Development Asia—Who Will Pay for Asia's Double Burden?: July–December 2011
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Development Asia—Who Will Pay for Asia's Double Burden? - Asian Development Bank
Who Will Pay For Asia’ Double Burden?
Innovative financing is needed to address an unprecedented burden of communicable and noncommunicable diseases
WWW.DEVELOPMENT.ASIA
© 2011 Asian Development Bank
ISSN 1998-7528
ASIAN DEVELOPMENT BANK
PUBLISHER
Ann Quon
SENIOR EDITOR
Floyd Whaley
EDITORIAL ADVISOR
Indu Bhushan
ASSOCIATE EDITOR
Maria Liza Solano
COPY EDITOR
Caroline Ahmad
RESEARCH DIRECTOR
Shawn Pang
ART DIRECTOR
Andy Martin
Development Asia features development issues important to Asia and the Pacific. It is published four times a year by the Asian Development Bank. The views expressed in this magazine are those of the authors and do not reflect the views and policies of the Asian Development Bank and Haymarket Media Ltd. Use of the term country
does not imply any judgment by the authors or the Asian Development Bank and Haymarket Media Ltd. as to the legal or other status of any territorial entity.
Advertising of any specific commercial product, process, service by trade name, trademark, manufacturer, or otherwise, in this publication does not constitute or imply ADB’s endorsement, recommendation, or favoring of any of the product or the entity thereof.
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Asian Development Bank
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editor@development.asia
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Cover photo: AFP
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refers to US dollars
A publication of the Asian Development Bank,
designed and distributed by Haymarket Media Limited
Critical Thinking..
"Development Asia... comes across
like Time or Newsweek in the good
old days. Professional journalists
research important subjects and
report without being blinkered.
"The magazine is not a mouthpiece
for official ADB policy....
"ADB is not trying to inspire
the kind of optimism that is
typical of PR publications, but hopes to trigger serious debate."
Hugh Williamson
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The Financial Times
www.development.asia
PUBLISHER’S NOTE
Getting Better
Asian and Pacific countries are facing unprecedented challenges related to health care. While wealthier countries tend to suffer from noncommunicable ailments, such as cancer and diabetes, and poorer countries from communicable diseases, like malaria and dengue, many parts of Asia and the Pacific are plagued by both. This edition of Development Asia explores the double burden of disease that political leaders in the region are grappling to address. At the root of this problem is health financing. Simply put: how do governments and their private sector partners provide solutions that keep the poor from suffering catastrophic health care costs?
Underlying this situation is the specter of a pandemic. Many health experts, both within Asia and around the world, believe that the next pandemic will originate in Asia. Since severe acute respiratory syndrome (SARS) swept the region and much of the globe in 2003, countries throughout Asia and the Pacific have banded together in an unprecedented display of regional cooperation in the health sector to stop the next pandemic at its source.
For the articles section, regular contributor Karen Emmons explores the troubles facing microfinance.
Other stories include an interview with one of the pioneers in the use of randomized control tests in development work, which some believe is the future of efforts by development organizations to establish the effectiveness of their work. In our Reconnaissance section, regular contributor Margo Pfeiff offers tips on how to shop in ways that benefit—or at least don’t hurt—the poor.
In this edition, we welcome two new contributors. Jade Lee-Duffy, a longtime Hong Kong, China business writer and editor, joins our team, along with Frale Oyen, whose reporting has taken her from the tiniest islands of the Pacific to Viet Nam and the Middle East.
After reading this edition, ask yourself: What can countries in Asia and the Pacific do to improve health care, particularly for the poorest and most vulnerable? Then send us your thoughts at editor@development.asia.
Stay well!
Ann Quon
Publisher
CONTENTS
YEAR IV, NUMBER XI, JULY–DECEMBER 2011
21 STOPPING THE NEXT PANDEMIC
34 EXAMINING MICROFINANCE
42 SHOPPING WITH A CONSCIENCE
Letters to the Editor
Empowering communities
Your recent issue on education in Asia is a must-read for development workers and policy makers—and should also be placed in the hands of every public school teacher in the region. Or at least one issue per school. They need to look up from their textbooks and from what they