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Diretrizes para gestão e gerenciamento de medicamentos de uso domiciliar : estudo de caso para o município de Limeira¿SP = Guidelines for domiciliary medication management : case study for the city of Limeira-SP; Guidelines for domiciliary medication management : case study for the city of Limeira-SP

Izabela Freire Teodoro
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 07/02/2013 PT
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36.35%
Os produtos farmacêuticos têm sido amplamente utilizados na medicina humana, veterinária, como cosméticos e produtos de higiene pessoal, sendo caracterizados como substâncias emergentes e de caráter poluidor. O aporte dessas substâncias nos corpos hídricos suscita riscos para o meio ambiente e saúde pública. Atualmente existe a preocupação principalmente no que se diz respeito ao descarte de medicamentos de uso domiciliar, pois não existem regulamentos específicos para tal no Brasil. O equacionamento do problema envolve a proposição de medidas conjuntas, com a participação dos consumidores, fabricantes, distribuidores de medicamentos, e o poder público. Esta pesquisa visou levantar dados e informações junto às farmácias e drogarias, unidades básicas de saúde (UBS) e população, bem como propor diretrizes para a implantação de programas de gestão e gerenciamento de resíduos de medicamentos de uso domiciliar no município de Limeira - SP. Nas entrevistas realizadas junto às 92 farmácias e drogarias de Limeira, conveniadas a AFAL - Associação de Farmácias de Limeira, e nas 14 Unidades Básicas de Saúde do município, identificou-se que os programas de coleta de medicamentos de uso domiciliar existentes não são eficazes e possuem abrangência limitada. As entrevistas realizadas junto à população do município identificaram os hábitos relacionados ao consumo...

Reserva Táctica - Conceito de Emprego

Vieira, José
Fonte: Academia Militar. Direção de Ensino Publicador: Academia Militar. Direção de Ensino
Tipo: Outros
Publicado em 01/08/2009 POR
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O presente trabalho subordina-se ao tema “Reserva Táctica – Conceito de Emprego”, e tem como intuito enunciar um conjunto de princípios a tomar na elaboração do treino operacional, abordando ainda uma eventual reorganização das forças, que cumprem a missão de Reserva Táctica no Kosovo. O trabalho divide-se em duas partes fundamentais. Na primeira parte efectua -se uma abordagem teórica ao tema, na qual refere o conceito de reserva táctica da Organização do Tratado do Atlântico Norte, posteriormente uma análise específica ao teatro de operações do Kosovo no qual sobressai o conceito de emprego da reserva táctica e finalmente aborda se a organização e o treino operacional das forças que se destinam ao teatro de operações do Kosovo. Na segunda parte através da metodologia utilizada, são analisadas as Entrevistas e efectuada a discussão de resultados referente ao trabalho de campo desenvolvido, após o que são consumadas algumas conclusões e recomendações. A metodologia da parte teórica baseia-se na análise da bibliografia existente, assim como a informações obtidas através das conversas informais. Na parte prática, realizam -se Entrevistas semi-directivas a um conjunto de comandantes das forças nacionais destacadas ...

A decision-support model for managing the fuel inventory of a Panamanian generating company

Perez-Franco, Roberto, 1976-
Fonte: Massachusetts Institute of Technology Publicador: Massachusetts Institute of Technology
Tipo: Tese de Doutorado Formato: 89 leaves; 4537302 bytes; 4547143 bytes; application/pdf; application/pdf
EN_US
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Bahia Las Minas Corp (BLM) is a fuelpowered generating company in the Panamanian power system. The purpose of this thesis is to design and evaluate a decision-support model for managing the fuel inventory of this company. First, we research BLM and its fuel replenishment methods. Then we define the problem, its objective function, assumptions, parameters and constraints. After identifying the most important given information (fuel price forecast, demand forecast, and current inventory levels), we define the equations that relate these inputs with the order sizes, and the availability and reserve constraints. Due to the large number of constraints, we devise a mechanism to calculate lower limits for the aggregate order sizes that prevent violations of the constraints beyond user-defined limits. We prepare a model in Excel for use with a single fuel type. This model takes stochastic forecasts of demand and fuel prices, and determines the best size for the weekly fuel order. After testing the model under several different scenarios, we conclude that it responds correctly to changes in price and demand. The complete discussion of these results can be found in the body of the thesis. Finally, we present some recommendations for BLM, both in relation to this replenishment problem and to its supply chain in general.; by Roberto Perez-Franco.; Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology...

Latin America and the Caribbean in the World Economy 2010-2011: The region in the decade of the emerging economies

Fonte: ECLAC Publicador: ECLAC
EN
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Incluye Bibliografía; Documento en español disponible en la Biblioteca; In mid-2011, conditions deteriorated in the industrialized economies. Early in the year, instability in North Africa combined with other factors to push up fuel prices. Then, in March, the tragedy of the earthquake, tsunami and nuclear disaster in Japan damaged global production chains. Although the impacts of these factors eased in the second semester, concern mounted over the threat of default in Greece, Ireland and Portugal and the repercussions of such an event for larger European economies. In late July, the difficulties in securing congressional approval on the United States public debt ceiling added to the volatility prevailing in financial markets. The downgrading of the United States’ sovereign debt rating for the first time ever and lacklustre economic growth rates in the euro area and the United States added to the uncertainty. Volatility and uncertainty are again reaching worrying levels. Following the agreement by the United States Congress on the country’s public debt ceiling and the approval by European authorities and the International Monetary Fund (IMF) of a second support package for Greece, the major stock exchanges have been highly volatile and have seen falls reminiscent of past financial crises. Economic stagnation in the euro area...

Patterns of Foreign Direct Investment Flows and Trade-Investment Inter-Linkages in Southern Africa : Linking Middle-Income and Low-Income Neighbors

Isik, Gozde; Yoshino, Yutaka
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
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This report discusses the patterns of foreign direct investment flows and trade-investment inter-linkages in Southern Africa. It will discuss how cross-border investment flows create a possible channel of growth spillover from South Africa and other MICs to LICs in the subregion, and identify the roles of subregional trade and investment flows in generating these neighborhood effects with LICs. After an introduction with background on the subregion of Southern Africa, Section 2 provides facts on the patterns of trade in Southern African countries to illustrate how much (or little) the Southern African subregion is integrated today and whether or not intraregional trade is growing. Section 3 presents aggregate trends in foreign direct investment flows (and stocks) in SSA, discusses how SASR is situated in such trends, and analyzes the emerging trends of intra-SASR cross-border investments, largely driven by South Africa. Section 4 analyzes trade-investment linkages in Southern Africa at the firm level. Section 5 discusses areas of domestic policies in enhancing trade and foreign direct investment in Southern Africa. Section 6 summarizes the findings from this analysis and discusses their policy implications.

Trade and Transport Facilitation in South Asia : Systems in Transition, Volume 2. Annexes

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
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Over the past few decades, the World trading system has become increasingly more open. Tariff rates have been reduced and quantitative restrictions (quotas) have been progressively eliminated, e.g. the Multi-Fiber Agreement (MFA). Most countries have adopted more outward-looking economic policies, seeking to increase growth and employment through expanding exports. Such outward looking policies have even been adopted by countries which previously pursued policies based on import substitution as in South Asia. Protective trade restrictions still persist, but tend to be in terms of more subtle non-tariff barriers (such as sanitary or phyto-sanitary standards), though anti-dumping measures and temporary quantity restrictions are still used by many countries to shield domestic producers. Trade regulations no longer solely attempt to protect domestic producers; their scope has extended to cover the need for enhanced security and the desire for greater consumer protection through the traceability of the production chain for many agricultural products. Intense competition compels firms to reduce costs throughout their manufacturing and distribution processes. Outsourcing to lower cost firms and countries has been one major source of cost reduction...

Potentials and Constraints of Using Warehouse Receipts Financing

World Bank Group
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Trabalho em Andamento
EN_US
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The paper starts with an overview of Cambodia’s rice sector, with a particular attention to aspects which affect its need for external working capital finance, and characteristics and constraints that could hinder access to such finance (e.g., warehousing capacity, processing constraints, logistics, and market risks). Chapter two describes the general conditions for crop-based financing in Cambodia’s rice sector. Chapter three discusses policy options for enhancing the use of paddy and rice as collateral for financing. The chapter sets out the two main modalities: collateral management, and public warehousing. Both collateral management and public warehousing work best when certain support structures are in place, in particular an indemnity system, a system for the electronic trading of warehouse receipts, and a facility for refinancing warehouse receipt loans (which could be managed by the Central Bank or outsourced to another competent entity such as an investment fund). These are discussed in separate sections. The various sections describe the situation as currently prevails in Cambodia...

Power under Contract: Domestic political constraints and military privatization in the United States and the United Kingdom

CUSUMANO, Eugenio
Fonte: Instituto Universitário Europeu Publicador: Instituto Universitário Europeu
Tipo: Tese de Doutorado
EN
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The increasing provision of military support functions such as logistics and armed security by private military and security companies (PMSCs) is often conceptualized as a functional response to new operational, financial and technological imperatives. The tendency to privatize military support functions, however, is also driven by domestic political factors. Drawing on neoclassical realism, I conceptualize the use of PMSCs as a strategy dictated by the need to circumvent the tightening hurdles to the conversion of societal resources into military power. Other things being equal, I argue that the tighter the constraints on the extraction and mobilization of societal resources, the higher the propensity to rely on the market as a complementary source of military power. I provide evidence for this theoretical connection by drawing a comparative analysis between military privatization in the U.S. and in the U.K. Specifically, I investigate in detail the tendency to resort to private military contractors during U.S. military operations in Iraq and U.K. military operations in Afghanistan. In both cases, the privatization of military support functions provided decision-makers with the possibility to circumvent existing constraints over the recruitment and deployment of active duty and reserve military forces. I then assess the explanatory power of my neoclassical realist explanation of military privatization against other theoretical perspectives...

Logistical analysis of the Littoral Combat Ship (LCS) operating independently in the Pacific

Baggett, John P.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado
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The LCS will be a small combatant designed to address many of the challenges facing the Navy in the 2002 Defense Planning Guidance (DPG). It will rely on newly developing mission modular technology that will allow the core component of LCS, the seaframe, to change out warfare mission packages to adapt it for different warfighting scenarios. Unlike the current combatants of the Navy, LCS will be a single-mission focused ship that will rely on still developing technology to conduct operations in one of three main areas: Anti-submarine Warfare (ASW), Mine Warfare (MIW) and Surface Warfare (SUW). Through models developed in Microsoft Excel this thesis evaluates how speed and different fuel reserve levels impact Littoral Combat Ship fuel consumption and endurance of the two approved versions of LCS, analyzes the implication of these findings and other possible mission limiting factors on Littoral Combat Ship logistics and analyzes how the current CLF force structure in the Pacific will affect overall mission capability of LCS.

An analytical comparison of human factor maintenance related part failures for Naval Reserve Fleet Logistics Support Wing

Allen, Daniel L.
Fonte: Monterey, California: Naval Postgraduate School Publicador: Monterey, California: Naval Postgraduate School
Tipo: Tese de Doutorado
EN_US
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16.04%
Naval Aviation has experienced extensive change in recent years. Financial constraints, force reductions, and increasing operation tempo have impacted not only the material condition of Naval aircraft, but also the personnel who maintain them. The Naval Aviation Community has extensively studied the role of human factors in aviation mishaps. However, the need to study the impact of human factors in maintenance on part failures remains. As replacement parts for aircraft continue to rise in price, the need to mitigate the unnecessary failure/destruction of piece parts is an ever increasing priority. This study examines the relationship between part failures and human factors by comparing incident rates between VR Wing with the rest of Naval Aviation. Five hundred safety incident reports are analyzed; fiscal year totals are determined, and an incident per flying hour rate is computed. Regression results indicate an increasing trend in human factors related arts incidents, VR compares no different from the rest of Naval Aviation.

The war reserve component of the Marine Corps logistics system

Kramlich, Richard Scott
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado
EN_US
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Distinguished Alumni Award Program author. LtGen Richard S. Kramlich, USMC (Presented 11 Nov 06); Approved for public release; distribution unlimited; The War Reserve System is designed to provide the Marine Corps with materiel support in the event it is committed to combat operations. An understanding of this system is essential not only for those who operate it, but also for those Marines who will be the recipient of its output. This thesis examines the War Reserve System in its four major phases of materiel requirements determination, attainment and storage of assets, asset withdrawal and distribution, and the replenishment of supplies in the combat objective area. Problem areas within the system are analyzed and recommendations made for alleviating them. (Author)

Optimizing Submarine Berthing with a Persistence Incentive

Brown, Gerald G.; Cormican, Kelly J.; Lawphongpanich, Siriphong; Widdis, Daniel B.
Fonte: Escola de Pós-Graduação Naval Publicador: Escola de Pós-Graduação Naval
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Naval Research Logistics, 44, pp. 301-318.; Submarine berthing plans reserve mooring locations for inbound U.S. Navy nuclear submarines prior to their port entrance. Once in port, submarines may be shifted to different berthing locations to allow them to better receive services they require or to make way for other shifted vessels. However, submarine berth shifting is expensive, labor intensive, and potentially hazardous. This article presents an optimization model for submarine berth planning and demonstrates it with Naval Submarine Base, San Diego. After a berthing plan has been approved and published, changed requests for services, delays, and early arrival of inbound submarines are routine events, requiring frequent revisions. To encourage trust in the planning process, the effect on the solution of revisions in the input is kept small by incorporating a persistence incentive in the optimization model.

DoD inventory management cultural changes and training in commercial practices

Kang, Keebom
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Relatório Formato: 30 p. ; 28 cm.
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As the largest single portion of discretionary spending in the federal budget, the Department of Defense (DoD) is a prime target for budgetcuts. Perceptions of fraud and waste have put DoD under tight scrutiny, resulting in many Congressional inquiries and General Accounting Office (GAO) audits. Several of these have identified excess inventory as an area needing major improvement (see the list of related GAO reports in the References Section). As reported in the GAO Report GAO/HR-97-5, DoD's inventory was estimated to be $69.6 billion in 1995. The report also states that about half of the $69.6 billion inventory is considered excess, beyond what is needed to support war reserve and current operating requirements. While military inventory management practices have remained largely unchanged, the past thirtyyearshavewitnessedarevolutioninthewaycommercialfirmsmanagetheirinventories. The private sector has completely changed its view of logistics and how logistics contributes to profitability. As a result, businesses have slashed their on-hand inventories, improved their distribution systems, developed long-term relationships with a small number of suppliers who produce top-quality products, and improved their bottom lines. How can DoD better manage its inventories...

Engineering field division/activity manpower staffing

Hilton, Lawrence; Marks, Earl; Zielinski, Nathalie; Visnovska, Hana; Hilton, Lawrence; Marks, Earl; Zielinski, Nathalie
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Thesis; Thesis Formato: xviii, 122 p. : ill. (some col.), map ; 28 cm.
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MBA Professional Report; Approved for public release; distribution is unlimited; MBA Professional Report; Naval Facilities Engineering Command (NAVFAC) is responsible for all U.S. Navy and Marine Corps facilities. The mission of NAVFAC is to plan and deliver innovative, best-value, technology-leveraged solutions and alternatives that enable the clients and various commands to accomplish their missions. NAVFAC is the major claimant for the eleven Engineering Field Divisions/Activities (EFD/A). The Officer in Charge of Contracts (OICC) is primarily responsible for the post-award phase of construction contracts that NAVFAC administers. The OICCs work at the various field offices throughout the NAVFAC organization. The resource sponsor for NAVFAC is N4, Fleet Readiness and Logistics, who is responsible for identifying the mission, funding and authorizing requirements for NAVFAC. As the major claimant, NAVFAC is responsible for determining the requirements for the EFD/As, which are funded by N4. Due to funding constraints, the Navy is required to be as efficient as possible. This research analyzes the current manpower algorithm used to determine requirements for the various EFD/As. The data shows that the current algorithm does not reflect a number of factors impacting work-hours. An analysis was conducted to derive a more accurate algorithm to include the number of contracts and a method to include other missing factors such as distance...

Cost analysis of maintenance programs for pre-positioned war reserve material stock (PWRMS)

Cyr, Phillip G.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xiv, 43 p. : col. ill. ;
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Approved for public release; distribution is unlimited; ineering Command (Seabee Readiness and Logistics, SRL) and Code N44, CBC Port Hueneme CESE Management Branch, need to determine the amount of funding required in order to adequately maintain CESE PWRMS in a Ready-For-Issue (RFI) condition. PWRMS is considered mission essential, but the Project Managers' ability to rapidly respond to a contingency and meet the scheduled mobilization dates are predicated on the ability to get the PWRMS out of storage, mobilized, and transported to the contingency. Therefore, this thesis has direct operational readiness implications. The OMN funding required to maintain CESE PWRMS in a RFI condition was estimated using assumptions for cost of materials, estimates for labor expenditures, and frequency of use of equipment. Recommendations include modifications to the current program's objectives and improvements to issues noted in this study. Areas of further study are provided for improved budgetary decisions.; Lieutenant Commander, United States Navy

Will the Logistics Management Decision Support System meet the information and decision process requirements of its users?

Krause, Mark W.; Evanoff, Ellen M.
Fonte: Monterey, California: Naval Postgraduate School Publicador: Monterey, California: Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xx, 156 p.;28 cm.
EN_US
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The development of the Logistics Management Decision Support System (LMDSS) by the Naval Air Systems Command (NAVAIR) has been on going since 1991. Originally conceived as a strategic Decision Support System (DSS), LMDSS has instead evolved into a Web portal for data analysts to access NAVAIR's Aviation Maintenance and Material Management (AV-3M) data. LMDSS is more accurately described as a Web based, Management Information System (MIS) than as a DSS. This research examines the information needs and decision process requirements of LMDSS users. Focus groups, interviews, and a Web based survey were conducted to collect decision support and data requirements from fleet customers. User perceptions, feedback, and recommendations to improve LMDSS are described and analyzed. Historical insights into the development history of LMDSS are introduced as a lessons learned for future NAVAIR software teams. Problems identified by users are presented followed by specific recommendations for solutions. A prototype model developed for this thesis is found in the appendices as an example of how a modeling capability could enhance the ability of LMDSS to better support strategic, unstructured decisions. Recommendations are provided for future research.; U.S. Naval Reserve (U.S.N.R.) author.; U.S. Navy (U.S.N.) author.

Assessing the performance and cost of Logistics Airfleet options

Law, Jack N.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xviii, 76 p.; 28 cm.
EN_US
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The Chief of Naval Operations (OPNAV) has directed a study to determine the proper airfleet to satisfy the Navy's future logistics needs. The sponsor of the study is OPNAV N78(i, the Financial Management Office of OPNAV's Air Warfare Division. The goal of the study is to ensure effective and efficient resource allocation in building an airfleet that will satisfy future peacetime and wartime airlift demand. This thesis supports the OPNAV study by providing a tool for evaluating airlift fleet options on the bases of cost and capability. This decision support tool combines an aircraft assignment model, which determines fleet capability. with a Life Cycle Cost (LCC) model, which calculates the cost of acquiring and operating a given fleet of aircraft. The combined models allow decision makers to specify a fleet mix with desirable performance characteristics, calculate the cost of that fleet, and observe the financial and operational effects of changing either the makeup of the fleet or the acquisition schedule. The thesis combines deterministic and stochastic analysis of historical demand data to assess the demand for aircraft and the capabilities of a chosen fleet mix. The data provided by the sponsor do not include overseas missions; this limits the scope of the study...

Forecasting retention in the United States Marine Corps Reserve

Schumacher, Joseph F.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xii, 53 p. : col. ill. ;
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This is an empirical study using a logistic regression model to assess the impact of mobilization and unemployment on an individual's decision to stay in or leave the reserves. The goal is to find out the attrition behavior of USMCR participants in order to better establish recruiting and retention goals in the Reserve population. Questions regarding attrition influencers, effects of mobilization, and applicability to both officer and enlisted personnel were reviewed in this process. The effects of being called to active service are shown to have a positive effect on retention in the reserves. Similarly, serving in the SMCR and Stand-by Reserves are both shown in the model to have a positive effect on reserve retention. This makes sense, in that when an individual volunteers in the Marine Reserves, he or she evidences a desire to serve his country when called to do so. The negative effect of an increase in the number of days served on active duty, as shown in the results of the model, follows similar logic. Had the individual wanted to serve on a full-time active duty basis he would have volunteered for the active duty component. The longer he is asked to remain on active duty, the more dissatisfied he is, on average, with his participation in the reserves. The negative effect of an increase in the individual's home of record unemployment rate is also consistent with previous findings...

Second Ethiopia Economic Update : Laying the Foundation for Achieving Middle Income Status

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Economic Updates and Modeling; Economic & Sector Work
ENGLISH; EN_US
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Over the past decade, Ethiopia has achieved high economic growth, averaging 10.7 percent per year. In 2012, Ethiopia was the 12th fastest growing economy in the World. If the country can continue its historically impressive growth performance, it could potentially reach middle income status by 2025. This, in turn, may require an adjustment in economic policy to phase in the private sector as an additional engine of growth. Moreover, Ethiopia needs to make progress on two related important fronts: enhancing domestic savings, and, resolving the bottlenecks of the trade logistics system. This Second Ethiopia economic update, prepared in collaboration with the Government of Ethiopia, offers policy guidance on how to move forward. Chapter one discusses Ethiopia's growth strategy, which emphasizes a strong expansion of public investment. This model has delivered impressive results, although the underlying macro policy mix highlights important challenges going forward suggesting that an adjustment to strategy may be warranted. One policy challenge relates to raising sufficient domestic savings to finance one of the highest public investment rates in the world...

IFC Annual Report 2009 : Their/Our Story, Creating Opportunity Where It's Needed Most; A sua/a nossa historia : criacao de oportunidades onde elas sao mais necessarias - relatorio anual da IFC 2009 Leur histoire est aussi la notre : des opportunites pour qui en ont le plus besoin - rapport annuel de l'IFC 2009 Su historia y la nuestra : crear oportunidades donde mas se necesitan - informe anual de la IFC 2009

International Finance Corporation
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: World Bank Annual Report; Publications & Research :: Publication
ENGLISH
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The global economic crisis has opened an uncertain chapter, especially for the 2.5 billion people who live on less than $2 a day. Many of them lack access to electricity, or clean water, or basic health care. For at least a decade, economic growth in developing countries helped expand the availability of basic necessities while steadily reducing the number of people in poverty. But this year, the number of people in extreme poverty is expected to be much higher than was predicted before the crisis. Unemployment is rising. Yet many countries lack the domestic resources needed to speed up development. International Finance Corporation (IFC) has responded swiftly and creatively to improve the lives of the most vulnerable people by working with the private sector to create conditions for sustainable prosperity, wherever the need is greatest. IFC has quickly ramped up its advisory efforts and mobilized its donor partners to help governments, clients, and markets cope with the crisis and recover speedily. Priorities include: helping financial institutions better manage their risks and their nonperforming loans; complementing investment efforts in banking for small and medium enterprises...