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  • 1
    Language: English
    Pages: Online-Ressource (18 p)
    Edition: 2009 World Bank eLibrary
    Parallel Title: Friedman, Jed How Many More Infants Are Likely To Die in Africa As A Result of the Global Financial Crisis?
    Abstract: The human consequences of the current global financial crisis for the developing world are presumed to be severe yet few studies have quantified such impact. The authors estimate the additional number of infant deaths in sub-Saharan Africa likely due to the crisis and discuss possible mitigation strategies. They pool birth-level data as reported in female adult retrospective birth histories from all Demographic and Health Surveys collected in sub-Saharan Africa nations. This results in a data set of 639,000 births to 264,000 women in 30 countries. The authors use regression models with flexible controls for temporal trends to assess an infant’s likelihood of death as a function of fluctuations in national income. They then apply this estimated likelihood to expected growth shortfalls as a result of the crisis. At current growth projections, their estimates suggest there will be 30,000 - 50,000 excess infant deaths in sub-Saharan Africa. Most of these additional deaths are likely to be poorer children (born to women in rural areas and lower education levels) and are overwhelmingly female. If the crisis continues to worsen the number of deaths may grow much larger, especially those to girls. Policies that protect the income of poor households and that maintain critical health services during times of economic contraction should be considered. Interventions targeted at female infants and young girls may be particularly beneficial
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  • 2
    Language: English
    Pages: 1 Online-Ressource (36 p)
    Series Statement: World Bank E-Library Archive
    Parallel Title: Erscheint auch als Friedman, Jed Decomposing Response Errors in Food Consumption Measurement : Implications for Survey Design from a Survey Experiment in Tanzania
    Abstract: There is wide variation in how consumption is measured in household surveys both across countries and over time. This variation may confound welfare comparisons in part because these alternative survey designs produce consumption estimates that are differentially influenced by contrasting types of survey response error. Although previous studies have documented the extent of net error in alternative survey designs, little is known about the relative influence of the different response errors that underpin a survey estimate. This study leverages a recent randomized food consumption survey experiment in Tanzania to shed light on the relative influence of these various error types. The observed deviation of measured household consumption from a benchmark is decomposed into item-specific consumption incidence and consumption value so as to investigate effects related to (a) the omission of any consumption and then (b) the error in value reporting conditional on positive consumption. The results show that various survey designs exhibit widely differing error decompositions, and hence a simple summary comparison of the total recorded consumption across surveys will obscure specific error patterns and inhibit the lessons for improved consumption survey design. In light of these findings, the relative performance of common survey designs is discussed, and design lessons are drawn to enhance the accuracy of item-specific consumption reporting and, consequently, the measures of total household food consumption
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  • 3
    Language: English
    Pages: Online-Ressource (1 online resource (27 p.))
    Edition: Online-Ausg. World Bank E-Library Archive
    Parallel Title: Friedman, Jed Psychological Health Before, During, And After An Economic Crisis
    Keywords: Anxiety ; Depression ; Families ; Health Care ; Health Monitoring and Evaluation ; Health Research ; Health, Nutrition and Population ; Mental ; Mental Health ; Mental Illness ; Screening ; Workers ; Anxiety ; Depression ; Families ; Health Care ; Health Monitoring and Evaluation ; Health Research ; Health, Nutrition and Population ; Mental ; Mental Health ; Mental Illness ; Screening ; Workers ; Anxiety ; Depression ; Families ; Health Care ; Health Monitoring and Evaluation ; Health Research ; Health, Nutrition and Population ; Mental ; Mental Health ; Mental Illness ; Screening ; Workers
    Abstract: The 1997 Indonesian financial crisis resulted in severe economic dislocation and political upheaval, and the detrimental consequences for economic welfare, physical health, and child education have been previously established in numerous studies. We also find the crisis adversely impacted population psychological well-being. We document substantial increases in several different dimensions of psychological distress among male and female adults across the entire age distribution over the crisis period. In addition, the imprint of the crisis can be seen in the differential impacts of the crisis on low education groups, the rural landless, and residents in those provinces that were hit hardest by the crisis. Elevated levels of psychological distress persist even after indicators of economic well-being such as household consumption had returned to pre-crisis levels suggesting long-term deleterious effects of the crisis on the psychological well-being of the Indonesian population
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  • 4
    Language: English
    Pages: Online-Ressource (19 p)
    Edition: 2013 World Bank eLibrary
    Parallel Title: Gibson, John What Does Variation in Survey Design Reveal about the Nature of Measurement Errors in Household Consumption?
    Abstract: This paper uses data from eight different consumption questionnaires randomly assigned to 4,000 households in Tanzania to obtain evidence on the nature of measurement errors in estimates of household consumption. While there are no validation data, the design of one questionnaire and the resources put into its implementation make it likely to be substantially more accurate than the others. Comparing regressions using data from this benchmark design with results from the other questionnaires shows that errors have a negative correlation with the true value of consumption, creating a non-classical measurement error problem for which conventional statistical corrections may be ineffective
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  • 5
    Language: English
    Pages: Online-Ressource (37 p)
    Edition: 2014 World Bank eLibrary
    Parallel Title: Das, Ashis Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting
    Abstract: Malaria continues to be a prominent global public health challenge, in part because of the slow population adoption of recommended preventive and curative behaviors. This paper tests the effectiveness of two service delivery models designed to promote recommended behaviors, including prompt treatment seeking for febrile illness, in Odisha India. The tested modules include supportive supervision of community health workers and community mobilization promoting appropriate health seeking. Program effects were identified through a randomized cluster trial comprising 120 villages from two purposively chosen malaria-endemic districts. Significant improvements were measured in the reported utilization of bed nets in both intervention arms vis-à-vis the control. Although overall rates of treatment seeking were equal across the study arms, treatment seeking from community health workers was higher in both intervention arms and care seeking from trained providers also increased with a substitution away from untrained providers. Further, fever cases in both treatments were more likely to have received timely medical treatment (within 24 hours) from a skilled provider. The study arm with supportive supervision was particularly effective in shifting care seeking to community health workers and ensuring prompt diagnosis and treatment. A community-based intervention combining the supportive supervision of community health workers with intensive community mobilization can be effective in shifting care seeking and increasing preventive behavior, and thus may be used to strengthen the national malaria control program
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  • 6
    Language: English
    Pages: Online-Ressource (37 p)
    Edition: 2014 World Bank eLibrary
    Parallel Title: Das, Ashis Does Involvement of Local NGOs Enhance Public Service Delivery?
    Abstract: Using data from an experimental supportive intervention to India's malaria control program, this paper studies the impact of leveraging local non-state capacity to promote mosquito net usage and recommended fever care-seeking patterns. The supportive activities were conducted simultaneously by three nongovernmental organizations in two endemic districts in the state of Orissa. The study finds that program impact varied significantly by location. Examining three potential sources of this variation (differential population characteristics, differential health worker characteristics, and differential implementer characteristics), the analysis provides evidence that both population and nongovernmental organization characteristics significantly affected the success of the program. The paper discusses these findings as they relate to the external validity of development policy evaluations and, specifically, for the ability of the health system to benefit from limited non-state capacity in under-resourced areas
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  • 7
    Language: English
    Pages: 1 Online-Ressource (40 p)
    Series Statement: World Bank E-Library Archive
    Parallel Title: Erscheint auch als Akogun, Oladele Productivity and Health: Alternative Productivity Estimates Using Physical Activity
    Abstract: This paper investigates an alternative proxy for individual worker productivity in physical work settings: a direct measure of physical activity using an accelerometer. First, the paper compares worker labor outcomes, such as labor supply and daily productivity obtained from firm personnel data, with physical activity; they are strongly related. Second, the paper investigates the effect of a health intervention on physical activity, using a temporally randomized offer of malaria testing and treatment. Workers who are offered this program reallocate time from lower intensity activities in favor of higher intensity activities when they work
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  • 8
    Language: English
    Pages: 1 Online-Ressource (55 pages)
    Parallel Title: Erscheint auch als Print Version: Ma, Lin The Intergenerational Mortality Tradeoff of COVID-19 Lockdown Policies
    Abstract: In lower-income countries, the economic contractions that accompany lockdowns to contain the spread of COVID-19 can increase child mortality, counteracting the mortality reductions achieved by the lockdown. To formalize and quantify this effect, this paper builds a macro-susceptible-infected-recovered model that features heterogeneous agents and a country-group-specific relationship between economic downturns and child mortality. The model is calibrated to data for 85 countries across all income levels. The findings show that in low-income countries, a lockdown can potentially lead to 1.76 children's lives lost due to the economic contraction per COVID-19 fatality averted. The figure stands at 0.59 and 0.06 in lower-middle-income and upper-middle-income countries, respectively. As a result, in some countries, lockdowns can produce net increases in mortality. The optimal lockdowns are shorter and milder in poorer countries than in rich ones and never produce a net mortality increase
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  • 9
    Language: English
    Pages: Online-Ressource (59 p)
    Edition: 2011 World Bank eLibrary
    Parallel Title: Buttenheim, Alison Impact evaluation of school feeding programs in Lao PDR
    Abstract: Despite the popularity and widespread implementation of school feeding programs, evidence on the impact of school feeding on school participation and nutritional status is mixed. This study evaluates school feeding programs in three northern districts of the Lao People's Democratic Republic (Lao PDR). Feeding modalities included on-site feeding, take-home rations, and a combination. District-level implementation of the intervention sites and selective take-up present considerable evaluation challenges. To address these limitations, the authors use difference-in-difference estimators with propensity-score weighting to construct two plausible counterfactuals. They find minimal evidence that the school feeding schemes increased enrollment or improved children's nutritional status. Several robustness checks and possible explanations for null findings are presented
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  • 10
    Language: English
    Pages: Online-Ressource (28 p)
    Edition: 2014 World Bank eLibrary
    Parallel Title: De Weerdt, Joachim The Challenge of Measuring Hunger
    Keywords: Ernährungssicherung ; Unterernährung ; Messung ; Tansania
    Abstract: There is widespread interest in the number of hungry people in the world and trends in hunger. Current global counts rely on combining each country's total food balance with information on distribution patterns from household consumption expenditure surveys. Recent research has advocated for calculating hunger numbers directly from these same surveys. For either approach, embedded in this effort are a number of important details about how household surveys are designed and how these data are then used. Using a survey experiment in Tanzania, this study finds great fragility in hunger counts stemming from alternative survey designs. As a consequence, comparable and valid hunger numbers will be lacking until more effort is made to either harmonize survey designs or better understand the consequences of survey design variation
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