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  • MPI Ethno. Forsch.  (1,090)
  • GBV
  • English  (1,090)
  • Washington, D.C : The World Bank  (1,090)
  • Cambridge [u.a.] : Cambridge Univ. Press
  • Social Protections and Labor  (587)
  • Health, Nutrition and Population  (585)
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  • MPI Ethno. Forsch.  (1,090)
  • GBV
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  • English  (1,090)
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  • 1
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Early Childhood ; Economic Growth ; Human Capital ; Human Capital Protection ; Macroeconomics and Economic Growth ; Social Protections and Assistance ; Social Protections and Labor ; Strengths and Gaps
    Abstract: This human capital review assesses human capital outcomes in Mauritania and identifies actions to strengthen, utilize, and protect human capital. The government of Mauritania has demonstrated a strong commitment to placing human capital at the forefront of its long-term vision, with dedicated efforts focused on enhancing childhood health and education outcomes. Despite Mauritania's positive initiatives, the country's human capital wealth per capita has declined over the last 20 years; and it is imperative to look at ways to quickly reverse this situation. Children born today in Mauritania will only be 38 percent as productive when they grow up as they could have been had they enjoyed complete education and full health. Increasing the productivity of Mauritanians--both men and women--and thus allowing them to fully contribute to the development of their society entails transforming the human capital challenge to a human capital opportunity. This report takes a comprehensive, cross-sectoral approach and proposes recommendations for building, protecting, and utilizing human capital in Mauritania
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  • 2
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Risk and Vulnerability Assessment
    Keywords: Cyclonic Storm ; Environment ; Grade Methodology ; Natural Disasters ; Rakhine State ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Extremely severe cyclonic storm Mocha made landfall as a Category 4-equivalent cyclone in the Saffir-Simpson hurricane wind scale on Sunday May 14, 2023, at 07:07 UTC (14:07 local time) around Sittwe city, the capital of Rakhine State, Myanmar. Given the fragile and conflict-affected situation with limited access in Myanmar, the World Bank has adopted the Global RApid post-disaster Damage Estimation (GRADE) methodology to estimate damages arising from Cyclone Mocha. GRADE is a remote, desktop analysis to estimate damage to capital stock. This report summarizes the results of the GRADE conducted to assess damages following the impact of Extremely severe cyclonic storm Mocha in Myanmar during May 2023
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  • 3
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Aguilar Gomez, Sandra Environmental Hazards, Climate, and Health in Cambodia: The Shield of Sanitation
    Keywords: Disease Control and Prevention ; Environmental Degradation ; Environmental Hazards ; Health and The Environment ; Health Policy and Management ; Health, Nutrition and Population ; Hygiene ; Pollution ; Public Health ; Sanitation
    Abstract: Environmental degradation is the largest public health challenge of the century and is likely to be exacerbated by climate change. This study undertakes a comprehensive examination of the health implications of environmental hazards in Cambodia, simultaneously addressing extreme temperatures, precipitation patterns, and air pollution. It leverages data from the Demographic and Health Surveys and satellite-derived metrics on temperature, precipitation, and fine particulate matter. The analysis identifies a positive association between temperature and the occurrence of diarrhea and cough among children and a nonlinear relationship between precipitation and these health outcomes. Furthermore, the study demonstrates that pollution significantly impacts cough incidence. To anticipate future trends, climate simulations are employed to forecast the incidence of child diarrhea in Cambodia under different climate and development scenarios. The projections indicate that diarrhea incidence could increase to 19 percent by 2040 without significant adaptation measures that would lessen the adverse impact of weather. For instance, the acceleration in toilet ownership over the last decade reduced diarrhea incidence by at least 1.2 to 1.4 percentage points. Nevertheless, the path ahead requires proactive efforts to improve sanitation and hygiene. The forecasts suggest that, without additional strategies to counter climate change's adverse effects, only universal toilet ownership would contain the climate-driven increase in diarrhea incidence expected by 2040
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  • 4
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Demographics ; Family Planning Research ; Female Education ; Gender ; Gender and Education ; Health, Nutrition and Population ; High Fertility Rates ; High Population Growth ; Human Capital ; Mortality ; Population Policies ; Women's Agency
    Abstract: Tanzania has managed to sustain its growth momentum despite the intensifying effects of climate change. While Tanzania's economy continues to expand, recent growth has been concentrated in sectors that employ few workers from poor households, limiting its impact on poverty. The Bank of Tanzania (BoT) has implemented an effective monetary policy designed to curb inflation and alleviate mounting short-term demand pressure on foreign exchange. While Tanzania's recovery continues to accelerate, several serious threats cloud its economic outlook. Key risks include the slow or incomplete implementation of structural reforms, the damaging effects of climate change on the agriculture and tourism sectors, and the possibility of a global recession caused by fiscal and monetary policy tightening in advanced economies and major EMDEs. To mitigate these risks, policymakers must accelerate structural reforms as part of a sustained effort to attract greater private investment and spur resilient and inclusive private-sector-led growth. Over the longer term, one of the country's key challenges will be to complete its structural economic transformation, which will require creating a more favorable business climate to support the growth of the industrial and services sectors while boosting agricultural productivity. Another key long-term growth challenge will be achieving more balanced and inclusive growth
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  • 5
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Donfouet, Hermann Pythagore Pierre Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire
    Keywords: Communicable Diseases ; Covid-19 Pandemic ; Demographics ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Value of Statistical Life
    Abstract: Cote d'Ivoire, the largest economy in the West African Economic and Monetary Union, was hit by COVID-19, which claimed many lives. This paper estimates COVID-19 mortality costs over time using the value of a statistical life. Using a more conservative estimate of the value of a statistical life income elasticity ranging from 1 to 1.4, the overall COVID-19 mortality costs in Cote d'Ivoire since the pandemic range from USD 100.4 million to USD 284.3 million. Considering age-related adjustments, a 3 percent discount rate, and a value of a statistical life income elasticity of 1 to 1.4, the COVID-19 costs range from USD 5.4 million to USD 15.3 million. Similarly, the COVID-19 mortality costs range from USD 6.8 million to USD 19.3 million with a 5 percent discount rate and a value of a statistical life income elasticity of 1 to 1.4. More significantly, the findings suggest that COVID-19 mortality costs started to decline in 2021. To enhance prevention, preparedness, and response to future pandemics, policy makers could consider allocating pandemic funding within national budgets. Exploring potential partnerships with philanthropic organizations and international entities could further enhance domestic resource matching efforts
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  • 6
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Financial Sector Study
    Keywords: Consumer Protection ; Consumer Protection Law ; Corruption and Anticorruption Law ; Finance and Development ; Finance and Financial Sector Development ; Financial Capability ; Financial Consumer Protection ; Law and Development ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The 2022 Global State of Financial Inclusion and Consumer Protection (FICP) Report is an update to the 2013 and 2017 FICP reports. These surveys aim to provide a timely source of global data to benchmark efforts by financial sector authorities to improve the enabling environment for financial inclusion and consumer protection. To date, this is the only longitudinal and global survey of this nature. As such, this report serves as a valuable resource to shape the World Bank's country engagements, a reference document for regulators and supervisors and, finally, a tool for both public and private sector actors with an interest in knowing the developments in this sector. The Survey questionnaire covers key topics related to financial inclusion and financial consumer protection (FCP) and aligns with international guidance to financial sector authorities in these areas. Because the report aims to capture both a snapshot as well as trends over time, the survey questionnaire has been modified over the three cycles to reflect the changing policy and regulatory landscape of financial inclusion and consumer protection
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  • 7
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Education ; Education For All ; Employment ; Employment and Unemployment ; Human Capital ; Poverty ; Poverty Reduction ; Skills Development and Labor Force Training ; Social Protections and Labor ; UMI Countries
    Abstract: This Human Capital Review aims to provide analytical foundations in the support of policies that improve human capital outcomes for the following four UMI countries in Central America: Costa Rica, Guatemala, Panama, and the Dominican Republic. The objective of this report is to identify the key constraints to human capital growth and understand how education and labor market policies can foster a resilient recovery, promote inclusive growth, and contribute to poverty reduction in these countries. The review also estimates the impact of the COVID-19 pandemic on human capital outcomes using a multi-sectoral approach. The analysis compares human capital outcomes in the decade before the COVID-19 pandemic (2010-2019) against trends during the pandemic (2020-2021). Lastly, the report focuses on these four countries, which are the only UMI in Central America to take advantage of new data collected during the pandemic, which allowed to quantify some of the impacts of COVID-19 and understand some of their long-term implications for human development outcomes
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  • 8
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Sector ; Health, Nutrition and Population ; International Financing ; Investments ; Ukraine
    Abstract: The full-scale invasion of the Russian Federation in Ukraine has immense local impact and global consequences. Ukraine is experiencing huge human and economic suffering, which will have long-lasting effects. This war has been particularly devastating for the Ukrainian health sector, tremendously increasing the urgent need for specific services and simultaneously obstructing health outcomes and access to health care due to hostilities, disruption of service delivery, and damage and destruction of health facilities. Moreover, the recovery of Ukraine is shrouded in uncertainty as the duration of the ongoing war and the frequency and localization of the attacks are unknown, all occurring against the backdrop of economic challenges within the country and at a global scale. Despite an expected international effort to finance the recovery of Ukraine akin to the Marshall Plan, financial resources may not be easily available or may become more scarce and more expensive. Investments will receive more scrutiny, and competition for funds will increase due to monetary tightening, rising interest rates, and possibly sustained high inflation (International Monetary Fund 2022). However, in the short to medium term, Ukraine is expected to have favorable access to international financing on concessional terms. While Ukraine is struggling with the gruesome immediate impact of the war and a fight for survival, the shared understanding emerges that going back to business as usual will neither be possible nor desirable. This moment may also serve as a window of opportunity for rapid reform and innovation of health service delivery in Ukraine. Improving and reconstructing services while restoring and stabilizing them is critical to aiding a suffering population and to laying strong foundations of governance that will have lasting impacts into the country's future. This document provides a proposal for stakeholdersin the Ukrainian health sector on how service delivery may need to change, how to deal with this change, and how the health sector may come out stronger in the longer term. It focuses on the organization of health care service delivery and shares considerations of how it may develop using a long-term (10+ years) perspective
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  • 9
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Hutton, Guy Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa
    Keywords: Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Healthcare Associated Infections ; Healthcare Facilities ; Healthcare Waste Management ; Hygiene
    Abstract: In Sub-Saharan Africa, health care facilities face critical challenges in water supply, sanitation, and hygiene services; health care waste management; and environmental cleanliness. With coverage below 50 percent, these deficiencies pose significant health risks to patients and health care workers, contributing to health care-associated infections. Meta-analyses and individual studies estimate rates of health care-associated infections in Sub-Saharan Africa at between 13 and 30 percent of hospital admissions, impacting patients, families, and health care providers. Rising antimicrobial resistance further exacerbates health outcomes and costs. In Eastern and Southern Africa, an estimated 3.1 million health care-associated infections in 2022 incurred over 320,000 excess deaths, costing at least US
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  • 10
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Equitable Growth, Finance and Institutions Insight
    Keywords: Access To Finance ; ESG Integration ; Finance and Financial Sector Development ; Government Pension Fund ; Investments ; Pension Funds ; Pensions and Retirement Systems ; Social Funds and Pensions ; Social Protections and Labor
    Abstract: This report describes the ESG integration practices at GPF as a practical example of how a pension fund can integrate ESG considerations into its investment practices and processes. The report focuses on the incorporation of ESG issues into our investment analysis and decision-making process. Other elements of responsible investing such as active ownership and ESG disclosure practices whilst also key to GPF's overall approach, are not discussed in detail in this report. The report is a product of technical co-operation between teams from GPF and the World Bank. The report starts by providing some background information on GPF, including its investment philosophy and an overview of ESG investment philosophy before detailing the GPF ESG Score methodology. It then describes how the GPF ESG Score methodology is applied to equity and fixed-income investments, followed by an overview of how GPF ensures that ESG considerations are integrated into the selection, appointment and monitoring of external managers. It concludes with some reflections on the landscape of responsible investment and identifies areas where GPF expects to improve its investment process in the coming years
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  • 11
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: CHVA ; Climate and Health ; Climate Change Adaptation ; Climate Change and Health ; Climate Change Impacts ; Environment ; Health Risks ; Health, Nutrition and Population ; Vulnerability
    Abstract: The objective of this Climate and Health Vulnerability Assessment (CHVA) is to assist decision-makers in Colombia with planning effective adaptation measures to deal with climate-related health risks. This assessment includes sub-national considerations for health-related climate action (see Annex A for the methodology). Sub-national considerations are given for Colombia's 32 departments (see Figure 1). It also incorporates data from a Climate and Health Economic Valuation conducted by the World Bank to estimate of the potential economic costs of health impacts arising from projected changes in temperature and precipitation (see Annex B for the methodology). The findings from this CHVA are organized under four sections. Section I characterizes the climatology in Colombia, highlighting observed and projected climate exposures relevant to health. Section II describes key climate-related risks to health, including nutrition and food security, vector-borne diseases (VDBs), water-borne diseases, increasing temperatures, air quality, and zoonotic diseases. Section III analyzes the adaptive capacity and readiness of Colombia's health system to prevent and manage climate-related health risks. Recommendations are discussed in Section IV
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  • 12
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Risk and Vulnerability Assessment
    Keywords: Access To Finance ; CPGA ; Environment ; Finance and Financial Sector Development ; Financial Preparedness ; Natural Disasters ; Primary Response ; Risk ; Social and Livelihood Support ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Crisis preparedness is cral to preventing shocks from becoming crises. Investments in ex ante preparedness are especially relevant in countries like Nepal that face high levels of exposure and vulnerability to a range of risks. In seeking to identify opportunities to strengthen the Government of Nepal's (GoN's) capacity to prepare for crisis events in an effective and timely manner, this Technical Annex presents findings from the application of the Crisis Preparedness Gap Analysis (CPGA) diagnostic in the country. It provides details on findings and entry points across the five componnts of crisis preparedness. For a summary, please refer to the accompanying CPGA Nepal Briefing Note. Following a brief description of the CPGA methodology, the Technical Annex presents a summary of findings from each CPGA component alongside identification of entry points and opportunities to strengthen crisis preparedness in the country. To provide a holistic assessment of preparedness, the CPGA focuses on five core components of crisis preparedness. These are (i) Legal and Institutional Foundations, (ii) Understanding and Monitoring Risks, (iii) FinancialPreparedness, (iv) Primary Response, and (v) Social and Livelihood Support
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  • 13
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Climate Change ; Human Capital ; Poverty ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Climate change, and its associated impacts, threatens to reverse decades of global progress in improving people's health, human capital accumulation, and poverty reduction. At the same time, individuals and households with more human capital and are better positioned to withstand climate change impacts. Several studies have established a correlation between higher human capital with faster disaster preparedness and recovery. These challenges are particularly pressing for Indonesia, where the poor are disproportionately affected by climate shocks. The disproportionate impact of climate change on poor households, and those vulnerable to poverty, signals the importance of social protection as a critical interlocutor to help address the pressing threat of climate change and climate shocks. This background paper outlines the important relationship between human capital development and climate change adaptation; and the needs and opportunities for improving the adaptiveness of Indonesia's social protection system
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  • 14
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Simbeye, Laban The Role of Firm Dynamics in Aggregate Productivity and Formal Job Flows in Zambia
    Keywords: Employment and Unemployment ; Finance and Financial Sector Development ; Formal Jobs ; Formal Wages ; Industrial Management ; Industry ; Productivity ; Skills Development and Labor Force Training ; Social Protections and Labor ; Structural Transformation ; Wages, Compensation and Benefits
    Abstract: Zambia's private sector must deliver quality jobs at scale to keep up with its expanding working age population, contribute to economic transformation, and reduce poverty. This entails both the creation of high-quality jobs and productivity improvement among existing jobs and firms. This paper analyzes the dynamics of formal firms to identify the drivers and barriers to productivity, formal employment, and formal wage growth in Zambia. Leveraging firm and worker administrative tax data from Zambia, the paper decomposes labor productivity and wage growth among formal firms and workers in Zambia into within-firm, between-firm, inter-sectoral, and dynamic components. The findings show that the aggregate labor productivity of formal firms declined over 2014-21, driven by secular within-firm declines in the non-mining industry and service sectors. By contrast, labor productivity grew in agriculture and remained flat in mining over the same period. Real wage trends for formal workers have mostly mirrored labor productivity dynamics, declining 40-50 percent across non-agriculture sectors but growing slightly in agriculture, largely driven by within-firm shifts rather than between-firm or between-sector dynamics. The declines in labor productivity and wages reflect business environment challenges related to access to finance and electricity, as well as burdensome formal compliance requirements and competition with the informal sector. Within-firm labor productivity challenges also reflect low skills and capacity--including low technology adoption--among both firms and workers
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  • 15
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Development Patterns and Poverty ; Disease Control ; Economic Development ; Health Care ; Health, Nutrition and Population ; Non-Communicable Disease ; Poverty Monitoring and Analysis
    Abstract: Non-communicable diseases (NCDs) are increasingly placing significant health and economic burdens on low- and middle-income countries (LMICs). Primary care serves as the initial point of contact for individuals seeking medical assistance and plays a pivotal role in promoting health, preventing diseases, and managing chronic conditions like cardiovascular diseases, diabetes, cancer, and respiratory illnesses. By embedding NCD services within primary health care (PHC) settings, individuals receive timely screening, diagnosis, treatment, and ongoing support, leading to improved health outcomes and reduced healthcare costs. The World Bank has significantly increased its investments in NCD management, particularly over the past decade. The aim of this report is to collate real-world examples showcasing the integration of best practices for managing NCDs within PHC systems. This anthology accompanies the NCD system assessment tool, which aims to support World Bank country teams to a rapidly (~3 months) assess gaps implementation of a set of best practices for NCD prevention and management. Specifically, the tool evaluates health systems against 43 best practices - practical policies, plans, programs or structures - recommended by global consensus panels or proven to be effective in meta-analyses, systematic reviews and Cochrane reviews. These best practices that make up the assessment tool are the foundation of the case studies in this anthology. Drawing on desk-based review of available data, peer-reviewed and grey literature, and a small set of key informant interviews, the cases in this anthology detail the successes, challenges, and lessons learned from the adoption of these best practices in diverse country contexts
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  • 16
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit Lives, Livelihoods, and Learning: A Global Perspective on the Well-Being Impacts of the COVID-19 Pandemic
    Keywords: Communicable Diseases ; Covid ; Education ; Health and Poverty ; Health, Nutrition and Population ; Learning ; Mortality ; Poverty ; School Health ; Welfare
    Abstract: This study compares the magnitude of national level losses that the COVID-19 pandemic inflicted across three critical dimensions: loss of life, loss of income, and loss of learning. The well-being consequences of excess mortality are expressed in years of life lost, while those of income losses and school closures are expressed in additional years spent in poverty (as measured by national poverty lines), either currently or in the future. While 2020-21 witnessed a global drop in life expectancy and the largest one-year increase in global poverty in many decades, widespread school closures may cause almost twice as large an increase in future poverty. The estimates of well-being loss for the average global citizen include a loss of almost three weeks of life (19 days), an additional two and half weeks spent in poverty in 2020 and 2021 (17 days), and the possibility of an additional month of life in poverty in the future due to school closures (31 days). Well-being losses are not equitably distributed across countries. The typical high-income country suffered more total years of life lost than additional years in poverty, while the opposite holds for the typical low- or middle-income country. Aggregating total losses requires the valuation of a year of life lost vis-a-vis an additional year spent in poverty. If a year of life lost is valued at five or fewer additional years spent in poverty, low-income countries suffered greater total well-being loss than high-income countries. For a wide range of valuations, the greatest well-being losses fell on upper-middle-income countries and countries in the Latin America region. This set of countries suffered the largest mortality costs as well as large losses in learning and sharp increases in poverty
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  • 17
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Siekmans, Kendra Understanding the Links between Diet Quality, Malnutrition, and Economic Costs: An Evidence Review for LMICs
    Keywords: Diet ; Food and Nutrition Policy ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Non-Communicable Disease ; Obesity ; Overweight ; Public Health Promotion ; Undernutrition
    Abstract: Understanding the economic costs attributable to unhealthy diets is crucial to inform health and agrifood investments in low- and middle-income countries experiencing nutrition transition. To review the current evidence on the association between diet quality and economic costs in low- and middle-income countries, this paper first conducted a literature search to identify studies that include a dietary exposure, nutrition, or health outcome, and a cost estimate. Given the limited studies in terms of life stage groups represented, a second search was conducted for systematic reviews and meta-analyses of observational studies, with effect size estimates for the risk of nutrition or health outcomes associated with diet quality. Of 21 studies (search 1), most were based on the Global Burden of Disease model and estimated the fraction of diet-related noncommunicable disease outcomes attributable to individual or groups of dietary risk factors. The search found 82 systematic reviews and meta-analyses (search 2) that estimated the burden of malnutrition associated with dietary risk factors. Low dietary diversity was associated with increased risk of undernutrition and anemia in pregnant women and children. Dairy consumption was protective for low birthweight, child obesity, and diabetes and hypertension. Low animal source food intake increased the risk of anemia and zinc deficiency during pregnancy. Unhealthy food consumption, including ultra-processed foods and sugar-sweetened beverages, increased the risk of overweight/obesity, diabetes, and hypertension. Healthy dietary patterns were protective during pregnancy for maternal and birth outcomes, and for diabetes and hypertension in adults. The results highlight gaps in quantifying the contribution of diet quality to multiple forms of malnutrition and noncommunicable diseases
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  • 18
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Adaptation to Climate Change ; Health Service Delivery ; Health Service Management and Delivery ; Health Systems and Policies ; Health, Nutrition and Population ; Human Development and Gender ; Natural Disasters ; Reproductive and Maternal Health
    Abstract: There are multiple obstacles to use of health information systems (HISs) in Yemen, including fragmented systems, insufficient infrastructure, a lack of skilled personnel, and the absence of standardized registries with identical terminology and coding. The absence of unified strategic visions1, standards, vocabulary, and terminologies further complicate the situation. Despite these challenges, Yemen has made strides in implementing various HIS with support from international partners, including the most widely used--the District Health Information Software 2 (DHIS2), for routine health data collection and analysis. However, it should be noted that the DHIS2 is not intended to serve as an electronic medical record (EMR) system in Yemen. This note underscores the potential of digital health solutions in transforming Yemen's HIS. Introduction of a Digital Health Platform (DHP), designed to enhance the interoperability and integration of current and future HIS, is an opportunity for Yemen. The DHP helps improve data governance, management, and usage by encouraging the efficient use of digital health standards and open-source tools. A gradual, flexible, and demand-driven approach is encouraged, emphasizing the integration of existing HIS. Recognizing challenges and opportunities around HIS in Yemen, the Ministry of Public Health and Population (MoPHP) intends to effectively utilize digital solutions to foster greater improvements in HIS governance, architecture. The MoPHP intends to establisha foundational blueprint that can be synergized with the DHP and other proposed digitalhealth solutions, thereby accelerating the pace of implementation and ensuring a cohesiveapproach to health care transformation
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  • 19
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Childcare ; Early Childhood Development ; Education ; Legal Framework ; Policies ; Services Mapping ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The "Comprehensive Assessment of the Childcare Landscape in Lebanon: A Mixed Methods Study" analyzes the supply and demand of formal childcare services for children aged 0-3. It provides a review of Lebanon's regulatory and institutional framework around childcare, maps out the current supply of services including cost and quality aspects, and deepens the understanding of households' childcare needs. Findings show that there is a mismatch between supply and demand, with a gap in provision for the youngest children and that supply is mostly private, costly, and concentrated in coastal areas. Childcare responsibilities limit women's ability to join the labor force, and affordability is a main constraint for families to access services, resulting in low demand for formal childcare. The study proposes measures for an inclusive expansion of quality and affordable childcare services in four areas: (i) an enabling environment for efficient, affordable provision of quality childcare services, (ii) a more equitable distribution of the unpaid care work burden within the household, (iii) improved State support to address households' care needs, and (iv) inclusive family-friendly workplace conditions in the private sector
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  • 20
    Language: English
    Pages: 1 Online-Ressource (62 pages)
    Parallel Title: Erscheint auch als Cunningham, Wendy Urban Informality in Sub-Saharan Africa: Profiling Workers and Firms in an Urban Context
    Keywords: Employment and Unemployment ; Informal Sector ; Low Skilled Workers ; Self-Employment ; Social Protections and Labor ; Urban Informal Sector ; Women in The Workforce ; Work and Working Conditions
    Abstract: This paper describes the state of informal sector work in urban Sub-Saharan Africa, using household surveys from 26 countries representing 61 percent of the population of Sub-Saharan Africa and firm surveys from three countries. Five main conclusions emerge. First, the urban informal sector is large and persistent in Sub-Saharan Africa. Approximately 56 to 65 percent of urban workers are informal, half of whom are self-employed. Data from five countries suggest little systematic reduction in the prevalence of informality during the 2010s. Second, heterogeneity in the African informal sector cuts along demographic lines. Women are overrepresented in informal self-employment, men in informal wage work, and youth in unpaid employment. Third, while the urban informal workers are, on average, poorer and in less-skilled occupations than formal sector workers, the majority are not extremely poor and are in mid-skilled occupations. Fourth, informal enterprises are small and are challenged to survive and grow into job-creating firms. Few find much benefit from registration given the costs, both monetary (taxes) and transactional (information about the registration process). Fifth, access to urban public services (utilities) is weakly associated with the probability of working in an informal job, although access to mobile phones is high across all job types. If thriving urban jobs are to contribute to economic and social development in Africa, it will be crucial for policies and programs to take into consideration the heterogeneity in jobs, the profile of workers, and the urban context
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  • 21
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Xuan Hoang, Trung The Long-Term and Gender-Equalizing Impacts of the Islamic Republic of Iran-Iraq War in 1980-88 on School Access and Labor Market Performance
    Keywords: Conflict and Development ; Employment and Unemployment ; Iran Iraq War ; National Labor Markets ; Social Protections and Labor ; Social Welfare ; Violent Conflict ; Work Hazards
    Abstract: This paper uses the context of the Islamic Republic of Iran-Iraq war in 1980-88 to study the long-term impacts of exposure to the war during school years on educational attainment and labor market outcomes in Iraq. The analysis uses an event study and the Iraq Household Socio-Economic Surveys 2006-2007. The findings show that the Islamic Republic of Iran-Iraq conflict had a negative impact on the social welfare of men who were exposed to the war, including on social security, pension plan, health care, paid leave, and job permanence, while little impact on women is found. Additionally, the conflict reduced wages for both men and women. Furthermore, men who were exposed to the conflict were more likely to work in dangerous jobs or without air conditioning, while no evidence on this is found for women. The paper also shows the impact of the intensity of the Islamic Republic of Iran-Iraq war on educational attainment and labor market outcomes. It documents the education channel through which the war affects labor market outcomes, showing that the war decreased the educational levels of men and women born between 1971 and 1981. The findings are robust to a variety of robustness checks and falsification tests
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  • 22
    Language: English
    Pages: 1 Online-Ressource (53 pages)
    Parallel Title: Erscheint auch als Valencia, Christian Soft Skills, Competition, and Hiring Discrimination
    Keywords: Competition ; Discrimination ; Labor Market ; Skills Development and Labor Force Training ; Social Protections and Labor ; Soft Skills ; Work and Working Conditions
    Abstract: This paper conducts a correspondence study to assess demand for soft skills in the context of hiring discrimination in Malaysia. No evidence of gender-based discrimination is found, including in science, technology, engineering, and mathematics occupations. However, in line with previous studies in the same context, there is evidence of ethnic discrimination. The paper then test the relevance of two soft skills: leadership and teamwork. These tests find some evidence that the labor market rewards simple signals of teamwork for the average applicant. Teamwork also plays an important role in the context of labor market discrimination, reducing the discrimination gap by 40 percent. In contrast, signaling leadership skills has no effect. Last, the paper considers the role of labor market competition. Companies facing competition in the labor market, measured by the number of competitors advertising similar positions, are 56 to 66 percent less likely to discriminate. On the supply side, discrimination increases with the relative quality of the pool of applicants. The results provide novel evidence that soft skills and labor market competition both play important roles in understanding hiring discrimination. This underlines potential pathways to overcome labor market discrimination and improve job matching
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  • 23
    Language: English
    Pages: 1 Online-Ressource (61 pages)
    Parallel Title: Erscheint auch als Lopez, Carolina Do Patients Value High-Quality Medical Care? Experimental Evidence from Malaria Diagnosis and Treatment
    Keywords: Demand for Medication ; Health Service Management and Delivery ; Health, Nutrition and Population ; Malaria ; Malaria Treatment ; Patient Satisfaction ; Patients ; Provider Beliefs ; Public Health Promotion
    Abstract: Can information about the value of diagnostic tests improve provider practice and help patients recognize higher quality of care In a randomized experiment at public clinics in Mali, health providers and patients received tailored information about the importance of rapid diagnostic tests (RDTs) for malaria. The provider training increased provider reliance on RDTs, improving the match between a patient's malaria status and treatment with antimalarials by 15-30 percent. Nonetheless, patients were significantly less satisfied with the care they received, driven by those whose prior beliefs did not match their true malaria status. The patient information intervention did not affect treatment outcomes or patient satisfaction and reduced malaria testing. These findings are consistent with highly persistent patient beliefs that translate into low demand for diagnostic testing and limit patients' ability to recognize improved quality of care
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  • 24
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Adolescent Girls ; Economic Growth ; Family Planning ; Gender ; Gender Equality ; Good Health and Well-Being ; Health, Nutrition and Population ; Labor Markets ; Reproductive Health ; SDG 3 ; SDG 5
    Abstract: Adolescence is a dynamic period of biological development and social change, and also a period when adolescent girls are at risk of school dropout, early marriage, pregnancy, and gender-based violence. Adolescents have the highest unmet need for family planning in Bangladesh, and married adolescents have a significantly lower contraceptive prevalence rate than other age groups, leading to a high adolescent fertility rate. The Government of Bangladesh developed a national strategy for adolescent health 2017-2030 and a costed action plan to improve adolescent health, including sexual and reproductive health. The Strategy addresses overall health needs of adolescents, including menstrual hygiene management, prevention of violence and mental health. The Government of Bangladesh is currently implementing the 4th Health, Population and Nutrition Sector Program which includes support for a school-based adolescent health and nutrition program. Furthermore, programme implementers often work in silos and focus on single platforms, id est at the health facility, school, or community levels. Presently adolescents receive sexual and reproductive health information and services largely from private sector providers with variable quality
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  • 25
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Keywords: Climate Change ; Economic Development ; Economic Growth ; Environment ; Health, Nutrition and Population ; Macroeconomics ; Macroeconomics and Economic Growth ; No Poverty ; Poverty ; Poverty Diagnostics ; Poverty Reduction ; SDG 1
    Abstract: This edition of the Macro Poverty Outlooks periodical contains country-by-country forecasts and overviews for GDP, fiscal, debt and poverty indicators for the developing countries of Sub-Saharan Africa. Macroeconomic indicators such as population, gross domestic product and gross domestic product per capita, and where available, other indicators such as primary school enrollment, life expectancy at birth, total greenhouse gas emissions and inflation, among others, are included for each country. In addition to the World Bank's most recent forecasts, key conditions and challenges, recent developments and outlook are briefly described for each country in the region
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  • 26
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 1. Speeches by Ajay Banga (2023 - present)
    Keywords: Climate Change Economics ; Industry ; Industry Policy ; Job Creation ; Job Opportunities ; Local Government ; Real Sectors ; Social Protections and Labor
    Abstract: The document collection discusses the challenges and opportunities facing the global community, focusing on issues such as persistent poverty, protracted conflicts, and the intractable climate crisis. It highlights the urgent need to create jobs for the 1.1 billion young people who will enter the workforce in the next decade, especially in the developing world where economic growth is retreating. The collection emphasizes the importance of learning from successful development strategies, using the example of China's remarkable journey in overcoming poverty and achieving explosive job growth. It also underscores the significance of addressing environmental concerns, showcasing how China's efforts in transitioning away from inefficient industries and improving air quality have had a positive impact. Overall, the document collection emphasizes the need for collaborative efforts to combat poverty, promote economic development, and address environmental challenges on a global scale
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  • 27
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Data Development and Gender ; Economic Growth ; Employment and Unemployment ; Human Development and Gender ; Labor Market Policy and Programs ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development and Poverty ; Social Protection Delivery Systems ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The following analytical report summarizes the technical notes and presentations prepared by the World Bank and the Workforce Development Center under the Ministry of Labor and Social Protection of Population of Kazakhstan (MLSPP). These works aimed to support the MLSPP in the preparation of the Concept Plan of Labor Market Development for 2024-2029. The teams analyzed existing barriers and the potential for the creation of quality jobs in Kazakhstan because employment is essential for economic growth, which contributes to reducing poverty. Despite slower economic growth and some institutional challenges, Kazakhstan, nevertheless, has been successful at reducing the poverty rate. The major factor contributing to Kazakhstan's growth has been productivity, regardless of the period. A much lower contribution stems from labor market factors and employment rates. Therefore, the teams focused on how to boost firm productivity to increase the number and accessibility of better jobs, as well as how to develop skills and provide good education to the different groups of the population and prepare people for new and old jobs. Based on the material delivered by the World Bank, the WDC and other local expert groups, the MLSPP was able to draft the Concept Plan of Labor Market Development for 2024-2029, which the Government of Kazakhstan approved on November 28, 2023
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  • 28
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Asean Region ; Informal Waste Workers ; IWW ; Livelihood Models ; Marine Plastic Waste ; Social Protections and Assistance ; Social Protections and Labor ; Vulnerabilities ; Work and Working Conditions
    Abstract: The present study focuses on a particular group of actors along the plastics collection and recycling value chain--informal waste workers (IWWs)--on whom limited information has been collected at the country level. Specifically, the study examines two questions: (i) what is the profile and vulnerabilities of informal waste workers in the three countries including gender-specific vulnerabilities; and (ii) what livelihood opportunities and community-based innovation models have been piloted in the selected countries, and can be used as case study examples in future policies and interventions, with the objectives of reducing vulnerability of IWWs and contributing to improving solid waste management and recycling value chains
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  • 29
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Governance ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; PHC ; Primary Health Care Performance ; Vital Signs Profile
    Abstract: This report presents the findings of the Vital Signs Profile (VSP) assessment conducted by the World Bank and the Primary Health Care Performance Initiative (PHCPI) in collaboration with Fiji's Ministry of Health and Medical Services (MHMS). The VSP provides an opportunity to assess the state of the primary health care (PHC) system in Fiji, highlighting areas of strength and challenges through the lens of the PHCPI framework. The framework organizes various domains and subdomains of primary health care using a logic model approach that encompasses the traditional inputs and outputs of PHC systems and emphasizes the capacity and processes of PHC service delivery and performance. Notably, while PHCPI recognizes the role of social determinants of health and intersectoral health promotion and prevention efforts as important factors influencing population health, the VSP is primarily focused on aspects of health service delivery. Fiji is one of four Pacific countries - alongside Kiribati, the Republic of the Marshall Islands, and Solomon Islands that have, with support of the World Bank, used PHCPI tools to take stock of current performance, safeguard what works well, and lay out a vision for areas requiring improvement
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  • 30
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Benazir Income Support Programme ; Benazir Nashonuma ; Benazir Taleemi Wazaif ; BISP ; Case Management ; CCT ; Conditional Cash Transfer ; Digital Divide ; Grievance Redress Mechanism ; ICT Applications ; National Socio-Economic Registry ; Social Protections and Labor
    Abstract: This report documents the progress that Pakistan has made so far in improving its systems for delivering social protection to its people. The government has increasingly relied on data and technology to increase the efficiency and effectiveness of the program. BISP UCT (Kafaalat),the country's largest social assistance program in terms of both budget allocation and number of beneficiaries has been responsible for the most innovative developments in the delivery of benefits. Its delivery systems have evolved significantly overtime expanding in scope from simply delivering the UCT to becoming a system that other programs can leverage to identify beneficiaries and deliver benefits. It has flexibility to be scaled up, both horizontally and vertically, in times of shock. This did not happen overnight: the government has consistently invested time and resources over the past decade and a half to improve how it functions. By documenting that journey, using the Social Protection Delivery Chain Framework developed by the World Bank in the "Sourcebook on the Foundations of Social Protection Delivery Systems," (Lindert and others 2020), this report can be a resource for domestic and international stakeholders
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  • 31
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Legal and Judicial Sector Assessment
    Keywords: Access To Justice ; Cameroon ; Data Gap ; Ethiopia ; Gender and Marital Gaps ; Law and Development ; Legal Reform ; Legal System ; Sierra Leone ; Social Protections and Assistance ; Social Protections and Labor ; Zanzibar
    Abstract: Limited access to justice is a root cause of underdevelopment, social unrest, and conflict. Expanding access to all and especially vulnerable groups including women, the young, small business owners and the poor is clearly paramount for a peaceful and prosperous continent. Justice means different things to different people, particularly the multiple actors who design and administer justice systems and affect the outcomes. Elected leaders eager to respect aspirations for a fair society with human rights and accountable governance. Judges, lawyers, and service providers view justice as a moral duty to guarantee fairness before the law. Business leaders look to courts to resolve contract disputes and keep transaction costs and risks low. Yet the voices of vulnerable groups, who are the most impacted when justice fails, are not often heard in discussions regarding justice systems. This book aims to boost knowledge and improve decision making by exploring the perspectives of what justice means to the most vulnerable people and how to improve their access to justice
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  • 32
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Employment and Labor Market ; Expanded Coverage ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor ; Western Balkans
    Abstract: Reforming social protection systems has become more important recently due to various global crises, drawing attention to this unfinished agenda in the Western Balkans. The six Western Balkan countries, Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia, and Serbia, need social protection more than ever. Millions of people in the region remain vulnerable to a range of well-known risks, with shocks and new sources of vulnerability exacerbating the urgency of reform. These countries are taking steps to improve their social protection systems to make them fairer, more sustainable, more effective, and better able to respond to people's needs. However, progress is slow and uneven. Social protection systems across the Western Balkans are comprehensive and complex, spanning multiple objectives. To reduce poverty and vulnerability, reforms are necessary, and governments should focus on four main areas: (i) establishing strong foundations for social protection systems to better respond to crises; (ii) expanding coverage and effectiveness of poverty-targeted programs to improve inclusion and support for vulnerable populations; (iii) facilitating access to better employment opportunities and promoting labor market inclusion; and (iv) ensuring the financial sustainability of social protection programs for long-term effectiveness
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  • 33
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Public Expenditure Review
    Keywords: Agribusiness ; Agricultural Finance ; Agriculture ; Gender and Economic Policy ; Gender and Social Policy ; Quality of Employment ; Social Conflict and Violence ; Social Protections and Labor
    Abstract: In Burkina Faso, agriculture is the primary source of employment for the population, but it faces challenges due to low productivity and poor water management, exacerbated by the adverse effects of climate change. Increases in grain production have been achieved through the expansion of cultivated areas, thereby putting significant pressure on natural resources. At the policy level, agriculture has been identified as a priority sector for the transformation of Burkina Faso's economic structure as outlined in the Second National Plan for Economic and Social Development (PNDES II). At the institutional and organizational level, the implementation of the program budgeting since 2017, shifting from funds-based budgeting to outcome-based budgeting, aims at enhancing the efficiency of public expenditure by focusing on outcomes. The structure of the program budgeting includes more than twenty distinct budget programs. This large number of budget programs poses challenges in terms of coordination, optimization, and capitalization of public action in favor of the agricultural sector. In this context, the World Bank undertakes this third agriculture public expenditure review to help the Government of Burkina Faso produce evidence on the structure of public expenditures. In addition to the classic analysis of the efficiency of expenditure allocation, the efficiency of budget execution, as well as coordination, monitoring and evaluation, and accountability mechanisms in the sector, the report will examine the incidence and impact of public expenditures by analyzing four specific cases: (i) input subsidies, (ii) hydro-agricultural facilities and irrigation; (iii) agricultural finance, and (iv) expenditures allocated to forestry and natural resources
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  • 34
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Demographics ; Early Childhood Development ; Education ; Fetal and Maternal Health ; Food and Nutrition Policy ; Gender ; Gender and Poverty ; Government Financing ; Health, Nutrition and Population ; Human Capital ; Mortality ; Nutrition Services ; Pregnancy ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This Human Capital Review (HCR) report presents an in-depth analysis of human capital indicators throughout a person's lifetime, from in utero to productive aging. By examining the various stages of human capital accumulation, the report aims to provide accurate recommendations for specific groups in Sierra Leone. Thus, the report disaggregates data whenever possible. It relies on an extensive consultative process involving various stakeholders such as Government counterparts, development partners, teachers, adolescent girls, students, private sector representatives, and local representatives. The consultation process followed a Problem-Driven Iterative Adaptation (PDIA) approach, which facilitates the identification and resolution of problems by local leadership. In addition, this report aims to inform the design and implementation of human capital reforms that will respond to specific challenges identified in the report
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  • 35
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Ambler, Kate Rural Labor and Long Recall Loss
    Keywords: Employment and Unemployment ; Labor Supply ; Poverty Reduction ; Rural Household Survey ; Rural Labor ; Social Protections and Labor ; Unemployment
    Abstract: Surveys frequently rely on annual recall to capture individuals' labor activities over the preceding year. This paper uses a panel of rural households in Malawi for a survey experiment to test the effect of a long, annual recall window on reported labor supply relative to a set of quarterly interviews. The paper documents large losses in reported labor participation using the long recall window with reductions of over 20 percent of reported activities and months worked and a 2.5 times greater incidence of reported unemployment relative to the shorter window. These losses are greater for activities further in the past and especially for individuals whose labor supply is reported by other family members, reaching up to 50 percent for some outcomes. The profile of households' primary respondents, predominantly male and older, and differential effects by age further suggest that long recall may cause meaningful biases in the resulting data for women and younger household members
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  • 36
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Fietz, Katharina Exit Patterns from Brazil's Bolsa Familia and the Role of the Local Labor Market
    Keywords: Bolsa Familia ; Conditional Cash Transfer ; Dynamic Means-Tested Cash Transfer ; Labor Market ; Poverty Reduction ; Rural Workers ; Social Protection Program Graduation ; Social Protections and Labor
    Abstract: Can rising tides in the labor market lift the poor out of social assistance Although a substantial literature has studied the capacity of safety nets to expand automatically during labor market shocks, less is known about the dynamics of social assistance when labor market conditions improve, and who may benefit from positive changes. This paper studies how rising formal employment at the municipal level affects the likelihood of beneficiary families to exit Bolsa Familia, Brazil's dynamic means-tested cash transfer. The analysis exploits panel data from Brazil's vast social registry, matched with seven years of Bolsa Familia payroll information and formal employment records. The data reveal that the Bolsa Familia program displays significant and heterogeneous dynamism, with beneficiaries with higher levels of education and fewer constraints to labor supply taking fewer years to exit. The analysis then uses fixed-effects estimates, combined with an instrumental variable approach, to identify the effects of exogenous changes in the local labor market on exits. The findings show that the increase in local employment leads to a small, statistically significant rise in the probability of exiting from Bolsa Familia. These effects are concentrated in households with spare labor supply and those with medium levels of education
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  • 37
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Access and Coverage ; Equity ; Financing ; Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; PHCPI Framework ; PHP ; Quality
    Abstract: This report presents the findings of the primary health care (PHC) system in the Republic of the Marshall Islands (RMI), an assessment that the World Bank conducted in consultation with the Ministry of Health and Human Services (MHHS) of the government of RMI. The assessment provides an opportunity to understand the performance of RMI's PHC system, highlighting important areas of strengths and opportunities to address ongoing challenges. The assessment uses the Primary Health Care Performance Initiative (PHCPI) framework, which organizes various domains and subdomains of primary care using a logic model approach that encompasses the traditional inputs and outputs of a system, emphasizing service delivery and performance
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  • 38
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Mohieldin, Mahmoud Could Digital Inclusion Close the Gender Economic Gap in the MENA Region?
    Keywords: Access and Connectivity ; Connectivity and Gender Equity ; Digital Divide ; Equitable Development ; Female Labor Market ; Gender ; Gender and Economic Empowerment ; Gender and Economics ; Gender and Law ; Information and Communication Technologies ; Internet Access ; Labor Markets ; Social Protections and Labor
    Abstract: Closing the gender digital divide by ensuring equal access to and benefit of the internet may reduce economic inequalities and close the gender gap in employment by providing new economic opportunities and facilitating access to market information. This paper estimates the impact of digital inclusion, measured by the Inclusive Internet Index on the female-to-male labor force participation ratio, while controlling for other economic and social factors. Using data from the World Development Indicators, the Economist Intelligence Unit database, and the World Bank's Women, Business and the Law database for 13 countries in the Middle East and North Africa region for four years (2018 to 2021), a pooled cross section dataset is constructed. The model is estimated using generalized least squares to control for heteroskedasticity. The results show that an inclusive internet environment would reduce the gender gap in the labor force. Other key drivers include the structure of the economic growth, norms, and gender roles in the society. These results are relevant for the United Nations Sustainable Development Goals agenda, mainly goals 5 and 10
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  • 39
    Language: English
    Pages: 1 Online-Ressource (50 pages)
    Parallel Title: Erscheint auch als Patino Pena, Fausto The Role of Firm Dynamics in Aggregate Productivity, Job Flows, and Wage Inequality in Ecuador
    Keywords: Aggregate Productivity ; Employment and Unemployment ; Finance and Development ; Finance and Financial Sector Development ; Firm Performance ; Job Flows ; Social Protections and Labor ; Wage Inequality
    Abstract: This paper examines the role of firm dynamics in aggregate total factor productivity, job flows, and wage inequality in Ecuador. Utilizing a comprehensive employer-employee dataset, the paper documents firm dynamics and job flow patterns that are consistent with the presence of market distortions. Also, the paper identifies factor misallocation as the main contributor to Ecuador's total factor productivity deceleration. Given these trends, the paper explores allocative inefficiency drivers through firm- and industry-level regressions. Firms in the top productivity quintile face distortive non-wage labor costs that are 3.7 times higher than the bottom quintile, after controlling for firm size and age. The findings also provide evidence of credit misallocation across firms. Additionally, industries with higher job mobility, credit access, and competition and lower non-wage labor costs, minimum wage incidence, and zombie firms demonstrate higher allocative efficiency. Moreover, worker-level regressions indicate that misallocation drivers explain up to 41 percent of wage inequality, with non-wage labor costs and product market frictions as distortions driving this inequality
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  • 40
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; KIRIBATI ; PHP ; PHPCPI ; Vital Signs Profile
    Abstract: The assessment of Kiribati's primary health care (PHC) system, carried out by the World Bank in collaboration with the Government of Kiribati under the Primary Health Care Performance Initiative (PHCPI), marks a unique opportunity to identify the system's strengths and gaps and to catalyze further improvements. The PHCPI tools, including the Vital Signs Profile (VSP) methodology, provide important insights into the country's PHC system and generate actionable policy recommendations for improvement
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  • 41
    Language: English
    Pages: 1 Online-Ressource (53 pages)
    Parallel Title: Erscheint auch als Granata, Julia Why Look at Tasks when Designing Skills Policy for the Green Transition? A Methodological Note on how to Identify Green Occupations and the Skills they Require
    Keywords: Employment and Unemployment ; Green Employment ; Green Occupations ; Green Skills ; ISCO-08 ; Language ; O*NET ; Skills Anticipation ; Skills Development and Labor Force Training ; Social Protections and Labor ; Task-Content Approach ; Text Analysis ; Work and Working Conditions
    Abstract: The coexistence of several definitions of green jobs and measurement instruments gives room for mismatches between those concepts and their application to research questions. This paper first presents an organizing framework for the existing definitions, measurement instruments, and policy frameworks. It then delves into discussing two appropriate approaches for identifying green occupations to guide skills development policy: the task-content and the skills approaches. In the process, it introduces a novel methodology with a dictionary of green terms for identifying green tasks and occupations. This methodology, utilizing text analysis, demonstrates superior performance compared to the well-known O*NET Green Economic Project classification, particularly for developing countries. Lastly, the paper applies this methodology to Indonesia, a middle-income country, and utilizes various data sources to showcase the utility of the dictionary and text analysis exercise
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  • 42
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Cho, Yoonyoung The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times
    Keywords: Cash Transfers ; Depression and Pandemic ; Health, Nutrition and Population ; Mental Health ; Mental Health Crisis ; Poverty Reduction ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: When it comes to mental health, do social protection programs matter more in times of crisis Using panel data from the Philippines around the onset of the COVID-19 pandemic, this study compares depression rates among beneficiaries of an existing conditional cash transfer program to those of non-beneficiaries of similar socioeconomic status. Depression rates were almost identical for the two groups in late 2019, but significantly lower for conditional cash transfer beneficiaries by July 2020, after the initiation of strict quarantine measures and a large emergency cash transfer program. One interpretation of the increased importance of the conditional cash transfer program during the pandemic is that these transfers have larger protective effects in times of vulnerability. Another possible reason is that the existing infrastructure of the program, by allowing for more timely distribution of the emergency cash, enhanced the effectiveness of the government's pandemic response for conditional cash transfer beneficiaries. This paper finds evidence supporting both explanations
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  • 43
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Finance and Development ; Finance and Financial Sector Development ; Financial Support ; IDA ; Jobs ; Labor Markets ; Reform ; Social Protections and Labor
    Abstract: This evaluation is the first stage of the Independent Evaluation Group's assessment of the World Bank's support for more, better, and more inclusive jobs through International Development Association (IDA) financing, and it assesses the implementation of IDA-supported interventions directly supporting its jobs objectives across the three Replenishment cycles from fiscal years 2015 to 2022. Supporting the creation of more, better, and more inclusive jobs is critical towards achieving the goals of poverty reduction and shared prosperity in countries. This is especially true for countries that are eligible for International Development Association (IDA) financing. Since 2014, IDA has included jobs as a special theme, and subsequent IDA replenishments have had what this evaluation calls an 'IDA jobs strategy.' This strategy included explicit objectives, a series of policy commitments to achieve them, and results indicators to track them. This evaluation represents the first stage of the Independent Evaluation Group's assessment of the World Bank's performance in supporting more, better, and more inclusive jobs through IDA financing. It assesses the implementation of IDA-supported interventions that directly supported its jobs objectives across the three Replenishment cycles from fiscal years 2015 to 2022. The evaluation answers two questions: (i) To what extent IDA's strategy on jobs was grounded in sound analytics, adaptive, and operationally relevant (ii) To what extent the strategy has been translated into relevant and effective jobs interventions that directly address the objectives of more, better, and more inclusive jobs The scope of the evaluation is limited to the three main channels for achieving IDA jobs objectives: acting on labor demand, increasing labor supply, and improving labor market flexibility and geographic mobility. The report offers recommendations for further strengthening of the IDA jobs agenda towards the objective of supporting more, better, and more inclusive jobs
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  • 44
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Financial Protection ; Health Service Management and Delivery ; Health Services ; Health, Nutrition and Population ; SDI ; Service Quality ; Systems and Tools ; Workforce
    Abstract: The Service Delivery Indicators (SDI) health survey in Moldova serves as a vital tool for assessing and benchmarking the performance of health service delivery. Its primary aim is to evaluate the quality of basic health services. This comprehensive evaluation enables both governments and service providers to pinpoint deficiencies and bottlenecks in health service delivery, monitor progress over time, and make cross-country comparisons. The widespread availability of and public awareness about SDI indicators foster engagement among policy makers, citizens, service providers, donors, and stakeholders, in turn driving efforts to enhance service quality and ultimately development outcomes
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  • 45
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Islamaj, Ergys The Sovereign Spread Compressing Effect of Fiscal Rules during Global Crises
    Keywords: Communicable Diseases ; Covid-19 Crisis ; Finance and Financial Sector Development ; Fiscal Rules ; Health, Nutrition and Population ; International Economics and Trade ; International Financial Markets ; International Trade and Trade Rules ; Sovereign Spreads
    Abstract: Do fiscal rules help suppress sovereign spreads during periods of global financial stress Yes! This paper examines whether fiscal rules contribute to mitigating sovereign spreads in emerging markets and developing economies during periods of heightened financial and economic volatility worldwide. It finds that the presence of fiscal rules is statistically significantly associated with lower sovereign spreads during the COVID-19 crisis -- about 350 basis points lower on average. Interestingly, this correlation persists even when nations deviate from these rules, indicating an expectation of post-crisis compliance. The study shows that deviations from fiscal rules are typically short-lived, with fiscal balance rules reinstated within 3.5 years. Robustness checks, including controls for institutional quality, fiscal rule strength, and global and regional factors confirm these results. Overall, the findings suggest that fiscal rules can help emerging markets and developing economies signal fiscal responsibility during episodes of global financial stress, reducing borrowing costs relative to countries without fiscal rules
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  • 46
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Access and Equity in Basic Education ; Access To Education ; Agriculture ; Climate Change Impact ; Covid-19 Impact ; Education ; Food Security ; Health Service Management and Delivery ; Health, Nutrition and Population ; Human Capital Accumulation and Utilization ; Inclusive Development ; Long-Term Economic Growth ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This report is undertaken as a part of the Human Capital Project (HCP), a globalinitiative of the World Bank Group that aims to increase governments' awarenessof the importance of investing in people (World Bank date of publication not identifiedb). One of the maincomponents of the HCP is a cross-country metric--the Human Capital Index (HCI). The HCI estimates the amount of human capital a child born today can expect to accumulate by the age of 18, thus highlighting how current health and education outcomes shape the work productivity of the next generation. Moreover, given the cumulative nature of human capital, the HCI has clear milestones across the entire human life cycle: at birth, children need to survive; during childhood, they need to be well-nourished; at school age, they must complete all schooling and active adequate learning levels; and in adulthood, they need to stay in good health. Finally, the HCI includes a result: a score that ranges from 0 to 1. A country where an average child has virtually no risk of being stunted or dying before age five, receives high-quality education, and becomes a healthy adult, would have an HCI close to 1. Conversely, when the risk of being ill-nourished or prematurely dying is high, access to education is limited, and the quality of learning is low, the HCI would approach zero
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  • 47
    Language: English
    Pages: 1 Online-Ressource (41 pages)
    Parallel Title: Erscheint auch als Canavire Bacarreza, Gustavo Javier Beyond the Usual: Understanding the Multidimensional Nature of Job Quality in Bolivia's Labor Market
    Keywords: Household Survey ; Industry ; Job Quality ; Job Specific Characteristics ; Social Protections and Labor ; Synthetic Job Quality Index ; Wages, Compensation and Benefits
    Abstract: Job quality can impact workers' productivity and contribute to societal well-being. To analyze the evolution of job quality in Bolivia, this paper employs Bolivian household survey data spanning 2007 to 2021 to construct a synthetic job quality index. The index incorporates a broad definition of a good job, encompassing six dimensions: adherence to regulations, working conditions, establishment of an appropriate wage-job linkage, productive usage and adaptability of skills, availability of career opportunities, and employment resilience. The findings indicate that job quality in Bolivia has mostly remained incessant, exhibiting limited change even during periods of high growth in economic output. However, this result masks heterogeneities, with significant variation in job quality associated with workers' demographic and job-specific characteristics and across regions
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  • 48
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Hauser, Christina Sarah Tackling Gender Discriminatory Inheritance Law Privately: Lessons from a Survey Experiment in Tunisia
    Keywords: Family Law ; Gender Discrimination ; Gifting ; Inheritance Law ; Poverty Reduction ; Rural Poverty Reduction ; Social Protections and Labor
    Abstract: When reform of gender discriminatory law fails, individual action can offer a second-best solution. As most Muslim-majority countries, Tunisia applies Islamic inheritance law, systematically favoring sons over daughters. By making gifts to their daughter, parents can privately attenuate gender discrimination in inheritance. This study investigates to what extent gifting can represent an alternative to legal reform and for whom. Within a randomized experiment, this study tests whether providing information on public support for inheritance law reform and/or the possibility to make a gift to one's daughter has a causal impact on individual attitudes towards women's right to inheritance. The overall evidence on the effectiveness of the proposed informational treatments to encourage gifting is mixed. However, approval of gifting daughters is high--especially among the wealthy. Men are more likely to gift than women. By contrast, demand for legal reform is significantly higher among women and individuals with low educational attainment. The findings thus suggest that gifting indeed represents an alternative to legal reform; but mostly for a relatively well-off subset of the population, leaving the agency to the traditionally male head of the family
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  • 49
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Disease Control ; Health Care ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; Non-Communicable Diseases
    Abstract: Non-communicable diseases (NCDs) impose an increasingly heavy health and economic burden on low- and middle-income countries (LMICs). The World Bank's investments in NCD management have increased steadily, with the greatest increases occurring in the past decade. A team at the World Bank has developed this NCD system assessment tool for identifying priorities for investment, to assist task-team leaders (TTLs) in the preparation, monitoring, and or restructuring of NCD related projects. The tool's main focus is on preventing and managing NCDs through a primary health care (PHC) approach, but it also examines the availability of some hospital-based NCD services. The tool evaluates health systems against 43 best practices - practical policies, plans, programs or structures - recommended by global consensus panels or proven to be effective in meta-analyses, systematic reviews and Cochrane reviews. The tool looks for evidence of a strategic approach to managing NCDs, such as: strengthening primary health care, a plan with targets and timeframes for improving NCD care; policies on unhealthy behavior such as smoking, alcohol or unhealthy foods; universal health coverage for core drugs, tests and medical procedures; and intersectoral cooperation to address determinants of health. At the most granular level, it examines the model of care and workflows in primary care for items such as: clear, consistent procedures for screening, a process to ensure all recommended clinical practices are adopted, timely adjustment of medications, process to bring in patients lost to follow-up; triaging and intensive management of high-risk patients; community outreach and home visit services, patient education and self-management supports. To ensure best practices are adopted, the tool also searches for decision support tools, quality improvement teams and examples of successful improvement projects. The tool is intended to do a rapid assessment based on document reviews, key informant interviews and site visits conducted over a brief period
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  • 50
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Agricultural Irrigation and Drainage ; Climate Change ; Critical Care ; Disaster Risk Exposure ; Environment ; Groundwater ; Health Care Systems ; Health, Nutrition and Population ; Irrigation and Drainage ; Natural Hazards
    Abstract: Health care systems are at the frontline of delivering critical care during emergencies, mitigating illnesses and deaths. Yet many countries struggle to meet even routine demands for health care. Climate change, disasters, pandemics, and demographic changes are bound to increase pressures on already strained health systems (Rentschler and others 2021). Preparing and equipping health systems to adequately respond to crises are vital to ensure sustained access to health services and to provide reliable essential health care that protects people's well-being. Having a robust assessment of their country's health system's climate and disaster risk management (CDRM) capabilities allows policy makers to make these systems more resilient against shocks. This policy note introduces the Frontline Scorecard, a new rapid diagnostic tool that decision makers can use to conduct a high-level assessment of the CDRM capabilities of their health system, and illustrates its application in a case-study country, Belize
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  • 51
    Language: English
    Pages: 1 Online-Ressource (45 pages)
    Parallel Title: Erscheint auch als Di Maio, Michele News Sentiment in Destination Countries and Migration Choices: Evidence from Libya
    Keywords: Communities and Human Settlements ; Human Migrations and Resettlements ; Labor Markets ; Migration ; News Sentiment ; Social Protections and Labor
    Abstract: Changes in the sentiment of migration-related news published in destination countries affect the timing of migrants' journeys to these countries. Using geo-localized data on migrants in Libya and the complete record of news articles in their country of destination, this paper shows that a worsening news sentiment leads to migrants staying longer in Libya, slowing down their journeys to their final destinations. The paper validates these results by showing that the effect is concentrated in locations with internet connections. The results indicate that changes in news sentiment have a significant impact only for some groups of migrants and under specific conditions, suggesting a limited effect on overall migrant movements. Finally, the paper provides suggestive evidence that a worsening news sentiment in the preferred destination induces substitution across destination countries, yet it does not make migrants return to their country of origin
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  • 52
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Beegle, Kathleen COVID-19 Increased Existing Gender Mortality Gaps in High-Income Countries More than in Middle-Income Countries
    Keywords: Communicable Diseases ; Coronavirus ; Developing Countries ; Gender ; Gender and Economics ; Gender and Health ; Health, Nutrition and Population ; Mortality ; Pandemic
    Abstract: Men die at higher rates in nearly all places and at all ages beyond age 45. Using World Health Organization excess mortality estimates by sex and age groups for 75 countries in 2020 and 62 countries in 2021, this paper analyzes how patterns of excess mortality varied by sex and age groups across countries during the COVID-19 pandemic and their association with country income level. In 2020, the pandemic amplified the gender mortality gap for the world, but with variation across countries and by country income level. In high-income countries, rates of excess mortality were much higher for men than women. In contrast, in middle-income countries, the sex ratio of excess mortality was similar to the sex ratio of expected all-cause mortality. The exacerbation of the sex ratio of excess mortality observed in 2020 in high-income countries declined in 2021, likely as a result of the faster rollout of vaccination against COVID-19
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  • 53
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Acceleration ; Human Capital ; Life Cycle ; Multisectoral Framework ; Policies ; Social Assessment ; Social Development ; Social Protections and Labor
    Abstract: South Africa's economic growth and development agenda and to present a harmonized approach for investing in priority areas for human capital formation. The policy note first presents an in-depth diagnostic of the status of human capital in the country, applying a life cycle approach. The life cycle approach places a strong emphasis on investing in human capital development holistically, involving all relevant sectors, and as a continuum, following the trajectory of an individual's life. Focus is given to three critical stages of an individual's life, (i) early childhood; (ii) school age; and (iii) youth to adulthood. Based on the findings of the analysis, the policy note identifies the priority challenges and proposes a framework for action. The findings of this policy note aim to serve as a basis for a much-needed dialogue across key relevant government entities, including sector departments such as the Department of Health, the Department of Basic Education, the Department of Higher Education and Training, Department of Social Development, and others, such as National Treasury, Department of Planning, Monitoring and Evaluation, the Office of the Presidency as well as provincial government departments, on how best to invest in human capital, both in the short and medium-to-long term. The note could also be used to inform a range of stakeholders, including civil society, development partners, and the private sector of the human capital development challenges in South Africa and how certain gaps could be addressed through better coordination of interventions. Lastly, the note aims to motivate further research on key areas where there are information and knowledge gaps on human capital in South Africa
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  • 54
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Horton, Susan Estimating Economic Costs of Unhealthy Diets: A Proposed Methodology
    Keywords: Agrifood Policy ; Cancer ; Diet Quality ; Food Choices ; Health Economics and Finance ; Health, Nutrition and Population ; Healthcare Costs ; Non-Communicable Disease ; Nutrition ; Obesity ; Undernutrition
    Abstract: Healthy diets have been characterized as responding to four universal principles--nutrient adequacy, dietary diversity, macronutrient balance, and moderation. With rising incomes, diet concerns globally have shifted from inadequacy of nutrients and lack of diversity, to lack of balance and moderation. This has occurred alongside declining rates of stunting and wasting in children under five and increasing rates of overweight and obesity across a broad age span. Calculations undertaken for low- and middle-income countries for policy and advocacy purposes of the economic cost of unhealthy diets have used nutritional status as a proxy or have made estimates of the impact of noncommunicable diseases by simply adding up known risks of individual diet factors. Both these methods have problems. This paper proposes a new methodology, taking advantage of recent, more holistic, measures of diet quality. Preliminary regression results are presented using cross-country data and the Global Dietary Recommendations Score and Minimum Dietary Diversity for women. The results suggest that diet quality variables generally have the expected signs, but there are also clear limitations of using cross-country data. The methodology could be applied in future to a limited number of broadly representative low- and middle-income countries data sets containing both diet recall data as well as measures of noncommunicable disease risk status. The analysis suggests that this work could inform policies such as the repurposing of existing agrifood policies to complement existing public health policies, to reduce the economic and health burdens imposed by unhealthy diets
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  • 55
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Employment ; Inclusive Society ; Income Inequality ; Labor Markets ; Social Protections and Assistance ; Social Protections and Labor ; Structural Drivers ; Wage
    Abstract: This report is intended to inform public debate and policymaking on income inequality in Thailand. It aims to provide a comprehensive analysis of income inequality in Thailand and identify opportunities to promote more inclusive growth. The analysis uses a wealth of data from a variety of sources (detailed in Appendix A) to examine the pattern, structure, and drivers of income inequality in the country, with a special focus on inequality and labor market supply-side factors. It is structured as follows. This section has laid the foundation for analysis, examining historical trends in both consumption - and income-based measures of inequality while providing geographic context and data on public perceptions about inequality. It also provided a summary of literature findings. Section 2 analyzes the pandemic's impacts on inequality, including the role that social assistance played in mitigating its effects but also the potential scarring effects on children's human capital development. Section 3 examines the structural drivers of inequality and its persistence, focusing on the role of inequality of opportunity in human capital development and access to basic services. Finally, Section 4 provides policy options to create a more inclusive society by addressing the root causes of persistent inequality and mitigating the challenges brought about by the pandemic. In particular, since a significant share of the poor in Thailand are engaged in agriculture, the report underscores that improving farm incomes is crucial for alleviating poverty and reducing inequality. As such, Section 4 draws its recommendations from a recent study on the key challenges and opportunities facing Thai farmers to raise agricultural productivity and incomes
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  • 56
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Seuyong, Feraud Tchuisseu Who did Covid-19 Hurt the Most in Sub-Saharan Africa?
    Keywords: Covid-19 ; Distributional Impacts ; Finance and Development ; Finance and Financial Sector Development ; Health Monitoring and Evaluation ; Health, Nutrition and Population
    Abstract: How did the economic crisis caused by the Covid-19 pandemic impact poor households in Sub-Saharan Africa This paper tackles this question by combining 73 High-Frequency Phone Surveys collected by national governments in 14 countries with older nationally representative surveys containing information on household consumption. In particular, it examines how outcomes differed according to predicted per capita consumption quintiles in the first wave of the survey, and in subsequent waves by households' predicted per capita consumption. The initial shock affected households throughout the predicted welfare distribution. Households in the bottom 40 percent responded by sharply increasing farming activities between May and July of 2020 and gradually increasing ownership of non-farm enterprises starting in August. This coincided with an improvement in welfare, as measured by a decline in food insecurity and distressed asset sales among these households during the second half of 2020. With respect to education, children in the bottom quintile were 15 percentage points less likely to engage in learning activities than those in the top quintile in the immediate aftermath of the crisis, and the engagement gap between the bottom 40 and top 60 widened in the summer before narrowing in the fall due to large declines in engagement among the top 60. Poorer households were slightly more likely to report receiving public assistance immediately following the shock, and this difference changed little over the course of 2020. The results highlight the widespread impacts of the crisis both on welfare and children's educational engagement, the importance of agriculture and household non-farm enterprises as safety nets for the poor, and the substantial recovery made by the poorest households in the year following the crisis
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  • 57
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (64 pages)
    Parallel Title: Erscheint auch als Barnett, Carolyn Louise Gender Role Attitudes, Perceived Norms, and the "Double Burden" in Morocco
    Keywords: Gender ; Gender and Development ; Gender and Employment ; Household Roles ; Social Protections and Labor ; Unpaid Domestic Labor ; Women in The Labor Market
    Abstract: To what extent do attitudes and perceived norms around household roles hinder the emergence of more gender-equal distributions of labor in Morocco Moroccan women undertake a disproportionate share of unpaid household and care labor and participate in the labor force at low rates. Yet everyday practices are shifting, and normative expectations may be as well. From an online survey of predominantly urban, employed Moroccans, this paper finds that respondents aspire for men to be equal contributors in care tasks. Yet, unpaid labor burdens remain highly unequal, respondents disfavor men taking primary responsibility for cooking or cleaning, and women's share of household labor correlates with perceptions of what men prefer more than with individuals' actual preferences. Results from a conjoint survey experiment measuring preferences around employment and the household division of labor confirm respondents' interest in more egalitarian relations in principle, but also suggest that strong preferences for a male breadwinner family model will continue to drive an unequal distribution of labor at home
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  • 58
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Najam, Rafiuddin Closing the Gap: Effect of a Gender Quota on Women's Access to Education in Afghanistan
    Keywords: Affirmative Action ; Gender ; Gender and Economics ; Gender Gap ; LMIC ; Skills Development and Labor Force Training ; Social Protections and Labor ; Women in The Employment Market
    Abstract: Affirmative action is a promising solution to the crucial challenge of bridging the gap in women's access to higher education in low- and middle-income countries (LMICs). This paper uses public universities' matriculation data from 2013-2018 and difference-in-differences estimators to examine the causal impact of a gender quota on women's educational opportunities in Afghanistan. The quota increased the proportion of women in the treated concentration group by nine percentage points and the share of women from low socio-economic status by three percentage points. The expansion was associated with a 0.04-unit decline in the average score ratio of female-to-male applicants, driven by a reduction in the score threshold needed for women's admission. The effects were condensed in competitive concentrations, where the overall share of women and women with low SES increased by 17 and four percentage points, respectively. The findings suggest that affirmative action is a viable option for addressing the gender gap in fragile settings
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  • 59
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Access To Education ; Education ; Education For All ; Gender ; Gender and Development ; Human Development and Gender ; Labor Management and Relations ; Labor Market Policy and Programs ; Public Sector Management ; Social Protections and Labor
    Abstract: The main objective of this study is to assess the performance of Cambodia's tertiary education system in terms of equitable access, labor market relevance, and research output, and to provide policy recommendations to the government and all stakeholders in the tertiary education sector. This will inform priority reforms and investments to strengthen the sector overall and, specifically, improve coverage, relevance, research, and governance. Building on the latest analytical work carried out in 2017 ahead of the preparation of an ongoing higher education operation supported by the World Bank, the study is an important step toward overcoming knowledge gaps about the main drivers of the results of the Cambodian tertiary education system and institutions. It will shed light on the factors explaining disparities in access, the mismatch between higher education programs and labor market needs, the capacity of higher education to train the specialists and technicians needed for the green economy, and shortcomings in the governance set up and processes that impede both public and private HEIs from operating in a flexible and efficient manner. The findings of the report will significantly add to the evidence base for identifying policy options to improve equity, relevance, and governance at both the national and institutional levels
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  • 60
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Economic Growth ; Fiscal Measures ; Innovative Entrepreneurship ; Labor Market ; Macroeconomics and Economic Growth ; Real and Intellectual Property Law ; SDG 8 ; Social Protections and Labor ; Tax Law
    Abstract: Viet Nam's economy slowed sharply in 2023, with three key drivers of growth -- exports, consumption, and private domestic investment -- is losing momentum. On the production side, the slowdown was led by industrial production. In the first quarter of 2024, the economy registered 5.66 percent (y/y) growth, mostly driven by the low base effect in exports, with consumption and investment recovering more gradually. Employment growth slowed and real average monthly incomes stagnated. Viet Nam's external position improved in 2023, underpinned by a large current account surplus. Viet Nam needs to increase domestic private sector productivity to realize its ambitious target of becoming a high-income country by 2045, and innovative entrepreneurship is essential to drive this growth. Improving the conditions for entry and growth of innovative startups, through development of a conducive entrepreneurial ecosystem, can help build a pipeline of highly productive firms in new and established sectors
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  • 61
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Communicable Diseases ; Education ; Health Policy and Management ; Health Service Management and Delivery ; Job Skills ; Labor Market Policy and Programs ; Reproductive Health ; Social Protections and Labor ; Social Safety Nets
    Abstract: The report is structured as follows. Chapter 1 discusses the labor market constraints facing different segments of the working-age population, which can inform how to make work attractive. Chapter 2 explores the factors that are discouraging older people from re-entering the labor market and the need to optimize pension design to promote healthier and longer working lives. Chapter 3 explores ways to enhance human capital formation through the lifecycle, starting with early childcare and education, followed by upper secondary school, secondary VET, tertiary education, TVET and adult training. Chapter 4 identifies the enabling conditions needed to ensure that net migration can have a positive impact on the growth of economic participation and productivity. Chapter 5 focuses on ways to leverage public-private partnerships to providetraining and activation services and on how ALMPs could best be used to increase labor market participation. Finally, Chapter 6 explores the role that social protection can play in stimulating participation in the labor market
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  • 62
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Crisis ; Sahel ; Shocks ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The Sahel region of Africa faces multiple crises, which further compound structural economic and human development challenges. The Sahel is one of the world's poorest regions and displays some of the lowest levels of human capital globally. Violence and insecurity in the Sahel have significantly increased in the past decade, with several countries experiencing active armed conflict and unrest. The impacts of climate change compound existing vulnerabilities and risks. Finally, the external shocks of the COVID-19 pandemic and the war in Ukraine have impacted the Sahel, eroding purchasing power and aggravating poverty. Adaptive Social Protection (ASP) plays a critical role in preventing or mitigating the negative impacts of shocks and boosting resilience for long-term development. ASP has emerged as a flexible and dynamic approach to social protection during the past decade. It combines and exploits synergies between social protection, disaster risk management (DRM), and climate change adaptation. Adaptive Social Protection (ASP) plays a critical role in preventing or mitigating the negative impacts of shocks and boosting resilience for long-term development. The Sahel's vulnerability and exposure to shocks and crises is set to increase with accelerating climate change, calling for a shift from often externally funded, ad hoc responses toward building sustainable, government-led system. Over the past decade, ASP has been on a remarkable trajectory in the Sahel, and this is an appropriate time to take stock of the situation. This report provides an overview of the state of ASP across six Sahelian countries - Burkina Faso, Chad, Mali, Mauritania, Niger, and Senegal - as well as a set of recommendations for actions to strengthen the adaptiveness and responsiveness of existing systems to shocks
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  • 63
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als El Mekkaoui, Najat For Labor or for Divorce? Unilateral Divorce Laws and Women's Labor Outcomes
    Keywords: Demographic and Health Survey ; Divorce ; Gender ; Gender and Economic Policy ; Gender and Social Policy ; Intra-Household Bargaining ; Labor and Employment Law ; Labor Markets ; Law and Development ; Mothers Labor Force Participation ; Social Protections and Labor ; Unilateral Divorce ; Women's Agency ; Women's Labor Force Participation
    Abstract: Despite substantial progress in closing the gender gap, women's labor force participation in the Middle East and North Africa remains one of the lowest globally, at a mere 18 percent. This paper investigates the effect of the introduction of unilateral divorce laws on women's labor outcomes, using data from the Demographic and Health Survey program that spans decades and a quasi-experimental difference-in-differences design in three countries: Morocco, the Arab Republic of Egypt, and Jordan. The results highlight that no-fault divorce legislation was associated with a modest increase in mothers' labor outcomes, measured by current employment, a few years after the reform. These findings are likely induced by a power shift and anticipatory effects that drive women into the labor force. However, when a longer time window is considered, 10 or more years after the reform, the study documents a negative effect of the reform on women's labor outcomes in Morocco, and a positive effect in the Arab Republic of Egypt and Jordan. These differences can be attributed to a set of countervailing effects, including social norms, labor market dynamics, and evolution of the legislation, that make the derived utility from marriage, in some cases, more attractive than that derived from employment, and vice versa. These findings partially confirm results from previous research on the relationship between no-fault divorce and women's agency and empowerment in the Middle East and North Africa region, but, at the same time, contrast with prominent perspectives on legislation that aims at reducing gender-based discrimination. Instead, they show that there might be undesired effects of legislation and provide a policy relevant discussion on that basis
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  • 64
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Lebrand, Mathilde Does Africa Need More Roads in the Digital Age? Evidence of Complementarities in Infrastructure
    Keywords: Employment ; Employment and Unemployment ; ICT Applications ; Information and Communication Technologies ; Infrastructure ; Infrastructure Economics ; Infrastructure Economics and Finance ; Social Protections and Labor ; Structured Transformation
    Abstract: This paper investigates whether the expansion of fast internet networks complements or substitutes for the development of roads to improve market access and create more and higher-skilled jobs in Africa. The paper combines the geographic locations of households and firms with the locations of main roads and optical-fiber nodes in 25 Sub-Saharan African countries. Using the difference-in-differences and instrumental variables approaches and leveraging the history of post-independence road building and the timing of the arrival of submarine internet, the paper examines the impacts of access to these two types of infrastructure, both in isolation and in combination. The findings show that improving access to both has large and positive complementary effects. On average, the additional impacts on employment from combining access to both types of infrastructure are 22 percent larger than the sum of their isolated effects. The findings suggest that a big push for combined investments in fast internet and road access could enhance economic development in Africa overall. Firms and workers in urban locations, female workers, and workers with higher levels of education gain the most from the complementarities that emerge
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  • 65
    Language: English
    Pages: 1 Online-Ressource (67 pages)
    Parallel Title: Erscheint auch als Boulhane, Othmane Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire
    Keywords: Adolescent Girls ; Clubs ; Family Planning Research ; Gender ; Gender and Development ; Gender and Education ; Gender and Health ; Health, Nutrition and Population ; Husbands ; Income-Generating Activities ; Law and Development ; Randomized Experiment ; Safe Spaces
    Abstract: This study uses a cluster-randomized controlled trial to investigate the effects of a large-scale women and girls empowerment program on sexual and reproductive health and empowerment outcomes in Cote d'Ivoire. The study assesses and compares the impact of diverse strategies aimed at equipping girls with life skills and sexual and reproductive health knowledge, provided through well-established safe spaces, in isolation or in combination with livelihood support interventions, or with initiatives designed to engage boys and men and community and religious leaders. The findings show that one year after the end of the interventions, safe spaces alone have a moderate impact on girls' empowerment, while safe spaces combined with husbands' and future husbands' clubs are the most impactful. Combining safe spaces with livelihood support interventions leads to improvements in adolescent girls' employment outcomes, as expected. Finally, the findings show that engaging leaders in the context of safe spaces interventions yields mixed results on girls' empowerment
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  • 66
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Gascoigne, Jon The Welfare Cost of Drought in Sub-Saharan Africa
    Keywords: Climate Change ; Climate Change and Health ; Draught ; Health, Nutrition and Population ; Household Consumption ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper quantifies the impact of drought on household consumption for five main agroecological zones in Africa, developing vulnerability (or damage) functions of the relationship between rainfall deficits and poverty. Damage functions are a key element in models that quantify the risk of extreme weather and the impacts of climate change. Although these functions are commonly estimated for storm or flood damages to buildings, they are less often available for income losses from droughts. The paper takes a regional approach to the analysis, developing standardized hazard definitions and methods for matching hazard and household data, allowing survey data from close to 100,000 households to be used in the analysis. The damage functions are used to quantify the impact of historical weather conditions on poverty for eight countries, highlighting the risk to poverty outcomes that weather variability causes. National poverty rates are 1-12 percent higher, depending on the country, under the worst weather conditions relative to the best conditions observed in the past 13 years. This amounts to an increase in the total poverty gap that ranges from USD 4 million to USD 2.4 billion (2011 purchasing power parity)
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  • 67
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Wahby, Sarah Job Finding and Separation among Syrian refugees in Jordan and Their Hosts during the COVID-19 Pandemic
    Keywords: Covid-19 Impact on Refugees ; Human Rights ; Involuntary Resettlement Law ; Job Finding ; Job Separation ; Labor Market Inequality ; Labor Markets ; Law and Development ; Refugee Camps and Resilience ; Refugees ; Social Development ; Social Protections and Labor ; Voluntary and Involuntary Resettlement
    Abstract: Refugees face important barriers to participation in the formal market, which locks them in informal employment and makes them more vulnerable to shocks. Using data from Jordan, this paper compares the job finding and separation rates of Syrian refugees to those of their hosts before and after the onset of the COVID-19 pandemic. The findings show the change in these rates over time for Syrians to be similar to those of their Jordanian hosts prior to the pandemic, with a significant divergence after the start of the pandemic. Distinguishing between Syrians living in camps and those living in host communities shows that the Syrian disadvantage was entirely explained by living in camps
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  • 68
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: CHVA ; Climate Change ; Climate Change Adaptation ; Environment ; Finance and Development ; Health Risks ; Health, Nutrition and Population ; Vulnerability
    Abstract: Due to global warming, the climate in most regions, especially Africa, is predicted to become more variable, and extreme weather events are expected to be more frequent and severe. These include increasing risks of droughts, flooding, and inundation due to sea-level rise in the continent's coastal areas, potentially reducing economic prospects and national development. It will be imperative for countries to mitigate and adapt to these changing climatic conditions. To succeed, the potential impacts of climate change and variability must be identified along with the country's capacity to adapt and the means to overcome barriers to successful adaptation. This climate and health vulnerability assessment (CHVA) aims to assist decision-makers in Ghana with planning effective adaptation measures to deal with climate-related health risks. The report identifies the impact of climate risks on health and health systems, the adaptive capacities in place to deal with these risks, and the gaps in the adaptive capacities. It also provides recommendations to close the identified gaps. The report adopts the World Health Organization's (WHO) operational framework for building climate-resilient health systems to analyze Ghana's adaptive capacity to adequately deal with current and future identified health risks of climate change
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  • 69
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Kochhar, Nishtha Droughts and Welfare in Afghanistan
    Keywords: Climate Change ; Climate Change and Health ; Drought ; Food Consumption ; Food Insecurity ; Health, Nutrition and Population ; Household Consumption ; Natural Disaster ; Poverty ; Poverty Impact Evaluation ; Poverty Reduction ; Poverty, Environment and Development ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper studies the effect of the 2018 drought on household consumption and poverty in Afghanistan, a semi-arid and conflict-affected country. The paper combines geolocated household data with remote-sensing weather data on precipitation, vegetation, and temperature. The findings show that drought-like conditions decreased monthly per capita consumption expenditures and hence increased poverty, with a highly nonlinear relationship between consumption and weather shocks. When forced to cut back, households reduced nonfood consumption to maintain their food consumption; only under severe stress did they reduce food consumption. Households that owned agricultural land were more resilient to the 2018 drought. Based on the historical distribution of weather shocks, estimates of vulnerability to poverty suggest that 62.5 percent of people have a one in four probability of falling into poverty due to weather shocks. Given that climate change will exacerbate the frequency and severity of future droughts, these findings highlight the importance of investments in resilience and shock-responsive social protection to supplement urgent humanitarian assistance
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  • 70
    Language: English
    Pages: 1 Online-Ressource (104 pages)
    Parallel Title: Erscheint auch als Amin, Mohammad The Impact of Ethnic Fractionalization on Labor Productivity: Does Firm Size Matter?
    Keywords: Ethnic Fractionalization ; Firm Size and Labor Productivity ; Growth ; Labor Productivity ; Large Firm Workers ; Manufacturing Productivity ; Social Protections and Labor
    Abstract: Ethnic fractionalization has both positive and negative consequences. It is contended that the positive effects due to skill complementarity in the production process apply to large firms that have more complex and diversified production structures. Because small businesses rely more on public goods and have less access to institutions, the negative effects of lower quality public goods and higher transaction costs have a greater impact on them. Consistent with this viewpoint, it is found that a larger firm size significantly mitigates the negative impact of higher ethnic fractionalization on the level and growth rate of labor productivity in manufacturing firms across 84 developing countries. There is no robust and significant impact of ethnic fractionalization on large firms for the main and most of the other firm size categorizations considered. The results are confirmed by the instrumental variables estimation method, which uses the duration of early human settlement in each country to instrument ethnic fractionalization. Evidence is provided on the potential mechanisms by which ethnic fractionalization affects small versus large firms. The findings have significant policy implications, which are discussed in detail
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  • 71
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Bedoya, Guadalupe Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets
    Keywords: Gesundheitswesen ; Gesundheitsreform ; Patienten ; Gesundheitsversorgung ; Produktqualität ; Epidemie ; Regulierung ; Experiment ; Kenia ; Health Care Market ; Health Care Utilizaton ; Health, Nutrition and Population ; Informal Sector ; Patient Safety Standards ; Public Health ; Regulatory Enforcement
    Abstract: This paper presents results from the first randomization of a regulatory reform in the health sector. The reform established minimum quality standards for patient safety, an issue that has become increasingly salient following the Ebola and COVID-19 epidemics. In the experiment, all 1,348 health facilities in three Kenyan counties were classified into 273 markets, and the markets were then randomly allocated to treatment and control groups. Government inspectors visited health facilities and, depending on the results of their inspection, recommended closure or a timeline for improvements. The intervention increased compliance with patient safety measures in both public and private facilities (more so in the latter) and reallocated patients from private to public facilities without increasing out-of-pocket payments or decreasing facility use. In treated markets, improvements were equally marked throughout the quality distribution, consistent with a simple model of vertical differentiation in oligopolies. This paper thus establishes the use of experimental techniques to study regulatory reforms and, in doing so, shows that minimum standards can improve quality across the board without adversely affecting utilization
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  • 72
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Nayyar, Gaurav Services-Led Growth: Better Prospects after the Pandemic?
    Keywords: COVID-19 Pandemic Impact on Service Sector ; Digitalization ; Emerging Market Growth ; Growth ; Health, Nutrition and Population ; Market Access Policy ; Offshoring Services ; Service Sector
    Abstract: The service sector accounted for two-thirds of economic growth in emerging market and developing economies over the past three decades. It consists of a wide range of activities, ranging from high-skilled offshorable services, such as information and communications technology (ICT) and professional services, to low-skilled "contact" services, such as retail and hospitality. The pandemic disrupted many low-skilled contact services that typically require face-to-face interactions between providers and consumers. High-skilled offshorable services were the least affected owing to the use of digital technology that enabled remote delivery. Increased digitalization has improved prospects for scale economies and innovation in the service sector that were previously constrained by the need for physical proximity and the lack of opportunities to augment labor with capital. Policies to support the diffusion of digital technologies could therefore further raise the growth potential of the service sector. Policies to improve market access for, and skills in, ICT and professional services could ease important constraints on growth opportunities in these high-skilled offshorable services that have best withstood the pandemic. The same holds true for policies, including regulatory reforms, that promote investment in low-skilled contact services, such as transportation, which have important linkages with the wider economy
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  • 73
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Risk and Vulnerability Assessment
    Keywords: Earthquake ; Environment ; Infrastructure Economics and Finance ; Infrastructure Finance ; Macroeconomic Impact ; Natural Disasters ; Recovery and Reconstruction ; Social Protections and Assistance ; Social Protections and Labor ; Socioeconomic Impact ; Syria
    Abstract: Following the magnitude (Mw) 7.8 Turkiye-Syria Earthquake on February 6, 2023, and the (Mw) 6.3 earthquake on February 20, 2023, the World Bank launched the Syria Rapid Damage and Needs Assessment (RDNA). The objective of the RDNA is to estimate the impact of the earthquake on physical assets and service delivery in the most affected areas. The RDNA covers six governorates with roughly 10million inhabitants, with an in-depth analysis of nine cities. It provides preliminary estimates to rebuild infrastructure and restore service delivery, and general guiding principles for recovery and building back better, focusing on early recovery (0-12 months) and short-term needs (1-3 years). The RDNA also analyses the macroeconomic and socioeconomic impacts of the earthquake to anticipate repercussions on the economic outlook and on the population's well-being. This RDNA contributes to the understanding of the impactof the earthquake on Syria. While the RDNA focuses on the damages incurred by the earthquake, the compounding effect of the pre-existing damages caused by the conflict are reflected in the pre-earthquake baseline. The RDNA follows a globally established and recognized damage, loss, and needs assessment methodology developed by the World Bank Group (WBG), the European Union (EU), and the United Nations (UN). This methodology has been applied globally in post-disaster and conflict contexts to inform recovery and reconstruction planning. Prior to this RDNA, the World Bank Group conducted six assessments to provide information on the effects of the ongoing conflict on population, physical infrastructure, and quality of service delivery
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  • 74
    Language: English
    Pages: 1 Online-Ressource (26 pages)
    Parallel Title: Erscheint auch als Porgo, Teegwende Valerie Prevalence of Catastrophic and Impoverishing Health Expenditures and Potential Protection against Financial Risks through Subsidies in Guinea
    Keywords: Bamako Initiative ; Catastrophic Health Expenditure ; Financial Risk Protection ; Health, Nutrition and Population ; Impoverishing Health Expenditures ; Prescription Subsidy ; Universal Health Coverage (UHC)
    Abstract: Universal health coverage initiatives in Guinea have been hampered by insufficient budget allocations and inefficiencies. Nevertheless, data on the extent of catastrophic and impoverishing health expenditures in Guinea are scarce and outdated. The objectives of this study were to (1) identify the drivers of total health expenditures, (2) estimate the prevalence of catastrophic and impoverishing health expenditures, and (3) estimate the drivers of and potential financial risk protection against catastrophic and impoverishing health expenditures through subsidies in Guinea. A retrospective cohort study was conducted using the 2018-19 Guinea Living Standards Measurement Study. All 41,449 individuals in the Study were eligible, but 15 individuals who lacked consumption expenditure data were excluded. Expenditure data were converted to 2019 international dollars. Based on means and medians, the primary drivers of total health expenditures were hospitalizations (USD 78 and USD 51, respectively) and medications (USD 72 and USD 61, respectively). Based on the distribution of total health expenditures by expenditure categories, the primary driver was medications (75 percent). The main driver of hospitalization expenditures was fever and malaria (21 percent of hospitalization expenditures). The prevalences of catastrophic and health expenditures (equal to or greater than 10 percent threshold) and impoverishing health expenditures were 13 and 4 percent, respectively. Subsidizing medications would prevent 46 percent of the cases of catastrophic health expenditures and 73 percent of the cases of impoverishing health expenditures. It is recommended that the Guinean government (1) strengthen the country's pharmaceutical sector by reinforcing existing laws and regulations and the operational aspects of the sector; (2) implement subsidy programs for rational use of medicines (notwithstanding the Bamako Initiative); (3) strengthen the National Malaria Control Program; and (4) establish an evidence-based operational financing strategy for universal health coverage
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  • 75
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Perge, Emilie Structural and Behavioral Barriers to Improving Development Outcomes: The Case of Maternal Care in Haiti
    Keywords: Behavioral Biases ; Female Health Service Location ; Health and Poverty ; Health, Nutrition and Population ; Maternal Health ; Maternal Mortality ; Mixed Methods ; Multilevel Model ; Poverty and Maternal Health
    Abstract: This paper investigates the interplay between structural and behavioral barriers that discourage pregnant women from accessing institutional care in Haiti, where despite some improvements in the past decades, maternal mortality remains a significant challenge. The analysis complements household survey data with data on service provision and qualitative data on beliefs, perceptions, and attitudes toward maternal health care. Using a mixed-methods approach, the paper confirms that transportation and poverty are important barriers that decrease the likelihood of attending maternal health care services. At the same time, the findings show that women suffer from optimism bias and are uncomfortable with the current model of received care. These barriers discourage women from seeking, reaching, and receiving maternal health care services at health institutions. Tackling structural barriers while finding ways to encourage women to shift their beliefs, perceptions, and attitudes are key recommendations to improve maternal health in Haiti
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  • 76
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Wilkinson, Thomas A Framework for the Economic Evaluation of Digital Health Interventions
    Keywords: Digital Health Intervention ; Economic Evaluation ; Health Intervention Investment ; Health System Decision Making ; Health Systems Development and Reform ; Health, Nutrition and Population ; Low Income Country Health Interventions ; Middle Income Country Health Interventions
    Abstract: Numerous digital health interventions have been piloted in response to the health care challenges low- and middle-income countries face. Because the opportunity cost of investing in digital health interventions can be large, countries must make choices about which interventions to scale up. To make good investment decisions about digital health interventions, there is a need to define and establish their value, and to use economic evaluation to make informed decisions, however DHIs present methodological challenges for economic evaluation. To address these challenges, this paper first creates a 'gap map' of digitalevidence which reveals a dearth of economic evaluation evidence about digital health interventions; this lack can limit decisions on policy, programming, and appropriate scale-up of digital health interventions. To advance work in this field, this paper then develops an economic evaluation framework that can be used when determining the economic value of digital health interventions. Such a standardized approach, alongside guidance to assist the conduct and use of economic evidence, can improve decision making and investments in DHI under constrained health budgets. The resulting digital health intervention economic evaluation framework consists of 5 steps: (1) determine the context, (2) determine the intervention type, (3) establish the level of complexity, (4) set the analytic principles, and (5) represent the value proposition. Users of the framework should attempt to adhere to its steps and principles, but where this is not feasible or appropriate, they should provide justification for the methodological choice. The framework should facilitate methodological transparency, thereby improving the overall usefulness of economic evaluations of digital health interventions
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  • 77
    Language: English
    Pages: 1 Online-Ressource (77 pages)
    Parallel Title: Erscheint auch als Adhikari, Samik Candle in the Wind? Insights from COVID-19 Emergency Cash Transfers to Informal Sector Workers in Sierra Leone
    Keywords: Covid-19 Pandemic ; Economic Security Measures ; Emergency Cash Transfer ; Health Policy ; Health, Nutrition and Population ; Informal Workers Protection ; Unconditional Cash Transfers ; Vulnerable ICT Workers
    Abstract: This paper takes stock of the insights and learnings from a COVID-19 emergency cash transfer program that was administered to vulnerable informal sector workers in Sierra Leone. It starts by reviewing relevant examples of cash transfer programs that were instituted in response to the COVID-19 crisis. It then describes the context, intervention, and data of the emergency cash transfer program, before presenting a quasi-experimental analysis of the emergency cash transfer's potential impacts on various measures of economic security and subjective well-being of households with urban informal sector workers. The analysis is conducted by matching administrative data to survey data and using program eligibility criteria and inverse probability weights to identify the short- and medium-term relationship between a one-off USD 135 cash transfer and various labor market, food security, human capital, and subjective well-being outcomes for recipient and nonrecipient households of the emergency cash transfer. The analysis finds a positive potential impact of the transfer and the number of hours worked as well as employment in the medium term. It also finds that program beneficiaries report higher chances of their main income increasing or staying the same compared to nonbeneficiaries. The positive correlation between the transfer and income disappears over the medium term, perhaps suggesting that one-off transfers work best to cushion vulnerable self-employed households and informal wage workers in the short term but do not impact medium-term employment or income
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  • 78
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: COVID-19 ; Disease Control and Prevention ; ECA ; Education ; Education Reform and Management ; Health and Education ; Health, Nutrition and Population ; Human Capital ; Resilience ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Risk and uncertainty are on the rise, and countries across Europe and Central Asia (ECA) are not immune from it. The region is being hit by crises, conflicts, and continued uncertainty that are negatively affecting people's livelihoods in the short term and prosperity in the long term. Then COVID-19 hit, inflicting massive harm on people's wellbeing, livelihoods, and human capital. Lockdowns prevented people from working, school closures prevented students from learning, and overwhelmed hospitals had to defer important treatments. This report explores how to strengthen the resilience of health, education, and social protection systems to better protect people's human capital from the long-term effects of recurrent shocks and crises
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  • 79
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Gething, Peter W Cholera Risk in Lusaka: A Geospatial Analysis to Inform Improved Water and Sanitation Provision
    Keywords: Cholera Risk Map ; Communicable Diseases ; Health, Nutrition and Population ; Infrastructure ; Spatial Modelling ; Targeting Infrastructure Investment ; Urban Water ; Water Scarcity ; Water Utilities
    Abstract: Urbanization combined with climate change are exacerbating water scarcity for an increasing number of the world's emerging cities. Water and sanitation infrastructure, which in the first place was largely built to cater only to a small subsector of developing city populations during colonial times, are increasingly coming under excessive strain. In the rapidly growing cities of the developing world, expansion does not always keep pace with population demand, leading to waterborne diseases, such as cholera (Vibrio cholerae) and typhoid (Salmonella serotype Typhi). Funding gaps therefore make targeting for efficient spending on infrastructure upgrades essential for reducing the burden of disease. This paper applies geospatial analysis in Lusaka, Zambia, in the context of the cholera outbreak of October 2017 to May 2018, to identify different water and sanitation infrastructure investment scenarios and their relative impact on reducing the risk of cholera in the city. The analysis presented uses cholera case location data and geospatial covariates, including the location of and access to networked and non-networked Water and sanitation infrastructure, groundwater vulnerability, and drainage, to generate a high-resolution map of cholera risk across the city. The analysis presents scenarios of standalone or combined investments across sewerage coverage and maintenance, on-site sanitation improvements, piped water network coverage and quality, and ensuring the safety of point source water. It identifies the investment most strongly correlated with the largest reduction in cholera risk as the provision of flush to sewer infrastructure citywide. However, it also considers the trade-offs in terms of financial cost versus health benefits and takes note of where the next highest health benefits could be achieved for a much lower cost. Finally, the analysis was done in the context of a considered restructuring of an existing World Bank investment, the Lusaka Sanitation Program. It identifies what appears to be the most efficient combined initiative as partial sanitation investment scale-up and investment in piped water in 10 priority wards where the cholera risk was highest
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  • 80
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Access To Capital ; Economic Growth ; Employment and Unemployment ; Human Capital Constraint ; Jobs ; Labor Market Policy ; Low Productivity Growth ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Protections and Labor
    Abstract: The persistent lack of good jobs that is, an inadequate level or quality of jobs, inefficient and/or inequitable jobs outcomes is a key economic issue in developing (and some developed) economies. Yet policy responses often lack an understanding of the causes. While the proximate drivers, such as low productivity growth, slow capital deepening, or a lack of firms and other organized economic actors, may share patterns, the policy roots and circumstances of these outcomes vary a great deal by country. Thus, making progress in a meaningful and lasting way requires, in the first instance, a clear understanding of the binding constraints which, if alleviated, would result in a substantial structural improvement to jobs outcomes. Binding constraints could arise in a host of policies and institutions, including possibly inadequate human capital and labor market policies but also in infrastructure, regulatory, financial, judicial and other areas. This paper provides a data-driven approach and framework for diagnosing the truly binding constraints to better jobs. The approach is to rule out broad categories of constraints using economic logic and data, and to utilize an array of empirical indicators to test whether remaining candidate constraints are binding. While this paper outlines an exhaustive approach, the style of thinking and techniques can also be applied selectively to fill analytical gaps and ensure that key issues are not left unaddressed
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  • 81
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Damania, Richard Is Natural Capital a Complement to Human Capital? Evidence from 46 Countries
    Keywords: Climate Change and Health ; Deforestation and Health ; Disease Control and Prevention ; Economic Development and Deforestation ; Ecosystem Services ; Environment ; Health, Nutrition and Population ; Natural Resources ; Stunting and Waterborne Disease ; Sustainability ; Valuation of Environmental Effects ; Water Pollution
    Abstract: The environment has long been the foundation of human flourishing, but its continued degradation is threatening to reverse recent development gains, especially in human health. This paper analyzes the possible complementarity between natural and human capital by linking high-resolution deforestation data with health outcomes for 0.7 million children across 46 countries. Forest loss is often a consequence of economic activities that may confer market and other benefits. At the same time, it can adversely affect the provision of forest ecosystem services and reduce the associated socioeconomic and environmental benefits for rural communities. The net effect is thus ambiguous. The paper focuses on the hydrological services provided by forests and exploits quasi-random variation in deforestation upstream to assess the impacts on waterborne disease outcomes for rural households downstream. The results not only indicate increases in diarrheal disease incidence among children under 5 years old, but also offer new evidence of early-life exposure to deforestation on childhood stunting, a well-known indicator of later-life productivity. A case study for Peru shows similar results for diarrheal disease, but a weaker effect of forest loss on stunting. The paper concludes that maintaining natural capital has the potential to generate meaningful improvements in long-run human capital
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  • 82
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Economic Growth ; Gender and Economics ; Gender Gaps ; Labor Markets ; Macroeconomics and Economic Growth ; Social Protections and Labor ; Township Level ; Wellbeing ; Work ; Workers
    Abstract: Myanmar's economy has been affected by numerous internal and external shocks since 2020. This report takes stock of the effect of these shocks on Myanmar's workers and their well-being using a reliable new source of household data. The report compares employment indicators from 2017 and 2022 to spotlight the extent of adversity faced by workers and households. Employment indicators for 2017 are based on official Myanmar living conditions survey (MLCS) data. MSPS provides reliable employment indicators at the sub-national level for 2022 that are comparable with baseline official data from 2017. MSPS provides reliable employment indicators at the sub-national level for 2022 that are comparable with baseline official data from 2017. While anchored in the MSPS, this report complements quantitative data with qualitative insights from the community welfare monitoring surveys, in particular the March 2023 round, conducted by the World Bank since 2020. This report is organized as follows: chapter 1 provides a snapshot of overall labor market changes since 2017 and focuses on disparities by gender, employment type, industry of occupation, and other worker characteristics. Chapter 2 analyzes similarities and differences in level employment indicators by state and regions. Chapter 3 concludes by spotlighting key township level characteristics that have influenced workers, their work prospects, and their overall well-being
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  • 83
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Air Pollution ; Alcohol and Substance Abuse ; Disease Control and Prevention ; Economic Burden ; Health Burden ; Health, Nutrition and Population ; NCDS ; Policies and Regulations ; Sugar-Sweetened Beverages ; Tobacco and Alcohol ; Tobacco Use and Control
    Abstract: This report, which aims to raise awareness, identify gaps, and inform policies, is the first comprehensive report on NCDs in Kosovo. Unlike available studies, the present work explores multiple aspects of NCDs, including their burden on health outcomes, risk factors, management, economic burden, and policies introduced to protect the population from these conditions. The report's findings are based on data from existing literature, official documents such as laws, regulations, and protocols, secondary data analysis, and interviews with key informants. The report presents comparisons with available data from the Western Balkans (Albania, Bosnia and Herzegovina [BiH], Montenegro, North Macedonia, and Serbia), aspirational (former socialist, small European Union member states such as Croatia, Estonia, Latvia, Lithuania, and Slovenia) and structural peers (Albania, Armenia, Moldova, North Macedonia, and Kyrgyz) to contextualize the findings. The report concludes by providing recommendations to reduce the burden of NCDs in Kosovo to protect the human capital of current and future generations
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  • 84
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Parallel Title: Erscheint auch als Deng, Jingyuan Labor Market Impact of the COVID-19 Pandemic in the West Bank and Gaza
    Keywords: Covid-19 Pandemic Impact ; Employment and Unemployment ; Impact of Covid on Refugee Labor Market ; Labor Market Dynamics ; Labor Market Transition ; Labor Markets ; Post Pandemic Job Recovery ; Poverty Reduction ; Social Development ; Social Protections and Labor ; Voluntary and Involuntary Resettlement ; Vulnerable Populations Job Loss
    Abstract: This paper studies the impact of the COVID-19 pandemic on men's labor market outcomes in the West Bank and Gaza, examining adjustments at the extensive (participation) and intensive (hours of work) margins of the labor supply. Quarterly panel data from national labor force surveys allow observing labor market transitions, job loss and job gain rates, and labor market stocks. The findings show that the COVID-19 pandemic was associated with a decline in employment and labor market participation among men in the immediate aftermath of the pandemic. Moreover, the analysis finds evidence of large adjustments at the intensive margin of employment, as working hours declined. The changes in aggregate labor market indicators seem to be driven by an increase in job loss and a decline in job gain in the West Bank and Gaza. Despite the apparent resilience of the labor market, as labor market indicators quickly bounced back to their pre-pandemic levels, the results show that the most vulnerable segments of the workforce, such as informal workers, workers in blue collar occupations, the least educated, and residents in refugee camps, bore a disproportionately heavier burden
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  • 85
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2152
    Keywords: Diagnostics ; Governance ; Health Care Reform ; Human Capital ; Information Systems ; Per Allocation ; Skills Development and Labor Force Training ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Timor-Leste is facing a human capital crisis. Children born in Timor-Leste today will be less than half as productive as adults as they could be if they enjoyed complete education and full health. Moreover, the Petroleum Fund, the main driver of the economy since the country's independence in 2002, risks being depleted within a decade, threatening the sustainability of Timor-Leste's economy, as well as health, education, and social protection systems. The COVID-19 pandemic has amplified and accelerated these challenges and deepened socioeconomic and geographic inequalities across the country. To be ready for a future that will be primarily driven by the country's human capital assets, the time available to Timor-Leste is limited and the task at hand an enormous one. Despite this daunting outlook, there are opportunities of a lifetime that need to be seized now to address this crisis. The country's population is primarily young, and a rapidly closing window of opportunity exists to build high levels of human capital through quality education, health, nutrition, and social protection. By capitalizing on the youth bulge and translating it into a demographic dividend, the people of Timor-Leste can become the drivers of the country's economic growth. Eight key messages can be distilled from the 2023 Timor-Leste Human Capital Review (HCR). These messages serve as a common reference point for the Government of Timor-Leste (GoTL) and other stakeholders active in human development to identify short- and medium-term priorities for investment in health, education, and social protection. Together, these can yield individual-level and macro-level economic benefits and improve development outcomes
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  • 86
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agricultural Sector ; Agricultural Sector Economics ; Agriculture ; Gender ; Gender and Development ; Gender Disparities ; Inequality ; Informal Workers ; Jobs Diagnostic ; Labor Disparities ; Labor Markets ; Labor Standards ; Labor Supply ; Poverty Reduction ; Social Protections and Labor
    Abstract: Good quality jobs are key to accelerating poverty reduction and enhancing social cohesion in Togo. Following a decade of significant progress in reducing poverty, the COVID-19 pandemic and of Russia's invasion of Ukraine are likely to have reversed some of these gains in living standards, however. The creation of more good quality jobs plays a key role in any country's poverty reduction efforts, and will be essential to recover from recent shocks and reinforce earlier gains made in Togo. International research also points to lack of economic opportunities and insufficient social services as key drivers of radicalization of young people. Security threats in the northern region of the country have been growing, with terrorist attacks in Burkina Faso close to the Togolese border increasing in number and severity since 2018, and a first attack reported on Togolese territory in November 2021 in the Savanes region. Access to good quality jobs with a stable income for young Togolese will thus also be part of the solution to the security threats
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  • 87
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Sector/Thematic Studies
    Keywords: Barriers ; Cash Transfers ; Economic Inclusion ; Safety Net Recipients ; Safety Nets and Transfers ; Social Protections and Labor
    Abstract: Bangladesh has a history of effective economic inclusion programs, but they are implemented primarily by civil society organizations. Government-implemented initiatives are critical for scale but there are no government-implemented economic inclusion programs in Bangladesh that meet the socioeconomic needs of the poor on a large scale. Yet the government has an opportunity to leverage its strong and expansive social safety net (SSN) system to develop ladders for poor and vulnerable households. This report examines three groups of SSN beneficiaries in Bangladesh - working-age widows, people with disabilities, and households with young children-in order to understand their potential to benefit from economic inclusion programming. The report describes the socioeconomic characteristics of the three low-income groups and identifies gaps in their access to and coverage by the government's main social protection programs; profiles a subset of SSN beneficiaries and presents findings on their potential to benefit from economic inclusion programming; describes packages of services; and examines the factors that need to be in place for economic inclusion programs to succeed. The authors then provide recommendations on how the government can build capacity to implement economic inclusion at scale in Bangladesh
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  • 88
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Systems Development and Reform ; Health, Nutrition and Population ; National Health Systems ; Resilience ; South Caucasus
    Abstract: This report looks at resilience through national health system lenses and provides lessons to strengthen health systems for future shocks. The findings are based on case studies from five countries in Eastern Europe and the South Caucasus (Armenia, Azerbaijan, Georgia, Moldova and Ukraine), as well as focus group discussions with the population and health care workers in Georgia, Armenia, and Moldova. The following section provides the definition and examples of health system resilience. This is followed by descriptions of the baseline characteristics of the five Eastern European and South Caucasus countries' health systems pre-pandemic performance, which determined most of their capacity and decisions to deal with the shock. The rest of this report reviews key baseline characteristics of the health systems in the countries, which are followed by lessons from the countries' responses to the pandemic (a summary of each country case study is provided in Annex A). The report concludes with recommendations for building the strong and resilient health systems needed to protect human capital through shocks and crises
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  • 89
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Parallel Title: Erscheint auch als Racing against time
    Keywords: Wirtschaftsentwicklung ; Kreditmarkt ; Entwicklung ; Tendenz ; CBRs ; Economic Development ; Finance and Development ; Finance and Financial Sector Development ; Fiscal ; Health Systems Development and Reform ; Health, Nutrition and Population ; Macroeconomics and Economic Growth ; Palestinian Economy ; West Bank and Gaza
    Abstract: Operating in environments marked by fragility, conflict, and violence poses complex and distinct challenges, and the Palestinian case is no different. A significant body of literature has emphasized the specific bottlenecks that exist, ranging from - in the first place - the movement, access, trade, and investment restrictions imposed by the Government of Israel (GoI) on the West Bank, and the near-blockade of Gaza, the noncontiguous geography of the territories, to the program advanced by the Palestinian Authority on structural reforms lacking momentum, and increasing penury of foreign aid. Numerous analytical and policy papers - spanning at least three decades, since the establishment of the AHLC forum - have emphasized the severity of the challenges at hand and the imperative of fostering cooperation among all parties. Despite relative clarity on the objectives, progress on the implementation of priorities has been modest, resulting in increased complexity and urgency at the present day. At the behest of the AHLC, this report aims to guide the renewed efforts of the PA and the GoI, the global community, and - more broadly - all relevant policymakers and stakeholders, as they lay the groundwork for sustainable growth and shared prosperity in the Palestinian territories and the wider region. In line with the above, the findings of this report are unsurprising. Unlocking the economic potential of the West Bank and Gaza requires urgent action, in order to spur per capita growth beyond near-stagnation levels, as well as to put the fiscal situation on a sounder footing. The removal, or at least a significant reduction, of restrictions by Israel is a vital prerequisite. Simultaneously, steadfast commitment by the PA to the implementation of a comprehensive reform agenda will be paramount to bolster both recovery and resilience, along with reinforcing institutional governance. In addition, as this report indicates, addressing shortfalls in the health sector will be pivotal to improve the efficiency of public spending, safeguarding human capital, improving service delivery, and revitalizing economic opportunities in a context marked by decades of fragility. While underscoring the burning pressure of these challenges, the World Bank remains fully committed to continuing its close technical collaboration with the PA, the GoI, and all relevant development partners, to help forging a path towards stability, security, economic progress and prosperity, and to contribute to the collective aspiration for a brighter future
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  • 90
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: FDA ; Health Policy and Management ; Health Sector Funding ; Health, Nutrition and Population ; Pharmacovigilance ; Safety Monitoring
    Abstract: The objective of this report is to examine the development of pharmacovigilance (PV) in Ghana and illustrate the role it plays in the health system, and more recently, during the COVID-19 emergency response. It concludes by offering some relevant lessons for building PV capacity in other low-and middle-income countries
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  • 91
    Language: English
    Pages: 1 Online-Ressource (42 pages)
    Parallel Title: Erscheint auch als Biro, Aniko The Labor Market Effects of Disability Benefit Loss
    Keywords: Benefit Reduction ; Disability ; Disability Insurance ; Disability Welfare Reform ; Disabled Persons Poverty ; Economic Policy, Institutions and Governance ; Employability Program ; Employment and Unemployment ; Joblessness ; Macroeconomics and Economic Growth ; Persons with Disabilities ; Public Welfare ; Social Protections and Labor
    Abstract: Disability benefits provide social insurance against the risk of losing working capacity, as well as an important source of income for individuals with disabilities. They are also costly and tend to reduce labor supply. Although spending can be contained by careful targeting, correcting past flaws in eligibility rules or assessment procedures may entail welfare costs. This paper studies a major reform in Hungary that reassessed the health and working capacity of a large share of beneficiaries. Leveraging age and health cutoffs in the reassessment, the paper estimates employment responses to loss or reduction of benefits. The findings show that among those who left disability insurance due to the reform, 58 percent were employed in the primary labor market, 6 percent participated in public works, and 36 percent were out of work without benefits in the post-reform period. The consequences of leaving disability insurance differed sharply by pre-reform employment status. Among the beneficiaries who were employed in the pre-reform year, 81 percent worked, while only 33 percent of those without pre-reform employment did. The gains of the reform in activating beneficiaries were small and strongly driven by pre-reform employment status. This points to the importance of combining financial incentives with broader labor market programs that increase employability
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  • 92
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Palestinian Pension Agency ; Pension System ; Pensions and Retirement Systems ; PER ; SIAD ; Social Funds and Pensions ; Social Insurance Administrative Diagnostic ; Social Protections and Labor
    Abstract: This work builds on the Public Expenditure Review (PER) analysis of the pension system conducted in 2016 but also brings important innovations. It updates the financial analysis conducted then and offers new policy recommendations, with the key objective of improving the affordability of the pension system, subject to benefit adequacy. The principal difference of this work is in the adopted approach, which looks at the pension system holistically and offers advice from the angle of rationalizing the overall public expenditure policy in pensions, rather than working with each pension scheme individually. In doing so, it takes a forward-looking approach and minimizes the dependency path of the convoluted legacy system. The work also incorporates a component that looks at the Palestinian Pension Agency's (PPA) administrative systems using a new Bank tool - Social Insurance Administrative Diagnostic (SIAD). The findings reveal a system with unfinished reforms and call for a comprehensive restructuring of the pension financing arrangements, along with a change of the construct of the system. This work is largely diagnostic in nature, offering high level policy recommendations and suggesting a comprehensive follow up analysis. While presenting a status quo analysis and illustrating effects of several parametric adjustments, the main set of recommendations is centered around the structural adjustments and financial restructuring in the public sector pension scheme, which would require a round of follow up work, elaborating and modeling various reform cases, including careful fine-tuning of the transitional provisions
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  • 93
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Influence of COVID-19 on Female Sex Workers in Dar Es Salaam, Tanzania: A Mixed-Methods Analysis
    Keywords: COVID-19 Impact on Sex Workers ; Extreme Financial Vulnerability ; Female Sex Worker Welfare ; Food Insecurity ; Gender ; Gender and Poverty ; Gender and Social Policy ; Health, Nutrition and Population ; Labor Law ; Social Protections and Labor ; Urban Homelessness
    Abstract: This study investigates how the landscape of sex work in Dar es Salaam, Tanzania, evolved in the context of the COVID-19 epidemic. Using a mixed-methods approach, the analysis triangulates data from quantitative and qualitative sources to quantify shifts in income, demand, and client frequency and describe female sex workers' perspectives on their work environment. The COVID-19 restrictions introduced in early 2020 resulted in dramatic decreases in sex work income, leading to extreme financial vulnerability, food insecurity, and challenges in meeting other basic needs such as paying rent. However, in a 2021 follow-up survey, sex workers reported the summer of 2021 as a key turning point, with the demand for sex work rebounding to closer to pre-pandemic levels. Notably, despite the average number of unique weekly clients not yet having fully rebounded, by 2021 the price per client and the total monthly sex work income had returned to pre-pandemic levels. This may potentially be explained by an increased number of repeat clients, which represented a larger proportion of all clients during the COVID-19 pandemic
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  • 94
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Effects of a Lottery Incentive on Sexually Transmitted Infections and HIV Incidence among Female Sex Workers in Tanzania: Results from the Respect II Randomized Trial
    Keywords: Communicable Diseases ; Female Sex Worker Intervention ; Financial Incentives To Safe Sex ; Health, Nutrition and Population ; HIV Among Sex Workers ; HIV Prevention ; Lottery Incentive Case Study ; Public Health Promotion ; STD Prevention
    Abstract: Female sex workers are a key population who experience a disproportionately high burden of HIV and sexually transmitted infections. A growing body of evidence suggests that financial incentives can reduce risky sexual behavior and the incidence of HIV and sexually transmitted infections; however, few studies have examined a lottery-based incentive mechanism or been conducted with female sex workers. This paper examines the effect of a lottery intervention on the combined incidence of HIV and herpes simplex virus 2 among female sex workers in Tanzania. The RESPECT II trial was an unmasked, two-arm, parallel group randomized controlled trial conducted in Dar es Salaam, Tanzania among 2,206 enrollees from 2018 to 2021. Participants were randomized in a one-to-one ratio to the basic test control group or to the lottery intervention group. The basic test group received testing and counseling for HIV and biweekly text messages with information on safe sex practices. The lottery group received the basic test group intervention plus entry into a weekly lottery with a 100,000 Tanzanian shilling (USD 50) reward offered to 10 randomly selected participants, conditional on negative test results for syphilis and trichomonas. The primary outcome was combined HIV and herpes simplex virus 2 incidence after 36 months. The results showed no statistically significant effect on this primary outcome. Thus the study finds no evidence that the lottery-based incentives reduced the incidence of HIV and sexually transmitted infections among the female sex worker population. However, the results may have been affected by disruption from the COVID-19 pandemic, and unexpectedly high study attrition levels made it impossible to statistically rule out possible moderate-sized effects
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  • 95
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate ; Health Taxes ; Health, Nutrition and Population ; Household Budget ; Infectious Diseases ; UHC ; Universal Health Coverage
    Abstract: Leaving no one behind is a central promise of the 2030 Agenda for Sustainable Development, which recognizes health as a fundamental human right. Achieving Universal Health Coverage (UHC) is key to delivering on this promise. UHC ensures that everyone receives good quality health services, when and where needed, without incurring financial hardship arising from payments made for those services. The 2023 Universal Health Coverage Global Monitoring Report presents an alarming picture of stagnating access to essential health services and increased financial hardship from out-of-pocket health payments affecting especially the poorest and most vulnerable people. Globally, about 4.5 billion people, more than half of the world population, lack full access to essential health services. Since 2015, health service coverage has stagnated after a dynamic increase in previous years, indicating that urgent action is required by governments to ensure people can access health services. Past progress in service coverage was largely driven by improved access to infectious disease services, but since 2015 there has been minimal to no expansion of health service coverage related to infectious and noncommunicable diseases or for reproductive, maternal, newborn, and child health services. Financial hardship due to out-of-pocket health spending continues to worsen and undermine efforts to eradicate poverty globally. The number of people incurring catastrophic out-of-pocket health spending (more than 10% of their household budget) increased to more than 1 billion people in 2019, or almost 14% of the global population. About 1.3 billion people (almost 17% of the global population) were pushed or further pushed into poverty by out-of-pocket health spending. This includes 344 million people living in extreme poverty. Out-of-pocket health payments reduce the ability of households to afford other essential goods and services and negatively affect a family's consumption levels. Health costs also cause individuals to forgo essential care, which can lead to more severe illnesses or even death. Reaching the goal of UHC by 2030 requires substantial public sector investment and accelerated action by governments and development partners, building on solid evidence. This includes strengthening health systems based on a primary health care approach and advancing equity in both the delivery of essential health services and financial protection. Achieving UHC also requires modern, fit-for-purpose health information systems that provide timely and reliable data to inform policy design. Such shifts are essential following the pandemic's impact on health systems and health workers and in view of deepening macroeconomic, climate, demographic, and political trends which threaten to reverse hard-won health gains around the world
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  • 96
    Language: English
    Pages: 1 Online-Ressource (41 pages)
    Parallel Title: Erscheint auch als Bedoya, Juan Rule-Based Civil Service: Evidence from a Nationwide Teacher Reform in Mexico
    Keywords: Administrative and Civil Service Reform ; Civil Service Employment ; Civil Service Reform ; Education ; Education Reform and Management ; Effective Schools and Teachers ; Rule-Based Teacher Hiring ; Social Protections and Labor ; Teacher Hiring Methods ; Teacher Quality
    Abstract: This paper studies the effect of a civil service reform on the skills profile of new teachers in Mexico. The reform mandated the use of rule-based recruitment over discretionary hiring. The results show that the reform led to hiring teachers with higher cognitive skills. The paper also shows that an improvement in the bottom of the skills distribution of new hires drove this change. Two channels explain these effects. First, the reform decreased the prevalence of discretionary hires, who tended to be drawn from the bottom of the skills distribution. Second, the reform improved the screening efficiency of rule-based hiring, making cognitive skills more important determinants of hiring outcomes
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  • 97
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Carletto, Gero Too Rare to Dare? Leveraging Household Surveys to Boost Research on Climate Migration
    Keywords: Climate Change ; Climate Change and Health ; Climate Change Impacts ; Climate Change Mitigation and Green House Gases ; Climate Migration ; Climate Migration Nexus ; Environment ; Global Warming ; Health, Nutrition and Population ; Living Standards Measurement Survey (LSMS) ; Microeconomic Data ; Social Aspects of Climate Change ; Social Development
    Abstract: Reliable microeconomic data to understand the climate-migration nexus are virtually nonexistent. Nationally representative multitopic household surveys are rarely, if ever, explicitly designed for studying migration issues. Despite this limitation, most countries have no alternatives to the use of household surveys when it comes to analyzing complex multidimensional phenomena such as the interrelationship between climate change and migration. This paper offers a critical reflection on current challenges faced by multi-topic household surveys in responding to this need, but also, more importantly, on the many opportunities embedded in their use. Specifically, using the Living Standards Measurement Study as a case study, a conceptual framework, practical empirical guidance, and a methodological agenda are proposed to address data gaps and contribute to a more solid understanding of the climate-migration nexus
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  • 98
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Markhof, Yannick Are Vaccination Campaigns Misinformed?: Experimental Evidence from COVID-19 in Low- and Middle-Income Countries
    Keywords: Communicable Diseases ; COVID Vaccination Promotion ; COVID Vaccine Survey ; COVID-19 Pandemic ; Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Immunizaiton ; Immunization Administrative Data Discrepancy ; Public Health Policy ; Public Health Promotion
    Abstract: Routine immunization coverage estimated in surveys often substantially differs from figures reported in administrative records, presenting a dilemma for researchers and policy makers. Using high-frequency phone surveys and administrative records from government sources in 36 low- and middle-income countries, this paper shows that such misalignment has also been common in the case of COVID-19. Across the sample, survey estimates exceed administrative figures by 47 percent on average, at times suggesting markedly different policy conclusions depending on the data source consulted. This pattern is particularly stark and consistent in Sub-Saharan Africa. To investigate the sources of this discrepancy, the paper presents results from six methodological experiments that vary survey design choices and documents their effect on estimated COVID-19 vaccine coverage. The results show that design choices matter, in particular the selection of respondents to be interviewed. However, phone survey estimates prove remarkably robust to several commonly claimed biases. After accounting for observed errors of representation and measurement in the survey data, there remains a nonnegligible, unexplained residual gap with administrative records. The paper provides indicative evidence of flaws and weaknesses in administrative data recording and reporting that affect reported vaccination rates and could contribute to this gap. The findings matter for past research on COVID-19 vaccination, future immunization efforts, and the design of robust data production systems on health topics
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  • 99
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Country Population Profiles ; Demographics ; Evaluation ; Financing ; Health Indicators ; Health, Nutrition and Population ; Healthy Aging ; Innovation ; Older Adult Care ; Older Adults ; Regulation
    Abstract: Bangladesh is home to one of the largest populations of older adults in the world. Driven by increasing life expectancy at birth, this population is increasing. By 2040,one in five Bangladeshis will be 60 years old or older. The increase in lifespan isaccompanied by a greater burden of noncommunicable diseases (NCDs), whichaccount for 70 percent of all deaths in the country. These chronic conditions tend toaffect older adults, leading to an increased demand for health care services by thisgroup. NCDs are also expensive to treat, placing financial hardship on families in low resource settings. While the Government of Bangladesh has committed to providing many of the basic rights of older adults, the health care needs of older adults remain unmet. A lack of adequate funding and services point to a need for a health care system that caters to the specific needs of older adults, such as long-term care and consolidation of care. Other supportive structures also appear to be missing, such as a health insurance fund that covers common chronic conditions faced by older adults, which would remove barriers to accessing health care. A bill proposing a pension scheme is currently undergoing approval in Bangladesh's legislative system. The primary health care (PHC) system, too, is geared toward the treatment of acuteillnesses rather than providing older Bangladeshis with integrated, long-term, people centered care. This study aimed to better understand the current capacity of PHC inBangladesh to provide care oriented towards older persons. The authors carried outa desk review of global and Bangladeshi literature on aging populations, followed bystakeholder consultations and key informant interviews with government officials, health professionals, and developmental organizations. Field visits to PHC facilitieswere also carried out to assess whether they met the internationally accepted criteriafor age-friendly infrastructure. The data were compiled and analyzed according to the FIRE framework (Financing, Innovation, Regulation, Evaluation) for older adult care. Despite the large burden of NCDs, only USD0.82 is spent per capita on NCD control, much lower than the USD1.50 recommended by the World Health Organization(WHO). Increasing spending on NCD management can help alleviate the financial pressure on households to care for older adults
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  • 100
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Lessons ; Drug Safety ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; PV ; Resilient Health Systems ; Thalidomide Tragedy
    Abstract: This report discusses the importance of pharmacovigilance (PV) in contributing to building up resilient health systems. It is based on and summarizes the findings of a review of available literature on the topic and relevant case studies focusing on a set of country and regional experiences. Although indispensable in improving health outcomes, the administration and use of medicines may produce adverse reactions, requiring continuous monitoring to ensure that the benefits outweigh the risks. PV, which involves the systematic detection, reporting, assessment, understanding, and prevention of adverse drug reactions (ADRs), is an essential public health function, but it is often overlooked. The review suggests that successful PV programs are built on three essential pillars: statutory provisions that establish standards for PV centers and programs, well-trained health professionals and associated stakeholders, and engaged PV reporters using effective reporting systems. These pillars allow PV programs to be effective in three core activities: reporting adverse drug events (ADEs) and identifying signals, determining threats through a benefit-risk balance analysis, and taking appropriate actions. This is in addition to supporting various functions of a health system, such as national drug policy and regulation, the delivery of medical care, specific disease control programs, increasing the trust of the general public in the system, and promoting eco-PV. Aided by emerging opportunities for development through automation and machine learning, PV programs show immense potential to enhance the monitoring of patient safety and improve the use of medicines. The report offers policy considerations for countries and international partners in building PV capacity as an essential public function of a health system
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