Health, human rights and intervention (DONE) Flashcards
What were measures of development usually based on and what do they now consider?
- There are various ways of measuring the development of countries, and these have usually been based on economic criteria linked to the amount of wealth a country generates through its businesses and trade.
- However, more recent measures are based on socio-economic or socio-political criteria such as happiness or corruption.
- Some measures also consider the state of the natural environment, because ecosystem services are important in providing essential resources for humans.
- Economists believe that traditional measures are best because they are based on objective measurable data, but others believe that such measures do not accurately assess the full range of human wellbeing.
What are the 4 traditional economic measures of development?
Gross domestic product (GDP):
- The total value of goods and services a country produces in a year
(or a quarter); it reflects the country’s economic activity and broadly represents the standard of living in a country.
GDP per capita:
- GDP divided by the number of people in the country, giving a measure of mean wealth per person.
- However, this disguises disparities between the very rich and the very poor.
GDP per capita (PPP based):
- GDP per capita adjusted according to Purchasing Power Parity (PPP); it considers the difference in costs of living between countries (usually compared with the USA).
Gross national income (GNI) per capita:
- The total wealth created by a country, including income from exports (minus taxes and debts).
- Since currency exchange rates vary, this measure can change considerably over time.
Why can’t measures of development cover all countries and what criteria do emerging countries use?
- Many measures of development cannot cover all the countries of the world because data for those countries is either unavailable or unreliable:
- The Better Life Index covers only Organisation for Economic Co-operation and Development (OECD) countries.
- Some emerging or developing countries use proxy criteria; this is where a development indicator is based on an indirect measure by assuming that they are linked.
What is the Human development index and what is the link between the wealth and happiness of a country?
- The Human Development Index (HDI) - produced by the United Nations Development Programme (UNDP) since 1990 - is a socio-economic measure of development based on GDP, adult literacy levels and life expectancy.
- Many regard this as a better measure of development because it considers wealth, education and health (but not the state of the natural environment).
- The links between the wealth of a country or the people within it and contentment (or happiness)
are complex: a country may be wealthy, but inequalities between its people may still exist, and freedoms may not be guaranteed.
What problems can economic development cause within a country and what measures can show sustainable long term development?
- Economic development may be unsustainable for some countries if there are obstacles such as high levels of pollution affecting human and environmental health, overuse of resources such as water and forests, disparity between ethnic groups producing tension and confiict, or corruption in political and economic systems.
- Measures of development based on these issues show sustainable development over a longer timescale, judging whether future generations will have the same opportunities as current generations.
- Development approaches also vary between countries: although the ‘Western’ economic approach is the most common due to globalisation forces, some countries try to follow a more socialist or environmentally sustainable path.
What is The Happy Planet Index?
- The Happy Planet Index, devised by the New Economic Foundation (NEF), combines impacts on the natural environment (the ecological footprint) with the wellbeing of people (life expectancy), and considers the efficiency of resource use in improving people’s lives without damaging the environment.
- However, it does not include a strong economic component.
What is The World Happiness Index?
- The World Happiness Index considers dystopia as a benchmark against which to measure a country’s levels of social support, generosity, life expectancy, corruption, GDP per capita and freedom to make choices.
What is The KOF Index of Globalisation?
- The KOF Index of Globalisation measures the strength of links between countries, using economic, social and political criteria.
- It indirectly measures development because the countries with the strongest links are likely to have developed in terms of trade, investment and socio-political power.
- Overall, the 2015 KOF Index showed that while economic and social globalisation has slowed, political globalisation has slowly increased.
What is The Freedom Index?
- The Freedom Index considers political rights, civil liberties and freedom status; in 2016 the Middle East and North Africa (MENA) region had the least freedom, with 72 per cent of countries ‘not free’, followed by Eurasia ( 58 per cent) and sub-Saharan Africa (41 per cent).
- The ‘best’ area was Europe (86 per cent free), and so it is not surprising that many asylum-seekers from Africa and Asia migrate to Europe for sanctuary.
What factors impact the wellbeing of a population?
- Access to fresh clean water, food and energy security, environmental quality, health care provision, life expectancy and human rights.
- These factors were reflected in the UN Millennium Development Goals (MDGs), 2000-15, and the UN Sustainable Development Goals (SDGs), 2015-30.
What is environmental quality and how is it changing over time?
- Environmental quality is the quality of the air, water, land and natural environments in which people live.
- Pollution and environmental degradation have a negative influence on human wellbeing.
- The NEF assessment of the global footprint showed that 1987 was the first year in which humans used more resources than the Earth provided.
- The overuse of annual resources occurs earlier each year, and in 2016 it was estimated that this happened on 8 August.
How can health be assessed and may impact health indicators?
- Health can be assessed through mortality rates, which can be age-specific - such as infant or child mortality - or cause-specific - for example deaths from diseases or natural hazards.
- Food scarcity and malnutrition may exaggerate mortality rates.
- In addition, conflicts such as civil wars clearly bring the threat of death or injury, reducing wellbeing.
What is life expectancy and what does it show?
- Life expectancy is the number of years a newborn baby is expected to live assuming living conditions in the area of birth do not change.
- Usually given separately for males and females, life expectancy is an indicator of health and it reflects the living conditions and health care system of a place.
How are Human rights used as an indicator?
- Human rights are enshrined in the UN’s Universal Declaration of Human Rights (UDHR) 1948.
- There are international codes (supported by the UN’s Office of the High Commissioner for Human Rights (OHCHR)) but, as the Freedom Index shows, this does not guarantee that people’s rights are recognised.
What is the relationship between economic growth and health?
- the correlation between life expectancy and GDP per capita in 2013 shows that life expectancy does increase with wealth.
- as countries are able to spend more on health care systems and water and sanitation systems.
- Wealthy countries are also able to spend more on education, which increases people’s ability to improve their lives and obtain higher-paid jobs, which in turn improves their access to services and decision-making pathways.
Why is education important in the development of a country?
- Education is central to developing human capital - because people need knowledge, understanding and skills in order to be able to improve their lives, and because better workers help the development of a country.
- Through education, literacy levels improve and this enables people to learn and communicate more widely.
- People are then able to understand:
• the need for basic hygiene and health care
• ways to control their family size
• how to become involved in decision-making
• their rights in the 21st-century world.
How is education different in developing countries compared to developed countries and how does this relate to gender inequality?
- Children in developed countries attend primary and secondary school, and many progress to higher education.
- However, in developing countries many children aged 7 to 14 are working, rather than attending school - to help on family farms, as in Indonesia, or in manufacturing industries,
as in Bangladesh. - The UN estimated that, in 2013, 59 million children of primary school age and
65 million of lower secondary school age were not attending school; most of them were girls. - In 2015 only 69 per cent of countries had equal gender access to primary school and 48 per cent to secondary education.
- The problem was worse where poverty was high and in areas with conflicts, epidemics or natural disasters, with the countries of the Sahel having nearly 30 million children (6-11 years of age) out of school, with twice as many girls as boys never receiving any education.
How do some cultures in developing countries restrict female freedoms?
- Improvements in education have not come equally to females, and historically across the world the role of females has not been equal to that of males.
- In modern democracies, equality laws now ensure that women have equal status and rights, but some cultures in developing countries still restrict female freedoms.
- Investment in female education has been shown to improve health and child mortality between 15 and 20 years after female literacy rates have increased.
How do UNESCO believe gender equality can be achieved?
- the UN Educational, Scientific and Cultural Organisation (UNESCO) believes that gender equality can be achieved through education.
- UNESCO sees education as the main ‘driver’ of development and a fundamental right of all people, and its suggested targets for countries include spending at least 4-6 per cent of GDP on education.
- Many SDGs are linked to education and equality (for example ‘By 2030, ensure that all girls and boys complete free, equitable and quality primary and secondary education leading to relevant and effective learning outcomes’).
Why is access to education often restricted?
- Access to education is restricted during times of internal conflict and because of poverty.
- In culturally conservative Islamic countries there may also be restrictions affecting females, for example on mixed gender schooling and the roles of male and female teachers, and the belief that girls should be learning how to run a home and preparing for married life.
- But there is a wide difference between Islamic countries and, rather than religious influences, conservative traditions and poverty may be the most important factors.
Why did the world population explosion occur and what impact is continued increasing population having?
- The world population explosion (it grew from 3 billion in 1960 to 7 billion in 2011) has mainly been due to large increases in developing countries, especially Africa and Asia, with 80 per cent of the world’s population now living in developing countries.
- By 2050 the world’s population is expected to have grown by a further 2.5 billion, with much of this increase in Africa.
- Population growth increases pressures on resources such as food and water, on living space and on infrastructure
such as sanitation. - Widespread poverty and overcrowding, especially in rapidly growing cities, ensure that health issues persist in many developing countries, despite success in eradicating some diseases.
How do large young and old dependancy ratios impact developing countries?
- Tensions between different groups in developing countries, such as in Syria and Libya, can lead
to open conflict affecting people’s wellbeing, as do large numbers of young dependants. - For example, Niger had a young dependency ratio of 107:100 in 2014, and the highest 13 nations were all in Africa.
- In some developing countries the numbers of elderly dependants are increasing; for example Argentina’s ratio was 17:100 in 2014, with China’s predicted to rise to 39:100 by 2050.
- Consequently, health and life expectancy vary considerably between the developing regions of the world, as reflected in a wide variety of indicators including infant and maternal mortality rates.
How have maternal mortality rates changed over time?
- Maternal mortality has improved globally, with an average decline of 45 per cent between 1990 and 2013.
- However, some developing countries performed well, such as Cambodia (86 per cent) and Laos (80 per cent), while others did poorly, such as Cote d’Ivoire (3 per cent) and Kenya (17 per cent).
- Similarly, there has been a global average reduction of 47 per cent in child mortality, but with large variations.
- For example, Peru (77 per cent) and Egypt (75 per cent) do well, but DR Congo (15 per cent) and Somalia (17 per cent) do poorly.
How does life expectancy vary in the developed world and what are the reasons for the variation?
- While developed countries in North America, Europe, Oceania and Japan have much better health levels and life expectancy than developing countries, there are variations in the developed world of between 70.5 years (Russia) and 83.7 years (Japan), with life expectancies also over 83 years in Switzerland and Singapore.
- These variations are linked to diet, lifestyle, relative deprivation and access to medical care.
- There is a positive correlation between spending on health care, linked to the wealth of a country, and life expectancy.
- For example, Switzerland had the highest expenditure, at US$9,673 per capita in 2014, while Russia spent only US$893.
- Life expectancy is highest in developed countries in western and northern Europe and East Asia, and lowest in the Middle East, and Eastern Europe.
- It is clear that countries with shorter life expectancies are not spending enough on health care to raise standards.
- Some countries, such as South Korea and Japan, are doing well on slightly lower expenditures, while the USA has a relatively low life expectancy (79.3 years) despite having the third-highest expenditure on health care per person (US$9,403).
Why does Japan have a high life expectancy and why does USA have a low life expectancy relative to their expenditure?
- The Japanese National Centre for Global Health and Medicine found, in a 15-year study of nearly 80,000 people (2016), that one of the main reasons for the country’s long life expectancy was a healthy balanced diet. Other reasons include advances in medical treatment, staying active and elderly people being involved in the local community. In the USA, 2016 research by the National Centre for Health Statistics showed that 48 per cent of the gap between male life expectancy in the USA and Europe could be accounted for by injuries resulting from rearms, drugs and vehicle accidents. In 2012 the National Research Council and Institute of Medicine highlighted the higher poverty levels in the USA compared with other developed countries, which limited access to health care for poorer people, who tend not to have health insurance. Other common reasons for this lower life expectancy include obesity, heart and lung disease and pollution levels in cities.
How does life expectancy vary within the UK?
- Southern parts of the UK have a longer average life expectancy than the north.
- The longest life expectancies are in Dorset (2010-12) - 82.9 years for males in East Dorset, and 86.6 years for females in Purbeck - while the shortest were in Glasgow (72.6 years for men and 78.5 years for women).
- Life expectancy in the UK continues to increase, at a slightly faster rate for males than females, perhaps because of changing types of employment, with males now involved in less physically demanding work.
- The living environment also has a part to play: the two highest-ranked places to live in England (2015) - Bebington (Wirral) and Kesgrave (Sufolk Coastal) - had life expectancies that were significantly higher than Liverpool and Middlesbrough, cities that have experienced economic decline and deprivation.
How has the lifestyle in Northern Ireland impacted health?
- Lifestyle has an impact on health and life expectancy, as shown by a European health survey in 2013-14:
- Northern Ireland had the highest number of regular smokers in the UK for both males and females (23.5 and 22.4 per cent respectively).
- the highest proportion of males involved in heavy labouring work (10.6 per cent).
- the highest perception of poor health in the UK (11 per cent).
- In 2014 Northern Ireland also had the lowest proportion of public spending in the UK on health (19 per cent).
How has the lifestyle in Wales impacted health?
- Wales had the equal largest number of males drinking alcohol every day (10.9 per cent).
- a high proportion of men doing heavy labouring work (9.9 per cent).
- the highest proportion of male and female obesity (26.6 and 18.4 per cent respectively)
- the highest male and female high blood pressure (20.5 and 18.7 per cent respectively).
What evidence for the UK shows that lifestyle is not the only factor in varying life expectancy?
- Scotland did not feature as the highest in any category in the European health survey in 2013-14 but still had the shortest life expectancies of any UK country - 76.2 years for males and 80.6 years for females - showing that lifestyle is not the only factor.
Why is the north-south health divide in the UK partly attributed to smoking and alcohol patterns?
- Easington in Durham had the highest proportion of smokers (37 per cent) and Liverpool the highest number of hospital admissions for alcohol-related problems (652/100,000).
- while Chiltern (Buckinghamshire) had the lowest number of smoking-related deaths (147/100,000) and Kensington and Chelsea (London) - home to many wealthy people, and with life expectancies over 80 years for both males and females - the fewest cancer deaths (81/100,000).
- London nevertheless has the highest rates of infectious diseases, probably because of its high population density and the large number of migrants and tourists moving through the capital.
How does life expectancy vary across different socio-economic groups in the UK?
- There is not much difference in health and life expectancy within the same socio-economic group across the UK, but significant differences between socio-economic groups.
- An important factor would appear to be occupation type:
- jobs that are physically demanding or that expose workers to chemicals and particulates (dust) are riskier.
- Another factor in inequalities is income level:
- people on lower incomes tend to have lower educational attainment, which affects their attitude to diet, exercise, smoking and alcohol consumption, and may also limit their access to health care, despite having a free, universal health care system.
How does economic and social development vary between countries of different types with different regimes?
- Some countries are committed to a welfare state, within which the wellbeing of all citizens is regarded as a priority and spending on health care and education systems is high, such as in Norway and Sweden.
- Other countries are committed to economic development in the short term and this may mean that budgets are arranged in favour of industrial and business infrastructures, such as in Brazil and Ghana.
- A few countries have prioritised other areas, such as military spending, as in North Korea.
- others have totalitarian regimes where the political or ruling elite may allocate only small budgets to health and education as a means of controlling people, as in China and Uzbekistan.
How does the UK and Brazil public spending compare?
- Public spending in the UK for 2016 was £759.5 billion, with 18 per cent on health care and 12 per cent on education.
- The National Health Service (NHS) offers free medical care for all.
- Spending on health amounts to US$3,102 per person for 2016.
- Brazil has a Unified Health System that entitles every Brazilian to free health care, which amounted to US$1,471 per capita in 2013, or 4.4 per cent of GDP.
- However, a quarter of Brazil’s population has private medical plans, which suggests that there may be unequal access.
- Information from some developing countries and especially from totalitarian countries is often not available, for example North Korea, or may be unreliable, for example Niger.
What do the main IGOs emphasise about development?
- Since 1945 the main IGOs have emphasised the importance of economic development through free trade and self-regulating markets.
- allowing economic processes to follow their course without interference or regulation.
- These views were based on capitalist economic theories, as reflected in Kondratiev’s cycles or Rostow’s stages.
What do the IMF and world bank aim to do and why can their strategies often fail?
- The IMF was established to provide loans to countries in financial difficulties, so that they could continue to participate in international trade and transactions.
- Similarly, the World Bank offers loans to countries that need money during an economic recession or for spending on expensive infrastructure and industry to bring about the development of the country.
- However, many of these loans did not lead to economic success and countries became indebted, leading to the Highly Indebted Poor Countries Initiative (HIPC) in 1996, which provides debt relief from the IMF and World Bank cancellation of debts or sustainable repayment schedules.
- Most loans or debt relief agreements also have conditions attached, which can lead to austerity within the country and divert government spending away from health, education and welfare.
What does the WTO aim to do?
- The WTO has operated since 1995, regulating world trade by overseeing negotiations between countries and promoting the reduction or removal of tariffs and other trade barriers, on the premise that all countries benefit.
- However, this is not always the case, as demonstrated by the Fair Trade movement.
What IGOs aim to promote the importance of social and environmental themes of development?
- The United Nations Development Programme (UNDP) helps countries make policies and national development plans, and provides expertise for working towards the SDGs.
- The UNDP’s Human Development Index (HDI) reflects the desire to combine economic and social progress.
- The Food and Agriculture Organisation (FAO) promotes food security and nutrition.
- the World Health Organisation (WHO) promotes health and disease eradication.
- the UN International Children’s Emergency Fund (UNICEF) has helped look after the rights of children since 1946.
- The UN Educational, Scientific and Cultural Organisation (UNESCO) identified 31 natural and cultural world heritage sites in May 2016 that are at risk from climate change, including Yellowstone National Park (USA), the Galapagos Islands (Ecuador),
the Great Barrier Reef (Australia) and Komada National Park (Indonesia). - The UN Environment Assembly (UNEA) promotes improvements in air pollution levels and the eradication of the illegal wildlife trade, assisted by other IGOs.
How do developed countries help emerging countries in meeting MDGs and SDGs?
- The eight Millennium Development Goals (MDGs) ran from 2000 to 2015, when the more extensive Sustainable Development Goals (SDGs) replaced them.
- Developed countries had mostly already fulfilled all the MDG goals, but had an important role in assisting emerging and developing countries to meet them, and this role will continue with the SDGs.
How has the MDG1 helped to eradicate extreme poverty and hunger?
- By 2015 the proportion of people in developing countries living on less than US$1.25 a day had fallen to 14 per cent, but this still left 836 million people living below this level.
- The proportion of undernourished had fallen by 12.9 per cent by 2015.
- While all world regions improved their poverty and hunger levels, the specific targets for poverty were not met in sub-Saharan Africa or Western Asia, and those for hunger were not met in sub-Saharan Africa, the Caribbean, South Asia, West Asia or Oceania.
How has MDG2 helped to achieve universal primary education?
- By 2015 primary school enrolment rates had reached 91 per cent, but 57 million primary-aged children were still not attending school.
- All world regions improved, with sub-Saharan countries on average reaching 80 per cent enrolment.
- In the whole of Africa, the gender balance was still unequal and conflicts were also responsible for children not going to school.
How has MDG3 helped promote gender equality and empower women?
- Many developing countries eliminated gender disparity in education, with South East Asia having more girls than boys in primary school by 2015.
- More women were in paid employment and in parliaments but parity has still not been reached.
- Oceania and sub-Saharan Africa were furthest from the target.
- In Latin America and the Caribbean the number of women in poor households increased.
How has MDG4 helped to reduce child mortality?
- All regions improved significantly, with child mortality halving between 1990 and 2015.
- Between 2000 and 2013, 84 per cent of children received at least one measles vaccination, preventing an estimated 15.6 million deaths.
- Sub-Saharan Africa improved rapidly from a low base but missed the target, as did most world regions except North Africa, Latin America and the Caribbean and East Asia.
How has MDG5 helped to improve maternal health?
- Maternal mortality declined by 36 per cent between 2000 and 2013, with notable decreases in South East Asia and sub-Saharan Africa.
- More health personnel were present at births (71 per cent in 2014) and antenatal care improved, as did the use of contraception.
- However, no world region met the target.
How has MDG6 helped combat HIV/AIDS, malaria and other diseases?
- New HIV infections fell by 40 per cent between 2000 and 2013, and the distribution of treatments increased six times.
- Between 2000 and 2015, 6.2 million malaria deaths were prevented and the incidence of the disease reduced by 37 per cent.
- TB prevention, diagnosis and treatment saved 37 million lives (2000-13), with mortality rates decreasing by 45 per cent.
- Despite these improvements in all world regions, new diseases, such as ebola, brought new threats.
How has MDG7 helped ensure environmental sustainability?
- Protection of marine and terrestrial areas increased; for example, protected land areas in Latin America and the Caribbean increased from 8.8 per cent in 1990 to 23.4 per cent in 2014.
- Some forms of pollution greatly decreased, such as stratospheric ozone, but greenhouse gas emissions increased.
- Forest and marine resources continued to be over-exploited, causing environmental degradation, which affected the poorest people the most.
- Many people had improved access to water and sanitation, but in 2015 42 per cent of the world population still did not have access to water in their homes.
- Fewer countries met the sanitation target despite 2.1 billion people benefiting from improved sanitation.
- The drinking water and sanitation targets were not met in Oceania, sub-Saharan Africa and parts of Asia.
How has MDG8 helped develop a global partnership for development?
- There were improvements, with official development aid from developed countries increasing by 66 per cent (2000-14), reaching US$135.2 billion, with several European countries such as the UK exceeding the UN aid target (0.7 per cent of GNI).
- Trade balances became more favourable for developing countries.
- Mobile phone networks spread to cover 95 per cent of the world’s population, and internet cover for 43 per cent by 2015.
How are the SDGs introduced different to the previous MDGs?
- The 17 SDGs adopted in September 2015, with a targe date of 2030, are broader than the MDGs and each has many specific targets.
What is the UDHR and its ‘Covenants on Civil and Political Rights and Economic, Social and Cultural Rights’ and why are they inconsistent?
- The UN’s Universal Declaration of Human Rights (UDHR) of 1948 set out the fundamentals of human rights that everyone is entitled to.
- It contains 30 Articles specifying these rights, such as freedom, justice, peace and no persecution, to be applied within countries and internationally.
- The UDHR and its Covenants on Civil and Political Rights and Economic, Social and Cultural Rights (1976) are collectively known as the International Bill of Human Rights, which has led to a range of treaties.
- These form the basis of international law, national constitutions and laws, and are reflected in cultures and government policies.
- As all aspects of human rights are linked, countries are expected to adhere to the whole ‘package’.
- However, some countries are selective for economic or political reasons, and sometimes human rights may be more important than sovereignty.
- Some rights are contradictory or difficult to define, which leads to different interpretations and contested points of view, so rights are inconsistently applied.
What has the increase in authoritarian countries caused and why have not all countries signed the UDHR?
- Since the start of the 21st century there has been an increase in the number of ‘authoritarian’ countries, which has further limited human rights.
- For example, there are countries where executions still take place (Pakistan), slavery exists (Mauritania), and discrimination against women continues (Saudi Arabia).
- Not all countries have signed and ratified the UDHR; for example, Saudi Arabia with its conservative Islamic beliefs does not agree with freedom of religious choice or equal rights of women in marriage.
- Some Islamic countries believe that the UNDR is too ‘Westernised’, and in 1990 they produced their own similar version - the Cairo Declaration of Human Rights in Islam.
How do western countries enforce the importance of human rights and how do some developing countries dispute the importance?
- Developed ‘Western’ countries have often tied development aid to human rights, or have occasionally undertaken military operations to intervene where there have been human rights violations, as international law can be regarded as more important than sovereignty.
- Some nations, especially developing countries, dispute the balance of civil and political rights and economic, social and cultural rights, arguing that economic development must have priority for them.
- The USA and the EU have condemned human rights violations in a number of countries, such as Syria, Russia and China.