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What is Growing? Who is

Dying?Joyce V. Millen, Alec Irwin, & Jim Young Kim

Siwi Sri Widhowati

100133023

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Indicators of HealthSuccesses

Indicators 1995 1997/1998 2009/2010

Average of worldwidelife expectancy

48 years

(WHO, 1995)

66 years

(WHO, 1998)

68 years

(WHO, 2009)

Worldwide infantmortality rate

148/1000live births

(WHO, 1995)

59/1000 livebirths

(WHO, 1998)

57/1000 livebirth

(WHO, 2010)

Dying children underage of 5 years

21 million

(WHO, 1995)

11 million

(WHO, 1997)

7.8 million

(WHO, 2010)

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Technology Innovation

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Gains in world health

Well-doing of communities

What do we think?

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So, what about this?

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This?

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This?

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Some of negative sides

More than 50% of the people in the world’s 46%poorest countries are without access to modernhealth care

Approximately three billion people in developing

countries do not have access to sanitation facilities More than one billion individuals in developing

countries do not have access to safe drinking water

At least 600 million urban dwellers in Africa, Asia,

an Latin America live in what WHO calls life- andhealth- threatening homes and neighborhoods.

In 1998, two fifths of all people who died in theworld died prematurely.

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Number of Hungry People (2010)

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Number of Hungry People

Source: FAO, 2010

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Poverty Facts and Stats

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The Goals of The Book:Dying for Growth

To clarify the relationships betweeneconomic realities and actual health

outcomes and explore the factors thatlink health to current socioeconomicpolicy and development strategies.

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Growth for Whom?

Indicator of economic growth: GDP.

↑ GDP 

↑ prosperity &

better life for allHealthy

Economic

NeoliberalismThe Washington Consensus

ReaganismThe New Right Agenda

Corporate EconomicGlobalization

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How come?

Today, per capita income in more than100 countries is lower than it was 15years ago.

At the close of two decades ofneoliberal dominance in internationalfinance and development, more than

1.6 billion people are worse offeconomically in the late 1990s thanthey were in the early 1980s.

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The gains of growth have beenconcentrated disproportionately in the

hand of the already well-off.

Rich Richer

Poor

poorer

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Measurement of Gains in WorldHealth

Should be not comparison today’saggregate health indicators with thoseof 50 years ago

Perspective of why poor people havenot been even greater given theunprecedented wealth and

technological innovation currentlyavailable.

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How can we make improve

health for poor people as acentral goal and a bindingmeasure in the planning,

execution, and evaluation ofeconomic and social policy onthe local, national, andInternational levels?