Measuring Health Workforce Inequalities

Methods and Application to China and India

Measuring health workforce inequalities: methods and application to China and India is for users and producers of quantitative data in support of decision-making for health policy and practice, including statistical analysts, researchers, health workforce planners and policy-makers, and development partners. With the aim of strengthening the global evidence base across countries and regions, it is intended to encourage a greater number of countries to monitor and report on health workforce inequalities using standardized methods and measures.

Inequality indices based on three statistical measures adapted from economics – the Theil L measure, the Theil T index and the Gini coefficient – are elaborated so as to assess the distribution of the health workforce within and between geographical units in a country and to identify inequalities. A large part of this publication is devoted to presenting the application of these methods to an analysis of health workforce data from China and India, followed by a comparison of the distribution of human resources for health in the two countries.

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Luo Xiaoyuan
Topics: 
Health
Organization: 
World Health Organization

Racism in China

Racism isn’t a problem in China. That’s the official story you’ll read in the papers and hear on the streets, at least, and maybe there’s even a kernel of truth to it. Without a legacy of colonial activities abroad, the Chinese people are in many ways immune from attacks of historic racial discrimination. As China flexes its muscles internationally though, an increasing number of commenters are calling mainland behavior not only racist, but even representative of a new type of jianghu mentality. Is there any truth to this?

When a Billion Chinese Jump

As a young child, Jonathan Watts believed if everyone in China jumped at the same time, the earth would be shaken off its axis, annihilating mankind. Now, more than thirty years later, as a correspondent for The Guardian in Beijing, he has discovered it is not only foolish little boys who dread a planet-shaking leap by the world's most populous nation. When a Billion Chinese Jump is a road journey into the future of our species. Traveling from the mountains of Tibet to the deserts of Inner Mongolia via the Silk Road, tiger farms, cancer villages, weather-modifying bases, and eco-cities, Watts chronicles the environmental impact of economic growth with a series of gripping stories from the country on the front line of global development. He talks to nomads and philosophers, entrepreneurs and scientists, rural farmers and urban consumers, examining how individuals are trying to adapt to one of the most spectacular bursts of change in human history, then poses a question that will affect all of our lives: Can China find a new way forward or is this giant nation doomed to magnify the mistakes that have already taken humanity to the brink of disaster?  —Simon & Schuster

The Party: Impenetrable, All Powerful

In the next few weeks, an event will take place in Beijing on a par with anything dreamed up by a conspiracy theorist. A group of roughly three hundred men and women will meet at an undisclosed time and location to set policies for a sixth of humanity. Most China watchers will eventually learn that the meeting is taking place and scramble to figure out what is going on, but all the outside world will receive is a terse acknowledgment that it took place and a few gnomic sentences on its outcome.

Attack of the China Bears

As the American economy teeters on the brink of a double-dip recession, “China Bear” sightings have increased significantly. A loosely-knit group of economists and critics who see storm clouds looming over the Chinese economy, China Bears have a legion of grievances: real estate is in a bubble, the banking system is saddled with non-performing loans, capital investment in the country is inefficient, the economy is tilted too heavily towards export-oriented industries, and consumer wages are inadequate to pull China towards market-led solutions to its problems.

China’s Sovereign Wealth Fund: Developments and Policy Implications

China’s ruling executive body, the State Council, established the China Investment Corporation (CIC), a sovereign wealth fund, in September 2007 to invest $200 billion of China’s then $1.4 trillion in foreign exchange reserves. As with other sovereign wealth funds worldwide, the CIC’s existence allows China to invest its reserves in a wide range of assets, including stocks, bonds, and hedge funds. Congress and financial analysts raised concerns about the CIC after its creation, partly because it was a comparatively large sovereign wealth fund, partly because it was government-owned, and partly because it reported directly to the State Council. Some observers were apprehensive that the Chinese government would use the CIC to acquire control over strategically important natural resources, obtain access to sensitive technology, and/or disrupt international financial markets. The CIC attempted to counter these concerns by announcing that its investment strategy would conform to international standards, and sought only to maximize its “risk-adjusted financial return.” This report provides an overview of the CIC and its investment activities.

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Peony Lui

China’s Steel Industry and Its Impact on the United States: Issues for Congress

China’s steel industry has grown significantly since the mid-1990s. China is now the world’s largest steelmaker and steel consumer. The majority of Chinese steel has been used to meet domestic demand in China. However, as its steel production continues to grow, overcapacity is becoming a major concern to Chinese industrial policy makers, as well as steelmakers outside China. The Chinese government has shown interest in stepping up its efforts to rein in steel overcapacity and to consolidate and restructure the steel industry. However, it remains to be seen if the government’s efforts and measures are to produce sufficient or meaningful results. The possibility of surplus steel from Chinese steel producers; their alleged questionable, if not illegal, trade practices; and the possibility of Chinese direct investment in the U.S. steel sector are all of major concern to the steelmakers in the United States. This report provides an overview of China’s steel industry and discusses the issues and implications with regard to the U.S. steel sector.

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Peony Lui

Capital Punishment in China

Crimes that merit capital punishment in China include treason, murder, corruption, drug-traffiking, and occasionally even wildlife poaching. Yet despite the broad reach of the law here, the true extent of the death penalty in China remains one of the country’s most tightly-guarded state secrets. And yet China’s reliance on the death penalty has waned in recent years, as the Chinese government has instituted significant legal reforms. But how significant? And how many people are still executed each year?

China Marches West

From about 1600 to 1800, the Qing empire of China expanded to unprecedented size. Through astute diplomacy, economic investment, and a series of ambitious military campaigns into the heart of Central Eurasia, the Manchu rulers defeated the Zunghar Mongols, and brought all of modern Xinjiang and Mongolia under their control, while gaining dominant influence in Tibet. The China we know is a product of these vast conquests. Peter C. Perdue chronicles this little-known story of China’s expansion into the northwestern frontier. Unlike previous Chinese dynasties, the Qing achieved lasting domination over the eastern half of the Eurasian continent. Rulers used forcible repression when faced with resistance, but also aimed to win over subject peoples by peaceful means. They invested heavily in the economic and administrative development of the frontier, promoted trade networks, and adapted ceremonies to the distinct regional cultures. Perdue thus illuminates how China came to rule Central Eurasia and how it justifies that control, what holds the Chinese nation together, and how its relations with the Islamic world and Mongolia developed. He offers valuable comparisons to other colonial empires and discusses the legacy left by China’s frontier expansion. The Beijing government today faces unrest on its frontiers from peoples who reject its autocratic rule. At the same time, China has launched an ambitious development program in its interior that in many ways echoes the old Qing policies.  —Harvard University Press

Booming China, Migrant Misery

At the beginning of September, a Beijing criminal court announced a decision that called attention to the difficult and sometimes tragic circumstances of millions of migrant workers in China who have left their countryside homes to work for low wages under deplorable circumstances in the cities. The court gave a three-year jail sentence to a man who ran an unlicensed, low-cost kindergarten for the children of these migrant workers. He was found to have left a group of such children without supervision in a locked room. A fire started.