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  • Washington, D.C : The World Bank  (1,524)
  • Washington, DC : World Bank, Development Research Group, Finance  (1)
  • Poverty Reduction  (730)
  • Social Protections and Labor  (588)
  • Health, Nutrition and Population  (585)
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  • 101
    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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  • 102
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Parallel Title: Erscheint auch als Racing against time
    Keywords: Wirtschaftsentwicklung ; Kreditmarkt ; Entwicklung ; Tendenz ; CBRs ; Economic Development ; Finance and Development ; Finance and Financial Sector Development ; Fiscal ; Health Systems Development and Reform ; Health, Nutrition and Population ; Macroeconomics and Economic Growth ; Palestinian Economy ; West Bank and Gaza
    Abstract: Operating in environments marked by fragility, conflict, and violence poses complex and distinct challenges, and the Palestinian case is no different. A significant body of literature has emphasized the specific bottlenecks that exist, ranging from - in the first place - the movement, access, trade, and investment restrictions imposed by the Government of Israel (GoI) on the West Bank, and the near-blockade of Gaza, the noncontiguous geography of the territories, to the program advanced by the Palestinian Authority on structural reforms lacking momentum, and increasing penury of foreign aid. Numerous analytical and policy papers - spanning at least three decades, since the establishment of the AHLC forum - have emphasized the severity of the challenges at hand and the imperative of fostering cooperation among all parties. Despite relative clarity on the objectives, progress on the implementation of priorities has been modest, resulting in increased complexity and urgency at the present day. At the behest of the AHLC, this report aims to guide the renewed efforts of the PA and the GoI, the global community, and - more broadly - all relevant policymakers and stakeholders, as they lay the groundwork for sustainable growth and shared prosperity in the Palestinian territories and the wider region. In line with the above, the findings of this report are unsurprising. Unlocking the economic potential of the West Bank and Gaza requires urgent action, in order to spur per capita growth beyond near-stagnation levels, as well as to put the fiscal situation on a sounder footing. The removal, or at least a significant reduction, of restrictions by Israel is a vital prerequisite. Simultaneously, steadfast commitment by the PA to the implementation of a comprehensive reform agenda will be paramount to bolster both recovery and resilience, along with reinforcing institutional governance. In addition, as this report indicates, addressing shortfalls in the health sector will be pivotal to improve the efficiency of public spending, safeguarding human capital, improving service delivery, and revitalizing economic opportunities in a context marked by decades of fragility. While underscoring the burning pressure of these challenges, the World Bank remains fully committed to continuing its close technical collaboration with the PA, the GoI, and all relevant development partners, to help forging a path towards stability, security, economic progress and prosperity, and to contribute to the collective aspiration for a brighter future
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  • 103
    Language: English
    Pages: 1 Online-Ressource (70 pages)
    Parallel Title: Erscheint auch als Schimanski, Caroline Poorer than Adults and Deprived in Almost All Counts: Welfare Status of Children in Nigeria
    Keywords: Child Poverty ; Chronic Poverty ; Deprivation ; Deprivation Gender Gap ; Equity and Development ; Intergenerational Mobility ; Monetary Poverty ; Multi-Dimensional Poverty ; Poverty Reduction
    Abstract: Analyzing data from four waves of the Nigerian General Household Survey and the Nigerian Multiple Indicator Cluster Survey, covering the period from 2010 through 2019, this study provides evidence that poverty levels of children exceed those of adults. Overall, rural children throughout the country and children in the North face higher poverty and chronic poverty rates than urban children and those living in the South without clear trends of a closing of those gaps. These findings hold for monetary poverty as well as, for severe health, education, food, shelter, water, information deprivation and improved sanitation deprivation across Nigeria's six regions. One exception is severe sanitation deprivation, for which especially rural areas in the Southwest stand out with higher levels of severe sanitation deprivation than in rural areas in the north and any other region. Large inter-state heterogeneity of estimates within regions, ranging up to 50 percentage points, for all except severe food deprivation however highlight the importance of looking beyond regional poverty estimates and regional differences. Only state specific, but no systematic evidence has been found for a gender difference in severe educational deprivation and school enrollment rates. Existing gender gaps though seem negligible compared to the overall level of deprivation and urban-rural and north-south gaps. Moreover, the parents' literacy and more so the educational level is highly correlated with the probability of being poor or deprived in any dimension, in particular in rural and northern areas. Interestingly, up to about half of the monetary non-poor children at the top of the consumption distribution still face at least one severe deprivation
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  • 104
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Kassa, Woubet Food Insecurity Erodes Trust
    Keywords: Agriculture ; Experiential Measures of Food Insecurity ; Food Insecurity ; Food Insecurity Experience Scale ; Food Security ; Gallup World Poll ; Governance ; Health, Nutrition and Population ; Social Contract ; Trust
    Abstract: This study examines the relationship between food insecurity and trust using the 2014-17 waves of the Gallup World Poll and the Food and Agriculture Organization's Food Insecurity Experience Scale. Trust improves public institutions, social capital, public health interventions, and economic development. Vertical trust is represented as an index of trust in national institutions, while horizontal trust is represented as a measure of trust in friends and family. The findings show that food insecurity is associated with a decrease in both measures of trust. The study further document heterogeneous effects of food insecurity across economic development rankings. The results suggest a need for governments to increase food security to bolster public trust, strengthen the social contract, and enhance the effectiveness of development efforts
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  • 105
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Conflict and Development ; Forced Displacement ; Host Communities ; Inequality ; Living Standards ; Poverty Reduction ; Social Cohesion ; Social Conflict Prevention
    Abstract: This report presents new evidence from 26 background studies on forced displacement and social cohesion to expand the current knowledge base on how to prevent social conflict and promote social cohesion in forced displacement contexts. The background studies are geographically and methodologically diverse. They examine social cohesion in a variety of low-, middle-, and high-income countries across Africa, Asia, Central, and South America, and Europe. Building on this new evidence, the report provides lessons on how development investments and policies can reduce inequalities, alleviate social tensions, and promote social cohesion between and within displaced populations and host communities. Overall, the findings demonstrate that, while displacement can exacerbate existing inequalities and create new inequalities and the potential for conflict, especially in areas with strained services and limited economic opportunities, inclusive policies and development investments can effectively mitigate the negative effects of displacement and promote social cohesion
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  • 106
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Kreko, Judit Take-Up and Labor Supply Responses to Disability Insurance Earnings Limits
    Keywords: Beneficiary Screening ; Disability ; Disability Insurance ; Earnings Limit ; Employment ; Labor Supply ; Policy Reform ; Social Protections and Labor
    Abstract: In most disability insurance programs, beneficiaries lose some or all of their benefits if they earn above an earnings threshold. While intended to screen out applicants with high remaining working capacity, earnings limits can also distort the labor supply of beneficiaries. This paper develops a simple framework to evaluate this trade-off. It uses a reduction in the earnings limit in Hungary to examine screening and labor supply responses. The findings show that the policy changed selection into the program modestly, but it reduced labor supply significantly. Viewed through the lens of the model, these findings suggest that the earnings threshold should be higher
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  • 107
    Language: English
    Pages: 1 Online-Ressource (42 pages)
    Parallel Title: Erscheint auch als Krafft, Caroline Quality and Inequality in Pre-Primary and Home Environment Inputs to Early Childhood Development in Egypt
    Keywords: Children and Youth ; Early Childhood Development ; Education ; Education Quality ; Home Environment ; Inequality ; Poverty Reduction ; Pre-Primary ; Pre-Primary Child Development Investment ; Primary Education Investment ; School Readiness Indicators ; Social Development ; Socioeconomic Inquality
    Abstract: By the time children in low- and middle-income countries start primary school, large socioeconomic disparities are evident in children's learning and development. Both pre-primary and home environments can play important roles in influencing school readiness and can contribute to disparities in early childhood development, but there is limited evidence on their relative roles in low- and middle-income countries. This paper examines how pre-primary quality, stimulation at home, and early childhood development vary by socioeconomic status for pre-primary students in the Arab Republic of Egypt. The results demonstrate substantial socioeconomic inequality in stimulation at home, more so than in pre-primary quality and inputs, although there is variation in the degree of inequality across different dimensions of pre-primary quality. "Double inequality" is observed, where students with less stimulating home environments experience slightly lower quality pre-primary inputs. There are particularly large pre-primary inequities in structural quality (physical environment) and less inequity in process quality (pedagogy). These results suggest that targeted investments in pre-primary education in Egypt are necessary to reduce inequality in school readiness but are likely insufficient to close the socioeconomic status gap in children's development. Investing in interventions to improve vulnerable children's home learning environments, as well as investing in quality pre-primary, is critical to address disparities in children's development
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  • 108
    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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  • 109
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Azevedo, Joao Pedro COVID-19 School Closures, Learning Losses and Intergenerational Mobility
    Keywords: Access To Education During COVID ; COVID-19 Learning Loss ; Educational Attainment ; Educational Mobility ; Health, Nutrition and Population ; Inequality ; Intergenerational Mobility
    Abstract: The paper presents a first global investigation of the longer-term inequality implications of COVID-19 by examining the effect of school closures on the ability of children from different countries and backgrounds to engage in continued learning throughout the pandemic, and their implications for intergenerational mobility in education. The analysis builds on the data from the Global Database of Intergenerational Mobility, country-specific results of the learning loss simulation model using weekly school closure information from February 2020 to February 2022, and high-frequency phone survey data collected by the World Bank during the pandemic to assess the incidence and quality of continued learning during periods of school closures across children from different backgrounds. Based on this information, the paper simulates counterfactual levels of educational attainment and corresponding absolute and relative intergenerational educational mobility measures with and without COVID-19 impacts, to arrive at estimates of COVID-19 impacts. The simulations suggest that the extensive school closures and associated learning losses are likely to have a significant impact on both absolute and relative intergenerational educational mobility in the absence of remedial measures. In upper-middle-income countries, the share of children with more years of education than their parents (absolute mobility) could decline by 8 percentage points, with the largest impacts observed in the Latin America region. Furthermore, unequal access to continued learning during school closures across children from households of different socioeconomic backgrounds (proxied by parental education levels) leads to a significant decline in relative educational mobility
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  • 110
    Language: English
    Pages: 1 Online-Ressource (104 pages)
    Parallel Title: Erscheint auch als Amin, Mohammad The Impact of Ethnic Fractionalization on Labor Productivity: Does Firm Size Matter?
    Keywords: Ethnic Fractionalization ; Firm Size and Labor Productivity ; Growth ; Labor Productivity ; Large Firm Workers ; Manufacturing Productivity ; Social Protections and Labor
    Abstract: Ethnic fractionalization has both positive and negative consequences. It is contended that the positive effects due to skill complementarity in the production process apply to large firms that have more complex and diversified production structures. Because small businesses rely more on public goods and have less access to institutions, the negative effects of lower quality public goods and higher transaction costs have a greater impact on them. Consistent with this viewpoint, it is found that a larger firm size significantly mitigates the negative impact of higher ethnic fractionalization on the level and growth rate of labor productivity in manufacturing firms across 84 developing countries. There is no robust and significant impact of ethnic fractionalization on large firms for the main and most of the other firm size categorizations considered. The results are confirmed by the instrumental variables estimation method, which uses the duration of early human settlement in each country to instrument ethnic fractionalization. Evidence is provided on the potential mechanisms by which ethnic fractionalization affects small versus large firms. The findings have significant policy implications, which are discussed in detail
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  • 111
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Baseler, Travis Disastrous Displacement: The Long-Run Impacts of Landslides
    Keywords: Climate Change Impacts ; Climate Refugees ; Displacement ; Displacement and Mental Health ; Environment ; Forced Migration ; Government Adminitrated Relocation ; Landslide Impact ; Living Standards ; Mental Health and Natural Disaster ; Natural Disasters ; Poverty Reduction
    Abstract: Natural disasters displace millions of people a year, but little is known about their long-run impacts when institutional capacity to respond to the disaster is low. This paper estimates the long-run impacts of six major landslides in Uganda, where most affected households received little aid. The analysis combines administrative and survey data from nearly the full population of affected and nearby households with exact landslide paths and a geological model of landslide risk to identify impacts relative to nearby households facing similar risk. Landslides substantially increase long-term displacement and migration, and affected households have significantly worse economic and mental health outcomes years afterward. Displacement worsens long-run outcomes, especially when not administered by the government. These findings contrast with many other studies of natural disaster, and suggest that the positive impacts of displacement require a favorable financial and institutional environment unlikely to be found in many countries
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  • 112
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Connectivity ; Digital Transformation ; Education ; Education For the Knowledge Economy ; Government Information Network ; Higher Education ; Higher Education Reform ; ICT Applications ; ICT Policy and Strategies ; Information and Communication Technologies ; Internet ; Social Protections and Labor ; Vocational and Technical Education
    Abstract: The Digital Transformation of Philippine Higher Education recommends a medium-term strategy for the Commission on Higher Education (CHED). Chapter 1 presents an overview of the Philippine higher education sector and analyzes the sectoral and country context for digital transformation of higher education. Chapter 2 discusses the foundations and pillars that support digital transformation as well as the building blocks of common and shared platforms and services for students and academic, research, and administrative stakeholders in higher education. Based on the findings in Chapter 1 and global good practices on digital transformation in Chapter 2, Chapter 3 recommends strategic goals and actions for CHED and HEIs as well as other higher education key players to digitally transform Philippine higher education
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  • 113
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Risk and Vulnerability Assessment
    Keywords: Earthquake ; Environment ; Infrastructure Economics and Finance ; Infrastructure Finance ; Macroeconomic Impact ; Natural Disasters ; Recovery and Reconstruction ; Social Protections and Assistance ; Social Protections and Labor ; Socioeconomic Impact ; Syria
    Abstract: Following the magnitude (Mw) 7.8 Turkiye-Syria Earthquake on February 6, 2023, and the (Mw) 6.3 earthquake on February 20, 2023, the World Bank launched the Syria Rapid Damage and Needs Assessment (RDNA). The objective of the RDNA is to estimate the impact of the earthquake on physical assets and service delivery in the most affected areas. The RDNA covers six governorates with roughly 10million inhabitants, with an in-depth analysis of nine cities. It provides preliminary estimates to rebuild infrastructure and restore service delivery, and general guiding principles for recovery and building back better, focusing on early recovery (0-12 months) and short-term needs (1-3 years). The RDNA also analyses the macroeconomic and socioeconomic impacts of the earthquake to anticipate repercussions on the economic outlook and on the population's well-being. This RDNA contributes to the understanding of the impactof the earthquake on Syria. While the RDNA focuses on the damages incurred by the earthquake, the compounding effect of the pre-existing damages caused by the conflict are reflected in the pre-earthquake baseline. The RDNA follows a globally established and recognized damage, loss, and needs assessment methodology developed by the World Bank Group (WBG), the European Union (EU), and the United Nations (UN). This methodology has been applied globally in post-disaster and conflict contexts to inform recovery and reconstruction planning. Prior to this RDNA, the World Bank Group conducted six assessments to provide information on the effects of the ongoing conflict on population, physical infrastructure, and quality of service delivery
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  • 114
    Language: English
    Pages: 1 Online-Ressource (91 pages)
    Parallel Title: Erscheint auch als Baquero, Juan Pablo Revisiting the Distributive Impacts of Fiscal Policy in Colombia
    Keywords: Distributiveimpact of Taxes ; Equity and Development ; Fiscal and Monetary Policy ; Fiscal Policy ; Inequality ; Law and Development ; Macroeconomics and Economic Growth ; Poverty and Fiscal Policy ; Poverty Reduction ; Social Spending Impact Inequality ; Tax Law ; Transfer Impact on Poverty
    Abstract: Colombia is one of the most unequal countries in the region and the world. Given the redistributive role of fiscal policy, this study uses recent data from the 2021 Integrated Household Survey to explore the impacts of taxes and spending on poverty and inequality in Colombia. The study introduces innovations to the literature on Colombia, including an update of the fiscal microsimulation model to reflect the most recent economic context; an introduction of new fiscal policy parameters, such as gasoline subsidies and carbon taxes; and methodological improvements. The results show positive redistributive impacts, but these are considerably lower than those seen in other country members of the Organisation for Economic Co-operation and Development (OECD). Direct taxes and transfers reduce the Gini index from 0.543 to 0.505; and direct taxes, indirect taxes, subsidies, and monetary transfers reduce total poverty from 42.1 to 40.2 percent and extreme poverty from 16.1 to 11.7 percent. Direct taxes, transfers, and subsidies are progressive and contribute to poverty reduction, while indirect taxes such as the value-added tax or consumption tax are regressive and do not reduce poverty. This reflects a tax system that is progressive, but not progressive enough (with a low proportion of the population with high levels of income contributing), and cash transfer and subsidy programs that have room for improvement in their targeting
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  • 115
    Language: English
    Pages: 1 Online-Ressource (101 pages)
    Parallel Title: Erscheint auch als Behrer, A. Patrick Man or Machine? Environmental Consequences of Wage Driven Mechanization in Indian Agriculture
    Keywords: Agricultural Fire ; Agriculture ; Air Pollution ; Environment ; Mahatma Ghandi National Rural Employment Guarantee Act ; Mechanized Agriculture ; Poverty Reduction ; Rural Labor Market Shocks ; Structural Change
    Abstract: This paper uses an exogenous shock to wages from the world's largest anti-poverty program to show that higher wages can lead to increased air pollution, likely by inducing farmers to shift into a labor-saving and mechanized production process. Using a difference-in-differences approach on the staggered roll-out of India's Mahatma Gandhi National Rural Employment Guarantee Act (MNREGA), combined with data on nearly 1 million fires, the paper shows that the frequency of agricultural fires increases by 21 percent after the shock. The increase in fires is concentrated in districts that appear more likely to mechanize the harvest. MNREGA did not lead to changes in area planted or tonnage produced in fire intensive crops. The estimates show that nationally, the shock increased the rate of particulate emissions from biomass burning by 30 to 50 percent. The results suggest that absent policies to correct for environmental externalities of mechanization at all stages of development, labor market shocks may lead to inefficient levels of mechanization
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  • 116
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Poverty Assessment
    Keywords: Climate Change ; Climate Change Impacts ; Environment ; Equity and Development ; Human Capital ; Inclusive Growth ; Labor Market ; Poverty Assessment ; Poverty Reduction
    Abstract: Honduras, already among the poorest countries in the Latin America and Caribbean (LAC) region, experienced weak poverty reduction in 2014-19 compared to other countries in the region. The COVID-19 pandemic and Hurricanes Eta and Iota led to a rise in poverty from 2019 to 2020; it is likely that poverty will remain above prepandemic levels in 2021. The economic rebound in 2021, as well as the ongoing conflict in Ukraine, led to an increase in food prices; at the same time, Honduras's population is vulnerable to rising food prices and food insecurity is high. In 2019, the extreme poor spent almost half of their income on food. Additionally, food insecurity was persistently high. A striking feature of Honduras is the deep and widening urban-rural divide in terms of quality of life. There is a wide urban-rural poverty gap for both the moderate and the extreme poor, which reflects significant disparities in access to basic services such as electricity, water, and sanitation, and internet usage, as well as lower human capital accumulation and worsen labor market indicators in rural areas. While overall income inequality has been stagnant since 2014, inequality in rural areas has increased while in urban areas it has declined. The country is one of the most unequal countries in LAC. Hondurans continue to face deep and persistent disparities in access to and quality of education, with rural areas heavily penalized, even before the COVID-19 pandemic, despite high spending on education. Subnational disparities are particularly large; poverty continues to be most heavily concentrated in the country's southwestern areas, in departments with higher shares of ethnic minorities, and in municipalities located in the south and southwest. This report focuses on the factors that have contributed to these observed poverty and inequality trends and patterns in Honduras
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  • 117
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Financial Viability ; Health, Nutrition and Population ; Immunizations ; Investments ; Vaccine Security ; Value Chain
    Abstract: This regional analytical activity will contribute to knowledge on the technical, operational, and financial viability and strategic partnership required among ASEAN countries to strengthen coordinated investments on the vaccine value chain. The ASA has three major activities: i) A deep-dive public sector technical assessment of country and regional level vaccine security, including gaps and opportunities across the value chain from RandD to last mile distribution; ii) A private sector value chain analysis covering upstream and downstream aspects of vaccine manufacturing; and iii) An economic analysis examining the feasibility of coordinated investments across countries to leverage comparative advantage in specific aspects of the vaccine value chain
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  • 118
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Perge, Emilie Structural and Behavioral Barriers to Improving Development Outcomes: The Case of Maternal Care in Haiti
    Keywords: Behavioral Biases ; Female Health Service Location ; Health and Poverty ; Health, Nutrition and Population ; Maternal Health ; Maternal Mortality ; Mixed Methods ; Multilevel Model ; Poverty and Maternal Health
    Abstract: This paper investigates the interplay between structural and behavioral barriers that discourage pregnant women from accessing institutional care in Haiti, where despite some improvements in the past decades, maternal mortality remains a significant challenge. The analysis complements household survey data with data on service provision and qualitative data on beliefs, perceptions, and attitudes toward maternal health care. Using a mixed-methods approach, the paper confirms that transportation and poverty are important barriers that decrease the likelihood of attending maternal health care services. At the same time, the findings show that women suffer from optimism bias and are uncomfortable with the current model of received care. These barriers discourage women from seeking, reaching, and receiving maternal health care services at health institutions. Tackling structural barriers while finding ways to encourage women to shift their beliefs, perceptions, and attitudes are key recommendations to improve maternal health in Haiti
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  • 119
    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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  • 120
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Halim, Daniel Why do People Move? A Data-Driven Approach to Identifying and Predicting Gender-Specific Aspirations to Migrate
    Keywords: International Labor Migration ; Machine Learning ; Migrant Household Survey Data ; Migration and Development ; Migration and Gender ; Migration Data by Gender ; Poverty Reduction ; Work Related Migration
    Abstract: Work-related migration has many potential drivers. While current literature has outlined a theoretical framework of various "push-pull" factors affecting the likelihood of international migration, empirical papers are often constrained by the scarcity of detailed data on migration, especially in developing countries, and are forced to look at few of these factors in isolation. When detailed data is available, researchers may face arbitrary choices of which variables to include and how to sequence their inclusion. As male and female migrants tend to face occupational segregation, the determinants of migration likely differ by gender, which compounds these data challenges. To overcome these three issues, this paper uses a rich primary household survey among migrant communities in Indonesia and employs two supervised machine-learning methods to identify the top predictors of migration by gender: random forests and least absolute shrinkage and selection operator stability selection. The paper confirms some determinants established by earlier studies and reveals several additional ones, as well as identifies differences in predictors by gender
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  • 121
    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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  • 122
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Palestinian Pension Agency ; Pension System ; Pensions and Retirement Systems ; PER ; SIAD ; Social Funds and Pensions ; Social Insurance Administrative Diagnostic ; Social Protections and Labor
    Abstract: This work builds on the Public Expenditure Review (PER) analysis of the pension system conducted in 2016 but also brings important innovations. It updates the financial analysis conducted then and offers new policy recommendations, with the key objective of improving the affordability of the pension system, subject to benefit adequacy. The principal difference of this work is in the adopted approach, which looks at the pension system holistically and offers advice from the angle of rationalizing the overall public expenditure policy in pensions, rather than working with each pension scheme individually. In doing so, it takes a forward-looking approach and minimizes the dependency path of the convoluted legacy system. The work also incorporates a component that looks at the Palestinian Pension Agency's (PPA) administrative systems using a new Bank tool - Social Insurance Administrative Diagnostic (SIAD). The findings reveal a system with unfinished reforms and call for a comprehensive restructuring of the pension financing arrangements, along with a change of the construct of the system. This work is largely diagnostic in nature, offering high level policy recommendations and suggesting a comprehensive follow up analysis. While presenting a status quo analysis and illustrating effects of several parametric adjustments, the main set of recommendations is centered around the structural adjustments and financial restructuring in the public sector pension scheme, which would require a round of follow up work, elaborating and modeling various reform cases, including careful fine-tuning of the transitional provisions
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  • 123
    Language: English
    Pages: 1 Online-Ressource (77 pages)
    Parallel Title: Erscheint auch als Adhikari, Samik Candle in the Wind? Insights from COVID-19 Emergency Cash Transfers to Informal Sector Workers in Sierra Leone
    Keywords: Covid-19 Pandemic ; Economic Security Measures ; Emergency Cash Transfer ; Health Policy ; Health, Nutrition and Population ; Informal Workers Protection ; Unconditional Cash Transfers ; Vulnerable ICT Workers
    Abstract: This paper takes stock of the insights and learnings from a COVID-19 emergency cash transfer program that was administered to vulnerable informal sector workers in Sierra Leone. It starts by reviewing relevant examples of cash transfer programs that were instituted in response to the COVID-19 crisis. It then describes the context, intervention, and data of the emergency cash transfer program, before presenting a quasi-experimental analysis of the emergency cash transfer's potential impacts on various measures of economic security and subjective well-being of households with urban informal sector workers. The analysis is conducted by matching administrative data to survey data and using program eligibility criteria and inverse probability weights to identify the short- and medium-term relationship between a one-off USD 135 cash transfer and various labor market, food security, human capital, and subjective well-being outcomes for recipient and nonrecipient households of the emergency cash transfer. The analysis finds a positive potential impact of the transfer and the number of hours worked as well as employment in the medium term. It also finds that program beneficiaries report higher chances of their main income increasing or staying the same compared to nonbeneficiaries. The positive correlation between the transfer and income disappears over the medium term, perhaps suggesting that one-off transfers work best to cushion vulnerable self-employed households and informal wage workers in the short term but do not impact medium-term employment or income
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  • 124
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Administrative and Civil Service Reform ; Equity ; Opportunity ; Resilience ; Social Protection System ; Social Protections and Assistance ; Social Protections and Labor ; Sustainability
    Abstract: This policy note assesses how Brazil's social protection and labor systems can be reformed most effectively to meet the challenges that the country will face in the next two decades while also fostering social inclusion and shared prosperity. This discussion is timely as Brazil is slowly recovering from the global COVID-19 crisis, which brought new challenges as well as accelerating existing socioeconomic transformations. Despite the fact that labor markets are slow to recover after economic crises in Brazil, implementing the right set of policies could enable the country to take advantage of changes in the world of work, new opportunities for human capital formation, and recent developments in technology and delivery systems to build back better than in the past. Serving as a companion piece on social protection and labor policies for the Flagship Report "Alternative Futures for Brazil: Inclusion, Productivity, Sustainability" (World Bank, Forthcoming), this note draws from a large body of recent analytical work by the World Bank team in Brazil. The vision of the flagship report is for Brazil to reach 2040, two decades from now, with a more productive and resilient and less unequal society
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  • 125
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Seitz, William Preferences for Wage Discrimination against Women
    Keywords: Age Bias ; Discrimination ; Equal Pay ; Equity and Development ; Gender ; Gender and Law ; Gender Equality ; Gender Wage Gap ; Inequality ; Poverty Reduction ; Social Protections and Labor ; Systematic Gender Bias ; Wages, Compensation and Benefits
    Abstract: This study demonstrates systematic bias against women in public perceptions of the fairness of wages. In nationally representative survey experiments across more than 70,000 individual vignettes posed to 4,500 respondents in three Central Asian countries, respondents were 13 percent more likely to say wages were "too high" when the randomly assigned person described in the vignette (subject) was a woman, and 34 percent more likely to say they were "too low" when the subject was a man. The pattern of bias favoring higher wages for men is statistically significant at conventional levels in all three countries, among both male and female respondents, and in each of the eight occupations studied. The results also demonstrate the presence of significant bias in favor or older workers, specifically for white-collar occupations, and the absence of this relationship for the blue-collar occupations included in the experiment. The findings reinforce the importance of bias as a contributing factor to the gender pay gap, and the value of equal pay regulations to prevent gender discrimination in wage setting
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  • 126
    Language: English
    Pages: 1 Online-Ressource (41 pages)
    Parallel Title: Erscheint auch als Bedoya, Juan Rule-Based Civil Service: Evidence from a Nationwide Teacher Reform in Mexico
    Keywords: Administrative and Civil Service Reform ; Civil Service Employment ; Civil Service Reform ; Education ; Education Reform and Management ; Effective Schools and Teachers ; Rule-Based Teacher Hiring ; Social Protections and Labor ; Teacher Hiring Methods ; Teacher Quality
    Abstract: This paper studies the effect of a civil service reform on the skills profile of new teachers in Mexico. The reform mandated the use of rule-based recruitment over discretionary hiring. The results show that the reform led to hiring teachers with higher cognitive skills. The paper also shows that an improvement in the bottom of the skills distribution of new hires drove this change. Two channels explain these effects. First, the reform decreased the prevalence of discretionary hires, who tended to be drawn from the bottom of the skills distribution. Second, the reform improved the screening efficiency of rule-based hiring, making cognitive skills more important determinants of hiring outcomes
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  • 127
    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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  • 128
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Hernandez, Carlos Ospino Protecting Who? Optimal Social Protection Responses to Shocks with Limited Information
    Keywords: Adaptive Social Protection ; COVID-19 Pandemic ; Disaster Risk Management ; Social Protection ; Social Protections and Labor ; Targeting ; Targeting Social Protection Response
    Abstract: The literature on shock-responsive social protection focuses on operational features that improve the speed and reach of the response, but little is known about the optimal design of emergency social protection responses in terms of which programs to use, information about the people affected, and the extent of their losses. This paper studies optimal social protection responses to shocks, using microsimulations of different social assistance responses in Albania, Moldova, and North Macedonia. The paper shows that optimal design depends not only on the magnitude of the shock, but also on how the shock affects welfare rankings and on the parameters of the existing social assistance system, including the generosity of the schemes and how well they cover the poor. For given budgets, a universal transfer remains a suboptimal response. However, the extent to which existing programs should be expanded, as designed, to additional beneficiaries depends on the type of shock. When a shock tends to affect households homogeneously, increasing generosity and expanding the existing targeted social assistance program using established welfare metrics to assess eligibility is an effective response. When shocks affect households heterogeneously and bring some of them into extreme poverty, then pre-shock welfare indicators carry little information and policy makers should provide support through a new program or modified eligibility criteria, according to information on who suffered the shock. This analysis points to the importance of planning in advance for future crises and, within this, considering the optimal design of emergency social protection responses
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  • 129
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Hasanbasri, Ardina Using Paradata to Assess Respondent Burden and Interviewer Effects in Household Surveys: Evidence from Low- and Middle-Income Countries
    Keywords: Computer-Assisted Interviewing ; Household Surveys ; Interviewer Effects ; Paradata ; Poverty Reduction ; Respondent Burden ; Social Analysis ; Social Development ; Survey Methodology
    Abstract: Over the past decade, national statistical offices in low- and middle-income countries have increasingly transitioned to computer-assisted personal interviewing and computer-assisted telephone interviewing for the implementation of household surveys. The byproducts of these types of data collection are survey paradata, which can unlock objective, module- and question-specific, actionable insights on respondent burden, survey costs, and interviewer effects. This study does precisely that, using paradata generated by the Survey Solutions computer-assisted personal interviewing platform in recent national household surveys implemented by the national statistical offices in Cambodia, Ethiopia, and Tanzania. Across countries, the average household interview, based on a socioeconomic household questionnaire, ranges from 82 to 120 minutes, while the average interview with an adult household member, based on a multi-topic individual questionnaire, takes between 13 to 25 minutes. Using a multilevel model that is estimated for each household and individual questionnaire module, the paper shows that interviewer effects on module duration are significantly larger than the estimates from high-income contexts. Food consumption, household roster, and non-farm enterprises consistently emerge among the top five household questionnaire modules in terms of total variance in duration, with 5 to 50 percent of the variability being attributable to interviewers. Similarly, labor, health, and land ownership appear among the top five individual questionnaire modules in terms of total variance in duration, with 6 to 50 percent of the variability being attributable to interviewers. These findings, particularly by module, point to where additional interviewer training, fieldwork supervision, and data quality monitoring may be needed in future surveys
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  • 130
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: FDA ; Health Policy and Management ; Health Sector Funding ; Health, Nutrition and Population ; Pharmacovigilance ; Safety Monitoring
    Abstract: The objective of this report is to examine the development of pharmacovigilance (PV) in Ghana and illustrate the role it plays in the health system, and more recently, during the COVID-19 emergency response. It concludes by offering some relevant lessons for building PV capacity in other low-and middle-income countries
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  • 131
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Adaptive ; COVID-19 ; Inclusive Recovery ; Limited Spending ; Resilience ; Social Protections and Assistance ; Social Protections and Labor ; SPL
    Abstract: Social Protection and Labor (SPL) Systems help individuals and societies manage risk and volatility and protect them from poverty through instruments that address the challenges of resilience, equity and opportunity. SPL systems include social safety nets, social insurance, and labor market programs. As recent events have shown, the relative emphasis among goals - resilience, equity and opportunity - can change over time, with demands put on SPL program design and delivery systems differing in each context. In relatively stable times, programs are likely to focus on human capital formation, equality of opportunity, poverty reduction, and redistribution. This was the case in Central America prior to the COVID-19 emergency, albeit with some shortcomings. The goal of shock-responsiveness (resilience) dramatically came to the fore during the pandemic, even if recognized earlier during natural disasters and now more broadly with climate change. Globally and in Central America, SPL systems had a critical role in the response to the COVID-19 emergency
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  • 132
    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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  • 133
    Language: English
    Pages: 1 Online-Ressource (58 pages)
    Parallel Title: Erscheint auch als Amankwah, Akuffo The Welfare Effects of Structural Change and Internal Migration in Tanzania
    Keywords: Communities and Human Settlements ; Cross-Sector Labor Movement ; Finance and Financial Sector Development ; Financial Structures ; Human Migrations and Resettlements ; Internal Migration ; Labor Market Shift ; Panel Data ; Poverty Reduction ; Structural Change ; Welfare Indicators
    Abstract: Structural change has implications for various dimensions of development, including poverty reduction. However, the existing empirical literature on Sub-Saharan African economies, including Tanzania, has mainly focused on trends and patterns in macroeconomic or aggregate welfare indicators, largely providing a descriptive analysis of the nature of structural change and its potential welfare implications. This paper provides micro insights on structural change in Tanzania and its effect on welfare, using a recent household panel dataset, which was collected between 2015 and 2021. The results show that cross-sector labor movements are dominated by movements between agriculture and services, although most individuals studied within the two periods continue to remain in agriculture, with industry's share in employment declining marginally. The paper shows that among the individuals studied, the number of people who slid into poverty was nearly twice the number who escaped poverty, and this is significantly influenced by the pattern of sectoral transitions experienced by the individuals. The findings show that in addition to sectoral transitions and migration being important to each other, they are both driven by similar micro factors. The paper highlights the importance of education (particularly secondary or higher education) to increasing the chances of an individual embarking on welfare-enhancing sectoral movement and associated migration across districts in Tanzania
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  • 134
    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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  • 135
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Agriculture ; Atlas Region ; Earthquake ; Economic Growth ; Environment ; Female Labor Force ; Gender ; Gender and Development ; Macroeconomics and Economic Growth ; Natural Disasters ; Poverty ; Social Protections and Assistance ; Social Protections and Labor ; Tourism ; Women's Economic Empowerment
    Abstract: The Moroccan economy is recovering. Following a sharp deceleration in 2022 caused by various overlapping commodity and climatic shocks, economic growth increased to 2.9 percent in the first semester of 2023, driven primarily by services and net exports. Inflation has halved between February and August 2023, but food inflation remains high. Lower commodity prices havealso contributed to a temporary narrowing of the current account deficit. The response to recent crises and the unfolding reform of the health and social protection systems are exerting pressures on public spending. However, the government is managing to gradually reduce the budget deficit
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  • 136
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Ablaza, Christine Indonesia's Informal Economy: Measurement, Evidence, and a Research Agenda
    Keywords: Economic Theory and Research ; Employment and Unemployment ; Informal Economy Literature Review ; Informal Economy Research ; Informal Employment ; Informal Sector Policy ; Informality Literature ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Protections and Labor ; Work and Working Conditions
    Abstract: Indonesia has made remarkable economic progress since the Asian Financial Crisis. To sustain its growth and achieve high-income status by 2045, it needs to address the long-standing challenge of informality. Doing so will require a coordinated policy approach informed by robust empirical evidence on the underlying causes and consequences of informality. This paper contributes to this agenda by reviewing the state of knowledge on the informal economy in Indonesia. The study focuses on three key areas of relevance to future policies on informality, namely: (1) key definitions and measures, (2) existing data sources, and (3) findings from previous research. The paper identifies remaining gaps in the existing data and empirical literature and uses this to construct an agenda for future work on the subject
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  • 137
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Wollburg, Philip Economic Sentiments and Expectations in Sub-Saharan Africa in a Time of Multiple Shocks
    Keywords: Economic Insecurity ; Economic Sentiment ; Expectations ; Living Standards ; Living Standards Measurement Survey Data ; Macroeconomics and Economic Growth ; Phone Survey ; Poverty Reduction ; Quality of Life and Leisure ; Schocks ; Social Development ; Uncertainty
    Abstract: Against the background of high inflation, climate shocks, and concerns about rising food insecurity, this study documents the state of economic sentiments and expectations of households in five African countries--Burkina Faso, Ethiopia, Malawi, Nigeria, and Uganda--that are home to 36 percent of the Sub-Saharan African population. Leveraging nationally representative phone survey data, 57 percent of households across the five countries report that their financial situation and their country's economic situation have worsened significantly in the past 12 months. While expectations for the future are more positive, there are marked differences across countries that suggest uneven recovery prospects and nonnegligible uncertainty about the future. Households overwhelmingly report prices to have increased considerably over the past 12 months and expect prices to increase faster, or at the same rate, over the next 12 months. Close to 54 percent of households--home to 206 million individuals--further expect that climate shocks will have adverse impacts on their finances in the next year. Economic sentiments are closely related to livelihood outcomes such as food insecurity, lack of access to staple foods, income loss, and unemployment, and sentiments about the household financial situation, country economic situation, price increases, and climate shocks are also interdependent. Households whose financial situation has worsened in the past year are consistently more pessimistic about their financial future. Food insecure households, in particular, are not only more likely to report a worsening financial situation in the recent past and pessimism about the future, but also more likely to expect to be adversely impacted by climate shocks
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  • 138
    Language: English
    Pages: 1 Online-Ressource (56 pages)
    Parallel Title: Erscheint auch als Brunckhorst, Ben Tracing Pandemic Impacts in the Absence of Regular Survey Data: What have we Learned from the World Bank's High-Frequency Phone Surveys?
    Keywords: Covid-19 Impacts ; Gender ; Gender and Public Expenditures ; Health, Nutrition and Population ; High-Frequency Phone Survey ; Household Questionnaire Design ; Household Welfare ; Inequality ; Labor Markets ; Macroeconomics and Economic Growth ; Social Protections and Labor ; Survey Method
    Abstract: The World Bank's High-Frequency Phone Surveys were deployed to support the monitoring of household welfare during the COVID-19 pandemic, when most of the regular household survey data collection was suspended. This paper reviews the analytical insights gained from the High-Frequency Phone Survey data, including uneven dynamics of household welfare during the pandemic across and within countries, as well as novel applications to simulate estimates of poverty and intergenerational mobility following the pandemic. The paper further derives lessons from the data collection experience. First, phone surveys, while inexpensive and quick, require reliable sampling frames. The predominant sampling strategies-previous household survey and random digit dialing-each have pros and cons in terms of representativeness, non-response, and post-survey adjustments. Second, on questionnaire design, country customization needs to be carefully balanced against standardization when cross-country comparisons are likely to be important. Finally, baseline metrics are critical for crisis monitoring; this requires more frequent welfare monitoring and better alignment of questions in phone surveys and existing data sources. While phone surveys can be a reliable toolkit for researchers and governments, more research is needed on key questions related to the survey mode effect, and the implications of different sampling frames and questionnaire design
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  • 139
    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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  • 140
    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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  • 141
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2153
    Keywords: Economic Development ; Economic Forecasting ; Economic Growth ; Jobs ; Private Sector ; Private Sector Development ; Social Protections and Labor ; Starting A Business ; Transition
    Abstract: This report presents a diagnostic study of barriers to private sector participation focusing on young Kuwaitis. The General Secretariat of the Supreme Council for Planning and Development (GSSCPD), Kuwait Public Policy Centre (KPPC) and the World Bank's behavioral science team, the Mind, Behavior, and Development Unit (eMBeD), partnered to conduct a series of data collection activities seeking to identify key structural and behavioral barriers that prevent higher youth participation in the private sector. The right of every Kuwaiti to work is mentioned in Articles 26 and 41 of the Constitution and in various Emiri decrees. The Constitution also commits to state provision of allowances for housing, health care, education, as well as social security, pensions, and disability benefits. Overall, Kuwaiti citizens tend to consider public sector employment to be superior to private sector employment. Reasons for this include greater job security, less burdensome responsibilities, generous pay and benefits, and shorter working hours in the public sector compared to private sector (Towards a National Jobs Strategy in Kuwait, 2021). Given this, there is limited incentive for Kuwaitis to work in the private sector. Indeed, Kuwaiti nationals account for only 4.3 percent of the private sector workforce (Labor Market Information System, 2019), the majority of which is made up of expatriates. The public sector, on the other hand, employs 76 percent of Kuwaiti citizens (Labor Market Information System, 2019). However, the sustainability and efficiency of this system is more than ever under question. High population growth and expected entry of many Kuwaiti nationals into the jobs market by 2022 is putting pressure on public sector employment, and the rising wage bill presents further fiscal challenges (International Monetary Fund, 2019). Public sector entities, which are under pressure to absorb these entrants, are already overstaffed
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  • 142
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate Change ; Climate Change Adaptation ; Environment ; Health ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Human Rights ; Threat Mitigation
    Abstract: Climate change has been called the most important threat to human health in the 21st century. It is estimated that if thetemperature rises and its impact on the other climatic variablescontinues unchanged, it will kill more than 83 million people (1 percent of the world's population) in the next 80 years (Wattset al. 2020)-13 times the toll of the COVID-19 pandemic (WorldHealth Organization 2023). Historically, only pandemics or worldwars have posed such threats to human health. As a result, the issue has aroused unprecedented attention. In 2021, the World Health Organization (WHO) declared climate changethe greatest health threat facing humanity (WHO 2021). Now, more than 195 governments have included climate change mitigation and adaptation as pillars in their multi-year plans, and government health sectors have been developing plans tomeasure and respond to the impact of climate change on health. However, recognition of the links between climate change and health remains nascent, so these efforts have not yet been accompanied by strategic and actionable approaches to measure the impacts and ground the responses. This report contributes to addressing that gap by providing a framework for understandingthe impact of climate change on human health in Colombia and by outlining the most effective actions to mitigate the threat
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  • 143
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Tillan, Pablo Reassessing the Impacts of Exports on Local Labor Market Outcomes: A Supply Chain Perspective - Evidence from the Arab Republic of Egypt
    Keywords: Export Competitiveness ; Export Impacts ; Firm Dynamics ; Gender and Labor Markets ; Global Value Chains and Business Clustering ; International Economics and Trade ; Labor Market Outcomes ; Labor Markets ; Limited Export Sector ; Private Sector Development ; Social Protections and Labor ; Trade Policy
    Abstract: This paper examines the overall impact of exports while accounting for supply chain linkages on local labor market outcomes in the Arab Republic of Egypt between 2007 and 2018. The paper assesses the effects not only on directly exporting industries, but also on industries indirectly affected by rising export demand. Furthermore, it examines potential impacts on specific groups of workers, such as high-skilled individuals and female workers. The results show that trade does not lead to the same connection with domestic labor markets in Egypt as observed in other countries, as highlighted in the existing literature explaining the adverse effects of imports on developing countries. Despite being more open to trade, trade-intensive industries in Egypt have not experienced a significant increase in their share of employment within the overall workforce. To harness the benefits of trade, Egypt must undertake deeper reforms aimed at significantly expanding the export sector
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  • 144
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2152
    Keywords: Diagnostics ; Governance ; Health Care Reform ; Human Capital ; Information Systems ; Per Allocation ; Skills Development and Labor Force Training ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Timor-Leste is facing a human capital crisis. Children born in Timor-Leste today will be less than half as productive as adults as they could be if they enjoyed complete education and full health. Moreover, the Petroleum Fund, the main driver of the economy since the country's independence in 2002, risks being depleted within a decade, threatening the sustainability of Timor-Leste's economy, as well as health, education, and social protection systems. The COVID-19 pandemic has amplified and accelerated these challenges and deepened socioeconomic and geographic inequalities across the country. To be ready for a future that will be primarily driven by the country's human capital assets, the time available to Timor-Leste is limited and the task at hand an enormous one. Despite this daunting outlook, there are opportunities of a lifetime that need to be seized now to address this crisis. The country's population is primarily young, and a rapidly closing window of opportunity exists to build high levels of human capital through quality education, health, nutrition, and social protection. By capitalizing on the youth bulge and translating it into a demographic dividend, the people of Timor-Leste can become the drivers of the country's economic growth. Eight key messages can be distilled from the 2023 Timor-Leste Human Capital Review (HCR). These messages serve as a common reference point for the Government of Timor-Leste (GoTL) and other stakeholders active in human development to identify short- and medium-term priorities for investment in health, education, and social protection. Together, these can yield individual-level and macro-level economic benefits and improve development outcomes
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  • 145
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access To Healthcare ; Adolescent Health ; Climate Change and Health ; Female Sexual Health ; Gender ; Gender and Health ; Gender-Based Violence ; Health, Nutrition and Population ; Maternal and Girls Health ; Reproductive Health ; Violence Against Women and Girls ; Vulnerable Populations
    Abstract: This thematic note is part of a broader mixed-method study on gender inequalities in Madagascar, which intends to illustrate the key gender gaps in the country and shed light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. This thematic note provides in-depth insights into the status of women's and girls' maternal, sexual and reproductive health in Madagascar and proposes several strategic lines of action to improve access to professional health care by Malagasy women and girls and prevent teenage pregnancy. This note is accompanied by the overview of all study findings and three thematic notes that present in-depth insights in the following key dimensions: education, economic opportunities, and agency
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  • 146
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 39458
    Keywords: Climate Change ; Environment ; Poverty ; Poverty Reduction ; Vulnerability Analysis ; Water Resources Institutions and Participations ; Weather Shocks ; Weather Vulnerability ; Welfare Impact
    Abstract: Weather vulnerability is often assessed using historical data, but this can be very misleading in a world of changing climate. Weather refers to short-term atmospheric conditions, while climate is the weather averaged over a long period. With climate change, some places are becoming wetter, some drier, and extreme weather events, such as heatwaves, floods, droughts, and tropical cyclones, are becoming more likely. Hence, the nature of weather risks will vary considerably. Despite the magnitude of this shift, there is currently no widely accepted method for bringing climate change into catastrophe risk modeling. The objective of this note is to review, compare, and contrast the different techniques used in this literature to include climate change into vulnerability analysis. To do so, it summarizes recent research papers exploring how to bring climate change into catastrophe risk modeling. The note builds on this review to propose and explain a robust methodology and highlight its potential caveats. As such, this note is a first step towards unifying approaches and disseminating the analysis of climate change in vulnerability analysis. The method proposed in this note can be applied by researchers, economists, and public policy practitioners to study a wide range of topics, from the impact of climate change on diseases to stress-testing social protection programs
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  • 147
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Zaveri, Esha D Droughts and Deficits: The Global Impact of Droughts on Economic Growth
    Keywords: Agricultural Growth and Rural Development ; Climate Change Economics ; Climate Resilience ; Drought ; GDP Growth and Drought ; Green Water ; Land Use ; Macroeconomics and Economic Growth ; Poverty Reduction ; Rainfall ; Rainfall Shocks ; Rural Development ; Soil Moisture
    Abstract: As climate change intensifies, dry rainfall shocks and droughts are a growing concern. At the same time, scientific evidence suggests that the world has surpassed the safe planetary boundary for green water, which is water stored in biomass and soil that is crucial for maintaining climate resilience. Yet, evidence at the global scale of these combined forces on economic growth is poorly understood. This paper attempts to fill this gap by using data on annual subnational gross domestic product for 82 countries from 1990-2014. Using rainfall shocks as plausibly exogenous variations in a spatially specific panel at the grid level, the analysis finds that the global effects of droughts on economic activity are substantial. Moderate to extreme droughts reduce gross domestic product per capita growth between 0.39 and 0.85 percentage point, on average, depending on the level of development and baseline climatic conditions, with low- and middle-income countries in arid areas sustaining the highest relative losses. In high-income countries, moderate droughts have no impact, and only extreme droughts have adverse effects, reducing growth by about 0.3 percentage point, a little less than half the impact felt in the low- and middle-income country sample for the same intensity of drought. Crucially, the impact of a dry shock of a given magnitude also depends on antecedent green water availability. The results show that increases in soil moisture in previous years can neutralize the harmful impacts from a dry shock, with suggestive evidence that local and upstream forest cover are key channels through which these impacts manifest. These findings have important implications for measuring the economic impact of droughts and can inform adaptation investments
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  • 148
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2180
    Keywords: Access To Technology ; Digital Financial Landscape ; Finance and Financial Sector Development ; Financial Literacy ; ICT Economics ; Macroeconomics and Economic Growth ; Poverty and Savings ; Savings Aspiration Survey ; Social Protections and Labor ; Urban Poverty and Financial Services
    Abstract: Gisela is among the large and diverse group of informal sector workers in urban Liberia who lack social protection coverage, have little interaction with formal financial institutions, and depend on informal saving groups to meet their financial needs. The financial vulnerability that this group faces not only puts their welfare at risk but also under-mines the economy at large. Despite the potential risks, there is little systematic information on how the urban informal poor in Liberia save, their saving aspirations, and what they need to save better. This report explores the saving behavior and aspirations of urban informal households in Liberia by presenting the findings from a survey of 1000 households in Monrovia, supplemented by an assessment of Liberia's existing informal savings institutions
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  • 149
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Covid-19 ; Financial Crisis Management and Restructuring ; ICT Applications ; Insurance and Risk Mitigation ; Macroeconomics and Economic Growth ; Poverty Reduction ; Regional Trade ; Sequential Shocks
    Abstract: Since the onset of COVID-19 in 2020, Togo's economy has shown signs of resilience in the face of shocks but efforts to reduce poverty were frustrated and fiscal space depleted. Togo was able to avoid a recession in 2020, with real GDP growth recorded at 2 percent, before rebounding rapidly to 6.0 percent in 2021, thanks in part to a strong counter-cyclical fiscal policy response. Challenges intensified again in 2022 as Russia's invasion of Ukraine contributed to a sharp uptick in energy, fertilizer, and food prices, while global demand decelerated, and financing conditions tightened. However, growth remained robust at 5.8 percent in 2022 as a significant increase in public spending helped counterbalance the adverse impact of weakening export revenues, rising inflation, and decelerating consumer spending. Low-income households were affected by high food price inflation in 2021-22, but the effect on poverty was offset by sustained economic growth and the benefits accruing to poor households dependent on agricultural income. Global headwinds, high domestic inflation, and growing insecurity in the northern Savanes region have prompted the Government to significantly ramp up emergency spending, leading the budget deficit to a three-decade high of 8.3 percent of GDP, from 4.7 percent in 2022
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  • 150
    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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  • 151
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2119
    Keywords: Climate Change Impacts ; Debt Indicators ; Economic Growth ; Education ; Environment ; Fiscal Indicators ; GDP ; GHG ; Inflation ; Life Expectancy At Birth ; Macroeconomics and Economic Growth ; Poverty Assessment ; Poverty Indicators ; Poverty Reduction
    Abstract: This edition of the Macro Poverty Outlooks periodical contains country-by-country forecasts and overviews for GDP, fiscal, debt and poverty indicators for the developing countries of the Europe and Central Asia region. Macroeconomic indicators such as population, gross domestic product and gross domestic product per capita, and where available, other indicators such as primary school enrollment, life expectancy at birth, total greenhouse gas emissions and inflation, among others, are included for each country. In addition to the World Bank's most recent forecasts, key conditions and challenges, recent developments and outlook are briefly described for each country in the region
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  • 152
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Ghorpade, Yashodhan Social Insurance for Gig Workers: Insights from a Discrete Choice Experiment in Malaysia
    Keywords: GIG Work ; Health Insurance ; Health, Nutrition and Population ; Informal Employment ; Informality ; Social Funds and Pensions ; Social Insurance ; Social Protections and Assistance ; Social Protections and Labor ; Unemployment Compensation ; Wages, Compensation and Benefits ; Willingness To Pay For Social Insurance ; Worker Protections
    Abstract: The rise of "gig" or digital platform work globally has led to both enthusiasm for its potential to create lucrative employment for large numbers of people, as well as concern about its implications for worker protection that is often provided in more standard employment. While gig work platforms may not be akin to employers in standard work relationships, arrangements that do not obligate them to provide worker protection and social insurance contributions may leave several platform workers unprotected against a range of risks. Is the observed lack of protection among digital platform workers explained by an unwillingness on part of the workers themselves to make necessary contributions for social insurance coverage? This paper analyzes this question in the context of Malaysia, a rapidly growing upper-middle-income East Asian economy that has witnessed a rise in gig work in recent years. The paper deploys a novel vignette-based experiment to ascertain gig workers' willingness to pay for social insurance coverage. The analysis finds overall a large unmet need for social insurance among gig workers, as well as a high level of willingness to pay for (especially) unemployment insurance, retirement savings, and accidental and injury insurance. This implies that the policy challenge is to channel such willingness into regular contributions for social insurance coverage through relevant and flexible options for contributions. More than subsidies, this segment of the workforce could perhaps benefit from better tailored, more flexible, and more easily accessible instruments for social insurance. The analysis also finds evidence of substitution between distinct insurance instruments. For instance, those who have access to retirement savings appear to be less willing to pay for unemployment insurance, and those with private medical insurance are less likely to contribute to the state-run injury insurance scheme. This underlines the need to approach risk insurance for digital platform workers more holistically and to consider a wider range of insurance instruments, including those offered by the private sector
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  • 153
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Employment and Unemployment ; Governance ; Health Insurance ; Health Service Management and Delivery ; Health, Nutrition and Population ; RIPSS ; Service Delivery ; T2D ; Universal Health Insurance
    Abstract: The aim of this report is to document the fidelity of the implementation of the RIPSS in the Huetar-Atlantica Region in Costa Rica. Implementation fidelity seeks to assess the extent to which an intervention is implemented as planned and, for this, the PIPs were contrasted with what was implemented in practice. The assessment identified the following: (i) gaps in the implementation that require subsequent actions, and (ii) the core elements for the sustainability and scale-up of the RIPSS
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  • 154
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Gender and Economics ; Gender and Education ; Gender and Health ; Gender and Law ; Gender Monitoring and Evaluation ; Health Financing ; Health, Nutrition and Population ; Social Programs ; Social Protections and Labor ; UHC ; Universal Health Coverage
    Abstract: The objective of this paper is to facilitate common understanding of the health financing situation in Kosovo, to serve as a basis for reaching a consensus on the way forward. The issue is motivated by a basic framework of health financing functions and how they contribute to UHC goals. Global good practices and examples from peer countries are presented in the Annex to providecomparisons with the situation in Kosovo. The paper describes the status of health financing and its implications for UHC. A long-term vision for health financing is presented and recommendations for possible short and medium term (3-5 years) policy priorities are provided based on the current situation and desirable trajectory. The exclusive focus on health financing is deliberate although otherimportant health system functions, such as service delivery and governance, will need to move in parallel for health financing reforms to achieve their intended outcomes
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  • 155
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access To Finance ; Equity and Development ; Female Economic Participation ; Finance and Financial Sector Development ; Gender ; Gender and Economic Policy ; Gender and Governance ; Gender Disparity ; Gender Inequality ; Human Rights ; Institutional Barriers To Economic Empowerment ; Poverty Reduction ; Women and Girls Opportunity
    Abstract: This thematic note is part of a broader mixed-method study on gender inequalities in Madagascar, which intends to illustrate the key gender gaps in the country and shed light on the unique challenges that young Malagasy women face in their educational, professional, and family trajectories. Due to the persistence of financial, social, and institutional barriers, Malagasy women and girls encounter significant disadvantages across all dimensions of well-being and are unable to access opportunities in an equal manner with men and boys in the country. They are largely constrained in their ability to accumulate human capital in education and health, and to participate in economic opportunities; and they face severe limitations in agency and decision-making, particularly with respect to family formation. Women and girls also appear to be disproportionally affected by the impacts of climate change and the COVID-19 pandemic, which further widen preexisting gender gaps and amplify vulnerability to poverty, violence, and discrimination. This thematic note provides in-depth insights into the status of women and girls' economic opportunities in Madagascar and proposes several strategic lines of action to enhance women's economic empowerment. 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 agency
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  • 156
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Mendes, Arthur The Macroeconomic Effects of Cash Transfers: Evidence from Brazil
    Keywords: Bartik Instrument ; Bolsa Familia ; Cash Transfer ; Developing Countries ; Development Economics and Aid Effectiveness ; Employment ; Fiscal Multiplier ; Informality ; Local Multiplier ; Macroeconomics and Economic Growth ; Poverty Reduction ; Relative Multiplier ; Services and Transfers to Poor ; Social Protections and Labor
    Abstract: This paper provides new evidence on the macroeconomic impact of cash transfers in developing countries. Using a Bartik-style identification strategy, the paper documents that Brazil's Bolsa Familia transfer program leads to a large and persistent increase in relative state-level GDP, formal employment, and informal employment. A state receiving 1% of GDP in extra transfers grows 2.2% faster in the first year, with RD 100,000 of extra transfers generating five formal-equivalent jobs, half of which are informal. Consistent with a demand-side mechanism, the effects are concentrated in non-tradable sectors. However, an open-economy New Keynesian model only partially captures the high multipliers estimated
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  • 157
    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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  • 158
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Cust, James Are the Poorest Catching Up?
    Keywords: Convergence ; Development Economics ; Economic Growth ; Extreme Poverty ; Income ; Inequality ; Macroeconomics and Economic Growth ; Poverty Data ; Poverty Monitoring and Analysis ; Poverty Reduction
    Abstract: Are global incomes converging or diverging Despite recent empirical evidence supporting the hypothesis of unconditional beta convergence, this paper argues that such findings overlook the stark reality facing the world's poorest people. Many lower income countries, including those among the so-called "Bottom Billion," continue to slip further behind the rest of the world, while the numbers of those living in extreme poverty are beginning to rise again after decades of decline. The paper explores how these contradictions can coexist and discusses the policy importance of looking beyond global average trends. The paper identifies three confusions that can arise when analyzing trends in income convergence. First, a focus on unconditional convergence can overlook important policy questions, such as whether countries are likely to eradicate extreme poverty or to catch up with the rest of the world. Tests for convergence may yield only partial answers, especially in light of recent findings that show that unconditional beta convergence can coexist with a significant group of countries slipping ever further behind the rest of the world. Meanwhile extreme poverty numbers are increasing rather than decreasing. Second, average trends can both obscure and be distorted by underlying differences in country composition. In the extreme case, while fast-growing China was below global mean incomes between 2000 and 2020, it significantly boosted empirical support for global convergence. Now that China has passed this threshold, the finding will likely reverse in the coming years as more data is available. Third, different levels of availability of time periods and country coverage can distort and even bias empirical findings, especially where limitations to data availability is correlated with lower income or diverging economies
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  • 159
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Keywords: Agricultural Producer Organizations ; Agriculture ; Gender ; Gender and Development ; Gender and Rural Development ; Ginger Farming Value Chain ; Informality ; Labor Markets ; Poverty Reduction ; Shea Butter Production Value Chain ; Smallholder Farmers ; Women in Agriculture Value Chains
    Abstract: Good quality jobs are key to accelerating poverty reduction and strengthening social cohesion in Togo. While Togo has made significant progress in creating more good quality jobs, with robust growth performance in the past decade, several jobs-related challenges remain. Togo's labor market is characterized by high levels of informality and underemployment, low productivity, and low-quality jobs. This difficult situation is compounded by the demographic trend of large cohorts of young people entering the labor market every year. As a result of this trend, it is estimated that, beginning in 2024, Togo will need to create 200,000 new jobs every year to absorb the influx of new entrants into the labor market. As described in the companion document to this report, Togo Jobs Diagnostic, a holistic approach to creating more and better jobs should be applied looking at the macro-, demand-, and supply side constraints. Solutions should focus on creating new jobs, improving job quality and productivity, and ensuring access to employment for vulnerable segments of the population
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  • 160
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Adaptation To Climate Change ; Climate Change ; Environment ; Human Capital ; Inclusive Development ; Social Protections and Assistance ; Social Protections and Labor ; Sustainability
    Abstract: To respond to climate change effectively, human capital needs to be at the heart of policy responses. This policy note demonstrates the impacts of climate change across the lifecycle and provides a framework of policy and program interventions to protect, build, and use human capital to minimize climate change impacts and create opportunities for more sustainable and inclusive development on a livable planet. By demonstrating the scope of impacts of climate change on people and people's potential to contribute to climate action, the note also makes a case for prioritizing human capital investments as part of countries' Nationally Determined Contributions (NDCs) and other climate strategies
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  • 161
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Credible Health Information ; Crisis Communications ; Effective Government Communications ; Hazard Risk Management ; Health, Nutrition and Population ; Hygiene Promotion and Social Marketing ; Information and Communication Technologies ; Pandemic Misinformation ; Public Health Promotion ; Public Safety ; Urban Development ; Water Supply and Sanitation
    Abstract: Government-led risk and crisis communication (RCC) is an essential priority in directing and supporting effective pandemic response in a country. Ineffective RCC during public health emergencies such as the COVID-19 pandemic can lead to public confusion, fear, and distrust, which eventually become barriers to the acceptance and practice of risk preventive behavior. In this analysis of five key RCC objectives in six countries (Ghana, Republic of Korea [Korea], Singapore, the United States [US], the United Kingdom [UK], and Vietnam), several lessons for future consideration are identified. First, governments ought to explore reasons for not being able to rapidly initiate and implement effective RCC so barriers can be identified and overcome before another crisis emerges. Second, public leaders must be committed to enhancing consistency, transparency, and accountability in their messaging, by prioritizing deference toward expert advice from scientific and public health experts. Third, it would be prudent to evaluate laws, standard operating procedures, and existing workflows to enhance public-private partnerships that enable cross-utilization of multistakeholder expertise and resources during a crisis. With this goal, it may be useful to proactively identify and acknowledge the important role that information and communication technologies (ICT) can play during non-pandemic times in enhancing health literacy and health communication. Strengthening laws and regulations to ensure privacy and human rights protections for those using ICT should be an ongoing priority, so that when ICTs must be leveraged during a crisis, there is a baseline level of assurance and confidence surrounding their safe and responsible use. Efforts to encourage the familiarization of the public with how infectious disease outbreaks spread and how people can keep themselves and each other safe should also be an ongoing priority, as scientific and health literacy can help the public prepare itself to receive and interpret RCC that is provided during a crisis. The continuous exposure to the technologies and means of sharing health information throughout various subpopulations within a country is an essential part of trust building over time, thus mitigating the fear, anxiety, social stigma, and potential distrust that could occur in times of an evolving pandemic, when levels of uncertainty are still quite high. Routine, repeated assessments of the public's perceptions and needs during a crisis are key, as are other efforts to increase a nation's preparedness to launch RCC rapidly and effectively (for example, government commitment to exploring public private partnerships)
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  • 162
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Communicable Diseases ; Country Population Profiles ; Covid Preparedness Case Study ; Covid-19 Control Policy ; Covid-19 Impact on Business ; Covid-19 Pandemic Impact ; Epidemiology of Covid-19 ; Health Policy and Management ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pandemic Preparedness
    Abstract: The COVID-19 pandemic has caused unprecedented damage to the economy and health of people worldwide. It has led to considerable losses in human life and the economy, exposing underlying health system challenges and inequities. In Vietnam, too, the pandemic posed significant disruption to the economy and the health care system. This country case study documents the epidemiology of COVID-19 from January 16, 2020 (before the first case was found in Vietnam on January 23), to June 30, 2022, in Vietnam, and covers its pandemic preparedness and control policies, governance, and health care system, as well as the impact on the economy and businesses. Lessons learned in the country and challenges for better preparation for the future are described
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  • 163
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Poverty Assessment
    Keywords: Access To Services ; Food ; Infrastructure ; Monetary and Non-Monetary ; Poverty Assessment ; Poverty Reduction
    Abstract: This report -- the Central African Republic's (CAR's) first ever poverty assessment -- draws on unparalleled microdata to propose practical strategies for lifting Central Africans out of poverty. Against the backdrop of a wide range of development challenges -- including persistent low growth, conflict and displacement, andthe increasing threats posed by climate change --CAR urgently needs policies for reducing poverty. This report draws primarily on the 2021 Enquete Harmonisee sur le Conditions de Vie des Menages (EHCVM), the first household survey suitable for poverty measurement conducted in CAR in more than a decade, to try and guidesuch policies. The report provides CAR's headline poverty and inequality statistics, using the EHCVM's unique sampling strategy to cover internally displaced persons (IDPs). The analysis goes beyond considerations of monetary poverty alone, assessing the extent of non-monetary deprivation in CAR, examining constraints onhuman capital development, and exploring the role that livelihoods -- especially in agriculture -- can play in lifting people out of poverty. Using geospatial data, the results are also linked to indicators of physical access to schools and health facilities as well as key elements of basic infrastructure. This Executive Summary highlights the poverty assessment's key findings and outlines the policies that can kickstart CAR's pathway towards poverty reduction
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  • 164
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Nakamura, Shohei Is Climate Change Slowing the Urban Escalator Out of Poverty? Evidence from Chile, Colombia, and Indonesia
    Keywords: Climatic Change ; Environment ; Flooding ; Migration ; Poverty Reduction ; Urban Agglomeration ; Urban Climate Shock ; Urban Poverty
    Abstract: While urbanization has great potential to facilitate poverty reduction, climate shocks represent a looming threat to such upward mobility. This paper empirically analyzes the effects of climatic risks on the function of urban agglomerations to support poor households to escape from poverty. Combining household surveys with climatic datasets, the panel regression analysis for Chile, Colombia, and Indonesia finds that households in large metropolitan areas are more likely to escape from poverty, indicating better access to economic opportunities in those areas. However, the climate shocks offset such benefits of urban agglomerations, as extreme rainfalls and high flood risks significantly reduce the chance of upward mobility. The findings underscore the need to enhance resilience among the urban poor to allow them to fully utilize the benefits of urban agglomerations
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  • 165
    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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  • 166
    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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  • 167
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: COVID-19 ; Finance and Development ; Finance and Financial Sector Development ; Post-Pandemic ; Public Debt ; Social Protections and Assistance ; Social Protections and Labor ; Tourism ; Travel-Dependent
    Abstract: This publication is the inaugural edition of the future publication series on Pacific Economic Update (PEU). It consists of two parts. Part A analyzes the recent economic developments in Pacific Islands. Based on these developments, the PI EU summarizes the outlook for the region's economies and risks to this outlook. Second, the PEU provides an in-depth examination of a public debt issues in the Pacific and proposes policy recommendations to address public debt related challenges. The PEU is intended for a broad set of audience, including regional forums, policy makers, business leaders, international donors and the community of analysts and professionals engaged in the economies of Pacific Island countries. In dealing with the challenges of rising inflation, tepid recovery from the pandemic and global slowdown, the PICs should strike a balance between supporting livelihoods and reducing future public debt risks. The need for fiscal support during the current environment of high inflation and tepid economic recovery is understandable as it provides the much needed relief for vulnerable households and businesses to navigate the crisis. Nonetheless, these support measures create significant fiscal burdens, and are unsustainable, particularly if the high energy and food prices persist longer than envisaged. Most PICs already face low capacity to finance unexpected shocks which would be further tested by a natural disaster event. Therefore, PICs should tread a delicate balance between fiscal support measures and achieving fiscal sustainability. Any forthcoming fiscal support should be well-targeted, time-bound, and deficit-neutral. Over the medium-term, fiscal efficiency gains and ongoing donor support is critical to finance key development challenges and climate adaptation. Revenue-based fiscal consolidation measures could include improving the efficiency of tax collections and eliminating tax exemptions. On the expenditure side, PICs have limited room to sharply cut spending given the expected modest growth and ongoing development needs. Therefore, it becomes imperative to improve the efficiency of public spending, to maximize social dividends for every dollar spent. Resulting savings from fiscal consolidation measures could help build sovereign wealth funds to provide added fiscal buffers during shocks and economic downturns. Due to high vulnerability to disasters and climate change, PICs will need to seek ongoing concessional financing for critical climate adaptation and development needs
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  • 168
    Language: English
    Pages: 1 Online-Ressource (83 pages)
    Parallel Title: Erscheint auch als Dang, Hai-Anh H Does Hotter Temperature Increase Poverty and Inequality? Global Evidence from Subnational Data Analysis
    Keywords: Climate Change Inequity ; Inequality ; Poverty and Environment ; Poverty Reduction ; Subnational Data ; Temperature
    Abstract: Despite a vast literature documenting the harmful effects of climate change on various socio-economic outcomes, little evidence exists on the global impacts of hotter temperature on poverty and inequality. Analysis of a new global panel dataset of subnational poverty in 134 countries finds that a one-degree Celsius increase in temperature leads to a 9.1 percent increase in poverty, using the USD 1.90 daily poverty threshold. A similar increase in temperature causes a 1.4 percent increase in the Gini inequality index. The paper also finds negative effects of colder temperature on poverty and inequality. Yet, while poorer countries-particularly those in South Asia and Sub-Saharan Africa-are more affected by climate change, household adaptation could have mitigated some adverse effects in the long run. The findings provide relevant and timely inputs for the global fight against climate change as well as the current policy debate on the responsibilities of richer countries versus poorer countries
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  • 169
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Foster, Vivien The Impact of Infrastructure on Development Outcomes: A Meta-Analysis
    Keywords: Digital Infrastructure Outcomes ; Energy Infrastructure Research ; ICT Infrastructure Research ; Information and Communication Technologies ; Infrastructure Elasticities ; Infrastructure Literature Meta-Analysis ; Infrastructure Policy Research ; Poverty Reduction ; Transport Infrastructure Outcomes
    Abstract: This paper presents a meta-analysis of the infrastructure research done over more than three decades, using a database of close to a thousand estimates from 201 papers conducted between 1983-2022, reporting outcome elasticities. The analysis casts a wide net to include the transport, energy, and digital or information and communications technology sectors and the whole set of outcomes covered in the literature, including output, employment and wages, inequality and poverty, trade, education and health, population, and environmental aspects. The results allow for an update of the underlying parameters of interest, the "true" underlying infrastructure elasticities, accounting for publication bias, as well as for heterogeneity stemming from both study design and context, with a particular focus on policy relevant subsectors and developing countries
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  • 170
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Keywords: Fay-Herriot Model ; Geographic Approach ; Municipality Level ; Poverty Mapping ; Poverty Monitoring and Analysis ; Poverty Reduction ; Spatial Representation
    Abstract: Poverty mapping, the spatial representation and analysis of human wellbeing and poverty indicators is becoming an increasingly important instrument for investigating and discussing socioeconomic issues, informing targeting efforts, and guiding the geographic allocation of resources. One approach to addressing poverty is the geographic approach. In the geographic approach, poor people are identified and targeted through poverty maps. Indeed, the geographical approach is one of the methods used worldwide for targeting anti-poverty programs to reduce the gaps in social protection coverage of poor and vulnerable groups, and it has been widely implemented in several countries around the world. In 2020, the Salvador's General Directorate of Statistics and Censuses (DIGESTYC) and the World Bank started working on the project 'Poverty mapping in El Salvadora'. The project is part of the government and International Bank for Reconstruction and Development (IBRD) Programme, which is performed by experts of the National Statistical Institute (NSI) and the World Bank (WB). The main objective is to calculate the shares of households living in moderate and extreme poverty at disaggregated territorial levels (municipalities). Poverty mapping enhances our understanding of the geographic distribution of people living in poverty. This report presents poverty maps at the municipality level based on the Fay-Herriot model for small-area estimations
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  • 171
    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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  • 172
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Education ; Education Reform and Management ; Evolving Skills ; Labor Markets ; Low-Income Countries ; Middle-Income Countries ; Social Protections and Labor ; Technical and Vocational Education and Training ; TVET
    Abstract: Reform of formal technical and vocational education and training (TVET) is urgently needed in most low- and middle-income countries. Demographic trends, coupled with higher rates of students completing lower levels of education, can lead to an exponential increase in the number of secondary TVET students in the next 20 years, particularly in low-income countries (LICs). However, there are significant risks attached to expanding a system that is often considered a second-tier educational track and to which challenged learners are often directed. Because of a broken link between TVET systems and labor markets in low- and middle-income countries (LICs and MICs, together: L/MICs), TVET cannot deliver on its promise. The urgency is compounded by megatrends associated with globalization, technological progress, demographic transformation, and climate change, which affect both skills demand and the distribution of economic opportunities. This report offers guidance to policymakers designing and implementing TVET reforms, emphasizing core principles and practical considerations for L/MICs. There is much to be learned from recent L/MIC reform experiences like those in Bangladesh, El Salvador, and Mongolia, about identifying effective reform strategies and the likely impact of megatrends on future demand for TVET. The report focuses on secondary and post-secondary non-tertiary formal TVET, defined as TVET obtained within the formal education system that leads to diplomas, degrees, or other formal certifications. This overview, summarizing the main messages from the report, has three parts. The first, the TVET Promise, looks at the potential of TVET systems to deliver access to equitable, quality, and relevant training and contribute to employment and productivity. The second, the TVET Challenge, articulates the main limitations in practice for L/MIC TVET systems. The third, the Way Forward to Better TVET, proposes three interrelated transformations (three E's) and six policy priorities to help TVET deliver on its promise in L/MICs
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  • 173
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Case Study Review ; Case-Based Evaluation ; Economic Theory and Research ; Evaluation Design ; Intervention Effectiveness ; Interventions and Outcomes ; Macroeconomics and Economic Growth ; Poverty Impact Evaluation ; Poverty Monitoring and Analysis ; Poverty Reduction ; World Bank Support To Carbon Finance Case Study
    Abstract: Several myths persist within research and evaluation circles about the power and limitations of evaluation designs that use cases (or case studies) as their primary empirical material (case-based evaluation designs). Using a real-world application, this paper busts two myths regarding the use of case-based designs in evaluations that aim to answer effectiveness questions and unpack the relationships between interventions and observed changes in outcomes (broadly known as causal analysis): that case studies cannot be used for causal analysis and that it is impossible to generalize from case studies. Through a detailed demonstration of how the evaluation of the World Bank's support to carbon finance has been designed and implemented, the paper undoes these preconceived ideas about the inferential, explanatory, and generalizability power of case-based evaluation designs
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  • 174
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Nayyar, Gaurav Services-Led Growth: Better Prospects after the Pandemic?
    Keywords: COVID-19 Pandemic Impact on Service Sector ; Digitalization ; Emerging Market Growth ; Growth ; Health, Nutrition and Population ; Market Access Policy ; Offshoring Services ; Service Sector
    Abstract: The service sector accounted for two-thirds of economic growth in emerging market and developing economies over the past three decades. It consists of a wide range of activities, ranging from high-skilled offshorable services, such as information and communications technology (ICT) and professional services, to low-skilled "contact" services, such as retail and hospitality. The pandemic disrupted many low-skilled contact services that typically require face-to-face interactions between providers and consumers. High-skilled offshorable services were the least affected owing to the use of digital technology that enabled remote delivery. Increased digitalization has improved prospects for scale economies and innovation in the service sector that were previously constrained by the need for physical proximity and the lack of opportunities to augment labor with capital. Policies to support the diffusion of digital technologies could therefore further raise the growth potential of the service sector. Policies to improve market access for, and skills in, ICT and professional services could ease important constraints on growth opportunities in these high-skilled offshorable services that have best withstood the pandemic. The same holds true for policies, including regulatory reforms, that promote investment in low-skilled contact services, such as transportation, which have important linkages with the wider economy
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  • 175
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Equitable Growth, Finance and Institutions Insight
    Keywords: Adaptation to Climate Change ; Climate Change Impact ; Climate Change Impacts ; Environment ; Equity and Development ; Future Hazards ; Policy Actions ; Poverty Reduction
    Abstract: Reducing the impact of climate change on poor and vulnerable households is essential to hastening poverty reduction. In thinking about policies that do this, it is useful to apply the same hazard, exposure and vulnerability framework that is often used to understand the physical impacts of climate change and add the non-climate benefits and costs to households that these policies can also bring. Policies that reduce hazards and vulnerability whilst bringing non-climate benefits-triple win policies-are not very common, but where possible they should be prioritized. Policies that reduce vulnerability and bring non-climate benefits are more common. However, some development policies that bring non-climate benefits, particularly in higher-income and higher-growth countries, may increase emissions by enough to worsen future hazards, so their emissions impact needs to be managed with compensating actions. Policies that reduce the hazards faced by poor households are needed, and the non-climate cost of these policies on poor people should be minimized or compensated where it cannot be avoided
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  • 176
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (53 pages)
    Parallel Title: Erscheint auch als Brudevold-Newman, Andrew Returns to Soft Skills Training in Rwanda
    Keywords: Employment and Unemployment ; Job Networking ; Labor Market Entry ; Labor Market Impact Evaluation ; Poverty Reduction ; Randomized Controlled Trial (RCT) ; Social Protections and Labor ; Soft Skills ; Transition From Work To School
    Abstract: Young adults seeking to enter the labor market often confront a skills mismatch with firms reporting difficulty finding new entrants with appropriate levels of soft skills. This paper reports findings from a randomized controlled trial in Rwanda in which recent graduates from tertiary education were randomly assigned to a two-week intensive soft skills training program developed and delivered by staff of the University of Rwanda. Results indicate that the program facilitated accelerated entry into the labor market in a period characterized by COVID-19-related disruptions. These effects dissipated over the following year as more jobs became available in the economy and the control group's employment caught up with that of the treatment group. The paper finds evidence of significant job network expansion for participants of the training, which could have led to faster labor market entry for the treated youth
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  • 177
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Kraay, Aart A New Distribution Sensitive Index for Measuring Welfare, Poverty, and Inequality
    Keywords: Economic Theory and Research ; Inequality Index ; Macroeconomics and Economic Growth ; Poverty Index ; Poverty Informatics ; Poverty Reduction ; Shared Prosperity ; Welfare Index
    Abstract: Simple welfare indices such as mean income are ubiquitous but not distribution sensitive. In contrast, existing distribution sensitive welfare indices are rarely used, often because they are difficult to explain and/or lack intuitive units. This paper proposes a simple new distribution sensitive welfare index with intuitive units: the average factor by which individual incomes must be multiplied to attain a given reference level of income. This new index is subgroup decomposable with population weights and satisfies the three main definitions of distribution sensitivity in the literature. Variants on this index can be used as distribution sensitive poverty measures and as inequality measures, with the same simple intuitive units. The properties of the new index are illustrated using the global distribution of income across individuals between 1990 and 2019, as well as with selected country comparisons. Finally, the index can be used to define the "prosperity gap" as a proposed new measure of "shared prosperity," one of the twin goals of the World Bank
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  • 178
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Davies, Elwyn Training Microentrepreneurs over Zoom: Experimental Evidence from Mexico
    Keywords: Adult Remote Learning ; Business Training ; Digital Delivery ; Educational Sciences ; Microenterprises ; Private Sector Development ; Remote Skill Training Effectiveness ; Skills Development and Labor Force Training ; Social Protections and Labor
    Abstract: Standard in-person business training programs are costly and difficult to scale to the millions of microenterprises in the developing world. The authors conducted an experiment to test the feasibility, cost-savings, and impact of delivering live training sessions over Zoom to microentrepreneurs in Mexico and Guatemala. This paper demonstrates that it is now feasible to recruit and train self-employed women online, covering a wide geographic area, with few technology issues. However, the cost savings over in-person classes are less than expected. Training improved business practices and performance over two months, but the impacts had dissipated within six months
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  • 179
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Disease Control and Prevention ; Economic Growth ; Health, Nutrition and Population ; Human Capital ; Impact ; Macroeconomics and Economic Growth ; NCDS ; Noncommunicable Diseases
    Abstract: Noncommunicable diseases (NCDs) hamper the development of human capital for current and future generations. NCDs are chronic conditions that are often untreatable and require close monitoring to control the progression of the disease. They account for 70 percent of all deaths worldwide and directly affect countries' economies, as every 10 percent increase in mortality due to NCDs reduces economic growth by 0.5 percent. NCDs have a direct and indirect impact that threatens the human capital of current and future generations
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  • 180
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Brar, Rajdev Rebel with a Cause: Effects of a Gender Norms Intervention for Adolescents in Somalia
    Keywords: Adolescent Gender Norm Intervention ; Equity and Development ; Gender ; Gender and Development ; Gender and Social Policy ; Gender Impact Evaluation ; Gender Inequality ; Gender Innovation Lab, Africa Region ; Gender Monitoring and Evaluation ; Gender Norm Conformity ; Girl's Life Choices ; Poverty Reduction ; Women's Empowerment
    Abstract: Gender inequality and restrictive norms are often reinforced and internalized during adolescence, influencing pivotal life choices. This paper presents results from a randomly-assigned gender norms intervention for young adolescents in Somalia that led to greater support for gender equality in reported attitudes among both girls and boys. In a novel lab-in-the-field experiment designed to observe social group dynamics, treated adolescents were also found to be less likely to succumb to peer pressure to conform when stating their gender attitudes in public. Perceptions of gender norms appears to shift for boys, leading to a greater public expression of gender egalitarian ideals. Furthermore, the findings show improved adolescent mental health, increased caring behavior towards siblings of the opposite sex, and a higher likelihood of involvement in household chores by boys. A complementary gender norms intervention for parents had limited marginal impact on the attitudes and behaviors of adolescents. The results suggest that gender norms interventions can be effective in influencing the attitudes and public discourse around gender equality, even in early adolescence
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  • 181
    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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  • 182
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Women in Development and Gender Study
    Keywords: Empowerment ; Equity and Development ; Gender ; Gender and Development ; Gender Equality ; Poverty Reduction ; WGE ; Women and Girls ; World Bank Projects
    Abstract: Gender equality has long been central to the World Bank's twin goals of ending extreme poverty and boosting shared prosperity in a sustainable manner. More recently, women's and girls' empowerment (WGE) has become a priority in the Africa region in the context of the region's demographic transition. There has been a proliferation of World Bank projects with development objectives that include "empowerment", yet there remains a lack of consensus around its definition and operationalization. This note lays out a pragmatic Operational Approach to enhancing women's and girls' empowerment in World Bank projects. It is not intended to provide a new definition of empowerment or to present a new framework. Instead, the objective of the note is to translate widely accepted empowerment concepts into an operational approach to WGE that Bank Task Team Leaders (TTLs) can use in their project and ASA work. The approach includes: (i) a systematic way to analyze constraints to achieving WGE in the context of lending or analytical products; (ii) a list of potential intervention areas within the three empowerment pillars that can be integrated into World Bank projects; and (iii) guidance on how to incorporate the operational approach to WGE into project design
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  • 183
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Wilkinson, Thomas A Framework for the Economic Evaluation of Digital Health Interventions
    Keywords: Digital Health Intervention ; Economic Evaluation ; Health Intervention Investment ; Health System Decision Making ; Health Systems Development and Reform ; Health, Nutrition and Population ; Low Income Country Health Interventions ; Middle Income Country Health Interventions
    Abstract: Numerous digital health interventions have been piloted in response to the health care challenges low- and middle-income countries face. Because the opportunity cost of investing in digital health interventions can be large, countries must make choices about which interventions to scale up. To make good investment decisions about digital health interventions, there is a need to define and establish their value, and to use economic evaluation to make informed decisions, however DHIs present methodological challenges for economic evaluation. To address these challenges, this paper first creates a 'gap map' of digitalevidence which reveals a dearth of economic evaluation evidence about digital health interventions; this lack can limit decisions on policy, programming, and appropriate scale-up of digital health interventions. To advance work in this field, this paper then develops an economic evaluation framework that can be used when determining the economic value of digital health interventions. Such a standardized approach, alongside guidance to assist the conduct and use of economic evidence, can improve decision making and investments in DHI under constrained health budgets. The resulting digital health intervention economic evaluation framework consists of 5 steps: (1) determine the context, (2) determine the intervention type, (3) establish the level of complexity, (4) set the analytic principles, and (5) represent the value proposition. Users of the framework should attempt to adhere to its steps and principles, but where this is not feasible or appropriate, they should provide justification for the methodological choice. The framework should facilitate methodological transparency, thereby improving the overall usefulness of economic evaluations of digital health interventions
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  • 184
    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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  • 185
    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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  • 186
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Goldemberg, Diana Minding the Gap: Aid Effectiveness, Project Ratings and Contextualization
    Keywords: Aid Effectiveness ; Culture and Development ; Development Outcome ; Economic Policy, Institutions and Governance ; Impact Evaluation ; Language and Communication ; Machine Learning Method ; Macroeconomics and Economic Growth ; Poverty Impact Evaluation ; Poverty Reduction ; World Bank Projects
    Abstract: This paper applies novel techniques to long-standing questions of aid effectiveness. It first replicates findings that donor finance is discernibly but weakly associated with sector outcomes in recipient countries. It then shows robustly that donors' own ratings of project success provide limited information on the contribution of those projects to development outcomes. By training a machine learning model on World Bank projects, the paper shows instead that the strongest predictor of these projects' contribution to outcomes is their degree of adaptation to country context, and the largest differences between ratings and actual impact occur in large projects in institutionally weak settings
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  • 187
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agricultural Sector ; Agricultural Sector Economics ; Agriculture ; Gender ; Gender and Development ; Gender Disparities ; Inequality ; Informal Workers ; Jobs Diagnostic ; Labor Disparities ; Labor Markets ; Labor Standards ; Labor Supply ; Poverty Reduction ; Social Protections and Labor
    Abstract: Good quality jobs are key to accelerating poverty reduction and enhancing social cohesion in Togo. Following a decade of significant progress in reducing poverty, the COVID-19 pandemic and of Russia's invasion of Ukraine are likely to have reversed some of these gains in living standards, however. The creation of more good quality jobs plays a key role in any country's poverty reduction efforts, and will be essential to recover from recent shocks and reinforce earlier gains made in Togo. International research also points to lack of economic opportunities and insufficient social services as key drivers of radicalization of young people. Security threats in the northern region of the country have been growing, with terrorist attacks in Burkina Faso close to the Togolese border increasing in number and severity since 2018, and a first attack reported on Togolese territory in November 2021 in the Savanes region. Access to good quality jobs with a stable income for young Togolese will thus also be part of the solution to the security threats
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  • 188
    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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  • 189
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Employment and Unemployment ; Informal Owners ; Informal Sector Enterprise ; Informal Workers ; Labor Law ; Laws and Regulations ; Mena ; Social Protections and Assistance ; Social Protections and Labor ; Urban Informality ; Women Owners ; Work and Working Conditions
    Abstract: In Iraq, like many countries around the world, the informal sector is a major contributor to employment and business activity. The Iraq Labor Force Survey (LFS) of 2021 estimated that more than half of the workers in the country do not contribute to social insurance, consequently informal. Recent surveys conducted by the Central Statistics Organization (CSO) and the Kurdistan Region Statistics Office (KRSO) in collaboration with the United Nations Development Program (UNDP) found that 80 percent and 60 percent of businesses, respectively, are not registered with any public entity, consequently informal. Recognizing the prevalence of this sector and its role in people's earning and consumption, this report extends the knowledge about Iraq's urban informality through a new survey. The Informal Sector Enterprise Survey (ISES) was led by the World Bank, with the objective of further illuminating the characteristics of urban informal businesses and their workers. It was conducted in four key cities: Baghdad, Basrah, Najaf and Sulaymaniyah. It is complemented by two other World Bank surveys fielded around the same time: the World Bank Enterprise Survey (WBES) and the Micro-enterprise survey of 2022, both of which focus on formal businesses. The next sections are organized as follows. Section II explains the data collection process and final sample. Section III highlights the key findings. Section IV proposes some key policy and program priorities to improve the lives of the people who work in the sector and the performance of the businesses. Section VII concludes with a few remarks on the potential for future research on Iraq's informality
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  • 190
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Adaptive Social Protection ; Crisis Response ; Resilience To Shocks ; Social Protections and Assistance ; Social Protections and Labor ; Universal Social Protection
    Abstract: Interconnected and often devastating covariate shocks are a threat to human development. Covariate shocks are shocks that affect large numbers of people or communities at once and can be natural, economic, or political. Occurrence and the human devastation from natural disasters has increased over the last 50 years, and the negative impacts of climate change are expected to exacerbate this trend. Poor households are particularly vulnerable to covariate shocks because they lack adequate capacity to prepare for, cope with, and adapt to shocks. Covariate shocks can also impoverish vulnerable households when their capacity to prepare, cope, and adapt is overwhelmed. Covariate shocks vary in magnitude, speed of onset, predictability, and duration, and thus these aspects should be considered when designing the most appropriate social protection response. Moreover, the needs and challenges that vulnerable and directly affected populations face will have implications for social protection systems. Adaptive social protection (ASP) builds resilience by helping poor and vulnerable households prepare for, cope with, and adapt to covariate shocks. The purpose of this evaluation is twofold: (i) assess whether the World Bank support for social protection has incorporated adaptive elements over time, and (ii) assess how effective the World Bank has been at helping client countries make their social protection systems more adaptive
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  • 191
    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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  • 192
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Economic Memorandum
    Keywords: Conflict ; COVID-19 ; Economic Forecasting ; Food Insecurity ; Inflation ; Macroeconomics and Economic Growth ; Poverty Diagnostics ; Poverty Reduction
    Abstract: Yemen's economy has been transformed by eight years of violent conflict. War has shattered the country's already fragile economic equilibrium, touching upon virtually every aspect of life. The compounded shocks of the COVID-19 pandemic and rising global prices have only deepened the economic and humanitarian disaster precipitated by the war. Since the start of the conflict, economic analyses have tended to focus on the deterioration of macroeconomic indicators, the sharp rise in poverty and food insecurity, and the destruction of infrastructure and the capital stock, but relatively little attention has been paid to the current structure of the economy or what prospects can be envisaged for the country. Also, it is important to situate this analysis within the political economy dynamics of the country which majorly affect the economic development challenges of the country. Data constraints and the unique characteristics of Yemen's recent experience limit the effectiveness of traditional growth-analysis methodologies. This Country Economic Memorandum (CEM) uses novel data-collection methods and analytical techniques, triangulating its findings with traditional approaches and direct data collection to close the economic knowledge gap. Information sources include extensive key-informant interviews, household phone surveys, and remotely sensed geospatial data based on satellite imagery, including nighttime illumination data. This CEM also combines an in-depth political economy analysis with economic development investigation
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  • 193
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Access To Finance ; COVID-19 ; Disease Control and Prevention ; Finance and Financial Sector Development ; Health, Nutrition and Population ; Judicial Sector Reform ; Law and Development ; Public Administration ; Public Finances
    Abstract: This report assesses the relevance and effectiveness of the World Bank's engagement in the Kyrgyz Republic between fiscal years 2014 and 2021. The Kyrgyz Republic is a landlocked, lower-middle-income country that is highly dependent on remittances and natural resources. Poverty levels declined from 37% in 2013 to 20% in 2019. However, the country's population remains vulnerable, and broad-based economic growth was elusive over the evaluation period. The Kyrgyz Republic faces major development challenges including weak governance, barriers to private sector development, and low quality of essential local public services. This Country Program Evaluation assesses the relevance and effectiveness of the World Bank's engagement in the Kyrgyz Republic between fiscal years 2014 and 2021. It evaluates the Bank's contributions to the country's development in priority areas, focusing on support for governance, private sector development, and essential local public services. The evaluation distills lessons from Bank Group experience to inform future Bank Group engagement in the Kyrgyz Republic
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  • 194
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Karamba, Wendy Fiscal Policy Effects on Poverty and Inequality in Cambodia
    Keywords: Commitment To Equity ; Fiscal and Monetary Policy ; Fiscal Incidence ; Fiscal Policy ; Inequality ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Spending ; Taxation
    Abstract: This study assesses the short-term impact of fiscal policy, and its individual elements, on poverty and inequality in Cambodia as of 2019. It applies the Commitment to Equity methodology to data from the Cambodia Socio-economic Survey of 2019/20 and fiscal administrative data from various government ministries, departments, and agencies for the assessment. The study presents among the first empirical evidence on the impact of taxes and social spending on households in Cambodia. The study finds that: (i) Cambodia's 2019 fiscal system reduces inequality by 0.95 Gini index points, with the largest reduction in inequality created by in-kind transfers from spending on primary education; (ii) while Cambodia's fiscal system reduces inequality, the degree of inequality reduction is small in international comparison; and (iii) low-income households pay more in indirect taxes than they receive in cash benefits in the short term to offset the burden. As a result, the number of poor and vulnerable individuals who, in the short term, experience net cash subtractions from their incomes is greater than the number of poor and vulnerable individuals who experience net additions. Fiscal policy can deliver more net benefits to poor and vulnerable households through expanding social assistance spending. Cambodia has embarked on this expansion during the coronavirus pandemic, bringing it closer in line with comparators
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  • 195
    Language: English
    Pages: 1 Online-Ressource (36 pages)
    Parallel Title: Erscheint auch als Andree, Bo Pieter Johannes Machine Learning Imputation of High Frequency Price Surveys in Papua New Guinea
    Keywords: Agriculture ; Agriculture and Food Security ; Economic Shocks ; Economic Theory and Research ; Food Prices ; Inflation ; Machine Learning Advances ; Macroeconomic Monitoring ; Macroeconomics and Economic Growth ; Poverty Monitoring and Analysis ; Poverty Reduction
    Abstract: Capabilities to track fast-moving economic developments re-main limited in many regions of the developing world. This complicates prioritizing policies aimed at supporting vulnerable populations. To gain insight into the evolution of fluid events in a data scarce context, this paper explores the ability of recent machine-learning advances to produce continuous data in near-real-time by imputing multiple entries in ongoing surveys. The paper attempts to track inflation in fresh produce prices at the local market level in Papua New Guinea, relying only on incomplete and intermittent survey data. This application is made challenging by high intra-month price volatility, low cross-market price correlations, and weak price trends. The modeling approach uses chained equations to produce an ensemble prediction for multiple price quotes simultaneously. The paper runs cross-validation of the prediction strategy under different designs in terms of markets, foods, and time periods covered. The results show that when the survey is well-designed, imputations can achieve accuracy that is attractive when compared to costly-and logistically often infeasible-direct measurement. The methods have wider applicability and could help to fill crucial data gaps in data scarce regions such as the Pacific Islands, especially in conjunction with specifically designed continuous surveys
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  • 196
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (iv, 67 Seiten) , Illustrationen
    Series Statement: Other education study
    Keywords: Entwicklungspolitik ; Staatensystem ; Internationale Organisation ; Entwicklungshilfe ; Entwicklungsprojekt ; Bildung ; Erziehung ; Erziehungsziel ; Bildungseinrichtung ; Zugang ; Ergebnis ; Projekt ; Bilanz ; Childhood Development ; Climate Action ; Conflict and Development ; Early Childhood Development ; Edtech ; Education ; Education for All ; Fragility ; Gender ; Gender and Education ; Girls and Women ; Learning ; Moving Out of Poverty ; Pandemic ; Poverty Reduction ; Teachers
    Abstract: As the largest external financier of education in low- and middle-income countries, the World Bank is committed to ensuring that all children around the world have free, inclusive, equitable, and quality education to achieve their potential. Our portfolio of investments in education has continued to grow, and our projects focus on ensuring that high-quality learning takes place for everyone, everywhere. In "Realizing Education's Promise: A World Bank Retrospective", we explore our operations and research across the globe since the first World Development Report (WDR) on education in 2018, which illuminated the scale of the learning crisis. In this new publication, we spotlight major milestones in our work over the past five years, highlighting successes, reflecting on what remains to be done, and sharing our vision for the way forward
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  • 197
    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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  • 198
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Communicable Diseases ; COVID-19 Pandemic Respons ; Disease Control and Prevention ; Governance ; Health Policy and Management ; Health Systems ; Health, Nutrition and Population ; National Governance ; Public Health Emergency Response ; Public Health Promotion ; Public Health Risk ; Successful COVID Countermeasures
    Abstract: The response of the government of the Republic of Korea to COVID-19 has been heralded as among the most successful. In the first two years of the pandemic, the government was able to keep the size of the outbreak relatively small and the death toll relatively low. Although the number of COVID-19 cases jumped significantly subsequently in 2022 and 2023 due to the spread of the more transmissible Omicron variant and a revamped testing regime that cast a broader net to detect infections, Korea had a much lower rate of total confirmed COVID-19 deaths per million population than other high income countries (676 in Korea, as compared to 3,379 in the United Kingdom, 3,331 in the United States, and 2,599 in France). The government achieved this relatively positive result without resorting to the highly restrictive measures that were adopted by most high-income countries, such as strictly controlling borders, shuttering businesses, or issuing severe lockdown or stay-at-home orders. Indeed, since the start of the outbreak in January 2020, the distinguishing features of the response in Korea include the government's ability to mobilize swiftly, even in the early stages of the pandemic, to flatten the epidemic curve. This report dissects the COVID-19 countermeasures successfully adopted in Korea. The analysis draws out insights and lessons that may be relevant to other countries as they mount responses to ongoing crises and prepare for future public health emergencies
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  • 199
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate ; Health Taxes ; Health, Nutrition and Population ; Household Budget ; Infectious Diseases ; UHC ; Universal Health Coverage
    Abstract: Leaving no one behind is a central promise of the 2030 Agenda for Sustainable Development, which recognizes health as a fundamental human right. Achieving Universal Health Coverage (UHC) is key to delivering on this promise. UHC ensures that everyone receives good quality health services, when and where needed, without incurring financial hardship arising from payments made for those services. The 2023 Universal Health Coverage Global Monitoring Report presents an alarming picture of stagnating access to essential health services and increased financial hardship from out-of-pocket health payments affecting especially the poorest and most vulnerable people. Globally, about 4.5 billion people, more than half of the world population, lack full access to essential health services. Since 2015, health service coverage has stagnated after a dynamic increase in previous years, indicating that urgent action is required by governments to ensure people can access health services. Past progress in service coverage was largely driven by improved access to infectious disease services, but since 2015 there has been minimal to no expansion of health service coverage related to infectious and noncommunicable diseases or for reproductive, maternal, newborn, and child health services. Financial hardship due to out-of-pocket health spending continues to worsen and undermine efforts to eradicate poverty globally. The number of people incurring catastrophic out-of-pocket health spending (more than 10% of their household budget) increased to more than 1 billion people in 2019, or almost 14% of the global population. About 1.3 billion people (almost 17% of the global population) were pushed or further pushed into poverty by out-of-pocket health spending. This includes 344 million people living in extreme poverty. Out-of-pocket health payments reduce the ability of households to afford other essential goods and services and negatively affect a family's consumption levels. Health costs also cause individuals to forgo essential care, which can lead to more severe illnesses or even death. Reaching the goal of UHC by 2030 requires substantial public sector investment and accelerated action by governments and development partners, building on solid evidence. This includes strengthening health systems based on a primary health care approach and advancing equity in both the delivery of essential health services and financial protection. Achieving UHC also requires modern, fit-for-purpose health information systems that provide timely and reliable data to inform policy design. Such shifts are essential following the pandemic's impact on health systems and health workers and in view of deepening macroeconomic, climate, demographic, and political trends which threaten to reverse hard-won health gains around the world
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  • 200
    Language: English
    Pages: 1 Online-Ressource (33 pages)
    Parallel Title: Erscheint auch als Rodriguez, Laura Fiscal Policy and Equity: Vietnam 2018 Fiscal Incidence Analysis
    Keywords: Equity and Development ; Fiscal Incidende ; Inequality ; Poverty ; Poverty Reduction ; Social Protections and Assistance ; Social Protections and Labor ; Social Spending ; Taxation ; Transfers
    Abstract: This paper examines the distributive and poverty reducing effects of Vietnam's fiscal system in 2018. The paper looks at the incidence across the distribution and the effect of (direct and indirect) taxes, subsidies, and social spending (in cash and in-kind) on inequality and poverty in Vietnam using the Commitment to Equity methodology. The overall pattern of taxes and transfers in Vietnam is moderately progressive, but most households pay more in taxes and co-payments than what they receive in cash benefits, and the fiscal system results in a small increase in poverty. The progressivity of the fiscal system and its inequality-reduction impact mostly comes from in-kind health and education spending. This reduction in inequality is about average for lower-middle-income countries, but Vietnam could do more to increase the progressivity of its fiscal system
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