scholarly journals Evaluating the Policy Claims of Migration in Nepal

Author(s):  
Asmod Karki

The Government of Nepal published the landmark Compact Rural Settlements Policy (CRSP) in 2013. The policy paper argued for clustering settlements in rural Nepal in order to improve quality of life for people. One of the main arguments of this paper is that rural out-migration happens due to lack of services. This paper analyzes the relationship between migration and availability of services in Nepal. The results demonstrate that the relationship among migration decision, availability of health and education services is statistically insignificant. In other words, the claims of the CRSP paper needs to be reevaluated and a comprehensive cost–benefit analysis of resettlements should be conducted before government led clustered settlements are built in the country.

1993 ◽  
Vol 31 (11) ◽  
pp. 41-44

The relationship between drug costs and treatment choices was the subject of the first annual Drug and Therapeutics Bulletin symposium held in March 1993.* In a time of severe financial constraints for the NHS it is important that the money available is well spent. In the case of treatment that means the benefits must be worth the cost. There is, however, no agreed way of deciding when a particular health benefit to an individual is worth the cost to the NHS. Drug prices are easier to measure and more consistent than the prices of other treatments, and may be more amenable to cost-benefit analysis. Treatment choices are made primarily by doctors but with critical input from patients, pharmacists, nurses and health service managers. In this article we give an overview of the symposium at which speakers described ways in which drug costs and treatment choices were tackled in general practice (Ann McPherson, John Howie), in hospital (Dorothy Anderson), in clinical research and audit (Iain Chalmers, Alison Frater), by consumers (Anna Bradley), by health economists (Mike Drummond) and by government (Joe Collier). We also take into account points raised in discussion by the participants.


2000 ◽  
Vol 6 (2-3) ◽  
pp. 367-371
Author(s):  
B. Larijani ◽  
O. Ameli ◽  
K. Alizadeh ◽  
S. R. Mirsharifi

We aimed to provide a prioritized list of preventive, diagnostic and therapeutic procedures and their appropriate classification based on a cost-benefit analysis. Functional benchmarking was used to select a rationing model. Teams of qualified specialists working in community hospitals scored procedures from CPTTM according to their cost and benefit elements. The prioritized list of services model of Oregon, United States of America was selected as the functional benchmark. In contrast to its benchmark, our country’s prioritized list of services is primarily designed to help the government in policy-making with the rationing of health care resources, especially for hospitals


2017 ◽  
Vol 33 (S1) ◽  
pp. 75-76
Author(s):  
Paul van Gils ◽  
Eelco Over ◽  
Anita Suijkerbuijk ◽  
Joran Lokkerbol ◽  
Ardine de Wit

INTRODUCTION:Due to their chronic nature and high prevalence, alcohol and cannabis addiction leads to a significant (disease) burden and high costs, both for those involved and for society. The latter includes effects on health care, quality of life, employment, criminality, education, social security, violence in the public and private domain, and traffic accidents. In the Netherlands, a considerable number of people with an alcohol or cannabis addiction currently do not receive addiction care. Cognitive Behavioral Therapy (CBT) is effective as a treatment for both alcohol and cannabis addiction and is widely used in specialized addiction care centers. This social cost-benefit analysis (SCBA) models costs and benefits of increasing the uptake of CBT for persons with an alcohol addiction and for adolescents with a cannabis addiction, taking into account a wide range of social costs and effects (1).METHODS:The method follows general Dutch guidance for performing SCBA. A literature search was conducted to evaluate efficacy of CBT for alcohol and cannabis dependence. In addition, the social costs of alcohol and cannabis addiction for society were mapped, and the costs of enhancing the uptake of CBT were explored. Costs and benefits of increased uptake of CBT for different social domains were modeled for a ten year period, and compared with current (unchanged) uptake during this period. Compliance problems (about 50 percent of clients do not finish CBT) and fall-back to addiction behavior (decrease of effects of CBT over time) were taken into account in model estimations.RESULTS:Per client treated with CBT, the estimated benefits to society are EUR10,000-14,000 and EUR9,700-13,000, for alcohol and cannabis addiction, respectively. These benefits result from reduced morbidity and mortality, improved quality of life, higher productivity, fewer traffic accidents, and fewer criminal activities.CONCLUSIONS:This SCBA shows that not only treated clients but also society will benefit from an increase in people treated with CBT in specialized addiction care centers.


2002 ◽  
Vol 8 (1) ◽  
pp. 36 ◽  
Author(s):  
James K. Kirkwood

During the last century there were two distinct and profound changes in attitudes to animals. First, it became widely understood that human activities and anthropogenic changes to the environment present a serious threat to biological diversity. In response to this many programmes to protect habitat and to conserve species have been launched. Second, advances in various fields of science led to a strengthening belief in many societies that a wide range of animals may have the capacity for consciousness and thus suffering. This has led to growing concern for the welfare of animals - the quality of their lives - and to the development of extensive bodies of welfare legislation in many countries. Concerns for species conservation and concerns for individual animal welfare do not always pull in the same direction. Around the world, conflicts are becoming commonplace between those who believe it can be justifiable to compromise the interests of individual animals in order to prevent species extinctions and those who do not. Such conflicts may be addressed and hopefully avoided or minimized through use of an ethical review process in which conservation benefits and welfare costs are carefully identified, considered and weighed in a cost/benefit analysis. A second function of this review process is to ensure that, where the decision is taken to proceed with a conservation programme that may adversely affect the welfare of some individuals, all necessary steps are taken to minimize these threats and their possible impacts.


2016 ◽  
Vol 46 (2) ◽  
pp. 175-197
Author(s):  
Gabriela Borz

This article explains variation in the quality of representation in the context of European Parliament elections. Specifically, it clarifies how voters relate to political parties on the issue of European integration and whether they are represented, misrepresented, or indifferent to this issue. The analysis shows that perceived benefits of European integration do drive a perfect voter-party match while perceived costs, when high, drive a perfect match between Eurosceptic voters and likeminded parties and make voters less indifferent. The analysis draws attention to the high number ofstatus quovoters who, in the absence of a party with similar views, could channel their vote towards a party promoting integration, but only if their knowledge about the EU and its benefits increases.


2017 ◽  
Vol 91 ◽  
pp. 82-92 ◽  
Author(s):  
Jaime A. Cardona ◽  
Ollin C. Segovia ◽  
Stefan Böttger ◽  
Nahum A. Medellin Castillo ◽  
Luis Cavallo ◽  
...  

2005 ◽  
Vol 10 (2) ◽  
pp. 253-284
Author(s):  
Roma Dauphin

This study is comprised of two parts. The first is essentially descriptive and seeks to define with greater precision the nature of the Western world's asbestos fiber needs, account being made currently-known technology and the existence of substitutes. Asbestos ore reserves are then examined with a view to evaluating the constraints conditioning current asbestos fiber production. With the exception of that carried out in the U.S.S.R., this production is highly concentrated in Quebec whose surplus output is exported to every continent at prices that have experienced a staggering increase since 1973 even though international trade in asbestos fibers is conducted via multinational firms. The second part of the study contains a cost-benefit analysis of Quebec's new policy as well as a brief consideration of the political forces that have induced the Government of Quebec to adopt it.


2021 ◽  
Author(s):  
Catherine Bridge ◽  
Fredrick Zmudzki ◽  
Tracy Huang ◽  
Ceridwen Owen ◽  
Debbie Faulkner

This research looks at how smart home assistive technologies (AT) may be best used in both the aged care and disability sectors to reduce the need for support services. It includes an assessment of ease of use, quality-of-life and cost benefit analysis, and contributes to the development of policy options that could facilitate effective adoption of smart home AT in Australia.


Land ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. 465
Author(s):  
Priscilla Wainaina ◽  
Peter A. Minang ◽  
Eunice Gituku ◽  
Lalisa Duguma

With the increase in demand for landscape restoration and the limited resources available, there is need for economic analysis of landscape restoration to help prioritize investment of the resources. Cost-benefit analysis (CBA) is a commonly applied tool in the economic analysis of landscape restoration, yet its application seems limited and varied. We undertake a review of CBA applications to understand the breadth, depth, and gaps. Of the 2056 studies identified in literature search, only 31 met our predefined criteria. Three studies offered a global perspective, while more than half were conducted in Africa. Only six countries benefit from at least 2 CBA studies, including Brazil, Ethiopia, Kenya, Vietnam, South Africa, and Tanzania. About 60% focus on agroforestry, afforestation, reforestation, and assisted natural regeneration practices. Only 16% covered all cost categories, with opportunity costs being the least covered. Eighty-four percent apply direct use values, while only 16% captured the non-use values. Similarly, lack of reliable data due to predictions and assumptions involved in data generation influenced CBA results. The limited number of eligible studies and the weaknesses identified hereinabove suggest strong need for improvements in both the quantity and quality of CBA to better inform planning, policies, and investments in landscape restoration.


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