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  • MPI Ethno. Forsch.  (1,200)
  • Debt Markets
  • Health, Nutrition and Population
  • Social Development
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  • 1
    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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  • 2
    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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  • 3
    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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  • 4
    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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  • 5
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Financial Aid ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Azerbaijan assists the World Bank Group (WBG) in better understanding how stakeholders in Azerbaijan perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Azerbaijan on 1) their views regarding the general environment in Azerbaijan; 2) their overall attitudes toward the WBG in Azerbaijan; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Azerbaijan; and 4) their perceptions of the WBG's future role in Azerbaijan
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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 Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; Stakeholder Engagement ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Fiji assists the World Bank Group (WBG) in better understanding how stakeholders in Fiji perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Fiji on 1) their views regarding the general environment in Fiji; 2) their overall attitudes toward the WBG in Fiji; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Fiji; and 4) their perceptions of the WBG's future role in Fiji
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  • 8
    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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  • 9
    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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  • 10
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Cabo Verde assists the World Bank Group (WBG) in better understanding how stakeholders in Cabo Verde perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Cabo Verde on 1) their views regarding the general environment in Cabo Verde; 2) their overall attitudes toward the WBG in Cabo Verde; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Cabo Verde; and 4) their perceptions of the WBG's future role in Cabo Verde
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  • 11
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; Stakeholder Engagement ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Mali assists the World Bank Group (WBG) in better understanding how stakeholders in Mali perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Mali on 1) their views regarding the general environment in Mali; 2) their overall attitudes toward the WBG in Mali; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Mali; and 4) their perceptions of the WBG's future role in Mali
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  • 12
    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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  • 13
    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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  • 14
    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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  • 15
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; Stakeholder Engagement ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Uzbekistan assists the World Bank Group (WBG) in better understanding how stakeholders in Uzbekistan perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Uzbekistan on 1) their views regarding the general environment in Uzbekistan; 2) their overall attitudes toward the WBG in Uzbekistan; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Uzbekistan; and 4) their perceptions of the WBG's future role in Uzbekistan
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  • 16
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; Stakeholder Engagement ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in the Kyrgyz Republic assists the World Bank Group (WBG) in better understanding how stakeholders in the Kyrgyz Republic perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in the Kyrgyz Republic on 1) their views regarding the general environment in the Kyrgyz Republic; 2) their overall attitudes toward the WBG in the Kyrgyz Republic; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in the Kyrgyz Republic; and 4) their perceptions of the WBG's future role in the Kyrgyz Republic
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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
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Financial Aid ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Algeria assists the World Bank Group (WBG) in better understanding how stakeholders in Algeria perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Algeria on 1) their views regarding the general environment in Algeria; 2) their overall attitudes toward the WBG in Algeria; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Algeria; and 4) their perceptions of the WBG's future role in Algeria
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  • 19
    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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  • 20
    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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  • 21
    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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  • 22
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Zimbabwe assists the World Bank Group (WBG) in better understanding how stakeholders in Zimbabwe perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Zimbabwe on 1) their views regarding the general environment in Zimbabwe; 2) their overall attitudes toward the WBG in Zimbabwe; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Zimbabwe; and 4) their perceptions of the WBG's future role in Zimbabwe
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  • 23
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Jamaica assists the World Bank Group (WBG) in better understanding how stakeholders in Jamaica perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Jamaica on 1) their views regarding the general environment in Jamaica; 2) their overall attitudes toward the WBG in Jamaica; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Jamaica; and 4) their perceptions of the WBG's future role in Jamaica
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  • 24
    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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  • 25
    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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  • 26
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Mongolia assists the World Bank Group (WBG) in better understanding how stakeholders in Mongolia perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Mongolia on 1) their views regarding the general environment in Mongolia; 2) their overall attitudes toward the WBG in Mongolia; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Mongolia; and 4) their perceptions of the WBG's future role in Mongolia
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  • 27
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Ghana assists the World Bank Group (WBG) in better understanding how stakeholders in Ghana perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Ghana on 1) their views regarding the general environment in Ghana; 2) their overall attitudes toward the WBG in Ghana; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Ghana; and 4) their perceptions of the WBG's future role in Ghana
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  • 28
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Wahby, Sarah Job Finding and Separation among Syrian refugees in Jordan and Their Hosts during the COVID-19 Pandemic
    Keywords: Covid-19 Impact on Refugees ; Human Rights ; Involuntary Resettlement Law ; Job Finding ; Job Separation ; Labor Market Inequality ; Labor Markets ; Law and Development ; Refugee Camps and Resilience ; Refugees ; Social Development ; Social Protections and Labor ; Voluntary and Involuntary Resettlement
    Abstract: Refugees face important barriers to participation in the formal market, which locks them in informal employment and makes them more vulnerable to shocks. Using data from Jordan, this paper compares the job finding and separation rates of Syrian refugees to those of their hosts before and after the onset of the COVID-19 pandemic. The findings show the change in these rates over time for Syrians to be similar to those of their Jordanian hosts prior to the pandemic, with a significant divergence after the start of the pandemic. Distinguishing between Syrians living in camps and those living in host communities shows that the Syrian disadvantage was entirely explained by living in camps
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  • 29
    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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  • 30
    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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  • 31
    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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  • 32
    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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  • 33
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Serbia assists the World Bank Group (WBG) in better understanding how stakeholders in Serbia perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Serbia on 1) their views regarding the general environment in Serbia; 2) their overall attitudes toward the WBG in Serbia; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Serbia; and 4) their perceptions of the WBG's future role in Serbia
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  • 34
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Guinea assists the World Bank Group (WBG) in better understanding how stakeholders in Guinea perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Guinea on 1) their views regarding the general environment in Guinea; 2) their overall attitudes toward the WBG in Guinea; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Guinea; and 4) their perceptions of the WBG's future role in Guinea
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  • 35
    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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  • 36
    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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  • 37
    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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  • 38
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Acceleration ; Human Capital ; Life Cycle ; Multisectoral Framework ; Policies ; Social Assessment ; Social Development ; Social Protections and Labor
    Abstract: South Africa's economic growth and development agenda and to present a harmonized approach for investing in priority areas for human capital formation. The policy note first presents an in-depth diagnostic of the status of human capital in the country, applying a life cycle approach. The life cycle approach places a strong emphasis on investing in human capital development holistically, involving all relevant sectors, and as a continuum, following the trajectory of an individual's life. Focus is given to three critical stages of an individual's life, (i) early childhood; (ii) school age; and (iii) youth to adulthood. Based on the findings of the analysis, the policy note identifies the priority challenges and proposes a framework for action. The findings of this policy note aim to serve as a basis for a much-needed dialogue across key relevant government entities, including sector departments such as the Department of Health, the Department of Basic Education, the Department of Higher Education and Training, Department of Social Development, and others, such as National Treasury, Department of Planning, Monitoring and Evaluation, the Office of the Presidency as well as provincial government departments, on how best to invest in human capital, both in the short and medium-to-long term. The note could also be used to inform a range of stakeholders, including civil society, development partners, and the private sector of the human capital development challenges in South Africa and how certain gaps could be addressed through better coordination of interventions. Lastly, the note aims to motivate further research on key areas where there are information and knowledge gaps on human capital in South Africa
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  • 39
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Attitudes ; Development Economics and Aid Effectiveness ; Effectiveness ; Governance ; International Governmental Organizations ; Macroeconomics and Economic Growth ; Participations and Civic Engagement ; Social Development ; Stakeholder Engagement ; World Bank Group Knowledge ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Kenya assists the World Bank Group (WBG) in better understanding how stakeholders in Kenya perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Kenya on 1) their views regarding the general environment in Kenya; 2) their overall attitudes toward the WBG in Kenya; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Kenya; and 4) their perceptions of the WBG's future role in Kenya
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  • 40
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Jellema, Jon Gender and Fiscal Policy: A Methodological Proposal and its Application to Jordan and Armenia
    Keywords: Finance and Development ; Finance and Financial Sector Development ; Gender ; Gender and Development ; Gender and Social Development ; Incidence Analysis ; Social Analysis ; Social Development ; Taxes ; Transfers
    Abstract: Fiscal policies affect households and individuals in a variety of ways. Even though these effects are likely to be different for men and women, conventional tools of fiscal incidence analysis are typically unable to capture these gender differences. Using a particular type of incidence analysis known in the literature as the Commitment to Equity framework, this paper proposes a methodology to overcome this challenge. A particular novelty the paper introduces is the explicit incorporation of social reproduction into the fiscal incidence analysis framework, enabling the implicit valuation of unpaid work that is typically undertaken by women on activities such as cooking, cleaning, and caring for children and the elderly. Applying this methodology to the cases of Jordan and Armenia -- two countries with very different approaches to fiscal policy and cultural norms around the economic and social roles of men and women -- the paper also highlights some of the insights that this engendered perspective could add to standard fiscal incidence analysis
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  • 41
    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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  • 42
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; Stakeholder Engagement ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Turkiye assists the World Bank Group (WBG) in better understanding how stakeholders in Turkiye perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Turkiye on 1) their views regarding the general environment in Turkiye; 2) their overall attitudes toward the WBG in Turkiye; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Turkiye; and 4) their perceptions of the WBG's future role in Turkiye
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  • 43
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Aid Effectiveness ; Development Economics and Aid Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; World Bank Strategy
    Abstract: The Country Opinion Survey in Sao Tome and Principe assists the World Bank Group (WBG) in better understanding how stakeholders in Sao Tome and Principe perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Sao Tome and Principe on 1) their views regarding the general environment in Sao Tome and Principe; 2) their overall attitudes toward the WBG in Sao Tome and Principe; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Sao Tome and Principe; and 4) their perceptions of the WBG's future role in Sao Tome and Principe
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  • 44
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Opinion Surveys
    Keywords: Accountability ; Development Economics and Aid Effectiveness ; Effectiveness ; Macroeconomics and Economic Growth ; Social Accountability ; Social Development ; Stakeholder Engagement ; World Bank Group Strategy
    Abstract: The Country Opinion Survey in Montenegro assists the World Bank Group (WBG) in better understanding how stakeholders in Montenegro perceive the WBG. It provides the WBG with systematic feedback from national and local governments, multilateral/bilateral agencies, media, academia, the private sector, and civil society in Montenegro on 1) their views regarding the general environment in Montenegro; 2) their overall attitudes toward the WBG in Montenegro; 3) overall impressions of the WBG's effectiveness and results, knowledge work and activities, and communication and information sharing in Montenegro; and 4) their perceptions of the WBG's future role in Montenegro
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  • 45
    ISBN: 9789819987870
    Language: English
    Pages: 1 Online-Ressource (XIX, 237 p. 38 illus., 1 illus. in color.)
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Keywords: Economic development. ; Social policy. ; Schools of economics. ; Social Development ; Common Prosperity ; Economic Commission ; Government ; Chinese Modernization
    Abstract: Part I. Theory- Systematic understanding of common prosperity -- 1. Background and significance of common prosperity -- 2. The basis and connotation of common prosperity -- 3. Goal and measurement of common prosperity -- Part II. Practice -Jointly promote common prosperity -- 4. Principles and policies of top-level design -- 5. Construction and promotion of common prosperity demonstration area -- 6. Influence and opportunity of common prosperity -- 7. Realizing people's all-round development.
    Abstract: This book explains China's new common prosperity policies—their significance, connotations, and goals—and explains the economic logic behind these often misunderstood policies. First, the authors explain the theory behind common prosperity. Why is the Chinese government changing its economic policies now, and what is its objectives and metrics? The authors then go on to explain how the new policies are being designed, what the test cases are across the country, and how the government, businesses, families, and individuals are working together to promote common prosperity. An important book that will help scholars around the world understand China's new economic bottom line. This book will be of interest to economists, sociologists, and sinologists. Liu Yuanchun is the President of Shanghai University of Finance and Economics, and the former Vice President of Renmin University of China, a member of China Finance 40 Forum and Chinese Economy 50 Forum, a distinguished economist, and a member of the expert committee of the 14th national five-year plan. Song Yang is a professor in School of Economics of Renmin University of China and holds a Ph.D in economics from Cornell University specializing in development and labor economics. He was selected into the 100 innovative young people program of China Association for Science and Technology. Wang Fei is an associate professor of the School of Labor and Human Resources, Renmin University of China, and a research fellow of the Institute of common prosperity and the Institute of national development and strategy. Zhou Guangsu is an associate professor at the School of Labor and Human Resources, Renmin University of China, and an ‘outstanding scholar’ of Renmin University of China.
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  • 46
    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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  • 47
    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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  • 48
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Lo Bue, Maria C Maternal Work and Children's Development: Examining 20 Years of Evidence
    Keywords: Child Development ; Child Welfare ; Childcare ; Early Child and Children's Health ; Education ; Gender Equality ; Health, Nutrition and Population ; Household Income ; Industry and trade ; Maternal Labor Force Participation ; Maternal Work Review of Evidence ; Quality Daycare
    Abstract: Maternal work may affect children positively through increased household income, higher control of mothers over available income, and expansion of maternal information networks through work contacts and greater decision-making power of mothers as they become more economically empowered. However, maternal work may reduce maternal time spent with children. If maternal time is not substituted for time of equal quality by other caregivers, children's development may be penalized. Stress associated with work may also decrease the quality of parenting. This review summarizes causal evidence on the relationship between maternal work and children's development. The majority causal studies find positive or 0 impacts of maternal work on children's development
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  • 49
    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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  • 50
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Speeches of World Bank Presidents
    Keywords: Concessional Resources ; Debt Distress ; Debt Markets ; Debt Sustainability ; Debt Transparency ; Economic Forecasting ; External Debt ; Finance and Financial Sector Development ; Global Growth Outlook ; Governance Standards ; International Economics and Trade ; Investment and Investment Climate ; Investment Climate ; Macroeconomics and Economic Growth
    Abstract: These remarks were delivered by the World Bank Group President David Malpass during the Launch of the January 2023 Global Economic Prospects Report on January 10, 2023. He addressed the following topics: global growth outlook; rising levels of debt distress and possible directions to achieve debt transparency and sustainability; the need for greatly expanded resources for developing countries, including deeply concessional resources; and attractive investment climate and governance standards
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  • 51
    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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  • 52
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Azevedo, Joao Pedro COVID-19 School Closures, Learning Losses and Intergenerational Mobility
    Keywords: Access To Education During COVID ; COVID-19 Learning Loss ; Educational Attainment ; Educational Mobility ; Health, Nutrition and Population ; Inequality ; Intergenerational Mobility
    Abstract: The paper presents a first global investigation of the longer-term inequality implications of COVID-19 by examining the effect of school closures on the ability of children from different countries and backgrounds to engage in continued learning throughout the pandemic, and their implications for intergenerational mobility in education. The analysis builds on the data from the Global Database of Intergenerational Mobility, country-specific results of the learning loss simulation model using weekly school closure information from February 2020 to February 2022, and high-frequency phone survey data collected by the World Bank during the pandemic to assess the incidence and quality of continued learning during periods of school closures across children from different backgrounds. Based on this information, the paper simulates counterfactual levels of educational attainment and corresponding absolute and relative intergenerational educational mobility measures with and without COVID-19 impacts, to arrive at estimates of COVID-19 impacts. The simulations suggest that the extensive school closures and associated learning losses are likely to have a significant impact on both absolute and relative intergenerational educational mobility in the absence of remedial measures. In upper-middle-income countries, the share of children with more years of education than their parents (absolute mobility) could decline by 8 percentage points, with the largest impacts observed in the Latin America region. Furthermore, unequal access to continued learning during school closures across children from households of different socioeconomic backgrounds (proxied by parental education levels) leads to a significant decline in relative educational mobility
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  • 53
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Cunningham, Wendy How did Urban Household Enterprises in Sub-Saharan Africa Fare during COVID-19? Evidence from High-Frequency Phone Surveys
    Keywords: COVID-19 Pandemic ; Health, Nutrition and Population ; Income Loss ; Income Shock ; Informal Enterprise ; Informality ; Urban Household Enterprise
    Abstract: While the impact of COVID-19 on Sub-Saharan African labor markets is well documented, there is suggestive evidence that urban households may have fared particularly poorly. This paper uses data from high-frequency phone surveys in 27 Sub-Saharan African countries to investigate which kinds of urban household enterprises were most affected, what coping strategies were utilized, and heterogeneity by sociodemographic characteristics in the short and medium run. Using linear probability models, the paper finds that households that relied on income from non-farm enterprises were hit particularly hard during the early stage of the crisis, with 20-26 percent reporting income declines, and women experiencing even greater losses. Few coping strategies were utilized in the short run to counterbalance the loss of enterprise income. As the crisis progressed, wage employment recovered more quickly than self-employment, with faster gains for non-farm household enterprises, less poor households, and those headed by males and adults. Women, adults, and non-poor self-employed household heads were more successful at leveraging external sources of support early in the pandemic, but these supports largely dropped off by August 2020. These results demonstrate the vulnerability of non-farm household enterprises in urban Sub-Saharan Africa to the COVID-19 shock and highlight the need to expand publicly and privately financed coping mechanisms, particularly for women, youth, and poor household heads who are self-employed
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  • 54
    Language: English
    Pages: 1 Online-Ressource (67 pages)
    Parallel Title: Erscheint auch als Rozo, Sandra V The Electoral Consequences of Easing the Integration of Forced Migrants
    Keywords: Amnesty ; Attitudes About Refugees ; Communities and Human Settlements ; Electoral Outcome ; Governance ; Migrant Inflows and Politics ; Migrant Integration ; Political Backlash ; Refugees ; Social Development
    Abstract: How does easing the economic integration of forced migrants affect native voting behaviors in the Global South? This paper assesses how the regularization of half a million Venezuelan forced migrants affected the electoral choices of Colombian natives by comparing election results in municipalities with higher and lower take-up rates for a program that supports forced migrants. The findings show negligible impacts on native voting behavior. The study then conducted a survey experiment to investigate the lack of voter response. Even after receiving information about the pro-gram, Colombian voters showed no changes in voting intentions or prosocial views toward migrants. This suggests that their indifference did not stem from a lack of awareness about the program
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  • 55
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions: The Case of Zimbabwe
    Keywords: Coronavirus ; COVID Severity ; COVID-19 Pandemic ; Hand Washing Intervention ; Health, Nutrition and Population ; Public Health ; Severe COVID Prevention ; Spatial Modelling
    Abstract: The severity of COVID-19 disease varies substantially between individuals, with some infections being asymptomatic while others are fatal. Several risk factors have been identified that affect the progression of SARS-CoV-2 to severe COVID-19. They include age, smoking and presence of underlying comorbidities such as respiratory illness, HIV, anemia and obesity. Given that respiratory illness is one such comorbidity and is affected by hand hygiene, it is plausible that improving access to handwashing could lower the risk of severe COVID-19 among a population. In this paper, we estimate the potential impact of improved access to handwashing on the risk of respiratory illness and its knock-on impact on the risk of developing severe COVID-19 disease across Zimbabwe. We use a geospatial model that allows us to estimate differential clinical risk at the district level. Results show that the current risk of severe disease is heterogeneous across the country, due to differences in individual characteristics and household conditions. This study demonstrates how household level improved access to handwashing could lead to reductions in the risk of severe COVID-19 of up to 16% from the estimated current levels across all districts. Taken alongside the likely impact on transmission of SARS-CoV-2 itself, as well as countless other pathogens, this result adds further support for the expansion of access to handwashing across the country. It also highlights the spatial differences in risk of severe COVID-19, and thus the opportunity for better planning to focus limited resources in high risk areas in order to potentially reduce the number of severe cases
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  • 56
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Foster, Vivien The Impact of Infrastructure on Development Outcomes: A Qualitative Review of Four Decades of Literature
    Keywords: Development Impact of Infrastructure ; Digital Infrastructure ; Highway Impact on Development ; Human Capital Formation ; Impact of Electrification ; Information and Communication Technologies ; Ports and Development ; Reliability of Supply ; Rural Roads Impact on Development ; Social Development ; Transport Infrastructure Impact on Development
    Abstract: Policy makers have long used investing in public infrastructure as a means of reducing geographical disparities and promoting growth. The goal of this paper is to provide insights to development practitioners on designing interventions to maximize the development impact of infrastructure. For this, the paper presents a systematic qualitative overview of the literature, covering more than 300 studies conducted between 1983 and 2022, focusing on specific infrastructure sectors, namely digital, energy, and transport. The study also considers various dimensions of development impact, including output and productivity, poverty and inequality, labor market outcomes, human capital formation, and trade, to develop a nuanced understanding of the mechanisms through which infrastructure contributes to these development outcomes, focusing on low- and middle-income countries. As such, it is the most substantive effort of its kind to date. Overall, despite some mixed results, the overwhelming balance of evidence suggests that infrastructure improvements are critical in supporting the development process. Studies on digital infrastructure show that firm productivity, employment, and welfare increase with the arrival of broadband internet coverage. In addition, the availability of mobile phones improves coordination between producers and traders and hence reduces the price dispersion of agricultural products. Turning to rural electrification, significant literature documents the positive impact of infrastructure on household welfare, structural transformation, and human capital formation through increased labor force participation, more time spent on education, and increased indoor air quality. Investments in the reliability of power supply also contribute to firms' productivity. However, studies based on randomized controlled trials have not tended to find a substantial short-term impact in the context of dispersed rural populations. Finally, there is rich literature on various transport infrastructure-to-development linkages, particularly for rural roads and for Sub-Saharan Africa. While households' income and consumption benefit from the existence of rural roads, highways are also found to contribute to firms' competitiveness. Similarly, public transportation, railways, and ports have positive impacts on the development process
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  • 57
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Access To Educaton ; Becoming Upper-Middle-Income ; Economics of Education ; Education ; Gender and Education ; Gender Inequity ; Gender Monitoring and Evaluation ; Girls Education Gap ; High Stunting Rate ; Human Capital Investment ; Skill Utilization ; Social Development
    Abstract: Pakistan can realize major economic growth and development by investing in its people and their human capital. But the reality is that Pakistan's human capital is low and has improved only marginally over the past three decades. Inequalities in human capital outcomes have persisted or widened over time between the rich and poor, men and women, and rural and urban areas and among the provinces. Human capital outcomes are low across the board, with even the most economically advantaged groups in Pakistan having lower human capital outcomes than less economically advantaged groups in peer countries. Pakistan's Human Capital Index (HCI) value of 0.41 is low in both absolute and relative terms. It is lower than the South Asia average of 0.48, with Bangladesh at 0.46 and Nepal at 0.49. Pakistan's human capital outcomes are more comparable to those in Sub-Saharan Africa, which has an average HCI value of 0.40. To enhance its human capital, Pakistan should adopt a life cycle approach to building, protecting, and deploying human capital, starting before birth, continuing through early childhood development, and schooling, culminating in increasingly productive employment. This calls for a long-term commitment, recognition of the multidimensional and cumulative nature of human capital investments, deliberate efforts from multiple stakeholders and sectors to build on intersectoral linkages, and a continuity of policies across political parties and governments. Many countries previously at Pakistan's level of development have managed to precisely do this, even with regional variations and gaps just as large. Pakistan has the tools to implement the recommendations in this report, provide stewardship for human capital investments, and enhance economic growth over the long term. Pakistan's handling of the COVID-19 pandemic has shown that the country can manage complex challenges, despite its institutional constraints
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  • 58
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Ambasz, Diego A Review of Human Development and Environmental Outcomes
    Keywords: Adaptation To Climate Change Behaviors ; Climate Change Impact On Human Development ; Environment, Climate Change Impacts, Education and Climate Change Outcome ; Human Capital Policy ; Human Development Outcome ; Improving Environmental Behaviors ; Social Development
    Abstract: As climate change and its impact on the physical environment become increasingly evident, its relationship with human development outcomes is becoming a key area of research. While numerous researchers have studied the ways in which the immediate environment affects human capital, literature on the impact of human capital on the environment remains scarce. Despite the heightened interest in understanding the linkages between human development outcomes and environmental factors, most studies of this relationship are theoretical, correlational, or observational, thus lacking causality. This paper surveys the literature and explores how evidence can be established for policies focusing on human development and environmental outcomes. The paper presents a conceptual framework incorporating direct and indirect pathways - including cognitive and noncognitive factors through which improved education can lead to better environmental behaviors. Of the 31 studies reviewed, a majority (27 studies) present observational findings, while only a few (four studies, or 13 percent) use a quasi-experimental design to establish causality. The few causal studies suggest that it is possible to change attitudes but more difficult to change environmental behaviors. The review raises the key question of whether policies aimed at improving climate change awareness through education can effectively produce long-lasting changes in pro-environmental behaviors. Much more work is needed to advance understanding of how human capital policy can help mitigate or promote adaptation to climate change
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  • 59
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Perge, Emilie Structural and Behavioral Barriers to Improving Development Outcomes: The Case of Maternal Care in Haiti
    Keywords: Behavioral Biases ; Female Health Service Location ; Health and Poverty ; Health, Nutrition and Population ; Maternal Health ; Maternal Mortality ; Mixed Methods ; Multilevel Model ; Poverty and Maternal Health
    Abstract: This paper investigates the interplay between structural and behavioral barriers that discourage pregnant women from accessing institutional care in Haiti, where despite some improvements in the past decades, maternal mortality remains a significant challenge. The analysis complements household survey data with data on service provision and qualitative data on beliefs, perceptions, and attitudes toward maternal health care. Using a mixed-methods approach, the paper confirms that transportation and poverty are important barriers that decrease the likelihood of attending maternal health care services. At the same time, the findings show that women suffer from optimism bias and are uncomfortable with the current model of received care. These barriers discourage women from seeking, reaching, and receiving maternal health care services at health institutions. Tackling structural barriers while finding ways to encourage women to shift their beliefs, perceptions, and attitudes are key recommendations to improve maternal health in Haiti
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  • 60
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Capacity ; Effective Response ; Health Emergencies ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health, Nutrition and Population ; Preparedness
    Abstract: La reciente crisis ha evidenciado la necesidad que tienen los paises de identificar capacidades y brechas existentes para asegurar que sus sistemas de salud esten preparados para soportar el estres causado por una emergencia sanitaria, que pueden ser extensas y de gravedad, y que ademas amenazan la prestacion rutinaria de servicios esenciales de salud. En ese sentido, el fortalecimiento de muchas de las areas del sistema de salud tambien contribuye a fortalecer la seguridad sanitaria y viceversa, el fortalecimiento de las capacidades de preparacion y respuesta ante emergencias en muchos sentidos fortalece el sistema de salud en general. Existe una superposicion entre esfuerzos para fortalecer los sistemas de salud para que sean confiables y sostenibles y fortalecer la seguridad sanitaria. Por ello, es importante identificar y promover aquellas inversiones que fortalecen las capacidades de preparacion y respuesta ante emergencias sanitarias y que a su vez contribuyan a fortalecer el desempeno del sistema de salud y lo haga mas resiliente
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  • 61
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Complimentary Service Delivery ; Conditional Cash Transfer ; Governance ; Health, Nutrition and Population ; Pandemic Impact on Service Delivery ; Positive Behavioral Change ; Psychology ; Public Health Promotion ; Service Delivery During School Closing ; Social Development ; Strategic Communications ; Youth and Governance ; Youth Development
    Abstract: An important component of the Pantawid Pamilyang Pilipino Program (4Ps), the flagship conditional cash transfer (CCT) program of the Philippines, is the delivery of complementary services such as Family Development Sessions (FDS) and Youth Development Sessions (YDS) to program beneficiaries. Prior to the COVID-19 pandemic, these were regular face-to-face sessions providing practical information on topics such as parenting, early childhood care, and disaster preparedness to adult beneficiaries and guidance on adolescent dynamics to young children in 4Ps households, with the overall aim of promoting positive behavioral changes. This technical note examines the process undertaken to enhance and align the content of the FDS and YDS based on the 4Ps law that mandates a maximum 7-year operational period, and it discusses feedback and insights from beneficiaries and implementers. Moreover, it considers the onset of the COVID-19 pandemic and related lockdowns, which have led to mobility restrictions among beneficiaries and implementers since March 2020. Due to the pandemic, the delivery of FDS have relied mostly on broadcast and social media platforms, with options for small group neighborhood sessions in areas with low rates of COVID-19 infections, while YDS have been mostly suspended due to school closures nationwide, without in-person gathering. For a more effective delivery of these learning sessions, this policy note proposes key recommendations on adapting to future shocks and emerging beneficiary needs, developing strategic communications, mobilizing resources, strengthening monitoring and evaluation, and connecting to core values. In particular, it proposes regular updating of module content to maintain relevance and applicability, strengthening alternative modes of program delivery to increase coverage, providing training to facilitators to improve capacity, raising awareness to increase program uptake, creating a clear monitoring and evaluation system to track progress, leveraging the use of technology, and providing post-program exit support to sustain positive behavioral changes among beneficiaries
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  • 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
    Series Statement: Other Health Study
    Keywords: Air Pollution ; Alcohol and Substance Abuse ; Disease Control and Prevention ; Economic Burden ; Health Burden ; Health, Nutrition and Population ; NCDS ; Policies and Regulations ; Sugar-Sweetened Beverages ; Tobacco and Alcohol ; Tobacco Use and Control
    Abstract: This report, which aims to raise awareness, identify gaps, and inform policies, is the first comprehensive report on NCDs in Kosovo. Unlike available studies, the present work explores multiple aspects of NCDs, including their burden on health outcomes, risk factors, management, economic burden, and policies introduced to protect the population from these conditions. The report's findings are based on data from existing literature, official documents such as laws, regulations, and protocols, secondary data analysis, and interviews with key informants. The report presents comparisons with available data from the Western Balkans (Albania, Bosnia and Herzegovina [BiH], Montenegro, North Macedonia, and Serbia), aspirational (former socialist, small European Union member states such as Croatia, Estonia, Latvia, Lithuania, and Slovenia) and structural peers (Albania, Armenia, Moldova, North Macedonia, and Kyrgyz) to contextualize the findings. The report concludes by providing recommendations to reduce the burden of NCDs in Kosovo to protect the human capital of current and future generations
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  • 64
    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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  • 65
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Consistency ; Equity ; Finance and Financial Sector Development ; Financial Regulation and Supervision ; Health Financing ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; Impartiality ; UHC ; Universal Health Coverage
    Abstract: The report offers decision support on fair processes for policy choices relating to health financing for universal health coverage (UHC). It opens by making the case for why fair processes matter for health financing. It argues that procedural fairness contributes to fairer outcomes, strengthens the legitimacy of decision processes, builds trust in authorities, and promotes the sustainability of reforms on the path to UHC. The report then describes key health financing decisions with an impact on equity in service coverage and financial protection, where issues of procedural fairness are particularly important. Next, it offers principles and criteria for designing and assessing the processes around these health financing decisions and provides suggestions for how to make them fairer. Finally, the report examines country experiences with diverse instruments that can be used to operationalize principles and criteria for fair processes in health financing decision-making
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  • 66
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Hemono, Rebecca Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania: Results from a Randomized Trial
    Keywords: Female Sex Workers and Violence ; Gender ; Gender and Health ; Gender and Social Policy ; Gender Based Violence ; Health, Nutrition and Population ; HIV Prevention and Violence ; Law and Development ; Lottery Reward for Health Promotion ; Public Health Promotion ; Respect II ; Sexually Transmitted Infection (STI) Prevention
    Abstract: Financial incentives are a promising approach for HIV prevention. Some studies have shown that financial incentive interventions aimed to promote positive health and social behaviors have mixed or harmful effects on gender-based violence, and little is known about their effects among higher risk groups such as female sex workers. To address this gap, this study investigated the relationship between a lottery-based incentive and gender-based violence among female sex workers in Dar es Salaam, Tanzania. Data were analyzed from the RESPECT II trial, which enrolled 2,206 female sex workers in Dar es Salaam, Tanzania, to evaluate the effect of a lottery-based incentive on HIV and sexually transmitted infections. Participants were randomized in a one-to-one ratio to: (1) the basic test group (control), which provided baseline testing and counseling for HIV and sexually transmitted infections and bi-weekly text messages on safe sex practices; or (2) the lottery group, which included the basic test group intervention plus entry into a weekly random lottery for an award of 100,000 Tanzanian shillings conditional on negative tests for sexually transmitted infections (syphilis and trichomonas vaginalis). An intent-to-treat analysis was conducted to estimate differences in physical and sexual gender-based violence (overall), and intimate partner violence and non-partner violence between treatment arms at endline, with estimates expressed as unadjusted prevalence differences with 95 percent confidence intervals. Adjusted estimates controlled for baseline reports of violence. Multiple imputation and inverse-probability of treatment weighting were used to account for missing data. Causal, population-level impacts were estimated using g-computation. Gender-based violence, intimate partner violence, and non-partner violence declined in both treatment arms over the study period among the sample of 1,117 female sex workers retained at endline. The lottery group had a lower prevalence of gender-based violence overall, intimate partner violence, and non-partner violence compared to control at endline; however, the differences were not statistically significant. The results indicate that the lottery intervention had no effect on violence outcomes among endline participants in the RESPECT II trial. These results suggest that this economic approach does not pose additional risks of violence in the context of sex work; however, they must be interpreted with caution due to high attrition in the study sample. Additional research is warranted to examine how this incentive mechanism impacts violence for female sex workers
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  • 67
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Education ; Education Finance ; Finance and Financial Sector Development ; Health ; Health Economics and Finance ; Health, Nutrition and Population ; HRM ; Human Development ; Macro Fiscal Context ; Public and Municipal Finance ; Public Expenditure ; Sustainability
    Abstract: This is an overview of the CAR Human Development (HD) Public Expenditure Review (PER). This overview provides an analytical basis to decision-makers and stakeholders for the formulation of ambitious yet fiscally responsible interventions to improve human capital outcomes in CAR. The PER examines public expenditure trends of the education, health, and social protection (SP) sectors with a focus on adequacy, efficiency, and equity of expenditures as well as human resource management (HRM). The primary objective is to provide analytical insights for government policy development and prioritization strategy as it seeks to achieve a resilient recovery and rebuild its education and health sectors and establish a strong SP system which will help the poorest households invest and protect their own human capital. The PER can also serve as a useful source of knowledge and information to development partners seeking to deepen the impact of their support to the human capital development sectors. The recommendations put forth by the PER are those identified as fiscally sustainable and most important for rebuilding and strengthening human capital development sectors, including a focus on future human resource (HR) recruitment needed in the education and health sectors
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  • 68
    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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  • 69
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Vaccines ; EMA ; Health Policy and Management ; Health, Nutrition and Population ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance
    Abstract: This report reviews the pharmacovigilance system of the European Union (EU) mapping out its structure and processes with any eye to features that may be of particular interest to decision makers in other regions as they weigh options related to creating a regional pharmacovigilance architecture for themselves. It begins with a review of the European Medicines Agency (EMA), which plays a central role in the EU system, followed by an overview of the EU PV assessment and monitoring process and an example of the system in action regarding COVID-19 vaccines. It concludes with a summary several key insights of particular relevance for decision makers
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  • 70
    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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  • 71
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Wollburg, Philip Economic Sentiments and Expectations in Sub-Saharan Africa in a Time of Multiple Shocks
    Keywords: Economic Insecurity ; Economic Sentiment ; Expectations ; Living Standards ; Living Standards Measurement Survey Data ; Macroeconomics and Economic Growth ; Phone Survey ; Poverty Reduction ; Quality of Life and Leisure ; Schocks ; Social Development ; Uncertainty
    Abstract: Against the background of high inflation, climate shocks, and concerns about rising food insecurity, this study documents the state of economic sentiments and expectations of households in five African countries--Burkina Faso, Ethiopia, Malawi, Nigeria, and Uganda--that are home to 36 percent of the Sub-Saharan African population. Leveraging nationally representative phone survey data, 57 percent of households across the five countries report that their financial situation and their country's economic situation have worsened significantly in the past 12 months. While expectations for the future are more positive, there are marked differences across countries that suggest uneven recovery prospects and nonnegligible uncertainty about the future. Households overwhelmingly report prices to have increased considerably over the past 12 months and expect prices to increase faster, or at the same rate, over the next 12 months. Close to 54 percent of households--home to 206 million individuals--further expect that climate shocks will have adverse impacts on their finances in the next year. Economic sentiments are closely related to livelihood outcomes such as food insecurity, lack of access to staple foods, income loss, and unemployment, and sentiments about the household financial situation, country economic situation, price increases, and climate shocks are also interdependent. Households whose financial situation has worsened in the past year are consistently more pessimistic about their financial future. Food insecure households, in particular, are not only more likely to report a worsening financial situation in the recent past and pessimism about the future, but also more likely to expect to be adversely impacted by climate shocks
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  • 72
    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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  • 73
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Capacity ; Equity ; Governance Indicators ; Health, Nutrition and Population ; Information Technology ; Performance ; PHC ; PHCPI Framework
    Abstract: This report presents the findings of the primary health care (PHC) system assessment in the Republic of Moldova undertaken by the World Bank in collaboration with the Moldovan government and under the leadership of the Ministry of Health (MoH). It highlights existing strengths, identifies areas in need of improvement, and suggests strategies for system strengthening
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  • 74
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Employment and Unemployment ; Governance ; Health Insurance ; Health Service Management and Delivery ; Health, Nutrition and Population ; RIPSS ; Service Delivery ; T2D ; Universal Health Insurance
    Abstract: The aim of this report is to document the fidelity of the implementation of the RIPSS in the Huetar-Atlantica Region in Costa Rica. Implementation fidelity seeks to assess the extent to which an intervention is implemented as planned and, for this, the PIPs were contrasted with what was implemented in practice. The assessment identified the following: (i) gaps in the implementation that require subsequent actions, and (ii) the core elements for the sustainability and scale-up of the RIPSS
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  • 75
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2153
    Keywords: Conditional Cash Transfer Program ; Covid-19 Impacts ; Covid-19 Recovery ; Economic Inclusion ; Labor Market Vulnerability ; Labor Markets ; Poverty Reduction ; Social Development ; Social Inclusion and Institutions ; Social Protection Policy ; Social Protections and Labor
    Abstract: The purpose of the note is to inform the design of policies and instruments that can enhance labor market outcomes of Brazil's poor and vulnerable populations. Global and regional experiences show that active labor market programs, and more broadly economic inclusion interventions, both at the strategic level and for territorial implementation, require population-specific labor market diagnostics. And aggregate labor statistics do not portray adequately the specific situation of the poor and vulnerable. This note studies how Brazil's poor and vulnerable engage in the labor market and in public labor market policies, or fail to do so, according to individual, family and location characteristics. The authors focus on two broad populations of interest: work-able adults in households living below the Cadastro Unico poverty line (the poor), and its subset of beneficiaries of the conditional cash transfer Bolsa Familia (BF), the country's largest social program in 2019, and named Auxilio Brasil (AB)
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  • 76
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Child Marriage ; Fertility Decision Making ; Forced Marriage ; GBV Prevention ; Gender ; Gender and Economic Policy ; Gender and Law ; Gender-Based Violence (GBV) ; Human Rights ; Law and Development ; Limitations On Decision-Making ; Social Development ; Social Inclusion and Institutions
    Abstract: This thematic note is part of a broader mixed-method study on gender inequalities in Madagascar, which intends to illustrate the key gender gaps in the country and shed light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. This thematic note provides in-depth analysis of the limitations that Malagasy women and girls encounter in respect to their agency and proposes several strategic lines of action to improve women's and girls' voice and decision-making and to eliminate all forms of GBV. This note is accompanied by the overview of all study findings and three thematic notes that present in-depth insights in the following key dimensions: education, health, and economic opportunities
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  • 77
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Climate Impact on Girls ; Education ; Education For All ; Gender ; Gender and Development ; Gender and Economics ; Gender Bias in Education ; Girls Life Choices ; Social Aspects of Climate Change ; Social Development ; Systemic Gender Gaps ; Women and Girls Health ; Women's Agency ; Women's Economic Opportunity
    Abstract: This Overview presents the findings from the mixed-method study on gender inequalities in Madagascar, illustrating the key gender gaps in the country and shedding light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. On the basis of the research findings, the Overview presents key gender gaps in Madagascar and proposes four strategic lines of policy recommendations to (i) assist girls and young women in completing school education, (ii) improve women's and girls' access to professional health care and prevent teenage pregnancy, (iii) enhance women's economic opportunities, and (iv) improve women's and girls' voice and agency through the elimination of all forms of gender-based violence. Four thematic notes accompany this Overview and present detailed findings in the four key dimensions: education, health, economic opportunities, and agency
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  • 78
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Parallel Title: Erscheint auch als Iregui-Bohorquez, Ana Maria Unraveling the Factors behind Women's Empowerment in the Labor Market in Colombia
    Keywords: Demographic Transition ; Early Child and Children's Health ; Female Labor Participation ; Gender ; Gender and Law ; Gender and Social Policy ; Health, Nutrition and Population ; Infant Mortality and Labor Participation ; Labor Markets ; Low Fertility and Labor Participation ; Population Sciences ; Social Protections and Labor ; Time-Varying Effect Modeling
    Abstract: This paper examines the evolution of Colombian women's participation in the labor market from 1960 to 2018, shedding light on the complex factors that influence their labor opportunities. The study emphasizes the significance of the historical context in understanding these factors. This research uncovers nuanced insights using a two-step methodology involving principal component analysis and time-varying effect modeling. The results indicate that the transition from high to low fertility rates significantly influenced female labor participation until the late 1970s. Educational advancements, economic growth, and changing marital dynamics also played a role in shaping evolving patterns. From 1980 to 1995, factors such as diminishing fertility, declining infant mortality, and varying economic conditions influenced women's labor involvement. From 1995 to 2010, higher education emerged as a key driver, accompanied by shifting societal norms, and from 2010 to 2018, the period witnessed positive contributions from fertility rates, minimum wage, and male labor participation. This study underscores the intricate relationship between education, demographics, social norms, and economics in shaping women's labor force participation, providing valuable insights for gender-inclusive policies and promoting women's economic empowerment
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  • 79
    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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  • 80
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Communicable Diseases ; Covid Impact on Eldercare ; Covid-19 Pandemic Impact on Long Term Care ; Digital Health ; Disease Control and Prevention ; Elder Health ; Health Policy and Management ; Health, Nutrition and Population ; Long Term Care Systems ; Population Policies ; Welfare of Older Populations
    Abstract: This policy note examines the major impacts of COVID-19 on various aspects of older peoples' lives and health and long-term care (LTC) systems. It also provides a close review and analysis of public health measures and their impact in seven countries: Japan, Germany, Republic of Korea (Korea), Thailand, Vietnam, the United Kingdom (UK, specifically England), and the United States (US). Globally, older people have been one of the most affected groups during the pandemic. An adequate response to the impact was neglected or delayed in many countries, hence there is a critical need for systems to be more prepared. To better protect the increasing population of older people with complex health and care needs under the current prolonged pandemic, as well as during future ones, countries with limited resources should continue to strengthen their extant community-based care systems and foster the engagement of families and civil society in elder care. These countries also need to establish formal LTC systems and increase financial and workforce capacities of their systems. Care innovations through digitalization can provide useful tools to improve system efficiency and coverage, but better evidence and further policy efforts are necessary for effective use of these tools in the development of inclusive and integrated health and care systems resilient to future pandemics. Quality, timely, comparable data is crucial to support policy making and evaluation of aged-care systems promoting the health and well-being of later life for all
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  • 81
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Domestic Violence ; Gender ; Gender and Rural Development ; Gender and Social Policy ; Gender Norms ; Intimate Partner Violence (IPV) ; Law and Development ; Prevalence of Gender-Based Violence ; Social Conflict and Violence ; Social Development ; Social Norms ; Violence Against Women and Girls (VAWG) ; Women's Labor Force Participation
    Abstract: The economy of Chile, with a total population of approximately 19.493.185 by 2021, is undergoing an adjustment phase after a remarkable expansion in 2021, with real gross domestic product (GDP) growth dropping to 2.4 percent in 2022 due to normalized consumption and contractionary policies. This economic adjustment is predicted to continue during the first half of 2023, as consumption is expected to fall further amid weakened household liquidity and labor market. The Chilean economy is based on the exploitation of agricultural, fishing, forest, and mining resources. Chile has made several improvements in gender parity, but violence against women remains a significant problem in the country. As the COVID-19 pandemic has exacerbated the problem of gender-based violence, women's labor force participation rate reduced by 10 percentage points as well as several other indicators have been affected negatively
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  • 82
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Rude, Britta Quantifying Vulnerability to Poverty in El Salvador
    Keywords: Adaptive Safety Nets ; Development Patterns and Poverty ; Household-Level Shocks ; Inequality ; Poverty Reduction ; Risk Mitigation Strategy ; Social Development ; Social Protections and Labor ; Social Risk Management ; Vulnerability To Poverty ; Vulnerable Populations
    Abstract: El Salvador is marked by high vulnerability to risks and hazards, such as crime, natural disasters, and migration. Therefore, it is crucial to understand the vulnerability patterns of its population. This paper applies an innovative approach to estimate the population's vulnerability to poverty and analyze its underlying drivers. The findings show that ex-ante vulnerability to poverty decreased over 2016 to 2019, a parallel trend to the poverty reduction observed in the country during this period. This finding comes hand in hand with an increase in the importance of risk factors relative to a low accumulation of assets driving vulnerability. Additionally, household-level shocks play a more significant role than community-level shocks. To address vulnerabilities in the country, the government should invest in adaptive safety nets and risk mitigation strategies
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  • 83
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Avalos, Edgar Firms' Digitalization during the COVID-19 Pandemic: A Tale of Two Stories
    Keywords: Coronavirus ; COVID-19 ; Digital Adoption in Developing Countries ; Digital Divide ; Digitalization ; Firm-Level Innovation ; Health, Nutrition and Population ; ICT Policy and Strategies ; Information and Communication Technologies ; Innovation ; Innovation and Technology Policy ; Mobiity Restrictions and Digitalization ; Private Sector Development ; Small and Medium Size Enterprises
    Abstract: The COVID-19 pandemic accelerated the digital transformation of businesses. Using a unique global panel dataset, this paper documents the patterns of digital adoption during the pandemic across firms in 57 (mostly developing) countries. The data show the tale of two stories. On one hand, the pandemic drove firms to increase the use of digital platforms and invest in digital solutions. On the other hand, there is evidence that the digital divide increased. There remain substantial gaps between small and large firms as well as across sectors, particularly for new investments in digital solutions. Firms that did not use any digital platform or channel before the pandemic, also lagged in their response to the pandemic, increasing the gap with those that were more digitally ready. Moreover, although the share of online sales across firms for all size groups increased, there is a growing concentration of online sales among top firms. The paper discusses some of the factors associated with this increase in the digital divide and find that changes in digitalization remain even after mobility restrictions have eased. The analysis suggests that the pandemic has accelerated digitalization, but some firms disproportionately benefited from the digital transformation, potentially increasing the digital divide
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  • 84
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: World Bank Group Gender Thematic Policy Notes Series
    Keywords: Climate Action ; Financing ; Gender ; Gender and Development ; Gender and Economics ; Gender and Environment ; Gender Equality ; Gender Gaps ; Gender Monitoring and Evaluation ; Policies and Regulations ; Social Aspects of Climate Change ; Social Development
    Abstract: Women and disadvantaged groups tend to be more affected by climate change across various dimensions, including health, livelihoods, and agency. Gender gaps are increasingly seen as barriers to effective mitigation and adaptation strategies. Women are also critical leaders and participants of low-carbon transitions. This policy note investigates how gender equality and climate change intersect; explores programmatic experience on the gender-climate nexus; identifies promising entry points and solutions; and offers recommendations for development practitioners, policymakers, and businesses
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  • 85
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Cash Transfers ; COVID-19 ; Labor Market ; Pensions ; Pensions and Retirement Systems ; Poverty ; Social Analysis ; Social Assessment ; Social Development ; Social Funds ; Social Protection System ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: A period of economic growth over the past decade led to a reduction in poverty and improvements in labor market outcomes in Montenegro. Substantial challenges remain, which have been aggravated by the COVID-19 pandemic, drawing attention to the role that social protection plays in reducing poverty and promoting human capital. This note presents a situational analysis of the social protection system in Montenegro. It assesses the extent to which the social protection system in Montenegro fulfils its purpose and proposes areas for reform in the short, medium, and long term. To this end, this note seeks to assess each category of social protection, namely: social assistance, social services, social insurance (specifically pensions) and labor market programs, in terms of program coverage, equity, sustainability and effectiveness
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  • 86
    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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  • 87
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Hallegatte, Stephane The Macroeconomic Implications of a Transition to Zero Net Emissions: A Modeling Framework
    Keywords: Climate Change ; Climate Change Mitigation Investment ; Decarbonization ; Fossil Fuel Transformation ; Macroeconomic Modeling ; Macroeconomics and Economic Growth ; Net-Zero Emissions Economy ; Social Development ; Technological Change
    Abstract: Analyzing the macroeconomic consequences of a transition to a net-zero economy creates specific modeling challenges, including those related to the non-marginal nature of the required transformation, the role of technologies, and the replacement of fossil fuel-based assets with greener ones. To address these challenges, this paper proposes a hybrid modeling approach that starts from a set of sectoral techno-economic scenarios to construct an illustrative resilient and net-zero decarbonization trajectory. It then assesses the macroeconomic implications by linking sectoral dynamics to two macroeconomic frameworks: a multisector general equilibrium framework and an aggregate macrostructural model. This approach combines the advantages of multiple tools and captures the various dimensions of the transition, including the need to tackle simultaneously multiple market failures beyond the carbon externality. The paper illustrates this methodology with Turkiye's objective to reach net zero emissions by 2053. The multisector general equilibrium framework suggests that the transition could contribute positively to Turkiye's economic growth despite the large investment needs, especially when indirect mitigation benefits are taken into account and if labor market frictions can be reduced. Improved energy efficiency in the transportation and building sectors drives the growth benefits in the short and medium terms. The growth benefits depend on how transition investments are financed: if they crowd out other productive investments, the benefits are significantly reduced and can even become slightly negative in the long term. The macrostructural model focuses on implications for public debt and the current account, using two extreme scenarios in which additional investments are triggered by higher productivity or a set of budget-neutral incentives (taxes and subsidies). The model concludes that the transition would have moderate impacts on the current account and public debt. With budget-neutral incentives, there is a small increase in gross domestic product (GDP) growth, the debt-to-GDP ratio increases by 1 to 3 percent, and the current account remains unchanged thanks to the reduction in fuel imports
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  • 88
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Wilkinson, Thomas A Framework for the Economic Evaluation of Digital Health Interventions
    Keywords: Digital Health Intervention ; Economic Evaluation ; Health Intervention Investment ; Health System Decision Making ; Health Systems Development and Reform ; Health, Nutrition and Population ; Low Income Country Health Interventions ; Middle Income Country Health Interventions
    Abstract: Numerous digital health interventions have been piloted in response to the health care challenges low- and middle-income countries face. Because the opportunity cost of investing in digital health interventions can be large, countries must make choices about which interventions to scale up. To make good investment decisions about digital health interventions, there is a need to define and establish their value, and to use economic evaluation to make informed decisions, however DHIs present methodological challenges for economic evaluation. To address these challenges, this paper first creates a 'gap map' of digitalevidence which reveals a dearth of economic evaluation evidence about digital health interventions; this lack can limit decisions on policy, programming, and appropriate scale-up of digital health interventions. To advance work in this field, this paper then develops an economic evaluation framework that can be used when determining the economic value of digital health interventions. Such a standardized approach, alongside guidance to assist the conduct and use of economic evidence, can improve decision making and investments in DHI under constrained health budgets. The resulting digital health intervention economic evaluation framework consists of 5 steps: (1) determine the context, (2) determine the intervention type, (3) establish the level of complexity, (4) set the analytic principles, and (5) represent the value proposition. Users of the framework should attempt to adhere to its steps and principles, but where this is not feasible or appropriate, they should provide justification for the methodological choice. The framework should facilitate methodological transparency, thereby improving the overall usefulness of economic evaluations of digital health interventions
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  • 89
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Gender Assessment
    Keywords: Access and Equity in Basic Education ; Contraceptive Use ; Cutting ; Education ; Female Genital Mutilation ; Gender ; Gender and Health ; Gender and Law ; Gender and Poverty ; Gender-Based Violence ; Girls Education Status ; Maternal Health Access ; Social Conflict and Violence ; Social Development ; Women's Access To Health Services ; Women's Agency ; Women's Economic Opportunity
    Abstract: Evidence shows that Guinean women and girls face important barriers across all dimensions of well-being that prevent them from having access to opportunities on an equal footing with men. The poor agency of women and girls, as reflected in the high prevalence of discriminatory legal and social norms, translates into gaps in health, education, employment, and entrepreneurship, ultimately undermining their capacity to fulfill their potential and imposing important societal costs. This report presents a summary of the key challenges facing Guinean women and girls relative to men and boys. The report has a particular focus on early family formation, a common phenomenon in the country with important implications for girls' and women's well-being and opportunities in life. On the basis of this diagnostic and a review of evidence of what works, the report proposes some strategic lines of action to address the existing constraints and effectively empower Guinean women
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  • 90
    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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  • 91
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Hasanbasri, Ardina Using Paradata to Assess Respondent Burden and Interviewer Effects in Household Surveys: Evidence from Low- and Middle-Income Countries
    Keywords: Computer-Assisted Interviewing ; Household Surveys ; Interviewer Effects ; Paradata ; Poverty Reduction ; Respondent Burden ; Social Analysis ; Social Development ; Survey Methodology
    Abstract: Over the past decade, national statistical offices in low- and middle-income countries have increasingly transitioned to computer-assisted personal interviewing and computer-assisted telephone interviewing for the implementation of household surveys. The byproducts of these types of data collection are survey paradata, which can unlock objective, module- and question-specific, actionable insights on respondent burden, survey costs, and interviewer effects. This study does precisely that, using paradata generated by the Survey Solutions computer-assisted personal interviewing platform in recent national household surveys implemented by the national statistical offices in Cambodia, Ethiopia, and Tanzania. Across countries, the average household interview, based on a socioeconomic household questionnaire, ranges from 82 to 120 minutes, while the average interview with an adult household member, based on a multi-topic individual questionnaire, takes between 13 to 25 minutes. Using a multilevel model that is estimated for each household and individual questionnaire module, the paper shows that interviewer effects on module duration are significantly larger than the estimates from high-income contexts. Food consumption, household roster, and non-farm enterprises consistently emerge among the top five household questionnaire modules in terms of total variance in duration, with 5 to 50 percent of the variability being attributable to interviewers. Similarly, labor, health, and land ownership appear among the top five individual questionnaire modules in terms of total variance in duration, with 6 to 50 percent of the variability being attributable to interviewers. These findings, particularly by module, point to where additional interviewer training, fieldwork supervision, and data quality monitoring may be needed in future surveys
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  • 92
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: DEBT Management ; Fiscal Sector ; Food and Nutrition Policy ; Food Security ; Health, Nutrition and Population ; Inflation ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction
    Abstract: Ghana's economy entered a full-blown crisis in 2022, after having rebounded from the COVID-19 slowdown in 2021. In response to the macroeconomic challenges, the authorities enacted some fiscal adjustment in 2022 but fell short of their consolidation targets; the 2023Q1 fiscal deficit (cash) was within target. Expenditure consolidation and revenue mobilization continued to be hampered by structural constraints. To address these unsustainable domestic and external imbalances, the authorities embarked on a comprehensive debt restructuring operation. Against the backdrop, growth is projected to decelerate further in 2023-24, before picking up in the medium-term. The government has embarked on an ambitious fiscal consolidation plan: however, delivering on it will require addressing long-standing revenue mobilization and budget control weaknesses. In 2023, the authorities intend to finance the fiscal deficit from multilateral (and other official) sources, in the context of the International Monetary Fund (IMF) - supported program, and from the domestic treasury bills (T-bills) market. In addition, leveraging government programs to build up resilience against vulnerability is an imperative and should not be suspended during the crisis. Beefing up the government's payments through the livelihood empowerment against poverty will be critical. Second, support for food self-sufficiency is needed in Ghana (a goal for many countries now due to the global food crisis), while opening the country to generate more export revenues. The Ghana Tree Crops Diversification Project can serve as a critical puzzle piece of the country's current challenges. The project will support poverty alleviation while setting the country up to generate more foreign revenues in the medium to long-term
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  • 93
    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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  • 94
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Nikiema, Pouirketa Rita Women's Empowerment and Child Nutritional Outcomes in Rural Burkina Faso
    Keywords: Agriculture and Women ; Child Nutrition ; Early Child and Children's Health ; Gender and Health ; Gender and Rural Development ; Health, Nutrition and Population ; Maternal Empowerment ; Nutrition ; Women's Empowerment Index
    Abstract: Across developing countries, women play an important role both as producers of major food crops and in improving household nutrition. This research paper aims to assess the effect of improving women's empowerment on the nutritional status of children in rural Burkina Faso. Based on data from the 2014 Multisectoral Continuous Survey, the paper uses variables such as income control, access to land, autonomy in production decisions, access to credit, and social group membership to compute a composite index of women's empowerment. Accounting for potential endogeneity of empowerment, the study adopts a dual-estimation approach that, first, uses average empowerment by stratum and, second, applies an instrumental variable. The results show a low baseline level of women's empowerment in rural areas, but an improvement in empowerment has a relatively high and positive correlation with children's nutritional outcomes. The study suggests that improving women's empowerment components will translate into significant gains in children's nutritional outcomes in rural households
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  • 95
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Assistance ; Gender ; Gender Identity ; Human Rights ; International Law ; Law ; Law and Development ; LGBTI Exclusion ; Sexual Orientation ; Social Development ; Social Inclusion ; Social Protections and Labor ; Sogiesc-Based Exclusion ; Vulnerable Groups ; Workplace Discrimination
    Abstract: Recent research suggests that the effects of stigma, discrimination, and exclusion against lesbian, gay, bisexual, transgender, and intersex (LGBTI) people could be costing economies billions of dollars. There are numerous reasons for these costs, including adverse educational environments, employment discrimination, physical and mental health disparities, and violence. This research aims to estimate the economic cost of exclusion based on sexual orientation, gender identity and expression, and sex characteristics (SOGIESC) in the Republic of Serbia and to provide the country's policy makers, civil society, and development partners with new evidence on the ongoing policy dialogue on strengthening the social inclusion of lesbian, gay, bisexual, transgender, and intersex (LGBTI) people. To estimate the cost of exclusion, this report presents two theoretical models focused on the labor market and related issues. The first model centers mainly on the accumulated loss of individual wages due to the consequences of exclusion. The second model calculates the negative effect of exclusion on accumulated fiscal revenues (due to lower income and payroll taxes) and expenditures (due to higher expenditures for unemployment benefits and active labor market programs)
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  • 96
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Agriculture ; Armed Conflict ; Children and Education ; Civil War ; Conflict ; Conflict and Development ; Displacement ; Food Security ; Food Unaffordability ; Health and Poverty ; Health, Nutrition and Population ; Humanitarian Response ; Limited Health Care ; Living Costs ; Living Standards ; Poverty Reduction ; Reduced Food Intake ; Repeated Shocks
    Abstract: This report highlights respondents' lived experiences during Yemen's conflict as experts of their own experiences. This report aims to present the voices of Yemenis who have now spent eight years living through a civil war, economic crisis, and close to famine. This report is among the few authentically capturing Yemeni voices on a range of day-to-day issues from different governorates across the country. But arguably the small sample size limits ability to generalize findings. However, generalizing findings was not the intention of the report. For each theme, 'Voices from Yemen' presents a multi-stakeholder perspective to mitigate bias towards a single stakeholder group or geographical area. Moreover, the report's findings are in line with those in quantitative reports, such as 'Surviving in the Times of War' or the 'World Bank Phone Survey' report on food security. 'Voices from Yemen' presents a comprehensive picture of suffering derived from human stories behind the statistics. The conflict has made Yemeni lives unaffordable, uncertain, vulnerable, and often unbearable. The power of people's speech and the intensity of their stories narrate their grave vulnerabilities and the sense of helplessness and suffering the conflict has caused
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  • 97
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate ; Health Taxes ; Health, Nutrition and Population ; Household Budget ; Infectious Diseases ; UHC ; Universal Health Coverage
    Abstract: Leaving no one behind is a central promise of the 2030 Agenda for Sustainable Development, which recognizes health as a fundamental human right. Achieving Universal Health Coverage (UHC) is key to delivering on this promise. UHC ensures that everyone receives good quality health services, when and where needed, without incurring financial hardship arising from payments made for those services. The 2023 Universal Health Coverage Global Monitoring Report presents an alarming picture of stagnating access to essential health services and increased financial hardship from out-of-pocket health payments affecting especially the poorest and most vulnerable people. Globally, about 4.5 billion people, more than half of the world population, lack full access to essential health services. Since 2015, health service coverage has stagnated after a dynamic increase in previous years, indicating that urgent action is required by governments to ensure people can access health services. Past progress in service coverage was largely driven by improved access to infectious disease services, but since 2015 there has been minimal to no expansion of health service coverage related to infectious and noncommunicable diseases or for reproductive, maternal, newborn, and child health services. Financial hardship due to out-of-pocket health spending continues to worsen and undermine efforts to eradicate poverty globally. The number of people incurring catastrophic out-of-pocket health spending (more than 10% of their household budget) increased to more than 1 billion people in 2019, or almost 14% of the global population. About 1.3 billion people (almost 17% of the global population) were pushed or further pushed into poverty by out-of-pocket health spending. This includes 344 million people living in extreme poverty. Out-of-pocket health payments reduce the ability of households to afford other essential goods and services and negatively affect a family's consumption levels. Health costs also cause individuals to forgo essential care, which can lead to more severe illnesses or even death. Reaching the goal of UHC by 2030 requires substantial public sector investment and accelerated action by governments and development partners, building on solid evidence. This includes strengthening health systems based on a primary health care approach and advancing equity in both the delivery of essential health services and financial protection. Achieving UHC also requires modern, fit-for-purpose health information systems that provide timely and reliable data to inform policy design. Such shifts are essential following the pandemic's impact on health systems and health workers and in view of deepening macroeconomic, climate, demographic, and political trends which threaten to reverse hard-won health gains around the world
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  • 98
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Arora, Abhishek The Added Value of Local Democracy: Evidence from a Natural Experiment in India
    Keywords: Business Pulse Survey Data ; COVID-19 Impact ; Crisis and Micro and Small Firms ; Crisis Effects ; Governance ; Informality ; International Finance Corporation ; Local Government ; Participations and Civic Engagement ; Resilience ; Social Development
    Abstract: Governments across the world have increasingly devolved powers to locally elected leaders. This paper studies the consequences of local democracy, exploiting a natural experiment in Karnataka, India. Local elections were postponed in 2020, resulting in appointed administrators taking over governance in villages whose elected leaders completed their terms that year. This created quasi-random variation in the governance regime across villages. The paper brings together a rich set of administrative datasets-budgetary allocations from the universe of 6,000 villages, more than a million public works projects, local bureaucratic attendance, welfare benefits, and a primary survey of more than 11,810 households-to estimate the impacts of local democracy. The findings show that local democracy aligns spending more closely with citizen preferences, but these gains accrue more to men, upper castes, and other advantaged social groups. Elected leaders are more responsive to citizen needs and cause local bureaucrats to exert more effort. However, appointed administrators perform better on aspects of governance that are aligned with their specialized skills. Local democracy improves governance in some domains, but it has no overall impact on economic outcomes or effectiveness of COVID-19 management
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  • 99
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Lain, Jonathan Seasonal Deprivation in the Sahel is Large, Widespread, and can be Anticipated
    Keywords: Agriculture ; Economic Insecurity ; Food and Nutrition Policy ; Food Insecurity ; Food Security ; Health, Nutrition and Population ; Livestock and Animal Husbandry ; Macroeconomics and Economic Growth ; Poverty ; Rainfed Agriculture ; Seasonal Poverty VARIATION ; Seasonality ; Welfare
    Abstract: Shocks and seasonality may have profound effects on poor households' wellbeing, especially in contexts like the Sahel where livelihoods depend on rainfed agriculture and pastoralism. Understanding how seasonal variation affects Sahelian households is therefore essential for guiding policies that jointly seek to address chronic poverty, seasonality, and unexpected shocks. This paper uses harmonized household survey data from Burkina Faso, Chad, Mali, Niger, and Senegal, collected in two distinct waves in 2018 and 2019, to examine the extent of seasonal deprivation in the Sahel. These data reveal significant seasonal variation in poverty and wellbeing. Mean real monetary consumption is around 10.5 percent lower in the lean season. Moreover, rather than representing a reduction in dietary diversity, this drop is concentrated in staple foods (especially cereals), implying that seasonality brings about extreme forms of deprivation. Welfare losses may begin early in the lean season, even as early as April. When the data were collected in 2018/19, the climatic conditions were relatively benign and the security situation was more stable than today, so the effects of seasonality shown in this paper likely represent a lower bound. On policy, although initiatives currently focus on responding to unpredictable shocks, seasonal food insecurity could be better tackled by expanding social protection and providing regular transfers early in the lean season, when prices are lower and fewer households have succumbed to extreme deprivation. Seasonal variation happens every year and more can be done to support Sahelian households if there is information on how it will perennially threaten their wellbeing
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  • 100
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: China-World Bank Partnership Trust Fund (CWPF) ; COVID-19 Pandemic Response ; Emerging Disease Challenge ; Health Systems ; Health Systems Development and Reform ; Health, Nutrition and Population ; Korea-World Bank Partnership Facility (KWPF) ; National Health Surveillance System ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; Public Health Promotion ; Public Health Risk Response ; Public Health Surveillance ; Seasonal Epidemic Infection
    Abstract: Although indispensable for improving health outcomes, medicines and vaccines or their administration and use can produce adverse effects, requiring continuous vigilance to ensure that the benefits outweigh the risks. Monitoring the safety of the use of marketed medicines and vaccines, also known as pharmacovigilance, should therefore become much more explicit in efforts to strengthen health systems and prepare for public health crises and normal times because the world is determined to build back better after the COVID-19 pandemic. The objective of this report is to examine the importance of pharmacovigilance in a health system both during a health crisis and in normal times, describe the function, structure, and processes of a functional pharmacovigilance system, and explain the value of drug safety monitoring in building resilience in health systems post-COVID-19 pandemic
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