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Susan Stout - Investing in Health: Development Effectiveness in the Health, Nutrition, and Population Sectors (Evaluation Country Case Study Series)

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World Bank lending for health, nutrition, and population (HNP) activities is accelerating. The Banks emphasis has evolved from expanding HNP service delivery capacity to encouraging systemic reform. The Bank is now the major source of external finance for the sector in the developing world. The policy influence of its nonlending services is potentially significant. With the current generation of projects, the Bank and its partners are attempting to address underlying constraints to sector performance, while remaining cognizant of the difficulty of improving health sector effectiveness and efficiency, even in developed countries. This volume recommends that the Bank seek to: do better, not more, in the HNP sector, improve project monitoring and evaluation, and strengthen its ties with the World Health Organization and other interested organizations.

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title Investing in Health Development Effectiveness in the Health - photo 1

title:Investing in Health : Development Effectiveness in the Health, Nutrition, and Population Sector World Bank Operations Evaluation Study
author:Johnston, Timothy A.; Stout, Susan
publisher:World Bank
isbn10 | asin:0821343106
print isbn13:9780821343104
ebook isbn13:9780585161921
language:English
subjectPublic health administration--Developing countries--Evaluation, Nutrition policy--Developing countries--Evaluation, Public health--International cooperation, Developing countries--Population policy--Evaluation, World Bank.--Population, Health and Nutritio
publication date:1999
lcc:RA441.5.J647 1999eb
ddc:362.1/09172/4
subject:Public health administration--Developing countries--Evaluation, Nutrition policy--Developing countries--Evaluation, Public health--International cooperation, Developing countries--Population policy--Evaluation, World Bank.--Population, Health and Nutritio
Page i
WORLD BANK OPERATIONS EVALUATION DEPARTMENT
Investing in Health Development Effectiveness in the Health Nutrition and Population Sectors Evaluation Country Case Study Series - image 2
Investing in Health Development
Effectiveness in the Health, Nutrition, and Population Sector
Timothy Johnston
Susan Stout
Page ii Copyright 1999 The International Bank for Reconstruction and - photo 3
Page ii
Copyright 1999
The International Bank for Reconstruction
and Development/THE WORLD BANK
1818 H Street, N.W.
Washington, D.C. 20433, U.S.A.
All rights reserved
Manufactured in the United States of America
First edition July 1999
The opinions expressed in this report do not necessarily represent the views of the World Bank or its member governments. The World Bank does not guarantee the accuracy of the data included in this publication and accepts no responsibility whatsoever for any consequence of their use. The boundaries, colors, denominations, and other information shown on any map in this volume do not imply on the part of the World Bank Group any judgment on the legal status of any territory or the endorsement or acceptance of such boundaries.
The material in this publication is copyrighted. The World Bank encourages dissemination of its work and will normally grant permission promptly. Permission to photocopy items for internal or personal use, for the internal or personal use of specific clients, or for educational classroom use is granted by the World Bank, provided that the appropriate fee is paid directly to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, U.S.A., telephone 978-750-8400, fax 978-750-4470. Please contact the Copyright Clearance Center before photocopying items. For permission to reprint individual articles or chapters, please fax your request with complete information to the Republication Department, Copyright Clearance Center, fax 978-750-4470.
All other queries on rights and licenses should be addressed to the Office of the Publisher, World Bank, at the address above, or faxed to 202-522-2422.
Photo credits: Cover, Curt Carnemark; page 13, UNICEF/HQ81-105/Joh Isaac; page 15, UNICEF/ HQ92-0311/Sean Sprague; page 21, UNICEF/HQ91-031/Jorgen Schytte; page 24, Curt Carnemark; page 27, Jeff Rosen.
ISBN 0-8213-4310-6
Library of Congress Cataloging-in-Publication Data
Stout, Susan, 1949
Investing in health : development effectiveness in the health, nutrition, and population sector / Susan
Stout, Timothy A. Johnston
p. cm. (Operations evaluation study)
Includes bibliographical references.
ISBN 0-8213-4310-6
1. Public health administrationDeveloping countriesEvaluation. 2. Nutrition policyDevelop
ing countriesEvaluation. 3. Public healthInternational cooperation. 4. Developing countries
Population policyEvaluation. 5. World Bank. Population, Health and Nutrition Dept.
Evaluation. I. Johnston, Timothy A. II. Title. III. World Bank operations evaluation study.
RA441.5.S74 1999
362.1'09172'4dc21 99-052688
Picture 4 Printed on recycled paper.
Page iii
Contents
Acknowledgments
v
Foreword, Prefacio, Prface
vii
Executive Summary, Resumen, Rsume Analytique
ix
Abbreviations and Acronyms
xix
1. Introduction and Evaluative Framework
1
Picture 5
Health Outcomes and the Health System
1
Picture 6
Evaluating the Bank's Performance
2
2. Evolution of Bank HNP Strategy and Lending
5
Picture 7
1970s: Early Population Projects
6
Picture 8
1980s: Direct Lending for Primary Health Care
6
Picture 9
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