Even a modestly effective HIV-1 vaccine would be highly useful in India and could avoid millions of deaths. How should such a vaccine be introduced? Based on evidence of adoption of other vaccines in India, current levels of spending on them and coverage of prevention programs targeting both...

The authors investigate the extent to which Indonesia's poor benefit from public and private provisioning of education and health services. Drawing on multiple rounds of SUSENAS household surveys, they document a reversal in the rate of decline in poverty and a slowdown in social sector...

Voluntary development organizations have demonstrated substantial comparatiave advantage in developing countries - especially in their ability to innovate, adapt to local conditions, and reach and work with poor and difficult to reach populations. These capabilities are a function of their...

The author addresses two issues. First, how can health inequalities be measured so as to take into account policymakers'attitudes toward inequality? The Gini coefficient and the related concentration index embody one particular set of value judgments. Generalizing these indexes allows...

The authors delineate two different algorithms for the purchase of AIDS vaccines, to show how differences in policy objectives can greatly affect projections of the number of courses of vaccine that will be needed. They consider a hypothetical vaccine costing ten dollars to produce, and offering...

With limited budgets for rural primary health care, developing countries are under pressure to integrate the basic medical services that government health centres provide, with the vaccination programs that mobile immunization teams handle. Application of cost effectiveness analysis is...

The diffusion of cost-effective life saving technologies has reduced infant mortality in much of the developing world. Income gains may also play a direct, protective role in ensuring child survival, although the empirical findings to date on this issue have been mixed. This paper assembles data...

The authors explore the strength of female secondary education relative to, and in combination with, family planning and health programs in reducing fertility and infant mortality. They find that family planning and health programs do influence fertility and mortality, but that the impact of...

Most influential studies of malnutrition and public policy have focused on energy availability and consumption, tending to equate hunger with malnutrition. But recent studies have explored how other factors - notably infection and levels of maternal education - affect nutrition. Alderman and...

The authors propose a method for decomposing inequalities in the health sector into their causes, by coupling the concentration index with a regression framework. They also show how changes in inequality over time, and differences across countries, can be decomposed into the following: Changes...