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Globalisation of international health.

40 years ago, activities in international health were the domain of WHO, governments (based on bilateral agreements), and non-governmental organisations. This has changed. Today, new players (such as the World Bank and, increasingly, the World Trade Organisation) have an influence on international health. As globalisation of trade and markets takes hold, new coalitions and alliances are forming to examine and deal with the direct and indirect consequences on health. This paper examines the changing context of cooperation in international health, and voices concerns about rising potential inequalities in health, both within and between countries. The question of how such changes will affect the actions of organisations working in international health is also addressed.

Global Health↗

Making Cairo work.

The 1994 International Conference on Population and Development set broad new goals for family planning and reproductive health. The resources available to fund these much needed programmes, however, are much smaller than was originally calculated. To divide the limited budgets for the maximum health impact, likely resource flows need to be set against the cost of various family planning and reproductive health interventions. Preliminary analysis suggests that selection of cost-effective delivery of family planning services would still meet much of the need for family planning, and that some progress could be made towards improved control of sexually transmitted diseases.

Congresses as Topic↗

Health care in Nicaragua.

A two-week health study tour in Nicaragua in 1987 organized by the Health Network of the (British) Nicaragua Solidarity Campaign afforded the author of this report access to health service planning, first-hand observation of the immunization programme, and visits to centres for rehabilitation of the disabled, both from the war and civil causes. The efficacy of the low technology immunization and oral rehydration programmes is contrasted with the struggle to rehabilitate the war disabled with grossly inadequate resources.

Child↗

Militarism, militarization, health and the Third World.

This paper examines the relationship between militarism, militarization, health and development. It draws attention to the fact that world military expenditure has continued to soar since the Second World War. Wars increasingly exact a heavy civilian toll. Third World countries are consuming, producing, and exporting more armaments than ever before. The rate of growth of military expenditure in developing countries has been far greater than their rate of growth in gross national product or in foreign economic aid. Countries under military control tend to be more repressive and to have suffered more years at war than those under civilian rule. Widespread availability of arms makes the settlement of disputes through violence more likely. Internal wars and violence are stimulated by a range of factors including inequalities in political and economic power, uneven development, and lack of popular participation in policy decisions by the majority of the population. The support of the industrialized countries for armament sales should be monitored, challenged and made politically unpalatable. Local development and regional cooperation should be stimulated. Health workers, as witnesses to the destruction to public health caused by war and violence, should play a part in advocating a reduction in the arms trade and the promotion of development in Third World countries.

Capital Expenditures↗