Health services can make an important contribution to improved health conditions among disadvantaged groups. Yet as the contents of this volume make clear, the health services supported by governments, and by agencies like ours too often fail to reach these people who need them most. This is not...

The paper develops and estimates a structural model of household health production that jointly determines the demand for leisure and the demand for consumption for elderly males. The authors use a stochastic dynamic programming framework based on the assumption that an individual maximizes...

The demographic transition in the Sahel region has been slower than that in the rest of the world. Although child mortality rates have declined in recent decades, they are still higher in West Africa than in other regions. Furthermore, the fertility decline has progressed very slowly, with some...

Declines in child mortality, followed by declines in fertility, produce a youth bulge generation and a period when a country has a large number of working age people and a smaller number of dependents. If gainfully employed, a large number of workers per capita gives a boost to the economy. The...

The characteristics of tuberculosis (TB) - such as links to poverty, importance of patient actions, and prevalence of multisectoral drivers—require more from health systems than traditional medically oriented interventions. To combat TB successfully, health systems must also address social...

The demographic transition in the Sahel region has been slower than that in the rest of the world. Although child mortality rates have declined in recent decades, they are still higher in West Africa than in other regions. Furthermore, the fertility decline has progressed very slowly, with some...