Edited by Davidson R. Gwatkin, Adam Wagstaff, Abdo S. Yazbeck
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This volume presents eleven case studies that document how well or
poorly health, nutrition, and population programs have reached
disadvantaged groups in the countries of Africa, Asia, and Latin
America where they were undertaken. The studies were commissioned by
the Reaching the Poor Program, undertaken by the Word Bank in
cooperation with the Bill and Melinda Gates Foundation and the Dutch
and Swedish governments, in an effort to find better ways of ensuring
that health, nutrition, and population programs benefit the
These case studies, reinforced by other material gathered by the
Reaching the Poor Program, indicate clearly that health programs do not
have to be inequitable. Although most health, nutrition, and population
services achieve much lower coverage among disadvantaged groups than
among the better-off, many significant and instructive exceptions
exist. These show that the poor can be reached much more effectively
than at present and point to potentially promising strategies for doing
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