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Health and Poverty

Health and Poverty. Mayeesha YH Tseng Ph.D Candidate Institute of Health Policy and Management National Taiwan University. 1. People in a poor country suffer from ill-health. Agree Disagree. Growth of life expectancy by increase of GDP/capita in Bangladesh, Japan and USA, 1960-2008.

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Health and Poverty

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  1. Health and Poverty Mayeesha YH Tseng Ph.D Candidate Institute of Health Policy and Management National Taiwan University

  2. 1. People in a poor countrysuffer from ill-health • Agree • Disagree

  3. Growth of life expectancy by increase of GDP/capita in Bangladesh, Japan and USA, 1960-2008

  4. 2. When a poor person gets sick,… • Can’t do or demand anything. • Government should ensure universal health care, despite the ability to pay. • Charity organizations should offer help. • Sell all properties to buy back health. • Borrow money from friends or bank for treatment.

  5. 3. When you are sick, you choose to go to public health facilities because… • Government service is trustworthy. • It is cheap. • It offers quality care. • It is close to where you live or work. • It ensures privacy.

  6. 4. When you are sick, you choose to go to private health facilities because… • Private service is trustworthy. • It offers quality care. • It is cheap. • It is close to where you live or work. • It ensures privacy. • Doctors give you more time.

  7. 5. Population health is important for a society because… • Healthy people contribute to economic growth and productivity. • Health itself is important. (health as an end) • Health is a tool that enables us to live a life we value. (health as a means)

  8. Determinants of Health

  9. Poverty & Health MICROCREDIT A global movement

  10. Microcredit: specially designed collateral free, small loans for the poor who have no access to loan. Also referred to as Microfinance.

  11. Microcredit: from 1976 to 2012 (Microcredit Summit Report 2012)

  12. Who operates Microcredit program? Banks do not have microcredit programs. Conventional banks don’t offer microloans. Micro Finance Institutions (MFI) : An NGO (Non-governmental organizations ) that runs Microcredit program 3,589 microfinance institutions (MFIs) in 145 countries

  13. Characteristics of Microfinance Institutions (MFIs) Rural based Integrated network with grassroots communities Motivate poor women Skill in group formation Conflict resolution capacity Comprehensive monitoring system

  14. Microcredit in Bangladesh

  15. Credit Where Credit’s Due A documentary (23 min)

  16. Who receives Microloans? 98% of microcredit borrowers are poor village women

  17. Income Generating Activities

  18. Homestead Technology

  19. GraduationFrom Home to Factory - Business Center

  20. Why Women?

  21. Group Exercise (10 min break + 30 min discussion) • Every subgroup is a solidarity group in a rural setting • Within NT$5,000, everyone will propose an income generating plan • Pay back NT$5,750 in 51 weekly installments • Smooth repayment ensures disbursement for the next group member • Group leader is the last to borrow • MFIs give no suggestion about your investment • At the end of discussion, group leaders report business profiles of your group to TAs

  22. Business Profiles of NTU Village

  23. 8. Impact of Microcredit • On women? • On children? • On family? • On health? • On economy? • On society? • On others? Identify at least 2 aspects

  24. A magic bullet to alleviate poverty?Microcredit and Health Provision 1. MFIs run private clinics/hospitals for its clients • WHY? • GOOD OR BAD? 2. Microcredit borrowers run pharmacies and clinics. • GOOD OR BAD?

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