represents what the World Bank calls “the largest simultaneous shock to all education systems in our lifetimes”. The latest figures show that nearly 1.2 billi…
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