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  • MPI Ethno. Forsch.  (1,145)
  • Washington, D.C : The World Bank  (1,145)
  • Cham : Springer International Publishing AG
  • Poverty Reduction  (717)
  • Health, Nutrition and Population  (575)
Datasource
  • MPI Ethno. Forsch.  (1,145)
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  • 1
    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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  • 2
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Parallel Title: Erscheint auch als Redaelli, Silvia Assessing the Extent of Monetary Poverty in the Syrian Arab Republic after a Decade of Conflict
    Keywords: Data Deprivation ; Fragility and Conflict ; Poverty Measurement ; Poverty Monitoring and Analysis ; Poverty Nowcasting ; Poverty Reduction ; Social Conflict and Violence ; Social Development ; Social Development and Poverty
    Abstract: The data for estimating monetary poverty in the Syrian Arab Republic are outdated. In the context of data scarcity, this paper aims to propose a methodological approach to address the knowledge gap regarding welfare in Syria over the past decade. In particular, the analysis provides (i) updated pre-conflict poverty baseline estimates based on grouped data from the 2009 Household Income and Expenditure Survey; (ii) supporting evidence on the viability of using Humanitarian Needs Assessment Programme Demographic and Water Supply, Sanitation, and Hygiene 2022 survey data for the estimation of monetary poverty in 2022; and (iii) supporting theoretical and empirical evidence to identify growth in per capita gross domestic product in current prices deflated by Consumer Price Index as the best metric to project poverty using a nowcasting approach. Based on this analysis, the paper proposes to use 2022 Humanitarian Needs Assessment Programme-based poverty estimates to anchor the most recent estimates to the best available evidence, and to interpolate the poverty evolution obtained from back-casting 2022 and nowcasting 2009 poverty estimates over 2009-22 using the growth rate of per capita gross domestic product in current prices, deflated by the Consumer Price Index with a passthrough of 0.7
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  • 3
    Language: English
    Pages: 1 Online-Ressource (78 pages)
    Parallel Title: Erscheint auch als Dang, Hai-Anh Using Survey-to-Survey Imputation to Fill Poverty Data Gaps at a Low Cost: Evidence from a Randomized Survey Experiment
    Keywords: Consumption ; Household Surveys ; Information and Communication Technologies ; Macroeconomics and Economic Growth ; Poverty ; Poverty Diagnostics ; Poverty Reduction ; Survey-To-Survey Imputation
    Abstract: Survey data on household consumption are often unavailable or incomparable over time in many low- and middle-income countries. Based on a unique randomized survey experiment implemented in Tanzania, this study offers new and rigorous evidence demonstrating that survey-to-survey imputation can fill consumption data gaps and provide low-cost and reliable poverty estimates. Basic imputation models featuring utility expenditures, together with a modest set of predictors on demographics, employment, household assets, and housing, yield accurate predictions. Imputation accuracy is robust to varying the survey questionnaire length, the choice of base surveys for estimating the imputation model, different poverty lines, and alternative (quarterly or monthly) Consumer Price Index deflators. The proposed approach to imputation also performs better than multiple imputation and a range of machine learning techniques. In the case of a target survey with modified (shortened or aggregated) food or non-food consumption modules, imputation models including food or non-food consumption as predictors do well only if the distributions of the predictors are standardized vis-a-vis the base survey. For the best-performing models to reach acceptable levels of accuracy, the minimum required sample size should be 1,000 for both the base and target surveys. The discussion expands on the implications of the findings for the design of future surveys
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  • 4
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Lain, Jonathan Comparing Internally Displaced Persons with those Left Behind: Evidence from the Central African Republic
    Keywords: Armed Conflict ; Central African Republic ; Communities and Human Settlements ; Conflict ; Conflict and Development ; Displacement ; Human Migrations and Resettlements ; Poverty ; Poverty Diagnostics ; Poverty Reduction
    Abstract: Global poverty is increasingly becoming concentrated in conflict-affected settings. Therefore, assessing the welfare of those people displaced by conflict is of growing policy importance. Collecting and analyzing data on displaced people is challenging because sampling them is difficult, standard welfare metrics may not reflect their experiences, and they are highly heterogeneous. Assessing the welfare effects of displacement also hinges on constructing counterfactuals that show how internally displaced persons would have fared had they stayed in place. Displaced people typically come from a nonrandom subset of communities affected by conflict or other shocks, so comparing them with the rest of the population may be misleading. This paper addresses this issue using data from the Central African Republic, which recorded detailed information on displacement histories to isolate the communities from which those living in internally displaced person camps originated. Using these "catchment areas" for internally displaced person camps as a counterfactual suggests that although displaced households have lower monetary consumption and higher monetary poverty than the overall population, they may be no worse off on many key metrics than those left behind in the communities originally affected by conflict. Moreover, those left behind enjoy none of the benefits of being in camps, such as additional access to water and sanitation services. These results underline the importance of tailoring policies and data collection to consider those in communities originally affected by conflict, just as practitioners are doing for displaced populations
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  • 5
    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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  • 6
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Isser, Deborah H Governance in Sub-Saharan Africa in the 21St Century: Four Trends and an Uncertain Outlook
    Keywords: Centralized Power Arrangements ; Checks and Balances ; Fiscal and Monetary Policy ; Governance Reform ; Governance Trajectory ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development ; Social Inclusion and Institutions
    Abstract: What can be learned from the governance trajectory of African countries since the beginning of the 21st century What is the quality of governance on the African continent and how does it shape development The first decade of the millennium saw promising growth and poverty reduction in much of the continent. Yet, Sub-Saharan Africa has also been the stage of a stream of governance reform failures and policy reversals, and many countries continue to suffer from the consequences of poor governance. This paper explores the dynamics of governance reform on the continent over the past two decades and points to four key trends. First, effective state institutions, capable of maintaining peace, fostering growth, and delivering services, have developed unevenly. Second, progress has been made on enhancing the inclusiveness and accountability of institutions, but it remains constrained by the weakness of checks and balances and the persistence of patterns of centralized and exclusive power arrangements. Third, civic capacity has risen considerably, but the inability of institutions to respond to social expectations and political mobilization threatens to turn liberal civic engagement into distrust, populism, and radicalization. Fourth, the combination of these three trends contributes to the rise of political instability, which constitutes a major threat for the continent
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  • 7
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Climate and Development Reports (CCDRs)
    Keywords: Adaptation To Climate Change ; Climate Change Adaptation ; Economic Growth ; Environment ; Finance ; Inlcusive Growth ; Macroeconomics and Economic Growth ; Poverty Reduction ; Resilience
    Abstract: This Country Climate and Development Report (CCDR) examines Liberia's development trajectory through the lens of the country's vulnerability to climate change. It identifies Liberia's development risks and opportunities, models various scenarios of climate impact and intervention, and proposes ways to strengthen resilience and finance climate actions that support Liberia's development aspirations of inclusive growth and poverty reduction
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  • 8
    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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  • 9
    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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  • 10
    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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  • 11
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Wu, Haoyu The Growth Elasticity of Poverty: Is Africa Any Different?
    Keywords: Aggregate Economic Growth ; Global Poverty Reduction ; Gross Domestic Product Per Capita ; Growth Elasticity ; Poverty Reduction
    Abstract: On current trends, the future of global poverty reduction will be determined by Sub-Saharan Africa. Yet even during Sub-Saharan Africa's period of high economic growth -- roughly corresponding to the first decade and a half of the 2000s -- the extent to which this growth translated into improved living standards for African households was hotly debated. This paper revisits the issue of Sub-Saharan Africa's relatively low growth elasticity of poverty using a sample of 575 successive and comparable growth spells between 1981 and 2021. The findings confirm that, even controlling for initial differences in poverty, income levels, and inequality, Sub-Saharan Africa consistently had a significantly lower growth elasticity of poverty relative to other regions over this period. The lower growth elasticity of poverty, which has remained unchanged over time, is due to a lower passthrough between growth in gross domestic product per capita (or growth in household final consumption expenditure as measured by national accounts) and growth in household consumption expenditures as measured from surveys. Given the low passthrough of economic growth to households, Africa thus needs higher rates of economic growth than its peer countries in other regions to achieve equal rates of poverty reduction. Given the challenge of achieving this in the current global economic environment, success in reducing global poverty will require a focused effort to strengthen the effect of aggregate economic growth on household welfare in Sub-Saharan Africa. The results suggest that this will require (i) improved provision of basic education services and basic infrastructure, (ii) faster structural transformation, and (iii) a decrease in the occurrence and persistence of violent conflicts
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  • 12
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Alimi, Omoniyi Babatunde Are Unit Values Reliable Proxies for Prices? Implications of Better Price Data for Household Consumption Measurement in a Low-Income Context
    Keywords: Commodity Group Price ; Household Consumption And Expenditure ; Household Survey ; Macroeconomics and Economic Growth ; Nominal Consumption Aggregate ; Poverty Line ; Poverty Monitoring and Analysis ; Poverty Reduction ; Separability Assumption ; Unit Values
    Abstract: Household Consumption and Expenditure Surveys are key to consumption-based monetary poverty measurement. In the absence of market price surveys that are linked to Household Consumption and Expenditure Surveys, unit values are used as proxies for market prices in estimating nominal consumption aggregates, price deflators, poverty lines, and poverty statistics. This practice relies on the Hicksian separability assumption: within-commodity group relative prices are constant across space and the price of a single good is an accurate proxy for the commodity group price. To test, for the first time in a low-income context, whether Hicksian separability holds, this paper uses the price data collected for an extensive list of food items, including several variety/quality-differentiated products for specific items, in a national market survey that was conducted in Malawi in sync with the Household Consumption and Expenditure Survey that is the source of official poverty statistics. The analysis demonstrates that Hicksian separability fails to hold across space and time and that unit values are biased proxies for prices. Integrating the Household Consumption and Expenditure Survey and market survey data based on location and timing of fieldwork permits an assessment of consumption and poverty estimation based on market prices versus unit values. Relative to unit values, using market prices leads to higher food and overall consumption expenditures--both in nominal and real terms--while generating higher poverty lines and higher food and overall poverty rates. Compared to their counterparts based on unit values, spatially-disaggregated poverty estimates based on market prices exhibit a stronger correlation with nightlights --an objective proxy for living standards
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  • 13
    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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  • 14
    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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  • 15
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Education ; Education For All ; Employment ; Employment and Unemployment ; Human Capital ; Poverty ; Poverty Reduction ; Skills Development and Labor Force Training ; Social Protections and Labor ; UMI Countries
    Abstract: This Human Capital Review aims to provide analytical foundations in the support of policies that improve human capital outcomes for the following four UMI countries in Central America: Costa Rica, Guatemala, Panama, and the Dominican Republic. The objective of this report is to identify the key constraints to human capital growth and understand how education and labor market policies can foster a resilient recovery, promote inclusive growth, and contribute to poverty reduction in these countries. The review also estimates the impact of the COVID-19 pandemic on human capital outcomes using a multi-sectoral approach. The analysis compares human capital outcomes in the decade before the COVID-19 pandemic (2010-2019) against trends during the pandemic (2020-2021). Lastly, the report focuses on these four countries, which are the only UMI in Central America to take advantage of new data collected during the pandemic, which allowed to quantify some of the impacts of COVID-19 and understand some of their long-term implications for human development outcomes
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  • 16
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Coulibaly, Mohamed Responsibility Sharing and the Economic Participation of Refugees in Chad
    Keywords: Adaptation To Climate Change ; Climate Change ; Communities and Human Settlements ; Disaster Risk Management ; Environment ; Flood and Drought Risk Management ; Human Migrations and Resettlements ; Natural Resources Management ; Poverty Assessment ; Poverty Reduction
    Abstract: The Global Compact on Refugees recognizes the importance of responsibility sharing for hosting, protecting, and assisting refugees, while emphasizing the potential of economic participation to reduce the cost of humanitarian assistance. This note explores the relative importance of aid in caring for refugees hosted in Chad and the importance of the incomes earned by the refugees. It finds that the combination of aid and self-earned incomes falls far short of a minimum standard of living (the poverty line) as a consequence of which the vast majority of refugees lives in abject poverty. It is also finds that although refugees are hosted in camps with relatively few economic opportunities, self-generated income covers 54 percent of the poverty line and aid only 14 percent. As Chad has adopted a policy of refugee inclusion and dispersion, the note then explores how much these progressive policies might increase the income earning potential of refugees. This is found to be substantial. Economic participation policies are estimated to reduce refugee poverty from 88 to 50 percent (thus increasing the self-sufficiency of refugees dramatically), while increasing the incomes generated by poor refugees by more than 50 percent. The greatest participation benefits will be realized when refugees move to areas with more economic potential
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  • 17
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Atamanov, Aziz New Evidence on Inequality of Opportunity in Sub-Saharan Africa: More Unequal than we Thought
    Keywords: Circumstances ; Consumpton Inequality ; Equity and Development ; Inequality ; Inequality of Opportunity ; Poverty Reduction ; Social Development
    Abstract: Unequal access to economic opportunity for individuals with different innate characteristics, such as ethnicity or parents' socioeconomic status, is often seen as both morally undesirable and bad for economic growth. This paper estimates inequality of opportunity, or the share of inequality explained by birth characteristics, across 18 countries in Sub-Saharan Africa. For many countries, this is the first time inequality of opportunity is measured. The paper uses nationally representative household survey data harmonized to allow for cross-country comparisons. Using consumption per capita as the outcome, the findings show that inequality of opportunity in Sub-Saharan Africa is stark and more pronounced than previously estimated. On average, inherited circumstances explain more than half of inequality in the region. Estimates range from 40 to 60 percent in most countries and reach 74 percent in South Africa. The findings show that birthplace, parents' education, and ethnicity tend to be the most significant contributors, but there is large variation in the importance of circumstances across countries. This represents the most comprehensive estimate of inequality of opportunity to date in the poorest and one of the most unequal regions in the world, and it underscores the pressing need for policy makers to intensify their efforts to address inequality of opportunity to foster societies that are more equitable and unlock the full potential for growth in the region
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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 (54 pages)
    Parallel Title: Erscheint auch als Rodriguez, Laura Fiscal Policy, Poverty and Inequality in Jordan: The Role of Taxes and Public Spending
    Keywords: Finance and Development ; Finance and Financial Sector Development ; Fiscal Policy and Inequality ; Income Inequality ; Poverty and Social Impact ; Poverty Monitoring and Analysis ; Poverty Reduction ; Public Sector Development
    Abstract: Analysing who benefits from different taxes and spending is important to understand how fiscal policy is affecting poverty and inequality in Jordan. This study traces how the Jordanian fiscal system affects different households, while paying income tax and GST and benefiting from social assistance, and services, such as, cash transfers, electricity and water subsidies, education and health. The study finds that Jordan's current fiscal system is modestly progressive, but more could be achieved. Inequality, as measured by the Gini Index, falls 5.8 points between household market incomes and post-fiscal incomes (after paying income and consumption taxes as well as receiving government transfers and subsidized services). When considering only monetary taxes and benefits (that is, excluding non-cash education and health services), inequality falls by only 2.6 points and poverty would be almost the same as the official poverty rate. Nonetheless, the recent expansion of social assistance programs is making Jordan's fiscal policies more equalizing and there is scope for other reforms which would both close the fiscal gap while further reducing poverty and inequality
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  • 20
    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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  • 21
    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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  • 22
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Hauser, Christina Sarah Tackling Gender Discriminatory Inheritance Law Privately: Lessons from a Survey Experiment in Tunisia
    Keywords: Family Law ; Gender Discrimination ; Gifting ; Inheritance Law ; Poverty Reduction ; Rural Poverty Reduction ; Social Protections and Labor
    Abstract: When reform of gender discriminatory law fails, individual action can offer a second-best solution. As most Muslim-majority countries, Tunisia applies Islamic inheritance law, systematically favoring sons over daughters. By making gifts to their daughter, parents can privately attenuate gender discrimination in inheritance. This study investigates to what extent gifting can represent an alternative to legal reform and for whom. Within a randomized experiment, this study tests whether providing information on public support for inheritance law reform and/or the possibility to make a gift to one's daughter has a causal impact on individual attitudes towards women's right to inheritance. The overall evidence on the effectiveness of the proposed informational treatments to encourage gifting is mixed. However, approval of gifting daughters is high--especially among the wealthy. Men are more likely to gift than women. By contrast, demand for legal reform is significantly higher among women and individuals with low educational attainment. The findings thus suggest that gifting indeed represents an alternative to legal reform; but mostly for a relatively well-off subset of the population, leaving the agency to the traditionally male head of the family
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  • 23
    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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  • 24
    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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  • 25
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Data Development and Gender ; Economic Growth ; Employment and Unemployment ; Human Development and Gender ; Labor Market Policy and Programs ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development and Poverty ; Social Protection Delivery Systems ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The following analytical report summarizes the technical notes and presentations prepared by the World Bank and the Workforce Development Center under the Ministry of Labor and Social Protection of Population of Kazakhstan (MLSPP). These works aimed to support the MLSPP in the preparation of the Concept Plan of Labor Market Development for 2024-2029. The teams analyzed existing barriers and the potential for the creation of quality jobs in Kazakhstan because employment is essential for economic growth, which contributes to reducing poverty. Despite slower economic growth and some institutional challenges, Kazakhstan, nevertheless, has been successful at reducing the poverty rate. The major factor contributing to Kazakhstan's growth has been productivity, regardless of the period. A much lower contribution stems from labor market factors and employment rates. Therefore, the teams focused on how to boost firm productivity to increase the number and accessibility of better jobs, as well as how to develop skills and provide good education to the different groups of the population and prepare people for new and old jobs. Based on the material delivered by the World Bank, the WDC and other local expert groups, the MLSPP was able to draft the Concept Plan of Labor Market Development for 2024-2029, which the Government of Kazakhstan approved on November 28, 2023
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  • 26
    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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  • 27
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Cortina Toro, Magdalena Little Nomads: Economic and Social Impacts of Migration on Children
    Keywords: Child Migration ; Education Services ; Migration ; Migration Influence on Children ; Poverty Reduction
    Abstract: This paper reviews the main findings from 110 studies produced between 1990 and 2023, focusing on the impact of migration on various child groups affected through the migration path, including left-behind, immigrant (including voluntary and forced), and native children. The findings reveal that migration's influence on children's outcomes is complex and context- dependent, and it is dramatically influenced by household demographics and public policies. Key findings include the following: (i) left-behind children benefit from remittances but experience dramatic declines in their cognitive and non-cognitive development due to parental absence; (ii) immigrant children generally fare better than those in their origin countries but still underperform compared to native children in host countries; and (iii) the impacts of migration on native children is largely dependent on the adjustment of public service supply to the increased demand for public services. In cases where education services expand to meet rising demand, the effect on native children can be minimal or even positive. The paper emphasizes the need for more experimental or quasi-experimental research examining the effectiveness of programs supporting migrant and minor host children and calls for longitudinal data collection for better understanding the challenges and needs of migrant children, particularly in developing countries
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  • 28
    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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  • 29
    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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  • 30
    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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  • 31
    Language: English
    Pages: 1 Online-Ressource (14 pages)
    Parallel Title: Erscheint auch als Atamanov, Aziz The Costs Come before the Benefits: Why Donors Should Invest More in Refugee Autonomy in Uganda
    Keywords: Communities and Human Settlements ; Development Assistance Need ; Development Economics and Aid Effectiveness ; Displacement ; Financial Inclusion ; Human Migrations and Resettlements ; Humanitarian Aid ; International Economics and Trade ; International Migration ; Labor Market Inclusion ; Poverty Reduction ; Refugees ; Self-Reliance
    Abstract: When host countries allow refugees to earn income, two main groups benefit: refugees, who become financially autonomous, and international institutions that can reduce the humanitarian aid that would otherwise be needed to support refugees. Uganda is one of the more progressive countries when it comes to promoting the financial independence of refugees and shifting from humanitarian aid to development ways of working. This note considers how successful refugees in Uganda have been in becoming financially independent and estimates how assistance has been saved due to these efforts at economic inclusion. Using the international poverty line of USD 2.15 in 2017 purchasing power parities to proxy the costs of basic needs, the results suggest that the amount of total aid needed was reduced by almost 45 percent. They also show that many refugees live in poverty, implying that the present combination of aid and work is inadequate to assure a decent standard of living. While more assistance is needed in the short run, reductions in development assistance are feasible but require upfront investments in refugee earning capacity to realize them
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  • 32
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Himelein, Kristen Implications of Choice of Second Stage Selection Method on Sampling Error and Non-Sampling Error: Evidence from an IDP Camp in South Sudan
    Keywords: Cross-Sectional Household Survey ; Displacement ; Economic Theory and Research ; Estimation ; Household Survey Design ; Macroeconomics and Economic Growth ; Microeconomic Data ; Poverty Reduction ; Social Development ; Survey and Sampling Methods ; Voluntary and Involuntary Resettlement
    Abstract: The most common sampling approach for cross-sectional household surveys in the developing world is a stratified two-stage design, where the first stage is usually a sample from a census-based area frame, and the second stage is a random sample of households from each of the areas selected in the first stage. To overcome the problem of outdated census frame information, it is common to conduct a household listing operation within these areas. However, these listing operations come with severe implications for survey costs, timeframe, as well as quality. To avoid such second-stage operations, some surveys choose alternate approaches for their second-stage operation. This paper compares five of these approaches, namely, satellite mapping, segmentation, grid square, the north method, and random walk, through simulations based on a census conducted in a refugee camp in South Sudan. The paper compares the simulated approach with the estimates derived from the actual experiment and finds that all the resulting estimates are biased. Nevertheless, in addition to their practical challenges, the satellite mapping, segmentation, and grid square approaches exhibit the smallest bias. Although random walk shows the worst performance in the simulations, it regains ground in its implementation, especially vis-a-vis the north method, where implementation adds most significantly to its bias. In conclusion, most probability-based methods perform better than non-probability methods like random walk and are therefore preferrable when no traditional household listing can take place. Although it is important to consider the theoretical properties of sampling approaches, implementation is at least as important. Training, implementation modalities, and monitoring of compliance are key factors in the overall performance
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  • 33
    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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  • 34
    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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  • 35
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Robayo, Monica Reassessing Welfare Impacts of Bulgarian Fiscal Policy through a Child Poverty Perspective
    Keywords: Child Poverty ; Commitment To Equity (CEQ) Model ; Covid-19 Pandemic Impact on Child Poverty ; Fiscal and Monetary Policy ; Fiscal Incidence ; Fiscal Policy ; Living Standards ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development ; Social Spending ; Taxation
    Abstract: This paper delves into Bulgaria's persistent issue of child poverty, even amidst policy efforts at the European Union (EU) and national levels. The study updates a comprehensive fiscal incidence analysis using the Commitment to Equity (CEQ) model, considering COVID-19's impact and a child-focused perspective, and simulates child-related policy interventions' effectiveness in alleviating child poverty. Our results show that Bulgaria's fiscal system has a limited impact on the overall at-risk of poverty rate, though it shows potential in reducing poverty for lower income deciles. Bulgaria's fiscal system reduces inequality compared to other countries with similar income levels, primarily driven by the substantial influence of direct transfers, education, and health allocations. Nevertheless, the redistributive effect of direct taxes and transfers remains comparatively modest within Europe. The study emphasizes the progressive nature of Bulgaria's fiscal components, benefiting the poorest through social benefits. When applying a child lens, our results show that fiscal policy is not very effective in addressing child poverty, as it reduces it by just 0.3 percentage points. However, means-tested programs targeting families and children play a significant role in mitigating child poverty. This research also underscores that specific households in Bulgaria face heightened vulnerability and may not receive optimal support from fiscal measures, including households with three or more children and lone-parent households, especially those headed by lone females. Microsimulation results suggest that enhancing child tax deductions among low-income earners and refining the design of child benefits to improve targeting effectiveness and generosity can notably contribute to child poverty reduction. The paper offers insights into more equitable policy design in Bulgaria's pursuit of combating child poverty
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  • 36
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Ambler, Kate Rural Labor and Long Recall Loss
    Keywords: Employment and Unemployment ; Labor Supply ; Poverty Reduction ; Rural Household Survey ; Rural Labor ; Social Protections and Labor ; Unemployment
    Abstract: Surveys frequently rely on annual recall to capture individuals' labor activities over the preceding year. This paper uses a panel of rural households in Malawi for a survey experiment to test the effect of a long, annual recall window on reported labor supply relative to a set of quarterly interviews. The paper documents large losses in reported labor participation using the long recall window with reductions of over 20 percent of reported activities and months worked and a 2.5 times greater incidence of reported unemployment relative to the shorter window. These losses are greater for activities further in the past and especially for individuals whose labor supply is reported by other family members, reaching up to 50 percent for some outcomes. The profile of households' primary respondents, predominantly male and older, and differential effects by age further suggest that long recall may cause meaningful biases in the resulting data for women and younger household members
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  • 37
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Fietz, Katharina Exit Patterns from Brazil's Bolsa Familia and the Role of the Local Labor Market
    Keywords: Bolsa Familia ; Conditional Cash Transfer ; Dynamic Means-Tested Cash Transfer ; Labor Market ; Poverty Reduction ; Rural Workers ; Social Protection Program Graduation ; Social Protections and Labor
    Abstract: Can rising tides in the labor market lift the poor out of social assistance Although a substantial literature has studied the capacity of safety nets to expand automatically during labor market shocks, less is known about the dynamics of social assistance when labor market conditions improve, and who may benefit from positive changes. This paper studies how rising formal employment at the municipal level affects the likelihood of beneficiary families to exit Bolsa Familia, Brazil's dynamic means-tested cash transfer. The analysis exploits panel data from Brazil's vast social registry, matched with seven years of Bolsa Familia payroll information and formal employment records. The data reveal that the Bolsa Familia program displays significant and heterogeneous dynamism, with beneficiaries with higher levels of education and fewer constraints to labor supply taking fewer years to exit. The analysis then uses fixed-effects estimates, combined with an instrumental variable approach, to identify the effects of exogenous changes in the local labor market on exits. The findings show that the increase in local employment leads to a small, statistically significant rise in the probability of exiting from Bolsa Familia. These effects are concentrated in households with spare labor supply and those with medium levels of education
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  • 38
    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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  • 39
    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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  • 40
    Language: English
    Pages: 1 Online-Ressource (79 pages)
    Parallel Title: Erscheint auch als Amjad, Beenish Fiscal Policy, Poverty, and Inequality in a Constrained Environment: The Case of the West Bank and Gaza
    Keywords: Cash Transfer Program ; Commitment To Equity ; Comparative Analysis ; Fiscal Policy ; Indirect Taxes ; Inequality ; Inequality Reduction ; Macroeconomics and Economic Growth ; Poverty Reduction ; Tax Administration ; VAT
    Abstract: This report analyzes the distributional impacts of the main taxes and transfers on households' welfare in the West Bank and Gaza. The analysis uses the Commitment to Equity methodology, enabling comparison of the results to other countries where this framework has been applied. The report assesses the effects of government taxation, social expenditure, and indirect subsidies on poverty and inequality in the West Bank and Gaza. The results indicate that the combination of taxes and transfers modelled in the West Bank and Gaza reduces inequality by 6.5 Gini points but increases the national poverty headcount by 8.4 percentage points. These fiscal policy outcomes on poverty and inequality reduction are below average in terms of desirability compared to other lower-middle-income countries. The taxes and transfers modelled in the West Bank and Gaza achieve most inequality reduction through in-kind benefits from public basic education and public hospitals, followed by the Cash Transfer Program and the value-added tax (VAT). Their large impact on inequality reduction is explained by a combination of their progressivity and their size relative to household income. The redistributive effect of direct taxes, customs duties, and indirect subsidies is zero or close to zero. Indirect taxes represent the fiscal interventions contributing most to the increase in national poverty; customs duties followed by VAT represent the largest burden on households' incomes. Direct transfers from social protection cannot offset the impoverishment effect from indirect taxes because they have very limited coverage. Only the poorest decile is a net cash beneficiary after paying taxes and receiving cashable transfers. The rest of the deciles are net payers to the fiscal system. To decrease poverty and inequality in the West Bank and Gaza, the most significant policy recommendation to emerge from the analysis is to expand direct transfers to the second and third deciles to compensate for indirect tax burdens. Financing this reform is feasible through domestic tax mobilization or through rationalization of inefficient fuel and electricity subsidies that benefit the top income deciles most
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  • 41
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Stacy, Brian Missing Evidence: Tracking Academic Data Use around the World
    Keywords: Academia ; Academic Research Article Survey ; Country Data Analysis ; Developing Country Research Study ; Economic Policy, Institutions and Governance ; Macroeconomics and Economic Growth ; Natural Language Processing ; Poverty and Policy ; Poverty Reduction
    Abstract: Data-driven research on a country is key to producing evidence-based public policies. Yet little is known about where data-driven research is lacking and how it could be expanded. This paper proposes a method for tracking academic data use by country of subject, applying natural language processing to open-access research papers. The model's predictions produce country estimates of the number of articles using data that are highly correlated with a human-coded approach, with a correlation of 0.99. Analyzing more than 1 million academic articles, the paper finds that the number of articles on a country is strongly correlated with its gross domestic product per capita, population, and the quality of its national statistical system. The paper identifies data sources that are strongly associated with data-driven research and finds that availability of subnational data appears to be particularly important. Finally, the paper classifies countries into groups based on whether they could most benefit from increasing their supply of or demand for data. The findings show that the former applies to many low- and lower-middle-income countries, while the latter applies to many upper-middle- and high-income countries
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  • 42
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Cho, Yoonyoung The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times
    Keywords: Cash Transfers ; Depression and Pandemic ; Health, Nutrition and Population ; Mental Health ; Mental Health Crisis ; Poverty Reduction ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: When it comes to mental health, do social protection programs matter more in times of crisis Using panel data from the Philippines around the onset of the COVID-19 pandemic, this study compares depression rates among beneficiaries of an existing conditional cash transfer program to those of non-beneficiaries of similar socioeconomic status. Depression rates were almost identical for the two groups in late 2019, but significantly lower for conditional cash transfer beneficiaries by July 2020, after the initiation of strict quarantine measures and a large emergency cash transfer program. One interpretation of the increased importance of the conditional cash transfer program during the pandemic is that these transfers have larger protective effects in times of vulnerability. Another possible reason is that the existing infrastructure of the program, by allowing for more timely distribution of the emergency cash, enhanced the effectiveness of the government's pandemic response for conditional cash transfer beneficiaries. This paper finds evidence supporting both explanations
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  • 43
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 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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  • 44
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Canavire Bacarreza, Gustavo Fiscal Incidence on the Island: Grenada's Fiscal System and Its Incidence
    Keywords: Consumption ; Fiscal Incidence ; Fiscal Policy Interventions ; Inequality ; Living Standards ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction ; Public Expenditure ; Public Revenue ; Social Transfers ; Tax ; Taxation and Subsidies
    Abstract: This paper examines the distributional effects of fiscal policy in Grenada. Using data from the 2017-18 Living Conditions and Household Budgets Survey and following the Commitment to Equity analysis framework, the paper estimates the effects of fiscal policy interventions on inequality and poverty. It analyzes the distributional incidence of direct and indirect taxes, direct transfers provided by social transfers and school feeding programs, and in-kind transfers generated by public services in health and education. The results show that Grenada has a tax system that is neutral on the value-added tax side and progressive on the personal income tax side. Furthermore, direct transfers make a modest contribution to poverty reduction and are almost neutral in their distributive impact. The results contribute to the understanding of who bears the burden of taxation and benefits from transfers and of how Grenada's fiscal system can improve its redistributive effect
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  • 45
    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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  • 46
    Language: English
    Pages: 1 Online-Ressource (36 pages)
    Parallel Title: Erscheint auch als Dovonou, Vanessa Olakemi The Distributional Impact of Inflation in South Asia: An Empirical Approach
    Keywords: Distributional Effect ; Distributional Impact ; Food Inflation ; Food Inflation and Inequality ; Inequality ; Inflation ; Macroeconomics and Economic Growth ; Poverty Impact Evaluation ; Poverty Reduction
    Abstract: This paper provides an empirical estimation of the distributional impact of inflation on households in South Asia. Two main channels are explored-the consumption basket channel and the income channel-for households in different income deciles in selected countries in South Asia. Using recent household expenditure surveys, the paper constructs detailed consumption expenditure shares and the effective "cost-of-living" inflation for households of different income levels. The analysis finds that due to a substantially larger share of food expenditure, households in lower income deciles experience higher effective inflation when food prices are high, despite a diversification in consumption expenditure over time. The analysis also suggests heterogeneous effects of inflation through the household income channel
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  • 47
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Drought ; Economic Recovery ; Emigration ; Inflation ; Migration ; Poverty Reduction
    Abstract: Migration will likely become increasingly important for Tunisia in terms of both inflows and outflows, given the demographic transition in both Tunisia and Europe. As such Tunisia can work (also with partner countries) to maximize the benefits of migration. As a country of mainly emigration, Tunisia could help strengthen the match of its emigrants with the demand abroad, including through enhanced cooperation with destination countries. Such cooperation should include focusing international assistance towards development objectives in Tunisia. Based on available evidence, increasing household incomes will contribute to reducing the propensity to consider emigrating through irregular channels. As its importance as a destination country (hence migrants who want to settle in Tunisia) is likely to increase, Tunisia can also enhance the economic benefits from immigrants by facilitating migrants' regular status and streamlining the recognition of their qualifications, which has been identified as one of the key aspects for the successful implementation of bilateral mobility agreements involving skill partnerships
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  • 48
    Language: English
    Pages: 1 Online-Ressource (42 pages)
    Parallel Title: Erscheint auch als Krafft, Caroline Quality and Inequality in Pre-Primary and Home Environment Inputs to Early Childhood Development in Egypt
    Keywords: Children and Youth ; Early Childhood Development ; Education ; Education Quality ; Home Environment ; Inequality ; Poverty Reduction ; Pre-Primary ; Pre-Primary Child Development Investment ; Primary Education Investment ; School Readiness Indicators ; Social Development ; Socioeconomic Inquality
    Abstract: By the time children in low- and middle-income countries start primary school, large socioeconomic disparities are evident in children's learning and development. Both pre-primary and home environments can play important roles in influencing school readiness and can contribute to disparities in early childhood development, but there is limited evidence on their relative roles in low- and middle-income countries. This paper examines how pre-primary quality, stimulation at home, and early childhood development vary by socioeconomic status for pre-primary students in the Arab Republic of Egypt. The results demonstrate substantial socioeconomic inequality in stimulation at home, more so than in pre-primary quality and inputs, although there is variation in the degree of inequality across different dimensions of pre-primary quality. "Double inequality" is observed, where students with less stimulating home environments experience slightly lower quality pre-primary inputs. There are particularly large pre-primary inequities in structural quality (physical environment) and less inequity in process quality (pedagogy). These results suggest that targeted investments in pre-primary education in Egypt are necessary to reduce inequality in school readiness but are likely insufficient to close the socioeconomic status gap in children's development. Investing in interventions to improve vulnerable children's home learning environments, as well as investing in quality pre-primary, is critical to address disparities in children's development
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  • 49
    Language: English
    Pages: 1 Online-Ressource (58 pages)
    Parallel Title: Erscheint auch als Das, Jishnu The Prices in the Crises: What we are Learning from Twenty Years of Health Insurance in Low- and Middle-Income Countries
    Keywords: Gesundheitspolitik ; Krankenversicherung ; Gesetzliche Krankenversicherung ; Gesundheitsreform ; Gesundheitswesen ; Gesundheitsversorgung ; Gesundheitskosten ; Gesundheitsfinanzierung ; Adverse Selektion ; Entwicklungsländer ; Adverse Selection ; Health Care Provider Behavior ; Health Care Quality ; Health Insurance ; Health Insurance Utilization ; Health Ministries ; Health Policy and Management ; Health, Nutrition and Population ; Medical Insurance Premiums ; Moral Hazard
    Abstract: Governments in many low- and middle-income countries are developing health insurance products as a complement to tax-funded, subsidized provision of health care through publicly operated facilities. This paper discusses two rationales for this transition. First, health insurance would boost fiscal revenues for health care, as post-treatment out-of-pocket payments to providers would be replaced by pre-treatment insurance premia to health ministries. Second, increased patient choice and carefully designed physician reimbursements would increase quality in the health care sector. This essay shows that, at best, these objectives have only been partially met. Despite evidence that health insurance has provided financial protection, consumers are not willing to pay for unsubsidized premia. Health outcomes have not improved despite an increase in utilization. The authors argue that this is not because there was no room to improve the quality of care but because behavioral responses among health care providers have systematically undermined the objectives of these insurance schemes
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  • 50
    Language: English
    Pages: 1 Online-Ressource (45 pages)
    Parallel Title: Erscheint auch als Cavanagh, Jack A Metadata Schema for Data from Experiments in the Social Sciences
    Keywords: Data Publicaiton ; Economic Theory and Research ; Health, Nutrition and Population ; ICT Data and Statistics ; Information and Communication Technologies ; Interoperable Social Sciences Data ; Macroeconomics and Economic Growth ; Metadata ; Population Sciences ; Program Evaluation ; Randomized Control Trial ; Secondary Research ; Social Sciences Research ; Technology Innovation ; Trial Registration
    Abstract: The use of randomized controlled trials (RCTs) in the social sciences has greatly expanded, resulting in newly abundant, high-quality data that can be reused to perform methods research in program evaluation, to systematize evidence for policymakers, and for replication and training purposes. However, potential users of RCT data often face significant barriers to discovery and reuse. This paper proposes a metadata schema that standardizes RCT data documentation and can serve as the basis for one-or many, interoperable -data catalogs that make such data easily findable, searchable, and comparable, and thus more readily reusable for secondary research. The schema is designed to document the unique properties of RCT data. Its set of fields and associated encoding schemes (acceptable formats and values) can be used to describe any dataset associated with a social science RCT. The paper also makes recommendations for implementing a catalog or database based on this metadata schema
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  • 51
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Premand, Patrick Cash and Conflict: Large-Scale Experimental Evidence from Niger
    Keywords: Boko Haram ; Cash Transfer Effectiveness ; Cash Transfers and Conflict ; Conflict ; Conflict and Development ; Financial Terrorism ; International Terrorism and Counterterrorism ; Poverty Reduction ; Sabatoge of Government Programs ; Social Protections and Labor ; Terrorism
    Abstract: Conflict undermines development, while poverty, in turn, breeds conflict. Policy interventions such as cash transfers could lower engagement in conflict by raising poor households' welfare and productivity. However, cash transfers may also trigger appropriation or looting of cash or assets. The expansion of government programs may further attract attacks to undermine state legitimacy. To investigate the net effect across these forces, this paper studies the impact of cash transfers on conflict in Niger. The analysis relies on the large-scale randomization of a government-led cash transfer program among nearly 4,000 villages over seven years, combined with geo-referenced conflict events that draw on media and nongovernmental organization reports from a wide variety of international and domestic sources. The findings show that cash transfers did not result in greater pacification but-if anything-triggered a short-term increase in conflict events, which were to a large extent driven by terrorist attacks by foreign rebel groups (such as Boko Haram) that could have incentives to "sabotage" successful government programs
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  • 52
    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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  • 53
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Berg, Claudia Does Market Integration Increase Rural Land Inequality? Evidence from India
    Keywords: Colonial Railroad ; Communities and Human Settlements ; Credit Market Imperfections ; Farming Technology ; Golden Quadrilateral ; Gravity Measures ; Increasing Returns ; Inequality ; International Economics and Trade ; Land Administration ; Land Inequality ; Landlessness ; Market Integration ; Poverty Reduction ; Rural Land Policies for Poverty Reduction ; Rural Roads and Transport ; Transport Infrastructure
    Abstract: Investments in transport infrastructure lower trade costs and lead to integration of villages with urban markets. Does spatial market integration increase land inequality in rural areas Theoretical analysis by Braverman and Stiglitz (1989) suggests that the interactions of lower trade costs with credit market imperfections can increase land inequality. The primary mechanism is the adoption of increasing returns technology by large landowners facing lower trade costs which makes it more profitable to expand their scale by buying land from small, credit-constrained farmers. Using high- quality household survey data (the India Human Development Survey) on land ownership in rural districts of India, this paper provides the first evidence on the effects of market integration on land ownership inequality. It develops an instrumental variables approach exploiting two sources of exogenous variation: the location of a rural district relative to the Golden Quadrilateral network (an inconsequential place design) and the length of colonial railroad in the 1880s in a district (a historical infrastructure design). This paper discusses and deals with potential objections to the exclusion restrictions. The evidence suggests that a 10 percent increase in a gravity measure of market access increases the land Gini coefficient by 2.5 percent and the share of landless households by 6.8 percent. This paper finds evidence consistent with the Braverman and Stiglitz (1989) hypothesis that the interaction of credit market imperfections with lower trade costs increases land inequality: a 10 percent increase in market access increases the adoption of increasing returns farming technology by 3.5 percent. There is a positive effect on land sales, but the instrumental variables estimates are imprecise. The robustness of the conclusions is checked by relaxing the exclusion restrictions using the Conley and others (2012) approach, and the bias-adjusted ordinary least squares estimator of Oster (2019) that does not impose any exclusion restrictions. The estimated effects of market access cannot be accounted for by the colonial land revenue system, demographic pressure on land, and differences in inheritance law between the Hindu and Muslim population in a district
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  • 54
    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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  • 55
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Keywords: Fay-Herriot Model ; Geographic Approach ; Municipality Level ; Poverty Mapping ; Poverty Monitoring and Analysis ; Poverty Reduction ; Spatial Representation
    Abstract: Poverty mapping, the spatial representation and analysis of human wellbeing and poverty indicators is becoming an increasingly important instrument for investigating and discussing socioeconomic issues, informing targeting efforts, and guiding the geographic allocation of resources. One approach to addressing poverty is the geographic approach. In the geographic approach, poor people are identified and targeted through poverty maps. Indeed, the geographical approach is one of the methods used worldwide for targeting anti-poverty programs to reduce the gaps in social protection coverage of poor and vulnerable groups, and it has been widely implemented in several countries around the world. In 2020, the Salvador's General Directorate of Statistics and Censuses (DIGESTYC) and the World Bank started working on the project 'Poverty mapping in El Salvadora'. The project is part of the government and International Bank for Reconstruction and Development (IBRD) Programme, which is performed by experts of the National Statistical Institute (NSI) and the World Bank (WB). The main objective is to calculate the shares of households living in moderate and extreme poverty at disaggregated territorial levels (municipalities). Poverty mapping enhances our understanding of the geographic distribution of people living in poverty. This report presents poverty maps at the municipality level based on the Fay-Herriot model for small-area estimations
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  • 56
    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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  • 57
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Verschuur, Jasper Welfare and Climate Risks in Coastal Bangladesh: The Impacts of Climatic Extremes on Multidimensional Poverty and the Wider Benefits of Climate Adaptation
    Keywords: Adaptation Co-Benefits ; Climate Change ; Coastal Risk ; Cyclone Hazard Data ; Environmental Risk ; Household Survey ; Multidimensional Poverty Index ; Poverty ; Poverty Reduction ; Welfare Implications
    Abstract: It is widely recognized that climate hazards impact the poor disproportionately. However, quantifying these disproportionate hazard impacts on a large scale is difficult given limited information on households' location and socioeconomic characteristics, and incomplete quantitative frameworks to assess welfare impacts on households. This paper constructs a household-level multidimensional poverty index using a synthetic household dataset of 43 million people residing in the coastal zone of Bangladesh. Households are spatially linked to the critical infrastructure networks they depend on, including housing; water, sanitation, and hygiene; electricity; education; and health services. Combined with detailed cyclone hazard data, the paper first quantifies risks to households, agriculture, and infrastructure. It then presents a novel framework for translating critical infrastructure impacts into the temporary incidence of service deprivations, which can contribute to temporary deprivations and hence multidimensional poverty. The paper uses this framework to evaluate the benefits of various adaptation options. The findings show that asset risk due to flooding is USD 483 million per year at present, increasing to USD 750 million per year in 2050 under climate change. Households face an average infrastructure service disruption of two days per year, which is expected to increase to 4.6 days per year in 2050. This, in turn, would incur a temporary increase in multidimensional poverty (7.2 percent of people are multidimensionally poor at the baseline) of up to 94 percent (2.9 million people) 30 days after an extreme cyclone event (a 1-in-100 years event) at present and 153.9 percent (4.8 million people) in the future. The paper quantifies the large welfare benefits of upgrading embankments, showing how apart from significant risk reduction, these interventions reduce service disruptions by up to 70 percent in some areas and can help up to 1.6 million (0.23 million under current and proposed programs) people from experiencing some form of temporary poverty. Overall, the paper identifies poor households exposed to climate impacts, as well as those prone to falling into poverty temporarily, both ofcould help to mainstream equity considerations in new adaptation programs
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  • 58
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Merfeld, Joshua D Improving Estimates of Mean Welfare and Uncertainty in Developing Countries
    Keywords: Development Policy ; Geospacial Data ; Household Census Data ; Machine Learning ; Macroeconomics and Economic Growth ; Poverty Reduction ; Prediction of Poverty ; Prediction of Wealth ; Welfare
    Abstract: Reliable estimates of economic welfare for small areas are valuable inputs into the design and evaluation of development policies. This paper compares the accuracy of point estimates and confidence intervals for small area estimates of wealth and poverty derived from four different prediction methods: linear mixed models, Cubist regression, extreme gradient boosting, and boosted regression forests. The evaluation draws samples from unit-level household census data from four developing countries, combines them with publicly and globally available geospatial indicators to generate small area estimates, and evaluates these estimates against aggregates calculated using the full census. Predictions of wealth are evaluated in four countries and poverty in one. All three machine learning methods outperform the traditional linear mixed model, with extreme gradient boosting and boosted regression forests generally outperforming the other alternatives. The proposed residual bootstrap procedure reliably estimates confidence intervals for the machine learning estimators, with estimated coverage rates across simulations falling between 94 and 97 percent. These results demonstrate that predictions obtained using tree-based gradient boosting with a random effect block bootstrap generate more accurate point and uncertainty estimates than prevailing methods for generating small area welfare estimates
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  • 59
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Rojas, Ana Maria Behavioral Aspects of Healthy Longevity
    Keywords: Behavioral Science ; Decision Making ; Disease Risk Factors ; Global Health Policy Goals ; Habit Formation ; Health, Nutrition and Population ; Healthy Longevity ; Non-Communicable Disease (NCD)
    Abstract: Addressing the growing burden of noncommunicable diseases to achieve healthy longevity for an aging population has become central to global health policy goals. New policy tools are needed for effectively and efficiently tackling health and lifestyle behaviors and habits linked to the development of noncommunicable disease risk factors. Behavioral science offers insights into psychological barriers, mental models, biases, and other factors that influence decision making and habit formation. Applying these insights can support current policy efforts toward healthy longevity. This paper develops a framework to clarify the relationships between noncommunicable disease formation, detection, and management and behavioral determinants at the individual, community, and health system levels. Following the framework, the paper documents frequently identified behavioral barriers at the three key stages of patients' noncommunicable disease trajectories. It identifies policy lessons from the behavioral science literature to address such barriers and, together with other policies, reduce the incidence of noncommunicable diseases and improve treatment effectiveness
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  • 60
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George The Importance of Maintenance: Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe
    Keywords: Cholera Outbreaks ; Cholera Risk ; Communicable Disease ; Health and Sanitation ; Health, Nutrition and Population ; Infrastructure Maintenance ; Sanitation Infrastructure ; Water-Born Illness ; Waterinfrastructure
    Abstract: Understanding the specific factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. This paper uses georeferenced case data from the cholera epidemic that occurred in Harare, Zimbabwe, from September 2018 to January 2019. The paper applies spatio-temporal modeling to understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. The study highlighted a number of findings. First, using call detail records to estimate weekly population movement throughout the city, the results suggest that human movement helps to explain the spatiotemporal patterns of the cases observed. In addition, the results highlight a number of sociodemographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure, with populations living in close proximity to the sewer network with high access to piped water being at higher risk. A possible explanation for this surprising observation is that sewer bursts led to the contamination of the piped water network, turning access to piped water, usually assumed to be protective, into a risk factor. Although further studies are required to test this hypothesis, if it is true, it highlights the importance of maintenance for achieving the Sustainable Development Goals of improved water and sanitation infrastructure
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  • 61
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agri-Food Jobs ; Agricultural Pollution ; Agriculture Employment ; Employment and Unemployment ; Environment ; Food and Beverage Industry ; Food and Nutrition Policy ; Food Industry ; Food Industry Pollution ; Green Issues ; Green Transition Jobs ; Health, Nutrition and Population ; Industry ; Poverty Reduction ; Social Protections and Labor ; Youth Employment
    Abstract: The agri-food system (AFS) employs about one third of the global workforce and contributes about one third of global greenhouse gas (GHG) emissions. This together with its large exposure to the effects of climate change and environmental degradation makes what happens in AFS central to the green transition and its implications for jobs and the structural transformation. Microeconomic evidence suggests that the adoption of climate smart agricultural practices will increase labor requirements, at least in the short run and at lower levels of incomes, when its mechanization is still limited. Econometric macro-model-based simulations suggest however that especially substantial investment in climate friendly agricultural R and D as well as soil and water preserving practices and market integration will more than offset the negative effects of climate change and even accelerate the structural transformation, especially in Sub Saharan Africa. Overall, the findings underscore the tremendous potential of increasing agricultural and climate friendly R and D investment for brokering an environmentally sustainable structural transformation. Repurposing of agriculture's current USD 638 billion support package towards supporting more climate friendly practices, including to overcome the time lag between the moment of investment and the realization of the benefits, provides an important policy entry point
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  • 62
    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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  • 63
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Kraay, Aart A New Distribution Sensitive Index for Measuring Welfare, Poverty, and Inequality
    Keywords: Economic Theory and Research ; Inequality Index ; Macroeconomics and Economic Growth ; Poverty Index ; Poverty Informatics ; Poverty Reduction ; Shared Prosperity ; Welfare Index
    Abstract: Simple welfare indices such as mean income are ubiquitous but not distribution sensitive. In contrast, existing distribution sensitive welfare indices are rarely used, often because they are difficult to explain and/or lack intuitive units. This paper proposes a simple new distribution sensitive welfare index with intuitive units: the average factor by which individual incomes must be multiplied to attain a given reference level of income. This new index is subgroup decomposable with population weights and satisfies the three main definitions of distribution sensitivity in the literature. Variants on this index can be used as distribution sensitive poverty measures and as inequality measures, with the same simple intuitive units. The properties of the new index are illustrated using the global distribution of income across individuals between 1990 and 2019, as well as with selected country comparisons. Finally, the index can be used to define the "prosperity gap" as a proposed new measure of "shared prosperity," one of the twin goals of the World Bank
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  • 64
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Blanchard, Paul Struggling with the Rain: Weather Variability and Food Insecurity Forecasting in Mauritania
    Keywords: Adaptive Social Protection ; Climate Change and Health ; Climate Vulnerability ; Drought ; Early Warning System ; Environment ; Food Security ; Health, Nutrition and Population ; Probabilistic Risk Modeling ; Weather-Related Risk
    Abstract: Weather-related shocks and climate variability contribute to hampering progress toward poverty reduction in Sub-Saharan Africa. Droughts have a direct impact on weather-dependent livelihood means and the potential to affect key dimensions of households' welfare, including food consumption. Yet, the ability to forecast food insecurity for intervention planning remains limited and current approaches mainly rely on qualitative methods. This paper incorporates microeconomic estimates of the effect of the rainy season quality on food consumption into a catastrophe risk modeling approach to develop a novel framework for early forecasting of food insecurity at sub-national levels. The model relies on three usual components of catastrophe risk models that are adapted for estimation of the impact of rainy season quality on food insecurity: natural hazards, households' vulnerability and exposure. The paper applies this framework in the context of rural Mauritania and optimizes the model calibration with a machine learning procedure. The model can produce fairly accurate lean season food insecurity predictions very early on in the agricultural season (October-November), that is six to eight months ahead of the lean season. Comparisons of model predictions with survey-based estimates yield a mean absolute error of 1.2 percentage points at the national level and a high degree of correlation at the regional level (0.84)
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  • 65
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Diabetes ; Health Care ; Health Indicators ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Hypertension ; NCDS ; Noncommunicable Diseases
    Abstract: North Macedonia, an Eastern European nation of 1.836 million inhabitants, has a growing burden of noncommunicable diseases (NCDs). An aging population and high levels of NCD risk factors are mainly responsible, with tobacco, raised blood pressure, and unhealthy diets driving mortality and disability. To better address the needs of its rapidly aging population, the growing challenges posed by chronic conditions, and improve overall health system performance, the country is developing a new primary health care (PHC) model. This model should improve the quality of care and the efficiency of primary care by reducing fragmentation, enhancing coordination, prioritizing prevention, and strengthening the role of primary care nurses. Aim of the study is to strengthen the evidence on quality and continuity of care for diabetes and hypertension - the two conditions driving the burden of chronic NCDs and associated health care costs in North Macedonia - a cascade analysis was carried out using a mixed methods design. The assessment drew on secondary quantitative data from national and international sources, primary quantitative data from 2,400 patients in 12 general practitioner (GP) practices, and primary qualitative data from health care providers and patients. Patient data were extracted from the eHealth system (MojTermin) and paper medical records from September to November 2021
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  • 66
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit A Meta-Theory for Absolute Poverty Lines
    Keywords: Absolute Poverty ; Global Poverty ; Heterogeneous Preferences ; Poverty and Development Research ; Poverty Lines ; Poverty Monitoring and Analysis ; Poverty Reduction
    Abstract: Absolute poverty lines aim to track a fixed poverty standard consistently. There are two main approaches for the construction of absolute poverty lines. The "welfaristic" approach tracks a fixed level of utility, and the "objective" approach tracks a fixed list of achievements. As they yield different poverty comparisons, longstanding debates between their respective proponents take place both at global and national levels. However, these debates only provide informal arguments about their respective theoretical validity. This paper proposes a meta-theory for the consistency properties of absolute poverty lines under heterogeneous prices and heterogeneous preferences. The results identify the sets of consistency properties that fully characterize the poverty lines underpinned by these approaches. Which approach has better consistency properties depends on two aspects of the application for which poverty is monitored
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  • 67
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agricultural Sector ; Agricultural Sector Economics ; Agriculture ; Gender ; Gender and Development ; Gender Disparities ; Inequality ; Informal Workers ; Jobs Diagnostic ; Labor Disparities ; Labor Markets ; Labor Standards ; Labor Supply ; Poverty Reduction ; Social Protections and Labor
    Abstract: Good quality jobs are key to accelerating poverty reduction and enhancing social cohesion in Togo. Following a decade of significant progress in reducing poverty, the COVID-19 pandemic and of Russia's invasion of Ukraine are likely to have reversed some of these gains in living standards, however. The creation of more good quality jobs plays a key role in any country's poverty reduction efforts, and will be essential to recover from recent shocks and reinforce earlier gains made in Togo. International research also points to lack of economic opportunities and insufficient social services as key drivers of radicalization of young people. Security threats in the northern region of the country have been growing, with terrorist attacks in Burkina Faso close to the Togolese border increasing in number and severity since 2018, and a first attack reported on Togolese territory in November 2021 in the Savanes region. Access to good quality jobs with a stable income for young Togolese will thus also be part of the solution to the security threats
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  • 68
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Poverty Assessment
    Keywords: COVID-19 ; Economic Forecasting ; Environmental Shocks ; Fiscal System ; Macroeconomics and Economic Growth ; Poverty and Equity ; Poverty Reduction ; Urban Areas
    Abstract: This report relies on several data sources. The main source providing the poverty, inequality and labor figures herein is the 2019/20 Household Budget Survey (Inquerito sobre Orcamento Familiar, IOF2019/2020) conducted by the National Statistical Institute (Instituto Nacional de Estatistica, INE) starting in November 2019 and spanning 13 months. The survey's sample was drawn from the 2017 Census and allows for poverty figures to be representative at national and provincial as well as rural and urban levels. The fieldwork included data collection from 13,297 households interviewed across four quarters as in previous surveys, to account for seasonality effects like the impact on households' consumption of relatively more abundant post-harvest periods. The starting point for the analysis is chapter 1, which synthesizes progress in reducing poverty between 2014-15 and 2019-20. This chapter also looks at the regional distribution of poverty, the impact of the pandemic, multidimensional poverty, the profile of the poor, changes in the responsiveness of poverty to growth, discusses trends in non-monetary dimensions of wellbeing, and simulates future poverty trends. Chapter 2 examines the distribution of growth and inequality reduction over the period, the pandemic's impact, discusses the growth-poverty-inequality relationship, assesses the spatial dimensions of poverty, and estimates the Human Opportunity Index for Mozambique. Chapter 3 focuses on labor markets and provides insights into labor force participation, unemployment, underemployment, employment sectors, child labor, and labor market demand conditions. Chapter 4 presents a fiscal incidence analysis and information on transfers. Chapter 5 examines the relevance of environmental shocks, assesses the impact of weather events on agricultural production and night-time light radiance in urban areas. It also models poverty and distributional impacts of climate change shocks and presents findings on climate change literacy in Mozambique. Finally, chapter 6 discusses a variety of policy implications
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  • 69
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: COVID-19 ; Economic Burden ; Health Care Workers ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Pandemics ; Sars-COV-2
    Abstract: Health care workers (HCWs) face disproportionate risk of exposure and becoming ill in any infectious disease outbreak. SARS-CoV-2 has proven to be no exception: From Wuhan to Manaus, London to Tehran, and Delhi to Johannesburg, HCWs working in clinics and hospitals have been at heightened risk of developing COVID-19 disease, especially at the beginning of the pandemic when little was known about the then-novel pathogen. This study thus aims to estimate the economic costs of SARS-CoV-2 infections in HCWs during the first year of the pandemic from the societal perspective in four low or middle- income countries. The authors propose a framework to translate SARS-CoV-2 infection amongst HCWs into economic costs along three pathways, provide the estimated burden of HCW infections, and offer recommendations to mitigate against future economic losses due to HCW infections. The economic burden due to SARS-CoV-2 infection among HCWs makes a compelling investment case for pandemic preparedness, particularly the protection of HCWs, and resilient health systems going forward
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  • 70
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Financial Viability ; Health, Nutrition and Population ; Immunizations ; Investments ; Vaccine Security ; Value Chain
    Abstract: This regional analytical activity will contribute to knowledge on the technical, operational, and financial viability and strategic partnership required among ASEAN countries to strengthen coordinated investments on the vaccine value chain. The ASA has three major activities: i) A deep-dive public sector technical assessment of country and regional level vaccine security, including gaps and opportunities across the value chain from RandD to last mile distribution; ii) A private sector value chain analysis covering upstream and downstream aspects of vaccine manufacturing; and iii) An economic analysis examining the feasibility of coordinated investments across countries to leverage comparative advantage in specific aspects of the vaccine value chain
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  • 71
    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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  • 72
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Effects of a Lottery Incentive on Sexually Transmitted Infections and HIV Incidence among Female Sex Workers in Tanzania: Results from the Respect II Randomized Trial
    Keywords: Communicable Diseases ; Female Sex Worker Intervention ; Financial Incentives To Safe Sex ; Health, Nutrition and Population ; HIV Among Sex Workers ; HIV Prevention ; Lottery Incentive Case Study ; Public Health Promotion ; STD Prevention
    Abstract: Female sex workers are a key population who experience a disproportionately high burden of HIV and sexually transmitted infections. A growing body of evidence suggests that financial incentives can reduce risky sexual behavior and the incidence of HIV and sexually transmitted infections; however, few studies have examined a lottery-based incentive mechanism or been conducted with female sex workers. This paper examines the effect of a lottery intervention on the combined incidence of HIV and herpes simplex virus 2 among female sex workers in Tanzania. The RESPECT II trial was an unmasked, two-arm, parallel group randomized controlled trial conducted in Dar es Salaam, Tanzania among 2,206 enrollees from 2018 to 2021. Participants were randomized in a one-to-one ratio to the basic test control group or to the lottery intervention group. The basic test group received testing and counseling for HIV and biweekly text messages with information on safe sex practices. The lottery group received the basic test group intervention plus entry into a weekly lottery with a 100,000 Tanzanian shilling (USD 50) reward offered to 10 randomly selected participants, conditional on negative test results for syphilis and trichomonas. The primary outcome was combined HIV and herpes simplex virus 2 incidence after 36 months. The results showed no statistically significant effect on this primary outcome. Thus the study finds no evidence that the lottery-based incentives reduced the incidence of HIV and sexually transmitted infections among the female sex worker population. However, the results may have been affected by disruption from the COVID-19 pandemic, and unexpectedly high study attrition levels made it impossible to statistically rule out possible moderate-sized effects
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  • 73
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Granata, Julia Identifying Skills Needs in Vietnam: The Survey of Detailed Skills
    Keywords: Digital Skills ; Employment ; Gender ; Gender and Education ; O*net ; Poverty Reduction ; Programme for the International Assessment of Adult Competencies (PIAAC) ; Remote Work ; Routine Skills ; Skills Development and Labor Force Training ; Skills Toward Employability and Productivity (STEP) ; Social Protections and Labor ; Socioemotional Skills
    Abstract: This paper describes a new survey designed to collect comprehensive and granular information about required skills and tasks for detailed occupations in Vietnam. The Survey of Detailed Skills asks workers in Vietnam about their skills and tasks for a set of 30 occupations that are in demand or of strategic importance for economic growth. In doing so, the survey generates practical, detailed information at the occupation level that policy makers and practitioners can use to inform their efforts to build skills in Vietnam. The Survey of Detailed Skills makes several contributions. Most existing efforts to profile occupational skills and tasks in developing countries draw on data from other countries, most frequently the Occupational Information Network (O*NET) in the United States. However, recent research has shown that translating these data across countries via occupational crosswalks yields inaccurate results. The Survey of Detailed Skills is among the first surveys to collect detailed O*NET-type information at the detailed occupational level in a developing country setting. The collection of information about detailed skills means that these skills can be flexibly grouped into different categories (for example, socioemotional skills, digital skills, routine skills, and interpersonal skills) as needed. The use of a consistent scale anchored to the time spent using or performing a skill or task creates clarity for respondents while also yielding a measure of skill and task importance that is easily interpreted. The Survey of Detailed Skills requires outlays on administering the survey, and inclusion of all occupations in Vietnam with regular updating would require ongoing investment
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  • 74
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: FDA ; Health Policy and Management ; Health Sector Funding ; Health, Nutrition and Population ; Pharmacovigilance ; Safety Monitoring
    Abstract: The objective of this report is to examine the development of pharmacovigilance (PV) in Ghana and illustrate the role it plays in the health system, and more recently, during the COVID-19 emergency response. It concludes by offering some relevant lessons for building PV capacity in other low-and middle-income countries
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  • 75
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Finance and Financial Sector Development ; Health Economics and Finance ; Health Expenditures ; Health Services ; Health, Nutrition and Population ; Public Health
    Abstract: This study examines the expenditure by Caribbean Community (CARICOM) countries on the delivery of Essential Public Health Services (EPHS), in the context of the global response to COVID-19. In particular, the study focuses on financing arrangements enacted to ensure the predictability of funding and the sustainability in the level and flow of funds over the medium and long terms to carry out essential public health functions in Barbados, Grenada, Jamaica, and Trinidad and Tobago. The study also highlights the close, synergistic relationship between the Caribbean Public Health Agency (CARPHA) and its Member States
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  • 76
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Robayo-Abril, Monica Fiscal Policy as a Tool for Gender Equity in El Salvador
    Keywords: Commitment To Equity Model ; Conditional Cash Transfers ; Equity and Development ; Fiscal and Monetary Policy ; Fiscal Incidence ; Fiscal Policy ; Gender ; Gender and Economic Policy ; Gender Inequality ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction ; Social Spending ; Taxes
    Abstract: This paper analyzes fiscal incidence in El Salvador through a gender lens using the Commitment to Equity model. The study aims to identify fiscal policies that promote gender equality and facilitates evidence-based policy recommendations aimed at reducing gender disparities and promoting more inclusive fiscal policies. The analysis shows that fiscal policy is not pro-poor, as it can lead to a 3.1 percentage point increase in overall poverty using the USD 6.85 2017 purchasing power parity poverty line, disproportionately impacting particular groups. Households headed by single women with at least one child under six years old experience a poverty rate increase of 4.3 percentage points, reaching an alarming rate of 42.7 percent. An increasing gender gap in poverty rates is also observed among households where women are the sole providers. The results show that the net fiscal system can increase the incidence of poverty among this group by 4.3 percentage points. In comparison, it increases by only 2.3 percentage points among their male counterparts. A microsimulation exercise of potential fiscal reforms to improve the welfare position of these households reveals that a fiscal package eliminating indirect subsidies, social security exemptions for vulnerable groups, and conditional cash transfers to households that meet certain conditions could reverse these unfavorable outcomes
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  • 77
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit Implications of Using Nonstandard Poverty Lines: An Illustration using the Case of the Arab Republic of Egypt
    Keywords: Absolute Poverty ; Equity and Development ; Equivalence Scale ; Gender and Poverty ; Identification of Poor Households ; Implicit Genderi Bias ; Poverty Methodology ; Poverty Reduction ; Poverty Trend
    Abstract: Many developing countries' official poverty methodologies rely on nonstandard poverty lines, which complicate poverty comparisons across space or time. The paper considers the case of the Arab Republic of Egypt, whose official poverty lines have two important nonstandard features. First, the line is neither absolute nor relative, but rather hybrid or "weakly relative" Second, the poverty line's implicit equivalence scales are not fixed, but are rather endogenous. This paper provides a conceptual and quantitative understanding of these two nonstandard features. The results reveal that the equivalence scale implicit in the official methodology is quantitatively very similar to the (simpler) per capita equivalence scale. Switching to a per capita equivalence scale would help address an implicit gender bias that the paper identifies in Egypt's official poverty lines. The analysis shows that the official distribution of poverty across regions is very similar to that associated with a purely absolute line. In addition, the change in official poverty rates over the period analyzed (2015 to 2017/18) lies halfway between the larger increase captured by a purely absolute line (10 percentage points) and that captured by a purely relative measure (1 percentage point). However, the results show that these more standard poverty lines do not systematically perform better than the official methodology with respect to the identification of disadvantaged households
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  • 78
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: 2018 Capital Increase Results ; Accountability ; Economic Policy, Institutions and Governance ; Final Report Commitment ; Governance ; Independent Evaluation ; International Governmental Organizations ; International Organizations ; Law and Development ; Macroeconomics and Economic Growth ; Poverty Impact Evaluation ; Poverty Reduction ; Poverty, Environment and Development ; Transparency ; World Bank Results
    Abstract: This report presents the Independent Evaluation Group's validation of the World Bank Group's 2018 capital increase package (CIP). It assesses the World Bank Group's progress in implementing the CIP's policy measures and achieving its targets, as well as the quality of management's CIP reporting. The 2018 CIP boosted the Bank Group's financial firepower with a USD 7.5 billion paid-in capital increase for the International Bank for Reconstruction and Development (IBRD), USD 5.5 billion paid-in capital increase for the International Finance Corporation (IFC), USD 52.6 billion callable capital increase for IBRD, and internal savings measures. The CIP also included a policy package that committed Bank Group management to policy actions linked to the Bank Group's 2016 Forward Look strategy. The CIP committed to reporting annually on its implementation and an independent assessment after five years. This report fulfills the commitment to an independent assessment. This validation builds on management's own reporting and other complementary evidence to assess the World Bank Group's progress in implementing the CIP's policy measures and achieving its targets. The report also assesses the quality of management's CIP reporting. The report points to lessons on developing, implementing, and reporting corporate initiatives and commitments, such as the importance of having clear strategies or action plans, explicit buy-in from senior management, and accurate reporting with meaningful indicators and realistic targets
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  • 79
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Disease Control and Prevention ; Drug Safety ; Health Policy and Management ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pharmaceutical Surveillance ; Pharmacovigilance ; Public Health Agency Administration ; Public Health Cooperation ; Regulatory Medicine Review Process
    Abstract: This report focuses on the Caribbean Public Health Agency (CARPHA), one of the three multi-national public health agencies in the world, that commenced operations on Jan 1, 2013, with the aim of delivering the functions of five previous regional health institutions through one platform for greater synergy and cost-effectiveness and as the principal institutional expression of Caribbean Cooperation in Health. The activities of CARPHA include the provision of a subregional mechanism that supports regulatory action to ensure access to safe medicines, such as the subregional system for reporting adverse drug reactions (ADRs) and substandard and falsified products (VigiCarib), and the regional post marketing drug quality testing program under the CARPHA Medicines Quality Control and Surveillance Department. Another relevant CARPHA activity is reviewing new medicines which want to enter the Caribbean market. This was especially important during the COVID-19 pandemic, with the plethora of new vaccines. VigiCarib is a good example of a subregional approach to facilitate well-functioning post marketing monitoring activities, including PV. Although this is a relatively new program, it is well established, integrates lessons from more experienced regulatory authorities, and supports small economies without specific PV programs, thus helping ensure the safety, quality, and effectiveness of medicines and vaccines. VigiCarib can serve as a model in other parts of the world where a regional approach to strengthening regulatory systems is under consideration. However, a key lesson of the experience of CARICOM, is that regional initiatives are complex and require clear objectives, harmonization, respect for the individual countries and territories, and mutual trust
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  • 80
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Communicable Diseases ; COVID-19 Pandemic Respons ; Disease Control and Prevention ; Governance ; Health Policy and Management ; Health Systems ; Health, Nutrition and Population ; National Governance ; Public Health Emergency Response ; Public Health Promotion ; Public Health Risk ; Successful COVID Countermeasures
    Abstract: The response of the government of the Republic of Korea to COVID-19 has been heralded as among the most successful. In the first two years of the pandemic, the government was able to keep the size of the outbreak relatively small and the death toll relatively low. Although the number of COVID-19 cases jumped significantly subsequently in 2022 and 2023 due to the spread of the more transmissible Omicron variant and a revamped testing regime that cast a broader net to detect infections, Korea had a much lower rate of total confirmed COVID-19 deaths per million population than other high income countries (676 in Korea, as compared to 3,379 in the United Kingdom, 3,331 in the United States, and 2,599 in France). The government achieved this relatively positive result without resorting to the highly restrictive measures that were adopted by most high-income countries, such as strictly controlling borders, shuttering businesses, or issuing severe lockdown or stay-at-home orders. Indeed, since the start of the outbreak in January 2020, the distinguishing features of the response in Korea include the government's ability to mobilize swiftly, even in the early stages of the pandemic, to flatten the epidemic curve. This report dissects the COVID-19 countermeasures successfully adopted in Korea. The analysis draws out insights and lessons that may be relevant to other countries as they mount responses to ongoing crises and prepare for future public health emergencies
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  • 81
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Climate-Smart Agriculture ; Education ; Education Finance ; Energy Resources Development ; Health Economics and Finance ; Health Systems ; Health, Nutrition and Population ; Inclusion ; Investment and Investment Climate ; Macroeconomics and Economic Growth ; NEDI ; Off-Grid Solar Access ; Transport and Trade ; Water and Sanitation
    Abstract: Kenya's north and northeastern region is a host to 11 percent of the total population scattered across 63 percent of the country's landmass. The arid and semi-arid region experiences recurrent droughts that create vulnerabilities for the nomadic pastoralist communities, pervasive insecurity, suffers fragility, and has been a host to the largest population of refugees in sub-Saharan Africa over the last three decades. These policy choices contributed to the significant lag in most of the development indicators for this region compared to the rest of the country. The region has huge infrastructure deficits, low literacy rates, and contributes only a modest 4.7 percent to the national gross domestic product. To address the socio-economic disparities and inequality challenges, the Government of Kenya with support from World Bank (WB) launched the North and Northeastern Development Initiative (NEDI) in 2018. The NEDI, the region's first significant, integrated, and transformative investment, cuts across foundational sectors including energy, water, transport, social protection, displacement, and agriculture
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  • 82
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2163
    Keywords: Adaptation To Climate Change ; Climate Change Adaptation ; Climate Change Mitigation and Green House Gases ; Decarbonization ; Economic Growth ; Environment ; Inclusive Economic Growth ; Macroeconomics and Economic Growth ; Net Zero Emissions ; Poverty Reduction ; Poverty, Environment and Development ; Resilience
    Abstract: This report explores how climate action, in line with Uzbekistan's goal of achieving net zero emissions by 2060, interacts with the country's growth and development path. It further suggests priority actions to reduce carbon emissions and build resilience while supporting inclusive economic growth and poverty reduction
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  • 83
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Access To Finance ; Finance and Financial Sector Development ; Food and Nutrition Policy ; Food Security ; Food Systems ; Health, Nutrition and Population ; Stability ; Value Chains
    Abstract: Sierra Leone's economy experienced overlapping setbacks during 2022, as external spillovers from the Russian invasion of Ukraine aggravated domestic macroeconomic vulnerabilities. This led to high levels of inflation, a substantially weaker currency, greater imbalances in public finances, and lower foreign exchange reserves. GDP growth slowed in 2022 (from 4.1 percent in 2021 to 3.5 percent) bringing the average GDP growth since the onset of the COVID-19 pandemic to only around half of the pre-pandemic trend. High global energy and fertilizer prices coupled with a weaker currency translated into accelerating inflation which rose from 12percent in 2021 to 27 percent in 2022, and further to over 50 percent by August 2023, threatening the welfare of households and worsening food insecurity and poverty
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  • 84
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Orecchia, Carlo Assessing the Efficiency and Fairness of the Fit for 55 Package toward Net Zero Emissions under Different Revenue Recycling Schemes for Italy
    Keywords: Achieving Environmental Sustainability Goals ; Carbon Policy and Trading ; Carbon Pricing Impact ; Climate Change Mitigation and Green House Gases ; Environment ; European Green Deal ; Greenhouse Gas Emission Reduction ; Inequality ; Macroeconomics and Economic Growth ; Poverty Reduction ; Revenue Recycling ; Tax System Reform ; Taxation and Subsidies
    Abstract: One of Italy's key objectives is to reform and modernize the tax system to increase tax efficiency and improve environmental sustainability and regional economic outcomes, in line with the European Union strategy. Within the framework of the European Green Deal, Italy is committed to contributing to the goal of becoming the first climate neutral region by 2050 (the "Fit for 55" package). As an intermediate step toward the 2050 target, the European Union must reduce greenhouse gas emissions by at least 55 percent by 2030 compared to 1990 levels. Carbon pricing is at the core of the proposal, but its full implementation is also expected to have regressive effects, harming poorer households, and adverse economic impacts, reducing firms' competitiveness. This paper evaluates the effects of the carbon pricing proposal of the "Fit for 55" package on welfare, sectoral production, and income distribution. To tackle the adverse social and economic effects, it compares different revenue recycling schemes shifting the tax burden from major direct and indirect taxes to carbon emissions. It finds that well-targeted revenue recycling policies might significantly reduce the negative effects. The analysis adopts the Italian Regional and Environmental Computable General Equilibrium of the Department of Finance model, which is a new (recursive) dynamic computable general equilibrium model developed by the Italian Ministry of the Economy with technical assistance from the World Bank. It has a detailed energy specification that allows for capital/labor/energy substitution in production, intra-fuel energy substitution across all demand agents, a multi-output and multi-input production structure, an extended energy system with 11 different types of technologies, multiple households to address distributional impacts, and detailed information on the Italian tax system
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  • 85
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Behrer, A. Patrick Air Pollution Reduces Economic Activity: Evidence from India
    Keywords: Air Pollution ; Air Quality and Clean Air ; Economic Growth ; Environment ; Environmental Economics and Policies ; Environmental Health ; GDP Decline ; Macroeconomics and Economic Growth ; Particulate Pollution ; Poverty Reduction ; Sustainable Development
    Abstract: Exposure to fine particulate pollution (PM2.5) increases mortality and morbidity and reduces human capital formation and worker productivity. As a consequence, high levels of particulate pollution may adversely affect economic activity. Using a novel dataset of changes in the annual gross domestic product of Indian districts, this paper investigates the impact of changes in the level of ambient PM2.5 on district-level gross domestic product. Using daily temperature inversions as an instrument for pollution exposure, this paper finds that higher levels of particulate pollution reduce gross domestic product. The effect is non-trivial-the median annual increase in the level of PM2.5 reduces year-to-year changes in gross domestic product by 0.56 percentage points
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  • 86
    Language: English
    Pages: 1 Online-Ressource (30 pages)
    Parallel Title: Erscheint auch als Newhouse, David Small Area Estimation of Poverty and Wealth using Geospatial Data: What have we Learned so Far?
    Keywords: Cell Phone Data ; Convolutional Neural Networks ; Development Patterns and Poverty ; Geospacial Data ; Living Standards ; Poverty and Wealth Data Prediction ; Poverty Diagnostics ; Poverty Mapping ; Poverty Reduction ; Satellite Data ; Small Area Estimation
    Abstract: This paper offers a nontechnical review of selected applications that combine survey and geospatial data to generate small area estimates of wealth or poverty. Publicly available data from satellites and phones predicts poverty and wealth accurately across space, when evaluated against census data, and their use in model-based estimates improve the accuracy and efficiency of direct survey estimates. Although the evidence is scant, models based on interpretable features appear to predict at least as well as estimates derived from Convolutional Neural Networks. Estimates for sampled areas are significantly more accurate than those for non-sampled areas due to informative sampling. In general, estimates benefit from using geospatial data at the most disaggregated level possible. Tree-based machine learning methods appear to generate more accurate estimates than linear mixed models. Small area estimates using geospatial data can improve the design of social assistance programs, particularly when the existing targeting system is poorly designed
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  • 87
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 37151
    Keywords: Climate Change ; Climate-Resilient ; Economic Inclusion ; Environment ; Labor Markets ; Poverty ; Poverty Reduction ; Private Sector Economics
    Abstract: Climate change disproportionately impacts people living in poverty, threatening to plunge more than 130 million more people into extreme poverty by the end of this decade. In response, governments seek to align poverty alleviation efforts with climate adaptation and mitigation objectives, and are focusing on poor and vulnerable populations, particularly women. Economic inclusion (EI) approaches (a bundle of multidimensional interventions that support poor individuals, households, and communities to increase incomes and assets) can play an important role in addressing the challenges at the intersection of climate resilience and poverty reduction. This publication explores the links between climate change and economic inclusion and proposes pathways through which EI programs can more strategically support climate resilience. It presents a framework for Climate-Resilient Economic Inclusion that can help inform the design of both existing and new EI programs and provides practical examples of how EI programs align their design and operations with the framework
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  • 88
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access To Labor Market ; Accessibility ; Climate Change ; Disability Inclusion ; Economic Forecasting ; Economic Stabilization ; Environment ; Health Services ; Health, Nutrition and Population ; Inclusive Disaster Management ; Social Protection ; Social Protections and Labor
    Abstract: The impacts of climate change will be unevenly felt within and across countries partly due to social and economic inequalities. Persons with disabilities represent 16 percent of the global population and face widespread forms of social and economic marginalization yet have received little attention in prior studies of climate change and social inequality. The mortality rate of persons with disabilities in natural disasters is "up to four times higher than people without disabilities" (Stein and Stein 2021). How do the fast-moving shocks, flooding, drought, heatwaves and slower-moving social and economic effects of climate change impact persons with disabilities How can climate change adaptation efforts be disability inclusive This study examines these questions through original fieldwork and qualitative interviews conducted in Uzbekistan. In November 2022, the authors interviewed persons with disabilities in three regions of the country. The resulting qualitative data afford key insights into how climate change and disability status interact to generate distinct vulnerabilities. Within the nascent field of climate change and disability studies, this report represents one of the first fieldwork-based accounts of how climate change presents heightened risks to persons with disabilities in a developing country context
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  • 89
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 39458
    Keywords: Climate Change ; Environment ; Poverty ; Poverty Reduction ; Vulnerability Analysis ; Water Resources Institutions and Participations ; Weather Shocks ; Weather Vulnerability ; Welfare Impact
    Abstract: Weather vulnerability is often assessed using historical data, but this can be very misleading in a world of changing climate. Weather refers to short-term atmospheric conditions, while climate is the weather averaged over a long period. With climate change, some places are becoming wetter, some drier, and extreme weather events, such as heatwaves, floods, droughts, and tropical cyclones, are becoming more likely. Hence, the nature of weather risks will vary considerably. Despite the magnitude of this shift, there is currently no widely accepted method for bringing climate change into catastrophe risk modeling. The objective of this note is to review, compare, and contrast the different techniques used in this literature to include climate change into vulnerability analysis. To do so, it summarizes recent research papers exploring how to bring climate change into catastrophe risk modeling. The note builds on this review to propose and explain a robust methodology and highlight its potential caveats. As such, this note is a first step towards unifying approaches and disseminating the analysis of climate change in vulnerability analysis. The method proposed in this note can be applied by researchers, economists, and public policy practitioners to study a wide range of topics, from the impact of climate change on diseases to stress-testing social protection programs
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  • 90
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2119
    Keywords: Debt Indicators ; Education ; Environment ; Fiscal Indicators ; GDP ; GHG ; Health Economics and Finance ; Health Insurance ; Health Monitoring and Evaluation ; Inflation ; Macroeconomics and Economic Growth ; Poverty Indicators ; Poverty Reduction
    Abstract: This edition of the Macro Poverty Outlooks periodical contains country-by-country forecasts and overviews for GDP, fiscal, debt and poverty indicators for the developing countries of the Middle East and North Africa region. Macroeconomic indicators such as population, gross domestic product and gross domestic product per capita, and where available, other indicators such as primary school enrollment, life expectancy at birth, total greenhouse gas emissions and inflation, among others, are included for each country. In addition to the World Bank's most recent forecasts, key conditions and challenges, recent developments and outlook are briefly described for each country in the region
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  • 91
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access To Healthcare ; Adolescent Health ; Climate Change and Health ; Female Sexual Health ; Gender ; Gender and Health ; Gender-Based Violence ; Health, Nutrition and Population ; Maternal and Girls Health ; Reproductive Health ; Violence Against Women and Girls ; Vulnerable Populations
    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 insights into the status of women's and girls' maternal, sexual and reproductive health in Madagascar and proposes several strategic lines of action to improve access to professional health care by Malagasy women and girls and prevent teenage pregnancy. 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, economic opportunities, and agency
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  • 92
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Bruhn, Miriam Government Support and Firm Performance during COVID-19
    Keywords: Covid-19 ; Disease Control and Prevention ; Employment ; Government ; Health, Nutrition and Population ; Pandemic ; Private Sector Development ; Private Sector Economics ; Social Protections and Labor
    Abstract: This paper assesses the medium-run effects of government support to firms during the COVID-19 crisis and whether the effectiveness of this support varied with its timing. Using data from three rounds of the World Bank's Enterprise Surveys COVID-19 Follow-up Surveys carried out between May 2020 and April 2022, it relates government support in Round 1 (received in the first half of 2020) and Round 2 (received during the second half of 2020 or early 2021) with firm performance in Round 3 (generally mid-2021). Controlling for a host of background characteristics, firms that received support in Round 1 performed better in terms of Round 3 sales, but only if they did not have continued support. Firms that also received support in Round 2 had similar Round 3 sales as those that received no support and were more likely to decrease employment. Firms that received government support only in Round 2 experienced no boost in Round 3 performance. The findings suggest that government support should be provided promptly, but it should also be phased out quickly
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  • 93
    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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  • 94
    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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  • 95
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Accommodation and Tourism Industry ; Covid-19 Economic Recovery ; Economic Outlook ; Environment ; GDP Growth ; Industry ; Job Market Diversification ; Poverty Monitoring and Analysis ; Poverty Reduction ; Recent Economic Developments ; Tourism and Ecotourism ; Tourism and Jobs
    Abstract: Economic activity in Uganda is accelerating despite commodity-price inflation, global monetary tightening, international supply-chain bottlenecks, and a local Ebola outbreak. Real GDP growth is estimated to reach 5.7 percent in FY22/23, albeit still below the pre-COVID-19 projection of 6.5 percent. Growth has been supported by a robust post-pandemic recovery in the services sector, bolstered by the rapid growth of information and communications technology. Real estate and construction also performed well, while agriculture suffered from droughts in some regions and heavy rains in others, as well as rising input costs. The recovery of income and employment bolstered demand, while private investment overcame tight domestic and global financial conditions to sustain increases in new exports and manufacturing orders into the third quarter of FY22/23. As growth accelerated, Uganda's per capita income increased to about USD 930 for FY21/22, edging closer to the lower-middle-income threshold
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  • 96
    Language: English
    Pages: 1 Online-Ressource (70 pages)
    Parallel Title: Erscheint auch als Schimanski, Caroline Poorer than Adults and Deprived in Almost All Counts: Welfare Status of Children in Nigeria
    Keywords: Child Poverty ; Chronic Poverty ; Deprivation ; Deprivation Gender Gap ; Equity and Development ; Intergenerational Mobility ; Monetary Poverty ; Multi-Dimensional Poverty ; Poverty Reduction
    Abstract: Analyzing data from four waves of the Nigerian General Household Survey and the Nigerian Multiple Indicator Cluster Survey, covering the period from 2010 through 2019, this study provides evidence that poverty levels of children exceed those of adults. Overall, rural children throughout the country and children in the North face higher poverty and chronic poverty rates than urban children and those living in the South without clear trends of a closing of those gaps. These findings hold for monetary poverty as well as, for severe health, education, food, shelter, water, information deprivation and improved sanitation deprivation across Nigeria's six regions. One exception is severe sanitation deprivation, for which especially rural areas in the Southwest stand out with higher levels of severe sanitation deprivation than in rural areas in the north and any other region. Large inter-state heterogeneity of estimates within regions, ranging up to 50 percentage points, for all except severe food deprivation however highlight the importance of looking beyond regional poverty estimates and regional differences. Only state specific, but no systematic evidence has been found for a gender difference in severe educational deprivation and school enrollment rates. Existing gender gaps though seem negligible compared to the overall level of deprivation and urban-rural and north-south gaps. Moreover, the parents' literacy and more so the educational level is highly correlated with the probability of being poor or deprived in any dimension, in particular in rural and northern areas. Interestingly, up to about half of the monetary non-poor children at the top of the consumption distribution still face at least one severe deprivation
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  • 97
    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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  • 98
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Wollburg, Philip The Evolution of COVID-19 Vaccine Hesitancy in Sub-Saharan Africa: Evidence from Panel Survey Data
    Keywords: Access To Health Service ; Attitudes Toward Medicine ; COVID-19 Vaccine ; Health Service Delivery ; Health, Nutrition and Population ; Immunizations ; Psychology ; Public Health Promotion ; Social Development ; Vaccination ; Vaccine Hesitancy
    Abstract: COVID-19 vaccination rates in Sub-Saharan Africa lag behind other world regions, with just over 20 percent of the population in Sub-Saharan Africa fully vaccinated. To reach widespread coverage, high willingness to get vaccinated for COVID-19 among the population is considered an important prerequisite. Drawing on two years of panel survey data, this paper studies the dynamics of vaccine acceptance, its correlates, and reasons for hesitancy over time. The data come from multiple rounds of national High-Frequency Phone Surveys in five countries in East and West Africa (Burkina Faso, Ethiopia, Malawi, Nigeria, and Uganda), covering the period between 2020 and 2022. The surveys are cross-country comparable and draw their samples from nationally representative sampling frames. The paper finds that COVID-19 vaccine acceptance has been high throughout the study period (68 to 98 percent). However, acceptance levels were lower in 2022 than in 2020 in three countries (Burkina Faso, Malawi, and Nigeria) and higher in one country (Uganda). Moreover, individuals are observed to change their stated vaccine attitudes between survey rounds, to a limited extent in some countries (Ethiopia) and more frequently in others (Burkina Faso, Malawi, Nigeria, and Uganda). Vaccine hesitancy is higher in richer households and among those residing in urban areas, women, and the better educated. Conversely, hesitancy is lower in larger households and among heads of the household. The main reasons for hesitancy are concerns about side effects of the vaccine, its safety and efficacy, as well as assessments of COVID-19 risk, although these reasons fluctuate over time. The findings suggest that vaccine hesitancy is not the primary obstacle to reaching greater vaccine coverage in Sub-Saharan Africa. Instead, low coverage rates may be related to access and delivery barriers as well as supply shortages. Nevertheless, vaccine attitudes appear malleable so that continued efforts are needed to retain high levels of vaccine acceptance
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  • 99
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Conflict and Development ; Forced Displacement ; Host Communities ; Inequality ; Living Standards ; Poverty Reduction ; Social Cohesion ; Social Conflict Prevention
    Abstract: This report presents new evidence from 26 background studies on forced displacement and social cohesion to expand the current knowledge base on how to prevent social conflict and promote social cohesion in forced displacement contexts. The background studies are geographically and methodologically diverse. They examine social cohesion in a variety of low-, middle-, and high-income countries across Africa, Asia, Central, and South America, and Europe. Building on this new evidence, the report provides lessons on how development investments and policies can reduce inequalities, alleviate social tensions, and promote social cohesion between and within displaced populations and host communities. Overall, the findings demonstrate that, while displacement can exacerbate existing inequalities and create new inequalities and the potential for conflict, especially in areas with strained services and limited economic opportunities, inclusive policies and development investments can effectively mitigate the negative effects of displacement and promote social cohesion
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  • 100
    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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