D Veloppement In Galit S Pauvret S

Egalitarian concepts of fairness in health care payments (requiring that payments be linked to ability to pay) are compared with minimum standards approaches (requiring that payments not exceed a prescribed share of prepayment income or not drive households into poverty). The arguments and methods are illustrated using data and out-of-pocket health spending in Vietnam in 1993 and 1998.

January 1998 There is an apparent consensus that the correct health policy in developing countries is public provision of a mix of preventive and simple curative services through low level health workers and facilities. But the strength of this consensus on the primary health care paradigm is in sharp contrast to either the strength of its analytical foundations or its mixed record in practice. Filmer, Hammer, and Pritchett show how the recent empirical and theoretical literature on health policy sheds light on the disappointing experience with the implementation of primary health care. They emphasize the evidence on two weak links between government spending on health and improvements in health status. First, the capability of developing country governments to provide effective services varies widely-so health spending, even on the right services, may lead to little actual provision of services. Second, the net impact of government provision of health services depends on the severity of market failures. Evidence suggests these are the least severe for relatively inexpensive curative services, which often absorb the bulk of primary health care budgets. Government policy in health can more usefully focus directly on mitigating market failures in traditional public health activities and, in more developed settings, failures in the markets for risk mitigation. Addressing poverty requires consideration of a much broader set of policies which may-or may not-include provision of health services. This paper-a product of Poverty and Human Resources, Development Research Group-is part of a larger effort in the group to investigate efficacy in the social sectors. The study was funded by the Bank's Research Support Budget under the research project Primary Health Care: A Critical Examination (RPO 680-29). The authors may be contacted at [email protected] or [email protected].

This book is an introduction to some of the major issues in understanding and analysing poverty and development in the 1990s. It will help readers see through oversimple solutions and begin to find their way into what is perhaps the world's most complex and pressing problem area.

Since its inception in 2001, the International Criminal Court (ICC) has been met with resistance by various African states and their leaders, who see the court as a new iteration of colonial violence and control. In Affective Justice Kamari Maxine Clarke explores the African Union's pushback against the ICC in order to theorize affect's role in shaping forms of justice in the contemporary period. Drawing on fieldwork in The Hague, the African Union in Addis Ababa, sites of postelection violence in Kenya, and Boko Haram's circuits in Northern Nigeria, Clarke formulates the concept of affective justice—an emotional response to competing interpretations of justice—to trace how affect becomes manifest in judicial practices. By detailing the effects of the ICC’s all-African indictments, she outlines how affective responses to these call into question the "objectivity" of the ICC’s mission to protect those victimized by violence and prosecute perpetrators of those crimes. In analyzing the effects of such cases, Clarke provides a fuller theorization of how people articulate what justice is and the mechanisms through which they do so.

In a world where racial tensions and racial and ethnic inequality seem to be increasing, it is instructive to look back over the decade of the 1990s to examine what academic researchers have had to say about the global nature of race, racism, and racial inequality. Almost every country with a multiethnic population faces these problems. This collection of essays provides an eclectic but accessible mix of readings on perspectives from such countries as Australia, Russia, France, Chile, West Africa, India, and the United States. Emphasis is placed on positive strategies to help reduce or eliminate economic inequality. The implications for the demise of affirmative action programs are also discussed. Pre-dating the United Nation's World Conference on Racism, the readings anticipate many of the recommendations and insights that have now come to be the core of international strategies. This collection will prove valuable to all those concerned with ending racism and achieving racial and ethnic economic equality.

In 1952, the Federal Republic of West Germany concluded a treaty with Israel whereby the Germans had to pay three billion Deutschmarks in compensation for the Holocaust. However, the Israelis felt that Germany owed Israel a moral as well as a financial debt, and thus expected further aid and protection. Although Germany made several concessions in favour of the Jewish State, particularly in the domain of armament, as Germany's political status increased, its national interest gradually took priority over that of Israel. George Lavy examines the grounds which motivated Germany to grant aid to Israel and the change in their relations as the German economy flourished and gained influence in world affairs.

This book argues that we must look beyond the traditional criteria of compliance and effectiveness to judge the performance of Africa's international courts. It demonstrates how these courts are important venues for activists and opposition parties to wage political, social, environmental, and legal struggles on the international stage.