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  • MPI Ethno. Forsch.  (1,196)
  • Washington, D.C : The World Bank  (1,196)
  • Health, Nutrition and Population  (575)
  • Debt Markets  (446)
  • Social Development  (276)
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  • MPI Ethno. Forsch.  (1,196)
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  • 1
    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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  • 2
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Hutton, Guy Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa
    Keywords: Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Healthcare Associated Infections ; Healthcare Facilities ; Healthcare Waste Management ; Hygiene
    Abstract: In Sub-Saharan Africa, health care facilities face critical challenges in water supply, sanitation, and hygiene services; health care waste management; and environmental cleanliness. With coverage below 50 percent, these deficiencies pose significant health risks to patients and health care workers, contributing to health care-associated infections. Meta-analyses and individual studies estimate rates of health care-associated infections in Sub-Saharan Africa at between 13 and 30 percent of hospital admissions, impacting patients, families, and health care providers. Rising antimicrobial resistance further exacerbates health outcomes and costs. In Eastern and Southern Africa, an estimated 3.1 million health care-associated infections in 2022 incurred over 320,000 excess deaths, costing at least US
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  • 3
    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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  • 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 ; 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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  • 6
    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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  • 7
    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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  • 8
    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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  • 9
    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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  • 10
    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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  • 11
    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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  • 12
    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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  • 13
    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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  • 14
    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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  • 15
    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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  • 16
    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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  • 17
    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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  • 18
    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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  • 19
    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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  • 20
    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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  • 21
    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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  • 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 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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  • 23
    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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  • 24
    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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  • 25
    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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  • 26
    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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  • 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 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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  • 28
    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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  • 29
    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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  • 30
    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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  • 31
    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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  • 32
    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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  • 33
    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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  • 34
    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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  • 35
    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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  • 36
    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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  • 37
    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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  • 38
    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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  • 39
    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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  • 40
    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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  • 41
    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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  • 42
    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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  • 43
    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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  • 44
    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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  • 45
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Kassa, Woubet Food Insecurity Erodes Trust
    Keywords: Agriculture ; Experiential Measures of Food Insecurity ; Food Insecurity ; Food Insecurity Experience Scale ; Food Security ; Gallup World Poll ; Governance ; Health, Nutrition and Population ; Social Contract ; Trust
    Abstract: This study examines the relationship between food insecurity and trust using the 2014-17 waves of the Gallup World Poll and the Food and Agriculture Organization's Food Insecurity Experience Scale. Trust improves public institutions, social capital, public health interventions, and economic development. Vertical trust is represented as an index of trust in national institutions, while horizontal trust is represented as a measure of trust in friends and family. The findings show that food insecurity is associated with a decrease in both measures of trust. The study further document heterogeneous effects of food insecurity across economic development rankings. The results suggest a need for governments to increase food security to bolster public trust, strengthen the social contract, and enhance the effectiveness of development efforts
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  • 46
    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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  • 47
    Language: English
    Pages: 1 Online-Ressource (16 pages)
    Parallel Title: Erscheint auch als Urbina, Maria Jose Least Protected, Most Affected: Impacts of Migration Regularization Programs on Pandemic Resilience
    Keywords: Amnesties ; COVID 19 Impact ; Disease Control and Prevention ; Forced Migration ; Health Policy and Management ; Health Service Management and Delivery ; Health, Nutrition and Population ; Poverty Reduction ; Refugee Pandemic Outcomes ; Refugee Resilience ; Regularization of Migrants
    Abstract: How can regularization programs improve forced migrants' resilience to shocks This paper leverages panel data collected during the COVID-19 pandemic to assess whether Venezuelan forced migrants who were eligible for a regularization program in Colombia were more resilient and less affected by the pandemic than similar but non-eligible forced migrants. The results indicate that access to the program promoted better health access for eligible migrants, facilitating adherence to prevention guidelines and increasing detection rates. Additionally, eligible migrants had better housing and labor conditions, relative to non-eligible migrants
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  • 48
    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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  • 49
    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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  • 50
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Environmental Analysis
    Keywords: Coverage ; Equitable ; Financing ; Health Economics and Finance ; Health System ; Health, Nutrition and Population ; Resilient
    Abstract: The health system in Serbia faces significant challenges arising from a long-term demographic trend and the recent shock caused by the COVID-19 pandemic. Serbia's population is aging at a rapid pace, and the share of the population aged 65 and above almost doubled -from 9.6 percent to 18.7 percent-between 1990 and 2019. This, coupled with high prevalence of unhealthy lifestyle factors, such as smoking, heavy drinking, and high consumption of fatty and sugary diet, has contributed to a rapidly rising burden of noncommunicable diseases (NCDs). Addressing NCDs exerts significant financial pressure on the health system that has been further squeezed after more than two years of dealing with COVID-19. This is all happening in a context where the economic contraction that began in 2020 after the advent of COVID-19 pandemic and compounded with the war in Ukraine has adversely affected the country's capacity to pay for health. The health system also has a challenge to meet population expectations, which have become more demanding after decades of strong economic growth
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  • 51
    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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  • 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 (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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  • 54
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (60 pages)
    Parallel Title: Erscheint auch als Kilic Celik, Sinem Potential Growth Prospects: Risks, Rewards, and Policies
    Keywords: Emerging Markets ; Growth Expectations ; Human Capital Accumulation ; Labor Force Participation ; Macroeconomics and Economic Growth ; Production Function ; Slow Growth ; Social Development
    Abstract: Potential output growth around the world slowed over the past two decades. This slowdown is expected to continue in the remainder of the 2020s: global potential growth is projected to average 2.2 percent per year in 2022-30, 0.4 percentage point below its 2011-21 average. Emerging market and developing economies (EMDEs) will face an even steeper slowdown, of about 1.0 percentage point to 4.0 percent per year on average during 2022-30. The slowdown will be widespread, affecting most EMDEs and countries accounting for 70 percent of global GDP. Global potential growth over the remainder of this decade could be even slower than projected in the baseline scenario-by another 0.2-0.9 percentage point a year-if investment growth, improvements in health and education outcomes, or developments in labor markets disappoint, or if adverse events materialize. A menu of policy options is available to help reverse the trend of weakening economic growth, including policies to enhance physical and human capital accumulation; to encourage labor force participation by women and older adults; to improve the efficiency of public spending; and to mitigate and adapt to climate change, including infrastructure investment to facilitate the green transition
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  • 55
    Language: English
    Pages: 1 Online-Ressource (26 pages)
    Parallel Title: Erscheint auch als Porgo, Teegwende Valerie Prevalence of Catastrophic and Impoverishing Health Expenditures and Potential Protection against Financial Risks through Subsidies in Guinea
    Keywords: Bamako Initiative ; Catastrophic Health Expenditure ; Financial Risk Protection ; Health, Nutrition and Population ; Impoverishing Health Expenditures ; Prescription Subsidy ; Universal Health Coverage (UHC)
    Abstract: Universal health coverage initiatives in Guinea have been hampered by insufficient budget allocations and inefficiencies. Nevertheless, data on the extent of catastrophic and impoverishing health expenditures in Guinea are scarce and outdated. The objectives of this study were to (1) identify the drivers of total health expenditures, (2) estimate the prevalence of catastrophic and impoverishing health expenditures, and (3) estimate the drivers of and potential financial risk protection against catastrophic and impoverishing health expenditures through subsidies in Guinea. A retrospective cohort study was conducted using the 2018-19 Guinea Living Standards Measurement Study. All 41,449 individuals in the Study were eligible, but 15 individuals who lacked consumption expenditure data were excluded. Expenditure data were converted to 2019 international dollars. Based on means and medians, the primary drivers of total health expenditures were hospitalizations (USD 78 and USD 51, respectively) and medications (USD 72 and USD 61, respectively). Based on the distribution of total health expenditures by expenditure categories, the primary driver was medications (75 percent). The main driver of hospitalization expenditures was fever and malaria (21 percent of hospitalization expenditures). The prevalences of catastrophic and health expenditures (equal to or greater than 10 percent threshold) and impoverishing health expenditures were 13 and 4 percent, respectively. Subsidizing medications would prevent 46 percent of the cases of catastrophic health expenditures and 73 percent of the cases of impoverishing health expenditures. It is recommended that the Guinean government (1) strengthen the country's pharmaceutical sector by reinforcing existing laws and regulations and the operational aspects of the sector; (2) implement subsidy programs for rational use of medicines (notwithstanding the Bamako Initiative); (3) strengthen the National Malaria Control Program; and (4) establish an evidence-based operational financing strategy for universal health coverage
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  • 56
    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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  • 57
    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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  • 58
    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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  • 59
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Bedoya, Guadalupe The Unintended Consequences of Curfews on Road Safety
    Keywords: Congestion Externalities ; Curfew ; Curfew Vehicle Crashes ; Health Policy and Management ; Health, Nutrition and Population ; Pandemic ; Road Safety ; Urban Road Safety ; Vehicle Crash
    Abstract: During COVID-19, curfews spread like wildfire. Although their impact on curbing the spread of disease remains to be proven, curfews have the potential to bring about costs to society in multiple domains. This paper investigates the impact of curfews on road safety in an urban setting. It shows that they lead to large reductions in crashes during the curfew hours when cars are off the road, but that these reductions can be fully offset by an increase in crashes during the hours before the curfew when people rush to get home. These findings forewarn that the use of curfews in future crises and pandemics should be carefully scrutinized and designed to minimize unintended negative effects
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  • 60
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George The Importance of Maintenance: Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe
    Keywords: Cholera Outbreaks ; Cholera Risk ; Communicable Disease ; Health and Sanitation ; Health, Nutrition and Population ; Infrastructure Maintenance ; Sanitation Infrastructure ; Water-Born Illness ; Waterinfrastructure
    Abstract: Understanding the specific factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. This paper uses georeferenced case data from the cholera epidemic that occurred in Harare, Zimbabwe, from September 2018 to January 2019. The paper applies spatio-temporal modeling to understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. The study highlighted a number of findings. First, using call detail records to estimate weekly population movement throughout the city, the results suggest that human movement helps to explain the spatiotemporal patterns of the cases observed. In addition, the results highlight a number of sociodemographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure, with populations living in close proximity to the sewer network with high access to piped water being at higher risk. A possible explanation for this surprising observation is that sewer bursts led to the contamination of the piped water network, turning access to piped water, usually assumed to be protective, into a risk factor. Although further studies are required to test this hypothesis, if it is true, it highlights the importance of maintenance for achieving the Sustainable Development Goals of improved water and sanitation infrastructure
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  • 61
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agri-Food Jobs ; Agricultural Pollution ; Agriculture Employment ; Employment and Unemployment ; Environment ; Food and Beverage Industry ; Food and Nutrition Policy ; Food Industry ; Food Industry Pollution ; Green Issues ; Green Transition Jobs ; Health, Nutrition and Population ; Industry ; Poverty Reduction ; Social Protections and Labor ; Youth Employment
    Abstract: The agri-food system (AFS) employs about one third of the global workforce and contributes about one third of global greenhouse gas (GHG) emissions. This together with its large exposure to the effects of climate change and environmental degradation makes what happens in AFS central to the green transition and its implications for jobs and the structural transformation. Microeconomic evidence suggests that the adoption of climate smart agricultural practices will increase labor requirements, at least in the short run and at lower levels of incomes, when its mechanization is still limited. Econometric macro-model-based simulations suggest however that especially substantial investment in climate friendly agricultural R and D as well as soil and water preserving practices and market integration will more than offset the negative effects of climate change and even accelerate the structural transformation, especially in Sub Saharan Africa. Overall, the findings underscore the tremendous potential of increasing agricultural and climate friendly R and D investment for brokering an environmentally sustainable structural transformation. Repurposing of agriculture's current USD 638 billion support package towards supporting more climate friendly practices, including to overcome the time lag between the moment of investment and the realization of the benefits, provides an important policy entry point
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  • 62
    Language: English
    Pages: 1 Online-Ressource
    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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  • 63
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Public Expenditure Review
    Keywords: Civil Service Reform Roadmap ; Conflict and Development ; Fiscal and Monetary Policy ; Fiscal Balance ; Fiscal Risk ; Government Revenue Composition ; Macro-Fiscal Development ; Macroeconomics and Economic Growth ; Post Conflict Reconstruction ; Public Expenditure Review ; Public Wage Bill ; Social Development ; Social Risk Management
    Abstract: Honduras remains one of the poorest and most unequal countries in the Western Hemisphere. Structural exposure to external shocks and natural hazards go hand in hand with high levels of crime, political instability, and a weak institutional and business environment. These problems have undermined the country's competitiveness and economic diversification, propelled emigration, and slowed progress toward raising incomes, reducing poverty, and tackling exclusion. Vulnerability to external shocks, natural hazards, and fiscal risks constitute important development challenges. The compound effect of the pandemic and two hurricanes in 2020 underscored the fragility of economic and poverty gains, and Honduras's exposure to potential reversals. Substantial fiscal risks coupled with insufficient risk management and inefficient and rigid public spending constrain the country's capacity to respond efficiently and effectively to shocks. The crucial challenge faced by Honduran policy makers is to reinforce fiscal resilience to achieve, to protect, and to sustain income and poverty gains. This Public Expenditure Review (PER) considers key fiscal challenges faced by policy makers to strengthen fiscal resilience and sustainability: significant fiscal risks and the high public wage bill
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  • 64
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Disease Control and Prevention ; Economic Growth ; GCC ; Gulf Cooperation Council ; Health, Nutrition and Population ; Inflation ; Macroeconomics and Economic Growth ; NCDS ; Non-Communicable Diseases
    Abstract: The Gulf Cooperation Council (GCC) economies performed strongly in 2022. Amidst a year of economic uncertainty marked by inflation, geopolitical crises, and supply chain insecurity, the GCC region registered remarkable GDP growth of 7.3 percent in 2022. Progress made on structural reforms are bearing fruits on the economy. Despite the uptick, inflation remains relatively muted in comparison to other high-income countries. Looking ahead, the GCC region is projected to grow at a slower pace. The main contributors to this growth are private consumption, fixed investments, and government expenditures through looser fiscal policy in response to high oil revenues. However, downside risks to the outlook are numerous. Special Focus: Non-Communicable Diseases (NCDs) pose a major health burden to the population and governments of the GCC. NCDs are also a growing concern from an economic perspective. To mitigate the health and economic burden of NCDs, the region needs to scale up efforts to target the behavioral and environmental risk factors of NCDs. Effectively addressing NCDs requires a whole-of-government approach, and the effective implementation and monitoring of targeted, evidence-based solutions. Addressing the risk factors of NCDs requires an increased strategic focus on prevention over treatment, targeting of the young and adolescents, and the development and implementation of evidence-informed, cost effective, high impact interventions. Governance structures that can effectively mobilize, incentivize, and hold accountable the many non-health sectors in the implementation and monitoring of cost-effective interventions are critical
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  • 65
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Diabetes ; Health Care ; Health Indicators ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Hypertension ; NCDS ; Noncommunicable Diseases
    Abstract: North Macedonia, an Eastern European nation of 1.836 million inhabitants, has a growing burden of noncommunicable diseases (NCDs). An aging population and high levels of NCD risk factors are mainly responsible, with tobacco, raised blood pressure, and unhealthy diets driving mortality and disability. To better address the needs of its rapidly aging population, the growing challenges posed by chronic conditions, and improve overall health system performance, the country is developing a new primary health care (PHC) model. This model should improve the quality of care and the efficiency of primary care by reducing fragmentation, enhancing coordination, prioritizing prevention, and strengthening the role of primary care nurses. Aim of the study is to strengthen the evidence on quality and continuity of care for diabetes and hypertension - the two conditions driving the burden of chronic NCDs and associated health care costs in North Macedonia - a cascade analysis was carried out using a mixed methods design. The assessment drew on secondary quantitative data from national and international sources, primary quantitative data from 2,400 patients in 12 general practitioner (GP) practices, and primary qualitative data from health care providers and patients. Patient data were extracted from the eHealth system (MojTermin) and paper medical records from September to November 2021
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  • 66
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Systems Development and Reform ; Health, Nutrition and Population ; National Health Systems ; Resilience ; South Caucasus
    Abstract: This report looks at resilience through national health system lenses and provides lessons to strengthen health systems for future shocks. The findings are based on case studies from five countries in Eastern Europe and the South Caucasus (Armenia, Azerbaijan, Georgia, Moldova and Ukraine), as well as focus group discussions with the population and health care workers in Georgia, Armenia, and Moldova. The following section provides the definition and examples of health system resilience. This is followed by descriptions of the baseline characteristics of the five Eastern European and South Caucasus countries' health systems pre-pandemic performance, which determined most of their capacity and decisions to deal with the shock. The rest of this report reviews key baseline characteristics of the health systems in the countries, which are followed by lessons from the countries' responses to the pandemic (a summary of each country case study is provided in Annex A). The report concludes with recommendations for building the strong and resilient health systems needed to protect human capital through shocks and crises
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  • 67
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Access and Equity in Basic Education ; Accessibility ; Child-Focused ; Curriculum and Instruction ; Disability ; Education ; Education Reform and Management ; Inclusive Education ; Social Development ; Social Inclusion and Institutions
    Abstract: This report presents a review of different approaches in service delivery being implemented in the regions of Sub-Saharan Africa (SSA) and South Asia (SA) to ensure the inclusion of children with disabilities in education. The review examines in what ways (and the extent to which) different approaches have been operationalized and contextualized to enable the inclusion of children with disabilities in mainstream education systems, focusing specifically on primary schooling
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  • 68
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Financial Viability ; Health, Nutrition and Population ; Immunizations ; Investments ; Vaccine Security ; Value Chain
    Abstract: This regional analytical activity will contribute to knowledge on the technical, operational, and financial viability and strategic partnership required among ASEAN countries to strengthen coordinated investments on the vaccine value chain. The ASA has three major activities: i) A deep-dive public sector technical assessment of country and regional level vaccine security, including gaps and opportunities across the value chain from RandD to last mile distribution; ii) A private sector value chain analysis covering upstream and downstream aspects of vaccine manufacturing; and iii) An economic analysis examining the feasibility of coordinated investments across countries to leverage comparative advantage in specific aspects of the vaccine value chain
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  • 69
    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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  • 70
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: FDA ; Health Policy and Management ; Health Sector Funding ; Health, Nutrition and Population ; Pharmacovigilance ; Safety Monitoring
    Abstract: The objective of this report is to examine the development of pharmacovigilance (PV) in Ghana and illustrate the role it plays in the health system, and more recently, during the COVID-19 emergency response. It concludes by offering some relevant lessons for building PV capacity in other low-and middle-income countries
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  • 71
    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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  • 72
    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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  • 73
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Vaccine ; Disease Control and Prevention ; Emerging Disease Challenge ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; National Health Surveillance System ; Pharmacovigilance Case Study ; Public Health Risk
    Abstract: The Spanish System of Pharmacovigilance (SSPV) started its activities almost 40 years ago, in 1985. Of particular interest to others considering various options for developing pharmacovigilance systems is the fact that this case study highlights an example that built from the ground up and actually started in academia: the SSPV began as a research project in a university institution in Catalonia that was later adopted by the Ministry of Health. From these origins, a regulatory framework gradually allowed this initiative to expand to the whole country. In 1990, after technical training for the professional staff involved, responsibility for coordinating the system was transferred to a specially created coordinating center for the SSPV located in the Spanish Medicines Agency. This report reviews the origins of the system and its key features, followed by two examples of the system in action and closing comments on aspects and lessons that may be of particular value to others developing pharmacovigilance systems elsewhere
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  • 74
    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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  • 75
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Bloem, Jeffrey R Herder-Related Violence, Agricultural Work, and the Informal Sector as a Safety Net
    Keywords: Agriculture ; Conflict ; Farmers and Herders ; Gender ; Gender and Rural Development ; Gender Monitoring and Evaluation ; Gender Related Violence ; Informality ; Livestock and Animal Husbandry ; Safety Net ; Social Conflict and Violence ; Social Development ; Violence
    Abstract: Violent conflict between nomadic herders and settled--mostly agricultural--communities in Nigeria occurs as both groups clash over the use of land and resources, in part, due to a changing climate. This paper uses panel data from 2010 through 2019 to study the labor responses of individuals to exposure to herder-related violence during the post-planting and post-harvest seasons. Specifically, it considers a "shadow of violence" channel, where recent exposure to a violent event alters labor-related responses to a subsequent event. Results find that in the post-planting season, exposure to a herder-related violent event leads to an increase in informal work for both men and women, a decrease in agricultural work for men, and an increase in total hours worked for women among households that have previously been exposed to herder-related violence in the preceding six months. The paper also considers two other specific forms for a "shadow of violence" channel--namely, raised tensions over open-grazing bans enacted in 2016 and 2017 within three states and a drastic peak in violence in the first half of 2018-- and find similar results. Lastly, findings show how household exposure to violence can have so-called knock-on effects. Households exposed to herder-related violence in the previous post-planting season shift consumption and crop selling patterns in the post-harvest season. These findings highlight the gender-specific labor response to violence and document the role of the informal sector as a partial safety net for individuals in the presence of adverse shocks
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  • 76
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Carletto, Gero Too Rare to Dare? Leveraging Household Surveys to Boost Research on Climate Migration
    Keywords: Climate Change ; Climate Change and Health ; Climate Change Impacts ; Climate Change Mitigation and Green House Gases ; Climate Migration ; Climate Migration Nexus ; Environment ; Global Warming ; Health, Nutrition and Population ; Living Standards Measurement Survey (LSMS) ; Microeconomic Data ; Social Aspects of Climate Change ; Social Development
    Abstract: Reliable microeconomic data to understand the climate-migration nexus are virtually nonexistent. Nationally representative multitopic household surveys are rarely, if ever, explicitly designed for studying migration issues. Despite this limitation, most countries have no alternatives to the use of household surveys when it comes to analyzing complex multidimensional phenomena such as the interrelationship between climate change and migration. This paper offers a critical reflection on current challenges faced by multi-topic household surveys in responding to this need, but also, more importantly, on the many opportunities embedded in their use. Specifically, using the Living Standards Measurement Study as a case study, a conceptual framework, practical empirical guidance, and a methodological agenda are proposed to address data gaps and contribute to a more solid understanding of the climate-migration nexus
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  • 77
    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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  • 78
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Armed Conflict ; Conflict and Development ; Development Economics and Aid Effectiveness ; Development Indicators ; Financial Market Monitor ; Human Welfare Indicators ; Macroeconomic Outlook ; Macroeconomics and Economic Growth ; Social Conflict and Violence ; Social Development
    Abstract: The Yemen Economic Monitor provides an update on key economic developments and policies over the past six months. It also presents findings from recent World Bank work on Yemen. The Monitor places these developments, policies, and findings in a longer-term and global context and assesses their implications for Yemen's outlook. Its coverage ranges from the macro economy to financial markets to human welfare and development indicators. It is intended for a wide audience, including policy makers, development partners, business leaders, financial market participants, and the community of analysts and professionals engaged in Yemen
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  • 79
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Disability ; Education For All ; Fidelity Assessment ; Health, Nutrition and Population ; ICT Applications ; Information and Communication Technologies ; Innovations ; PIP Framework ; Primary Health Care
    Abstract: Implementation science is a multidisciplinary field that focuses on studying and promoting effective strategies for translating evidence-based interventions (EBIs) into routine practice to improve outcomes in real-world settings. It has been increasingly used to document and assess interventions, as it helps to make sense of how, when, where, and why research results and EBI are, or are not, being successfully used. When compared to traditional project design, implementation, and management of health care interventions, implementation science can add value by addressing the specific complexities and challenges associated with implementing and scaling up these interventions. More specifically, it helps to analyze and understand the contextual factors, stakeholder dynamics, and system-level barriers that can hinder the successful adoption and integration of health care interventions. In this sense, by integrating implementation science principles the World Bank can tailor strategies, develop robust implementation plans, and leverage evidence-based practices to overcome implementation problems, which is particularly useful for primary health care interventions and other interventions targeted at improving health and nutrition outcomes at scale. It is important to consider implementation strategies that are responsive to context, as they help bridge the gap between EBI and implementation outcomes. Tailoring implementation strategies to the specific context enables implementers and managers to address barriers and leverage facilitators, thereby increasing the likelihood of success
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  • 80
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate Change ; Climate Change Adaptation ; Environment ; Health ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Human Rights ; Threat Mitigation
    Abstract: Climate change has been called the most important threat to human health in the 21st century. It is estimated that if thetemperature rises and its impact on the other climatic variablescontinues unchanged, it will kill more than 83 million people (1 percent of the world's population) in the next 80 years (Wattset al. 2020)-13 times the toll of the COVID-19 pandemic (WorldHealth Organization 2023). Historically, only pandemics or worldwars have posed such threats to human health. As a result, the issue has aroused unprecedented attention. In 2021, the World Health Organization (WHO) declared climate changethe greatest health threat facing humanity (WHO 2021). Now, more than 195 governments have included climate change mitigation and adaptation as pillars in their multi-year plans, and government health sectors have been developing plans tomeasure and respond to the impact of climate change on health. However, recognition of the links between climate change and health remains nascent, so these efforts have not yet been accompanied by strategic and actionable approaches to measure the impacts and ground the responses. This report contributes to addressing that gap by providing a framework for understandingthe impact of climate change on human health in Colombia and by outlining the most effective actions to mitigate the threat
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  • 81
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: 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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  • 82
    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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  • 83
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Child Marriage ; Fertility Decision Making ; Forced Marriage ; GBV Prevention ; Gender ; Gender and Economic Policy ; Gender and Law ; Gender-Based Violence (GBV) ; Human Rights ; Law and Development ; Limitations On Decision-Making ; Social Development ; Social Inclusion and Institutions
    Abstract: This thematic note is part of a broader mixed-method study on gender inequalities in Madagascar, which intends to illustrate the key gender gaps in the country and shed light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. This thematic note provides in-depth analysis of the limitations that Malagasy women and girls encounter in respect to their agency and proposes several strategic lines of action to improve women's and girls' voice and decision-making and to eliminate all forms of GBV. This note is accompanied by the overview of all study findings and three thematic notes that present in-depth insights in the following key dimensions: education, health, and economic opportunities
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  • 84
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Beck, Thorsten Banking in Africa: Opportunities and Challenges in Volatile Times
    Keywords: Access To Finance ; Banking ; Banking Systems ; Finance and Financial Sector Development ; Financial Cycles ; Financial Inclusion ; Financial Innovation ; Financial Stability ; Social Development ; Social Inclusion and Institutions
    Abstract: This paper surveys existing literature and data to take stock of the current state of banking systems across Sub-Saharan Africa. It documents different dimensions of the development of the banking systems in the region and compares Africa's banking systems to those of comparable low- and lower-middle-income countries outside the region. The paper also discusses the progress in policies and institutions underpinning financial deepening and the results of specific innovations to reach traditionally unbanked segments of the population, such as innovative branch expansion programs, mobile banking, and new financial products. In view of the COVID-19 pandemic, the paper discusses government support for financial systems and banking sector performance during crises. Overall, the survey shows a picture of achievements and challenges, with progress along some fronts but other challenges persisting even as new ones arise, including the turning of the global financial cycle in 2022/23 and increasing geopolitical tensions
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  • 85
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Communicable Diseases ; Disease Control and Prevention ; Health Economics and Finance ; Health Financing ; Health Systems Development and Reform ; Health, Nutrition and Population ; Infectious Disease Prevention ; Post-Covid Public Spending ; Post-Pandemic Health Care Sector Support ; Socioeconomic Recovery From Covid
    Abstract: The budget allocation in response to the COVID-19 pandemic indicates an increase in both health and non-health sectors, together with policy prioritization to mitigate socioeconomic damage globally. In contrast with responses to previous economic crises, many governments instead expanded their budget, resulting in increased support for the health care sector. However, a significant portion of the budget was allocated to economic stimulus and industrial investment. Accordingly, the budget allocated to prevention and response to infectious diseases in the health care sector was relatively small, or it was spent from ear-marked resources such as social health insurance. However, health crises such as the pandemic required an essential workforce and additional services to protect population health and expedite the socioeconomic recovery. In this sense, strengthening the sustainability and resilience of the health care system was a way toward national security and economic growth. Governments would need to allocate additional budgets to the health sector in response to health crisis, and mobilize earmarked funds collected from social insurance contributions. The latter enables the provision of essential health services with or without governments' financial support. A mixed payment system could boost surge capacity in the health care system and provide incentives for medical providers
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  • 86
    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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  • 87
    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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  • 88
    Language: English
    Pages: 1 Online-Ressource (45 pages)
    Parallel Title: Erscheint auch als Alfani, Federica Job Displacement and Reallocation Failure: Evidence from Climate Shocks in Morocco
    Keywords: Agriculture ; Climate Change ; Climate Change and Agriculture ; Climatic Shock ; Communities and Human Settlements ; Drought ; Employment and Unemployment ; Evapotranspiration Precipitation Index (SPEI) ; Gender and Climate Change ; Human Migrations and Resettlements ; Job Displacement ; Migration ; Resettlement ; Social Development ; Unemployment ; Voluntary and Involuntary Resettlement
    Abstract: This paper investigates the effects of severe drought shocks in Morocco's agriculture sector. Using a staggered difference-in-differences design, the estimates show that climatic shocks produced job displacement of about 6.5 percentage points for workers who were exposed to severe drought events. Overall, about 45 percent of these workers remained unemployed, generating a partial reallocation failure. The effects are significant only for severe and extreme shocks; they last for at least five years, and are more pronounced among females and the least educated workers
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  • 89
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Wollburg, Philip The Evolution of COVID-19 Vaccine Hesitancy in Sub-Saharan Africa: Evidence from Panel Survey Data
    Keywords: Access To Health Service ; Attitudes Toward Medicine ; COVID-19 Vaccine ; Health Service Delivery ; Health, Nutrition and Population ; Immunizations ; Psychology ; Public Health Promotion ; Social Development ; Vaccination ; Vaccine Hesitancy
    Abstract: COVID-19 vaccination rates in Sub-Saharan Africa lag behind other world regions, with just over 20 percent of the population in Sub-Saharan Africa fully vaccinated. To reach widespread coverage, high willingness to get vaccinated for COVID-19 among the population is considered an important prerequisite. Drawing on two years of panel survey data, this paper studies the dynamics of vaccine acceptance, its correlates, and reasons for hesitancy over time. The data come from multiple rounds of national High-Frequency Phone Surveys in five countries in East and West Africa (Burkina Faso, Ethiopia, Malawi, Nigeria, and Uganda), covering the period between 2020 and 2022. The surveys are cross-country comparable and draw their samples from nationally representative sampling frames. The paper finds that COVID-19 vaccine acceptance has been high throughout the study period (68 to 98 percent). However, acceptance levels were lower in 2022 than in 2020 in three countries (Burkina Faso, Malawi, and Nigeria) and higher in one country (Uganda). Moreover, individuals are observed to change their stated vaccine attitudes between survey rounds, to a limited extent in some countries (Ethiopia) and more frequently in others (Burkina Faso, Malawi, Nigeria, and Uganda). Vaccine hesitancy is higher in richer households and among those residing in urban areas, women, and the better educated. Conversely, hesitancy is lower in larger households and among heads of the household. The main reasons for hesitancy are concerns about side effects of the vaccine, its safety and efficacy, as well as assessments of COVID-19 risk, although these reasons fluctuate over time. The findings suggest that vaccine hesitancy is not the primary obstacle to reaching greater vaccine coverage in Sub-Saharan Africa. Instead, low coverage rates may be related to access and delivery barriers as well as supply shortages. Nevertheless, vaccine attitudes appear malleable so that continued efforts are needed to retain high levels of vaccine acceptance
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  • 90
    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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  • 91
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Stojetz, Wolfgang Coping with Compounding Challenges in Conflict Crises: Evidence from North-East Nigeria
    Keywords: Conflict Crisis ; Forced Displacement ; Gender ; Gender and Displacement ; Internallydisplaced Persons ; Law and Development ; Most Vulnerable Refugee Groups ; Social Development ; Violent Conflict
    Abstract: This paper analyzes how the intersectionality of gender, forced displacement, and collective violence shapes coping behaviors in conflict crises, paying particular attention to household composition by gender and age. Drawing on survey data from 17,951 individuals in North-east Nigeria, the analysis finds that coping behaviors at the household, adult, and child levels are interlinked and strongly shaped by compounding challenges stemming from individual gender, household forced displacement status, and local violence shocks. These challenges have significant welfare implications and create severe vulnerabilities and special needs for specific groups of households and individuals, such as rural communities affected by violence, large households with many children, female breadwinners, and displaced girls. The findings emphasize the need for and potential of concerted policy approaches that account for the intersectionality of gender, displacement, and violence in conflict settings and pay particular attention to specific types of communities, households, and individuals
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  • 92
    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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  • 93
    Language: English
    Pages: 1 Online-Ressource (23 pages)
    Parallel Title: Erscheint auch als Seitz, William Can Vaccination Incentives Backfire? Experimental Evidence That Offering Cash Incentives Can Reduce Vaccination Intentions in Some Contexts
    Keywords: COVID-19 Pandemic ; Health, Nutrition and Population ; Monetary Incentive ; Public Health Promotion Research ; Vaccination Experiment ; Vaccination Incentive
    Abstract: This paper studies the effect of proposing a monetary incentive for vaccination intentions, with a survey-based randomized controlled experiment conducted separately in three countries, Tajikistan, Uzbekistan, and Kazakhstan. Respondents from nationally representative surveys were randomly assigned to a control group (for which no incentive was proposed) or to one of several treatment groups with varying levels of hypothetical compensation. Offering incentives markedly reduced overall vaccination intentions -all three counties. Country-level results ranged from no meaningful effect on vaccination intentions (Tajikistan) to a decline of up to 22 percent (Uzbekistan and Kazakhstan). In follow-up questions, most respondents said they disapprove of offering financial incentives for vaccination, and especially in contexts with strong negative effects in the experiment. The results contrast with the well-established efficacy of monetary incentives to influence vaccination behavior in other settings, but they are consistent with findings from the behavioral literature in which incentive payments signal inferiority or disutility. The findings suggest that policy makers and practitioners should use caution when considering extrinsic incentives for vaccination and other health interventions where effects have not been tested
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  • 94
    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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  • 95
    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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  • 96
    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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  • 97
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Chatterjee, Shreya Leveraging Social Cohesion for Development Outcomes
    Keywords: Citizen-State Relations ; Civil Society ; Collective Action ; Community Connections ; Empowerment ; Fragile Communities ; Social Cohesion ; Social Cohesion Measurement ; Social Development
    Abstract: Efforts to promote social cohesion through development projects have had to contend with multiple definitions of the term, a lack of clarity on diagnostic and measurement approaches, and contradictory evidence on the effectiveness of different types of interventions meant to repair or reinforce it. This paper first offers a definition of social cohesion that highlights three sets of relations: those connecting individuals within a community (bonding), those connecting individuals across distinct communities (bridging), and those connecting individuals to people and structures in a position of power (linking). Together, these three dimensions constitute a framework for diagnosing gaps in social cohesion, assessing trends, and prioritizing interventions and investments. The paper also outlines strategies for diagnosing gaps in social cohesion and tracking trends along these three dimensions, providing concrete recommendations for teams designing social cohesion measurement strategies. Finally, the paper reviews the evidence on what works to reinforce cohesion within community, to build trust across groups, and to strengthen citizen-state relations. This review highlights different types of intervention that can help promote social cohesion, while suggesting that their effectiveness is conditional on sound diagnoses and rigorous implementation processes
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  • 98
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Reed, Tristan Is the Global Economy Deglobalizing? And if so, Why? and What is Next?
    Keywords: Deglobalisierung ; Außenhandel ; Internationale Beziehungen ; Handelskonflikt ; Protektionismus ; Kapitalmobilität ; Importbeschränkung ; Internationaler Wettbewerb ; Geopolitik ; Geoökonomie ; Welt ; Deglobalization ; Economic Impacts Of Globalization ; Geoeconomics ; Geopolitical Risk ; Health Policy ; Health, Nutrition and Population ; International Relations ; Internationalpolitical Economy ; National Security ; Resilience ; Trade ; Trade War
    Abstract: Data on global trade as well as capital and labor flows indicate a slowdown, but not reversal, of globalization post the 2008-09 financial crisis. Yet profound changes in the policy environment and public sentiment in the largest economies over the past five years suggest the beginning of a new era. Increasing anxiety about the labor market effects of import competition from low-wage countries, especially China, laid the groundwork, but was not the catalyst for the reversal in attitudes towards globalization. Similarly, the COVID pandemic provided novel arguments against free trade based on global supply chain resilience, but neither the pandemic nor short run policy response had enduring effects on trade flows. Global trade was remarkably resilient during the pandemic and that supply shortages would likely have been more severe in the absence of international trade. After a temporary decline in 2020, global trade in goods and services increased sharply in 2021. Russia's invasion of Ukraine raised new concerns about national security and the exposureof supply chains to geopolitical risk. This was followed by demands to diversify away from "non-friendly" countries and to the employment of trade policy, export restrictions in particular, to halt China's technological development. The future of globalization is highly uncertain at this point, but these new policies will likely slow global growth, innovation, and poverty reduction even if they benefit certain industries in certain countries. Regarding resilience, the main goal of recent trade policy changes, measures of trade volatility or concentration can be helpful, but resilience will be elusive as long as we lack benchmarks against which policy performance can be measured
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  • 99
    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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  • 100
    Language: English
    Pages: 1 Online-Ressource (84 pages)
    Parallel Title: Erscheint auch als Barron, Patrick Social Sustainability and the Development Process: What is it, why does it Matter, and How can it be Enhanced?
    Keywords: Development Process ; Legitimacy ; SDG Framework ; Social Aspects of Climate Change ; Social Development ; Social Sustainability ; Socially Sustainable Policy ; Sustainable Development Goals (SDG)
    Abstract: Development debates frequently focus on making economic growth sustainable or ensuring that natural resources are used sustainably; such debates rest on longstanding scholarship and largely shared understandings of how such problems should be addressed. Increasingly, there are also calls for development to be socially sustainable. Yet the theory and evidence undergirding this third "pillar" are comparatively thin, focusing primarily on high-income countries and mapping only partially onto a coherent policy agenda. This paper seeks to help close these gaps by providing (a) a brief history and literature review of social sustainability, emphasizing its distinctiveness from economic and environmental sustainability; (b) a definition and conceptual framework, identifying social sustainability's key components; (c) empirical evidence linking these components to mainstream development outcomes; and (d) operational insights for promoting social sustainability-on its own and as a complement to economic and environmental sustainability. The scale and intensity of the world's current development challenges-and their impacts not just on economies and the environment but entire societies-requires a more robust understanding of their social dimensions, what policies and programs should be enacted in response, and how such efforts can be implemented with local legitimacy and sustained politically over time
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