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2. Inequality in South Africa: A two part document on the current understanding and dimensions of inequality in health, gender and livelihoods
- Author:
- Nicola Deghaye, Tamlyn McKenzie, and Petronella Chirawu
- Publication Date:
- 07-2014
- Content Type:
- Working Paper
- Institution:
- Oxfam Publishing
- Abstract:
- Recognising inequality is at the heart of the South African 'development problem', Oxfam commissioned the Health Economics and HIV and AIDS Research Division (HEARD) to produce this report, which is divided into two parts, to enable an understanding of the dimensions of inequality in South Africa and to provide Oxfam with a set of basic measures against which it could measure its success in dealing with inequality.
- Topic:
- Security, Gender Issues, Health, and Food
- Political Geography:
- Africa and South Africa
3. Achieving a Shared Goal: Free universal health care in Ghana
- Publication Date:
- 03-2011
- Content Type:
- Working Paper
- Institution:
- Oxfam Publishing
- Abstract:
- Coverage of the National Health Insurance Scheme (NHIS) has been hugely exaggerated, and could be as low as 18% Every Ghanaian citizen pays for the NHIS through VAT, but as many as 82% remain excluded Twice as many rich people are signed up to the NHIS as poor people. 64% of the rich are registered compared with just 29% of the poorest Those excluded from the NHIS still pay user fees in the cash and carry system. Twenty five years after fees for health were introduced by the World Bank, they are still excluding millions of citizens from the health care they need An estimated 36% of health spending is wasted due to inefficiencies and poor investment. Moving away from a health insurance administration alone could save US$83 million each year. Enough to pay for 23,000 more nurses Through savings, good quality aid but primarily improved progressive taxation of Ghana's own resources, especially oil, the government could afford to increase spending on health by 200%, to US$54 per capita, by 2015 This would mean the government could deliver on its own promise to make health care free for all – not just the lucky few at the expense of the many.
- Topic:
- Health, Human Welfare, and Health Care Policy
- Political Geography:
- Africa and Ghana
4. Life and Dignity at Risk: The Water, Sanitation and Hygiene Sector in Liberia
- Publication Date:
- 06-2010
- Content Type:
- Working Paper
- Institution:
- Oxfam Publishing
- Abstract:
- Liberia's newly approved water and sanitation policy states that water is life' and sanitation is dignity'. These powerful statements signal a welcome commitment in a country where safe water and decent sanitation have long been absent for the vast majority of the population, with catastrophic impacts on life and social welfare. The key challenge for the Government of Liberia, and the donors who support it, will be to turn this commitment into positive outcomes for Liberia's 3.5 million people. This report therefore focuses on the questions that will be crucial in this process. Firstly, is the water and sanitation sector in Liberia prioritised to reflect this commitment? Are there clear, actionable plans to make this commitment a reality? Does Liberia have resources and sufficient support to ensure that communities stop risking their lives and dignity? Finally, what challenges remain and what can be done to address them?
- Topic:
- Development, Health, and Poverty
- Political Geography:
- Africa