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  • MPI Ethno. Forsch.  (869)
  • Washington, D.C : The World Bank  (869)
  • Boston, MA :Safari,
  • Health, Nutrition and Population  (575)
  • Gender  (359)
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  • MPI Ethno. Forsch.  (869)
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Language
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Subjects(RVK)
  • 1
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Ambel, Alemayehu A Does Unequal Tax Burden Contribute to Women-Owned Businesses Leaving the Tax Net?
    Keywords: Effective Tax Rate ; Fiscal Adjustment ; Fiscal Policy ; Gender ; Gender and Economics ; Gender Gap ; Macroeconomics and Economic Growth ; Women and Tax ; Women Run Businesses
    Abstract: This study investigates gender disparities in the tax burden in Addis Ababa, Ethiopia, using data on 2,320 taxpayers for 2011 and 2012. A quantile regression analysis is employed to control for firm characteristics such as sector, size, and age. The results show that women-owned businesses are more likely to operate in low-profit sectors and report lower sales and tax liabilities than men-owned businesses. However, women-owned businesses pay as much as men-owned businesses in taxes, suggesting that they are subject to a higher effective tax rate. This, in turn, may lead to women-owned businesses exiting the tax net at a higher rate. These findings suggest that gender disparities in tax compliance are not simply due to differences in firm characteristics but may also be due to biases in tax declaration and enforcement processes
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  • 2
    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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  • 3
    Language: English
    Pages: 1 Online-Ressource (70 pages)
    Parallel Title: Erscheint auch als Gonzalez Martinez, Paula Lorena Breadwinners and Caregivers: Examining the Global Relationship between Gender Norms and Economic Behavior
    Keywords: Division of Labor ; Gender ; Gender and Employment ; Gender Gap ; Gender Gap in The Workforce ; Gender Informatics ; Gender Monitoring and Evaluation ; Household Maintenance
    Abstract: Gender norms are often emphasized to help explain gender gaps in the labor market. This paper examines global patterns of gender attitudes and norms toward the stereotypical gender roles of the male breadwinner and female caregiver, and broad support for gender equality in opportunities, and studies their relationship with economic behavior. Using data collected via Facebook from 150,000 individuals across 111 countries the paper explores how gender beliefs and norms are related to labor supply, household production, and intrahousehold decision-making power within a country. The paper provides descriptive evidence that the more gender equitable or counter-stereotypical are beliefs and norms, the more likely women are to work, the more time men spend on household chores, and the higher the likelihood of joint decision-making among couples. The findings suggest an underestimation of the support for gender equality globally and the extent of underestimation varies by gender and region. The paper concludes with a discussion of potential entry points for policy to help address gender norms
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  • 4
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Infrastructure Study
    Keywords: Civil Registration and Identification ; Gender ; Governance ; ICT Policy and Strategies ; Information and Communication Technologies ; Private Sector Development ; Public Administration ; Public Sector Development
    Abstract: In Ethiopia, women are 15 percentage points less likely than men to possess a kebele ID, the primary proof of identity document used in the country. This report unveils findings from a study that aims to grasp the reasons behind this gender gap in ID ownership and offers recommendations for overcoming these barriers in Fayda, the new digital ID system launched by the Government of Ethiopia in 2021. Executed by the World Bank in partnership with Ethiopia's National ID Program (NIDP), the study first uses statistical analysis of ID4D-Findex data to illustrate the nature of the ID ownership gap and its ramifications for women. Subsequently, through desk research and original qualitative data obtained from focus group discussions and key informant interviews, the report delves into four categories of potential reasons for the gap: legal and policy barriers, social and community barriers, economic and procedural barriers, and information and knowledge barriers. In the concluding section, the report offers three key recommendations for integrating gender inclusivity into the Fayda program, drawingfrom the research findings and inputs gathered from qualitative research participants
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  • 5
    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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  • 6
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (16 pages)
    Parallel Title: Erscheint auch als Redaelli, Silvia The Gendered Impact of the COVID-19 Crisis on the Iranian Labor Market
    Keywords: Covid-19 ; Gender ; Gender Monitoring and Evaluation ; Gender Norms ; Labor Force Participation ; Poverty Reduction ; Women in The Workforce
    Abstract: Despite sizable government interventions to sustain the economy, in the first year of the pandemic (2021/22), approximately 1 million jobs were lost in the Islamic Republic of Iran, and labor force participation contracted by 3 percentage points. Iranian women were the most affected: two out of three jobs lost between 2019/20 and 2020/21 were previously held by women. The gendered impact of the crisis contributed to widening Iranian women's disadvantage in the labor market. Most importantly, the gains in female labor force participation that had slowly accumulated since 2011 vanished. Consistent with what is observed in other countries, women with young children were the most affected by the crisis. The combined effect of school closures and unequal intra-household allocation of care responsibilities, associated with prevailing gender norms, pushed Iranian women with children out of the labor force. Whether or not these trends will be reversed as the management of the COVID-19 pandemic is normalized and the economy recovers from the crisis remains an important policy question
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  • 7
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Chen, Yutong Gender-Specific Transportation Costs and Female Time Use: Evidence from India's Pink Slip Program
    Keywords: Difference in Differences Specifications ; Fiscal and Monetary Policy ; Gender ; Labor Supply ; Low Skilled Labor ; Macroeconomics and Economic Growth ; Transportation Cost ; Travel Subsidies ; Unemployed Women ; Women in The Workforce
    Abstract: This paper estimates a synthetic difference-in-differences specification on the roll-out of a program providing free bus transit for women in several Indian states, to examine the impact on women's time allocation and labor supply. Household expenditures on buses fall and women save time on travel. However, there is substantial heterogeneity. Skilled employed women increase labor supply and reduce time on household chores. Low-skilled married women increase time on household activities and reduce labor supply. Unemployed women increase job search with no effect on employment. The findings show that gender roles within households undermine the effect of gender-specific travel subsidies on female labor supply
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  • 8
    Language: English
    Pages: 1 Online-Ressource (2 pages)
    Parallel Title: Erscheint auch als Amin, Mohammad Does Financial Development Reduce Gender Disparity in Top Manager Positions in Manufacturing SMEs in Developing Countries?
    Keywords: Access to Finance ; Credit Market ; Discriminating Practices ; Finance and Financial Sector Development ; Formal Manufacturing Enterprises ; Gender ; Gender and Economics ; Gender Gap ; Women in Management
    Abstract: Women often face more hurdles than men in obtaining finance. This is especially so when credit supply is limited and financial markets are less developed. As a result, owners of firms may prefer men over women as top managers of their firms, widening the gender gap in top manager positions. This paper tests this idea using firm-level survey data for small and medium-size formal manufacturing enterprises in 47 developing countries. The results confirm a positive relationship between credit supply and the likelihood of having a woman versus a man as the top manager. This positive relationship is much stronger in industries that are more dependent on external sources of finance for technological reasons. It is also stronger in countries with poor coverage by credit bureaus and low competition between banks, which is consistent with "statistical" and "taste-based" discrimination against women borrowers. The main result is robust to several endogeneity checks, sample alterations, and alternative measures of credit supply and financial development
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  • 9
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Komatsu, Hitomi Presumptive Tax on Small and Microenterprises with a Gender Lens in Ethiopia
    Keywords: Effective Tax Rate ; Female Entrepreneurs ; Fiscal Policy ; Gender ; Gender and Economics ; Macroeconomics and Economic Growth ; Microenterprises ; Tax ; Taxation and Subsidies
    Abstract: Governments often use simplified business tax systems, such as presumptive tax regimes, to register and tax small and microenterprises. Despite concerns about how such regimes could disproportionately affect female-owned and low-revenue entrepreneurs, there is a lack of empirical analysis examining the tax burden. The presumptive tax in Ethiopia has a complex assessment system, where the tax liabilities are determined according to the activity type and turnover (99 activities and 19 turnover bands), and some activities do not have a tax-free threshold. This paper uses two rounds of data in the Ethiopian Socioeconomic Surveys and the tax code to analyze the equity and gender implications of the presumptive tax on small and microenterprises by imputing the effective tax rates. There are three key findings. First, the effective tax rates are higher for businesses in the lowest quartile at 4.3 percent of turnover compared to 1.5 percent for businesses in the highest quartile, using the most recent survey, resulting in a regressive system. Second, male-owned businesses tend to operate in sectors without a tax-free threshold and are more likely than female-owned businesses to face higher tax rates. Third, the effective tax rates are high for businesses in food and beverage services, which is female-dominated, and for transit services, which is male-dominated, due to the lack of a tax-free threshold for these sectors. The study finds that an alternative presumptive tax system with a single tax rate on turnover and an exemption for all low-revenue businesses would be simpler for tax assessment and more progressive
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  • 10
    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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  • 11
    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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  • 12
    Language: English
    Pages: 1 Online-Ressource (45 pages)
    Parallel Title: Erscheint auch als Srivastava, Bhavya High Temperature and Learning Outcomes: Evidence from Ethiopia
    Keywords: Climate Change ; Education and Gender ; Gender ; Gender and Education ; Higher Education ; Temperatures
    Abstract: This paper uses data from 2003-19 on 2.47 million test takers of a national high stakes university entrance exam in Ethiopia to study the impacts of temperature on learning outcomes. It finds that high temperatures during the school year leading up to the exam reduce test scores, controlling for temperatures when the exam is taken. The results suggest that the scores of female students are less impacted by higher temperatures compared to their male counterparts. Additionally, the analysis finds that the scores of students from schools located in hotter regions are less impacted by higher temperatures compared to their counterparts from cooler regions. The evidence suggests that the adverse effects of temperature are driven by impacts from within-classroom temperatures, rather than from indirect impacts on agriculture
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  • 13
    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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  • 14
    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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  • 15
    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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  • 16
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Adaptation To Climate Change ; Economic Growth ; Environment ; Gender ; Gender and Development ; Gender and Law ; Gender Based Violence ; Gender Equality ; Macroeconomics and Economic Growth ; Nonextractive Sectors ; Resilience
    Abstract: Papua New Guinea has abundant resources in the form of oil and mineral wealth. But a complex set of factors, including systemic gender inequality, underinvestment in non-extractive sectors, and fragility compounded by vulnerability to disasters caused by natural hazards act as barriers to sustainable and inclusive growth of the country. This Country Program Evaluation (CPE) report assesses the relevance and effectiveness of World Bank Group support to Papua New Guinea between fiscal year FY08 and FY23. It assesses the Bank Group's development effectiveness in addressing the above three core themes, namely: (i) lack of investment in Papua New Guinea's non-extractive sectors and their poor performance, (ii) the economic exclusion of women and gender-based violence (GBV) issues associated with it, and (iii) unmitigated risks of disaster from natural hazards, and violence, and conflict. The report answers three specific questions. The first explores the extent to which the Bank Group adapted its engagement in line with key constraints, including in relation to development partners, changes in country context, and lessons from experience. The second focuses on the results of Bank Group support and explanatory factors for results under each them, answered by applying a gender lens where relevant. The third question explores the extent to which the Bank Group successfully identified and addressed conflict, violence, and disaster from natural hazards risks. The report offers key lessons to inform the World Bank Group's future engagement with the country: (i) Data gaps need to be addressed to inform sound policy making and effective programming in Papua New Guinea. (ii) Declining governance quality and increasing bilateral aid will require the World Bank to reassess how it supports key policy reforms to achieve development impact, including through using DPOs. (iii) The Bank Group could elevate its impact on gender equality and GBV by shifting from a project-centric approach to a strategic country engagement approach. (iv) The negative effects that compound and interrelated risks pose to achieving development aims need to be addressed more comprehensively
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  • 17
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Fiuratti, Federico Ivan How Large Are the Economic Dividends from Closing Gender Employment Gaps in the Middle East and North Africa?
    Keywords: Gender ; Gender Employment Gap ; Gender Employment Gap Index ; Gender Monitoring and Evaluation ; Neoclassical Growth Models ; Poverty Reduction ; Women in The Workforce
    Abstract: This paper quantifies the gains in gross domestic product per capita from closing gender employment gaps in the Middle East and North Africa, using three neoclassical growth models. The paper starts with baseline impacts from the Gender Employment Gap Index, which suggests that in the long run, gross domestic product per capita would be around 50 percent higher in the typical economy in the region if gender employment gaps were closed (mean 54 percent, median 49 percent). However, the gains are heterogeneous, ranging from less than 10 percent in Qatar to more than 80 percent in the Republic of Yemen. The paper then explores short-term gains, when capital is fixed (or adjusts slowly), and gains in the medium-term, with sluggish implementation of reforms using the Long Term Growth Model, which roughly halves the gains (and lowers the gains by more than half in resource-rich countries). Finally, the paper incorporates the effects of changes in the skill distribution in a model incorporating capital-skill complementarities in production. Because gender employment gaps in the Middle East and North Africa tend to be larger among the unskilled, closing these gaps reduces average skill levels, moderating long-term gains by 5-10 percentage points. However, if women in the Middle East and North Africa continue the current trend toward greater educational attainment, the gains will be greater than in the baseline. All three models--the Gender Employment Gap Index, the Long Term Growth Model, and capital-skill complementarities--point to large increases in gross domestic product per capita from closing gender employment gaps
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  • 18
    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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  • 19
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Jellema, Jon Gender and Fiscal Policy: A Methodological Proposal and its Application to Jordan and Armenia
    Keywords: Finance and Development ; Finance and Financial Sector Development ; Gender ; Gender and Development ; Gender and Social Development ; Incidence Analysis ; Social Analysis ; Social Development ; Taxes ; Transfers
    Abstract: Fiscal policies affect households and individuals in a variety of ways. Even though these effects are likely to be different for men and women, conventional tools of fiscal incidence analysis are typically unable to capture these gender differences. Using a particular type of incidence analysis known in the literature as the Commitment to Equity framework, this paper proposes a methodology to overcome this challenge. A particular novelty the paper introduces is the explicit incorporation of social reproduction into the fiscal incidence analysis framework, enabling the implicit valuation of unpaid work that is typically undertaken by women on activities such as cooking, cleaning, and caring for children and the elderly. Applying this methodology to the cases of Jordan and Armenia -- two countries with very different approaches to fiscal policy and cultural norms around the economic and social roles of men and women -- the paper also highlights some of the insights that this engendered perspective could add to standard fiscal incidence analysis
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  • 20
    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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  • 21
    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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  • 22
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Agriculture Study
    Keywords: Agriculture ; Agriculture and Farming Systems ; Cassava ; Food ; Gender ; Gender and Development ; Loans ; Marketing ; Plantain ; Value Chain
    Abstract: The main objective of the report is to develop business models on farming and/or processing of cassava, maize and plantain in Cote d'Ivoire that would help financial institutions to gain better knowledge of the value chains, to design appropriate financing products and to streamline the loan decision process for women-led cooperatives. This report has been produced hand in hand with a financial evaluation tool, to assess the profitability of lending to various cooperatives engaged these select value chains. In addition, detailed financial models have been prepared to assess the cash flow projections of the cooperatives, which could be used in the loan decision process. A marketing strategy plan has also been prepared, which aims at guiding financial institutions in their lending initiatives to cooperatives operating in the various value chains. It is vital for financial institutions to have the right marketing approach, so that cooperatives with a suitable profile can enter their pipeline as potential clients for lending
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  • 23
    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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  • 24
    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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  • 25
    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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  • 26
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Gender Assessment
    Keywords: Equality ; Gender ; Gender and Development ; Gender Monitoring and Evaluation ; Women ; Women's Empowerment
    Abstract: The aim of this report is to gather evidence that will identify priorities and actions by stakeholders towards positively influencing, up scaling and accelerating gender equality and women's empowerment in Zimbabwe. The report consolidates information on gender gaps and drivers of inequality in human endowments, economic opportunities, ownership and control of assets, and voice and agency. This includes identifying factors that deepen inequalities, and effectiveness of current policies and programming in narrowing gender disparities. The aim is to also identify promising and good practices that can potentially be replicated for greater impact, cascading to all areas in the country. The analysis guided by a conceptual framework that describes the ways households, markets, and institutions (both formal and informal), and their interactions all influence gender equality and economic development outcomes. Additionally, attention is paid to intersecting identities of women and men that affect their ability to access services and opportunities, including disability status, place of residence and other socio cultural and economic factors. The assessment draws on several data sources collected using mixed methods. Available quantitative and qualitative data sources form the basis of the assessment, including surveys, national and institutional reports and broader feminist and economic literature. Robust stakeholder consultations, including representatives from Government of Zimbabwe (GoZ), development partners, the United Nations (UN), Non- Governmental Organizations (NGOs), and communities grounded the analysis and provided insights into priority setting and forward-looking strategies
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  • 27
    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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  • 28
    Language: English
    Pages: 1 Online-Ressource (14 pages)
    Parallel Title: Erscheint auch als Stokenberga, Aiga Leveraging Big Data to Understand Women's Mobility in Buenos Aires
    Keywords: Gender ; Gender and Economic Policy ; Gender and Public Expenditures ; Gender and Transportation ; Gender Informatics ; Gender Norms ; ICT Data and Statistics ; Information and Communication Technologies ; Mobility ; Transportation Planning ; Urban Transport ; Women and Public Transportaton ; Women's Agency
    Abstract: While the travelers' gender has not been a central consideration driving urban mobility planning, increasing evidence points to gender-differentiated mobility preferences and behaviors. This paper explores this topic in the context of the Buenos Aires Metropolitan Area, aiming to identify policy relevant differences between the mobility of women and men. It does so by leveraging mobile phone--based data, combined with existing household travel survey data and an original large-scale interception survey implemented in late 2021 and early 2022. The paper provides descriptive analysis of key spatial and temporal mobility patterns as well as implements statistical analysis to identify whether gender represented a key determinant of mode choice in the context of the pandemic. The analysis finds that women in the Buenos Aires Metropolitan Area travel less, tend to have shorter individual trips, and are much more likely than men to travel during off-peak hours, including due to disproportionately taking on "care mobility" responsibilities. In terms of mode choices, women represent the majority of public transport users and are more likely than men to say they would cycle. However, women's share among public transport users and their actual cycling and walking appear to be spatially correlated with, respectively, the availability of public transport services and dedicated, safe infrastructure. The travel responses to the pandemic documented in the original survey data also suggest that women are more likely than men to switch from public transport to private motorized modes as soon as their incomes allow them to unless appropriate health safety measures are put in place
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  • 29
    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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  • 30
    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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  • 31
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Economic Growth ; Gender ; Gender and Development ; Gulf Cooperation Council (GCC) ; Macroeconomics and Economic Growth ; Saudi Arabia ; Women ; Women and Labor
    Abstract: The Gulf Cooperation Council (GCC) economies have been a bright spot in an otherwise gloomy economic landscape. Average growthin the GCC surpassed 7 percent in 2022 led by Saudi Arabia, its biggest economy, which was globally the fastest growing large economy. This growth was not just a result of buoyant hydrocarbon prices but also continued growth of non-oil sectors. The latter was the result of persistent structural reforms undertaken by several GCC countries to improve the investment environment, promote flexible labor markets, and encourage women to join the labor market. GCC countries have used the windfall revenues from oil and gas to rebuild their buffers, pay down their debt, and shore-up their sovereign wealth funds. They have also sought to protect their vulnerable populations with continued subsidies on food, fuel, and utilities. Such policies have limited the impact of inflation on the domestic economy. Finally, GCC countries have also used their financial muscle to support economically weaker countries in the region. The stellar growth of 2022 is slowing down and growth is expected to moderate to 1 percent in 2023 before picking up again to 3.6 percent in 2024. The decline in economic activity in 2023 is driven by consecutive production cut decisions by OPEC+ in an effort to stabilize global oil prices. However, non-oil GDP continues its growth trajectory reaching 3.9 percent, resulting weaker integration between oil and non-oil sectors. To maintain this track record, GCC countries will need to continue to exercise prudent macroeconomic management, stay the course with structural reforms, and increase non-oil exports. Downside risks remain and it would be amiss not to mention them. The conflict in the Middle East presents major risks to the region and the GCC outlook if it extends or expands to include other regional players. While it is too early to quantify the impact and channels of the conflict, we already witness a 4 percentsurge in global oil futures. Although China is bouncing back after emerging from tight Covid-19 lockdowns, troubles in the real estate sector could still disrupt this trajectory. Persistent high inflation in the world's major economies has not been entirely vanquishedsuggesting a high interest rate environment for a longer period. Windfall revenues are anticipated as a result of higher oil prices driven by the conflict in the Middle East. However, the extent and duration of the conflict will play a pivotal role in determining economicramifications not only on energy markets but also on regional financial and trade markets and overall economic confidence. The Special Focus section of the report discusses the power of structural reforms and social norms in advancing female labor force participation in Saudi Arabia. Saudi Arabia experienced an unprecedented surge in female labor force participation since 2016 as a result of: (i) changing regulations and the removal of legal barriers, shifting social norms, (ii) the implementation of sound structural reforms and (iii) effective government communications. Saudi Arabia's success in increasing female labor force participation from 17.4 percent in 2017 to 36 percent in 2023 offers important lessons to other countries in the region and the world
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  • 32
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Cameron, Lisa Leveraging Women's Views to Influence Gender Norms around Women Working: Evidence from an Online Intervention in Indonesia
    Keywords: Gender ; Gender Equality ; Gender Monitoring and Evaluation ; Women Employment ; Women In The Workforce
    Abstract: How to influence social norms that drive behavior in relation to women's participation in employment is not well understood. Providing randomly selected participants with information on the extent of (i) women's support for women with children working; (ii) husband's support for sharing day-to-day childcare with wives; and (iii) mothers' and mother-in-law's support for working women, increased the probability of choosing an online career mentoring course for women over a shopping voucher of equal value by 25 percent. Information beyond women's support for working women further increased support for women working for some groups, although not strongly so
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  • 33
    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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  • 34
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Kalliny, Marize Are Global Value Chains Women Friendly in Developing Countries? Evidence from Firm-Level Data
    Keywords: Firm-Level Data ; Gender ; Gender and Economics ; Gender and Law ; Gender and Trade ; Gender Monitoring and Evaluation ; Gendered Entrepreneur Data ; Global Value Chain ; Women's Empowerment ; Women's Trade Participation
    Abstract: Despite the efforts made to increase women's inclusion in the economy, they are still underrepresented in trade in general and in global value chains in particular. Thus, this paper aims at examining the impact of global value chains on women's trade participation as entrepreneurs and employees. It also analyzes how this effect is moderated through external (gender provisions in trade agreements) and internal (investment climate variables) factors. The analysis uses firm-level data for 154 developing economies and emerging markets with a special focus on the Middle East and North Africa region, being one of the regions with the lowest female labor force participation. The main findings show that global value chains integration increases the likelihood of being a female owner and the share of female employees, especially production ones. A less robust negative effect is found for the impact on being a female top manager. These effects are moderated by the inclusion of gender provisions in trade agreements and by the characteristics of the investment climate (especially tax policy, access to finance, and corruption). These results remain robust after controlling for the endogeneity of global value chains using an instrumental variable approach and a propensity score estimation method where the treatment is being part of a global value chains. Thus, global value chains can be perceived as a tool that boosts women's empowerment in emerging economies, especially in the Middle East and North Africa region
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  • 35
    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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  • 36
    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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  • 37
    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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  • 38
    Language: English
    Pages: 1 Online-Ressource (97 pages)
    Parallel Title: Erscheint auch als AlAzzawi, Shireen Female Headship and Poverty in the Arab Region: Analysis of Trends and Dynamics Based on a New Typology
    Keywords: Female-Headed Households (FHH) ; Female-Headedness Typology ; Gender ; Household Survey Data ; Poverty Dynamics ; Poverty Feminization ; Poverty Reduction ; Synthetic Panels
    Abstract: Various challenges are thought to render female-headed households (FHHs) vulnerable to poverty in the Arab region. Yet, previous studies have had mixed results and the absence of household panel survey data hinders analysis of poverty dynamics. This paper addresses these challenges by proposing a novel typology of FHHs and analyzes synthetic panels constructed from 20 rounds of repeated cross-sectional surveys spanning the past two decades from the Arab Republic of Egypt, Iraq, Jordan, Mauritania, the West Bank and Gaza, and Tunisia. The paper finds that the definition of FHHs matters for measuring poverty levels and dynamics. Most types of FHHs are less poor than non--FHHs on average, but FHHs with a major share of female adults are generally poorer. FHHs are more likely to escape poverty than households on average, but FHHs without children are the most likely to do so. While more children are generally associated with more poverty for FHHs, there is heterogeneity across countries in addition to heterogeneity across measures of FHHs. The findings provide useful inputs for social protection and employment programs aiming at reducing gender inequalities and poverty in the Arab region
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  • 39
    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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  • 40
    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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  • 41
    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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  • 42
    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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  • 43
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Amankwah, Akuffo Labor Market Participation and Employment Choice in Ghana: Do Individual Personality Traits and Gender Role Attitudes Matter?
    Keywords: Education ; Employment Outcome ; Employment Preference ; Gender ; Gender Monitoring and Evaluation ; Gender Norms ; Gender Role Attitudes ; Informal Sector Measurement Study ; Labor Markets ; Multi-Stage Sampling ; Personality Traits ; Poverty Reduction ; Secondary Education Equity ; Self-Employment
    Abstract: In addition to the conventional determinants of labor market participation and the choice between wage employment and self-employment, there is a growing interest of the significance of gender role attitudes and personality traits. This study uses data from the 2022 Ghana Informal Sector Measurement Study to investigate the influence of these factors on employment outcomes in the Northern and Ashanti regions of Ghana. The findings are based on a series of analyses, including descriptive, multinomial logistic, and linear probability model regressions. The empirical results show the critical role played by both gender role attitudes and personality traits in shaping individuals' decisions on labor market participation and employment choices. Notably, personality traits emerge as significant drivers of observed employment outcomes. However, the impact of these personality traits is often mitigated or even reversed in the presence of heightened traditionalism. Furthermore, the gender-disaggregated analysis reveals that possessing at least a secondary education level is a pivotal factor in the selection of men into formal employment, whereas this criterion holds less significance for women. Conversely, once the decision to participate in the labor market has been made, having at least a secondary education becomes relevant for securing wage employment, regardless of an individual's gender
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  • 44
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Ragui, Assaad Connecting People to Projects: A New Approach to Measuring Women's Employment in the Middle East and North Africa
    Keywords: Employment Survey Questionnaire ; Gender ; Gender and Rural Development ; Gender Informatics ; Household Enterprises ; Labor Market Panel Surveys ; Rural Development ; Rural Labor Markets ; Survey Design ; Women's Employment
    Abstract: Innovations to date in detecting women's employment have focused primarily on improving individual-level questions. This paper explores an alternative approach, using data on household enterprises and asking who participates in these activities. This research uses the latest waves of the Labor Market Panel Surveys for the Arab Republic of Egypt (2018) and Tunisia (2014). The research questions are (1) How do men's and women's employment rates change when adding enterprise-based detection questions to standard individual-level questions (2) Was the additional market employment detected with project-based approaches classified as subsistence work with individual measurement approaches (3) For which women is additional employment detected using project-based approaches The paper presents descriptive results on work based on the different approaches. It also estimates changes in state (being reclassified as working) from adding enterprise-level data. The findings show large increases in employment rates for rural women in both countries when including enterprise-based detection questions
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  • 45
    Language: English
    Pages: 1 Online-Ressource (36 pages)
    Series Statement: Policy Research Working Paper 10646
    Parallel Title: Erscheint auch als Ishak, Phoebe W The Effect of COVID-19 on the Gender Employment Gap in Egyptian Manufacturing
    Keywords: Verarbeitende Industrie ; Arbeitnehmer ; Externer Effekt ; COVID-19 ; Bedeutung ; Rolle ; Partizipation ; Datenaufbereitung ; Covid-19 Impact ; Employment ; Employment Gender Gap ; Equity and Development ; Gender ; Gender and Economics ; Gender Informatics ; Informality ; Manufacturing Jobs ; Poverty Reduction
    Abstract: This paper examines the evolution of the gender employment gap post COVID-19 in the Egyptian manufacturing sector, using a unique firm-level data set. The findings show that the COVID-19 shock led to a slight improvement in the gender employment gap, both in absolute and relative terms, driven by a larger reduction in male employment compared to that for female employment. The heterogeneity analysis shows that exporting firms and firms in industrial zones on average increased both types of employment post COVID-19. Two types of firms contributed to a worsening of the gender gap, namely firms that adopted technology and those that provided worker training prior to the pandemic, pushing male employment up while not doing the same for female employment. Additionally, the informal sector contributed to a worsening of the gender gap during the pandemic
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  • 46
    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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  • 47
    Language: English
    Pages: 1 Online-Ressource (53 pages)
    Parallel Title: Erscheint auch als Anukriti, S Can Effective Policy Implementation Alter Political Selection? Evidence from Female Legislators in India
    Keywords: DPEP ; Economic Policy, Institutions and Governance ; Election Gender Bias ; Female Leaders ; Female Legislator Selection ; Gender ; Gender and Governance ; Governance ; Leader Competence ; Macroeconomics and Economic Growth ; Political Selection
    Abstract: Can effective policy implementation change political selection by inducing voters to prioritize leader competence over other traits, such as gender This paper answers this question by examining the impact of a successful school-expansion program on the likelihood of women being elected to state legislatures in India. The paper shows that the program increased voter prioritization of leader competence over gender, boosting the share of women among candidates and state parliamentarians and the overall capability of elected officials. These findings are consistent with the predictions of a model of candidate self-selection where voters trade off candidate competence with their bias against female leaders
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  • 48
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Gender Assessment
    Keywords: Economic Opportunity for Women ; Endowment ; Gender ; Gender and Economic Policy ; Gender and Poverty ; Gender Gap ; Gender Monitoring and Evaluation ; Human Rights ; Poverty Reduction ; Women's Agency
    Abstract: Achieving inclusive growth and maximizing poverty reduction in the Dominican Republic requires closing existing gender gaps: from early childhood to working age, and further still into old age. Using a lifecycle approach, this gender Assessment attempts to uncover, better understand, and deliver some policy recommendations for the main challenges in this area, with a focus on the three main dimensions of endowments, economic opportunity, and agency
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  • 49
    Language: English
    Pages: 1 Online-Ressource (50 pages)
    Parallel Title: Erscheint auch als Awasthi, Rajul Gender-Based Discounts on Taxes Related to Property: Role in Encouraging Female Ownership - a Case Study of Indian States and Cities
    Keywords: Female Land Ownership ; Gender ; Gender and Law ; Gender and Social Policy ; Gender Bias ; Gender-Based Discount ; Governance ; Law and Development ; Local Government ; Online Payment System ; Property Ownership Rights ; Property Tax ; Tax Law ; Tax Revenue ; Urban Immovable Property Tax
    Abstract: In India, state and city governments are making a simultaneous push to increase revenues through property-related taxes and to offer tax incentives to female property owners. This dual policy approach creates an opportunity to study the impact of gender-based tax incentives on property ownership patterns and tax compliance. This paper investigates linkages between gender-based discounts on taxes related to property (stamp duties and property taxes), female property ownership, and revenues from taxes related to property. The methodology designed for this paper deploys researchers to collect insights through focus group discussions with male and female property owners and taxpayers and to conduct one-to-one interviews with government officials in state and urban local body revenue and land administration departments. The study's most important finding is that incentives related to property taxes and involving economically significant amounts, such as the stamp duty, encourage female property ownership. It is notable, however, that property ownership does not always translate into a greater role for females in the control and management of the property. Other factors - such as concessions in loan terms offered to females buying properties in their own names or through joint ownership, security of inheritance, and equal property ownership rights for females - can also positively contribute to encouraging female property ownership
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  • 50
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Gender Innovation Lab Federation Causal Evidence Series
    Keywords: Gender ; Gender and Development ; Gender and Economics ; Gender Gap ; Gender Monitoring and Evaluation ; Labor Markets ; Training Programs ; Women
    Abstract: Significant gender gaps in labor force participation persist around the world. When women do work, they are much more likely than men to engage in vulnerable employment with lower earnings and worse working conditions. In addition, the COVID-19 pandemic has triggered larger losses in employment for women than for men across the globe. Several factors constrain women's labor force participation and employment outcomes. On the supply side, time and mobility constraints and differences in endowments (skills, assets, and networks) limit women's labor force participation and wages. On the demand side, discrimination in hiring and retention, lack of jobs with convenient features (childcare, maternity leave, flexible schedules), and skills mismatch are key constraints. All these are combined with contextual factors, including social and cultural norms, that restrict women's labor force participation. The GIL Federation is generating rigorous evidence around the world to understand what works, and what does not, in supporting women's labor market participation. This note presents evidence on seven key findings
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  • 51
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Gender Innovation Lab Federation Causal Evidence Series
    Keywords: Economic Shocks ; Gender ; Gender and Development ; Gender and Economics ; Gender and Social Policy ; Gender Monitoring and Evaluation ; Social Protection ; Vulnerability ; Women
    Abstract: Several circumstances make women more vulnerable to economic shocks than men. Women are more likely than men to be out of the labor force due to care responsibilities. When they work, women are more likely to have low-paying jobs in the informal sector. Moreover, women have lower access to financial services and other strategies to mitigate shocks. Social protection systems can enable women to cope with and adapt to economic shocks. In particular, adaptive social protection systems can help identify the differential needs of women to prepare support mechanisms and build the resilience of poor and vulnerable households before, during, and after large shocks like the COVID-19 pandemic occur. The GIL Federation is generating rigorous evidence around the world to understand what works, and what does not, in supporting women with social protection interventions. This note presents evidence on four key findings based on impact evaluations
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  • 52
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Gender Innovation Lab Federation Causal Evidence Series
    Keywords: Adolescent Girls ; Education ; Gender ; Gender and Education ; Gender and Social Policy ; Gender Monitoring and Evaluation ; Girls Empowerment ; Life Skills
    Abstract: Adolescent girls face multiple challenges that restrict their horizons. They have to make decisions about employment and fertility at an early age with limited access to formal education and under restrictive social norms. Domestic responsibilities limit their time in school and educational achievement, in turn curtailing their ability to enter the labor force. The GIL Federation is generating rigorous evidence on what works, and what does not, in empowering adolescent girls. This note presents evidence on five key findings
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  • 53
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Gender Innovation Lab Federation Causal Evidence Series
    Keywords: Agriculture ; Cash Crop Production ; Digital Technologies ; Gender ; Gender and Development ; Gender and Economics ; Gender Monitoring and Evaluation ; New Markets ; Women Farmers
    Abstract: Gender productivity gaps in agriculture are large around the world, even though women comprise 40-50 percent of the agricultural labor force in developing countries. Gender differences in agricultural productivity can be as high as 66 percent and can cost countries up to USD 105 million annually. Women farmers tend to produce lower output per unit of land than men farmers because of gender-specific constraints, such as unequal access to farm labor, agricultural inputs, lower literacy, childcare responsibilities, limited involvement in cash crop production, and lower participation in farmers' groups. Women farmers are concentrated in the lower levels of agricultural value chains and are less likely to be active in commercial farming than men. Restrictive gender norms underlie occupational sex segregation in agriculture, leading women to concentrate in low-value crops. Research by the Africa GIL indicates that when women manage cash crop plots-and have access to the same inputs and resources as men-they are able to be as productive as their male counterparts. The GIL Federation is generating rigorous evidence around the world to understand what works, and what does not, in narrowing gender productivity gaps and helping farmers reach their potential. This note presents evidence on three key findings based on impact evaluations
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  • 54
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Azevedo, Joao Pedro COVID-19 School Closures, Learning Losses and Intergenerational Mobility
    Keywords: Access To Education During COVID ; COVID-19 Learning Loss ; Educational Attainment ; Educational Mobility ; Health, Nutrition and Population ; Inequality ; Intergenerational Mobility
    Abstract: The paper presents a first global investigation of the longer-term inequality implications of COVID-19 by examining the effect of school closures on the ability of children from different countries and backgrounds to engage in continued learning throughout the pandemic, and their implications for intergenerational mobility in education. The analysis builds on the data from the Global Database of Intergenerational Mobility, country-specific results of the learning loss simulation model using weekly school closure information from February 2020 to February 2022, and high-frequency phone survey data collected by the World Bank during the pandemic to assess the incidence and quality of continued learning during periods of school closures across children from different backgrounds. Based on this information, the paper simulates counterfactual levels of educational attainment and corresponding absolute and relative intergenerational educational mobility measures with and without COVID-19 impacts, to arrive at estimates of COVID-19 impacts. The simulations suggest that the extensive school closures and associated learning losses are likely to have a significant impact on both absolute and relative intergenerational educational mobility in the absence of remedial measures. In upper-middle-income countries, the share of children with more years of education than their parents (absolute mobility) could decline by 8 percentage points, with the largest impacts observed in the Latin America region. Furthermore, unequal access to continued learning during school closures across children from households of different socioeconomic backgrounds (proxied by parental education levels) leads to a significant decline in relative educational mobility
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  • 55
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Kassa, Woubet Food Insecurity Erodes Trust
    Keywords: Agriculture ; Experiential Measures of Food Insecurity ; Food Insecurity ; Food Insecurity Experience Scale ; Food Security ; Gallup World Poll ; Governance ; Health, Nutrition and Population ; Social Contract ; Trust
    Abstract: This study examines the relationship between food insecurity and trust using the 2014-17 waves of the Gallup World Poll and the Food and Agriculture Organization's Food Insecurity Experience Scale. Trust improves public institutions, social capital, public health interventions, and economic development. Vertical trust is represented as an index of trust in national institutions, while horizontal trust is represented as a measure of trust in friends and family. The findings show that food insecurity is associated with a decrease in both measures of trust. The study further document heterogeneous effects of food insecurity across economic development rankings. The results suggest a need for governments to increase food security to bolster public trust, strengthen the social contract, and enhance the effectiveness of development efforts
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  • 56
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Brunckhorst, Ben Long COVID: The Evolution of Household Welfare in Developing Countries during the Pandemic
    Keywords: COVID and Informal Workers ; COVID-19 Impacts ; Gender ; Gender and Poverty ; Gendered COVID Impact ; Inequality ; Labor Market Impacts ; Phone Survey Data ; Poverty Reduction ; Welfare
    Abstract: This paper examines the welfare impacts of the COVID-19 pandemic, using harmonized data from 343 high-frequency phone surveys conducted in 80 economies during 2020 and 2021, representing more than 2.5 billion people. The analysis focuses on the scarring effects of the initial losses of employment and income by examining their evolution over time across and within countries, as restrictions on mobility and economic activity were introduced and then gradually relaxed. The employment and welfare outcomes of some groups that were impacted to a greater degree initially-including women, informal workers, and those with less education-have been improving at a slower pace. The social protection response in lower-income economies was largely insufficient to protect households from the pandemic shock. Unmitigated welfare losses, as seen for example from the large share of households indicating income losses well into 2021, are highly correlated with food insecurity, which likely led some households to sell physical assets and deplete their savings. Without proper remediation, the uneven welfare impacts associated with COVID-19 may be amplified over the medium to long term, leading to future increases in poverty and inequality
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  • 57
    Language: English
    Pages: 1 Online-Ressource (42 pages)
    Parallel Title: Erscheint auch als Karra, Mahesh Liberian Women Count: Evidence from a Macrosimulation of the Gender Dividend
    Keywords: Demography ; Economic Contribution Of Women ; Economic Growth ; Gender ; Gender Dividend ; Inequality ; Macrosimulation ; Time Allocation ; Value Of Domestic Work ; Women's Empowerment ; Women's Human Capital
    Abstract: Liberian women make significant economic contributions yet are constrained from contributing even more due to their exclusion from productive opportunities. This study develops a macrosimulation model of the Gender Dividend that estimates the economic contributions of women and the societal costs incurred by excluding them. Using macroeconomic, demographic, and survey data from Liberia, the analysis finds that women were responsible for 39 percent of market-based output produced annually in 2020, equal to USD 1.08 billion, and contributed another USD 530 million in non-tradable sources of production, namely, housework and domestic chores. Using the macrosimulation model, the study estimates that if the gender gaps in labor force participation, intra-sectoral wages, and sector of employment were closed, gross domestic product would be 11.5 percent higher. If further reforms were undertaken to equalize education and reduce fertility rates to a net-reproduction rate, gross domestic product would be 23.7 percent higher. Finally, if the model also accounts for the value of non-tradable production, gross domestic product would be USD 5.89 billion, or 45.3 percent higher than today's estimates, with women being responsible for 53 percent of the labor market output. These estimates reinforce the need for a unified policy agenda that actively invests in women's human capital and work-related opportunities simultaneously
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  • 58
    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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  • 59
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Gender Assessment
    Keywords: Access and Equity in Basic Education ; Contraceptive Use ; Cutting ; Education ; Female Genital Mutilation ; Gender ; Gender and Health ; Gender and Law ; Gender and Poverty ; Gender-Based Violence ; Girls Education Status ; Maternal Health Access ; Social Conflict and Violence ; Social Development ; Women's Access To Health Services ; Women's Agency ; Women's Economic Opportunity
    Abstract: Evidence shows that Guinean women and girls face important barriers across all dimensions of well-being that prevent them from having access to opportunities on an equal footing with men. The poor agency of women and girls, as reflected in the high prevalence of discriminatory legal and social norms, translates into gaps in health, education, employment, and entrepreneurship, ultimately undermining their capacity to fulfill their potential and imposing important societal costs. This report presents a summary of the key challenges facing Guinean women and girls relative to men and boys. The report has a particular focus on early family formation, a common phenomenon in the country with important implications for girls' and women's well-being and opportunities in life. On the basis of this diagnostic and a review of evidence of what works, the report proposes some strategic lines of action to address the existing constraints and effectively empower Guinean women
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  • 60
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Women in Development and Gender Study
    Keywords: Access To Education ; Employment ; Freedom of Expression ; Gender ; Gender and Education ; Gender and Law ; Gender and Social Development ; Gender Monitoring and Evaluation ; Restrictions ; Women
    Abstract: Through various decrees from the Interim Taliban Administration (ITA), women and girls have been systematically excluded from public and political domains, and restricted in their freedom of expression, access to education, and some forms of employment. As the restrictions continue to mount, it is increasingly important to safely consult with women and girls on their needs and priorities. The Afghanistan gender monitoring survey (AGMS) is intended to provide a snapshot of women's own perceptions of their situation and to bring the voices of Afghan women into data collection efforts to inform the humanitarian-development response. The AGMS interviews were conducted in September and October 2022. This first round of data collection will provide an important baseline from which to assess the additional impacts of the December bans. This report presents the main results of the AGMS, conducted by the World Bank
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  • 61
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Economic Benefits ; Gender ; Gender and Development ; Gender Equality ; Gender-Based Violence ; Women's Employment
    Abstract: High commodity prices and the removal of COVID-19 restrictions spurred economic recovery in 2022. The government continued with fiscal consolidation to safeguard macroeconomic stability. Higher commodity prices contributed to higher inflation and stronger external balances. Economic growth is projected to slow down in 2023 due to lower global demand, supply constraints due to planned maintenance in extractive facilities and the delayed reopening of the Porgera gold mine. Further fiscal consolidation can become more challenging. As a step toward unleashing these economic benefits, the government can modernize the Employment Act and address gender-based violence (GBV) through increased enforcement of commitments and scaling-up interventions. Successful private sector initiatives that address GBV at the workplace, providing anti-harassment training and support services to those affected by GBV can be scaled-up. Similarly, interventions supporting women's employment through targeted outreach, skilling or access to networks can be sustained and expanded
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  • 62
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Complimentary Service Delivery ; Conditional Cash Transfer ; Governance ; Health, Nutrition and Population ; Pandemic Impact on Service Delivery ; Positive Behavioral Change ; Psychology ; Public Health Promotion ; Service Delivery During School Closing ; Social Development ; Strategic Communications ; Youth and Governance ; Youth Development
    Abstract: An important component of the Pantawid Pamilyang Pilipino Program (4Ps), the flagship conditional cash transfer (CCT) program of the Philippines, is the delivery of complementary services such as Family Development Sessions (FDS) and Youth Development Sessions (YDS) to program beneficiaries. Prior to the COVID-19 pandemic, these were regular face-to-face sessions providing practical information on topics such as parenting, early childhood care, and disaster preparedness to adult beneficiaries and guidance on adolescent dynamics to young children in 4Ps households, with the overall aim of promoting positive behavioral changes. This technical note examines the process undertaken to enhance and align the content of the FDS and YDS based on the 4Ps law that mandates a maximum 7-year operational period, and it discusses feedback and insights from beneficiaries and implementers. Moreover, it considers the onset of the COVID-19 pandemic and related lockdowns, which have led to mobility restrictions among beneficiaries and implementers since March 2020. Due to the pandemic, the delivery of FDS have relied mostly on broadcast and social media platforms, with options for small group neighborhood sessions in areas with low rates of COVID-19 infections, while YDS have been mostly suspended due to school closures nationwide, without in-person gathering. For a more effective delivery of these learning sessions, this policy note proposes key recommendations on adapting to future shocks and emerging beneficiary needs, developing strategic communications, mobilizing resources, strengthening monitoring and evaluation, and connecting to core values. In particular, it proposes regular updating of module content to maintain relevance and applicability, strengthening alternative modes of program delivery to increase coverage, providing training to facilitators to improve capacity, raising awareness to increase program uptake, creating a clear monitoring and evaluation system to track progress, leveraging the use of technology, and providing post-program exit support to sustain positive behavioral changes among beneficiaries
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  • 63
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Dobbelaere, Sabien Firm Consolidation and Labor Market Outcomes
    Keywords: Health Insurance ; Health, Nutrition and Population ; Labor Market Outcome ; Labor Restructuring ; Takeover
    Abstract: Using rich administrative data from the Netherlands, this paper studies the consequences of firm consolidation for workers. For workers at acquired firms, takeovers are associated with an 8.5 percent drop in employment at the consolidated firm and a 2.6 percent drop in total labor income. These effects are persistent even four years later. The paper shows that the primary mechanism for this job loss is labor restructuring at consolidating firms. Workers with higher-than-expected pay relative to their human capital and workers with skills that are likely already present at acquirers are less likely to be retained
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  • 64
    Language: English
    Pages: 1 Online-Ressource (42 pages)
    Parallel Title: Erscheint auch als Bagga, Aanchal Do Public Works Programs have Sustained Impacts? A Review of Experimental Studies from LMICs
    Keywords: Africa Gender Innovation ; Experimental Evidence ; Finance and Financial Sector Development ; Gender ; Low and Middle-Income Countries ; Safety Nets ; Safety Nets and Transfers ; Social Protection ; Sustainability
    Abstract: Many low- and middle-income countries (LMICs) have introduced public works programs that offer temporary cash-for-work opportunities to poor individuals. This paper reviews experimental evidence on the impacts of public works programs on participants over the short and medium run, providing new insights on whether they have sustained impacts. The findings show that public works mainly increase employment and earnings during the program. Short-term positive effects tend to fade in the medium run, except in a few cases in which large impacts on savings or investments in self-employment activities are also observed. Importantly, the estimated impacts on earnings are much lower than planned transfer amounts due to forgone earnings, raising questions about cost-effectiveness. There is also little evidence of public works programs improving food consumption expenditure. The review finds evidence of improvements in psychological well-being and women's empowerment in some cases, but not systematically, and with limitations in measurement. The paper concludes by outlining directions for future research
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  • 65
    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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  • 66
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (iv, 67 Seiten) , Illustrationen
    Series Statement: Other education study
    Keywords: Entwicklungspolitik ; Staatensystem ; Internationale Organisation ; Entwicklungshilfe ; Entwicklungsprojekt ; Bildung ; Erziehung ; Erziehungsziel ; Bildungseinrichtung ; Zugang ; Ergebnis ; Projekt ; Bilanz ; Childhood Development ; Climate Action ; Conflict and Development ; Early Childhood Development ; Edtech ; Education ; Education for All ; Fragility ; Gender ; Gender and Education ; Girls and Women ; Learning ; Moving Out of Poverty ; Pandemic ; Poverty Reduction ; Teachers
    Abstract: As the largest external financier of education in low- and middle-income countries, the World Bank is committed to ensuring that all children around the world have free, inclusive, equitable, and quality education to achieve their potential. Our portfolio of investments in education has continued to grow, and our projects focus on ensuring that high-quality learning takes place for everyone, everywhere. In "Realizing Education's Promise: A World Bank Retrospective", we explore our operations and research across the globe since the first World Development Report (WDR) on education in 2018, which illuminated the scale of the learning crisis. In this new publication, we spotlight major milestones in our work over the past five years, highlighting successes, reflecting on what remains to be done, and sharing our vision for the way forward
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  • 67
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Gender ; Gender and Law ; Gender and Social Policy ; Gender Equality ; Gender Inclusive ; Law ; Reform ; Sexual and Gender Minorities
    Abstract: In every country, including Vietnam, certain groups confront barriers that prevent them from participating equally in their nation's political, economic, and social life. These groups are excluded through a number of practices, ranging from stereotyping, to stigmatization, to superstitions. Because of deeply entrenched prejudice and harmful social norms sexual and gender minorities continue to endure discrimination, economic and social exclusion, and violence. The Ministry of Labour, War Invalids and Social Affairs (MOLISA) of Vietnam is undertaking an update to the country's Gender Equality Law (GEL) of 2006. Because the country's legal framework refers to gender equality in binary terms male and female without reference to inclusion based on sexual orientation, gender identity and expression, and sex characteristics (SOGIESC), this update presents a great opportunity and critical entry point to broaden the scope and definition of gender equality to include SOGIESC. The note begins by examining the available data on LGBTI people globally, including the many challenges they face. After presenting the economic case for inclusion, the note examines international policy frameworks on SOGIESC inclusion. It then analyzes the legal framework for SOGIESC inclusion in Vietnam and goes on to assess the key gaps in the current GEL in addressing the inclusion of sexual and gender minorities. The note proposes concrete recommendations to make the GEL more inclusive of LGBTI people with recommendations for new or updated text to specific articles in the current GEL
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  • 68
    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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  • 69
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Assistance ; Gender ; Gender Identity ; Human Rights ; International Law ; Law ; Law and Development ; LGBTI Exclusion ; Sexual Orientation ; Social Development ; Social Inclusion ; Social Protections and Labor ; Sogiesc-Based Exclusion ; Vulnerable Groups ; Workplace Discrimination
    Abstract: Recent research suggests that the effects of stigma, discrimination, and exclusion against lesbian, gay, bisexual, transgender, and intersex (LGBTI) people could be costing economies billions of dollars. There are numerous reasons for these costs, including adverse educational environments, employment discrimination, physical and mental health disparities, and violence. This research aims to estimate the economic cost of exclusion based on sexual orientation, gender identity and expression, and sex characteristics (SOGIESC) in the Republic of Serbia and to provide the country's policy makers, civil society, and development partners with new evidence on the ongoing policy dialogue on strengthening the social inclusion of lesbian, gay, bisexual, transgender, and intersex (LGBTI) people. To estimate the cost of exclusion, this report presents two theoretical models focused on the labor market and related issues. The first model centers mainly on the accumulated loss of individual wages due to the consequences of exclusion. The second model calculates the negative effect of exclusion on accumulated fiscal revenues (due to lower income and payroll taxes) and expenditures (due to higher expenditures for unemployment benefits and active labor market programs)
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  • 70
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Disease Control and Prevention ; Health Economics and Finance ; Health, Nutrition and Population ; NCDs ; Non-Communicable Diseases ; Prevention and Control ; Primary Health Care
    Abstract: This report aims to assess the current role and scope of private health care provision for non-communicable diseases (NCDs) in Republika Srpska and Federation of Bosnia and Herzegovina (Federation of BiH). Over the last decade, the Ministry of Health and Social Welfare in the Republika Srpska and the Federal Ministry of Health have implemented municipal initiatives to reduce NCD risk factor exposure and formulate an action plan for NCD control. These efforts have been supported by development partners, including the Swiss Agency for Development and Cooperation (SDC), the World Bank, and the World Health Organization (WHO). The assessment recommends actions that the health authorities in Republika Srpska and the Federation of BiH can take to better engage private providers in tackling NCDs. In mixed health systems, improving NCD prevention and control requires effective partnerships between the public and private sector and establishing an effective regulatory and financialcontext to contribute to progress towards Universal Health Coverage
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  • 71
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Seitz, William Preferences for Wage Discrimination against Women
    Keywords: Age Bias ; Discrimination ; Equal Pay ; Equity and Development ; Gender ; Gender and Law ; Gender Equality ; Gender Wage Gap ; Inequality ; Poverty Reduction ; Social Protections and Labor ; Systematic Gender Bias ; Wages, Compensation and Benefits
    Abstract: This study demonstrates systematic bias against women in public perceptions of the fairness of wages. In nationally representative survey experiments across more than 70,000 individual vignettes posed to 4,500 respondents in three Central Asian countries, respondents were 13 percent more likely to say wages were "too high" when the randomly assigned person described in the vignette (subject) was a woman, and 34 percent more likely to say they were "too low" when the subject was a man. The pattern of bias favoring higher wages for men is statistically significant at conventional levels in all three countries, among both male and female respondents, and in each of the eight occupations studied. The results also demonstrate the presence of significant bias in favor or older workers, specifically for white-collar occupations, and the absence of this relationship for the blue-collar occupations included in the experiment. The findings reinforce the importance of bias as a contributing factor to the gender pay gap, and the value of equal pay regulations to prevent gender discrimination in wage setting
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  • 72
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Stokenberga, Aiga The Rough Road to Services and Livelihood Opportunities in Rural Haiti and the Added Impact of Natural Disasters
    Keywords: Access of Poor to Social Services ; Access To Markets ; Earthquake ; Education ; Flood ; Gender ; Gender and Equity ; Gender and Rural Development ; Impact of Climate Change ; Infrastructure Economics ; Infrastructure Economics and Finance ; Marginalization ; Marginalized Populations ; Natural Disaster ; Rural Transport
    Abstract: Mobility of goods and people in rural Haiti is constrained by the sparce road network and low maintenance of existing infrastructure. These challenges are further exacerbated by frequent natural disasters, including seasonal floods and earthquakes of significant magnitudes. This study conducted household surveys, qualitative interviews with humanitarian and development organizations on the ground, and spatial and statistical analysis to understand the impact of the relative importance of various constraints to accessing schooling, health care, and livelihood opportunities in rural Haiti, especially focusing on the most marginalized population groups. The various data collected corroborate the conclusion that transport issues-travel time, flooded roads, and lack of continuously functioning public transport services, among others-are central in the local residents' ability to access services and livelihood opportunities. At the same time, for many marginalized people, such as women and people living with a disability, other significant barriers are present, in terms of lack of affordability, inappropriate design of school and health care facilities, risk of assault, discrimination, and cultural norms. Living in a community where roads where damaged by the August 2021 earthquake is associated with reduced odds of having accessed needed health care or sold any of the produced agricultural harvest in the following months and with higher odds of children having missed school. Overall, the findings point to the need for a broad set of interventions-combining infrastructure and complementary policies-to allow everyone, including the most marginalized groups, to gain full access to health, education, and livelihood opportunities
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  • 73
    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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  • 74
    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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  • 75
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Conflict ; Fragility ; GBV ; Gender ; Gender and Health ; Gender and Law ; Gender and Poverty ; Gender and Social Policy ; Gender and Violence ; Sexual and Reproductive Health ; Social Services
    Abstract: Conflict and fragility increase the exposure of women and girls to gender-based violence (GBV) and make it more difficult for them to access social services, including sexual and reproductive health services. Fragility, conflict, and violence (FCV) also exacerbate their vulnerability to poverty and increase their unpaid work burden from their caregiving role. The increase of situations of fragility and conflict in recent years has called the World Bank Group to step up its engagement in these contexts and to adapt its approach to address gender inequalities in FCV countries. The Bank Group recognizes in many corporate and strategic documents, such as the 2020-2025 FCV strategy, that for Bank Group support to produce meaningful and lasting results toward greater gender equality in FCV countries, it needs to have five specific elements. These elements include relevance, depth, sustainability, scale, and inclusive ownership. The evaluation uses these elements to assess the Bank Group's country support for women's and girls' economic empowerment (WGEE) and GBV prevention and response. The evaluation analyzes in depth the experiences of six countries (Burkina Faso, Chad, the Democratic Republic of Congo, Lebanon, the Solomon Islands, and the Republic of Yemen) where the World Bank and the International Finance Corporation (IFC) provided support to advance WGEE and address GBV during the past 10 years. The report draws on a combination of in-depth desk review of documents, more than 200 interviews of World Bank and IFC staff, government partners, and national and international stakeholders, and field visits, focus group discussions, and face-to-face interviews inches The evaluation analyzes the factors that enable and constrain meaningful and lasting results in addressing gender inequalities in FCV contexts and offers four recommendations to inform future Bank Group support
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  • 76
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Ishak, Phoebe W Changes in Household Dynamics in South Yemen
    Keywords: Conflict ; Conflict and Development ; Economic Empowerment ; Female Decision Making and Poverty ; Female Head of Household ; Fragility ; Gender ; Gender and Economics ; Gender and Social Policy ; Gender Norm ; Women's Agency ; Women's Participation In Conflict Zones
    Abstract: This paper contributes to an important agenda by studying how female participation in household decision making has been affected by the ongoing civil conflict in the Republic of Yemen in areas under the control of the Internationally Recognized Government. The preliminary results find an increase in women's participation in decision making since the start of the conflict. Using a difference-in-difference approach that controls for individual and household characteristics, the analysis finds that this result is driven by households living in districts with medium intensity conflict as compared to low intensity conflict. This result holds up to a series of robustness checks and is explained by changes in household composition, whereby men are more likely to leave the household in conflict affected districts, leaving women in charge of household decisions
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  • 77
    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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  • 78
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 7800
    Keywords: Country Gender Assessment ; Gender ; Gender and Law ; Gender Informatics ; Gender Law Enforcement ; Gender Legal Framework ; Gender Policy ; Human Rights ; Law and Development
    Abstract: This note reviews the legal, institutional, and policy framework that affects gender equality in the country, including efforts to enforce gender laws and policies
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  • 79
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Agriculture ; Atlas Region ; Earthquake ; Economic Growth ; Environment ; Female Labor Force ; Gender ; Gender and Development ; Macroeconomics and Economic Growth ; Natural Disasters ; Poverty ; Social Protections and Assistance ; Social Protections and Labor ; Tourism ; Women's Economic Empowerment
    Abstract: The Moroccan economy is recovering. Following a sharp deceleration in 2022 caused by various overlapping commodity and climatic shocks, economic growth increased to 2.9 percent in the first semester of 2023, driven primarily by services and net exports. Inflation has halved between February and August 2023, but food inflation remains high. Lower commodity prices havealso contributed to a temporary narrowing of the current account deficit. The response to recent crises and the unfolding reform of the health and social protection systems are exerting pressures on public spending. However, the government is managing to gradually reduce the budget deficit
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  • 80
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate Change ; Climate Change Adaptation ; Environment ; Health ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Human Rights ; Threat Mitigation
    Abstract: Climate change has been called the most important threat to human health in the 21st century. It is estimated that if thetemperature rises and its impact on the other climatic variablescontinues unchanged, it will kill more than 83 million people (1 percent of the world's population) in the next 80 years (Wattset al. 2020)-13 times the toll of the COVID-19 pandemic (WorldHealth Organization 2023). Historically, only pandemics or worldwars have posed such threats to human health. As a result, the issue has aroused unprecedented attention. In 2021, the World Health Organization (WHO) declared climate changethe greatest health threat facing humanity (WHO 2021). Now, more than 195 governments have included climate change mitigation and adaptation as pillars in their multi-year plans, and government health sectors have been developing plans tomeasure and respond to the impact of climate change on health. However, recognition of the links between climate change and health remains nascent, so these efforts have not yet been accompanied by strategic and actionable approaches to measure the impacts and ground the responses. This report contributes to addressing that gap by providing a framework for understandingthe impact of climate change on human health in Colombia and by outlining the most effective actions to mitigate the threat
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  • 81
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Capacity ; Equity ; Governance Indicators ; Health, Nutrition and Population ; Information Technology ; Performance ; PHC ; PHCPI Framework
    Abstract: This report presents the findings of the primary health care (PHC) system assessment in the Republic of Moldova undertaken by the World Bank in collaboration with the Moldovan government and under the leadership of the Ministry of Health (MoH). It highlights existing strengths, identifies areas in need of improvement, and suggests strategies for system strengthening
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  • 82
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 7800
    Keywords: Adolescent Pregnancy ; Child Marriage ; Economic Inclusion ; Education ; Food and Nutrition Policy ; Gender ; Health ; Livestock and Animal Husbandry ; Trade Facilitation ; Violence Against Women ; Women and Girls ; Women's Leadership
    Abstract: This gender assessment has been prepared as an input for the preparation of the World Bank's Country Partnership Strategy for Mozambique (2023-2027). However, this assessment is not limited to areas of the World Bank's current country engagement; rather, it seeks to provide a general overview of the key challenges and opportunities facing Mozambican women and girls across different dimensions of their lives. The assessment adopts a life-cycle approach identifying key inflection points in the lives of women and girls that either limit or facilitate their empowerment. The assessment is based on a desk review of available studies, reports, and data from Mozambique, and draws on global evidence, largely from the Africa region
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  • 83
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Child Marriage ; Fertility Decision Making ; Forced Marriage ; GBV Prevention ; Gender ; Gender and Economic Policy ; Gender and Law ; Gender-Based Violence (GBV) ; Human Rights ; Law and Development ; Limitations On Decision-Making ; Social Development ; Social Inclusion and Institutions
    Abstract: This thematic note is part of a broader mixed-method study on gender inequalities in Madagascar, which intends to illustrate the key gender gaps in the country and shed light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. This thematic note provides in-depth analysis of the limitations that Malagasy women and girls encounter in respect to their agency and proposes several strategic lines of action to improve women's and girls' voice and decision-making and to eliminate all forms of GBV. This note is accompanied by the overview of all study findings and three thematic notes that present in-depth insights in the following key dimensions: education, health, and economic opportunities
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  • 84
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access and Equity in Basic Education ; Access To Education ; Adult Literacy ; Agency ; Education ; Gender ; Gender and Education ; Gender Barrier To Education ; Gender Bias in Education ; Girls Primary Education
    Abstract: This thematic note is part of a broader mixed-method study on gender inequalities in Madagascar, which intends to illustrate the key gender gaps in the country and shed light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. This thematic note discusses in detail the status of girls' and women's education in Madagascar and proposes several strategic lines of action to assist girls and young women in completing schooling. This note is accompanied by the overview of all study findings and three thematic notes that present in-depth insights in the following key dimensions: health, economic opportunities, and agency
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  • 85
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Climate Impact on Girls ; Education ; Education For All ; Gender ; Gender and Development ; Gender and Economics ; Gender Bias in Education ; Girls Life Choices ; Social Aspects of Climate Change ; Social Development ; Systemic Gender Gaps ; Women and Girls Health ; Women's Agency ; Women's Economic Opportunity
    Abstract: This Overview presents the findings from the mixed-method study on gender inequalities in Madagascar, illustrating the key gender gaps in the country and shedding light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. On the basis of the research findings, the Overview presents key gender gaps in Madagascar and proposes four strategic lines of policy recommendations to (i) assist girls and young women in completing school education, (ii) improve women's and girls' access to professional health care and prevent teenage pregnancy, (iii) enhance women's economic opportunities, and (iv) improve women's and girls' voice and agency through the elimination of all forms of gender-based violence. Four thematic notes accompany this Overview and present detailed findings in the four key dimensions: education, health, economic opportunities, and agency
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  • 86
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Johansson de Silva, Sara Productive Longevity: What can Work in Low- and Middle-Income Countries?
    Keywords: Aging ; Aging Populations and Social Protection ; Employable Skills ; Employment Incentives Labor Supply ; Health, Nutrition and Population ; Labor and Employment Law ; Labor Market Policy and Aging ; Labor Productivity ; Law and Development ; Population Policies ; Poverty Reduction
    Abstract: The world's population is aging at dramatic speed. By 2050, most of the world's seniors (aged 65+) will be living in what are currently low- and middle-income countries. Aging will require low- and middle-income countries to develop comprehensive policy solutions to sustain welfare levels and ensure that welfare is equitably distributed across generations and socioeconomic groups. Given higher informality and lower human capital levels in low- and middle-income countries than more advanced economies, the balance and composition of the policy package in these contexts may differ, but there will be a common need for labor market policies to increase "productive longevity"--that is, to foster higher labor force participation and productivity among mature workers. This paper presents a framework identifying market, institutional, and behavioral failures that create constraints to productive longevity, and policies that may overcome these constraints. Drawing, to the extent possible, on the experience of low- and middle-income countries, the paper reviews evidence on supply-side and demand-side interventions to improve incentives, remove barriers to work, and invest in skills, as well as policies to improve matching of mature workers in labor markets. The paper ends with a discussion of meta-lessons for low- and middle-income countries
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  • 87
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Keywords: Agricultural Producer Organizations ; Agriculture ; Gender ; Gender and Development ; Gender and Rural Development ; Ginger Farming Value Chain ; Informality ; Labor Markets ; Poverty Reduction ; Shea Butter Production Value Chain ; Smallholder Farmers ; Women in Agriculture Value Chains
    Abstract: Good quality jobs are key to accelerating poverty reduction and strengthening social cohesion in Togo. While Togo has made significant progress in creating more good quality jobs, with robust growth performance in the past decade, several jobs-related challenges remain. Togo's labor market is characterized by high levels of informality and underemployment, low productivity, and low-quality jobs. This difficult situation is compounded by the demographic trend of large cohorts of young people entering the labor market every year. As a result of this trend, it is estimated that, beginning in 2024, Togo will need to create 200,000 new jobs every year to absorb the influx of new entrants into the labor market. As described in the companion document to this report, Togo Jobs Diagnostic, a holistic approach to creating more and better jobs should be applied looking at the macro-, demand-, and supply side constraints. Solutions should focus on creating new jobs, improving job quality and productivity, and ensuring access to employment for vulnerable segments of the population
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  • 88
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Communicable Diseases ; Country Population Profiles ; Covid Preparedness Case Study ; Covid-19 Control Policy ; Covid-19 Impact on Business ; Covid-19 Pandemic Impact ; Epidemiology of Covid-19 ; Health Policy and Management ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pandemic Preparedness
    Abstract: The COVID-19 pandemic has caused unprecedented damage to the economy and health of people worldwide. It has led to considerable losses in human life and the economy, exposing underlying health system challenges and inequities. In Vietnam, too, the pandemic posed significant disruption to the economy and the health care system. This country case study documents the epidemiology of COVID-19 from January 16, 2020 (before the first case was found in Vietnam on January 23), to June 30, 2022, in Vietnam, and covers its pandemic preparedness and control policies, governance, and health care system, as well as the impact on the economy and businesses. Lessons learned in the country and challenges for better preparation for the future are described
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  • 89
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Ghorpade, Yashodhan Social Insurance for Gig Workers: Insights from a Discrete Choice Experiment in Malaysia
    Keywords: GIG Work ; Health Insurance ; Health, Nutrition and Population ; Informal Employment ; Informality ; Social Funds and Pensions ; Social Insurance ; Social Protections and Assistance ; Social Protections and Labor ; Unemployment Compensation ; Wages, Compensation and Benefits ; Willingness To Pay For Social Insurance ; Worker Protections
    Abstract: The rise of "gig" or digital platform work globally has led to both enthusiasm for its potential to create lucrative employment for large numbers of people, as well as concern about its implications for worker protection that is often provided in more standard employment. While gig work platforms may not be akin to employers in standard work relationships, arrangements that do not obligate them to provide worker protection and social insurance contributions may leave several platform workers unprotected against a range of risks. Is the observed lack of protection among digital platform workers explained by an unwillingness on part of the workers themselves to make necessary contributions for social insurance coverage? This paper analyzes this question in the context of Malaysia, a rapidly growing upper-middle-income East Asian economy that has witnessed a rise in gig work in recent years. The paper deploys a novel vignette-based experiment to ascertain gig workers' willingness to pay for social insurance coverage. The analysis finds overall a large unmet need for social insurance among gig workers, as well as a high level of willingness to pay for (especially) unemployment insurance, retirement savings, and accidental and injury insurance. This implies that the policy challenge is to channel such willingness into regular contributions for social insurance coverage through relevant and flexible options for contributions. More than subsidies, this segment of the workforce could perhaps benefit from better tailored, more flexible, and more easily accessible instruments for social insurance. The analysis also finds evidence of substitution between distinct insurance instruments. For instance, those who have access to retirement savings appear to be less willing to pay for unemployment insurance, and those with private medical insurance are less likely to contribute to the state-run injury insurance scheme. This underlines the need to approach risk insurance for digital platform workers more holistically and to consider a wider range of insurance instruments, including those offered by the private sector
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  • 90
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Miller, Amisha Asking Better Questions: The Effect of Changing Investment Organizations' Evaluation Practices on Gender Disparities in Funding Innovation
    Keywords: Access To Credit ; Access To Finance ; Africa Gender Innovation Lab ; Entrepreneurship ; Finance and Financial Sector Development ; Gender ; Gender and Economic Policy ; Gender and Governance ; Gender Gap ; Innovation ; Investment in Women Owned Enterprise ; Private Sector Development
    Abstract: Female innovators raise fewer resources from investors, even when their ventures are similar to those of all-male teams. Efforts to mitigate the disparities have typically focused on changing how founders seek investment. However, the causes of gender disparities are systemic: in uncertain contexts, evaluators value women's competence or leadership potential lower than men's, and investors inquire more about risks when facing female founders than males. What is the effect of investment organizations' evaluation practices on gender disparities in funding innovation This paper examines a two-stage global field experiment with investors making 1,871 investment decisions on early-stage startups, which resulted in USD 320,000 invested in 16 startups. The experiment changed an organization's evaluation framework to systematize investor inquiry across all ventures by including prompts about (1) risk and reward and (2) progress during the evaluation period. This caused treated investors to (1) assess startups more consistently and (2) assess startup competence more dynamically than control investors. It eliminated, even reversed, the gender gap in investment outcomes. These results have implications for organizations making decisions in uncertain contexts, and those aiming to reduce gender disparities
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  • 91
    Language: English
    Pages: 1 Online-Ressource (16 pages)
    Parallel Title: Erscheint auch als Urbina, Maria Jose Least Protected, Most Affected: Impacts of Migration Regularization Programs on Pandemic Resilience
    Keywords: Amnesties ; COVID 19 Impact ; Disease Control and Prevention ; Forced Migration ; Health Policy and Management ; Health Service Management and Delivery ; Health, Nutrition and Population ; Poverty Reduction ; Refugee Pandemic Outcomes ; Refugee Resilience ; Regularization of Migrants
    Abstract: How can regularization programs improve forced migrants' resilience to shocks This paper leverages panel data collected during the COVID-19 pandemic to assess whether Venezuelan forced migrants who were eligible for a regularization program in Colombia were more resilient and less affected by the pandemic than similar but non-eligible forced migrants. The results indicate that access to the program promoted better health access for eligible migrants, facilitating adherence to prevention guidelines and increasing detection rates. Additionally, eligible migrants had better housing and labor conditions, relative to non-eligible migrants
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  • 92
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (41 pages)
    Parallel Title: Erscheint auch als Perrin, Caroline Gendered Laws and Women's Financial Inclusion
    Keywords: Access To Finance ; Discrimination ; Finance and Financial Sector Development ; Financial Inclusion ; Gender ; Gender and Law ; Gender Equality ; Global Findex and Women ; Governance ; Governance Indicators ; Involuntary Financial Exclusion ; Law ; Legal Equality ; Social Inclusion and Institutions
    Abstract: This paper documents the relationship between legal gender equality and the use of financial services, using individual-level data from 148 developed and developing economies. The analysis, which combines data from the Global Findex and Women, Business and the Law databases, highlights the existence of a significant and positive correlation between gender equality in the law and women's access to financial products. The results show that greater legal equality alleviates women's involuntary financial exclusion. The findings also suggest that prevailing adverse social norms can 0ify the beneficial effects of legal equality, and that better implementation of the law can facilitate a stronger relationship between legal frameworks and women's financial inclusion
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  • 93
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Environmental Analysis
    Keywords: Coverage ; Equitable ; Financing ; Health Economics and Finance ; Health System ; Health, Nutrition and Population ; Resilient
    Abstract: The health system in Serbia faces significant challenges arising from a long-term demographic trend and the recent shock caused by the COVID-19 pandemic. Serbia's population is aging at a rapid pace, and the share of the population aged 65 and above almost doubled -from 9.6 percent to 18.7 percent-between 1990 and 2019. This, coupled with high prevalence of unhealthy lifestyle factors, such as smoking, heavy drinking, and high consumption of fatty and sugary diet, has contributed to a rapidly rising burden of noncommunicable diseases (NCDs). Addressing NCDs exerts significant financial pressure on the health system that has been further squeezed after more than two years of dealing with COVID-19. This is all happening in a context where the economic contraction that began in 2020 after the advent of COVID-19 pandemic and compounded with the war in Ukraine has adversely affected the country's capacity to pay for health. The health system also has a challenge to meet population expectations, which have become more demanding after decades of strong economic growth
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  • 94
    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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  • 95
    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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  • 96
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Cunningham, Wendy How did Urban Household Enterprises in Sub-Saharan Africa Fare during COVID-19? Evidence from High-Frequency Phone Surveys
    Keywords: COVID-19 Pandemic ; Health, Nutrition and Population ; Income Loss ; Income Shock ; Informal Enterprise ; Informality ; Urban Household Enterprise
    Abstract: While the impact of COVID-19 on Sub-Saharan African labor markets is well documented, there is suggestive evidence that urban households may have fared particularly poorly. This paper uses data from high-frequency phone surveys in 27 Sub-Saharan African countries to investigate which kinds of urban household enterprises were most affected, what coping strategies were utilized, and heterogeneity by sociodemographic characteristics in the short and medium run. Using linear probability models, the paper finds that households that relied on income from non-farm enterprises were hit particularly hard during the early stage of the crisis, with 20-26 percent reporting income declines, and women experiencing even greater losses. Few coping strategies were utilized in the short run to counterbalance the loss of enterprise income. As the crisis progressed, wage employment recovered more quickly than self-employment, with faster gains for non-farm household enterprises, less poor households, and those headed by males and adults. Women, adults, and non-poor self-employed household heads were more successful at leveraging external sources of support early in the pandemic, but these supports largely dropped off by August 2020. These results demonstrate the vulnerability of non-farm household enterprises in urban Sub-Saharan Africa to the COVID-19 shock and highlight the need to expand publicly and privately financed coping mechanisms, particularly for women, youth, and poor household heads who are self-employed
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  • 97
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Avalos, Edgar Firms' Digitalization during the COVID-19 Pandemic: A Tale of Two Stories
    Keywords: Coronavirus ; COVID-19 ; Digital Adoption in Developing Countries ; Digital Divide ; Digitalization ; Firm-Level Innovation ; Health, Nutrition and Population ; ICT Policy and Strategies ; Information and Communication Technologies ; Innovation ; Innovation and Technology Policy ; Mobiity Restrictions and Digitalization ; Private Sector Development ; Small and Medium Size Enterprises
    Abstract: The COVID-19 pandemic accelerated the digital transformation of businesses. Using a unique global panel dataset, this paper documents the patterns of digital adoption during the pandemic across firms in 57 (mostly developing) countries. The data show the tale of two stories. On one hand, the pandemic drove firms to increase the use of digital platforms and invest in digital solutions. On the other hand, there is evidence that the digital divide increased. There remain substantial gaps between small and large firms as well as across sectors, particularly for new investments in digital solutions. Firms that did not use any digital platform or channel before the pandemic, also lagged in their response to the pandemic, increasing the gap with those that were more digitally ready. Moreover, although the share of online sales across firms for all size groups increased, there is a growing concentration of online sales among top firms. The paper discusses some of the factors associated with this increase in the digital divide and find that changes in digitalization remain even after mobility restrictions have eased. The analysis suggests that the pandemic has accelerated digitalization, but some firms disproportionately benefited from the digital transformation, potentially increasing the digital divide
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  • 98
    Language: English
    Pages: 1 Online-Ressource (50 pages)
    Parallel Title: Erscheint auch als Atiyas, Izak Digital Technology uses among Microenterprises: Why is Productive use so Low across Sub-Saharan Africa?
    Keywords: Digital Divide ; Digital Technologies ; Gender ; Gender and Economic Policy ; ICT Business Linkages ; ICT Economics ; Inclusion ; Information and Communication Technologies ; Internet ; Jobs ; Microenterprise ICT ; Microenterprises ; Private Sector Development ; Productivity ; Smartphone ; Technology Use Gender Gap
    Abstract: This paper explores the use of digital technologies, their association with performance outcomes, and the main constraints to greater use among microenterprises. The study uses a sample of more than 3,300 firms across seven Sub-Saharan African countries, of which over 70 percent are informal and over half are self-employed enterprises with no full-time workers. The analysis finds that productive use of digital technologies is low: less than 7 percent of firms use a smartphone, less than 6 percent use a computer, and roughly 20 percent still do not use a mobile phone. Even fewer firms use digital tools enabled by these access technologies: among firms with smartphones, less than half use the internet to find suppliers, and only half with a computer use accounting software or inventory control/point-of-sale software. Women are less likely to use all digital technologies than men. A greater range of uses based on internet-enabled computers or smartphones relative to uses based on 2G phones are conditionally associated with higher job levels. However, there may be a tension between higher productivity and more jobs: the highest productivity firms are not generators of the highest jobs, and vice versa. That formal high-sales and high-jobs firms are more strongly associated with the use of internet-enabled tools than high-productivity firms suggests that relaxing constraints preventing the latter from using more such digital tools and expanding sales and jobs could be important. Among these constraints, more than seven in ten non-users indicate that lack of attractiveness ("no need") is the main impediment to productive use of digital technologies. The most important conditional correlates of smartphone and computer adoption are related to having a loan, having electricity, having business linkages with large firms as customers, and managers having vocational training
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  • 99
    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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  • 100
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Law and Justice Study
    Keywords: Discrimination ; Female ; Gender ; Gender and Health ; Gender and Law ; Gender and Social Policy ; Genital Mutilation ; Human Rights ; International Law ; Law and Development ; Violence Against Women ; Women's Rights
    Abstract: Female Genital Mutilation/Cutting (FGM/C) is a development issue and am extreme form of violence against women and girls that affects more than 200 million women in the world. FGM/C is a harmful practice proven to impact the physical and mental health of affected women and girls from the moment of the cutting, with prolonged and irreversible consequences during their entire lives. FGM/C is at the confluence of domestic violence, child abuse and sexual assault and a serious violation of human rights. Studies show that FGM/C has economic and social consequences and a high obstetric cost although a comprehensive study on the exact extent of these economic, health and social costs is still to be carried out. Beyond the data and the statistics, researchers have shown that FGM/C deprives women of sexual satisfaction, sexual health and psychophysical wellbeing. The Compendium of International and National Legal Frameworks on Female Genital Mutilation (the Compendium) was prepared to contribute to this urgent and important development debate with the understanding that the knowledge of the law is an important empowerment tool to end FGM/C. It provides a survey of the key international and regional instruments as well as domestic legislation as they relate to the prohibition of FGM/C. The Compendium consists of topical chapters (international legal frameworks; regional legal frameworks; consensus documents and national legal frameworks) with hyperlinks to source documents, such as United Nations conventions, regional treaties, and national legislations. The Compendium is a working document intended as a reference tool for anyone interested in the topic of FGM/C (development practitioners, lawyers, community leaders, academics, researchers, students, et cetera
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