India has relatively poor health outcomes, despite having a well-developed administrative system, good technical skills in many fields, and an extensive network of public health institutions for research, training, and diagnostics. This suggests that the health system may be misdirecting its...

The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective...

An estimated 500,000 women, 99 percent of them from the developing world, die each year from pregnancy-related causes. About three quarters of these deaths are the direct result of obstetrical complications -- hemorrhage, infection, toxemia, obstructed labor, and abortion (under primitive and...

Many developing countries are trying to improve the routine collection of health information by strengthening surveys, censuses, and registration systems. At the international level, too, efforts are underway to provide information on health and health interventions, including statistical...

This study is designed to measure financial trends and new initiatives in support of the Safe Motherhood (SM) Initiative, identify issues of statistical methodology that may constrain the analysis, and establish a baseline for 1988 against which to measure future financial trends. Global support...

The authors report on a study in which unannounced visits were made to health clinics in Bangladesh with the intention of discovering what fraction of medical professionals were present at their assigned post. This survey represents the first attempt to quantify the extent of the problem on a...

The authors focus on health policy issues associated with health reform needed to meet the health needs arising from the demographic and epidemiological transitions. They illustrate these policy issues by analyzing Brazil, Colombia, and Mexico, whose populations represent about 60 percent of...

Institutional features of the African setting -- large extended families and imperfect credit and land markets -- matter to the equity and efficiency roles played by intergenerational linkages. Using original survey data on Senegal that include an individualized measure of consumption, this...

In many emerging democracies women are less likely to vote than men and, when they do vote, are more likely to follow the wishes of household males. The authors assess the impact of a voter awareness campaign on female turnout and candidate choice. Geographic clusters within villages were...

Despite interesting work on infectious diseases by such economists as Peter Francis, Michael Kremer, and Tomas Philipson, the literature does not set out the general structure of externalities involved in the prevention, and care of such diseases. The authors identify two kinds of externality....