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Ebook Blood Services in Central Asian Health Systems: A Clear and Present Danger of Spreading HIV/AIDS and Other Infectious Diseases

Understanding how communicable diseases spread is key to controlling them. Blood transfusions are a small contributor to communicable disease transmission compared to other well-reported modes, but ensuring the safety of the blood supply in a health system is largely within the purview of national governments.

Until recently, little was known about blood transfusion systems in Central Asia and their contribution to disease transmission. The World Bank and the Central Asian Regional Office of the United States Centers for Disease Control and Prevention (CDC/CAR) collaborated to shed light on the workings of these systems. With the permission and collaboration of the Central Asian countries’ Ministries of Health, and under a co-financing arrangement with the World Bank, CDC/CAR re-screened blood samples from 7,500 blood donors in Central Asian countries in 2007. These re-screenings revealed the risk that contaminated blood may be reaching health facilities for administration to unsuspecting patients by unsuspecting doctors. This is alarming given that transfusion of HIV-infected blood is the most efficient means of transmission: about 100 times more efficient than intravenous drug injection with a contaminated syringe (according to available evidence, risk of HIV transmission through blood transfusion is 9,250 per 10,000 exposures to an infected source).

PDF Ebook Capitalism with Chinese Characteristics: the Public, the Private and the International

This working paper considers the politics of China’s economic transition from socialism. It is not intended to provide a comprehensive account of domestic reform in China – that would take a book in itself - but instead is conceived as providing an understanding of the domestic context of change for those scholars interested in International Political Economy (IPE) who are not familiar with the specifics of the Chinese case. It shows how different interests influenced the emergence of a public-private relationship by focussing on three factors the changing bases of CCP legitimacy, formal policy relating to the socialist nature of the Chinese economy and state, and reform of the financial structure.

It starts from two basic assumptions. First, economic systems and structures do not just emerge on their own but are constructed to serve specific ends. This does not mean that their evolution follows some sort of pre-ordained plan. Often, as is the case with China, the development of the economic system can be dysfunctional in that the system that emerges owes more to the agglomeration of numerous initiatives to interpret and implement economic change to serve particular interests than it does to the plans and strategies of national level decision making elites. Second, and very much related, emerging economic systems in transitional states are politically, historically, socially and culturally embedded – where they came from is a key determinant of where they are going.

Ebook Expanding Credit Access: Using Randomized Supply Decisions to Estimate the Impacts

Expanding access to credit is a key ingredient of development strategies worldwide. The microfinance industry has grown exponentially over the past twenty years under the premise that expanding access to credit will help improve the welfare of the poor (Morduch 1999; Armendariz de Aghion and Morduch 2005). This policy push has been driven by both theoretical and empirical motivations. Theoretical models show that information asymmetries can lead to credit market failures and ensuing poverty traps (Banerjee and Newman 1993). Empirical evidence shows strong positive correlations between depth of access and poverty rates at the macro level (Levine 1997; Honohan 2004), positive impacts of access to microfinance at the micro level (Pitt and Khandker 1998), and positive impacts from expansions of bank branch networks on aggregate poverty (Burgess and Pande 2005). Policymakers, practitioners, and funders are committed to continued rapid growth.

There is less consensus on the role of consumer credit in expansion initiatives. Some microfinance institutions are moving beyond “traditional” entrepreneurial credit and offering consumer loans. But many practitioners remain skeptical about “unproductive” lending (Robinson 2001). Policy is similarly conflicted about lending at “usurious” rates. Concerns about the development of consumer credit markets are fueled by academic work highlighting behavioral biases that may induce consumers to overborrow.

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