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  • Washington, D.C : The World Bank  (838)
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  • 1
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Equitable Growth, Finance and Institutions Insight
    Keywords: Anticorruption Agenda ; Governance ; Governance and Financial Sector ; Integrity Risks ; Law and Development ; Public Administration ; Public Procurement
    Abstract: The Armenia public sector accountability survey is instrumental in addressing the disparities between de jure laws and regulations and de facto practices and seeks to fill existing knowledge gaps and inform further definition and implementation of the government's anticorruption initiatives. The survey was implemented by the Corruption Prevention Commission (CPC) and the World Bank. It aimed to: (i) provide a comprehensive assessment of the patterns and determinants of integrity risks, and how they can impact productivity and performance in the public administration in Armenia; (ii) understand the perceptions of Armenian public servants regarding ongoing anticorruption initiatives, their awareness of integrity risks, and the needs for further interventions; and (iii) generate evidence, support and inform further definition of reforms and anticorruption initiatives that help address and counter weak integrity practices in the public sector in Armenia. By highlighting the disparities between de jure laws and de facto practices, particularly in terms of integrity within the public sector, this survey aimed to serve as a cornerstone for informing effective implementation in targeted interventions and bridging the gap between policy intentions and actual practices within Armenia's governance. The Armenia public sector accountability survey was aimed at public servants in selected public entities in Armenia, including central ministries and agencies, regional governments, and selected municipalities across the country. The analysis of the survey findings is anchored in the government production function conceptual framework and adjusted to explicitly take into account the drivers and consequences of corruption
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  • 2
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (26 pages)
    Parallel Title: Erscheint auch als Thomas, Alastair VAT Rate Structures in Theory and Practice
    Keywords: Economic Theory and Research ; Law and Development ; Macroeconomics and Economic Growth ; Redistribution ; Reduced Rates ; Tax Law ; Tax Rate ; Tax Reform ; Value Added Tax (VAT)
    Abstract: Most countries' value-added tax (VAT) systems apply reduced VAT rates to a selection of expenditure items in order to achieve distributional goals, and (to a lesser extent) social and cultural objectives. This paper assesses the case for applying reduced VAT rates, with a particular focus on OECD countries where reduced rates feature prominently. It examines both the theoretical and empirical evidence, as well as practical considerations, and concludes that the case for reduced VAT rates is weak. In particular, the optimal indirect tax literature finds no redistributive role for reduced VAT rates when other more direct instruments are available. These theoretical findings are supported by the empirical literature that shows reduced VAT rates to be a poorly targeted means of supporting lower income households, particularly when compared to targeted cash transfer programs. Similarly, reduced VAT rates are unlikely to be a well-targeted way to encourage consumption of merit goods, while they also create significant administrative complexity. These findings have significant implications for tax reform in both developed and developing economies. In particular, where countries have the administrative capacity to implement effectively targeted cash transfer programs, they should use these programs to support poorer households instead of reduced VAT rates
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  • 3
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Artuc, Erhan Trade, Outsourcing, and the Environment
    Keywords: Border Carbon Adjustment ; Carbon Policy and Trading ; Carbon Tariffs ; Carbon Tax ; CO2 Emission Leakage ; Environment ; Environment and Trade ; Environmental Policy ; International Economics and Trade ; Law and Development ; Tax Law
    Abstract: This paper analyzes the effects of carbon taxation and border carbon adjustments in a setting where firms can choose to respond to taxation by abating or by outsourcing part of their production. For this, this paper sets up a general equilibrium trade model, calibrated with world trade and input-output data that features a discrete choice production structure, where the producers choose between outsourcing or abating emission-intensive intermediate production steps. The paper finds that border adjustments that cannot target scope 3 emissions can lead to outsourcing, and thus leakage, further down the value chain, but nevertheless induce higher abatement both in the countries that impose the border adjustment and in the ones affected by it
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  • 4
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als El Mekkaoui, Najat For Labor or for Divorce? Unilateral Divorce Laws and Women's Labor Outcomes
    Keywords: Demographic and Health Survey ; Divorce ; Gender ; Gender and Economic Policy ; Gender and Social Policy ; Intra-Household Bargaining ; Labor and Employment Law ; Labor Markets ; Law and Development ; Mothers Labor Force Participation ; Social Protections and Labor ; Unilateral Divorce ; Women's Agency ; Women's Labor Force Participation
    Abstract: Despite substantial progress in closing the gender gap, women's labor force participation in the Middle East and North Africa remains one of the lowest globally, at a mere 18 percent. This paper investigates the effect of the introduction of unilateral divorce laws on women's labor outcomes, using data from the Demographic and Health Survey program that spans decades and a quasi-experimental difference-in-differences design in three countries: Morocco, the Arab Republic of Egypt, and Jordan. The results highlight that no-fault divorce legislation was associated with a modest increase in mothers' labor outcomes, measured by current employment, a few years after the reform. These findings are likely induced by a power shift and anticipatory effects that drive women into the labor force. However, when a longer time window is considered, 10 or more years after the reform, the study documents a negative effect of the reform on women's labor outcomes in Morocco, and a positive effect in the Arab Republic of Egypt and Jordan. These differences can be attributed to a set of countervailing effects, including social norms, labor market dynamics, and evolution of the legislation, that make the derived utility from marriage, in some cases, more attractive than that derived from employment, and vice versa. These findings partially confirm results from previous research on the relationship between no-fault divorce and women's agency and empowerment in the Middle East and North Africa region, but, at the same time, contrast with prominent perspectives on legislation that aims at reducing gender-based discrimination. Instead, they show that there might be undesired effects of legislation and provide a policy relevant discussion on that basis
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  • 5
    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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  • 6
    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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  • 7
    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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  • 8
    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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  • 9
    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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  • 10
    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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  • 11
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Financial Sector Study
    Keywords: Consumer Protection ; Consumer Protection Law ; Corruption and Anticorruption Law ; Finance and Development ; Finance and Financial Sector Development ; Financial Capability ; Financial Consumer Protection ; Law and Development ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The 2022 Global State of Financial Inclusion and Consumer Protection (FICP) Report is an update to the 2013 and 2017 FICP reports. These surveys aim to provide a timely source of global data to benchmark efforts by financial sector authorities to improve the enabling environment for financial inclusion and consumer protection. To date, this is the only longitudinal and global survey of this nature. As such, this report serves as a valuable resource to shape the World Bank's country engagements, a reference document for regulators and supervisors and, finally, a tool for both public and private sector actors with an interest in knowing the developments in this sector. The Survey questionnaire covers key topics related to financial inclusion and financial consumer protection (FCP) and aligns with international guidance to financial sector authorities in these areas. Because the report aims to capture both a snapshot as well as trends over time, the survey questionnaire has been modified over the three cycles to reflect the changing policy and regulatory landscape of financial inclusion and consumer protection
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  • 12
    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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  • 13
    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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  • 14
    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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  • 15
    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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  • 16
    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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  • 17
    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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  • 18
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Core Principles ; Corruption and Anticorruption Law ; Finance and Financial Sector Development ; Financial Law ; Insurance and Risk Mitigation% ; Integrity Compliance ; Internal Controls ; Law and Development ; Small and Medium Sized Enterprises
    Abstract: Small and medium-sized enterprises, or "SMEs," play a major role in global economic development. This Guide aims to provide SMEs with a useful framework for developing effective Integrity Compliance Programs, or "ICPs," tailored to their own business models, budgets, and risk profiles. It distills prevailing best practices and guidelines from leading national and international institutions. Many SMEs worldwide have collaborated with the World Bank Integrity Compliance Office, or "ICO," to develop creative strategies for devising and implementing ICPs, mitigating the risk of misconduct in their operations, and even more broadly, among their business networks. This Guide describes some of these strategies. It is hoped that this Guide, which explains certain core principles, internal controls, and essential elements of ICPs, will be of real, practical value for SMEs seeking to build a culture of integrity in their businesses and communities
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  • 19
    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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  • 20
    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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  • 21
    Language: English
    Pages: 1 Online-Ressource (67 pages)
    Parallel Title: Erscheint auch als Boulhane, Othmane Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire
    Keywords: Adolescent Girls ; Clubs ; Family Planning Research ; Gender ; Gender and Development ; Gender and Education ; Gender and Health ; Health, Nutrition and Population ; Husbands ; Income-Generating Activities ; Law and Development ; Randomized Experiment ; Safe Spaces
    Abstract: This study uses a cluster-randomized controlled trial to investigate the effects of a large-scale women and girls empowerment program on sexual and reproductive health and empowerment outcomes in Cote d'Ivoire. The study assesses and compares the impact of diverse strategies aimed at equipping girls with life skills and sexual and reproductive health knowledge, provided through well-established safe spaces, in isolation or in combination with livelihood support interventions, or with initiatives designed to engage boys and men and community and religious leaders. The findings show that one year after the end of the interventions, safe spaces alone have a moderate impact on girls' empowerment, while safe spaces combined with husbands' and future husbands' clubs are the most impactful. Combining safe spaces with livelihood support interventions leads to improvements in adolescent girls' employment outcomes, as expected. Finally, the findings show that engaging leaders in the context of safe spaces interventions yields mixed results on girls' empowerment
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  • 22
    Language: English
    Pages: 1 Online-Ressource (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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  • 23
    Language: English
    Pages: 1 Online-Ressource (30 pages)
    Parallel Title: Erscheint auch als Madrigal Correa, Alma Lucia Indigenous peoples, land and conflict in Mindanao, Philippines
    Keywords: Ancestral Domains ; Communities and Human Settlements ; Conflict Data Monitor ; Indigenous Peoples ; Indigenous Peoples Law ; Land Titling ; Law and Development ; Macroeconomics and Economic Growth ; Mindano ; Political Economy ; Rural Land Policies for Poverty Reduction
    Abstract: This article explores the links between conflict, land and indigenous peoples in several regions of Mindano, the Philippines, notorious for their levels of poverty and conflict. The analysis takes advantage of the unprecedented concurrence of data from the most recent, 2020, census; an independent conflict data monitor for Mindanao; and administrative sources on ancestral land titling for indigenous peoples in the Philippines. While evidence elsewhere compellingly links land titling with conflict reduction, a more nuanced story emerges in the Philippines. Conflicts, including land- and resource-related conflicts, are generally less likely in districts (barangays) with higher shares of indigenous peoples. Ancestral domain areas also have a lower likelihood for general conflict but a higher likelihood for land-related conflict. Ancestral domains titling does not automatically solve land-related conflicts. When administrative delays take place (from cumbersome bureaucratic processes, insufficient resources and weak institutional capacity), titling processes may lead to sustained, rather than decreased, conflict
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  • 24
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Financial Protection ; Health Service Management and Delivery ; Health Services ; Health, Nutrition and Population ; SDI ; Service Quality ; Systems and Tools ; Workforce
    Abstract: The Service Delivery Indicators (SDI) health survey in Moldova serves as a vital tool for assessing and benchmarking the performance of health service delivery. Its primary aim is to evaluate the quality of basic health services. This comprehensive evaluation enables both governments and service providers to pinpoint deficiencies and bottlenecks in health service delivery, monitor progress over time, and make cross-country comparisons. The widespread availability of and public awareness about SDI indicators foster engagement among policy makers, citizens, service providers, donors, and stakeholders, in turn driving efforts to enhance service quality and ultimately development outcomes
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  • 25
    Language: English
    Pages: 1 Online-Ressource (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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  • 26
    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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  • 27
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Legal and Judicial Sector Assessment
    Keywords: Access To Justice ; Cameroon ; Data Gap ; Ethiopia ; Gender and Marital Gaps ; Law and Development ; Legal Reform ; Legal System ; Sierra Leone ; Social Protections and Assistance ; Social Protections and Labor ; Zanzibar
    Abstract: Limited access to justice is a root cause of underdevelopment, social unrest, and conflict. Expanding access to all and especially vulnerable groups including women, the young, small business owners and the poor is clearly paramount for a peaceful and prosperous continent. Justice means different things to different people, particularly the multiple actors who design and administer justice systems and affect the outcomes. Elected leaders eager to respect aspirations for a fair society with human rights and accountable governance. Judges, lawyers, and service providers view justice as a moral duty to guarantee fairness before the law. Business leaders look to courts to resolve contract disputes and keep transaction costs and risks low. Yet the voices of vulnerable groups, who are the most impacted when justice fails, are not often heard in discussions regarding justice systems. This book aims to boost knowledge and improve decision making by exploring the perspectives of what justice means to the most vulnerable people and how to improve their access to justice
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  • 28
    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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  • 29
    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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  • 30
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Lo Bue, Maria C Maternal Work and Children's Development: Examining 20 Years of Evidence
    Keywords: Child Development ; Child Welfare ; Childcare ; Early Child and Children's Health ; Education ; Gender Equality ; Health, Nutrition and Population ; Household Income ; Industry and trade ; Maternal Labor Force Participation ; Maternal Work Review of Evidence ; Quality Daycare
    Abstract: Maternal work may affect children positively through increased household income, higher control of mothers over available income, and expansion of maternal information networks through work contacts and greater decision-making power of mothers as they become more economically empowered. However, maternal work may reduce maternal time spent with children. If maternal time is not substituted for time of equal quality by other caregivers, children's development may be penalized. Stress associated with work may also decrease the quality of parenting. This review summarizes causal evidence on the relationship between maternal work and children's development. The majority causal studies find positive or 0 impacts of maternal work on children's development
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  • 31
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Disease Control and Prevention ; Financing ; Global Activity ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; PPR ; Preparedness ; Prevention
    Abstract: This paper has outlined an ambitious agenda for the WBG to support PPR enhancement at country, regional, and global levels as part of a broader approach to strengthen health systems. It is an agenda that not only seeks to deliver on the Bank's IDA commitments related to disease outbreaks and crisis response but also to respond to demands from all our shareholders, clients, and other stakeholders for the Bank to play a key role in strengthening PPR capacities at country and regional levels through a wider health system strengthening agenda. Policy commitments from IDA's Human capital special themes support the building of resilient health systems that can provide core essential health services and have the capacity to prevent, detect, and respond to disease outbreaks and other health emergencies an approach that will ensure sustainability, efficiency, and effectiveness. The paper has highlighted that PPR is an inherently multisectoral agenda. Further, the paper has argued that there are large financing gaps to fill, particularly in LICs and MICs. Looking forward, the WBG will support strengthening of PPR through actions in three interconnected domains: 1) financing; 2) global engagements and partnerships; and 3) analytics, evidence, and dialogue
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  • 32
    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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  • 33
    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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  • 34
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Rojas, Ana Maria Behavioral Aspects of Healthy Longevity
    Keywords: Behavioral Science ; Decision Making ; Disease Risk Factors ; Global Health Policy Goals ; Habit Formation ; Health, Nutrition and Population ; Healthy Longevity ; Non-Communicable Disease (NCD)
    Abstract: Addressing the growing burden of noncommunicable diseases to achieve healthy longevity for an aging population has become central to global health policy goals. New policy tools are needed for effectively and efficiently tackling health and lifestyle behaviors and habits linked to the development of noncommunicable disease risk factors. Behavioral science offers insights into psychological barriers, mental models, biases, and other factors that influence decision making and habit formation. Applying these insights can support current policy efforts toward healthy longevity. This paper develops a framework to clarify the relationships between noncommunicable disease formation, detection, and management and behavioral determinants at the individual, community, and health system levels. Following the framework, the paper documents frequently identified behavioral barriers at the three key stages of patients' noncommunicable disease trajectories. It identifies policy lessons from the behavioral science literature to address such barriers and, together with other policies, reduce the incidence of noncommunicable diseases and improve treatment effectiveness
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  • 35
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions: The Case of Zimbabwe
    Keywords: Coronavirus ; COVID Severity ; COVID-19 Pandemic ; Hand Washing Intervention ; Health, Nutrition and Population ; Public Health ; Severe COVID Prevention ; Spatial Modelling
    Abstract: The severity of COVID-19 disease varies substantially between individuals, with some infections being asymptomatic while others are fatal. Several risk factors have been identified that affect the progression of SARS-CoV-2 to severe COVID-19. They include age, smoking and presence of underlying comorbidities such as respiratory illness, HIV, anemia and obesity. Given that respiratory illness is one such comorbidity and is affected by hand hygiene, it is plausible that improving access to handwashing could lower the risk of severe COVID-19 among a population. In this paper, we estimate the potential impact of improved access to handwashing on the risk of respiratory illness and its knock-on impact on the risk of developing severe COVID-19 disease across Zimbabwe. We use a geospatial model that allows us to estimate differential clinical risk at the district level. Results show that the current risk of severe disease is heterogeneous across the country, due to differences in individual characteristics and household conditions. This study demonstrates how household level improved access to handwashing could lead to reductions in the risk of severe COVID-19 of up to 16% from the estimated current levels across all districts. Taken alongside the likely impact on transmission of SARS-CoV-2 itself, as well as countless other pathogens, this result adds further support for the expansion of access to handwashing across the country. It also highlights the spatial differences in risk of severe COVID-19, and thus the opportunity for better planning to focus limited resources in high risk areas in order to potentially reduce the number of severe cases
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  • 36
    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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  • 37
    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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  • 38
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Mensah, Justice Tei Energy Demand during a Pandemic: Evidence from Ghana and Rwanda
    Keywords: Covid-19 Impacts ; Electricity Consumption ; Electricity Usage ; Energy Subsidy ; Health Policy and Management ; Health, Nutrition and Population ; Macroeconomics and Economic Growth ; Pandemic Electricity Demand ; Residential Energy Subsidy
    Abstract: The COVID-19 pandemic caused significant disruptions to economies around the world. In response to this, some developing countries offered reliefs such as electricity subsidies while others did not. How did the pandemic affect the electricity consumption of households and firms Did the utility subsidies enable a quick recovery from the pandemic And what are the distributional impacts of the utility subsidies This paper leverages unique administrative billing data on electricity consumption from two African countries, Ghana and Rwanda, with differing policy responses to the pandemic to document the demand response of households and firms to the COVID-19 pandemic, and the role of utility subsidies during the period. Findings from the paper indicate that the pandemic led to higher consumption of electricity in both countries, albeit with variations across countries and sectors. While residential consumption soared, consumption of non-residential customers such as hotels and industries declined during the period. Electricity subsidies in Ghana during the pandemic explain the sharp increase in residential consumption. These findings highlight the potential effects of pandemic relief measures on household welfare
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  • 39
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Infrastructure Study
    Keywords: Adaptation To Climate Change ; Building Regulations ; Environment ; Hazards ; Infrastructure and Law ; Infrastructure Economics and Finance ; Infrastructure Regulation ; Law and Development ; National Urban Development Policies and Strategies ; Regulatory Frameworks ; Sub-Saharan Africa ; Urban Development ; Vulnerabilities
    Abstract: Buildings should provide safe, comfortable, and healthy environments for people to live and work. They are an essential component of societies and economies, housing critical infrastructure necessary to keep governments and businesses in operation. At the same time, buildings are the first line of defense against natural hazards and climate impacts for the general population. The scope of this report is limited to regulatory frameworks in Sub-Saharan Africa countries, with a focus on buildings rather than on specialized construction types such as infrastructure for water, energy, transport, or communications. The report focuses on the technical aspects of the regulatory frameworks: market and financial solutions fall beyond its scope. Chapter 1 of the report describes the components, concepts, and desired outcomes of building regulatory frameworks. Chapter 2 explains the evolution of the building regulation environment in Sub-Saharan Africa and the region-specific hazards and risks that the regulatory environment must respond to. Chapter 3 presents data on the building regulatory environment for each country in the region. It covers all aspects of the building regulatory cycle: from the legally adopted building regulations that exist, to what they cover, to the implementation of regulations through compliance and enforcement mechanisms. Chapter 4 offers guidance on how to improve and update building regulatory frameworks. Chapter 5 contains region-specific conclusions and recommendations for strengthening building regulatory frameworks because of the analyses carried out in Chapters 3 and 4. Additionally, Appendix A summarizes key data for each country
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  • 40
    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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  • 41
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Influence of COVID-19 on Female Sex Workers in Dar Es Salaam, Tanzania: A Mixed-Methods Analysis
    Keywords: COVID-19 Impact on Sex Workers ; Extreme Financial Vulnerability ; Female Sex Worker Welfare ; Food Insecurity ; Gender ; Gender and Poverty ; Gender and Social Policy ; Health, Nutrition and Population ; Labor Law ; Social Protections and Labor ; Urban Homelessness
    Abstract: This study investigates how the landscape of sex work in Dar es Salaam, Tanzania, evolved in the context of the COVID-19 epidemic. Using a mixed-methods approach, the analysis triangulates data from quantitative and qualitative sources to quantify shifts in income, demand, and client frequency and describe female sex workers' perspectives on their work environment. The COVID-19 restrictions introduced in early 2020 resulted in dramatic decreases in sex work income, leading to extreme financial vulnerability, food insecurity, and challenges in meeting other basic needs such as paying rent. However, in a 2021 follow-up survey, sex workers reported the summer of 2021 as a key turning point, with the demand for sex work rebounding to closer to pre-pandemic levels. Notably, despite the average number of unique weekly clients not yet having fully rebounded, by 2021 the price per client and the total monthly sex work income had returned to pre-pandemic levels. This may potentially be explained by an increased number of repeat clients, which represented a larger proportion of all clients during the COVID-19 pandemic
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  • 42
    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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  • 43
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Access To Digital Technologies ; Data Collection ; Gender ; Gender and Development ; Gender and Economics ; Gender and Tax ; Law and Development ; Provincial Tax Offices ; Tax Law ; Women and Mobility
    Abstract: This study supports the KP provincial government's efforts to facilitate women's voluntary tax compliance by understanding women's constraints and experiences in tax payment and property registration and the gender gaps in access to and use of digital technologies. It draws data from a survey, which interviewed 1,200 current taxpayers and nontaxpayers (a third of whom were women), focus group discussions with women and female tax administrators, and key informant interviews with senior directors of the KP tax administrations. It identifies specific challenges women face in property registration and tax payments, such as restricted mobility, and lack of information and unclear processes. It also reveals that women's challenges are not monolithic, but varies by education; therefore, tailored measures are important to meet the needs of different types of taxpayers. While digitization of tax services could reduce tax compliance costs for taxpayers, women with limited education may not fully benefit from digitization because they tend to lack ownership of mobile devices and to have limited use of digital banking and wallet applications. The importance of having female staff provide tax and property registration services dedicated to women, simplifying property registration processes, and using easy Urdu and Pashto are highlighted by female taxpayers. Establishing dedicated services for women by assigning female tax officials in one-stop Tax Facilitation Centers could also help women register property and pay taxes. But to retain staff, these changes require allocation of human and financial resources, review of staff roles, additional training, instituting a gender-equitable and safe workplace environment and physical infrastructure, including bathrooms and separate areas for women. Digitizing and sex-disaggregating taxpayer and service user data could help revenue authorities develop tailored programs and services that meet the needs of women and men and monitor progress. Such data would be useful in guiding tax administrations to allocate financial and human resources
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  • 44
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2190
    Keywords: Education and Work ; Gender ; Gender and Development ; Gender and Education ; Gender Based Violence ; Gender Equality ; Gender Norms ; Human Rights ; Informal Trading ; Labor Markets ; Labor Standards ; Law and Development ; Poverty ; Social Protections and Labor ; Teenage Pregnancies ; Women and Girls
    Abstract: Gender equality is a key foundation of inclusive and sustainable economic development that can translate into long-term and effective poverty reduction. While gender equality matters on its own as a human right, it also offers instrumental value for individuals, households, and societies at large. Global evidence consistently shows that empowering women and girls reduces poverty incidence and food insecurity, boosts economic growth and productivity, and enhances investments in children's human capital. Angola, a country where a third of the population lives in poverty and economic output is heavily dependent on its oil sector, stands out in Sub-Saharan Africa for its particularly large gender disparities, especially when compared to countries of same income levels. Family formation, education, and labor market decisions are intrinsically interwoven and connected, which in the case of Angola leads to extreme demographic pressure on an already weak public service system. To begin tackling these significant gender disparities, well-designed and targeted policies are needed. But there are significant knowledge gaps when it comes to understanding the key barriers facing Angolan girls and young women in accessing education and transitioning to the labor market. This report presents insights gained from the voices of young women and girls, their parents, and key informants through a series of interviews carried out in Luanda, home to a quarter of the country's population, in 2022. Based on these in-depth interviews with low-income young women in Luanda, this report points to the multiple challenges they face across their life cycle - challenges relating to the dimensions of education, family formation, and work. It also shows how those dimensions in a woman's life are deeply interconnected - and how they are determined by structural constraints including poverty and vulnerability, gender norms, corruption and lack of transparency in access to services and opportunities, and violence in public and private spheres
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  • 45
    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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  • 46
    Language: English
    Pages: 1 Online-Ressource (50 pages)
    Parallel Title: Erscheint auch als Awasthi, Rajul Gender-Based Discounts on Taxes Related to Property: Role in Encouraging Female Ownership - a Case Study of Indian States and Cities
    Keywords: Female Land Ownership ; Gender ; Gender and Law ; Gender and Social Policy ; Gender Bias ; Gender-Based Discount ; Governance ; Law and Development ; Local Government ; Online Payment System ; Property Ownership Rights ; Property Tax ; Tax Law ; Tax Revenue ; Urban Immovable Property Tax
    Abstract: In India, state and city governments are making a simultaneous push to increase revenues through property-related taxes and to offer tax incentives to female property owners. This dual policy approach creates an opportunity to study the impact of gender-based tax incentives on property ownership patterns and tax compliance. This paper investigates linkages between gender-based discounts on taxes related to property (stamp duties and property taxes), female property ownership, and revenues from taxes related to property. The methodology designed for this paper deploys researchers to collect insights through focus group discussions with male and female property owners and taxpayers and to conduct one-to-one interviews with government officials in state and urban local body revenue and land administration departments. The study's most important finding is that incentives related to property taxes and involving economically significant amounts, such as the stamp duty, encourage female property ownership. It is notable, however, that property ownership does not always translate into a greater role for females in the control and management of the property. Other factors - such as concessions in loan terms offered to females buying properties in their own names or through joint ownership, security of inheritance, and equal property ownership rights for females - can also positively contribute to encouraging female property ownership
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  • 47
    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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  • 48
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: 2018 Capital Increase Results ; Accountability ; Economic Policy, Institutions and Governance ; Final Report Commitment ; Governance ; Independent Evaluation ; International Governmental Organizations ; International Organizations ; Law and Development ; Macroeconomics and Economic Growth ; Poverty Impact Evaluation ; Poverty Reduction ; Poverty, Environment and Development ; Transparency ; World Bank Results
    Abstract: This report presents the Independent Evaluation Group's validation of the World Bank Group's 2018 capital increase package (CIP). It assesses the World Bank Group's progress in implementing the CIP's policy measures and achieving its targets, as well as the quality of management's CIP reporting. The 2018 CIP boosted the Bank Group's financial firepower with a USD 7.5 billion paid-in capital increase for the International Bank for Reconstruction and Development (IBRD), USD 5.5 billion paid-in capital increase for the International Finance Corporation (IFC), USD 52.6 billion callable capital increase for IBRD, and internal savings measures. The CIP also included a policy package that committed Bank Group management to policy actions linked to the Bank Group's 2016 Forward Look strategy. The CIP committed to reporting annually on its implementation and an independent assessment after five years. This report fulfills the commitment to an independent assessment. This validation builds on management's own reporting and other complementary evidence to assess the World Bank Group's progress in implementing the CIP's policy measures and achieving its targets. The report also assesses the quality of management's CIP reporting. The report points to lessons on developing, implementing, and reporting corporate initiatives and commitments, such as the importance of having clear strategies or action plans, explicit buy-in from senior management, and accurate reporting with meaningful indicators and realistic targets
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  • 49
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: COVID-19 ; Economic Growth ; Economic Uncertainty ; Gender and Development ; Gender Monitoring and Evaluation ; Gendered Impact ; Labor and Employment Law ; Labor Market ; Law and Development ; Macroeconomics and Economic Growth ; Women
    Abstract: The Iran Economic Monitor (IEM) provides an update on key economic developments and policies. It examines these economic developments and policies in a longer-term and global context and assesses their implications for the outlook for thecountry. The IEM's coverage ranges from the macroeconomy to financial markets to indicators of human welfare and development. Iran's economy continued to grow moderately for the third consecutive year in 2022/23, albeit at a slower pace than in the previous year. Real gross domestic product (GDP) grew by 3.8 percent in 2022/23, driven by expansions in services and manufacturing. Despite sanctions, the oil sector also expanded, aided by the tighter global oil markets. Favorable weather conditions helped the agriculture sector to marginally grow after the contractionsin previous years. On the expenditure side, private consumption was the main driver of GDP growth. Government consumption contracted to contain the budget deficit following a sharp expansionary policy in 2021/22. Meanwhile, exports and importsboth increased, and strong investment in machinery drove investments up, while construction investment marginally improved. However, the economy continuesto face growth constraints notably related to the economic sanctions, restricted access to external markets and to the latest technology, and much needed foreign investment. The Special Focus of the report highlights the scarring effects of the COVID-19 pandemic, documenting the marked deterioration in labor market outcomes. Despite sizeable government interventions to sustain the economy, in the first year of the pandemic (2021/22), approximately 1 million Jobs were lost, and labor force participation contracted by 3 percentage points. Iranian women were the most affected: two out of three jobs lost between 2019/20 and 2020/21 were previously held by women. The gendered impact of the crisis contributed to widening Iranian's women disadvantage in the labor market. Most importantly, the gains in femalelabor force participation slowly accumulated since 2011 vanished. Consistent with what is observed in other countries, women with young children were the most affected by the crisis. The combined effect of school closures and unequal intra-household allocation of care responsibilities, associated with prevailing gender norms, pushed Iranian women with children out of the labor force. Whether or not these trends will be reversed as the management of the COVID-19 pandemic is normalized and the economy recovers from the crisis remains an important policy question
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  • 50
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Drug Regulation ; Drug Safety ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; Korea-World Bank Partnership Trust Fund (KWPF) ; People-Centered Drug Safety Policy ; Pharmaceutical Safety System ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilanc
    Abstract: Building capacity in countries to conduct thorough surveillance of the use of all newly authorized drugs and vaccines, both brand name and generic, is a critical "public good" investment to ensure that drugs work correctly and that their health benefits outweigh their known risks. Korea's pharmacovigilance system (PVS) is an international best practice. It is the result of a continuous and sustained government effort over the past three decades-from small pilot projects to a nationwide monitoring network-and offers valuable lessons to other countries on the vital role that such a system can play in ensuring the safety of drugs post-marketing. This report provides an overview of the Korean pharmacovigilance system, describing its main structural and operational elements, to monitor the safety and effectiveness of medicines. It draws from a review of available literature in journal articles, as well as from the websites and reports of Korean institutions
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  • 51
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: China-World Bank Partnership Trust Fund (CWPF) ; COVID-19 Pandemic Response ; Emerging Disease Challenge ; Health Systems ; Health Systems Development and Reform ; Health, Nutrition and Population ; Korea-World Bank Partnership Facility (KWPF) ; National Health Surveillance System ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; Public Health Promotion ; Public Health Risk Response ; Public Health Surveillance ; Seasonal Epidemic Infection
    Abstract: Although indispensable for improving health outcomes, medicines and vaccines or their administration and use can produce adverse effects, requiring continuous vigilance to ensure that the benefits outweigh the risks. Monitoring the safety of the use of marketed medicines and vaccines, also known as pharmacovigilance, should therefore become much more explicit in efforts to strengthen health systems and prepare for public health crises and normal times because the world is determined to build back better after the COVID-19 pandemic. The objective of this report is to examine the importance of pharmacovigilance in a health system both during a health crisis and in normal times, describe the function, structure, and processes of a functional pharmacovigilance system, and explain the value of drug safety monitoring in building resilience in health systems post-COVID-19 pandemic
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  • 52
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: China-World Bank Partnership Trust Fund (CWPF) ; Disease Control and Prevention ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Immunizations ; Korea-World Bank Partnership Facility (KWPF) ; Medication Effectiveness Monitoring ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; Program for International Drug Monitoring (PIDM) ; Public Health Surveillance ; Vaccine Effectiveness Monitoring
    Abstract: Medicines, vaccines, medical devices, and blood are commonly used to treat disease. Medicines deserve a special focus because almost any medical visit ends with at least one prescription. So, monitoring the safety and effectiveness of therapeutic treatments and procedures is crucial at both the individual and community levels. In the case of medicines and vaccines, this surveillance activity is known as pharmacovigilance. Various methods are used to monitor the adverse and unwanted effects of medicinal products after they have received authorization for marketing, but reporting adverse reactions is the most widespread. The network of the Program for International Drug Monitoring (PIDM), which is supported by the World Health Organization (WHO), involves more than 170 countries. Its activities were initiated in 1968. The WHO-PIDM is the world's most comprehensive network involving health professionals, patients, and manufacturers. This situation analysis describes relevant aspects of the PIDM, including achievements and weak points. The analysis is the product of a systematic revision of studies that focus on the WHO-PIDM activities and related findings published in different medical journals and listed in PubMed. Available information was selected and organized according to different topics and summarized and presented in the different sections of the report. As information for some countries and regions is lacking in the available literature, the report is not a comprehensive review of the pharmacovigilance across countries. The report, therefore, shows what is in place and highlight some of the difficulties faced by many countries, particularly low-and-middle income countries. It offers an overview of the (1) common points and failures; (2) the advantages of a national PV system; (3) the difficulties in scaling up and consolidating these systems; and (4) the advantages of regional collaboration. This report is part of a series of companion reports on pharmacovigilance, that provide a detailed overview and discussion on technical aspects and country and regional experiences
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  • 53
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Damania, Richard Is Natural Capital a Complement to Human Capital? Evidence from 46 Countries
    Keywords: Climate Change and Health ; Deforestation and Health ; Disease Control and Prevention ; Economic Development and Deforestation ; Ecosystem Services ; Environment ; Health, Nutrition and Population ; Natural Resources ; Stunting and Waterborne Disease ; Sustainability ; Valuation of Environmental Effects ; Water Pollution
    Abstract: The environment has long been the foundation of human flourishing, but its continued degradation is threatening to reverse recent development gains, especially in human health. This paper analyzes the possible complementarity between natural and human capital by linking high-resolution deforestation data with health outcomes for 0.7 million children across 46 countries. Forest loss is often a consequence of economic activities that may confer market and other benefits. At the same time, it can adversely affect the provision of forest ecosystem services and reduce the associated socioeconomic and environmental benefits for rural communities. The net effect is thus ambiguous. The paper focuses on the hydrological services provided by forests and exploits quasi-random variation in deforestation upstream to assess the impacts on waterborne disease outcomes for rural households downstream. The results not only indicate increases in diarrheal disease incidence among children under 5 years old, but also offer new evidence of early-life exposure to deforestation on childhood stunting, a well-known indicator of later-life productivity. A case study for Peru shows similar results for diarrheal disease, but a weaker effect of forest loss on stunting. The paper concludes that maintaining natural capital has the potential to generate meaningful improvements in long-run human capital
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  • 54
    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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  • 55
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Querejeta, Martina Sharing Parental Leave between Mothers and Fathers: Experimental Evidence from a Messaging Intervention in Uruguay
    Keywords: Breastfeeding ; Father's Parental Leave ; Gender Equality Promotion ; Gender Norms ; Government Text Messaging ; Intrahousehold Childcare Roles ; Law and Development ; Parental Leave ; Poverty Reduction
    Abstract: Parental leave has been increasingly used as a family policy to facilitate balancing care and work responsibilities and promoting gender equality. However, fathers' parental leave participation is still low, even when it offers both job and wage protection. This paper examines the effects of an information and awareness-raising intervention, delivered via email and text messages on men's and women's awareness and intentions of shared take-up of a parental leave program. The experiment provided recent and prospective parents meeting the social security requirements to benefit from parental leave with information about the program. Additionally, a subset of recent parents received messages that told them about (i) the benefits of fathers' involvement in childcare, or (ii) the importance of planning parental childcare. The intervention was successful in increasing knowledge about the parental leave program and shifting traditional gender norm views among women, regarding father's involvement and care planning. For men, knowledge about the program increased. However, the strong association between parental leave and breastfeeding led to fathers privileging mothers' use of the leave benefit. The findings show limited impact on actual leave taking, with the message about couples' leave planning increasing the effective use of parental leave among fathers compared to the information message. The results show that low-cost, targeted information interventions can have substantial effects on program knowledge among potential future beneficiaries. Although these interventions can support more equal gender roles and change gendered attitudes toward care responsibilities, they are not sufficient to shift behaviors
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  • 56
    Language: English
    Pages: 1 Online-Ressource (58 pages)
    Parallel Title: Erscheint auch als Dahis, Ricardo MiDES: New Data and Facts from Local Procurement and Budget Execution in Brazil
    Keywords: Administrative and Regulatory Law ; Budget Execution ; Competitive Tender ; International Economics and Trade ; Law and Development ; Local Public Procurement Data ; Municipal Public Finance ; Payment Timeliness ; Public Procurement ; Reproducible Research Repository ; Subnational Public Finance
    Abstract: This paper introduces a new disaggregated and harmonized dataset on public procurement and budget execution by Brazilian subnational entities, which currently covers half of Brazilian municipalities and spans the years 2003-21. This dataset provides key information that was previously unavailable from aggregate data, such as the identities of suppliers, details on purchases of goods and services, and granular information on the life cycle of each expenditure action. It then uses these data to provide new stylized facts about local public finance. First, it shows that about one-quarter of government purchases are locally procured and discusses implications for efficiency. Second, it demonstrates that close to 15 percent of payments exceed the 30-day threshold and that payment timeliness is systematically correlated with the income level of the municipality
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  • 57
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2190
    Keywords: Driver Licenses ; Gender ; Gender and Development ; Gender and Transport ; Labor and Employment Law ; Labor Markets ; Law and Development ; Public Transport ; Vehicle Ownership ; Women ; Women's Mobility
    Abstract: This report sheds light on public transport's role in women's access to economic opportunities in urban MENA. It examines the links among mobility, gender, and access to economic opportunities. It provides evidence of gender differences in mobility patterns and travel behavior, as well as the barriers and challenges women face when using public transport. It also assesses whether public transport systemdeficiencies constrain women's economic participation. This report focuses on three metropolitan areas: Amman, Jordan; Beirut, Lebanon; and Cairo, Egypt. These cities were chosen for their contrasting size, context, and economic stability
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  • 58
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2114
    Keywords: Adaptation To Climate Change ; Cliamte Change Effects ; Coastal States ; Environment ; Law and Development ; Legal Framework ; Sea Level Rise
    Abstract: This legal study is based on Legal Dimensions of Sea Level Rise: Pacific Perspectives which was published on June 29, 2021. The original version provided an assessment of key legal frameworks and policy questions that are relevant in the context of sea level rise in the Pacific region. This work, on the other hand, while largely based on the analysis of the original version, provides an updated assessment of the impacts of climate change, especially sea level rise, on the maritime rights of all island and coastal States.1 It is designed for a global audience. The study is divided into three parts. Part I looks briefly at the pioneering work of the Intergovernmental Panel on Climate Change (IPCC) and its most recent predictions for sea level rise during the current century, and then sets it in the context of other scientific work on threats from sea level rise and warming. Part II sets out an overview of relevant legal frameworks, key terminology, and principles based on international law, as well as judicial decisions and scholarly work that define the rights, resources, and obligations of all coastal States, particularly island and low-lying States. Part III then presents a series of responses to key legal and policy questions faced by these States in relation to sea level rise
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  • 59
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 7800
    Keywords: Country Gender Assessment ; Gender ; Gender and Law ; Gender Informatics ; Gender Law Enforcement ; Gender Legal Framework ; Gender Policy ; Human Rights ; Law and Development
    Abstract: This note reviews the legal, institutional, and policy framework that affects gender equality in the country, including efforts to enforce gender laws and policies
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  • 60
    Language: English
    Pages: 1 Online-Ressource (53 pages)
    Parallel Title: Erscheint auch als Piza, Caio Experimental Evaluation of a Financial Education Program in Elementary and Middle School Grades
    Keywords: Behavioral Modification ; Education ; Elementary Education ; Finance and Financial Sector Development ; Financial Education ; Financial Law ; Financial Literacy ; Financial Proficiency Promotion ; Law and Development ; Middle School Financial Literacy
    Abstract: This paper investigates whether providing financial education in elementary and middle school grades improves students' financial proficiency and actual behavior. It uses a cluster randomized control trial to evaluate a pilot program implemented in 101 Brazilian municipal schools in 2015. The findings show positive impacts on financial proficiency, mainly among middle school students, and suggestive evidence of improvements in short-term behavioral outcomes. However, the analysis indicates that the program did not impact students' school achievements in both the short and longer terms, which suggests that the program's effects were not strong enough to shift students' behavior decisions
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  • 61
    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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  • 62
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Capacity ; Equity ; Governance Indicators ; Health, Nutrition and Population ; Information Technology ; Performance ; PHC ; PHCPI Framework
    Abstract: This report presents the findings of the primary health care (PHC) system assessment in the Republic of Moldova undertaken by the World Bank in collaboration with the Moldovan government and under the leadership of the Ministry of Health (MoH). It highlights existing strengths, identifies areas in need of improvement, and suggests strategies for system strengthening
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  • 63
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access To Labor Market ; Accessibility ; Climate Change ; Disability Inclusion ; Economic Forecasting ; Economic Stabilization ; Environment ; Health Services ; Health, Nutrition and Population ; Inclusive Disaster Management ; Social Protection ; Social Protections and Labor
    Abstract: The impacts of climate change will be unevenly felt within and across countries partly due to social and economic inequalities. Persons with disabilities represent 16 percent of the global population and face widespread forms of social and economic marginalization yet have received little attention in prior studies of climate change and social inequality. The mortality rate of persons with disabilities in natural disasters is "up to four times higher than people without disabilities" (Stein and Stein 2021). How do the fast-moving shocks, flooding, drought, heatwaves and slower-moving social and economic effects of climate change impact persons with disabilities How can climate change adaptation efforts be disability inclusive This study examines these questions through original fieldwork and qualitative interviews conducted in Uzbekistan. In November 2022, the authors interviewed persons with disabilities in three regions of the country. The resulting qualitative data afford key insights into how climate change and disability status interact to generate distinct vulnerabilities. Within the nascent field of climate change and disability studies, this report represents one of the first fieldwork-based accounts of how climate change presents heightened risks to persons with disabilities in a developing country context
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  • 64
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Blanchard, Paul Struggling with the Rain: Weather Variability and Food Insecurity Forecasting in Mauritania
    Keywords: Adaptive Social Protection ; Climate Change and Health ; Climate Vulnerability ; Drought ; Early Warning System ; Environment ; Food Security ; Health, Nutrition and Population ; Probabilistic Risk Modeling ; Weather-Related Risk
    Abstract: Weather-related shocks and climate variability contribute to hampering progress toward poverty reduction in Sub-Saharan Africa. Droughts have a direct impact on weather-dependent livelihood means and the potential to affect key dimensions of households' welfare, including food consumption. Yet, the ability to forecast food insecurity for intervention planning remains limited and current approaches mainly rely on qualitative methods. This paper incorporates microeconomic estimates of the effect of the rainy season quality on food consumption into a catastrophe risk modeling approach to develop a novel framework for early forecasting of food insecurity at sub-national levels. The model relies on three usual components of catastrophe risk models that are adapted for estimation of the impact of rainy season quality on food insecurity: natural hazards, households' vulnerability and exposure. The paper applies this framework in the context of rural Mauritania and optimizes the model calibration with a machine learning procedure. The model can produce fairly accurate lean season food insecurity predictions very early on in the agricultural season (October-November), that is six to eight months ahead of the lean season. Comparisons of model predictions with survey-based estimates yield a mean absolute error of 1.2 percentage points at the national level and a high degree of correlation at the regional level (0.84)
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  • 65
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Air Pollution ; Alcohol and Substance Abuse ; Disease Control and Prevention ; Economic Burden ; Health Burden ; Health, Nutrition and Population ; NCDS ; Policies and Regulations ; Sugar-Sweetened Beverages ; Tobacco and Alcohol ; Tobacco Use and Control
    Abstract: This report, which aims to raise awareness, identify gaps, and inform policies, is the first comprehensive report on NCDs in Kosovo. Unlike available studies, the present work explores multiple aspects of NCDs, including their burden on health outcomes, risk factors, management, economic burden, and policies introduced to protect the population from these conditions. The report's findings are based on data from existing literature, official documents such as laws, regulations, and protocols, secondary data analysis, and interviews with key informants. The report presents comparisons with available data from the Western Balkans (Albania, Bosnia and Herzegovina [BiH], Montenegro, North Macedonia, and Serbia), aspirational (former socialist, small European Union member states such as Croatia, Estonia, Latvia, Lithuania, and Slovenia) and structural peers (Albania, Armenia, Moldova, North Macedonia, and Kyrgyz) to contextualize the findings. The report concludes by providing recommendations to reduce the burden of NCDs in Kosovo to protect the human capital of current and future generations
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  • 66
    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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  • 67
    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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  • 68
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Parallel Title: Erscheint auch als Iregui-Bohorquez, Ana Maria Unraveling the Factors behind Women's Empowerment in the Labor Market in Colombia
    Keywords: Demographic Transition ; Early Child and Children's Health ; Female Labor Participation ; Gender ; Gender and Law ; Gender and Social Policy ; Health, Nutrition and Population ; Infant Mortality and Labor Participation ; Labor Markets ; Low Fertility and Labor Participation ; Population Sciences ; Social Protections and Labor ; Time-Varying Effect Modeling
    Abstract: This paper examines the evolution of Colombian women's participation in the labor market from 1960 to 2018, shedding light on the complex factors that influence their labor opportunities. The study emphasizes the significance of the historical context in understanding these factors. This research uncovers nuanced insights using a two-step methodology involving principal component analysis and time-varying effect modeling. The results indicate that the transition from high to low fertility rates significantly influenced female labor participation until the late 1970s. Educational advancements, economic growth, and changing marital dynamics also played a role in shaping evolving patterns. From 1980 to 1995, factors such as diminishing fertility, declining infant mortality, and varying economic conditions influenced women's labor involvement. From 1995 to 2010, higher education emerged as a key driver, accompanied by shifting societal norms, and from 2010 to 2018, the period witnessed positive contributions from fertility rates, minimum wage, and male labor participation. This study underscores the intricate relationship between education, demographics, social norms, and economics in shaping women's labor force participation, providing valuable insights for gender-inclusive policies and promoting women's economic empowerment
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  • 69
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Bruhn, Miriam Government Support and Firm Performance during COVID-19
    Keywords: Covid-19 ; Disease Control and Prevention ; Employment ; Government ; Health, Nutrition and Population ; Pandemic ; Private Sector Development ; Private Sector Economics ; Social Protections and Labor
    Abstract: This paper assesses the medium-run effects of government support to firms during the COVID-19 crisis and whether the effectiveness of this support varied with its timing. Using data from three rounds of the World Bank's Enterprise Surveys COVID-19 Follow-up Surveys carried out between May 2020 and April 2022, it relates government support in Round 1 (received in the first half of 2020) and Round 2 (received during the second half of 2020 or early 2021) with firm performance in Round 3 (generally mid-2021). Controlling for a host of background characteristics, firms that received support in Round 1 performed better in terms of Round 3 sales, but only if they did not have continued support. Firms that also received support in Round 2 had similar Round 3 sales as those that received no support and were more likely to decrease employment. Firms that received government support only in Round 2 experienced no boost in Round 3 performance. The findings suggest that government support should be provided promptly, but it should also be phased out quickly
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  • 70
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Londono-Velez, Juliana Revealing 21% of GDP in Hidden Assets: Evidence from Argentina
    Keywords: Amnesties ; Enforcement ; Finance and Financial Sector Development ; Hidden Assets ; Law and Development ; Law Finance and Growth ; Macroeconomics and Economic Growth ; Offshore Wealth ; Tax Collection Policy ; Tax Compliance ; Tax Evasion ; Tax Havens ; Tax Law
    Abstract: Despite substantial offshore tax evasion, Argentines disclosed assets worth 21 percent of GDP under a tax amnesty in 2016. This paper studies how enforcement initiatives impact individuals' tax behavior, tax progressivity, and revenue collection. Offshore tax evasion is concentrated among the wealthiest 0.1 percent of adults. Tax compliance improved, expanding the tax bases for both wealth tax and capital income tax, especially at the top. The subsequent tax hike on foreign assets in 2019 boosted tax progressivity, raising the effective tax rate for the wealthiest 0.1 percent of adults, and established Argentina's wealth tax as one of the most successful globally in revenue generation
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  • 71
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Johansson de Silva, Sara Productive Longevity: What can Work in Low- and Middle-Income Countries?
    Keywords: Aging ; Aging Populations and Social Protection ; Employable Skills ; Employment Incentives Labor Supply ; Health, Nutrition and Population ; Labor and Employment Law ; Labor Market Policy and Aging ; Labor Productivity ; Law and Development ; Population Policies ; Poverty Reduction
    Abstract: The world's population is aging at dramatic speed. By 2050, most of the world's seniors (aged 65+) will be living in what are currently low- and middle-income countries. Aging will require low- and middle-income countries to develop comprehensive policy solutions to sustain welfare levels and ensure that welfare is equitably distributed across generations and socioeconomic groups. Given higher informality and lower human capital levels in low- and middle-income countries than more advanced economies, the balance and composition of the policy package in these contexts may differ, but there will be a common need for labor market policies to increase "productive longevity"--that is, to foster higher labor force participation and productivity among mature workers. This paper presents a framework identifying market, institutional, and behavioral failures that create constraints to productive longevity, and policies that may overcome these constraints. Drawing, to the extent possible, on the experience of low- and middle-income countries, the paper reviews evidence on supply-side and demand-side interventions to improve incentives, remove barriers to work, and invest in skills, as well as policies to improve matching of mature workers in labor markets. The paper ends with a discussion of meta-lessons for low- and middle-income countries
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  • 72
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: COVID-19 ; Economic Burden ; Health Care Workers ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Pandemics ; Sars-COV-2
    Abstract: Health care workers (HCWs) face disproportionate risk of exposure and becoming ill in any infectious disease outbreak. SARS-CoV-2 has proven to be no exception: From Wuhan to Manaus, London to Tehran, and Delhi to Johannesburg, HCWs working in clinics and hospitals have been at heightened risk of developing COVID-19 disease, especially at the beginning of the pandemic when little was known about the then-novel pathogen. This study thus aims to estimate the economic costs of SARS-CoV-2 infections in HCWs during the first year of the pandemic from the societal perspective in four low or middle- income countries. The authors propose a framework to translate SARS-CoV-2 infection amongst HCWs into economic costs along three pathways, provide the estimated burden of HCW infections, and offer recommendations to mitigate against future economic losses due to HCW infections. The economic burden due to SARS-CoV-2 infection among HCWs makes a compelling investment case for pandemic preparedness, particularly the protection of HCWs, and resilient health systems going forward
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  • 73
    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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  • 74
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Fajardo-Heyward, Paola Assessing the Success of National Human Rights Action Plans through a Political Economy Lens: The Case of Chile
    Keywords: Human Rights ; Human Rights Action Plan ; Human Rights Policy ; Law and Development ; Macroeconomics and Economic Growth ; Political Economy ; Political Human Rights Consensus ; Social Development ; Social Inclusion and Institutions
    Abstract: National human rights action plans turn state commitments on human rights into policy. After three decades of numerous countries implementing these plans, the few existing assessments of their success are inconclusive. This paper develops a political economy framework to complement previous studies. The approach hypothesizes that such action plans will be successful only if they are built on political consensus; their perceived political benefits exceed their costs; and governments have adequate resources to design and implement them. The paper tests this hypothesis in Chile, a country with a recent history of human rights violations and sustained inequalities that is legally bound to produce human rights action plans. The findings show that these plans have not been successful in Chile, as none of the three conditions is satisfied. The paper contends that the proposed political economy framework can be replicated across multiple national action plans, countries, and contexts
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  • 75
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Hemono, Rebecca Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania: Results from a Randomized Trial
    Keywords: Female Sex Workers and Violence ; Gender ; Gender and Health ; Gender and Social Policy ; Gender Based Violence ; Health, Nutrition and Population ; HIV Prevention and Violence ; Law and Development ; Lottery Reward for Health Promotion ; Public Health Promotion ; Respect II ; Sexually Transmitted Infection (STI) Prevention
    Abstract: Financial incentives are a promising approach for HIV prevention. Some studies have shown that financial incentive interventions aimed to promote positive health and social behaviors have mixed or harmful effects on gender-based violence, and little is known about their effects among higher risk groups such as female sex workers. To address this gap, this study investigated the relationship between a lottery-based incentive and gender-based violence among female sex workers in Dar es Salaam, Tanzania. Data were analyzed from the RESPECT II trial, which enrolled 2,206 female sex workers in Dar es Salaam, Tanzania, to evaluate the effect of a lottery-based incentive on HIV and sexually transmitted infections. Participants were randomized in a one-to-one ratio to: (1) the basic test group (control), which provided baseline testing and counseling for HIV and sexually transmitted infections and bi-weekly text messages on safe sex practices; or (2) the lottery group, which included the basic test group intervention plus entry into a weekly random lottery for an award of 100,000 Tanzanian shillings conditional on negative tests for sexually transmitted infections (syphilis and trichomonas vaginalis). An intent-to-treat analysis was conducted to estimate differences in physical and sexual gender-based violence (overall), and intimate partner violence and non-partner violence between treatment arms at endline, with estimates expressed as unadjusted prevalence differences with 95 percent confidence intervals. Adjusted estimates controlled for baseline reports of violence. Multiple imputation and inverse-probability of treatment weighting were used to account for missing data. Causal, population-level impacts were estimated using g-computation. Gender-based violence, intimate partner violence, and non-partner violence declined in both treatment arms over the study period among the sample of 1,117 female sex workers retained at endline. The lottery group had a lower prevalence of gender-based violence overall, intimate partner violence, and non-partner violence compared to control at endline; however, the differences were not statistically significant. The results indicate that the lottery intervention had no effect on violence outcomes among endline participants in the RESPECT II trial. These results suggest that this economic approach does not pose additional risks of violence in the context of sex work; however, they must be interpreted with caution due to high attrition in the study sample. Additional research is warranted to examine how this incentive mechanism impacts violence for female sex workers
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  • 76
    Language: English
    Pages: 1 Online-Ressource (24 pages)
    Parallel Title: Erscheint auch als Bernini, Andrea Corruption as a Push and Pull Factor of Migration Flows: Evidence from European Countries
    Keywords: Communities and Human Settlements ; Corruption ; Economic and Social Cost of Corruption ; Gravity Model ; Human Migrations and Resettlements ; Impact of Corruption ; Internal Migration ; Law and Development ; Macroeconomics and Economic Growth ; Regional Migration ; Remittances
    Abstract: Conclusive evidence on the relationship between corruption and migration has remained scant in the literature to date. Using data from 2008 to 2018 on bilateral migration flows across European Union and European Free Trade Association countries and four measures of corruption, this paper shows that corruption acts as both a push factor and a pull factor for migration patterns. Based on a gravity model, a one-unit increase in the corruption level in the origin country is associated with a 11 percent increase in out-migration. The same one-unit increase in the destination country is associated with a 10 percent decline in in-migration
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  • 77
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Disease Control and Prevention ; Drug Safety ; Health Policy and Management ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pharmaceutical Surveillance ; Pharmacovigilance ; Public Health Agency Administration ; Public Health Cooperation ; Regulatory Medicine Review Process
    Abstract: This report focuses on the Caribbean Public Health Agency (CARPHA), one of the three multi-national public health agencies in the world, that commenced operations on Jan 1, 2013, with the aim of delivering the functions of five previous regional health institutions through one platform for greater synergy and cost-effectiveness and as the principal institutional expression of Caribbean Cooperation in Health. The activities of CARPHA include the provision of a subregional mechanism that supports regulatory action to ensure access to safe medicines, such as the subregional system for reporting adverse drug reactions (ADRs) and substandard and falsified products (VigiCarib), and the regional post marketing drug quality testing program under the CARPHA Medicines Quality Control and Surveillance Department. Another relevant CARPHA activity is reviewing new medicines which want to enter the Caribbean market. This was especially important during the COVID-19 pandemic, with the plethora of new vaccines. VigiCarib is a good example of a subregional approach to facilitate well-functioning post marketing monitoring activities, including PV. Although this is a relatively new program, it is well established, integrates lessons from more experienced regulatory authorities, and supports small economies without specific PV programs, thus helping ensure the safety, quality, and effectiveness of medicines and vaccines. VigiCarib can serve as a model in other parts of the world where a regional approach to strengthening regulatory systems is under consideration. However, a key lesson of the experience of CARICOM, is that regional initiatives are complex and require clear objectives, harmonization, respect for the individual countries and territories, and mutual trust
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  • 78
    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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  • 79
    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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  • 80
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Chattha, Muhammad Khudadad Improving Consumption-Based Tax Compliance: Evidence from Point of Sale Usage in Subnational Governments in Indonesia
    Keywords: Consumption Paper Trail ; Government Tax Enforcement ; Information and Communication Technologies ; Information Technology ; Law and Development ; Law Enforcement Systems ; Point of Sale Technology ; Restaurant and Hotel Tax Compliance ; Sales Tax ; Tax Compliance ; Tax Evation ; Tax Law
    Abstract: This paper studies the impact of point of sale technology adoption on local tax compliance by firms. The paper exploits administrative data on monthly restaurant and hotel tax payments in the Indonesian districts of West Manggarai and Gorontalo and combines this with information on the point of sales distribution timeline from 2018 to 2022. The findings show that certain point of sales treatments led to a substantial increase in restaurant tax payments, ranging from 55 to 180 percent, while others did not increase tax revenues. The paper discusses the underlying drivers of the results and argues that the effectiveness of point of sales technology is conditional on (i) the devices' ease of use, (ii) the recipients' technological aptitude, and (iii) the presence of information accessible by third parties
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  • 81
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (70 pages)
    Parallel Title: Erscheint auch als Clement, Anne Containing Tariff Evasion
    Keywords: Corporate Governance and Corruption ; Exporters ; Importers ; Law and Development ; Mirror Statistics ; Private Sector Development ; Sea Freight Corruption ; Tariff ; Tax Evasion ; Tax Law ; Trade
    Abstract: To identify transactions at risk of tariff evasion, this paper matches export transaction data from France with import transaction data from Madagascar using container identifiers. Reporting discrepancies between exporters and importers are prevalent but small, with over two-fifths of importers reporting in a way that increases their tariff liability. Yet, aggregate tariff revenues are 24 percent lower due to discrepancies. These revenue losses are highly concentrated: the top five evaders account for three-quarters of all tariff revenue losses and larger shipments are more at risk of evasion. Tariff enforcement in Madagascar is ineffective and only marginally mitigates revenue losses
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  • 82
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Robinson, James A Endogenous Institutions and Economic Policy
    Keywords: Economic Growth ; Economic Policy, Institutions and Governance ; Endogenous Institutions ; Growth ; Inclusive and Extractive Institutions ; Institutional Change Policy ; Institutional Cooperaton Framework ; Law and Development ; Macroeconomics and Economic Growth ; Social Norms
    Abstract: This paper proposes a new framework to model institutions and institutional change. It shows how moral agents, who strive to cooperate with others, can form institutions that facilitate cooperation. The framework makes it possible to model informal as well as formal institutions as games played by moral agents: when the quality of the government is low and agents are not willing to use its services they will create informal institutions that allow them to cooperate outside the official channels. It is also possible to conceptualize institutions as inclusive or extractive and model institutional change as a consequence of the choice of moral agents among available institutions as time unfolds. With a series of examples of clientelistic networks, the paper shows that the framework can be useful for understanding how and why such networks form and persist. The framework can be used to model any interactions among moral agents, thus giving rise to a wide variety of possible institutional settings
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  • 83
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 39458
    Keywords: Collusion ; Corruption ; Fraud ; Governance ; Governance Indicators ; Governance Risk ; Law and Development ; Public Expenditure
    Abstract: Corruption poses a significant threat to development and has a disproportionate impact on the poor and most vulnerable. Government agencies struggle to identify fraud and corruption in public expenditures. Risk assessments usually rely on manual analysis and follow-up on specific complaints or anecdotes which requires substantial resources. Assessments are often limited in scope and ineffective, failing to generate the evidence needed to build strong cases. The World Bank developed the Governance Risk Assessment System (GRAS), a tool that uses advanced data analytics to improve the detection of risks of fraud, corruption, and collusion in government contracting. GRAS increases the efficiency and effectiveness of audits and investigations by identifying a wide range of risk patterns. GRAS makes use of public data and is based on a robust and comprehensive conceptual framework which draws on insights from experienced practitioners and sound academic research. This report presents GRAS's main features, examples of GRAS implementation, and outlines the steps government agencies can take in applying GRAS in their countries. GRAS was developed in Brazil, where it has been piloted in four subnational governments and has helped to investigate fraud, corruption, and collusion in public procurement. Concrete results include the identification of over 850 suppliers with strong indication of collusive behavior, 450 suppliers likely registered under strawmen, 500 cases of conflict of interests involving suppliers owned by public servants, and about 4500 companies with connections to political campaigns, among other examples
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  • 84
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Access To Finance ; Finance and Financial Sector Development ; Food and Nutrition Policy ; Food Security ; Food Systems ; Health, Nutrition and Population ; Stability ; Value Chains
    Abstract: Sierra Leone's economy experienced overlapping setbacks during 2022, as external spillovers from the Russian invasion of Ukraine aggravated domestic macroeconomic vulnerabilities. This led to high levels of inflation, a substantially weaker currency, greater imbalances in public finances, and lower foreign exchange reserves. GDP growth slowed in 2022 (from 4.1 percent in 2021 to 3.5 percent) bringing the average GDP growth since the onset of the COVID-19 pandemic to only around half of the pre-pandemic trend. High global energy and fertilizer prices coupled with a weaker currency translated into accelerating inflation which rose from 12percent in 2021 to 27 percent in 2022, and further to over 50 percent by August 2023, threatening the welfare of households and worsening food insecurity and poverty
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  • 85
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Apeti, Ablam Estel Power Constraints and Firm-Level Total Factor Productivity in Developing Countries
    Keywords: Commercial Power Outage Impact ; Electric Power ; Electricity Outages ; Energy ; Infrastructure Economics ; Infrastructure Economics and Finance ; Law and Development ; Power and Economic Growth ; Power Constraints ; Power Grid ; Private Participation in Infrastructure ; Private Sector Development Law ; Productivity and Infrastructure ; Productivity Constraint ; World Bank Enterprise Survey Data
    Abstract: This paper analyzes the effects of power outages and constraints on manufacturing firms' revenue-based total factor productivity in developing countries. The empirical analysis is based on the World Bank Enterprise Survey datasets for 84 countries over 2006-2019. The paper starts by showing statistically that firms facing power outages differ and operate in very different environments compared to firms not facing power outages, underlining a potential nonrandom issue of the treatment variable. The matching-based approach (entropy balancing) is designed to contain this type of bias. It shows that power outages negatively and significantly affect firm-level revenue-based total factor productivity, with a 9 percent lower unconditional average productivity for exposed firms compared to nonexposed firms. Moreover, the estimates suggest a connection between the severity of self-reported power constraints or obstacles by firms and the magnitude of revenue-based total factor productivity loss. The results also indicate that the effect of power outages on firm-level revenue-based total factor productivity could be influenced by the stage of economic development (low-income countries, lower-middle-income countries, upper-middle-income countries), and the ability of firms to engage in research and development and purchase backup generators. These findings suggest that to ensure economic development, the government should provide a stable power supply that can mitigate the negative shocks faced by manufacturing firms and enhance their productivity and competitiveness, allowing them to drive economic growth
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  • 86
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2201
    Keywords: Climate Change ; Economic Policy, Institutions and Governance ; Environment ; Health Equity ; Health, Nutrition and Population ; Healthy Cities ; Low-Carbon ; Poverty Impact Evaluation ; Tip Framework ; Urban Development ; Urban Health ; Waste Management ; Water and Sanitation
    Abstract: With most people already living in cities and the global urban population estimated to double by 2050, cities are central to human well-being and sustainable development. Whereas cities reap the economic and social benefits of agglomeration, proximity to services, and innovation, they also face significant health and environmental issues. The presence of urban poverty, complexity of urban systems, rapidity of often-unplanned urbanization, and certainty of unanticipated shocks complicate urban strategies for health and well-being. Indeed, COVID-19 revealed the significant vulnerability of global and urban systems to pandemics and the imminent climate-related impacts. Cities can confront these threats and support communities by integrating healthy city action with other urban development agendas and prioritizing human and ecosystem health in the design and management of urban environments. The Healthy Cities Report aims to provide high-level guidance to practitioners in green, inclusive, and resilient urban development while asserting the essential role of cities in improving human and ecosystem health. It introduces an action-oriented 'TIP' Framework for achieving healthy cities with three components: Targeted support, Integrated action, and Preparation for future challenges. It explores three pivotal modern issues-equity, climate change, and COVID-19-as they define the context for urban health policy and practice. The report suggests eight action areas for healthy cities, including adequate housing, public spaces, transportation systems, access to healthcare, water and sanitation systems, food systems, effective institutions, and sustainable funding
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  • 87
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; Medicines and Supplies ; NCD ; PHC ; Quality Of Care
    Abstract: The results of the assessment point to four policy recommendations to address challenges related to governance, availability of medicines and supplies, comprehensiveness of services, and ability to deliver adolescent sexual and reproductive health (ASRH) services and promote universal and effective PHC coverage in The Gambia: 1. Establish a PHC-specific policy focused on improving coordination across governmental and non-governmental actors, quality of care, and monitoring and evaluation. 2. Increase the availability of medicines and supplies by leveraging. existing purchasing mechanisms and strengthening supply chain management.3. Implement a people-centered model of PHC focused on delivering comprehensive infectious and NCD services. 4. Increase capacity for adolescent sexual and reproductive health service delivery
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  • 88
    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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  • 89
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Kee, Hiau Looi Quantifying Economic Impacts of Trade Agreements with Heterogeneous Trade Elasticities
    Keywords: Brexit ; Economic Impact of Trade Agreements ; International Economics and Trade ; Law and Development ; Trade Elasticities ; Trade Elasticity and Tariffs ; Trade Policy ; Treaties ; Welfare Gains From Trade
    Abstract: Bilateral trade relationships between countries vary across products. Such heterogeneity poses challenges when assessing the economic impacts of trade agreements. This paper estimates bilateral trade elasticities at the product level and explores these impacts using a hypothetical no-deal Brexit as an example. The findings indicate that the European Union's demand for the United Kingdom's products is often less elastic compared to products from other trading partners. The findings also show substantial heterogeneity in the elasticities across products and a negative correlation between these elasticities and tariffs. These factors mitigate the extent of trade welfare losses compared to a scenario using homogeneous elasticities
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  • 90
    Language: English
    Pages: 1 Online-Ressource (33 pages)
    Parallel Title: Erscheint auch als Ghorpade, Yashodhan The Valuation of Flexible Work Arrangements: Insights from a Discrete Choice Experiment in Malaysia
    Keywords: Employment Policy ; Flexibility ; Flexible Work Arrangements ; Flexwork Experiment ; GIG Work ; Labor and Employment Law ; Labor Market ; Law and Development ; Quality of Life and Leisure ; Social Development ; Social Protections and Labor ; Wages, Compensation and Benefits
    Abstract: The changing nature of work, accelerated by the experience of the COVID-19 pandemic, has resulted in several fundamental shifts in the terms and conditions of work. Along with the clear trend of increased nonstandard employment, including through the gig economy and platform work, this poses critical questions for policies and practices of the organization of work arrangements, and about who may bear the costs of emerging arrangements. This paper explores whether workers in freelancing and standard work arrangements in Malaysia view a trade-off between flexibility and income and are willing to forgo a share of earnings for greater flexibility. The paper deploys a novel discrete choice experiment in which respondents are asked to choose their preferred job from two hypothetical job descriptions with randomly assigned attributes, namely, flexibility and associated earnings. The findings show substantial but not overwhelming preference for greater flexibility, especially among freelancers, and a clear trade-off between measures of flexibility and income. The findings also show considerable variation in the preference for flexibility, much of which is not explained by worker demographics and other observable characteristics but is consistent with other measures of the importance attached to flexibility and earning income. The analysis outlines pathways through which offering even a modicum of flexibility can enhance workers' utility without necessarily increasing costs for employers, provides evidence of considerable preference heterogeneity, and warns against imposing uniform approaches to (in)flexible work arrangements
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  • 91
    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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  • 92
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Howard, Jacob The Impacts of Intellectual Property-Related Preferential Trade Agreements on Bilateral Patent Applications
    Keywords: Copyright Requirement ; Deep Trade Agreement ; Intellectual Property Rights ; International Law ; Law and Development ; Patent Application Research ; Preferential Trade Agreements ; Trade Governance ; Trade Regulations
    Abstract: Intellectual property rights have become a central emphasis in the negotiation of "deep" preferential trade agreements containing provisions on regulatory environments besides trade policy. These provisions typically require member countries to implement heightened standards on various aspects of intellectual property rights, such as coverage and enforcement, that go beyond the baseline requirements of international intellectual property rights agreements such as the World Tarde Organization's Trade-Related Aspects of Intellectual Property Rights agreement. This study implements a structural gravity framework to investigate empirically the impacts of these agreements on bilateral international patenting, to quantify the effects of countries' membership in intellectual property-related preferential trade agreements on within-agreement patent applications at national patent offices, as well as extra-preferential trade agreement patenting at member country destinations originating from non-member countries. The study further explores the heterogeneity of these effects as originating from the attributes of the agreements, such as whether the major partner in the agreement is the United States or the European Union/European Free Trade Association, and the presence of key "Trade-Related Aspects of Intellectual Property Rights-Plus" provisions in the agreement texts. The findings suggest that intellectual property rights standards in preferential trade agreements tend to generate positive impacts on international patenting, and that the specific features of the agreements give rise to significant disparities in these impacts. Most intriguing is that those agreements involving multiple Trade-Related Aspects of Intellectual Property Rights-Plus norms significantly increase patenting within members compared to patenting from outside those areas, while other types of intellectual property rights encourage more patenting from non-members
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  • 93
    Language: English
    Pages: 1 Online-Ressource (24 pages)
    Parallel Title: Erscheint auch als Traore, Mohamed Cross-Border Exchange of Information and Tax Revenue Mobilization in Africa
    Keywords: Domestic Resource Mobilizatoin ; Governance ; International Exchange of Informaiton ; Law and Development ; Propensity Score Matching ; Tax Avoidance ; Tax Collection ; Tax Evasion ; Tax Law
    Abstract: Tax evasion and avoidance generate distortions in tax systems and cause significant revenue losses for African economies. International cooperation is one of the most effective methods of combating tax evasion and tax avoidance. As such, many countries are participating in global initiatives toward the exchange of information between national administrations for tax purposes. This paper provides the first empirical evidence on the revenue effects of tax-related exchange of information for African countries. The regressions are carried out on a sample of 54 African countries on data from 1990-2020. The findings indicate that the exchange of information for tax purposes between national tax jurisdictions has a positive and statistically significant impact on tax revenue. The estimation results show that exchange of information could increase tax revenue collection by a magnitude ranging from 5 to 19 percent. These findings reiterate the importance of international cooperation for combating tax evasion and stimulating tax collection in Africa
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  • 94
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Schuettler, Kirsten Outcomes for Internally Displaced Persons and Refugees in Low and Middle-Income Countries
    Keywords: Communities and Human Settlements ; Conflict and Development ; Disaster Management ; Economic Integration ; Forced Displacement ; Host Communities ; Human Migrations and Resettlements ; Internally Displaced Persons ; Involuntary Resettlement Law ; Law and Development ; Migration ; Refugees ; Social Integration ; Voluntary and Involuntary Resettlement
    Abstract: The paper takes stock of the growing quantitative literature on outcomes for the forcibly displaced in low- and middle-income countries, where 85 percent of refugees and nearly all internally displaced persons live. The main takeaway is that forced dis- placement research has now become a full-fledged sub-field of the migration literature: it addresses the same questions of economic and social integration, returns, and the impact of conditions and policies in the destination country. Yet, the specificity of the sub-field lies in the analysis of migration of a particularly vulnerable population because of the forced selection into displacement and because those forcibly displaced have experienced shocks before and during displacement, including the loss of physical assets, human capital, and mental health
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  • 95
    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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  • 96
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Gender Innovation Lab Federation Causal Evidence Series
    Keywords: Economic Empowerment ; Gender ; Gender and Economics ; Gender Monitoring and Evaluation ; Gender-Based Violence ; Law and Development ; Protective Infrastructures ; Social Protection ; Women
    Abstract: Gender-based violence (GBV) affects more than one in three women over the course of their lifetimes, regardless of social or economic boundaries. Violence against women and girls takes a significant toll on survivors and their families and exacts heavy social and economic costs. In some countries, violence against women is estimated to cost up to 3.7 percent of GDP- more than double of what most governments spend on education. Lockdowns and reduced mobility during the COVID-19 pandemic led to sharp increases in violence against women and girls. The GIL Federation is generating rigorous evidence across the world to understand what works, and what does not, in reducing GBV. This note presents evidence on four key findings based on impact evaluations from three regions
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  • 97
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Cali, Massimiliano Product Market Monopolies and Labor Market Monopsonies
    Keywords: Firm Entry ; Labor Market ; Labor Market Power ; Law and Development ; Minimum Wage Markdown ; Minimum Wage Reduction ; Monopoly ; Monopsony ; Product Market Regulations
    Abstract: This paper unveils a novel externality of product market regulation in the labor market. It shows theoretically and empirically that higher barriers to entry in product markets translate into higher labor market power, measured by the wage markdown-the ratio between the marginal product of labor and the wage. The literature suggests that this wedge can distort factor allocation, resulting in lower aggregate output and employment, but also in higher inequality through a reduction in the labor share of national output. Using variation in investment restrictions across 346 manufacturing product markets in Indonesia, the analysis finds that wage markdowns increase by 25 percent in product markets that become subject to investment restrictions. The result is rationalized using a simple oligopsony model in which higher entry costs reduce the equilibrium number of firms, thereby limiting employment options for workers and, hence, their labor market power. Instrumental variable estimates support the model's prediction that lower entry is the main driver of the positive relationship between investment restrictions and wage markdowns
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  • 98
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: COVID-19 ; Disease Control and Prevention ; ECA ; Education ; Education Reform and Management ; Health and Education ; Health, Nutrition and Population ; Human Capital ; Resilience ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Risk and uncertainty are on the rise, and countries across Europe and Central Asia (ECA) are not immune from it. The region is being hit by crises, conflicts, and continued uncertainty that are negatively affecting people's livelihoods in the short term and prosperity in the long term. Then COVID-19 hit, inflicting massive harm on people's wellbeing, livelihoods, and human capital. Lockdowns prevented people from working, school closures prevented students from learning, and overwhelmed hospitals had to defer important treatments. This report explores how to strengthen the resilience of health, education, and social protection systems to better protect people's human capital from the long-term effects of recurrent shocks and crises
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  • 99
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Complimentary Service Delivery ; Conditional Cash Transfer ; Governance ; Health, Nutrition and Population ; Pandemic Impact on Service Delivery ; Positive Behavioral Change ; Psychology ; Public Health Promotion ; Service Delivery During School Closing ; Social Development ; Strategic Communications ; Youth and Governance ; Youth Development
    Abstract: An important component of the Pantawid Pamilyang Pilipino Program (4Ps), the flagship conditional cash transfer (CCT) program of the Philippines, is the delivery of complementary services such as Family Development Sessions (FDS) and Youth Development Sessions (YDS) to program beneficiaries. Prior to the COVID-19 pandemic, these were regular face-to-face sessions providing practical information on topics such as parenting, early childhood care, and disaster preparedness to adult beneficiaries and guidance on adolescent dynamics to young children in 4Ps households, with the overall aim of promoting positive behavioral changes. This technical note examines the process undertaken to enhance and align the content of the FDS and YDS based on the 4Ps law that mandates a maximum 7-year operational period, and it discusses feedback and insights from beneficiaries and implementers. Moreover, it considers the onset of the COVID-19 pandemic and related lockdowns, which have led to mobility restrictions among beneficiaries and implementers since March 2020. Due to the pandemic, the delivery of FDS have relied mostly on broadcast and social media platforms, with options for small group neighborhood sessions in areas with low rates of COVID-19 infections, while YDS have been mostly suspended due to school closures nationwide, without in-person gathering. For a more effective delivery of these learning sessions, this policy note proposes key recommendations on adapting to future shocks and emerging beneficiary needs, developing strategic communications, mobilizing resources, strengthening monitoring and evaluation, and connecting to core values. In particular, it proposes regular updating of module content to maintain relevance and applicability, strengthening alternative modes of program delivery to increase coverage, providing training to facilitators to improve capacity, raising awareness to increase program uptake, creating a clear monitoring and evaluation system to track progress, leveraging the use of technology, and providing post-program exit support to sustain positive behavioral changes among beneficiaries
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  • 100
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Dobbelaere, Sabien Firm Consolidation and Labor Market Outcomes
    Keywords: Health Insurance ; Health, Nutrition and Population ; Labor Market Outcome ; Labor Restructuring ; Takeover
    Abstract: Using rich administrative data from the Netherlands, this paper studies the consequences of firm consolidation for workers. For workers at acquired firms, takeovers are associated with an 8.5 percent drop in employment at the consolidated firm and a 2.6 percent drop in total labor income. These effects are persistent even four years later. The paper shows that the primary mechanism for this job loss is labor restructuring at consolidating firms. Workers with higher-than-expected pay relative to their human capital and workers with skills that are likely already present at acquirers are less likely to be retained
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