Stages of Growth
By Walter W. Rostow.
Countries can be placed in one of five categories in terms of their stages of growth.
Countries become wealthy by following the path of high-income nations like the United States and Europe.
The stage of growth coincides with the infant mortality rate.
Traditional Society (Stage 1) is characterized by:
In a subsistence economy, output is not traded or recorded.
Existence of bartering.
Poor society.
High infant mortality.
Based on high levels of agriculture and labor-intensive agriculture.
Example
Lesotho
Pre-conditions Society (Stage 2) is characterized by:
Development of mining industries.
Increase capital use of agriculture.
External funding is needed.
Growing savings and investment.
Decreasing infant mortality rate.
Surplus of agricultural goods.
Exploiting natural resources (Gold, Silver, Platinum, Oil, Coal, Gas, Timber, and Wood) for internal use.
Examples:
Rwanda
Democratic Republic of the Congo
Take off (Stage 3) is characterized by:
Increasing industrialization.
Extractive economic activities take root.
The number employed in agriculture declined as other industries took over.
Taxes get implemented
Infrastructure (Environment, sewage, education, defenses, and healthcare) begins to receive funding.
Infant mortality rate decreases yet again.
Examples:
Venezuela
Trinidad
Pakistan
Drive to Maturity (Stage 4) is characterized by:
Growth becomes self-sustaining.
Happens quarter after quarter.
The industry is more diverse.
Manufacturing (Vehicles, electronics, and clothing) plays a key role in economic growth.
Levels of technology used in the economy and society increase.
Examples:
China.
Brazil.
Russia.
India.
South Africa.
High Mass Consumption (Stage 5) is characterized by:
High output levels.
Mass consumption of consumer durables.
High level of employees in the service sector (Education, technology, finance, retail, entertainment, real estate, and healthcare).
High levels of easily accessible healthcare.
The large degree of technology and medicine is largely inaccessible elsewhere.
Lowest level of infant mortality.
Example:
United States of America.
Canada.
Japan.
South Korea.
New Zealand.
United Kingdom.
France.
Germany.
Australia.
As poverty decreases, infant mortality decreases as well.
Feb 3, 2025 Week 2 Part 1
Week 2 Part 1
Industrial water pollution reaches its peak in 1980, when it begins to decline
.All related to the predominant form of economic activity within a nation at a given period. EXAM QUESTION!!!
Ex; Manufacturing, agriculture, or services
Environmental Kuznets Curve is the graph of Environmental Degradation vs Per-capita Income
This does not apply to all forms of pollution
It does not count for exporting of pollution from rich to poor nations
What do you get from a pampered cow?
Spoiled Milk
Feb 10, 2025 Week 3 Part 1
Week 3 Part 1
Beyond the Environmental Kuznets Curve: Multinational Corporations and Their Impacts
Multinational Corporations
A company with its headquarters in a high-income nation and operations in one or more low-income nations
Ex: Mcdonalds, ExxonMobil, Apple, and Nike
Race to the Bottom
A phenomenon that is said to occur when competition among poor nations to attract multinational corporations leads to progressively lower environmental regulations in addition to wages and taxes
Takes two forms
Export Processing Zones: part of the nation where multinational corporations locate a factory. In this location, the company is often exempt from obeying a country's laws and regulations
(Almost) Complete Relocation: A process whereby an entire industry relocates to a low or middle-income nation
Potential exam question: Identify forms of the race to the bottom
Feb 12, 2025 Week 3 Part 2
Week 3 Part 2
International Monetary Fund
A multilateral organization that provides loans to low and middle-income nations to prevent them from going bankrupt
A multilateral organization is one that is financed by three or more nations.
A little over 50% of the money is contributed by the USA
The USA can determine the rules for loans
Structural adjustment loan
Has conditions or reforms attached to said loans
Conditions and reforms adversely affect health and facilitate the race to the bottom in these nations.
.United Childrens Fund
Adjustment with a human face
Women are uniquely and disproportionately impacted by structural adjustments.
Structural adjustment exacerbates gender inequality in low and middle-income nations.
Indirect effects on women’s health
Less female educational attainment
More informal labor force participation
More food insecurity
IMF requires nations to cut government spending
Cuts spending on health, education, and environmental protection
Cut public spending on health
Closing family planning and pre-natal care facilities
User Fees
Leads to a two-tiered system of health services
Feb 17, 2025 Week 4 Part 1
Week 4 Part 1
World Bank Group
Provides structural adjustment loans
Short-term loans (2-3 years) provided to low or medium-income nations
A nation must adopt certain macro-economic policy conditions in return for the money
“String attached” if you want the cash
Took publication of adjustment with a human face of effect on women
Infrastructure
Construction of hospitals during the 1980s
Increasing primary care access for poor
Clinics in rural areas (early 1990s)
Reforming the World Bank Group
Became increasingly aware many lower and middle-income nations were not able to repay their investment loans
Cost recovery
User fees attached to investment loans for health (the mid-1990s)
Privatizations of Health Services
Not just government delivering services (mid-1990s)
Investment in HIV/AIDS treatment (2000s onward)
Rapid testing, medication, and contraception
Gender Informed Projects
Sector-Wide Approach
Partnerships with other organizations
Didn’t only focus on the health sector
Organized hypocrisy
Finance Ministry Agenda = Structural Adjustment
Civil Society Agenda = Investment Lending for Health
One is for making money for Congress, while one concern is making money for the improving life for the countries
Feb 19, 2025 Week 4 Part 2
Week 4 Part 2
The problem:
40% of people in sub-Saharan Africa live on less than $2 a day
Children in sub-Saharan Africa are 5 times more likely to die before reaching the age of five than in any other region of the world
The debt burden
When a low or middle-income nation owes more to creditors (ex. IMF, WB, high-income nations) than it earns via exports and taxes or its government revenues
Debt burden and health relationship
Low or middle-income nations spend more money on paying off its debt than on health
Nations are spending more money on servicing debt (repaying debt) and there’s nothing left to spend on health
World Bank and IMF recognized this problem so they created the Highly Indebted Poor Countries Initiative to help solve this problem
Low-income spending too much on repaying debt than healthcare
Program that provides debt forgiveness to low and middle-income nations that qualify
How do nations qualify -> 2 steps
Reach a decision point
Have a debt burden that exceeds 280% or more of a country's government revenue
Have an “established track record of reform and sound policies through IMF and WB supported programs.”
Consistently implementing macroeconomic policy reforms, suggested by the WB and IMF as a part of structural adjustment loan (aka they’re doing what they’ve been told to do)
How do they do this?
Develop a poverty reduction strategy program
Plan to promote growth and reduce poverty by putting specific reforms into place -> structural adjustment lending (similar)
A plan devised in consultation with the IMF and WB that seeks “to promote growth and reduce poverty through implementation of specific economic and political reforms
Reach a completion point
“Establish a further track record of good performance under programs supported by loans from the IMF and WB.”
Adopt and implement its PRSP (Poverty Reduction Support Program) for at least one year
Results
Partial debt relief when passing the decision point and full debt relief when passing the completion point
The debt relief frees up finances that can now be spent on health and education
Qualifying for debt relief under the program requires the implementation of structural adjustment
PRSPs include reforms similar to structural adjustment
Mixed Impact
Low and middle-income nations that reach the decision point will see an improvement in infant mortality
More money is being spent on health
There is no effect once a low or middle-income nation reaches the decision point or in subsequent years
Structural adjustment and PRSP start reducing improvements, the initial improvements that occur slow down
It helps in the short term but the implementation of structural adjustment and PRSP (which are highly similar) lead to the same pattern of results
Feb 24, 2025 Week 5 Part 1
Week 5 Part 1
What is the World Health Organization?
Multilateral institution established in 1948
Based in Geneva, Switzerland
Part of the United Nations System
What does it do? (First 30 Years)
Eradication of infectious diseases
Increases vaccination prevalence
Smallpox
Vertical or top-down approach to health
World Health Organization comes in and sets up clinics and hands out vaccines.
NO input from the government or the population
If they couldn’t eradicate a disease through vaccinations?
Manage and control the spread of infectious diseases
Provides bed nets (Malaria Prevention)
Spray Pesticides
Drugs including antibiotics and antiparasitics
World Health Organization from 1978 Onward
World Health Organization member states sign the Alma Alta Declaration
Health as a state of complete physical, mental, and social well-being is a human right
The highest possible level of health is a global social goal involving the social, economic, and health sectors that is crucial to social and economic development and world peace
Inequality between developed and developing countries is unacceptable
People have the right to participate individually and collectively in healthcare planning
Socially acceptable methods of technology must be universally accessible to individuals at a cost their communities and countries can afford
Primary healthcare is characteristic of a specific country and addresses the main health problems of communities; non-health interventions in education, agriculture, and nutrition require community and individual self-reliance in planning and operation and rely on local health workers
all governments should form national policies and plans to launch and sustain primary healthcare as part of a comprehensive national health system
all countries should cooperate in the spirit of partnership
independence, peace, and disarmament “could and should release additional resources” for peaceful aims, of which primary healthcare should receive a significant share.
How does it accomplish these goals?
Shifts to focus on primary health care to improve access to quality essential services
Improve access to essential medicines and health products
Train the health workforce to deliver primary care
Support people’s participation in the formation of national health policies
Collects data
Uses data to set international standards for treatment options
Disseminates infomation
Promotes research
World Health Organization emphasizes
Preventing and controlling the spread if
HIV/AIDS
Malaria
Tuberculosis
Neglected Tropical Diseases
Preventing non-communicable diseases
Prevent smoking
Prevent obesity
Promote safety
Worked disasters
California wildfires
Conflict Zones
Potential Problems
Financing
18% of the WHO’s budget comes from member states to support the organization
The remaining 80% of WHO’s budget is composed of voluntary contributions from governments, international organizations, and private agencies.
Consequences
Makes budget planning and prioritization difficult for the World Health Organizations
Not sure how much the organization will receive from year to year.
Voluntary contributions are often “earmarked” by a donor.
US earmarks with abstinence-only sex education
It weakens WHO’s decision-making power and shifts it to wealthy governments or other donors.
Funding may not reach the highest priority programs.
In 2014, the United States provided $173 million in earmarked funding to the World Health Organization
In the same year, it allocated less than $1 million for the World Health Organization’s “outbreak and crisis response” fund.
Feb 26, 2025 Week 5 Part 2
Week 5 Part 2
Answer the last question is A !!!! 30 questions
United Nations Population Fund
Multilateral institution established in 1948
Based in Geneva, Switzerland
Part of the United Nations System
In 1985, the United Nations Population Fund (UNFPA) carried out the first efforts to measure maternal mortality across the world
Deaths due to childbirth per 1000 live births
500,000 maternal deaths annually
Not equally distributed across the planet
This is more pronounced in low-middle-income nations
Lack of healthcare due to structural adjustment, race to the bottom
Maternal mortality disproportionately impacts low- and middle-income nations
99% of deaths occur in low- and middle-income nations
Determined that maternal morbidity is likely to occur in low-middle-income nations
Mother doesn’t die during childbirth but suffers health-related consequences during her life because of the pregnancy
Such as disability, pain across life course, infertility
All equal = maternal morbidity or any health condition attributed to and/or aggravated by pregnancy and childbirth that adversely impacts the women's health being
1987, UNFPA organizes the first international conference on maternal mortality
International Safe Motherhood Conference
UNFPA brings together doctors, researchers, government officials, officials from other multilateral organizations, and experts to try to solve the problem of maternal mortality
UNFPA = Coordinating Agency
Form interagency group on safe motherhood
Coordinates safe motherhood and other reproductive health activities of United Nations agencies, the World Bank, the World Health Organization, and national governments
Came up with A Standard Pack of Maternal and Newborn services that should be provided to every mother
Cost $2.50
Provides contraception/ family planning, doesn't include access to abortion
Provide prenatal care
Leading to fewer women to begin with to be educated
Need to eliminate user fees
Limitation
Funding disruptions
The United States has withheld funding to the organization under the Bush and Trump administrations
Bush and trump administration argue that UNFPA is funding coerced abortions
The UNFPA policy on abortion, as approved by its executive board, is twofold
Prevent recourse to abortion by promoting universal access to voluntary family planning
Deal with the consequences of unsafe abortion to save women’s lives.
Mar 3, 2025#11
Lecture #11
Race to bottom
When lower and middle class nations race for participation in multinational corporations
Laxes environmental and worker rights regulations
Includes the following four:
Export processing zone
Where the factories are at in the poor nation
Relocation of industry to a dirty nation
Exports full industry to a poor nation
Rostow’s Five Stages of Growth (1 Question from each of the stages)
Traditional society
Agriculture
North Korea, Somalia, Yemen, and Haiti
Pre-conditions for Takeoff
Agriculture is still the predominant form
Extractive industries (Natural resources extracted)
Takeoff
Manufacturing grows
Taxes implemented
Drive to maturity
Manufacturing becomes the predominant form
Growth becomes self sustaining
High Mass consumption
Mass consumption of consumer goods
High levels of output
What do you call a magic dog?
LabraCadabraDor
Why do environmental kuznet curve believers believe it exists
Predominant form of economic activity
Why do critics say the curve exists
Doesn’t account for outsourcing of pollution (Race to the bottom)
United Nations Development Program (UNDP)’s main concern is HIV/AIDS
Macro Economic Reforms - D. All of the above
User fees
Privatizations
Cut in government spending