Central America has come a long way both in terms of economic and political stability. Increasingly the region is focusing on implementing productivity-enhancing reforms as well as supporting reductions in poverty and inequality. This report analyzes recent trends in public social spending in Central America from 2007 to 2014, conducts international benchmarking, examines measures of the effectiveness and efficiency of social spending, and discusses the quality of selected institutions influencing this spending. We examine total social spending, as well as detailing its four components: public spending on the education, health, and social protection and labor (SPL) sectors. In analyzing public social spending, the report addresses three crucial policy issues: (a) how to improve the coverage and redistributional incidence of public social spending; (b) how to enhance the effectiveness and efficiency of public social spending; and (c) how to strengthen the institutions governing public spending in the social sector. While based heavily on a series of recent analytical social spending studies in six countries in the subregion—Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, and Panama—this report also takes a broader regional perspective and includes some comparisons to countries in other regions.
Asthma is a disease which, beginning in the 1980s, increased in the United States and other countries in both its prevalence and mortality. According to reports by the Center for Disease Control, the number of people with asthma increased by 42% in the last decade, with children, ethnic minorities and the urban poor being most at risk. Timely research on the causes and mechanisms behind the dramatic increase of asthma in the United States and other nations-to epidemic proportions-is presented in this volume. Investigators heading up eight research groups in asthma and/or allergy present their most recent findings, funded by the Center for Indoor Air Research. In addition to the work underway and discussions/suggestions on present research problems, ASTHMA: Causes and Mechanisms of an Epidemic Inflammatory Disease provides a chapter on the causes of asthma-and the reasons for its recent spread, so hotly discussed in the current literature. Researchers in the fields of asthma and allergy, health care providers, and others who follow research in either of these two developing areas will benefit from this book. The book is written at the level of one investigator to another.
First published in 1999, this study seeks to explore the effects of economic adjustment and why the classical prescriptions for structural adjustment did not succeed in Mexico, or at best succeeded only partially. It asks why growth was retarded, not accelerated; inequality rose rather than fell; poverty increased rather than declined; informalization of the economy occurred rather than modernization. Mexico’s story needs to be better known and this book is a good place to begin, containing numerous insights and valuable lessons for analysts and policy makers alike.
In this seventh edition, John A. Booth, Christine J. Wade, and Thomas W. Walker update a classic in the field which invites students to explore the histories, economies, and politics of Costa Rica, Nicaragua, El Salvador, Guatemala, and Honduras. Covering the region's political and economic development from the early 1800s onward, the authors bring the Central American story up to date. New to the 7th Edition: Analysis of trends in human rights performance, political violence, and evolution of regime types; Updated findings from surveys to examine levels of political participation and support for democratic norms among Central Americans; Historical and current-era material on indigenous peoples and other racial minorities; Discussion of popular attitudes toward political rights for homosexuals, and LGBTQ access to public services; Discussion of women’s rights and access to reproductive health services, and women’s integration into elective offices; Tracing evolving party systems, national elections, and US policy toward the region under the Obama and Trump administrations; Central America’s international concerns including Venezuela’s shrinking role as an alternative source of foreign aid and antagonist to US policy in the region, and migration among and through Central American nations. Understanding Central America is an ideal text for all students of Latin American politics and is highly recommended for courses on Central American politics, social systems, and history.
Central America has come a long way both in terms of economic and political stability. Increasingly the region is focusing on implementing productivity-enhancing reforms as well as supporting reductions in poverty and inequality. This report analyzes recent trends in public social spending in Central America from 2007 to 2014, conducts international benchmarking, examines measures of the effectiveness and efficiency of social spending, and discusses the quality of selected institutions influencing this spending. We examine total social spending, as well as detailing its four components: public spending on the education, health, and social protection and labor (SPL) sectors. In analyzing public social spending, the report addresses three crucial policy issues: (a) how to improve the coverage and redistributional incidence of public social spending; (b) how to enhance the effectiveness and efficiency of public social spending; and (c) how to strengthen the institutions governing public spending in the social sector. While based heavily on a series of recent analytical social spending studies in six countries in the subregion—Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, and Panama—this report also takes a broader regional perspective and includes some comparisons to countries in other regions.
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