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Response to Amir Attaran 英文参考文献
Open access, freely available online
Correspondence
Response to Amir Attaran
MDGs with the same brush. In addition to the example of
child mortality rates cited in the article, several other MDG
indicators can be measured quite well. These indicators
include anthropometric measures of malnutrition, primary
school enrollment, gender parity in education, and access to
basic infrastructure services.
John W. McArthur, Jeffrey D. Sachs, Guido Schmidt-
Traub
Amir Attaran’s Policy Forum [1] raises important points on
the poor quality of data for some indicators used to measure
progress on the Millennium Development Goals (MDGs),
but, sadly, uses these ?ndings to draw the wrong conclusions.
The evidence he presents on a small number of indicators
is partial, and does not justify his conclusion that the MDGs
might become a liability and are doomed to fail. Quite the
opposite is the case.
Of course the data on the world’s extremely poor people
are weak, as is just about every other aspect of efforts vis-a-vis
the poor. The rich countries dramatically underinvest and
make far too little effort in helping to save the poor from
dying of malaria and tuberculosis (TB). It is, therefore, no
surprise that developing countries and the international
system lack the resources and operational support to measure
malaria and TB well. Attaran’s criticisms in this regard are
justi?ed and have been made by many others before him,
including many professionals working for the United Nations
(UN) system.
The MDGs are a political commitment made by the 189
countries represented at the 2000 Millennium Summit to
halve extreme poverty in its many forms by 2015. The author
ignores that such broad outcome goals adopted by world
leaders are distinct from the technical question, how to
de?ne and measure corresponding indicators, which the UN
has been asked to help answer. It is, therefore, inaccurate
to blame the UN system for setting goals that are dif?cult
to measure. Goal setting is the prerog
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