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  • Washington, D.C : The World Bank  (762)
  • Health, Nutrition and Population  (575)
  • Rural Development  (262)
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  • 1
    Online Resource
    Online Resource
    The Primary Health Care System of the Republic of Kiribati : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; KIRIBATI ; PHP ; PHPCPI ; Vital Signs Profile
    Abstract: The assessment of Kiribati's primary health care (PHC) system, carried out by the World Bank in collaboration with the Government of Kiribati under the Primary Health Care Performance Initiative (PHCPI), marks a unique opportunity to identify the system's strengths and gaps and to catalyze further improvements. The PHCPI tools, including the Vital Signs Profile (VSP) methodology, provide important insights into the country's PHC system and generate actionable policy recommendations for improvement
    DOI: 10.1596/40847
    URL: Deutschlandweit zugänglich
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    MPI Ethno. Forsch.
  • 2
    Online Resource
    Online Resource
    The Primary Health Care System of the Republic of the Marshall Islands : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40846
    URL: Deutschlandweit zugänglich
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    MPI Ethno. Forsch.
  • 3
    Online Resource
    Online Resource
    The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Cho, Yoonyoung The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times
    Keywords: Cash Transfers ; Depression and Pandemic ; Health, Nutrition and Population ; Mental Health ; Mental Health Crisis ; Poverty Reduction ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: When it comes to mental health, do social protection programs matter more in times of crisis Using panel data from the Philippines around the onset of the COVID-19 pandemic, this study compares depression rates among beneficiaries of an existing conditional cash transfer program to those of non-beneficiaries of similar socioeconomic status. Depression rates were almost identical for the two groups in late 2019, but significantly lower for conditional cash transfer beneficiaries by July 2020, after the initiation of strict quarantine measures and a large emergency cash transfer program. One interpretation of the increased importance of the conditional cash transfer program during the pandemic is that these transfers have larger protective effects in times of vulnerability. Another possible reason is that the existing infrastructure of the program, by allowing for more timely distribution of the emergency cash, enhanced the effectiveness of the government's pandemic response for conditional cash transfer beneficiaries. This paper finds evidence supporting both explanations
    DOI: 10.1596/1813-9450-10669
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  • 4
    Online Resource
    Online Resource
    Estimating Economic Costs of Unhealthy Diets : A Proposed Methodology (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Horton, Susan Estimating Economic Costs of Unhealthy Diets: A Proposed Methodology
    Keywords: Agrifood Policy ; Cancer ; Diet Quality ; Food Choices ; Health Economics and Finance ; Health, Nutrition and Population ; Healthcare Costs ; Non-Communicable Disease ; Nutrition ; Obesity ; Undernutrition
    Abstract: Healthy diets have been characterized as responding to four universal principles--nutrient adequacy, dietary diversity, macronutrient balance, and moderation. With rising incomes, diet concerns globally have shifted from inadequacy of nutrients and lack of diversity, to lack of balance and moderation. This has occurred alongside declining rates of stunting and wasting in children under five and increasing rates of overweight and obesity across a broad age span. Calculations undertaken for low- and middle-income countries for policy and advocacy purposes of the economic cost of unhealthy diets have used nutritional status as a proxy or have made estimates of the impact of noncommunicable diseases by simply adding up known risks of individual diet factors. Both these methods have problems. This paper proposes a new methodology, taking advantage of recent, more holistic, measures of diet quality. Preliminary regression results are presented using cross-country data and the Global Dietary Recommendations Score and Minimum Dietary Diversity for women. The results suggest that diet quality variables generally have the expected signs, but there are also clear limitations of using cross-country data. The methodology could be applied in future to a limited number of broadly representative low- and middle-income countries data sets containing both diet recall data as well as measures of noncommunicable disease risk status. The analysis suggests that this work could inform policies such as the repurposing of existing agrifood policies to complement existing public health policies, to reduce the economic and health burdens imposed by unhealthy diets
    DOI: 10.1596/1813-9450-10671
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  • 5
    Online Resource
    Online Resource
    The Primary Health Care System in Fiji : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Governance ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; PHC ; Primary Health Care Performance ; Vital Signs Profile
    Abstract: This report presents the findings of the Vital Signs Profile (VSP) assessment conducted by the World Bank and the Primary Health Care Performance Initiative (PHCPI) in collaboration with Fiji's Ministry of Health and Medical Services (MHMS). The VSP provides an opportunity to assess the state of the primary health care (PHC) system in Fiji, highlighting areas of strength and challenges through the lens of the PHCPI framework. The framework organizes various domains and subdomains of primary health care using a logic model approach that encompasses the traditional inputs and outputs of PHC systems and emphasizes the capacity and processes of PHC service delivery and performance. Notably, while PHCPI recognizes the role of social determinants of health and intersectoral health promotion and prevention efforts as important factors influencing population health, the VSP is primarily focused on aspects of health service delivery. Fiji is one of four Pacific countries - alongside Kiribati, the Republic of the Marshall Islands, and Solomon Islands that have, with support of the World Bank, used PHCPI tools to take stock of current performance, safeguard what works well, and lay out a vision for areas requiring improvement
    DOI: 10.1596/40943
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  • 6
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    Online Resource
    Connecting People to Projects : A New Approach to Measuring Women's Employment in the Middle East and North Africa (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Ragui, Assaad Connecting People to Projects: A New Approach to Measuring Women's Employment in the Middle East and North Africa
    Keywords: Employment Survey Questionnaire ; Gender ; Gender and Rural Development ; Gender Informatics ; Household Enterprises ; Labor Market Panel Surveys ; Rural Development ; Rural Labor Markets ; Survey Design ; Women's Employment
    Abstract: Innovations to date in detecting women's employment have focused primarily on improving individual-level questions. This paper explores an alternative approach, using data on household enterprises and asking who participates in these activities. This research uses the latest waves of the Labor Market Panel Surveys for the Arab Republic of Egypt (2018) and Tunisia (2014). The research questions are (1) How do men's and women's employment rates change when adding enterprise-based detection questions to standard individual-level questions (2) Was the additional market employment detected with project-based approaches classified as subsistence work with individual measurement approaches (3) For which women is additional employment detected using project-based approaches The paper presents descriptive results on work based on the different approaches. It also estimates changes in state (being reclassified as working) from adding enterprise-level data. The findings show large increases in employment rates for rural women in both countries when including enterprise-based detection questions
    DOI: 10.1596/1813-9450-10659
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  • 7
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    Maldives Human Capital Review : Unleashing People's Full Potential (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Access and Equity in Basic Education ; Access To Education ; Agriculture ; Climate Change Impact ; Covid-19 Impact ; Education ; Food Security ; Health Service Management and Delivery ; Health, Nutrition and Population ; Human Capital Accumulation and Utilization ; Inclusive Development ; Long-Term Economic Growth ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This report is undertaken as a part of the Human Capital Project (HCP), a globalinitiative of the World Bank Group that aims to increase governments' awarenessof the importance of investing in people (World Bank date of publication not identifiedb). One of the maincomponents of the HCP is a cross-country metric--the Human Capital Index (HCI). The HCI estimates the amount of human capital a child born today can expect to accumulate by the age of 18, thus highlighting how current health and education outcomes shape the work productivity of the next generation. Moreover, given the cumulative nature of human capital, the HCI has clear milestones across the entire human life cycle: at birth, children need to survive; during childhood, they need to be well-nourished; at school age, they must complete all schooling and active adequate learning levels; and in adulthood, they need to stay in good health. Finally, the HCI includes a result: a score that ranges from 0 to 1. A country where an average child has virtually no risk of being stunted or dying before age five, receives high-quality education, and becomes a healthy adult, would have an HCI close to 1. Conversely, when the risk of being ill-nourished or prematurely dying is high, access to education is limited, and the quality of learning is low, the HCI would approach zero
    DOI: 10.1596/40944
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  • 8
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    Reshaping Ukraine's Health Service Delivery : Vision and Investment Needs (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Sector ; Health, Nutrition and Population ; International Financing ; Investments ; Ukraine
    Abstract: The full-scale invasion of the Russian Federation in Ukraine has immense local impact and global consequences. Ukraine is experiencing huge human and economic suffering, which will have long-lasting effects. This war has been particularly devastating for the Ukrainian health sector, tremendously increasing the urgent need for specific services and simultaneously obstructing health outcomes and access to health care due to hostilities, disruption of service delivery, and damage and destruction of health facilities. Moreover, the recovery of Ukraine is shrouded in uncertainty as the duration of the ongoing war and the frequency and localization of the attacks are unknown, all occurring against the backdrop of economic challenges within the country and at a global scale. Despite an expected international effort to finance the recovery of Ukraine akin to the Marshall Plan, financial resources may not be easily available or may become more scarce and more expensive. Investments will receive more scrutiny, and competition for funds will increase due to monetary tightening, rising interest rates, and possibly sustained high inflation (International Monetary Fund 2022). However, in the short to medium term, Ukraine is expected to have favorable access to international financing on concessional terms. While Ukraine is struggling with the gruesome immediate impact of the war and a fight for survival, the shared understanding emerges that going back to business as usual will neither be possible nor desirable. This moment may also serve as a window of opportunity for rapid reform and innovation of health service delivery in Ukraine. Improving and reconstructing services while restoring and stabilizing them is critical to aiding a suffering population and to laying strong foundations of governance that will have lasting impacts into the country's future. This document provides a proposal for stakeholdersin the Ukrainian health sector on how service delivery may need to change, how to deal with this change, and how the health sector may come out stronger in the longer term. It focuses on the organization of health care service delivery and shares considerations of how it may develop using a long-term (10+ years) perspective
    DOI: 10.1596/40874
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  • 9
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    The Welfare Cost of Drought in Sub-Saharan Africa (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Gascoigne, Jon The Welfare Cost of Drought in Sub-Saharan Africa
    Keywords: Climate Change ; Climate Change and Health ; Draught ; Health, Nutrition and Population ; Household Consumption ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper quantifies the impact of drought on household consumption for five main agroecological zones in Africa, developing vulnerability (or damage) functions of the relationship between rainfall deficits and poverty. Damage functions are a key element in models that quantify the risk of extreme weather and the impacts of climate change. Although these functions are commonly estimated for storm or flood damages to buildings, they are less often available for income losses from droughts. The paper takes a regional approach to the analysis, developing standardized hazard definitions and methods for matching hazard and household data, allowing survey data from close to 100,000 households to be used in the analysis. The damage functions are used to quantify the impact of historical weather conditions on poverty for eight countries, highlighting the risk to poverty outcomes that weather variability causes. National poverty rates are 1-12 percent higher, depending on the country, under the worst weather conditions relative to the best conditions observed in the past 13 years. This amounts to an increase in the total poverty gap that ranges from USD 4 million to USD 2.4 billion (2011 purchasing power parity)
    DOI: 10.1596/1813-9450-10683
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  • 10
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    Lives, Livelihoods, and Learning : A Global Perspective on the Well-Being Impacts of the COVID-19 Pandemic (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit Lives, Livelihoods, and Learning: A Global Perspective on the Well-Being Impacts of the COVID-19 Pandemic
    Keywords: Communicable Diseases ; Covid ; Education ; Health and Poverty ; Health, Nutrition and Population ; Learning ; Mortality ; Poverty ; School Health ; Welfare
    Abstract: This study compares the magnitude of national level losses that the COVID-19 pandemic inflicted across three critical dimensions: loss of life, loss of income, and loss of learning. The well-being consequences of excess mortality are expressed in years of life lost, while those of income losses and school closures are expressed in additional years spent in poverty (as measured by national poverty lines), either currently or in the future. While 2020-21 witnessed a global drop in life expectancy and the largest one-year increase in global poverty in many decades, widespread school closures may cause almost twice as large an increase in future poverty. The estimates of well-being loss for the average global citizen include a loss of almost three weeks of life (19 days), an additional two and half weeks spent in poverty in 2020 and 2021 (17 days), and the possibility of an additional month of life in poverty in the future due to school closures (31 days). Well-being losses are not equitably distributed across countries. The typical high-income country suffered more total years of life lost than additional years in poverty, while the opposite holds for the typical low- or middle-income country. Aggregating total losses requires the valuation of a year of life lost vis-a-vis an additional year spent in poverty. If a year of life lost is valued at five or fewer additional years spent in poverty, low-income countries suffered greater total well-being loss than high-income countries. For a wide range of valuations, the greatest well-being losses fell on upper-middle-income countries and countries in the Latin America region. This set of countries suffered the largest mortality costs as well as large losses in learning and sharp increases in poverty
    DOI: 10.1596/1813-9450-10728
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  • 11
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    Overcoming Left-Behindedness : Moving beyond the Efficiency versus Equity Debate in Territorial Development (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Rodriguez-Pose, Andres Overcoming Left-Behindedness: Moving beyond the Efficiency versus Equity Debate in Territorial Development
    Keywords: Economic Development ; Efficiency ; Equity Territories ; Growth ; International Economics and Trade ; Macroeconomics and Economic Growth ; Regional Rural Development ; Regional Urban Development ; Regions ; Rural Development
    Abstract: Territorial development theory and practice have witnessed significant change in recent times. This change has increasingly put the spatial dimension at the center of development policies. Although agglomeration-focused policies derived from urbanization and agglomeration economics were once prominent, their empirical limitations have become increasingly apparent. Greater territorial polarization and pervasive left-behindedness have underscored the need for a more inclusive territorial development approach, prompting increased interest in understanding and addressing regional disparities to ensure more equitable economic growth. This paper synthesizes the growing interest in territorial development, which has driven the adoption of what are increasingly place-based and place-sensitive approaches to development. The paper also emphasizes the need for complementarity between efficiency-driven and equity-focused interventions, while highlighting emerging topics in regional economics research, including the role of institutions, agency, and external megatrends such as the green transition. The paper concludes by advocating a place-sensitive approach that tailors policies to regional challenges, promoting economic potential, diversification, and inclusivity across all regions
    DOI: 10.1596/1813-9450-10734
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  • 12
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    Colombia Climate and Health Vulnerability Assessment, 2024 (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: CHVA ; Climate and Health ; Climate Change Adaptation ; Climate Change and Health ; Climate Change Impacts ; Environment ; Health Risks ; Health, Nutrition and Population ; Vulnerability
    Abstract: The objective of this Climate and Health Vulnerability Assessment (CHVA) is to assist decision-makers in Colombia with planning effective adaptation measures to deal with climate-related health risks. This assessment includes sub-national considerations for health-related climate action (see Annex A for the methodology). Sub-national considerations are given for Colombia's 32 departments (see Figure 1). It also incorporates data from a Climate and Health Economic Valuation conducted by the World Bank to estimate of the potential economic costs of health impacts arising from projected changes in temperature and precipitation (see Annex B for the methodology). The findings from this CHVA are organized under four sections. Section I characterizes the climatology in Colombia, highlighting observed and projected climate exposures relevant to health. Section II describes key climate-related risks to health, including nutrition and food security, vector-borne diseases (VDBs), water-borne diseases, increasing temperatures, air quality, and zoonotic diseases. Section III analyzes the adaptive capacity and readiness of Colombia's health system to prevent and manage climate-related health risks. Recommendations are discussed in Section IV
    DOI: 10.1596/41249
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  • 13
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    The Sovereign Spread Compressing Effect of Fiscal Rules during Global Crises (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Islamaj, Ergys The Sovereign Spread Compressing Effect of Fiscal Rules during Global Crises
    Keywords: Communicable Diseases ; Covid-19 Crisis ; Finance and Financial Sector Development ; Fiscal Rules ; Health, Nutrition and Population ; International Economics and Trade ; International Financial Markets ; International Trade and Trade Rules ; Sovereign Spreads
    Abstract: Do fiscal rules help suppress sovereign spreads during periods of global financial stress Yes! This paper examines whether fiscal rules contribute to mitigating sovereign spreads in emerging markets and developing economies during periods of heightened financial and economic volatility worldwide. It finds that the presence of fiscal rules is statistically significantly associated with lower sovereign spreads during the COVID-19 crisis -- about 350 basis points lower on average. Interestingly, this correlation persists even when nations deviate from these rules, indicating an expectation of post-crisis compliance. The study shows that deviations from fiscal rules are typically short-lived, with fiscal balance rules reinstated within 3.5 years. Robustness checks, including controls for institutional quality, fiscal rule strength, and global and regional factors confirm these results. Overall, the findings suggest that fiscal rules can help emerging markets and developing economies signal fiscal responsibility during episodes of global financial stress, reducing borrowing costs relative to countries without fiscal rules
    DOI: 10.1596/1813-9450-10741
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  • 14
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    Who did Covid-19 Hurt the Most in Sub-Saharan Africa? (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Seuyong, Feraud Tchuisseu Who did Covid-19 Hurt the Most in Sub-Saharan Africa?
    Keywords: Covid-19 ; Distributional Impacts ; Finance and Development ; Finance and Financial Sector Development ; Health Monitoring and Evaluation ; Health, Nutrition and Population
    Abstract: How did the economic crisis caused by the Covid-19 pandemic impact poor households in Sub-Saharan Africa This paper tackles this question by combining 73 High-Frequency Phone Surveys collected by national governments in 14 countries with older nationally representative surveys containing information on household consumption. In particular, it examines how outcomes differed according to predicted per capita consumption quintiles in the first wave of the survey, and in subsequent waves by households' predicted per capita consumption. The initial shock affected households throughout the predicted welfare distribution. Households in the bottom 40 percent responded by sharply increasing farming activities between May and July of 2020 and gradually increasing ownership of non-farm enterprises starting in August. This coincided with an improvement in welfare, as measured by a decline in food insecurity and distressed asset sales among these households during the second half of 2020. With respect to education, children in the bottom quintile were 15 percentage points less likely to engage in learning activities than those in the top quintile in the immediate aftermath of the crisis, and the engagement gap between the bottom 40 and top 60 widened in the summer before narrowing in the fall due to large declines in engagement among the top 60. Poorer households were slightly more likely to report receiving public assistance immediately following the shock, and this difference changed little over the course of 2020. The results highlight the widespread impacts of the crisis both on welfare and children's educational engagement, the importance of agriculture and household non-farm enterprises as safety nets for the poor, and the substantial recovery made by the poorest households in the year following the crisis
    DOI: 10.1596/1813-9450-10726
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  • 15
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    Tanzania Economic Update, Issue 20 : Overcoming Demographic Challenges while Embracing Opportunities (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Demographics ; Family Planning Research ; Female Education ; Gender ; Gender and Education ; Health, Nutrition and Population ; High Fertility Rates ; High Population Growth ; Human Capital ; Mortality ; Population Policies ; Women's Agency
    Abstract: Tanzania has managed to sustain its growth momentum despite the intensifying effects of climate change. While Tanzania's economy continues to expand, recent growth has been concentrated in sectors that employ few workers from poor households, limiting its impact on poverty. The Bank of Tanzania (BoT) has implemented an effective monetary policy designed to curb inflation and alleviate mounting short-term demand pressure on foreign exchange. While Tanzania's recovery continues to accelerate, several serious threats cloud its economic outlook. Key risks include the slow or incomplete implementation of structural reforms, the damaging effects of climate change on the agriculture and tourism sectors, and the possibility of a global recession caused by fiscal and monetary policy tightening in advanced economies and major EMDEs. To mitigate these risks, policymakers must accelerate structural reforms as part of a sustained effort to attract greater private investment and spur resilient and inclusive private-sector-led growth. Over the longer term, one of the country's key challenges will be to complete its structural economic transformation, which will require creating a more favorable business climate to support the growth of the industrial and services sectors while boosting agricultural productivity. Another key long-term growth challenge will be achieving more balanced and inclusive growth
    DOI: 10.1596/41195
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  • 16
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    Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Hutton, Guy Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa
    Keywords: Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Healthcare Associated Infections ; Healthcare Facilities ; Healthcare Waste Management ; Hygiene
    Abstract: In Sub-Saharan Africa, health care facilities face critical challenges in water supply, sanitation, and hygiene services; health care waste management; and environmental cleanliness. With coverage below 50 percent, these deficiencies pose significant health risks to patients and health care workers, contributing to health care-associated infections. Meta-analyses and individual studies estimate rates of health care-associated infections in Sub-Saharan Africa at between 13 and 30 percent of hospital admissions, impacting patients, families, and health care providers. Rising antimicrobial resistance further exacerbates health outcomes and costs. In Eastern and Southern Africa, an estimated 3.1 million health care-associated infections in 2022 incurred over 320,000 excess deaths, costing at least US
    DOI: 10.1596/1813-9450-10708
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  • 17
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    Environmental Hazards, Climate, and Health in Cambodia : The Shield of Sanitation (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Aguilar Gomez, Sandra Environmental Hazards, Climate, and Health in Cambodia: The Shield of Sanitation
    Keywords: Disease Control and Prevention ; Environmental Degradation ; Environmental Hazards ; Health and The Environment ; Health Policy and Management ; Health, Nutrition and Population ; Hygiene ; Pollution ; Public Health ; Sanitation
    Abstract: Environmental degradation is the largest public health challenge of the century and is likely to be exacerbated by climate change. This study undertakes a comprehensive examination of the health implications of environmental hazards in Cambodia, simultaneously addressing extreme temperatures, precipitation patterns, and air pollution. It leverages data from the Demographic and Health Surveys and satellite-derived metrics on temperature, precipitation, and fine particulate matter. The analysis identifies a positive association between temperature and the occurrence of diarrhea and cough among children and a nonlinear relationship between precipitation and these health outcomes. Furthermore, the study demonstrates that pollution significantly impacts cough incidence. To anticipate future trends, climate simulations are employed to forecast the incidence of child diarrhea in Cambodia under different climate and development scenarios. The projections indicate that diarrhea incidence could increase to 19 percent by 2040 without significant adaptation measures that would lessen the adverse impact of weather. For instance, the acceleration in toilet ownership over the last decade reduced diarrhea incidence by at least 1.2 to 1.4 percentage points. Nevertheless, the path ahead requires proactive efforts to improve sanitation and hygiene. The forecasts suggest that, without additional strategies to counter climate change's adverse effects, only universal toilet ownership would contain the climate-driven increase in diarrhea incidence expected by 2040
    DOI: 10.1596/1813-9450-10715
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  • 18
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    Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (67 pages)
    Parallel Title: Erscheint auch als Boulhane, Othmane Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire
    Keywords: Adolescent Girls ; Clubs ; Family Planning Research ; Gender ; Gender and Development ; Gender and Education ; Gender and Health ; Health, Nutrition and Population ; Husbands ; Income-Generating Activities ; Law and Development ; Randomized Experiment ; Safe Spaces
    Abstract: This study uses a cluster-randomized controlled trial to investigate the effects of a large-scale women and girls empowerment program on sexual and reproductive health and empowerment outcomes in Cote d'Ivoire. The study assesses and compares the impact of diverse strategies aimed at equipping girls with life skills and sexual and reproductive health knowledge, provided through well-established safe spaces, in isolation or in combination with livelihood support interventions, or with initiatives designed to engage boys and men and community and religious leaders. The findings show that one year after the end of the interventions, safe spaces alone have a moderate impact on girls' empowerment, while safe spaces combined with husbands' and future husbands' clubs are the most impactful. Combining safe spaces with livelihood support interventions leads to improvements in adolescent girls' employment outcomes, as expected. Finally, the findings show that engaging leaders in the context of safe spaces interventions yields mixed results on girls' empowerment
    DOI: 10.1596/1813-9450-10721
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  • 19
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    Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Donfouet, Hermann Pythagore Pierre Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire
    Keywords: Communicable Diseases ; Covid-19 Pandemic ; Demographics ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Value of Statistical Life
    Abstract: Cote d'Ivoire, the largest economy in the West African Economic and Monetary Union, was hit by COVID-19, which claimed many lives. This paper estimates COVID-19 mortality costs over time using the value of a statistical life. Using a more conservative estimate of the value of a statistical life income elasticity ranging from 1 to 1.4, the overall COVID-19 mortality costs in Cote d'Ivoire since the pandemic range from USD 100.4 million to USD 284.3 million. Considering age-related adjustments, a 3 percent discount rate, and a value of a statistical life income elasticity of 1 to 1.4, the COVID-19 costs range from USD 5.4 million to USD 15.3 million. Similarly, the COVID-19 mortality costs range from USD 6.8 million to USD 19.3 million with a 5 percent discount rate and a value of a statistical life income elasticity of 1 to 1.4. More significantly, the findings suggest that COVID-19 mortality costs started to decline in 2021. To enhance prevention, preparedness, and response to future pandemics, policy makers could consider allocating pandemic funding within national budgets. Exploring potential partnerships with philanthropic organizations and international entities could further enhance domestic resource matching efforts
    DOI: 10.1596/1813-9450-10731
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  • 20
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    Sierra Leone Human Capital Review : Maximizing Human Potential for Resilience and Inclusive Development (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Demographics ; Early Childhood Development ; Education ; Fetal and Maternal Health ; Food and Nutrition Policy ; Gender ; Gender and Poverty ; Government Financing ; Health, Nutrition and Population ; Human Capital ; Mortality ; Nutrition Services ; Pregnancy ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This Human Capital Review (HCR) report presents an in-depth analysis of human capital indicators throughout a person's lifetime, from in utero to productive aging. By examining the various stages of human capital accumulation, the report aims to provide accurate recommendations for specific groups in Sierra Leone. Thus, the report disaggregates data whenever possible. It relies on an extensive consultative process involving various stakeholders such as Government counterparts, development partners, teachers, adolescent girls, students, private sector representatives, and local representatives. The consultation process followed a Problem-Driven Iterative Adaptation (PDIA) approach, which facilitates the identification and resolution of problems by local leadership. In addition, this report aims to inform the design and implementation of human capital reforms that will respond to specific challenges identified in the report
    DOI: 10.1596/41188
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  • 21
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    Survey Report : Service Delivery Indicators Health Survey for Moldova (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Financial Protection ; Health Service Management and Delivery ; Health Services ; Health, Nutrition and Population ; SDI ; Service Quality ; Systems and Tools ; Workforce
    Abstract: The Service Delivery Indicators (SDI) health survey in Moldova serves as a vital tool for assessing and benchmarking the performance of health service delivery. Its primary aim is to evaluate the quality of basic health services. This comprehensive evaluation enables both governments and service providers to pinpoint deficiencies and bottlenecks in health service delivery, monitor progress over time, and make cross-country comparisons. The widespread availability of and public awareness about SDI indicators foster engagement among policy makers, citizens, service providers, donors, and stakeholders, in turn driving efforts to enhance service quality and ultimately development outcomes
    DOI: 10.1596/41145
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  • 22
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    Territorial Development : A Report on the Territorial Development Approach to Accelerate Economic Growth and Development in the Kingdom of Lesotho (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Urban Study
    Keywords: Demographics and Aging ; Economic Development ; Economic Growth and Planning ; Environment ; Environment and Natural Resource Management ; Human Development and Gender ; Macroeconomics and Economic Growth ; Rural Development ; Rural Development Strategy and Policy ; Urban and Rural Development ; Urban Development ; Urban Economic Development
    Abstract: This report begins with an Executive Summary, which introduces the territorial development approach and the rationale for applying it in Lesotho's development context before going on to summarize key takeaways and recommendations. It is followed by four chapters: chapter 1, Introduction, lays out the country context, presenting in brief Lesotho's economic and demographic situation, population projections, governmental structure, and poverty profile and the government's goals. Chapter 2, territorial development framework and analysis in Lesotho, discusses the territorial development approach, its objectives, and the challenges it aims to address before presenting a customized 2 by 2 territorial framework for Lesotho and explaining how it can be applied. Chapter 3, analyzing Lesotho's Challenges through a Territorial Lens, lays out a spatial analysis centering on four development challenges: economic opportunities, internal connectivity and regional integration, access to basic services, and climate preparedness. To highlight the challenges, the chapter includes 4D heat maps linked to density, distance, disparity, and disaster risk. It also summaries case studies and real-life applications of the territorial development approach in Lesotho. Full case studies are in an annex. Chapter 4, recommendations, covers guiding principles and recommendations based on the territorial development approach and analysis
    DOI: 10.1596/41248
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  • 23
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    Racing Against Time : World Bank Economic Monitoring Report to the Ad Hoc Liaison Committee (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Parallel Title: Erscheint auch als Racing against time
    Keywords: 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
    DOI: 10.1596/40403
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  • 24
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    Malawi Country Economic Memorandum : A Narrow Path to Prosperity (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Economic Memorandum
    Keywords: Agricultural Growth and Rural Development ; Agriculture ; Economic Growth ; GDP ; High Poverty Rate ; Macroeconomics and Economic Growth ; Poverty Monitoring and Analysis ; Poverty Reduction ; Private Sector ; Rural Development ; Rural Economy ; Slow Growth
    Abstract: This Country Economic Memorandum (CEM) argues for a significant shift in policy to enable a virtuous cycle of sustained and inclusive economic growth, outlined infive building blocks. Chapter 1 identifies policy priorities to restore the macroeconomic fundamentals for growth through fiscal reform, debt sustainability, external rebalancing, and monetary stability. The following three chapters address three core structural constraints to growth and propose key reforms to accelerate agricultural commercialization and improve rural labor markets (Chapter 2), enable the private sector to drive productivity growth (Chapter 3), and catalyze exports and foreign investment (Chapter 4). Acknowledging that implementing key growth-enhancing policies--be they macroeconomic or structural--are the result of complex political economy and governance arrangements, Chapter 5 focuses on how past Malawian successes can inform future sectoral policies, reforms, and strategies to achieve the goals outlined in the Malawi 2063
    DOI: 10.1596/40854
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  • 25
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    Serbia - Toward a More Effective, Efficient, Equitable and Resilient Health System (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Environmental Analysis
    Keywords: Coverage ; Equitable ; Financing ; Health Economics and Finance ; Health System ; Health, Nutrition and Population ; Resilient
    Abstract: The health system in Serbia faces significant challenges arising from a long-term demographic trend and the recent shock caused by the COVID-19 pandemic. Serbia's population is aging at a rapid pace, and the share of the population aged 65 and above almost doubled -from 9.6 percent to 18.7 percent-between 1990 and 2019. This, coupled with high prevalence of unhealthy lifestyle factors, such as smoking, heavy drinking, and high consumption of fatty and sugary diet, has contributed to a rapidly rising burden of noncommunicable diseases (NCDs). Addressing NCDs exerts significant financial pressure on the health system that has been further squeezed after more than two years of dealing with COVID-19. This is all happening in a context where the economic contraction that began in 2020 after the advent of COVID-19 pandemic and compounded with the war in Ukraine has adversely affected the country's capacity to pay for health. The health system also has a challenge to meet population expectations, which have become more demanding after decades of strong economic growth
    DOI: 10.1596/39501
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  • 26
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    Maternal Work and Children's Development : Examining 20 Years of Evidence (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10305
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  • 27
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    A Metadata Schema for Data from Experiments in the Social Sciences (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (45 pages)
    Parallel Title: Erscheint auch als Cavanagh, Jack A Metadata Schema for Data from Experiments in the Social Sciences
    Keywords: Data Publicaiton ; Economic Theory and Research ; Health, Nutrition and Population ; ICT Data and Statistics ; Information and Communication Technologies ; Interoperable Social Sciences Data ; Macroeconomics and Economic Growth ; Metadata ; Population Sciences ; Program Evaluation ; Randomized Control Trial ; Secondary Research ; Social Sciences Research ; Technology Innovation ; Trial Registration
    Abstract: The use of randomized controlled trials (RCTs) in the social sciences has greatly expanded, resulting in newly abundant, high-quality data that can be reused to perform methods research in program evaluation, to systematize evidence for policymakers, and for replication and training purposes. However, potential users of RCT data often face significant barriers to discovery and reuse. This paper proposes a metadata schema that standardizes RCT data documentation and can serve as the basis for one-or many, interoperable -data catalogs that make such data easily findable, searchable, and comparable, and thus more readily reusable for secondary research. The schema is designed to document the unique properties of RCT data. Its set of fields and associated encoding schemes (acceptable formats and values) can be used to describe any dataset associated with a social science RCT. The paper also makes recommendations for implementing a catalog or database based on this metadata schema
    DOI: 10.1596/1813-9450-10296
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  • 28
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    Alternative Delivery Channels and Impacts : Agent Banking (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (25 pages)
    Parallel Title: Erscheint auch als Buri, Sinja Alternative Delivery Channels and Impacts: Agent Banking
    Keywords: Access To Banking ; Access To Finance ; Finance and Financial Sector Development ; Financial Inclusion ; Financial Literacy ; Microfinance ; Microfinance Channel Development ; Microfinance Product Development ; Rural Development ; Transformation of Microfinance Institutions
    Abstract: This paper reviews evidence on agent networks of microfinance institutions and other financial services providers, which have expanded rapidly in recent years in some low- and middle-income contexts. There is emerging evidence that clients become more financially active as a result of the convenience and security of transacting with agents, especially with respect to depositing, withdrawing, and transferring funds. Agent networks could also help increase the savings of low-income clients, although evidence suggests that commitment devices may also be required, and there is little evidence that agents expand credit to clients, although they can facilitate loan repayment. Building on their physical and social proximity to customers, agents can become a potential gateway for expanding and deepening financial inclusion, but the pricing of agent transactions and consumer protection remain important considerations
    DOI: 10.1596/1813-9450-10290
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  • 29
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    Droughts and Welfare in Afghanistan (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Kochhar, Nishtha Droughts and Welfare in Afghanistan
    Keywords: Climate Change ; Climate Change and Health ; Drought ; Food Consumption ; Food Insecurity ; Health, Nutrition and Population ; Household Consumption ; Natural Disaster ; Poverty ; Poverty Impact Evaluation ; Poverty Reduction ; Poverty, Environment and Development ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper studies the effect of the 2018 drought on household consumption and poverty in Afghanistan, a semi-arid and conflict-affected country. The paper combines geolocated household data with remote-sensing weather data on precipitation, vegetation, and temperature. The findings show that drought-like conditions decreased monthly per capita consumption expenditures and hence increased poverty, with a highly nonlinear relationship between consumption and weather shocks. When forced to cut back, households reduced nonfood consumption to maintain their food consumption; only under severe stress did they reduce food consumption. Households that owned agricultural land were more resilient to the 2018 drought. Based on the historical distribution of weather shocks, estimates of vulnerability to poverty suggest that 62.5 percent of people have a one in four probability of falling into poverty due to weather shocks. Given that climate change will exacerbate the frequency and severity of future droughts, these findings highlight the importance of investments in resilience and shock-responsive social protection to supplement urgent humanitarian assistance
    DOI: 10.1596/1813-9450-10272
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  • 30
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    COVID-19 School Closures, Learning Losses and Intergenerational Mobility (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10381
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  • 31
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    Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions : The Case of Zimbabwe (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions: The Case of Zimbabwe
    Keywords: Coronavirus ; COVID Severity ; COVID-19 Pandemic ; Hand Washing Intervention ; Health, Nutrition and Population ; Public Health ; Severe COVID Prevention ; Spatial Modelling
    Abstract: The severity of COVID-19 disease varies substantially between individuals, with some infections being asymptomatic while others are fatal. Several risk factors have been identified that affect the progression of SARS-CoV-2 to severe COVID-19. They include age, smoking and presence of underlying comorbidities such as respiratory illness, HIV, anemia and obesity. Given that respiratory illness is one such comorbidity and is affected by hand hygiene, it is plausible that improving access to handwashing could lower the risk of severe COVID-19 among a population. In this paper, we estimate the potential impact of improved access to handwashing on the risk of respiratory illness and its knock-on impact on the risk of developing severe COVID-19 disease across Zimbabwe. We use a geospatial model that allows us to estimate differential clinical risk at the district level. Results show that the current risk of severe disease is heterogeneous across the country, due to differences in individual characteristics and household conditions. This study demonstrates how household level improved access to handwashing could lead to reductions in the risk of severe COVID-19 of up to 16% from the estimated current levels across all districts. Taken alongside the likely impact on transmission of SARS-CoV-2 itself, as well as countless other pathogens, this result adds further support for the expansion of access to handwashing across the country. It also highlights the spatial differences in risk of severe COVID-19, and thus the opportunity for better planning to focus limited resources in high risk areas in order to potentially reduce the number of severe cases
    DOI: 10.1596/1813-9450-10328
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  • 32
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    Structural and Behavioral Barriers to Improving Development Outcomes : The Case of Maternal Care in Haiti (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10421
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  • 33
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    Candle in the Wind? : Insights from COVID-19 Emergency Cash Transfers to Informal Sector Workers in Sierra Leone (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10395
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  • 34
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    Jobs, Food and Greening : Exploring Implications of the Green Transition for Jobs in the Agri-food System (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agri-Food Jobs ; Agricultural Pollution ; Agriculture Employment ; Employment and Unemployment ; Environment ; Food and Beverage Industry ; Food and Nutrition Policy ; Food Industry ; Food Industry Pollution ; Green Issues ; Green Transition Jobs ; Health, Nutrition and Population ; Industry ; Poverty Reduction ; Social Protections and Labor ; Youth Employment
    Abstract: The agri-food system (AFS) employs about one third of the global workforce and contributes about one third of global greenhouse gas (GHG) emissions. This together with its large exposure to the effects of climate change and environmental degradation makes what happens in AFS central to the green transition and its implications for jobs and the structural transformation. Microeconomic evidence suggests that the adoption of climate smart agricultural practices will increase labor requirements, at least in the short run and at lower levels of incomes, when its mechanization is still limited. Econometric macro-model-based simulations suggest however that especially substantial investment in climate friendly agricultural R and D as well as soil and water preserving practices and market integration will more than offset the negative effects of climate change and even accelerate the structural transformation, especially in Sub Saharan Africa. Overall, the findings underscore the tremendous potential of increasing agricultural and climate friendly R and D investment for brokering an environmentally sustainable structural transformation. Repurposing of agriculture's current USD 638 billion support package towards supporting more climate friendly practices, including to overcome the time lag between the moment of investment and the realization of the benefits, provides an important policy entry point
    DOI: 10.1596/39819
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  • 35
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    Estudio Sobre Capacidades de Preparacion y Respuesta Efectiva Ante Emergencias de Salud Publica en El Salvador (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Capacity ; Effective Response ; Health Emergencies ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health, Nutrition and Population ; Preparedness
    Abstract: La reciente crisis ha evidenciado la necesidad que tienen los paises de identificar capacidades y brechas existentes para asegurar que sus sistemas de salud esten preparados para soportar el estres causado por una emergencia sanitaria, que pueden ser extensas y de gravedad, y que ademas amenazan la prestacion rutinaria de servicios esenciales de salud. En ese sentido, el fortalecimiento de muchas de las areas del sistema de salud tambien contribuye a fortalecer la seguridad sanitaria y viceversa, el fortalecimiento de las capacidades de preparacion y respuesta ante emergencias en muchos sentidos fortalece el sistema de salud en general. Existe una superposicion entre esfuerzos para fortalecer los sistemas de salud para que sean confiables y sostenibles y fortalecer la seguridad sanitaria. Por ello, es importante identificar y promover aquellas inversiones que fortalecen las capacidades de preparacion y respuesta ante emergencias sanitarias y que a su vez contribuyan a fortalecer el desempeno del sistema de salud y lo haga mas resiliente
    DOI: 10.1596/39706
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  • 36
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    Improving Behavioral Change Interventions : A Closer Look at 4Ps Family and Youth Development Sessions (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/39650
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    Struggling with the Rain : Weather Variability and Food Insecurity Forecasting in Mauritania (2023)
    Washington, D.C : The World Bank
    Details
    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)
    DOI: 10.1596/1813-9450-10457
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  • 38
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    Supporting Improvements in Continuity of Care for Hypertension and Diabetes in North Macedonia : Findings from a Cascade Analysis (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/39929
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  • 39
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    Agglomeration Economies and Transport Connectivity Revisited : A Regional Perspective based on Evidence from the Caucasus and Central Asian Countries (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Iimi, Atsushi Agglomeration Economies and Transport Connectivity Revisited: A Regional Perspective based on Evidence from the Caucasus and Central Asian Countries
    Keywords: Dynamic Panel Data Regression ; Firm Agglomeration ; International Economics and Trade ; Local Market Accessibility ; Regional Connectivity ; Rural Development ; Rural Roads and Transport ; Trade and Regional Integration ; Trade and Transport ; Transport Connectivity ; Urban Development
    Abstract: Transport connectivity is an important determinant of agglomeration economies and urbanization. However, measuring its impacts is a complex task when causality is considered. An important empirical challenge comes from potential endogeneity of infrastructure placement. To deal with the endogeneity problem, first, the paper constructs detailed georeferenced connectivity measurements based on micro shipping data collected over 10 years. Then, the system generalized method of moments regression is applied. Using unique data from the Caucasus and Central Asian countries, the paper estimates the impact of transport connectivity on agglomeration economies. It finds that agglomeration economies are significant and persistent in the region. Thus, the existing firm clusters are likely to continue growing. However, a constraint is also found. Large cities exhibit congestion diseconomies. Finally, the paper shows that the improvement of transport connectivity, especially local market accessibility, has a significant effect on agglomeration. By contrast, no clear evidence to support the impact of improved regional connectivity on agglomeration is observed yet. To take full advantage of agglomeration economies at the regional level, further efforts may be needed, for instance, toward increasing efficiency in transportation and logistics, improving the freight load, and/or reducing the time and costs of border crossing, which add to overall transport costs and times
    DOI: 10.1596/1813-9450-10534
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  • 40
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    Seventh Ghana Economic Update : Price Surge - Unraveling Inflation's Toll on Poverty and Food Security (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: DEBT Management ; Fiscal Sector ; Food and Nutrition Policy ; Food Security ; Health, Nutrition and Population ; Inflation ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction
    Abstract: Ghana's economy entered a full-blown crisis in 2022, after having rebounded from the COVID-19 slowdown in 2021. In response to the macroeconomic challenges, the authorities enacted some fiscal adjustment in 2022 but fell short of their consolidation targets; the 2023Q1 fiscal deficit (cash) was within target. Expenditure consolidation and revenue mobilization continued to be hampered by structural constraints. To address these unsustainable domestic and external imbalances, the authorities embarked on a comprehensive debt restructuring operation. Against the backdrop, growth is projected to decelerate further in 2023-24, before picking up in the medium-term. The government has embarked on an ambitious fiscal consolidation plan: however, delivering on it will require addressing long-standing revenue mobilization and budget control weaknesses. In 2023, the authorities intend to finance the fiscal deficit from multilateral (and other official) sources, in the context of the International Monetary Fund (IMF) - supported program, and from the domestic treasury bills (T-bills) market. In addition, leveraging government programs to build up resilience against vulnerability is an imperative and should not be suspended during the crisis. Beefing up the government's payments through the livelihood empowerment against poverty will be critical. Second, support for food self-sufficiency is needed in Ghana (a goal for many countries now due to the global food crisis), while opening the country to generate more export revenues. The Ghana Tree Crops Diversification Project can serve as a critical puzzle piece of the country's current challenges. The project will support poverty alleviation while setting the country up to generate more foreign revenues in the medium to long-term
    DOI: 10.1596/40064
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  • 41
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    Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania : Results from a Randomized Trial (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Hemono, Rebecca Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania: Results from a Randomized Trial
    Keywords: Female Sex Workers and Violence ; Gender ; Gender and Health ; Gender and Social Policy ; Gender Based Violence ; Health, Nutrition and Population ; HIV Prevention and Violence ; Law and Development ; Lottery Reward for Health Promotion ; Public Health Promotion ; Respect II ; Sexually Transmitted Infection (STI) Prevention
    Abstract: Financial incentives are a promising approach for HIV prevention. Some studies have shown that financial incentive interventions aimed to promote positive health and social behaviors have mixed or harmful effects on gender-based violence, and little is known about their effects among higher risk groups such as female sex workers. To address this gap, this study investigated the relationship between a lottery-based incentive and gender-based violence among female sex workers in Dar es Salaam, Tanzania. Data were analyzed from the RESPECT II trial, which enrolled 2,206 female sex workers in Dar es Salaam, Tanzania, to evaluate the effect of a lottery-based incentive on HIV and sexually transmitted infections. Participants were randomized in a one-to-one ratio to: (1) the basic test group (control), which provided baseline testing and counseling for HIV and sexually transmitted infections and bi-weekly text messages on safe sex practices; or (2) the lottery group, which included the basic test group intervention plus entry into a weekly random lottery for an award of 100,000 Tanzanian shillings conditional on negative tests for sexually transmitted infections (syphilis and trichomonas vaginalis). An intent-to-treat analysis was conducted to estimate differences in physical and sexual gender-based violence (overall), and intimate partner violence and non-partner violence between treatment arms at endline, with estimates expressed as unadjusted prevalence differences with 95 percent confidence intervals. Adjusted estimates controlled for baseline reports of violence. Multiple imputation and inverse-probability of treatment weighting were used to account for missing data. Causal, population-level impacts were estimated using g-computation. Gender-based violence, intimate partner violence, and non-partner violence declined in both treatment arms over the study period among the sample of 1,117 female sex workers retained at endline. The lottery group had a lower prevalence of gender-based violence overall, intimate partner violence, and non-partner violence compared to control at endline; however, the differences were not statistically significant. The results indicate that the lottery intervention had no effect on violence outcomes among endline participants in the RESPECT II trial. These results suggest that this economic approach does not pose additional risks of violence in the context of sex work; however, they must be interpreted with caution due to high attrition in the study sample. Additional research is warranted to examine how this incentive mechanism impacts violence for female sex workers
    DOI: 10.1596/1813-9450-10573
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  • 42
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    Women's Empowerment and Child Nutritional Outcomes in Rural Burkina Faso (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Nikiema, Pouirketa Rita Women's Empowerment and Child Nutritional Outcomes in Rural Burkina Faso
    Keywords: Agriculture and Women ; Child Nutrition ; Early Child and Children's Health ; Gender and Health ; Gender and Rural Development ; Health, Nutrition and Population ; Maternal Empowerment ; Nutrition ; Women's Empowerment Index
    Abstract: Across developing countries, women play an important role both as producers of major food crops and in improving household nutrition. This research paper aims to assess the effect of improving women's empowerment on the nutritional status of children in rural Burkina Faso. Based on data from the 2014 Multisectoral Continuous Survey, the paper uses variables such as income control, access to land, autonomy in production decisions, access to credit, and social group membership to compute a composite index of women's empowerment. Accounting for potential endogeneity of empowerment, the study adopts a dual-estimation approach that, first, uses average empowerment by stratum and, second, applies an instrumental variable. The results show a low baseline level of women's empowerment in rural areas, but an improvement in empowerment has a relatively high and positive correlation with children's nutritional outcomes. The study suggests that improving women's empowerment components will translate into significant gains in children's nutritional outcomes in rural households
    DOI: 10.1596/1813-9450-10560
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  • 43
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    Ghana's Pharmacovigilance Experience : From Vertical Program Activity to Nationwide System (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40382
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  • 44
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    Financing of Essential Public Health Services in the Caribbean Region : Case Study (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Finance and Financial Sector Development ; Health Economics and Finance ; Health Expenditures ; Health Services ; Health, Nutrition and Population ; Public Health
    Abstract: This study examines the expenditure by Caribbean Community (CARICOM) countries on the delivery of Essential Public Health Services (EPHS), in the context of the global response to COVID-19. In particular, the study focuses on financing arrangements enacted to ensure the predictability of funding and the sustainability in the level and flow of funds over the medium and long terms to carry out essential public health functions in Barbados, Grenada, Jamaica, and Trinidad and Tobago. The study also highlights the close, synergistic relationship between the Caribbean Public Health Agency (CARPHA) and its Member States
    DOI: 10.1596/40381
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  • 45
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    Tracking Universal Health Coverage : 2023 Global Monitoring Report (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40348
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  • 46
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    Silver Opportunity : Case Studies - Time to Focus on Healthy Aging: Challenges, Opportunities, and Recommendations for Bangladesh (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Country Population Profiles ; Demographics ; Evaluation ; Financing ; Health Indicators ; Health, Nutrition and Population ; Healthy Aging ; Innovation ; Older Adult Care ; Older Adults ; Regulation
    Abstract: Bangladesh is home to one of the largest populations of older adults in the world. Driven by increasing life expectancy at birth, this population is increasing. By 2040,one in five Bangladeshis will be 60 years old or older. The increase in lifespan isaccompanied by a greater burden of noncommunicable diseases (NCDs), whichaccount for 70 percent of all deaths in the country. These chronic conditions tend toaffect older adults, leading to an increased demand for health care services by thisgroup. NCDs are also expensive to treat, placing financial hardship on families in low resource settings. While the Government of Bangladesh has committed to providing many of the basic rights of older adults, the health care needs of older adults remain unmet. A lack of adequate funding and services point to a need for a health care system that caters to the specific needs of older adults, such as long-term care and consolidation of care. Other supportive structures also appear to be missing, such as a health insurance fund that covers common chronic conditions faced by older adults, which would remove barriers to accessing health care. A bill proposing a pension scheme is currently undergoing approval in Bangladesh's legislative system. The primary health care (PHC) system, too, is geared toward the treatment of acuteillnesses rather than providing older Bangladeshis with integrated, long-term, people centered care. This study aimed to better understand the current capacity of PHC inBangladesh to provide care oriented towards older persons. The authors carried outa desk review of global and Bangladeshi literature on aging populations, followed bystakeholder consultations and key informant interviews with government officials, health professionals, and developmental organizations. Field visits to PHC facilitieswere also carried out to assess whether they met the internationally accepted criteriafor age-friendly infrastructure. The data were compiled and analyzed according to the FIRE framework (Financing, Innovation, Regulation, Evaluation) for older adult care. Despite the large burden of NCDs, only USD0.82 is spent per capita on NCD control, much lower than the USD1.50 recommended by the World Health Organization(WHO). Increasing spending on NCD management can help alleviate the financial pressure on households to care for older adults
    DOI: 10.1596/40263
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  • 47
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    Starting and Strengthening a National Pharmacovigilance System : The Case of Catalan Regional Activities that Propelled the Spanish Pharmacovigilance System (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Vaccine ; Disease Control and Prevention ; Emerging Disease Challenge ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; National Health Surveillance System ; Pharmacovigilance Case Study ; Public Health Risk
    Abstract: The Spanish System of Pharmacovigilance (SSPV) started its activities almost 40 years ago, in 1985. Of particular interest to others considering various options for developing pharmacovigilance systems is the fact that this case study highlights an example that built from the ground up and actually started in academia: the SSPV began as a research project in a university institution in Catalonia that was later adopted by the Ministry of Health. From these origins, a regulatory framework gradually allowed this initiative to expand to the whole country. In 1990, after technical training for the professional staff involved, responsibility for coordinating the system was transferred to a specially created coordinating center for the SSPV located in the Spanish Medicines Agency. This report reviews the origins of the system and its key features, followed by two examples of the system in action and closing comments on aspects and lessons that may be of particular value to others developing pharmacovigilance systems elsewhere
    DOI: 10.1596/40206
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  • 48
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    Learning from the Republic of Korea : Building Health System Resilience (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40203
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  • 49
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    North and Northeastern Development Initiative (NEDI) : Boosting Shared Prosperity for the North and Northeastern Counties of Kenya (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Climate-Smart Agriculture ; Education ; Education Finance ; Energy Resources Development ; Health Economics and Finance ; Health Systems ; Health, Nutrition and Population ; Inclusion ; Investment and Investment Climate ; Macroeconomics and Economic Growth ; NEDI ; Off-Grid Solar Access ; Transport and Trade ; Water and Sanitation
    Abstract: Kenya's north and northeastern region is a host to 11 percent of the total population scattered across 63 percent of the country's landmass. The arid and semi-arid region experiences recurrent droughts that create vulnerabilities for the nomadic pastoralist communities, pervasive insecurity, suffers fragility, and has been a host to the largest population of refugees in sub-Saharan Africa over the last three decades. These policy choices contributed to the significant lag in most of the development indicators for this region compared to the rest of the country. The region has huge infrastructure deficits, low literacy rates, and contributes only a modest 4.7 percent to the national gross domestic product. To address the socio-economic disparities and inequality challenges, the Government of Kenya with support from World Bank (WB) launched the North and Northeastern Development Initiative (NEDI) in 2018. The NEDI, the region's first significant, integrated, and transformative investment, cuts across foundational sectors including energy, water, transport, social protection, displacement, and agriculture
    DOI: 10.1596/40174
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  • 50
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    Too Rare to Dare? : Leveraging Household Surveys to Boost Research on Climate Migration (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10613
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  • 51
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    Tracing Pandemic Impacts in the Absence of Regular Survey Data : What have we Learned from the World Bank's High-Frequency Phone Surveys? (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10585
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    Violent Discipline and Parental Behavior : Short- and Medium-Term Effects of Virtual Parenting Support to Caregivers (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (94 pages)
    Parallel Title: Erscheint auch als Dinarte Diaz, Lelys Violent Discipline and Parental Behavior: Short- and Medium-Term Effects of Virtual Parenting Support to Caregivers
    Keywords: Child Abuse ; Child Emotional Wellbeing ; Child Maltreatment ; Disciplining Behavior ; E-Learning Intervention ; Early Childhood Development ; Education ; Health, Nutrition and Population ; Parental Stress Reduction ; Public Health Promotion ; Social Development ; Street Children ; Urban Development ; Violence Against Children
    Abstract: Approximately 75% of children aged 2 to 4 worldwide are regularly subjected to violent discipline across the globe. This paper studies the impact of a virtually-delivered intervention on positive parenting practices in Jamaica. Short-term results indicate that the intervention improves caregiver knowledge (0.52 SD) and attitudes around violence (0.2 SD) and leads to meaningful changes in caregiver disciplining behaviors, with a 0.12 SD reduction in violence against children. Treatment children also experience fewer emotional problems (0.17 SD). Medium-term results (nine months later) show reductions in caregiver depression (0.12 SD), anxiety (0.16 SD), and parental stress (0.16 SD) for treatment caregivers. The virtual delivery has important scalable policy implications which could help decrease violence against children across the globe
    DOI: 10.1596/1813-9450-10507
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  • 53
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    The Role of Belize's Primary Health Care System in Pandemic Preparedness and Response : A Qualitative Study (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Covid-19 ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; Pandemic ; Primary Health Care ; Social Protections and Labor
    Abstract: While the incidence of COVID-19 in Belize has subsided, the lasting health and economic impacts caused by the pandemic have demonstrated the need to build a resilient health system. The most recent figures from the Statistical institute of Belize confirm that there have been over 60,000 cases and 678 deaths due to COVID-19. Additionally, a rapid phone survey of over 2,000 households, conducted between December 2021 and January 2023, found that 20.6 percent and 26.8 percent of respondents reported losing their job permanently or temporarily, respectively, and an additional 64 percent of respondents reported a reduction in their income during pandemic. Ensuring the health system remains resilient to shocks is critical, especially given the pandemic's impacts on heath and the economy
    DOI: 10.1596/40480
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  • 54
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    Delivering Digital G2P Payments to Urban Informal Populations : Lessons and Future Policy Implications from COVID-19 Responses (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2153
    Keywords: Access To Digital Infrastructure ; Access To Financial Infrastructure ; Digital Divide ; Government To Person Payments (G2P) ; Information and Communication Technologies ; Poverty Reduction ; Rural Development ; Rural Development Strategy and Policy ; Social Protection Rapid Deployment ; Urban Informal Sector ; Urban Partnerships and Poverty ; Urban Poverty ; Use of Big Data
    Abstract: The COVID-19 response in many Sub-Saharan African countries included the rapid deployment of social protection programs leveraging digital systems to counteract the income losses that were disproportionately experienced by urban informal populations. Using data from three in-depth country case studies, this paper finds that these digital government-to-person (G2P) payments contributed to countries reaching beneficiaries quickly and safely and that G2P payments may be particularly viable in urban, as compared to rural, areas due to greater access to digital and financial infrastructure, creative use of big data, and population density that allows for mass communication. However, there are still pockets of exclusion in urban areas emerging from incomplete digital access, limited financial inclusion, underdeveloped financial ecosystems, and high population mobility. It is particularly challenging to identify, communicate with, assess, and deliver G2P services to informal workers in urban areas due to their non-registration status, variable income flows, the blending of the home and household enterprises into a single entity, and the governments' limited experience in identifying eligible beneficiaries within this segment. While adopting a digital G2P architecture provides a promising avenue to strengthen the safety nets for this segment in the region, exclusion challenges remain. Given the ubiquity of urban informality in the region, countries will need to work to include the urban informal in foundational digital systems, such as national IDs and social registries, adopt flexible regulatory and hybrid delivery models to address the sector's varied needs, and seek to foster robust digital payment ecosystems to maximize the potential for spillover benefits
    DOI: 10.1596/40422
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  • 55
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    Spatial Misallocation of Complementary Infrastructure Investment : Evidence from Brazil (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (58 pages)
    Parallel Title: Erscheint auch als Perez-Sebastian, Fidel Spatial Misallocation of Complementary Infrastructure Investment: Evidence from Brazil
    Keywords: Electric Power ; Electrical Grid ; Energy ; Infrastructure Economics ; Infrastructure Economics and Finance ; Infrastructure Investment Allocation ; Local Return on Infrastructure Investment ; Public Roads ; Rural Development ; Rural Roads and Transport ; Spatial Misallocation
    Abstract: How does the misallocation of complementary public capital affect the spatial organization of economic activity To answer this question, this paper endogenizes the government's decision to invest in the transport and electricity networks. A novel multi-sector quantitative spatial equilibrium model incorporates the quality of the electric power and the road transportation infrastructure networks, which determine sectoral productivities and trade costs. Simulation results for the Brazilian economy point to significant welfare gains from reallocating infrastructure investment. Spatial and fiscal complementarities in heterogeneous infrastructure provision determine a sizeable part of those gains. Misallocation of both infrastructure investments is positively associated with local political support for the incumbent authority
    DOI: 10.1596/1813-9450-10650
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  • 56
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    Productive Longevity : What can Work in Low- and Middle-Income Countries? (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10636
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  • 57
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    Social Insurance for Gig Workers : Insights from a Discrete Choice Experiment in Malaysia (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10629
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  • 58
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    Country Case Study Fiji - Containing, Mitigating, and Responding to COVID-19 : Knowledge Generation and Exchange, Preparedness, and Response (March 2020 to June 2022) (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Covid Vaccination ; Covid-19 Impact ; Gender-Based Violence ; Health, Nutrition and Population ; Immunizations ; Inequality ; Pandemic Response Case Study ; Poverty Reduction ; Public Health Promotion ; Public Health Response To Covid ; Universal Health Coverage
    Abstract: The Fiji government responded quickly and moved decisively with stringent measures following the identification of the first COVID-19 case and took various effective measures to prevent its spread. It has been quick to implement public health emergency measures including lockdowns, curfews, physical distancing, travel restrictions, and international border closures to prevent imported cases of the virus. While the Fiji government used its endorsed Health and Emergencies Disaster Management Plan (HEADMAP) and did not view the pandemic as a new concept requiring a new approach, its application remains one that is innovative and potentially transformative, especially for Fiji and the Pacific region. A total of 65,713 cases (7,426 per 100,000 population) and 866 deaths (98 per 100,000 population) have been reported up until June 30, 2022. The Ministry of Health and Medical Services (MoHMS) in Fiji mobilized its staff to serve at designated fever clinics and isolation facilities in hospitals and communities, and it gradually increased its sentinel sites for polymerase chain reaction (PCR) tests, with additional capacity to undertake GeneXpert COVID-19 testing. Since the first confirmed case of COVID-19 was identified in Fiji on March 19, 2020, the government of Fiji has taken proactive and effective measures, including nonpharmaceutical interventions (NPIs) such as school and workplace closure, community quarantine, limiting size of meetings, restricting travel, stay-at-home guidelines for high-risk people, teleworking, closure of high risk venues, and personal hygiene measures; active surveillance and case detection; and appropriate case management using various strategies including fever clinics, contact tracing, supervision, and home quarantine to ensure safe delivery of clinical services. The pandemic has disproportionately impacted the most vulnerable and marginalized groups, including women, children, older people, young people, persons with disabilities, the LGBTQI+ community, single and women-headed households, and poor households, with escalating rates of gender-based violence being reported. Although there are many challenges faced in adequately containing and responding to the COVID-19 pandemic, some of the lessons learned could provide valuable insights for policy makers and researchers globally
    DOI: 10.1596/40752
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  • 59
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    What Can Financing Schemes and Payment Systems Do to Improve Pandemic Response? (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Communicable Diseases ; Disease Control and Prevention ; Health Economics and Finance ; Health Financing ; Health Systems Development and Reform ; Health, Nutrition and Population ; Infectious Disease Prevention ; Post-Covid Public Spending ; Post-Pandemic Health Care Sector Support ; Socioeconomic Recovery From Covid
    Abstract: The budget allocation in response to the COVID-19 pandemic indicates an increase in both health and non-health sectors, together with policy prioritization to mitigate socioeconomic damage globally. In contrast with responses to previous economic crises, many governments instead expanded their budget, resulting in increased support for the health care sector. However, a significant portion of the budget was allocated to economic stimulus and industrial investment. Accordingly, the budget allocated to prevention and response to infectious diseases in the health care sector was relatively small, or it was spent from ear-marked resources such as social health insurance. However, health crises such as the pandemic required an essential workforce and additional services to protect population health and expedite the socioeconomic recovery. In this sense, strengthening the sustainability and resilience of the health care system was a way toward national security and economic growth. Governments would need to allocate additional budgets to the health sector in response to health crisis, and mobilize earmarked funds collected from social insurance contributions. The latter enables the provision of essential health services with or without governments' financial support. A mixed payment system could boost surge capacity in the health care system and provide incentives for medical providers
    DOI: 10.1596/40707
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  • 60
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    Making Government-Led Riskand Crisis Communication MoreEffective : Lessons Learned From Six Countries During the COVID-19 Pandemic (2023)
    Washington, D.C : The World Bank
    Details
    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)
    DOI: 10.1596/40705
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  • 61
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    Firms' Digitalization during the COVID-19 Pandemic : A Tale of Two Stories (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Avalos, Edgar Firms' Digitalization during the COVID-19 Pandemic: A Tale of Two Stories
    Keywords: Coronavirus ; COVID-19 ; Digital Adoption in Developing Countries ; Digital Divide ; Digitalization ; Firm-Level Innovation ; Health, Nutrition and Population ; ICT Policy and Strategies ; Information and Communication Technologies ; Innovation ; Innovation and Technology Policy ; Mobiity Restrictions and Digitalization ; Private Sector Development ; Small and Medium Size Enterprises
    Abstract: The COVID-19 pandemic accelerated the digital transformation of businesses. Using a unique global panel dataset, this paper documents the patterns of digital adoption during the pandemic across firms in 57 (mostly developing) countries. The data show the tale of two stories. On one hand, the pandemic drove firms to increase the use of digital platforms and invest in digital solutions. On the other hand, there is evidence that the digital divide increased. There remain substantial gaps between small and large firms as well as across sectors, particularly for new investments in digital solutions. Firms that did not use any digital platform or channel before the pandemic, also lagged in their response to the pandemic, increasing the gap with those that were more digitally ready. Moreover, although the share of online sales across firms for all size groups increased, there is a growing concentration of online sales among top firms. The paper discusses some of the factors associated with this increase in the digital divide and find that changes in digitalization remain even after mobility restrictions have eased. The analysis suggests that the pandemic has accelerated digitalization, but some firms disproportionately benefited from the digital transformation, potentially increasing the digital divide
    DOI: 10.1596/1813-9450-10284
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  • 62
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    Natural Resource Dependence and Monopolized Imports (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (25 pages)
    Parallel Title: Erscheint auch als Arezki, Rabah Natural Resource Dependence and Monopolized Imports
    Keywords: Domestic Prices ; Energy ; Energy Markets ; Fuel Exporting Economies ; Imports ; Market Concentration ; Monopoloization of Imports ; Natural Resource Curse ; Natural Resources ; Rural Development ; Tariff Evasion
    Abstract: Countries with greater commodity export intensity have more concentrated markets for imported goods. Within countries over time, import market concentration is associated with higher domestic prices, suggesting that markups due to greater concentration outweigh any potential cost efficiency. Hydrocarbon fuel exporting economies especially have higher tariffs, tariff evasion, and non-tariff measures that concentrate markets. These results suggest a novel channel for the resource curse stemming from the monopolization of imports
    DOI: 10.1596/1813-9450-10339
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  • 63
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    Randomized Regulation : The Impact of Minimum Quality Standards on Health Markets (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Bedoya, Guadalupe Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets
    Keywords: Gesundheitswesen ; Gesundheitsreform ; Patienten ; Gesundheitsversorgung ; Produktqualität ; Epidemie ; Regulierung ; Experiment ; Kenia ; Health Care Market ; Health Care Utilizaton ; Health, Nutrition and Population ; Informal Sector ; Patient Safety Standards ; Public Health ; Regulatory Enforcement
    Abstract: This paper presents results from the first randomization of a regulatory reform in the health sector. The reform established minimum quality standards for patient safety, an issue that has become increasingly salient following the Ebola and COVID-19 epidemics. In the experiment, all 1,348 health facilities in three Kenyan counties were classified into 273 markets, and the markets were then randomly allocated to treatment and control groups. Government inspectors visited health facilities and, depending on the results of their inspection, recommended closure or a timeline for improvements. The intervention increased compliance with patient safety measures in both public and private facilities (more so in the latter) and reallocated patients from private to public facilities without increasing out-of-pocket payments or decreasing facility use. In treated markets, improvements were equally marked throughout the quality distribution, consistent with a simple model of vertical differentiation in oligopolies. This paper thus establishes the use of experimental techniques to study regulatory reforms and, in doing so, shows that minimum standards can improve quality across the board without adversely affecting utilization
    DOI: 10.1596/1813-9450-10386
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  • 64
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    Behavioral Aspects of Healthy Longevity (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Rojas, Ana Maria Behavioral Aspects of Healthy Longevity
    Keywords: Behavioral Science ; Decision Making ; Disease Risk Factors ; Global Health Policy Goals ; Habit Formation ; Health, Nutrition and Population ; Healthy Longevity ; Non-Communicable Disease (NCD)
    Abstract: Addressing the growing burden of noncommunicable diseases to achieve healthy longevity for an aging population has become central to global health policy goals. New policy tools are needed for effectively and efficiently tackling health and lifestyle behaviors and habits linked to the development of noncommunicable disease risk factors. Behavioral science offers insights into psychological barriers, mental models, biases, and other factors that influence decision making and habit formation. Applying these insights can support current policy efforts toward healthy longevity. This paper develops a framework to clarify the relationships between noncommunicable disease formation, detection, and management and behavioral determinants at the individual, community, and health system levels. Following the framework, the paper documents frequently identified behavioral barriers at the three key stages of patients' noncommunicable disease trajectories. It identifies policy lessons from the behavioral science literature to address such barriers and, together with other policies, reduce the incidence of noncommunicable diseases and improve treatment effectiveness
    DOI: 10.1596/1813-9450-10347
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  • 65
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    Using Behavioral Science to Increase Women's Participation in Natural Resource Management in Mexico (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (36 pages)
    Parallel Title: Erscheint auch als Reyes-Retana, Graciela Using Behavioral Science to Increase Women's Participation in Natural Resource Management in Mexico
    Keywords: Behavior Change Communication ; Deforestation Emissions ; Degradation ; Gender ; Gender and Environment ; Natural Resource Management ; Outreach Strategies ; Randomized Controlled Trial ; Reducing Emissions ; Rural Development ; Rural Gender Inclusion
    Abstract: Natural resources management (NRM) helps protect forests and promote sustainable development. Although women are key in strengthening activities in NRM, they are dramatically underrepresented in public funding for forest projects in many countries, such as Mexico, limiting their participation and impact. While structural barriers, such as land tenure and low capacity, cause this problem, this is exacerbated by barriers such as lack of information, complex application processess, gender norms, and rural women's low aspirations and limited agency and self-efficacy to participate in NRM projects. This paper tests whether additions and modifications to the standard outreach strategies of a call for proposals for NRM grants in Mexico increase the number of applications submitted by localities and the share of women participating. The study uses a randomized controlled trial in 113 rural localities, where the standard outreach approach (control) is complemented with additional information channels and simplified materials (treatment 1), aiming to appeal more directly to inexperienced populations. A second treatment group further modifies the informational materials using insights from behavioral science (loss aversion, norms framing, and others) and adds proactive text message reminders to prompt behavior (treatment 2), hoping to address the barriers to women's participation. The results suggest that treatment 1 localities had, on average, 2.3 more applications per locality than the control group (increasing the participation of both men and women). Treatment 2 complemented this, having, on average, 6.4 more women per locality participating of these applications than in treatment 1. This shows that women manifested interest in participating in these activities. A representative survey of women in the study localities (1,485 women in 52 localities) suggests that women in treatment localities were more likely to recognize the name of the project or informational materials. The analysis also suggests that the complementary strategies had no effect on the likelihood of being selected to receive a grant under the project, suggesting that additional support is needed to translate this increased interest into successful applications that would allow participation in NRM
    DOI: 10.1596/1813-9450-10419
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  • 66
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    Is the Global Economy Deglobalizing? : And if so, Why? and What is Next? (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10392
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    Protecting Human Capital Through Shocks and Crises : How lessons learned from the COVID-19 response across Eastern Europe and the South Caucasus can be used to build better and more resilient human development systems (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/39716
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    The COVID-19 Mark on Urban Mobility : A Tale of two Cities' Journey to Recovery (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Stokenberga, Aiga The COVID-19 Mark on Urban Mobility: A Tale of two Cities' Journey to Recovery
    Keywords: Big Data ; COVID-19 Impact ; COVID-19 Pandemic ; Mobility ; Pre and Post-Pandemic Travel ; Rural Development ; Rural Roads and Transport ; Transport Policy ; Urban Transport
    Abstract: The COVID-19 pandemic significantly changed mobility patterns in the Bogota and Buenos Aires metropolitan areas, as shown by the differences between the October 2019, 2020, and 2021 indicator values derived from call detail record-based origin-destination matrices. The differences between 2019 and 2020 were more notable than between 2019 and 2021 on most mobility indicators, demonstrating a reversal of the pre-pandemic mobility habits. However, by late 2021, the return to pre-pandemic levels was still very partial in the case of public transport use (especially so in Buenos Aires), while in Bogota the pandemic appeared to have induced a permanent-and increasing-shift to nonmotorized modes. Other mobility indicators that appear to have changed more permanently in Bogota include the lower average distances traveled and the relatively higher importance of non-home-based mobility. In the Buenos Aires Metropolitan Area, the key persistent changes include the lower overall trip generation rates and specifically peak-hour travel, and the higher relative weight of travel to work and school compared to other travel purposes. These findings are partly explained by the underlying policy and regulatory context in the two cities and are relevant for designing transport policy in the post-pandemic context, including in terms of public transport route and schedule planning, cycleway network expansion, and, more broadly, the leveraging of big data as a complement to traditional mobility surveys
    DOI: 10.1596/1813-9450-10484
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  • 69
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    Cholera Risk in Lusaka : A Geospatial Analysis to Inform Improved Water and Sanitation Provision (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Gething, Peter W Cholera Risk in Lusaka: A Geospatial Analysis to Inform Improved Water and Sanitation Provision
    Keywords: Cholera Risk Map ; Communicable Diseases ; Health, Nutrition and Population ; Infrastructure ; Spatial Modelling ; Targeting Infrastructure Investment ; Urban Water ; Water Scarcity ; Water Utilities
    Abstract: Urbanization combined with climate change are exacerbating water scarcity for an increasing number of the world's emerging cities. Water and sanitation infrastructure, which in the first place was largely built to cater only to a small subsector of developing city populations during colonial times, are increasingly coming under excessive strain. In the rapidly growing cities of the developing world, expansion does not always keep pace with population demand, leading to waterborne diseases, such as cholera (Vibrio cholerae) and typhoid (Salmonella serotype Typhi). Funding gaps therefore make targeting for efficient spending on infrastructure upgrades essential for reducing the burden of disease. This paper applies geospatial analysis in Lusaka, Zambia, in the context of the cholera outbreak of October 2017 to May 2018, to identify different water and sanitation infrastructure investment scenarios and their relative impact on reducing the risk of cholera in the city. The analysis presented uses cholera case location data and geospatial covariates, including the location of and access to networked and non-networked Water and sanitation infrastructure, groundwater vulnerability, and drainage, to generate a high-resolution map of cholera risk across the city. The analysis presents scenarios of standalone or combined investments across sewerage coverage and maintenance, on-site sanitation improvements, piped water network coverage and quality, and ensuring the safety of point source water. It identifies the investment most strongly correlated with the largest reduction in cholera risk as the provision of flush to sewer infrastructure citywide. However, it also considers the trade-offs in terms of financial cost versus health benefits and takes note of where the next highest health benefits could be achieved for a much lower cost. Finally, the analysis was done in the context of a considered restructuring of an existing World Bank investment, the Lusaka Sanitation Program. It identifies what appears to be the most efficient combined initiative as partial sanitation investment scale-up and investment in piped water in 10 priority wards where the cholera risk was highest
    DOI: 10.1596/1813-9450-10469
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  • 70
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    The Economic Burden of SARS-CoV-2 Infection Amongst Health Care Workers in the First Year of the Pandemic in Kenya, Colombia, Eswatini, and South Africa (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: COVID-19 ; Economic Burden ; Health Care Workers ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Pandemics ; Sars-COV-2
    Abstract: Health care workers (HCWs) face disproportionate risk of exposure and becoming ill in any infectious disease outbreak. SARS-CoV-2 has proven to be no exception: From Wuhan to Manaus, London to Tehran, and Delhi to Johannesburg, HCWs working in clinics and hospitals have been at heightened risk of developing COVID-19 disease, especially at the beginning of the pandemic when little was known about the then-novel pathogen. This study thus aims to estimate the economic costs of SARS-CoV-2 infections in HCWs during the first year of the pandemic from the societal perspective in four low or middle- income countries. The authors propose a framework to translate SARS-CoV-2 infection amongst HCWs into economic costs along three pathways, provide the estimated burden of HCW infections, and offer recommendations to mitigate against future economic losses due to HCW infections. The economic burden due to SARS-CoV-2 infection among HCWs makes a compelling investment case for pandemic preparedness, particularly the protection of HCWs, and resilient health systems going forward
    DOI: 10.1596/40070
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  • 71
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    Vietnam Country Case Study : ASEAN Vaccine Development and Manufacturing Research Project (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40001
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  • 72
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    Influence of COVID-19 on Female Sex Workers in Dar Es Salaam, Tanzania : A Mixed-Methods Analysis (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Influence of COVID-19 on Female Sex Workers in Dar Es Salaam, Tanzania: A Mixed-Methods Analysis
    Keywords: COVID-19 Impact on Sex Workers ; Extreme Financial Vulnerability ; Female Sex Worker Welfare ; Food Insecurity ; Gender ; Gender and Poverty ; Gender and Social Policy ; Health, Nutrition and Population ; Labor Law ; Social Protections and Labor ; Urban Homelessness
    Abstract: This study investigates how the landscape of sex work in Dar es Salaam, Tanzania, evolved in the context of the COVID-19 epidemic. Using a mixed-methods approach, the analysis triangulates data from quantitative and qualitative sources to quantify shifts in income, demand, and client frequency and describe female sex workers' perspectives on their work environment. The COVID-19 restrictions introduced in early 2020 resulted in dramatic decreases in sex work income, leading to extreme financial vulnerability, food insecurity, and challenges in meeting other basic needs such as paying rent. However, in a 2021 follow-up survey, sex workers reported the summer of 2021 as a key turning point, with the demand for sex work rebounding to closer to pre-pandemic levels. Notably, despite the average number of unique weekly clients not yet having fully rebounded, by 2021 the price per client and the total monthly sex work income had returned to pre-pandemic levels. This may potentially be explained by an increased number of repeat clients, which represented a larger proportion of all clients during the COVID-19 pandemic
    DOI: 10.1596/1813-9450-10572
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  • 73
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    Effects of a Lottery Incentive on Sexually Transmitted Infections and HIV Incidence among Female Sex Workers in Tanzania : Results from the Respect II Randomized Trial (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Effects of a Lottery Incentive on Sexually Transmitted Infections and HIV Incidence among Female Sex Workers in Tanzania: Results from the Respect II Randomized Trial
    Keywords: Communicable Diseases ; Female Sex Worker Intervention ; Financial Incentives To Safe Sex ; Health, Nutrition and Population ; HIV Among Sex Workers ; HIV Prevention ; Lottery Incentive Case Study ; Public Health Promotion ; STD Prevention
    Abstract: Female sex workers are a key population who experience a disproportionately high burden of HIV and sexually transmitted infections. A growing body of evidence suggests that financial incentives can reduce risky sexual behavior and the incidence of HIV and sexually transmitted infections; however, few studies have examined a lottery-based incentive mechanism or been conducted with female sex workers. This paper examines the effect of a lottery intervention on the combined incidence of HIV and herpes simplex virus 2 among female sex workers in Tanzania. The RESPECT II trial was an unmasked, two-arm, parallel group randomized controlled trial conducted in Dar es Salaam, Tanzania among 2,206 enrollees from 2018 to 2021. Participants were randomized in a one-to-one ratio to the basic test control group or to the lottery intervention group. The basic test group received testing and counseling for HIV and biweekly text messages with information on safe sex practices. The lottery group received the basic test group intervention plus entry into a weekly lottery with a 100,000 Tanzanian shilling (USD 50) reward offered to 10 randomly selected participants, conditional on negative test results for syphilis and trichomonas. The primary outcome was combined HIV and herpes simplex virus 2 incidence after 36 months. The results showed no statistically significant effect on this primary outcome. Thus the study finds no evidence that the lottery-based incentives reduced the incidence of HIV and sexually transmitted infections among the female sex worker population. However, the results may have been affected by disruption from the COVID-19 pandemic, and unexpectedly high study attrition levels made it impossible to statistically rule out possible moderate-sized effects
    DOI: 10.1596/1813-9450-10571
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  • 74
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    Voices from Yemen (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Agriculture ; Armed Conflict ; Children and Education ; Civil War ; Conflict ; Conflict and Development ; Displacement ; Food Security ; Food Unaffordability ; Health and Poverty ; Health, Nutrition and Population ; Humanitarian Response ; Limited Health Care ; Living Costs ; Living Standards ; Poverty Reduction ; Reduced Food Intake ; Repeated Shocks
    Abstract: This report highlights respondents' lived experiences during Yemen's conflict as experts of their own experiences. This report aims to present the voices of Yemenis who have now spent eight years living through a civil war, economic crisis, and close to famine. This report is among the few authentically capturing Yemeni voices on a range of day-to-day issues from different governorates across the country. But arguably the small sample size limits ability to generalize findings. However, generalizing findings was not the intention of the report. For each theme, 'Voices from Yemen' presents a multi-stakeholder perspective to mitigate bias towards a single stakeholder group or geographical area. Moreover, the report's findings are in line with those in quantitative reports, such as 'Surviving in the Times of War' or the 'World Bank Phone Survey' report on food security. 'Voices from Yemen' presents a comprehensive picture of suffering derived from human stories behind the statistics. The conflict has made Yemeni lives unaffordable, uncertain, vulnerable, and often unbearable. The power of people's speech and the intensity of their stories narrate their grave vulnerabilities and the sense of helplessness and suffering the conflict has caused
    DOI: 10.1596/40351
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  • 75
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    The Impact of Health Taxes in Armenia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Alcohol ; Finance and Financial Sector Development ; Food and Nutrition Policy ; Health Taxes ; Health, Nutrition and Population ; High-Quality Health Care ; Macroeconomics and Economic Growth ; Sugar-Sweetened Beverages ; Tax Revenue ; Taxation and Subsidies ; Tobacco ; Universal Health Coverage
    Abstract: This report has been prepared by the World Bank, at the request of the MoH, to support ongoing efforts to improve population health and revenue mobilization in the sector. The study estimates the health impacts of increasing taxation on SSBs, alcohol, and tobacco across gender and income-quintiles. The revenue potential of these taxes is also explored. The target audience for these findings includes senior policymakers and technical advisers in the MoH, Ministry of Economy, and Ministry of Finance (MoF). The remainder of this report is organized as follows. In Chapter 2, the authors reviewthe current state of health and consumption taxes in Armenia. Chapter 3 outlines themethods used to estimate the change in tax revenue and consumption of alcohol, tobacco, and SSBs. Chapter 4 reports the analysis results, including the potentialadditional fiscal space and health gains. Finally, chapter 5 presents the conclusionsbased on the findings
    DOI: 10.1596/40345
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  • 76
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    Seasonal Deprivation in the Sahel is Large, Widespread, and can be Anticipated (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Lain, Jonathan Seasonal Deprivation in the Sahel is Large, Widespread, and can be Anticipated
    Keywords: Agriculture ; Economic Insecurity ; Food and Nutrition Policy ; Food Insecurity ; Food Security ; Health, Nutrition and Population ; Livestock and Animal Husbandry ; Macroeconomics and Economic Growth ; Poverty ; Rainfed Agriculture ; Seasonal Poverty VARIATION ; Seasonality ; Welfare
    Abstract: Shocks and seasonality may have profound effects on poor households' wellbeing, especially in contexts like the Sahel where livelihoods depend on rainfed agriculture and pastoralism. Understanding how seasonal variation affects Sahelian households is therefore essential for guiding policies that jointly seek to address chronic poverty, seasonality, and unexpected shocks. This paper uses harmonized household survey data from Burkina Faso, Chad, Mali, Niger, and Senegal, collected in two distinct waves in 2018 and 2019, to examine the extent of seasonal deprivation in the Sahel. These data reveal significant seasonal variation in poverty and wellbeing. Mean real monetary consumption is around 10.5 percent lower in the lean season. Moreover, rather than representing a reduction in dietary diversity, this drop is concentrated in staple foods (especially cereals), implying that seasonality brings about extreme forms of deprivation. Welfare losses may begin early in the lean season, even as early as April. When the data were collected in 2018/19, the climatic conditions were relatively benign and the security situation was more stable than today, so the effects of seasonality shown in this paper likely represent a lower bound. On policy, although initiatives currently focus on responding to unpredictable shocks, seasonal food insecurity could be better tackled by expanding social protection and providing regular transfers early in the lean season, when prices are lower and fewer households have succumbed to extreme deprivation. Seasonal variation happens every year and more can be done to support Sahelian households if there is information on how it will perennially threaten their wellbeing
    DOI: 10.1596/1813-9450-10541
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  • 77
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    Are Vaccination Campaigns Misinformed? : Experimental Evidence from COVID-19 in Low- and Middle-Income Countries (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Markhof, Yannick Are Vaccination Campaigns Misinformed?: Experimental Evidence from COVID-19 in Low- and Middle-Income Countries
    Keywords: Communicable Diseases ; COVID Vaccination Promotion ; COVID Vaccine Survey ; COVID-19 Pandemic ; Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Immunizaiton ; Immunization Administrative Data Discrepancy ; Public Health Policy ; Public Health Promotion
    Abstract: Routine immunization coverage estimated in surveys often substantially differs from figures reported in administrative records, presenting a dilemma for researchers and policy makers. Using high-frequency phone surveys and administrative records from government sources in 36 low- and middle-income countries, this paper shows that such misalignment has also been common in the case of COVID-19. Across the sample, survey estimates exceed administrative figures by 47 percent on average, at times suggesting markedly different policy conclusions depending on the data source consulted. This pattern is particularly stark and consistent in Sub-Saharan Africa. To investigate the sources of this discrepancy, the paper presents results from six methodological experiments that vary survey design choices and documents their effect on estimated COVID-19 vaccine coverage. The results show that design choices matter, in particular the selection of respondents to be interviewed. However, phone survey estimates prove remarkably robust to several commonly claimed biases. After accounting for observed errors of representation and measurement in the survey data, there remains a nonnegligible, unexplained residual gap with administrative records. The paper provides indicative evidence of flaws and weaknesses in administrative data recording and reporting that affect reported vaccination rates and could contribute to this gap. The findings matter for past research on COVID-19 vaccination, future immunization efforts, and the design of robust data production systems on health topics
    DOI: 10.1596/1813-9450-10443
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  • 78
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    Is Natural Capital a Complement to Human Capital? : Evidence from 46 Countries (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10617
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  • 79
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    The Enduring Impacts of a Big Push during Multiple Crises : Experimental Evidence from Afghanistan (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (45 pages)
    Parallel Title: Erscheint auch als Bedoya, Guadalupe The Enduring Impacts of a Big Push during Multiple Crises: Experimental Evidence from Afghanistan
    Keywords: Big Push Poverty Reduction Strategy ; Extreme Poverty Intervention ; Gender ; Gender and Economic Policy ; Gender and Poverty ; Livestock Ownership ; Poverty Reduction ; Poverty Reduction Strategy ; Productive Asset Transfer ; Reproducibile Research Repository ; Rural Development ; Women's Empowerment
    Abstract: How do proven strategies to improve the economic conditions of ultra-poor households hold up against the increasing severity and co-incidence of economic, security, and climate shocks Five years after receiving an economic livelihoods package, and shortly prior to the 2021 regime change, "ultra-poor" women in Afghanistan continued to have significantly higher levels of consumption, assets, market work participation, financial inclusion, children's school enrollment, and women's psychological well-being and empowerment, relative to the control group. Households boost resilience by diversifying productive activities and the program improves equality by reducing the gaps between ultra-poor and non-ultra- poor households across multiple dimensions. The results illustrate how an increasingly popular approach to improve the conditions of the very poor through a one-off "big push" intervention can strengthen household resilience through multiple shocks in one of the most fragile settings worldwide
    DOI: 10.1596/1813-9450-10596
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  • 80
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    Sierra Leone Economic Update 2023 : Enhancing Value Chains to Boost Food Security (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Access To Finance ; Finance and Financial Sector Development ; Food and Nutrition Policy ; Food Security ; Food Systems ; Health, Nutrition and Population ; Stability ; Value Chains
    Abstract: Sierra Leone's economy experienced overlapping setbacks during 2022, as external spillovers from the Russian invasion of Ukraine aggravated domestic macroeconomic vulnerabilities. This led to high levels of inflation, a substantially weaker currency, greater imbalances in public finances, and lower foreign exchange reserves. GDP growth slowed in 2022 (from 4.1 percent in 2021 to 3.5 percent) bringing the average GDP growth since the onset of the COVID-19 pandemic to only around half of the pre-pandemic trend. High global energy and fertilizer prices coupled with a weaker currency translated into accelerating inflation which rose from 12percent in 2021 to 27 percent in 2022, and further to over 50 percent by August 2023, threatening the welfare of households and worsening food insecurity and poverty
    DOI: 10.1596/40586
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  • 81
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    Implementation Toolbox to Document and Analyze Primary Health Care Innovations (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Disability ; Education For All ; Fidelity Assessment ; Health, Nutrition and Population ; ICT Applications ; Information and Communication Technologies ; Innovations ; PIP Framework ; Primary Health Care
    Abstract: Implementation science is a multidisciplinary field that focuses on studying and promoting effective strategies for translating evidence-based interventions (EBIs) into routine practice to improve outcomes in real-world settings. It has been increasingly used to document and assess interventions, as it helps to make sense of how, when, where, and why research results and EBI are, or are not, being successfully used. When compared to traditional project design, implementation, and management of health care interventions, implementation science can add value by addressing the specific complexities and challenges associated with implementing and scaling up these interventions. More specifically, it helps to analyze and understand the contextual factors, stakeholder dynamics, and system-level barriers that can hinder the successful adoption and integration of health care interventions. In this sense, by integrating implementation science principles the World Bank can tailor strategies, develop robust implementation plans, and leverage evidence-based practices to overcome implementation problems, which is particularly useful for primary health care interventions and other interventions targeted at improving health and nutrition outcomes at scale. It is important to consider implementation strategies that are responsive to context, as they help bridge the gap between EBI and implementation outcomes. Tailoring implementation strategies to the specific context enables implementers and managers to address barriers and leverage facilitators, thereby increasing the likelihood of success
    DOI: 10.1596/40509
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  • 82
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    The Trends in Adolescent and Youth Well-being in the United Republic of Tanzania : Harnessing the Potential of Adolescents and Youth in Tanzania (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Adolescent Well-Beng ; Climate Change Mitigation and Green House Gases ; Drop-Out Rate Reduction ; Economic Growth ; Education ; Energy and Environment ; Financial Sector and Social Assistance ; Gender ; Gender and Education ; Gendered Adolescent Health Trends ; Health, Nutrition and Population ; Secondary Education ; Water Resources Management ; Youth Health ; Youth Well-Being
    Abstract: This report focuses on the trends of adolescent and youth well-being in Tanzania, identifying how and why well-being has or has not changed over time. The report conceptualizes well-being holistically. Well-being can be defined as one's ability and opportunity to learn, make decisions, live a healthy life (physically and mentally), be well-nourished, express agency, have peace of mind, and ultimately be economically empowered. Well-being can be accumulated over time and is a composite of multiple aspects that affect the life one lives and the quality of that life. In many ways, how to live a good life and whether one is living this good life has been a key question asked across countries, and there are multiple frameworks that have been used to measure well-being. For the purposes of this study, six domains of well-being are recognized: (1) education and learning, (2) bodily integrity, (3) health, (4) psychological well-being (peace), (5) voice and agency, and (6) economic empowerment and skills. These domains are interconnected, and, also considered is the idea of peace of mind, without which, there is no wellness
    DOI: 10.1596/40499
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  • 83
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    The Primary Health Care System of the Gambia : A Primary Health Care Performance Initiative Assessment (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; Medicines and Supplies ; NCD ; PHC ; Quality Of Care
    Abstract: The results of the assessment point to four policy recommendations to address challenges related to governance, availability of medicines and supplies, comprehensiveness of services, and ability to deliver adolescent sexual and reproductive health (ASRH) services and promote universal and effective PHC coverage in The Gambia: 1. Establish a PHC-specific policy focused on improving coordination across governmental and non-governmental actors, quality of care, and monitoring and evaluation. 2. Increase the availability of medicines and supplies by leveraging. existing purchasing mechanisms and strengthening supply chain management.3. Implement a people-centered model of PHC focused on delivering comprehensive infectious and NCD services. 4. Increase capacity for adolescent sexual and reproductive health service delivery
    DOI: 10.1596/40481
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  • 84
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    Shifting Spousal Decision-Making Patterns : Whom you Target in an Agricultural Intervention Matters (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (53 pages)
    Parallel Title: Erscheint auch als Bedi, Tara Shifting Spousal Decision-Making Patterns: Whom you Target in an Agricultural Intervention Matters
    Keywords: Africa Gender Innovation Lab ; Agricultural Knowledge and Information Systems ; Agriculture ; Family Agriculture ; Gender ; Gender and Rural Development ; Gender Difference ; Gendered Decision Making ; Innovation Fund ; Rural Development ; Targeting Agriculture Interventions
    Abstract: Does it matter whether poverty reduction programs target the female or male spouse? A randomized controllled trial in Ethiopia is used to study the differential impacts of easing information and financial constraints on agricultural productivity and household welfare, using data from 1,214 households in two regions of Ethiopia. The program targeted the husband, the wife, or both in a married household. The results indicate that the targeted spouse determines the type and channel of impacts. Targeting both spouses increased agricultural productivity in the short run and the monetary value of small ruminants and poultry in the long run, with a marginal positive impact on nonfood expenditure. Targeting only the female spouse resulted in increased business income from businesses with female involvement. This consequently increased household use of formal savings devices. This is in line with female preferences outside agriculture and for off-farm activities, and it results in little impact on agricultural productivity, despite an increase in women's access to extension services. Targeting only the male spouse has no impact on household savings or expenditure even though it increases men's wage income. The results suggest that the sharing of knowledge about the intervention changed household decisions. This would explain the different outcomes when both spouses were targeted, rather than only one
    DOI: 10.1596/1813-9450-10651
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  • 85
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    Government Support and Firm Performance during COVID-19 (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Bruhn, Miriam Government Support and Firm Performance during COVID-19
    Keywords: Covid-19 ; Disease Control and Prevention ; Employment ; Government ; Health, Nutrition and Population ; Pandemic ; Private Sector Development ; Private Sector Economics ; Social Protections and Labor
    Abstract: This paper assesses the medium-run effects of government support to firms during the COVID-19 crisis and whether the effectiveness of this support varied with its timing. Using data from three rounds of the World Bank's Enterprise Surveys COVID-19 Follow-up Surveys carried out between May 2020 and April 2022, it relates government support in Round 1 (received in the first half of 2020) and Round 2 (received during the second half of 2020 or early 2021) with firm performance in Round 3 (generally mid-2021). Controlling for a host of background characteristics, firms that received support in Round 1 performed better in terms of Round 3 sales, but only if they did not have continued support. Firms that also received support in Round 2 had similar Round 3 sales as those that received no support and were more likely to decrease employment. Firms that received government support only in Round 2 experienced no boost in Round 3 performance. The findings suggest that government support should be provided promptly, but it should also be phased out quickly
    DOI: 10.1596/1813-9450-10641
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  • 86
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    Older People's Health and Long-Term Care During COVID-19 : Impacts and Policy Responses (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Communicable Diseases ; Covid Impact on Eldercare ; Covid-19 Pandemic Impact on Long Term Care ; Digital Health ; Disease Control and Prevention ; Elder Health ; Health Policy and Management ; Health, Nutrition and Population ; Long Term Care Systems ; Population Policies ; Welfare of Older Populations
    Abstract: This policy note examines the major impacts of COVID-19 on various aspects of older peoples' lives and health and long-term care (LTC) systems. It also provides a close review and analysis of public health measures and their impact in seven countries: Japan, Germany, Republic of Korea (Korea), Thailand, Vietnam, the United Kingdom (UK, specifically England), and the United States (US). Globally, older people have been one of the most affected groups during the pandemic. An adequate response to the impact was neglected or delayed in many countries, hence there is a critical need for systems to be more prepared. To better protect the increasing population of older people with complex health and care needs under the current prolonged pandemic, as well as during future ones, countries with limited resources should continue to strengthen their extant community-based care systems and foster the engagement of families and civil society in elder care. These countries also need to establish formal LTC systems and increase financial and workforce capacities of their systems. Care innovations through digitalization can provide useful tools to improve system efficiency and coverage, but better evidence and further policy efforts are necessary for effective use of these tools in the development of inclusive and integrated health and care systems resilient to future pandemics. Quality, timely, comparable data is crucial to support policy making and evaluation of aged-care systems promoting the health and well-being of later life for all
    DOI: 10.1596/40702
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  • 87
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    Least Protected, Most Affected : Impacts of Migration Regularization Programs on Pandemic Resilience (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (16 pages)
    Parallel Title: Erscheint auch als Urbina, Maria Jose Least Protected, Most Affected: Impacts of Migration Regularization Programs on Pandemic Resilience
    Keywords: Amnesties ; COVID 19 Impact ; Disease Control and Prevention ; Forced Migration ; Health Policy and Management ; Health Service Management and Delivery ; Health, Nutrition and Population ; Poverty Reduction ; Refugee Pandemic Outcomes ; Refugee Resilience ; Regularization of Migrants
    Abstract: How can regularization programs improve forced migrants' resilience to shocks This paper leverages panel data collected during the COVID-19 pandemic to assess whether Venezuelan forced migrants who were eligible for a regularization program in Colombia were more resilient and less affected by the pandemic than similar but non-eligible forced migrants. The results indicate that access to the program promoted better health access for eligible migrants, facilitating adherence to prevention guidelines and increasing detection rates. Additionally, eligible migrants had better housing and labor conditions, relative to non-eligible migrants
    DOI: 10.1596/1813-9450-10291
    URL: lizenzpflichtig
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  • 88
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    How did Urban Household Enterprises in Sub-Saharan Africa Fare during COVID-19? : Evidence from High-Frequency Phone Surveys (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Cunningham, Wendy How did Urban Household Enterprises in Sub-Saharan Africa Fare during COVID-19? Evidence from High-Frequency Phone Surveys
    Keywords: COVID-19 Pandemic ; Health, Nutrition and Population ; Income Loss ; Income Shock ; Informal Enterprise ; Informality ; Urban Household Enterprise
    Abstract: While the impact of COVID-19 on Sub-Saharan African labor markets is well documented, there is suggestive evidence that urban households may have fared particularly poorly. This paper uses data from high-frequency phone surveys in 27 Sub-Saharan African countries to investigate which kinds of urban household enterprises were most affected, what coping strategies were utilized, and heterogeneity by sociodemographic characteristics in the short and medium run. Using linear probability models, the paper finds that households that relied on income from non-farm enterprises were hit particularly hard during the early stage of the crisis, with 20-26 percent reporting income declines, and women experiencing even greater losses. Few coping strategies were utilized in the short run to counterbalance the loss of enterprise income. As the crisis progressed, wage employment recovered more quickly than self-employment, with faster gains for non-farm household enterprises, less poor households, and those headed by males and adults. Women, adults, and non-poor self-employed household heads were more successful at leveraging external sources of support early in the pandemic, but these supports largely dropped off by August 2020. These results demonstrate the vulnerability of non-farm household enterprises in urban Sub-Saharan Africa to the COVID-19 shock and highlight the need to expand publicly and privately financed coping mechanisms, particularly for women, youth, and poor household heads who are self-employed
    DOI: 10.1596/1813-9450-10360
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  • 89
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    Can Vaccination Incentives Backfire? : Experimental Evidence That Offering Cash Incentives Can Reduce Vaccination Intentions in Some Contexts (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (23 pages)
    Parallel Title: Erscheint auch als Seitz, William Can Vaccination Incentives Backfire? Experimental Evidence That Offering Cash Incentives Can Reduce Vaccination Intentions in Some Contexts
    Keywords: COVID-19 Pandemic ; Health, Nutrition and Population ; Monetary Incentive ; Public Health Promotion Research ; Vaccination Experiment ; Vaccination Incentive
    Abstract: This paper studies the effect of proposing a monetary incentive for vaccination intentions, with a survey-based randomized controlled experiment conducted separately in three countries, Tajikistan, Uzbekistan, and Kazakhstan. Respondents from nationally representative surveys were randomly assigned to a control group (for which no incentive was proposed) or to one of several treatment groups with varying levels of hypothetical compensation. Offering incentives markedly reduced overall vaccination intentions -all three counties. Country-level results ranged from no meaningful effect on vaccination intentions (Tajikistan) to a decline of up to 22 percent (Uzbekistan and Kazakhstan). In follow-up questions, most respondents said they disapprove of offering financial incentives for vaccination, and especially in contexts with strong negative effects in the experiment. The results contrast with the well-established efficacy of monetary incentives to influence vaccination behavior in other settings, but they are consistent with findings from the behavioral literature in which incentive payments signal inferiority or disutility. The findings suggest that policy makers and practitioners should use caution when considering extrinsic incentives for vaccination and other health interventions where effects have not been tested
    DOI: 10.1596/1813-9450-10349
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  • 90
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    A Framework for the Economic Evaluation of Digital Health Interventions (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10407
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  • 91
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    The Importance of Maintenance : Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George The Importance of Maintenance: Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe
    Keywords: Cholera Outbreaks ; Cholera Risk ; Communicable Disease ; Health and Sanitation ; Health, Nutrition and Population ; Infrastructure Maintenance ; Sanitation Infrastructure ; Water-Born Illness ; Waterinfrastructure
    Abstract: Understanding the specific factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. This paper uses georeferenced case data from the cholera epidemic that occurred in Harare, Zimbabwe, from September 2018 to January 2019. The paper applies spatio-temporal modeling to understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. The study highlighted a number of findings. First, using call detail records to estimate weekly population movement throughout the city, the results suggest that human movement helps to explain the spatiotemporal patterns of the cases observed. In addition, the results highlight a number of sociodemographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure, with populations living in close proximity to the sewer network with high access to piped water being at higher risk. A possible explanation for this surprising observation is that sewer bursts led to the contamination of the piped water network, turning access to piped water, usually assumed to be protective, into a risk factor. Although further studies are required to test this hypothesis, if it is true, it highlights the importance of maintenance for achieving the Sustainable Development Goals of improved water and sanitation infrastructure
    DOI: 10.1596/1813-9450-10327
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  • 92
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    Tackling Noncommunicable Diseases in Kosovo to Enhance Human Capital and Economic Growth (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/39936
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  • 93
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    The State of Noncommunicable Diseases in Kosovo (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/39935
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  • 94
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    Gulf Economic Update, Spring 2023 : The Health and Economic Burden of Non-Communicable Diseases in the GCC (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Disease Control and Prevention ; Economic Growth ; GCC ; Gulf Cooperation Council ; Health, Nutrition and Population ; Inflation ; Macroeconomics and Economic Growth ; NCDS ; Non-Communicable Diseases
    Abstract: The Gulf Cooperation Council (GCC) economies performed strongly in 2022. Amidst a year of economic uncertainty marked by inflation, geopolitical crises, and supply chain insecurity, the GCC region registered remarkable GDP growth of 7.3 percent in 2022. Progress made on structural reforms are bearing fruits on the economy. Despite the uptick, inflation remains relatively muted in comparison to other high-income countries. Looking ahead, the GCC region is projected to grow at a slower pace. The main contributors to this growth are private consumption, fixed investments, and government expenditures through looser fiscal policy in response to high oil revenues. However, downside risks to the outlook are numerous. Special Focus: Non-Communicable Diseases (NCDs) pose a major health burden to the population and governments of the GCC. NCDs are also a growing concern from an economic perspective. To mitigate the health and economic burden of NCDs, the region needs to scale up efforts to target the behavioral and environmental risk factors of NCDs. Effectively addressing NCDs requires a whole-of-government approach, and the effective implementation and monitoring of targeted, evidence-based solutions. Addressing the risk factors of NCDs requires an increased strategic focus on prevention over treatment, targeting of the young and adolescents, and the development and implementation of evidence-informed, cost effective, high impact interventions. Governance structures that can effectively mobilize, incentivize, and hold accountable the many non-health sectors in the implementation and monitoring of cost-effective interventions are critical
    DOI: 10.1596/39932
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  • 95
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    Estimating Road Freight Transport Costs in Eastern Europe and Central Asia using Large Shipping Data (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Iimi, Atsushi Estimating Road Freight Transport Costs in Eastern Europe and Central Asia using Large Shipping Data
    Keywords: International Economics and Trade ; Regional Integration ; Road Freight Rates ; Rural Development ; Rural Roads and Transport ; Shipping Charge Elasticity ; Shipping Cost Increase ; Supply Chain ; Trade and Transport
    Abstract: The recent global crises, such as the COVID-19 crisis, remind us of the importance of efficient transportation and logistics. Notably, however, even before the crises, some regions were already experiencing a gradual increase in freight costs, with more and more empty trucks observed. The paper recasts light on the question of how road freight costs are determined using large, unique shipping data from Eastern European and Central Asian countries. It finds that economies of scale are significant in both freight weight or load factor and distance. The elasticity with respect to freight weight is particularly high at about 0.3 to 1.0 in absolute terms. Thus, to contain trucking costs, it is important to maximize the load factor through freight consolidation at origins and destinations. The elasticity with respect to distance is relatively modest at 0.04 to 0.16 in absolute terms but still statistically significant, indicating that distance may not necessarily be a constraint on trade and regional integration. Trucking costs also decrease with driving speed, a proxy for efficiency of movements or road conditions. The elasticity is significant for food products (-0.03) and other consumer goods (-0.11). Finally, the paper finds that border crossing adds 3-4 percent to freight costs
    DOI: 10.1596/1813-9450-10533
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  • 96
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    A Way Forward for Building Resilient Health Systems : Lessons Learned from Eastern Europe and the South Caucasus (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40124
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  • 97
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    Central African Republic - Public Expenditure Review in Key Human Development Sectors : Summary (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Education ; Education Finance ; Finance and Financial Sector Development ; Health ; Health Economics and Finance ; Health, Nutrition and Population ; HRM ; Human Development ; Macro Fiscal Context ; Public and Municipal Finance ; Public Expenditure ; Sustainability
    Abstract: This is an overview of the CAR Human Development (HD) Public Expenditure Review (PER). This overview provides an analytical basis to decision-makers and stakeholders for the formulation of ambitious yet fiscally responsible interventions to improve human capital outcomes in CAR. The PER examines public expenditure trends of the education, health, and social protection (SP) sectors with a focus on adequacy, efficiency, and equity of expenditures as well as human resource management (HRM). The primary objective is to provide analytical insights for government policy development and prioritization strategy as it seeks to achieve a resilient recovery and rebuild its education and health sectors and establish a strong SP system which will help the poorest households invest and protect their own human capital. The PER can also serve as a useful source of knowledge and information to development partners seeking to deepen the impact of their support to the human capital development sectors. The recommendations put forth by the PER are those identified as fiscally sustainable and most important for rebuilding and strengthening human capital development sectors, including a focus on future human resource (HR) recruitment needed in the education and health sectors
    DOI: 10.1596/40337
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  • 98
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    Evaluation of Educational Loss in Europe and Central Asia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Patrinos, Harry Anthony Evaluation of Educational Loss in Europe and Central Asia
    Keywords: COVID-19 Impact ; Education Indicators and Statistics ; Health, Nutrition and Population ; Learning Inequity ; Learning Loss ; Low Achieving Students ; Mental Health ; Primary Education ; Reading Achievement Loss ; Student Achievement
    Abstract: To what extent has the learning progress of school-aged children slowed during the COVID-19 pandemic? A pre-registered analysis of the first international assessment to be published since the pandemic is conducted to estimate the impact of COVID-19 on student reading. The effect of closures on achievement is modeled by predicting the deviation of the most recent results from a linear trend in reading achievement using data from all rounds using data from 28 countries in Europe and Central Asia. Reading scores declined by an average of 20 percent of a standard deviation, equivalent to just less than a year of schooling. Losses are significantly larger for students in schools that faced relatively longer closures. While there are no significant differences by sex, it is shown that lower-achieving students experienced much larger losses
    DOI: 10.1596/1813-9450-10542
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  • 99
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    Why is the Safety of Medicines Important for Resilient Health Systems? : A Synthesis Report (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Lessons ; Drug Safety ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; PV ; Resilient Health Systems ; Thalidomide Tragedy
    Abstract: This report discusses the importance of pharmacovigilance (PV) in contributing to building up resilient health systems. It is based on and summarizes the findings of a review of available literature on the topic and relevant case studies focusing on a set of country and regional experiences. Although indispensable in improving health outcomes, the administration and use of medicines may produce adverse reactions, requiring continuous monitoring to ensure that the benefits outweigh the risks. PV, which involves the systematic detection, reporting, assessment, understanding, and prevention of adverse drug reactions (ADRs), is an essential public health function, but it is often overlooked. The review suggests that successful PV programs are built on three essential pillars: statutory provisions that establish standards for PV centers and programs, well-trained health professionals and associated stakeholders, and engaged PV reporters using effective reporting systems. These pillars allow PV programs to be effective in three core activities: reporting adverse drug events (ADEs) and identifying signals, determining threats through a benefit-risk balance analysis, and taking appropriate actions. This is in addition to supporting various functions of a health system, such as national drug policy and regulation, the delivery of medical care, specific disease control programs, increasing the trust of the general public in the system, and promoting eco-PV. Aided by emerging opportunities for development through automation and machine learning, PV programs show immense potential to enhance the monitoring of patient safety and improve the use of medicines. The report offers policy considerations for countries and international partners in building PV capacity as an essential public function of a health system
    DOI: 10.1596/40247
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  • 100
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    Overview of the Republic of Korea Pharmacovigilance System : Learning from Best Practices (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40208
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