Topic 8 - EQ1 - Health, Human Rights and Intervention Flashcards

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1
Q

What are 6 traditional measures of development?

A

-GDP (monetary value of all goods and services produced in one year in a country)
-GDP per capita
-GDP per capita PPP based
-GNI per capita (GDP with earnings from abroad added, e.g. from TNC operations abroad)
-HDI (composite measure of life expectancy, education and GDP per capita 1-10)
-Gini coefficient (shows income inequality, displayed on a graph)

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2
Q

What are 3 alternative measures of development?

A

-Happy Planet Index (measure of the extent as to which countries deliver sustainable well being based on life expectancy, experienced well-being and ecological footprint)
-The World Happiness Index (score from 1-10 on the happiness of citizens)
-The Freedom Index (score of civil liberties of citizens from 1-10)

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3
Q

Why is it important to use a variety of measures when measuring development?

A

Countries rank very differently on different measures, e.g. Qatar ranks very highly on GDP per capita but not particularly well on the Freedom Index or the GINI coefficient international rankings)

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4
Q

How is health (social) and economic development linked?

A

Professor Hans Rosling has identified that countries that have developed most rapidly economically have improved the most in measures of health (general health, family size and life expectancy), South Korea in the 20th C has been an example of this. Rosling believes that fro countries lagging behind in terms of health the best way of improving health is simply economic growth. The link is so strong because the richer a country is the better the healthcare standard and accessibility can be because countries can afford more doctors, hospitals, medicines and nurses.

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5
Q

What is Sharia Law

A

Islam’s legal system derived from the Quran and deeds and sayings of the prophet. It is a code for living that all muslims should adhere to. However, in the Muslim world Sharia law is often not restricted to religious matters but also extends into inheritance, marriage and punishment with many countries, such as Iraq, having sharia embedded into their constitutions.

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6
Q

How has Sharia law limited development?

A

The Islamic World does not see secularisation as necessary for development.
-From a western perspective its strict rules on women’s and LGBT rights are limiting to social development (women could only recently drive in Saudi Arabia)
-It has been seen as economically limiting due to its strong opposition to bond making and interest schemes
-Many claim a century old parallel legal system simply cannot exist in a developed country

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7
Q

How has Sharia law worked alongside development?

A

Many Muslims see Sharia law as flexible and fully compatible with western ideas of development and human rights.
-In Egypt the Supreme Court asserts jurisdiction over any questions of Islamic law and reconcile Sharia with international human rights and economic liberalisation
-Islamic financial business is developing around the world but simply without interest payments

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8
Q

What was former Bolivian President Evo Morales’ development strategy for Bolivian?

A

He drew up a new constitution in 2012 putting ‘The Law of Mother Earth’ into effect which recognised that “Mother Earth is a living dynamic system made up of the undivided community of all living beings, who are all interconnected, interdependent and complementary, sharing a common destiny”. It was a development model different to the western one due to the way it put nature first.

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9
Q

How did Morales’ development strat aid Bolivian development?

A

Environmental issues were placed first, a monumental move in the modern world where climate change is such a big issue. Conservation schemes were well funded and extensive, unsustainable industry was controlled and pollution was limited reducing Bolivia’s carbon footprint.

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10
Q

How did Morales’ development strat limit Bolivian development?

A

His approach required major economic change and reorientation, especially due to the fact that the Bolivian economy has historically relied upon mining exports which he had to limit due to his environmental priorities. Domestic social issues were also arguably neglected too, e.g. when Morales was president 20% lacked clean water and 40% sanitation.

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11
Q

What are main reasons as to why education is vital in developing human capital and overall development?

A

-Helps the development of a skilled workforce (doctors, lawyers, researchers)
-Controls family sizes as the more time spent in education during fertile years the more likely a career will develop and thus having children is limited to later in life
-Education develops basic hygiene and sanitation which improves the quality of lives which is key in improving human capital
-Teaches decision making and accountability which is key in improving human capital
-It is vital for the development of gender equality, not only does female education and literacy rate improvements enhance the contribution of female human capital especially in the quaternary sector, but it is also linked to improved female health and lower mortality rates, but only 48% of countries have equal access to education for both genders
-Cultural appreciation (history, literature, geography)
-Democratic participation higher in educated people

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12
Q

What are 5 factors that may prevent fair access to education across the globe?

A

-Wealth
-Gender
-Social class
-Religious/ethnic persecution
-Disablity

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13
Q

Why does wealth limit fair access to education across the globe?

A

Regions with lower levels of wealth and widespread poverty often have significantly less children in education. Children in poor parts of the world often need to work and bring in an income for their family at a young age, or local governments simply cannot afford public schooling for local people. Liberia, S Sudan and Eritrea have less than 50% of their primary school aged children in education due to the lack of wealth in these countries.

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14
Q

Why does gender limit fair access to education across the globe?

A

Many traditions across the world give preferential treatment to male children in regards to education, especially in Asian and African societies, particularly in rural areas. Women make up 54% of the world’s uneducated population and the literacy rate for women in Niger is just 11%.

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15
Q

Why does social class limit fair access to education across the globe?

A

Similarly to wealth, many working class children simply have to work for money for the family instead of getting an education, also, not everywhere has universal access to education which excludes lower class children.

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16
Q

Why does religious/ethnic persecution limit fair access to education across the globe?

A

In many countries the same rights are not guaranteed to all groups and there may be discrimination against children because of this restricting them from accessing education.

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17
Q

Why does disability limit fair access to education across the globe?

A

In many countries the physically or mentally disabled are treated as second class citizens and so are simply disregarded or placed in institutions or hospitals from a young age. Even in developing countries that are more equal schools often do not have the facilities to cater to disabled peoples’ specific needs.

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18
Q

How does health and life expectancy vary in the developing world (Africa)?

A

Many sub-Saharan counties have been able to invest more into their economic development and their people’s living standards recently resulting in the fast growth of many African economies. However, there are considerable variations between African nations in terms of life expectancy, infant and maternal mortality, and access to food, safe water and effective sanitation:
-The Democratic Republic of the Congo has been ravaged by conflict for much of the past 30 years (since 1998) and is one of the world’s poorest countries, even within Africa its poverty stands out. It is rated among the lowest countries in global HDI, its estimated GDP per capita is the world’s third lowest, 40% of under 5s suffer from chronic malnutrition, 40% of children aged 5-14 are forced to work instead of attend school, 47.6% of the populations’ water supply is inadequate, the average life expectancy is just 56 and most women have their first child before 20, plus infant and maternal mortality rates are the world’s highest (however, health expenditure as a % of GDP is higher in the DRC than in many other African countries)
-Inversely, Algeria has transformed in the last 30 or so years, health has improved particularly. Between 1980 and 2014 GDP per capita increased by about 30%, life expectancy at birth increased by 16.6 years to 76, the expected number of years of schooling increased by 4.5 years and Algeria’s HDI value rose from 0.574 to 0.736 to become one of the highest HDI values in Africa. However, many measures still display a number of the characteristics of a developing country, including relatively low literacy rates, lack of sanitation and nearly a quarter of Algerians still being in poverty.

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19
Q

Where is the developed world at in terms of health?

A

The developed world is much further ahead of than the developing world in health and life expectancy, however, statistical variations exist. For example, at birth in 2015 an Indian child had a life expectancy of 66, whereas Japanese children had a life expectancy of almost 84 years

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20
Q

What are 2 big reasons for differences in health in the developed and emerging world?

A

Health spending and lifestyle.

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21
Q

How does health spending explain differences in health between countries in the developed and emerging world?

A

Life expectancy in the developed world has a strong correlation with health spending per capita, for example, Mexico and China both have health spending of approximately 1000 USD per capita and life expectancies of around 75, and Japan has health spending of approximately 4000USDPP and a life expectancy of around 83-84. However, a major anomaly in the developed world is the USA with extraordinarily high spending on health per person, over 8000 USDPP, and a life expectancy of around 78, just 3 years above Mexico and China despite the fact that 7000USD more is spent in the USA per person.

22
Q

How does lifestyle explain differences in health between countries in the developed and emerging world?

A

America’s pockets of inequality and deprivation, high crime, lack of universal access to healthcare, poor diet (especially deep fried fast food) and high obesity rates can all explain why the US spends so much but sees so little improvement in comparison to the rest of the developed world. Japan on the other hand is much better in many of these measures compared to America, especially in terms of diet, Japanese people aim for over 7 fruits and vegetables per day, many Americans barely get 3. In the developed world, health spending is definitely not the only factor that determines health and life expectancy.

23
Q

What are 3 ways health and life expectancy differences can be seen?

A

-By country and country
-By ethnic group
-By socio-economic group

24
Q

What are the differences between countries in the UK in terms of health and life expectancy?

A

Dorset - 82.8 years for men and 86.6 for women vs Glasgow - 72.6 years (-10) for men and 78.5(-8) for women

Male in England 77.7 vs Scotland 75.0 (2011)

More deprived areas often have lower life expectancies because they score worse on lifestyle indicators, there are pockets of deprivation across the UK, some regions just have more (or poorer access to healthcare) which often explains life expectancy differences

25
Q

What are the differences between ethnic groups in the UK in terms of health and life expectancy?

A

Inherited genetics in different communities and ethnic groups can also play a factor in disease and obesity. For example, those with African ancestry have the possibility of inheriting Sickle Cell Anaemia, those with European ancestry are much more likely to inherit cystic fibrosis and people of South Asian ancestry in the UK are 4 times more likely to develop young onset Type 2 diabetes in their lifetimes due to genetic predisposition to poorer insulin secretion.

26
Q

What are the differences between socio-economic groups in the UK in terms of health and life expectancy?

A

Occupation type + education level can impact attitudes to diet, exercise, smoking, alcohol consumption and access to healthcare. Middle and upper class people can possibly afford private healthcare if the NHS waiting list is too long, gym memberships and they can afford healthier food for them and their families. Working class people are also more likely to smoke, eat takeaways or partake in pub culture, particularly those in manual labour jobs.

27
Q

What is the contrasting country to the UK fro a case study on differences in health and life expectancy?

A

Australia and its aboriginal community

28
Q

What are the differences between Aboriginal and non-aboriginal Australians in terms of health and life expectancy?

A

Due to a range of factors Australian Aboriginal people have a lower than average life expectancy compared to non-indigenous Australians (8.6 years lower in major cities based on 2017 data). including: high rates of deprivation, chronic diseases and injury, lower levels of education and employment and social disadvantaged. Ineffective government programs have also failed to help along with high crime rates, high unemployment and the clash of Aboriginal families who often have ‘tribal’ mentalities when resettling from other parts of the country.

Lots of the Aboriginal Australian population also lives in relative geographic isolation from population centres and big hospitals often relying on small town clinics, which puts them at an especially big disadvantage in the case of accidents which are often common in rural life. However, a 2017 study showed that in remote and very remote areas Aboriginal Australians had a life expectancy 13.8 years lower than non-aboriginals, it is just 65.9 years which is crazy for a developed country.

Aboriginal men are particularly disadvantaged in terms of life expectancy with Aboriginal women in NSW and Canberra living 5 years longer on average

29
Q

What are the two continua which governments can be thought of in terms of? How can these affect development?

A

-Left wing (socialist) to right wing (capitalist)
-Liberal and Democratic to authoritarian and totalitarian

Where a government is located along these two continua will reflect its attitude towards human development or social progress.

30
Q

What is a totalitarian regime?

A

A system of government that is centralised and dictatorial; it requires complete subservience. E.g. North Korea.

31
Q

What is a welfare state?

A

A state that has policies in place (health care, benefits, education, social care) to ensure the social progress. Spending on the wellness of all citizens is a priority. E.g. the Nordic countries.

32
Q

What are the two case studies on opposing approaches government spending?

A

France - Some of the highest government spending as a % of gdp in the G20 and spending is across the board

Saudi Arabia - Most autocratic power in the G20, admittedly high healthcare spending but relatively low welfare, pensions and education spending

33
Q

What is French government spending like?

A

Some of the highest government spending as a % of gdp in the G20 at over 56%
-Predominantly state funded healthcare system is 4th highest in G20 in terms of % of GDP (£150 per family per month top up insurance)
-Welfare and pension payments are also high in France, e.g. in 2016, someone who had worked full-time for 40 years received about £15000 in annual state pension (by comparison, UK state pensions will reach about £7500 a year by 2018)
-Education spending is also very high Education at about £8500 per student per year in 2015 (compared to the UK’s top spending of about £7000 per student in inner London and only £3750 in rural areas)

34
Q

What is Saudi government spending like?

A

Saudi Arabia is the G20s most autocratic power - its ruling royal family assumes absolute authority, all policy is controlled by them.
-Oil production contributes 97% of export earnings, and is largely owned by the royal elite and they control the Saudi economy and gov’t (they have great influence over the global oil price). When oil prices are high, the government enjoys significant revenue. However, it also becomes burdened with debt when the price falls.
-Half of the 10 million employees in Saudi are from overseas (known as expats), often on contract work.
-Saudi Arabia’s healthcare system is 80% state-funded. It’s hospitals are high quality and state healthcare is free.
-Welfare and pension payments vary. In 2015, a third of working-age Saudis were in work, though the official unemployment rate was just 12% (still high internationally), but not true figure as research suggest less than 25% of Saudi women are in work.
-2013 study placed poverty at 20%
-Unemployment pay is £400 monthly, payable for only 12 months. Pensions are low by global standards (£300 monthly), though few retiring expats remain in Saudi
-Education spending in Saudi is lower than in France.
-Saudi education focuses on religious teaching; scientific and technical education are weka, and rote learning dominates. Saudi teachers are also poorly trained, and school leavers are often unable to find jobs in technical and oil industries which dominate the Saudi economy, or in government departments like defence, especially because expat workers are skilled and better qualified. This is a huge limiting factor to future social and economic development as it hinders the development of homegrown human capital.

35
Q

What has the World Bank done to improve education across the globe?

A

The World Bank is a founding member of the Global Partnership for Education (GPE), which was established in 2002
-The GPE invests in early childhood education for all children, and aims to develop a sound educational system for children through developing early reading and numeracy skills. It helps countries to set up early reading assessment systems, so that progress can be measured.
-The GPE’s focus has been on the poorest and most disadvantaged children, including education for girls, ethnic minorities, children with disabilities, combatting disease and children in areas affected by conflict.
-More recent work has focused on secondary and higher education
-Between 2002 and 2015, the GPE invested over US$35 billion in its educational programmes.

36
Q

What has the World Bank done for the environment across the globe?

A

In 2016, the World Bank launched a new initiative - the Climate Change Action Plan.
-The plan aims to help developing countries, such as India to add 30 gigawatts of renewable energy - enough to power 150 million homes - to the world’s energy capacity, as well as provide flooding early warning systems for 100 million people and develop investment in agriculture for 40 countries - all by 2020.
-The World Bank believes that tackling climate change is a threat to the poorest in the world

37
Q

What has the International Monetary Fund (IMF) done to tackle poverty across the globe?

A

The IMF’s historical role has been to strengthen weakening currencies and create ‘stronger’, more liberal, economic development policies for heavily indebted countries.

However, since 2000, the encouragement for poorer countries to focus on the MDGs has enabled the IMF to shift its attention to global poverty, through the poverty reduction programme. E.g. IMF is currently working with Haiti post-Hurricane Matthew in 2016 to try and make it an emerging economy by 2030.

38
Q

What has the World Trade Organisation (WTO) done for the environment across the globe?

A

WTO policies have encouraged countries to increase trade as a way of promoting economic development and reducing their debts. However, some of the effects of these policies have not always been as intended - for example, they have frequently resulted in environmental degradation, such as rainforest clearance and threats to biodiversity, as forest land has been cleared to grow crops. E.g. Indonesia has been a particular place where rainforest clearance has led to a rapid growth in palm oil production.

WTO trade policies now try to amend this and tackle environmental problems:
-Restricting the international movement of products or species that are potentially harmful or endangered
-Challenging trade agreements where there may be implications for climate change, such as forest clearance.

There have been cases of clear conflicts of interest between the most powerful countries in the WTO and the limiting of trade that may benefit those countries.

39
Q

What role do IGOs play in the improvement of environmental quality, education and poverty?

A

Education - World Bank have invested over $35 billion on education schemes since 2002, special focus on the development of early reading and numeracy skills
Environment - World Bank has invested heavily in the development of renewable energy for emerging and developing countries + WTO has restricted international movement of endangered species and challenged agreements where there may be environmental implications
Poverty - IMF has shifted its attention to global poverty through the poverty reduction programme, like is being employed in Haiti

40
Q

What were the Millennium Development Goals (MDGs)?

A

They were 8 goals relating to different aspects of human development that were agreed by the UN in 2000 and were to be achieved by 2015. They were for the developing world and included over 100 sub points.

41
Q

What are the 8 Millennium Development Goals?

A

1 - Eradicate extreme poverty and hunger
2 - Achieve universal primary education
3 - Promote gender equality and empower women
4 - Reduce child mortality
5 - Improve maternal health
6 - Combat HIV/AIDS, malaria and other diseases
7 - Ensure Environmental Sustainability
8 - Global Partnership for Development

42
Q

What were some successes of ‘ensuring environmental sustainability’ (the 7th MDG)?

A

-98% of Ozone-depleting substances eliminated since 1990, and the ozone layer is expected to recover by the middle of the century
-Terrestrial and marine protected areas in many regions have increased substantially since 1990. In Latin America and the Caribbean, coverage of terrestrial protected areas rose from 8.8 per cent to 23.4 per cent between 1990 and 2014, protection of the Arctic from Finland to Canada is becoming stronger too.
-In 2015, 91 per cent of the global population is using an improved drinking water source, compared to 76 per cent in 1990.
-2.6 billion people have gained access to drinking water since 1990
-147 countries have met the drinking water target
-2.1 billion people have gained access to improved sanitation
-People living in slums fallen by over 10% between 2000 and 2014

43
Q

What were some failures of ‘ensuring environmental sustainability’ (the 7th MDG)?

A

-The world is still dependent on fossil fuels which are damaging to the environment, countries such as Norway and the UK have fantastic sustainable energy initiatives, but Chinese CO2 emissions rose 3.4% and are 27% of the world total as of 2021, 80% of the USA’s energy mix is from fossil fuels and a variety of emerging powers are heavily reliant on fossil fuels for their emergence and development.
-Climate Change continues to threaten all progress

44
Q

How would you judge the overall success of the MDGs?

A

To conclude, I believe that the Millennial Development Goals have seen great success on all 8 fronts, despite possibly not achieving the exact wording of the goals (e.g. ERADICATE extreme poverty and hunger). However, progress has been uneven across regions, countries and continents (e.g. Africa still struggling with disease, gender equality and environmental sustainability), as a result, millions of people have been left behind, especially minorities and the poorest in the world.

45
Q

What happened to extreme poverty over the time the MDGs were in place?

A

47% to 15% of global population

46
Q

What happened to primary school enrolment over the time the MDGs were in place?

A

75% to 91% of children

47
Q

What happened to internet access over the time the MDGs were in place?

A

<1% to 43%

48
Q

What are the Sustainable Development Goals (SDGs)?

A

After the MDGs ended in 2015, the UN set out seventeen Sustainable Development Goals (SDGs) to end poverty, fight inequality and injustice, and tackle dimate change by 2030. The new SDGs and the broader sustainability agenda go much further than the MDGs did. They address the root causes of poverty and the universal need for a style of development that works for all people.

49
Q

What are the three strategic focus areas of the UN development program that the SDGs are connected to?

A

Sustainable development; democratise governance and peace building; climate and disaster resilience.

50
Q

What clear shift can be seen with new UN development programs?

A

There is a clear shift of emphasis in the new agenda from closing the development gap to sustainability and environmental concern. While the focus remains on the developing world, little is said about the contribution that might be made by the developed world, particularly in the broad context of aid.