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  • Washington, D.C : The World Bank  (1,072)
  • Social Protections and Labor  (579)
  • Health, Nutrition and Population  (575)
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  • 1
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Crisis ; Sahel ; Shocks ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The Sahel region of Africa faces multiple crises, which further compound structural economic and human development challenges. The Sahel is one of the world's poorest regions and displays some of the lowest levels of human capital globally. Violence and insecurity in the Sahel have significantly increased in the past decade, with several countries experiencing active armed conflict and unrest. The impacts of climate change compound existing vulnerabilities and risks. Finally, the external shocks of the COVID-19 pandemic and the war in Ukraine have impacted the Sahel, eroding purchasing power and aggravating poverty. Adaptive Social Protection (ASP) plays a critical role in preventing or mitigating the negative impacts of shocks and boosting resilience for long-term development. ASP has emerged as a flexible and dynamic approach to social protection during the past decade. It combines and exploits synergies between social protection, disaster risk management (DRM), and climate change adaptation. Adaptive Social Protection (ASP) plays a critical role in preventing or mitigating the negative impacts of shocks and boosting resilience for long-term development. The Sahel's vulnerability and exposure to shocks and crises is set to increase with accelerating climate change, calling for a shift from often externally funded, ad hoc responses toward building sustainable, government-led system. Over the past decade, ASP has been on a remarkable trajectory in the Sahel, and this is an appropriate time to take stock of the situation. This report provides an overview of the state of ASP across six Sahelian countries - Burkina Faso, Chad, Mali, Mauritania, Niger, and Senegal - as well as a set of recommendations for actions to strengthen the adaptiveness and responsiveness of existing systems to shocks
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  • 2
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Wahby, Sarah Job Finding and Separation among Syrian refugees in Jordan and Their Hosts during the COVID-19 Pandemic
    Keywords: Covid-19 Impact on Refugees ; Human Rights ; Involuntary Resettlement Law ; Job Finding ; Job Separation ; Labor Market Inequality ; Labor Markets ; Law and Development ; Refugee Camps and Resilience ; Refugees ; Social Development ; Social Protections and Labor ; Voluntary and Involuntary Resettlement
    Abstract: Refugees face important barriers to participation in the formal market, which locks them in informal employment and makes them more vulnerable to shocks. Using data from Jordan, this paper compares the job finding and separation rates of Syrian refugees to those of their hosts before and after the onset of the COVID-19 pandemic. The findings show the change in these rates over time for Syrians to be similar to those of their Jordanian hosts prior to the pandemic, with a significant divergence after the start of the pandemic. Distinguishing between Syrians living in camps and those living in host communities shows that the Syrian disadvantage was entirely explained by living in camps
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  • 3
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Horton, Susan Estimating Economic Costs of Unhealthy Diets: A Proposed Methodology
    Keywords: Agrifood Policy ; Cancer ; Diet Quality ; Food Choices ; Health Economics and Finance ; Health, Nutrition and Population ; Healthcare Costs ; Non-Communicable Disease ; Nutrition ; Obesity ; Undernutrition
    Abstract: Healthy diets have been characterized as responding to four universal principles--nutrient adequacy, dietary diversity, macronutrient balance, and moderation. With rising incomes, diet concerns globally have shifted from inadequacy of nutrients and lack of diversity, to lack of balance and moderation. This has occurred alongside declining rates of stunting and wasting in children under five and increasing rates of overweight and obesity across a broad age span. Calculations undertaken for low- and middle-income countries for policy and advocacy purposes of the economic cost of unhealthy diets have used nutritional status as a proxy or have made estimates of the impact of noncommunicable diseases by simply adding up known risks of individual diet factors. Both these methods have problems. This paper proposes a new methodology, taking advantage of recent, more holistic, measures of diet quality. Preliminary regression results are presented using cross-country data and the Global Dietary Recommendations Score and Minimum Dietary Diversity for women. The results suggest that diet quality variables generally have the expected signs, but there are also clear limitations of using cross-country data. The methodology could be applied in future to a limited number of broadly representative low- and middle-income countries data sets containing both diet recall data as well as measures of noncommunicable disease risk status. The analysis suggests that this work could inform policies such as the repurposing of existing agrifood policies to complement existing public health policies, to reduce the economic and health burdens imposed by unhealthy diets
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  • 4
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Mohieldin, Mahmoud Could Digital Inclusion Close the Gender Economic Gap in the MENA Region?
    Keywords: Access and Connectivity ; Connectivity and Gender Equity ; Digital Divide ; Equitable Development ; Female Labor Market ; Gender ; Gender and Economic Empowerment ; Gender and Economics ; Gender and Law ; Information and Communication Technologies ; Internet Access ; Labor Markets ; Social Protections and Labor
    Abstract: Closing the gender digital divide by ensuring equal access to and benefit of the internet may reduce economic inequalities and close the gender gap in employment by providing new economic opportunities and facilitating access to market information. This paper estimates the impact of digital inclusion, measured by the Inclusive Internet Index on the female-to-male labor force participation ratio, while controlling for other economic and social factors. Using data from the World Development Indicators, the Economist Intelligence Unit database, and the World Bank's Women, Business and the Law database for 13 countries in the Middle East and North Africa region for four years (2018 to 2021), a pooled cross section dataset is constructed. The model is estimated using generalized least squares to control for heteroskedasticity. The results show that an inclusive internet environment would reduce the gender gap in the labor force. Other key drivers include the structure of the economic growth, norms, and gender roles in the society. These results are relevant for the United Nations Sustainable Development Goals agenda, mainly goals 5 and 10
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  • 5
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Cho, Yoonyoung The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times
    Keywords: Cash Transfers ; Depression and Pandemic ; Health, Nutrition and Population ; Mental Health ; Mental Health Crisis ; Poverty Reduction ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: When it comes to mental health, do social protection programs matter more in times of crisis Using panel data from the Philippines around the onset of the COVID-19 pandemic, this study compares depression rates among beneficiaries of an existing conditional cash transfer program to those of non-beneficiaries of similar socioeconomic status. Depression rates were almost identical for the two groups in late 2019, but significantly lower for conditional cash transfer beneficiaries by July 2020, after the initiation of strict quarantine measures and a large emergency cash transfer program. One interpretation of the increased importance of the conditional cash transfer program during the pandemic is that these transfers have larger protective effects in times of vulnerability. Another possible reason is that the existing infrastructure of the program, by allowing for more timely distribution of the emergency cash, enhanced the effectiveness of the government's pandemic response for conditional cash transfer beneficiaries. This paper finds evidence supporting both explanations
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  • 6
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Early Childhood ; Economic Growth ; Human Capital ; Human Capital Protection ; Macroeconomics and Economic Growth ; Social Protections and Assistance ; Social Protections and Labor ; Strengths and Gaps
    Abstract: This human capital review assesses human capital outcomes in Mauritania and identifies actions to strengthen, utilize, and protect human capital. The government of Mauritania has demonstrated a strong commitment to placing human capital at the forefront of its long-term vision, with dedicated efforts focused on enhancing childhood health and education outcomes. Despite Mauritania's positive initiatives, the country's human capital wealth per capita has declined over the last 20 years; and it is imperative to look at ways to quickly reverse this situation. Children born today in Mauritania will only be 38 percent as productive when they grow up as they could have been had they enjoyed complete education and full health. Increasing the productivity of Mauritanians--both men and women--and thus allowing them to fully contribute to the development of their society entails transforming the human capital challenge to a human capital opportunity. This report takes a comprehensive, cross-sectoral approach and proposes recommendations for building, protecting, and utilizing human capital in Mauritania
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  • 7
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Risk and Vulnerability Assessment
    Keywords: Cyclonic Storm ; Environment ; Grade Methodology ; Natural Disasters ; Rakhine State ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Extremely severe cyclonic storm Mocha made landfall as a Category 4-equivalent cyclone in the Saffir-Simpson hurricane wind scale on Sunday May 14, 2023, at 07:07 UTC (14:07 local time) around Sittwe city, the capital of Rakhine State, Myanmar. Given the fragile and conflict-affected situation with limited access in Myanmar, the World Bank has adopted the Global RApid post-disaster Damage Estimation (GRADE) methodology to estimate damages arising from Cyclone Mocha. GRADE is a remote, desktop analysis to estimate damage to capital stock. This report summarizes the results of the GRADE conducted to assess damages following the impact of Extremely severe cyclonic storm Mocha in Myanmar during May 2023
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  • 8
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Sector ; Health, Nutrition and Population ; International Financing ; Investments ; Ukraine
    Abstract: The full-scale invasion of the Russian Federation in Ukraine has immense local impact and global consequences. Ukraine is experiencing huge human and economic suffering, which will have long-lasting effects. This war has been particularly devastating for the Ukrainian health sector, tremendously increasing the urgent need for specific services and simultaneously obstructing health outcomes and access to health care due to hostilities, disruption of service delivery, and damage and destruction of health facilities. Moreover, the recovery of Ukraine is shrouded in uncertainty as the duration of the ongoing war and the frequency and localization of the attacks are unknown, all occurring against the backdrop of economic challenges within the country and at a global scale. Despite an expected international effort to finance the recovery of Ukraine akin to the Marshall Plan, financial resources may not be easily available or may become more scarce and more expensive. Investments will receive more scrutiny, and competition for funds will increase due to monetary tightening, rising interest rates, and possibly sustained high inflation (International Monetary Fund 2022). However, in the short to medium term, Ukraine is expected to have favorable access to international financing on concessional terms. While Ukraine is struggling with the gruesome immediate impact of the war and a fight for survival, the shared understanding emerges that going back to business as usual will neither be possible nor desirable. This moment may also serve as a window of opportunity for rapid reform and innovation of health service delivery in Ukraine. Improving and reconstructing services while restoring and stabilizing them is critical to aiding a suffering population and to laying strong foundations of governance that will have lasting impacts into the country's future. This document provides a proposal for stakeholdersin the Ukrainian health sector on how service delivery may need to change, how to deal with this change, and how the health sector may come out stronger in the longer term. It focuses on the organization of health care service delivery and shares considerations of how it may develop using a long-term (10+ years) perspective
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  • 9
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; KIRIBATI ; PHP ; PHPCPI ; Vital Signs Profile
    Abstract: The assessment of Kiribati's primary health care (PHC) system, carried out by the World Bank in collaboration with the Government of Kiribati under the Primary Health Care Performance Initiative (PHCPI), marks a unique opportunity to identify the system's strengths and gaps and to catalyze further improvements. The PHCPI tools, including the Vital Signs Profile (VSP) methodology, provide important insights into the country's PHC system and generate actionable policy recommendations for improvement
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  • 10
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Legal and Judicial Sector Assessment
    Keywords: Access To Justice ; Cameroon ; Data Gap ; Ethiopia ; Gender and Marital Gaps ; Law and Development ; Legal Reform ; Legal System ; Sierra Leone ; Social Protections and Assistance ; Social Protections and Labor ; Zanzibar
    Abstract: Limited access to justice is a root cause of underdevelopment, social unrest, and conflict. Expanding access to all and especially vulnerable groups including women, the young, small business owners and the poor is clearly paramount for a peaceful and prosperous continent. Justice means different things to different people, particularly the multiple actors who design and administer justice systems and affect the outcomes. Elected leaders eager to respect aspirations for a fair society with human rights and accountable governance. Judges, lawyers, and service providers view justice as a moral duty to guarantee fairness before the law. Business leaders look to courts to resolve contract disputes and keep transaction costs and risks low. Yet the voices of vulnerable groups, who are the most impacted when justice fails, are not often heard in discussions regarding justice systems. This book aims to boost knowledge and improve decision making by exploring the perspectives of what justice means to the most vulnerable people and how to improve their access to justice
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  • 11
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Employment and Labor Market ; Expanded Coverage ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor ; Western Balkans
    Abstract: Reforming social protection systems has become more important recently due to various global crises, drawing attention to this unfinished agenda in the Western Balkans. The six Western Balkan countries, Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia, and Serbia, need social protection more than ever. Millions of people in the region remain vulnerable to a range of well-known risks, with shocks and new sources of vulnerability exacerbating the urgency of reform. These countries are taking steps to improve their social protection systems to make them fairer, more sustainable, more effective, and better able to respond to people's needs. However, progress is slow and uneven. Social protection systems across the Western Balkans are comprehensive and complex, spanning multiple objectives. To reduce poverty and vulnerability, reforms are necessary, and governments should focus on four main areas: (i) establishing strong foundations for social protection systems to better respond to crises; (ii) expanding coverage and effectiveness of poverty-targeted programs to improve inclusion and support for vulnerable populations; (iii) facilitating access to better employment opportunities and promoting labor market inclusion; and (iv) ensuring the financial sustainability of social protection programs for long-term effectiveness
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  • 12
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Ambler, Kate Rural Labor and Long Recall Loss
    Keywords: Employment and Unemployment ; Labor Supply ; Poverty Reduction ; Rural Household Survey ; Rural Labor ; Social Protections and Labor ; Unemployment
    Abstract: Surveys frequently rely on annual recall to capture individuals' labor activities over the preceding year. This paper uses a panel of rural households in Malawi for a survey experiment to test the effect of a long, annual recall window on reported labor supply relative to a set of quarterly interviews. The paper documents large losses in reported labor participation using the long recall window with reductions of over 20 percent of reported activities and months worked and a 2.5 times greater incidence of reported unemployment relative to the shorter window. These losses are greater for activities further in the past and especially for individuals whose labor supply is reported by other family members, reaching up to 50 percent for some outcomes. The profile of households' primary respondents, predominantly male and older, and differential effects by age further suggest that long recall may cause meaningful biases in the resulting data for women and younger household members
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  • 13
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als El Mekkaoui, Najat For Labor or for Divorce? Unilateral Divorce Laws and Women's Labor Outcomes
    Keywords: Demographic and Health Survey ; Divorce ; Gender ; Gender and Economic Policy ; Gender and Social Policy ; Intra-Household Bargaining ; Labor and Employment Law ; Labor Markets ; Law and Development ; Mothers Labor Force Participation ; Social Protections and Labor ; Unilateral Divorce ; Women's Agency ; Women's Labor Force Participation
    Abstract: Despite substantial progress in closing the gender gap, women's labor force participation in the Middle East and North Africa remains one of the lowest globally, at a mere 18 percent. This paper investigates the effect of the introduction of unilateral divorce laws on women's labor outcomes, using data from the Demographic and Health Survey program that spans decades and a quasi-experimental difference-in-differences design in three countries: Morocco, the Arab Republic of Egypt, and Jordan. The results highlight that no-fault divorce legislation was associated with a modest increase in mothers' labor outcomes, measured by current employment, a few years after the reform. These findings are likely induced by a power shift and anticipatory effects that drive women into the labor force. However, when a longer time window is considered, 10 or more years after the reform, the study documents a negative effect of the reform on women's labor outcomes in Morocco, and a positive effect in the Arab Republic of Egypt and Jordan. These differences can be attributed to a set of countervailing effects, including social norms, labor market dynamics, and evolution of the legislation, that make the derived utility from marriage, in some cases, more attractive than that derived from employment, and vice versa. These findings partially confirm results from previous research on the relationship between no-fault divorce and women's agency and empowerment in the Middle East and North Africa region, but, at the same time, contrast with prominent perspectives on legislation that aims at reducing gender-based discrimination. Instead, they show that there might be undesired effects of legislation and provide a policy relevant discussion on that basis
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  • 14
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Fietz, Katharina Exit Patterns from Brazil's Bolsa Familia and the Role of the Local Labor Market
    Keywords: Bolsa Familia ; Conditional Cash Transfer ; Dynamic Means-Tested Cash Transfer ; Labor Market ; Poverty Reduction ; Rural Workers ; Social Protection Program Graduation ; Social Protections and Labor
    Abstract: Can rising tides in the labor market lift the poor out of social assistance Although a substantial literature has studied the capacity of safety nets to expand automatically during labor market shocks, less is known about the dynamics of social assistance when labor market conditions improve, and who may benefit from positive changes. This paper studies how rising formal employment at the municipal level affects the likelihood of beneficiary families to exit Bolsa Familia, Brazil's dynamic means-tested cash transfer. The analysis exploits panel data from Brazil's vast social registry, matched with seven years of Bolsa Familia payroll information and formal employment records. The data reveal that the Bolsa Familia program displays significant and heterogeneous dynamism, with beneficiaries with higher levels of education and fewer constraints to labor supply taking fewer years to exit. The analysis then uses fixed-effects estimates, combined with an instrumental variable approach, to identify the effects of exogenous changes in the local labor market on exits. The findings show that the increase in local employment leads to a small, statistically significant rise in the probability of exiting from Bolsa Familia. These effects are concentrated in households with spare labor supply and those with medium levels of education
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  • 15
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Governance ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; PHC ; Primary Health Care Performance ; Vital Signs Profile
    Abstract: This report presents the findings of the Vital Signs Profile (VSP) assessment conducted by the World Bank and the Primary Health Care Performance Initiative (PHCPI) in collaboration with Fiji's Ministry of Health and Medical Services (MHMS). The VSP provides an opportunity to assess the state of the primary health care (PHC) system in Fiji, highlighting areas of strength and challenges through the lens of the PHCPI framework. The framework organizes various domains and subdomains of primary health care using a logic model approach that encompasses the traditional inputs and outputs of PHC systems and emphasizes the capacity and processes of PHC service delivery and performance. Notably, while PHCPI recognizes the role of social determinants of health and intersectoral health promotion and prevention efforts as important factors influencing population health, the VSP is primarily focused on aspects of health service delivery. Fiji is one of four Pacific countries - alongside Kiribati, the Republic of the Marshall Islands, and Solomon Islands that have, with support of the World Bank, used PHCPI tools to take stock of current performance, safeguard what works well, and lay out a vision for areas requiring improvement
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  • 16
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Access and Equity in Basic Education ; Access To Education ; Agriculture ; Climate Change Impact ; Covid-19 Impact ; Education ; Food Security ; Health Service Management and Delivery ; Health, Nutrition and Population ; Human Capital Accumulation and Utilization ; Inclusive Development ; Long-Term Economic Growth ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This report is undertaken as a part of the Human Capital Project (HCP), a globalinitiative of the World Bank Group that aims to increase governments' awarenessof the importance of investing in people (World Bank date of publication not identifiedb). One of the maincomponents of the HCP is a cross-country metric--the Human Capital Index (HCI). The HCI estimates the amount of human capital a child born today can expect to accumulate by the age of 18, thus highlighting how current health and education outcomes shape the work productivity of the next generation. Moreover, given the cumulative nature of human capital, the HCI has clear milestones across the entire human life cycle: at birth, children need to survive; during childhood, they need to be well-nourished; at school age, they must complete all schooling and active adequate learning levels; and in adulthood, they need to stay in good health. Finally, the HCI includes a result: a score that ranges from 0 to 1. A country where an average child has virtually no risk of being stunted or dying before age five, receives high-quality education, and becomes a healthy adult, would have an HCI close to 1. Conversely, when the risk of being ill-nourished or prematurely dying is high, access to education is limited, and the quality of learning is low, the HCI would approach zero
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  • 17
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Acceleration ; Human Capital ; Life Cycle ; Multisectoral Framework ; Policies ; Social Assessment ; Social Development ; Social Protections and Labor
    Abstract: South Africa's economic growth and development agenda and to present a harmonized approach for investing in priority areas for human capital formation. The policy note first presents an in-depth diagnostic of the status of human capital in the country, applying a life cycle approach. The life cycle approach places a strong emphasis on investing in human capital development holistically, involving all relevant sectors, and as a continuum, following the trajectory of an individual's life. Focus is given to three critical stages of an individual's life, (i) early childhood; (ii) school age; and (iii) youth to adulthood. Based on the findings of the analysis, the policy note identifies the priority challenges and proposes a framework for action. The findings of this policy note aim to serve as a basis for a much-needed dialogue across key relevant government entities, including sector departments such as the Department of Health, the Department of Basic Education, the Department of Higher Education and Training, Department of Social Development, and others, such as National Treasury, Department of Planning, Monitoring and Evaluation, the Office of the Presidency as well as provincial government departments, on how best to invest in human capital, both in the short and medium-to-long term. The note could also be used to inform a range of stakeholders, including civil society, development partners, and the private sector of the human capital development challenges in South Africa and how certain gaps could be addressed through better coordination of interventions. Lastly, the note aims to motivate further research on key areas where there are information and knowledge gaps on human capital in South Africa
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  • 18
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Finance and Development ; Finance and Financial Sector Development ; Financial Support ; IDA ; Jobs ; Labor Markets ; Reform ; Social Protections and Labor
    Abstract: This evaluation is the first stage of the Independent Evaluation Group's assessment of the World Bank's support for more, better, and more inclusive jobs through International Development Association (IDA) financing, and it assesses the implementation of IDA-supported interventions directly supporting its jobs objectives across the three Replenishment cycles from fiscal years 2015 to 2022. Supporting the creation of more, better, and more inclusive jobs is critical towards achieving the goals of poverty reduction and shared prosperity in countries. This is especially true for countries that are eligible for International Development Association (IDA) financing. Since 2014, IDA has included jobs as a special theme, and subsequent IDA replenishments have had what this evaluation calls an 'IDA jobs strategy.' This strategy included explicit objectives, a series of policy commitments to achieve them, and results indicators to track them. This evaluation represents the first stage of the Independent Evaluation Group's assessment of the World Bank's performance in supporting more, better, and more inclusive jobs through IDA financing. It assesses the implementation of IDA-supported interventions that directly supported its jobs objectives across the three Replenishment cycles from fiscal years 2015 to 2022. The evaluation answers two questions: (i) To what extent IDA's strategy on jobs was grounded in sound analytics, adaptive, and operationally relevant (ii) To what extent the strategy has been translated into relevant and effective jobs interventions that directly address the objectives of more, better, and more inclusive jobs The scope of the evaluation is limited to the three main channels for achieving IDA jobs objectives: acting on labor demand, increasing labor supply, and improving labor market flexibility and geographic mobility. The report offers recommendations for further strengthening of the IDA jobs agenda towards the objective of supporting more, better, and more inclusive jobs
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  • 19
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Employment ; Inclusive Society ; Income Inequality ; Labor Markets ; Social Protections and Assistance ; Social Protections and Labor ; Structural Drivers ; Wage
    Abstract: This report is intended to inform public debate and policymaking on income inequality in Thailand. It aims to provide a comprehensive analysis of income inequality in Thailand and identify opportunities to promote more inclusive growth. The analysis uses a wealth of data from a variety of sources (detailed in Appendix A) to examine the pattern, structure, and drivers of income inequality in the country, with a special focus on inequality and labor market supply-side factors. It is structured as follows. This section has laid the foundation for analysis, examining historical trends in both consumption - and income-based measures of inequality while providing geographic context and data on public perceptions about inequality. It also provided a summary of literature findings. Section 2 analyzes the pandemic's impacts on inequality, including the role that social assistance played in mitigating its effects but also the potential scarring effects on children's human capital development. Section 3 examines the structural drivers of inequality and its persistence, focusing on the role of inequality of opportunity in human capital development and access to basic services. Finally, Section 4 provides policy options to create a more inclusive society by addressing the root causes of persistent inequality and mitigating the challenges brought about by the pandemic. In particular, since a significant share of the poor in Thailand are engaged in agriculture, the report underscores that improving farm incomes is crucial for alleviating poverty and reducing inequality. As such, Section 4 draws its recommendations from a recent study on the key challenges and opportunities facing Thai farmers to raise agricultural productivity and incomes
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  • 20
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Access and Coverage ; Equity ; Financing ; Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; PHCPI Framework ; PHP ; Quality
    Abstract: This report presents the findings of the primary health care (PHC) system in the Republic of the Marshall Islands (RMI), an assessment that the World Bank conducted in consultation with the Ministry of Health and Human Services (MHHS) of the government of RMI. The assessment provides an opportunity to understand the performance of RMI's PHC system, highlighting important areas of strengths and opportunities to address ongoing challenges. The assessment uses the Primary Health Care Performance Initiative (PHCPI) framework, which organizes various domains and subdomains of primary care using a logic model approach that encompasses the traditional inputs and outputs of a system, emphasizing service delivery and performance
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  • 21
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Childcare ; Early Childhood Development ; Education ; Legal Framework ; Policies ; Services Mapping ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The "Comprehensive Assessment of the Childcare Landscape in Lebanon: A Mixed Methods Study" analyzes the supply and demand of formal childcare services for children aged 0-3. It provides a review of Lebanon's regulatory and institutional framework around childcare, maps out the current supply of services including cost and quality aspects, and deepens the understanding of households' childcare needs. Findings show that there is a mismatch between supply and demand, with a gap in provision for the youngest children and that supply is mostly private, costly, and concentrated in coastal areas. Childcare responsibilities limit women's ability to join the labor force, and affordability is a main constraint for families to access services, resulting in low demand for formal childcare. The study proposes measures for an inclusive expansion of quality and affordable childcare services in four areas: (i) an enabling environment for efficient, affordable provision of quality childcare services, (ii) a more equitable distribution of the unpaid care work burden within the household, (iii) improved State support to address households' care needs, and (iv) inclusive family-friendly workplace conditions in the private sector
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  • 22
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Gascoigne, Jon The Welfare Cost of Drought in Sub-Saharan Africa
    Keywords: Climate Change ; Climate Change and Health ; Draught ; Health, Nutrition and Population ; Household Consumption ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper quantifies the impact of drought on household consumption for five main agroecological zones in Africa, developing vulnerability (or damage) functions of the relationship between rainfall deficits and poverty. Damage functions are a key element in models that quantify the risk of extreme weather and the impacts of climate change. Although these functions are commonly estimated for storm or flood damages to buildings, they are less often available for income losses from droughts. The paper takes a regional approach to the analysis, developing standardized hazard definitions and methods for matching hazard and household data, allowing survey data from close to 100,000 households to be used in the analysis. The damage functions are used to quantify the impact of historical weather conditions on poverty for eight countries, highlighting the risk to poverty outcomes that weather variability causes. National poverty rates are 1-12 percent higher, depending on the country, under the worst weather conditions relative to the best conditions observed in the past 13 years. This amounts to an increase in the total poverty gap that ranges from USD 4 million to USD 2.4 billion (2011 purchasing power parity)
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  • 23
    Language: English
    Pages: 1 Online-Ressource (62 pages)
    Parallel Title: Erscheint auch als Cunningham, Wendy Urban Informality in Sub-Saharan Africa: Profiling Workers and Firms in an Urban Context
    Keywords: Employment and Unemployment ; Informal Sector ; Low Skilled Workers ; Self-Employment ; Social Protections and Labor ; Urban Informal Sector ; Women in The Workforce ; Work and Working Conditions
    Abstract: This paper describes the state of informal sector work in urban Sub-Saharan Africa, using household surveys from 26 countries representing 61 percent of the population of Sub-Saharan Africa and firm surveys from three countries. Five main conclusions emerge. First, the urban informal sector is large and persistent in Sub-Saharan Africa. Approximately 56 to 65 percent of urban workers are informal, half of whom are self-employed. Data from five countries suggest little systematic reduction in the prevalence of informality during the 2010s. Second, heterogeneity in the African informal sector cuts along demographic lines. Women are overrepresented in informal self-employment, men in informal wage work, and youth in unpaid employment. Third, while the urban informal workers are, on average, poorer and in less-skilled occupations than formal sector workers, the majority are not extremely poor and are in mid-skilled occupations. Fourth, informal enterprises are small and are challenged to survive and grow into job-creating firms. Few find much benefit from registration given the costs, both monetary (taxes) and transactional (information about the registration process). Fifth, access to urban public services (utilities) is weakly associated with the probability of working in an informal job, although access to mobile phones is high across all job types. If thriving urban jobs are to contribute to economic and social development in Africa, it will be crucial for policies and programs to take into consideration the heterogeneity in jobs, the profile of workers, and the urban context
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  • 24
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Hutton, Guy Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa
    Keywords: Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Healthcare Associated Infections ; Healthcare Facilities ; Healthcare Waste Management ; Hygiene
    Abstract: In Sub-Saharan Africa, health care facilities face critical challenges in water supply, sanitation, and hygiene services; health care waste management; and environmental cleanliness. With coverage below 50 percent, these deficiencies pose significant health risks to patients and health care workers, contributing to health care-associated infections. Meta-analyses and individual studies estimate rates of health care-associated infections in Sub-Saharan Africa at between 13 and 30 percent of hospital admissions, impacting patients, families, and health care providers. Rising antimicrobial resistance further exacerbates health outcomes and costs. In Eastern and Southern Africa, an estimated 3.1 million health care-associated infections in 2022 incurred over 320,000 excess deaths, costing at least US
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  • 25
    Language: English
    Pages: 1 Online-Ressource (41 pages)
    Parallel Title: Erscheint auch als Canavire Bacarreza, Gustavo Javier Beyond the Usual: Understanding the Multidimensional Nature of Job Quality in Bolivia's Labor Market
    Keywords: Household Survey ; Industry ; Job Quality ; Job Specific Characteristics ; Social Protections and Labor ; Synthetic Job Quality Index ; Wages, Compensation and Benefits
    Abstract: Job quality can impact workers' productivity and contribute to societal well-being. To analyze the evolution of job quality in Bolivia, this paper employs Bolivian household survey data spanning 2007 to 2021 to construct a synthetic job quality index. The index incorporates a broad definition of a good job, encompassing six dimensions: adherence to regulations, working conditions, establishment of an appropriate wage-job linkage, productive usage and adaptability of skills, availability of career opportunities, and employment resilience. The findings indicate that job quality in Bolivia has mostly remained incessant, exhibiting limited change even during periods of high growth in economic output. However, this result masks heterogeneities, with significant variation in job quality associated with workers' demographic and job-specific characteristics and across regions
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  • 26
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (64 pages)
    Parallel Title: Erscheint auch als Barnett, Carolyn Louise Gender Role Attitudes, Perceived Norms, and the "Double Burden" in Morocco
    Keywords: Gender ; Gender and Development ; Gender and Employment ; Household Roles ; Social Protections and Labor ; Unpaid Domestic Labor ; Women in The Labor Market
    Abstract: To what extent do attitudes and perceived norms around household roles hinder the emergence of more gender-equal distributions of labor in Morocco Moroccan women undertake a disproportionate share of unpaid household and care labor and participate in the labor force at low rates. Yet everyday practices are shifting, and normative expectations may be as well. From an online survey of predominantly urban, employed Moroccans, this paper finds that respondents aspire for men to be equal contributors in care tasks. Yet, unpaid labor burdens remain highly unequal, respondents disfavor men taking primary responsibility for cooking or cleaning, and women's share of household labor correlates with perceptions of what men prefer more than with individuals' actual preferences. Results from a conjoint survey experiment measuring preferences around employment and the household division of labor confirm respondents' interest in more egalitarian relations in principle, but also suggest that strong preferences for a male breadwinner family model will continue to drive an unequal distribution of labor at home
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  • 27
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Financial Protection ; Health Service Management and Delivery ; Health Services ; Health, Nutrition and Population ; SDI ; Service Quality ; Systems and Tools ; Workforce
    Abstract: The Service Delivery Indicators (SDI) health survey in Moldova serves as a vital tool for assessing and benchmarking the performance of health service delivery. Its primary aim is to evaluate the quality of basic health services. This comprehensive evaluation enables both governments and service providers to pinpoint deficiencies and bottlenecks in health service delivery, monitor progress over time, and make cross-country comparisons. The widespread availability of and public awareness about SDI indicators foster engagement among policy makers, citizens, service providers, donors, and stakeholders, in turn driving efforts to enhance service quality and ultimately development outcomes
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  • 28
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Policy Notes
    Keywords: Climate Change ; Human Capital ; Poverty ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Climate change, and its associated impacts, threatens to reverse decades of global progress in improving people's health, human capital accumulation, and poverty reduction. At the same time, individuals and households with more human capital and are better positioned to withstand climate change impacts. Several studies have established a correlation between higher human capital with faster disaster preparedness and recovery. These challenges are particularly pressing for Indonesia, where the poor are disproportionately affected by climate shocks. The disproportionate impact of climate change on poor households, and those vulnerable to poverty, signals the importance of social protection as a critical interlocutor to help address the pressing threat of climate change and climate shocks. This background paper outlines the important relationship between human capital development and climate change adaptation; and the needs and opportunities for improving the adaptiveness of Indonesia's social protection system
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  • 29
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Data Development and Gender ; Economic Growth ; Employment and Unemployment ; Human Development and Gender ; Labor Market Policy and Programs ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development and Poverty ; Social Protection Delivery Systems ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The following analytical report summarizes the technical notes and presentations prepared by the World Bank and the Workforce Development Center under the Ministry of Labor and Social Protection of Population of Kazakhstan (MLSPP). These works aimed to support the MLSPP in the preparation of the Concept Plan of Labor Market Development for 2024-2029. The teams analyzed existing barriers and the potential for the creation of quality jobs in Kazakhstan because employment is essential for economic growth, which contributes to reducing poverty. Despite slower economic growth and some institutional challenges, Kazakhstan, nevertheless, has been successful at reducing the poverty rate. The major factor contributing to Kazakhstan's growth has been productivity, regardless of the period. A much lower contribution stems from labor market factors and employment rates. Therefore, the teams focused on how to boost firm productivity to increase the number and accessibility of better jobs, as well as how to develop skills and provide good education to the different groups of the population and prepare people for new and old jobs. Based on the material delivered by the World Bank, the WDC and other local expert groups, the MLSPP was able to draft the Concept Plan of Labor Market Development for 2024-2029, which the Government of Kazakhstan approved on November 28, 2023
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  • 30
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Islamaj, Ergys The Sovereign Spread Compressing Effect of Fiscal Rules during Global Crises
    Keywords: Communicable Diseases ; Covid-19 Crisis ; Finance and Financial Sector Development ; Fiscal Rules ; Health, Nutrition and Population ; International Economics and Trade ; International Financial Markets ; International Trade and Trade Rules ; Sovereign Spreads
    Abstract: Do fiscal rules help suppress sovereign spreads during periods of global financial stress Yes! This paper examines whether fiscal rules contribute to mitigating sovereign spreads in emerging markets and developing economies during periods of heightened financial and economic volatility worldwide. It finds that the presence of fiscal rules is statistically significantly associated with lower sovereign spreads during the COVID-19 crisis -- about 350 basis points lower on average. Interestingly, this correlation persists even when nations deviate from these rules, indicating an expectation of post-crisis compliance. The study shows that deviations from fiscal rules are typically short-lived, with fiscal balance rules reinstated within 3.5 years. Robustness checks, including controls for institutional quality, fiscal rule strength, and global and regional factors confirm these results. Overall, the findings suggest that fiscal rules can help emerging markets and developing economies signal fiscal responsibility during episodes of global financial stress, reducing borrowing costs relative to countries without fiscal rules
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  • 31
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Lebrand, Mathilde Does Africa Need More Roads in the Digital Age? Evidence of Complementarities in Infrastructure
    Keywords: Employment ; Employment and Unemployment ; ICT Applications ; Information and Communication Technologies ; Infrastructure ; Infrastructure Economics ; Infrastructure Economics and Finance ; Social Protections and Labor ; Structured Transformation
    Abstract: This paper investigates whether the expansion of fast internet networks complements or substitutes for the development of roads to improve market access and create more and higher-skilled jobs in Africa. The paper combines the geographic locations of households and firms with the locations of main roads and optical-fiber nodes in 25 Sub-Saharan African countries. Using the difference-in-differences and instrumental variables approaches and leveraging the history of post-independence road building and the timing of the arrival of submarine internet, the paper examines the impacts of access to these two types of infrastructure, both in isolation and in combination. The findings show that improving access to both has large and positive complementary effects. On average, the additional impacts on employment from combining access to both types of infrastructure are 22 percent larger than the sum of their isolated effects. The findings suggest that a big push for combined investments in fast internet and road access could enhance economic development in Africa overall. Firms and workers in urban locations, female workers, and workers with higher levels of education gain the most from the complementarities that emerge
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  • 32
    Language: English
    Pages: 1 Online-Ressource (50 pages)
    Parallel Title: Erscheint auch als Patino Pena, Fausto The Role of Firm Dynamics in Aggregate Productivity, Job Flows, and Wage Inequality in Ecuador
    Keywords: Aggregate Productivity ; Employment and Unemployment ; Finance and Development ; Finance and Financial Sector Development ; Firm Performance ; Job Flows ; Social Protections and Labor ; Wage Inequality
    Abstract: This paper examines the role of firm dynamics in aggregate total factor productivity, job flows, and wage inequality in Ecuador. Utilizing a comprehensive employer-employee dataset, the paper documents firm dynamics and job flow patterns that are consistent with the presence of market distortions. Also, the paper identifies factor misallocation as the main contributor to Ecuador's total factor productivity deceleration. Given these trends, the paper explores allocative inefficiency drivers through firm- and industry-level regressions. Firms in the top productivity quintile face distortive non-wage labor costs that are 3.7 times higher than the bottom quintile, after controlling for firm size and age. The findings also provide evidence of credit misallocation across firms. Additionally, industries with higher job mobility, credit access, and competition and lower non-wage labor costs, minimum wage incidence, and zombie firms demonstrate higher allocative efficiency. Moreover, worker-level regressions indicate that misallocation drivers explain up to 41 percent of wage inequality, with non-wage labor costs and product market frictions as distortions driving this inequality
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  • 33
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit Lives, Livelihoods, and Learning: A Global Perspective on the Well-Being Impacts of the COVID-19 Pandemic
    Keywords: Communicable Diseases ; Covid ; Education ; Health and Poverty ; Health, Nutrition and Population ; Learning ; Mortality ; Poverty ; School Health ; Welfare
    Abstract: This study compares the magnitude of national level losses that the COVID-19 pandemic inflicted across three critical dimensions: loss of life, loss of income, and loss of learning. The well-being consequences of excess mortality are expressed in years of life lost, while those of income losses and school closures are expressed in additional years spent in poverty (as measured by national poverty lines), either currently or in the future. While 2020-21 witnessed a global drop in life expectancy and the largest one-year increase in global poverty in many decades, widespread school closures may cause almost twice as large an increase in future poverty. The estimates of well-being loss for the average global citizen include a loss of almost three weeks of life (19 days), an additional two and half weeks spent in poverty in 2020 and 2021 (17 days), and the possibility of an additional month of life in poverty in the future due to school closures (31 days). Well-being losses are not equitably distributed across countries. The typical high-income country suffered more total years of life lost than additional years in poverty, while the opposite holds for the typical low- or middle-income country. Aggregating total losses requires the valuation of a year of life lost vis-a-vis an additional year spent in poverty. If a year of life lost is valued at five or fewer additional years spent in poverty, low-income countries suffered greater total well-being loss than high-income countries. For a wide range of valuations, the greatest well-being losses fell on upper-middle-income countries and countries in the Latin America region. This set of countries suffered the largest mortality costs as well as large losses in learning and sharp increases in poverty
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  • 34
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Aguilar Gomez, Sandra Environmental Hazards, Climate, and Health in Cambodia: The Shield of Sanitation
    Keywords: Disease Control and Prevention ; Environmental Degradation ; Environmental Hazards ; Health and The Environment ; Health Policy and Management ; Health, Nutrition and Population ; Hygiene ; Pollution ; Public Health ; Sanitation
    Abstract: Environmental degradation is the largest public health challenge of the century and is likely to be exacerbated by climate change. This study undertakes a comprehensive examination of the health implications of environmental hazards in Cambodia, simultaneously addressing extreme temperatures, precipitation patterns, and air pollution. It leverages data from the Demographic and Health Surveys and satellite-derived metrics on temperature, precipitation, and fine particulate matter. The analysis identifies a positive association between temperature and the occurrence of diarrhea and cough among children and a nonlinear relationship between precipitation and these health outcomes. Furthermore, the study demonstrates that pollution significantly impacts cough incidence. To anticipate future trends, climate simulations are employed to forecast the incidence of child diarrhea in Cambodia under different climate and development scenarios. The projections indicate that diarrhea incidence could increase to 19 percent by 2040 without significant adaptation measures that would lessen the adverse impact of weather. For instance, the acceleration in toilet ownership over the last decade reduced diarrhea incidence by at least 1.2 to 1.4 percentage points. Nevertheless, the path ahead requires proactive efforts to improve sanitation and hygiene. The forecasts suggest that, without additional strategies to counter climate change's adverse effects, only universal toilet ownership would contain the climate-driven increase in diarrhea incidence expected by 2040
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  • 35
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Equitable Growth, Finance and Institutions Insight
    Keywords: Access To Finance ; ESG Integration ; Finance and Financial Sector Development ; Government Pension Fund ; Investments ; Pension Funds ; Pensions and Retirement Systems ; Social Funds and Pensions ; Social Protections and Labor
    Abstract: This report describes the ESG integration practices at GPF as a practical example of how a pension fund can integrate ESG considerations into its investment practices and processes. The report focuses on the incorporation of ESG issues into our investment analysis and decision-making process. Other elements of responsible investing such as active ownership and ESG disclosure practices whilst also key to GPF's overall approach, are not discussed in detail in this report. The report is a product of technical co-operation between teams from GPF and the World Bank. The report starts by providing some background information on GPF, including its investment philosophy and an overview of ESG investment philosophy before detailing the GPF ESG Score methodology. It then describes how the GPF ESG Score methodology is applied to equity and fixed-income investments, followed by an overview of how GPF ensures that ESG considerations are integrated into the selection, appointment and monitoring of external managers. It concludes with some reflections on the landscape of responsible investment and identifies areas where GPF expects to improve its investment process in the coming years
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  • 36
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: CHVA ; Climate and Health ; Climate Change Adaptation ; Climate Change and Health ; Climate Change Impacts ; Environment ; Health Risks ; Health, Nutrition and Population ; Vulnerability
    Abstract: The objective of this Climate and Health Vulnerability Assessment (CHVA) is to assist decision-makers in Colombia with planning effective adaptation measures to deal with climate-related health risks. This assessment includes sub-national considerations for health-related climate action (see Annex A for the methodology). Sub-national considerations are given for Colombia's 32 departments (see Figure 1). It also incorporates data from a Climate and Health Economic Valuation conducted by the World Bank to estimate of the potential economic costs of health impacts arising from projected changes in temperature and precipitation (see Annex B for the methodology). The findings from this CHVA are organized under four sections. Section I characterizes the climatology in Colombia, highlighting observed and projected climate exposures relevant to health. Section II describes key climate-related risks to health, including nutrition and food security, vector-borne diseases (VDBs), water-borne diseases, increasing temperatures, air quality, and zoonotic diseases. Section III analyzes the adaptive capacity and readiness of Colombia's health system to prevent and manage climate-related health risks. Recommendations are discussed in Section IV
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  • 37
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Access To Education ; Education ; Education For All ; Gender ; Gender and Development ; Human Development and Gender ; Labor Management and Relations ; Labor Market Policy and Programs ; Public Sector Management ; Social Protections and Labor
    Abstract: The main objective of this study is to assess the performance of Cambodia's tertiary education system in terms of equitable access, labor market relevance, and research output, and to provide policy recommendations to the government and all stakeholders in the tertiary education sector. This will inform priority reforms and investments to strengthen the sector overall and, specifically, improve coverage, relevance, research, and governance. Building on the latest analytical work carried out in 2017 ahead of the preparation of an ongoing higher education operation supported by the World Bank, the study is an important step toward overcoming knowledge gaps about the main drivers of the results of the Cambodian tertiary education system and institutions. It will shed light on the factors explaining disparities in access, the mismatch between higher education programs and labor market needs, the capacity of higher education to train the specialists and technicians needed for the green economy, and shortcomings in the governance set up and processes that impede both public and private HEIs from operating in a flexible and efficient manner. The findings of the report will significantly add to the evidence base for identifying policy options to improve equity, relevance, and governance at both the national and institutional levels
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  • 38
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Xuan Hoang, Trung The Long-Term and Gender-Equalizing Impacts of the Islamic Republic of Iran-Iraq War in 1980-88 on School Access and Labor Market Performance
    Keywords: Conflict and Development ; Employment and Unemployment ; Iran Iraq War ; National Labor Markets ; Social Protections and Labor ; Social Welfare ; Violent Conflict ; Work Hazards
    Abstract: This paper uses the context of the Islamic Republic of Iran-Iraq war in 1980-88 to study the long-term impacts of exposure to the war during school years on educational attainment and labor market outcomes in Iraq. The analysis uses an event study and the Iraq Household Socio-Economic Surveys 2006-2007. The findings show that the Islamic Republic of Iran-Iraq conflict had a negative impact on the social welfare of men who were exposed to the war, including on social security, pension plan, health care, paid leave, and job permanence, while little impact on women is found. Additionally, the conflict reduced wages for both men and women. Furthermore, men who were exposed to the conflict were more likely to work in dangerous jobs or without air conditioning, while no evidence on this is found for women. The paper also shows the impact of the intensity of the Islamic Republic of Iran-Iraq war on educational attainment and labor market outcomes. It documents the education channel through which the war affects labor market outcomes, showing that the war decreased the educational levels of men and women born between 1971 and 1981. The findings are robust to a variety of robustness checks and falsification tests
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  • 39
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Najam, Rafiuddin Closing the Gap: Effect of a Gender Quota on Women's Access to Education in Afghanistan
    Keywords: Affirmative Action ; Gender ; Gender and Economics ; Gender Gap ; LMIC ; Skills Development and Labor Force Training ; Social Protections and Labor ; Women in The Employment Market
    Abstract: Affirmative action is a promising solution to the crucial challenge of bridging the gap in women's access to higher education in low- and middle-income countries (LMICs). This paper uses public universities' matriculation data from 2013-2018 and difference-in-differences estimators to examine the causal impact of a gender quota on women's educational opportunities in Afghanistan. The quota increased the proportion of women in the treated concentration group by nine percentage points and the share of women from low socio-economic status by three percentage points. The expansion was associated with a 0.04-unit decline in the average score ratio of female-to-male applicants, driven by a reduction in the score threshold needed for women's admission. The effects were condensed in competitive concentrations, where the overall share of women and women with low SES increased by 17 and four percentage points, respectively. The findings suggest that affirmative action is a viable option for addressing the gender gap in fragile settings
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  • 40
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Hauser, Christina Sarah Tackling Gender Discriminatory Inheritance Law Privately: Lessons from a Survey Experiment in Tunisia
    Keywords: Family Law ; Gender Discrimination ; Gifting ; Inheritance Law ; Poverty Reduction ; Rural Poverty Reduction ; Social Protections and Labor
    Abstract: When reform of gender discriminatory law fails, individual action can offer a second-best solution. As most Muslim-majority countries, Tunisia applies Islamic inheritance law, systematically favoring sons over daughters. By making gifts to their daughter, parents can privately attenuate gender discrimination in inheritance. This study investigates to what extent gifting can represent an alternative to legal reform and for whom. Within a randomized experiment, this study tests whether providing information on public support for inheritance law reform and/or the possibility to make a gift to one's daughter has a causal impact on individual attitudes towards women's right to inheritance. The overall evidence on the effectiveness of the proposed informational treatments to encourage gifting is mixed. However, approval of gifting daughters is high--especially among the wealthy. Men are more likely to gift than women. By contrast, demand for legal reform is significantly higher among women and individuals with low educational attainment. The findings thus suggest that gifting indeed represents an alternative to legal reform; but mostly for a relatively well-off subset of the population, leaving the agency to the traditionally male head of the family
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  • 41
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Donfouet, Hermann Pythagore Pierre Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire
    Keywords: Communicable Diseases ; Covid-19 Pandemic ; Demographics ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Value of Statistical Life
    Abstract: Cote d'Ivoire, the largest economy in the West African Economic and Monetary Union, was hit by COVID-19, which claimed many lives. This paper estimates COVID-19 mortality costs over time using the value of a statistical life. Using a more conservative estimate of the value of a statistical life income elasticity ranging from 1 to 1.4, the overall COVID-19 mortality costs in Cote d'Ivoire since the pandemic range from USD 100.4 million to USD 284.3 million. Considering age-related adjustments, a 3 percent discount rate, and a value of a statistical life income elasticity of 1 to 1.4, the COVID-19 costs range from USD 5.4 million to USD 15.3 million. Similarly, the COVID-19 mortality costs range from USD 6.8 million to USD 19.3 million with a 5 percent discount rate and a value of a statistical life income elasticity of 1 to 1.4. More significantly, the findings suggest that COVID-19 mortality costs started to decline in 2021. To enhance prevention, preparedness, and response to future pandemics, policy makers could consider allocating pandemic funding within national budgets. Exploring potential partnerships with philanthropic organizations and international entities could further enhance domestic resource matching efforts
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  • 42
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Seuyong, Feraud Tchuisseu Who did Covid-19 Hurt the Most in Sub-Saharan Africa?
    Keywords: Covid-19 ; Distributional Impacts ; Finance and Development ; Finance and Financial Sector Development ; Health Monitoring and Evaluation ; Health, Nutrition and Population
    Abstract: How did the economic crisis caused by the Covid-19 pandemic impact poor households in Sub-Saharan Africa This paper tackles this question by combining 73 High-Frequency Phone Surveys collected by national governments in 14 countries with older nationally representative surveys containing information on household consumption. In particular, it examines how outcomes differed according to predicted per capita consumption quintiles in the first wave of the survey, and in subsequent waves by households' predicted per capita consumption. The initial shock affected households throughout the predicted welfare distribution. Households in the bottom 40 percent responded by sharply increasing farming activities between May and July of 2020 and gradually increasing ownership of non-farm enterprises starting in August. This coincided with an improvement in welfare, as measured by a decline in food insecurity and distressed asset sales among these households during the second half of 2020. With respect to education, children in the bottom quintile were 15 percentage points less likely to engage in learning activities than those in the top quintile in the immediate aftermath of the crisis, and the engagement gap between the bottom 40 and top 60 widened in the summer before narrowing in the fall due to large declines in engagement among the top 60. Poorer households were slightly more likely to report receiving public assistance immediately following the shock, and this difference changed little over the course of 2020. The results highlight the widespread impacts of the crisis both on welfare and children's educational engagement, the importance of agriculture and household non-farm enterprises as safety nets for the poor, and the substantial recovery made by the poorest households in the year following the crisis
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  • 43
    Language: English
    Pages: 1 Online-Ressource (67 pages)
    Parallel Title: Erscheint auch als Boulhane, Othmane Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire
    Keywords: Adolescent Girls ; Clubs ; Family Planning Research ; Gender ; Gender and Development ; Gender and Education ; Gender and Health ; Health, Nutrition and Population ; Husbands ; Income-Generating Activities ; Law and Development ; Randomized Experiment ; Safe Spaces
    Abstract: This study uses a cluster-randomized controlled trial to investigate the effects of a large-scale women and girls empowerment program on sexual and reproductive health and empowerment outcomes in Cote d'Ivoire. The study assesses and compares the impact of diverse strategies aimed at equipping girls with life skills and sexual and reproductive health knowledge, provided through well-established safe spaces, in isolation or in combination with livelihood support interventions, or with initiatives designed to engage boys and men and community and religious leaders. The findings show that one year after the end of the interventions, safe spaces alone have a moderate impact on girls' empowerment, while safe spaces combined with husbands' and future husbands' clubs are the most impactful. Combining safe spaces with livelihood support interventions leads to improvements in adolescent girls' employment outcomes, as expected. Finally, the findings show that engaging leaders in the context of safe spaces interventions yields mixed results on girls' empowerment
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  • 44
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Financial Sector Study
    Keywords: Consumer Protection ; Consumer Protection Law ; Corruption and Anticorruption Law ; Finance and Development ; Finance and Financial Sector Development ; Financial Capability ; Financial Consumer Protection ; Law and Development ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The 2022 Global State of Financial Inclusion and Consumer Protection (FICP) Report is an update to the 2013 and 2017 FICP reports. These surveys aim to provide a timely source of global data to benchmark efforts by financial sector authorities to improve the enabling environment for financial inclusion and consumer protection. To date, this is the only longitudinal and global survey of this nature. As such, this report serves as a valuable resource to shape the World Bank's country engagements, a reference document for regulators and supervisors and, finally, a tool for both public and private sector actors with an interest in knowing the developments in this sector. The Survey questionnaire covers key topics related to financial inclusion and financial consumer protection (FCP) and aligns with international guidance to financial sector authorities in these areas. Because the report aims to capture both a snapshot as well as trends over time, the survey questionnaire has been modified over the three cycles to reflect the changing policy and regulatory landscape of financial inclusion and consumer protection
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  • 45
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Demographics ; Family Planning Research ; Female Education ; Gender ; Gender and Education ; Health, Nutrition and Population ; High Fertility Rates ; High Population Growth ; Human Capital ; Mortality ; Population Policies ; Women's Agency
    Abstract: Tanzania has managed to sustain its growth momentum despite the intensifying effects of climate change. While Tanzania's economy continues to expand, recent growth has been concentrated in sectors that employ few workers from poor households, limiting its impact on poverty. The Bank of Tanzania (BoT) has implemented an effective monetary policy designed to curb inflation and alleviate mounting short-term demand pressure on foreign exchange. While Tanzania's recovery continues to accelerate, several serious threats cloud its economic outlook. Key risks include the slow or incomplete implementation of structural reforms, the damaging effects of climate change on the agriculture and tourism sectors, and the possibility of a global recession caused by fiscal and monetary policy tightening in advanced economies and major EMDEs. To mitigate these risks, policymakers must accelerate structural reforms as part of a sustained effort to attract greater private investment and spur resilient and inclusive private-sector-led growth. Over the longer term, one of the country's key challenges will be to complete its structural economic transformation, which will require creating a more favorable business climate to support the growth of the industrial and services sectors while boosting agricultural productivity. Another key long-term growth challenge will be achieving more balanced and inclusive growth
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  • 46
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Demographics ; Early Childhood Development ; Education ; Fetal and Maternal Health ; Food and Nutrition Policy ; Gender ; Gender and Poverty ; Government Financing ; Health, Nutrition and Population ; Human Capital ; Mortality ; Nutrition Services ; Pregnancy ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This Human Capital Review (HCR) report presents an in-depth analysis of human capital indicators throughout a person's lifetime, from in utero to productive aging. By examining the various stages of human capital accumulation, the report aims to provide accurate recommendations for specific groups in Sierra Leone. Thus, the report disaggregates data whenever possible. It relies on an extensive consultative process involving various stakeholders such as Government counterparts, development partners, teachers, adolescent girls, students, private sector representatives, and local representatives. The consultation process followed a Problem-Driven Iterative Adaptation (PDIA) approach, which facilitates the identification and resolution of problems by local leadership. In addition, this report aims to inform the design and implementation of human capital reforms that will respond to specific challenges identified in the report
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  • 47
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Education ; Education For All ; Employment ; Employment and Unemployment ; Human Capital ; Poverty ; Poverty Reduction ; Skills Development and Labor Force Training ; Social Protections and Labor ; UMI Countries
    Abstract: This Human Capital Review aims to provide analytical foundations in the support of policies that improve human capital outcomes for the following four UMI countries in Central America: Costa Rica, Guatemala, Panama, and the Dominican Republic. The objective of this report is to identify the key constraints to human capital growth and understand how education and labor market policies can foster a resilient recovery, promote inclusive growth, and contribute to poverty reduction in these countries. The review also estimates the impact of the COVID-19 pandemic on human capital outcomes using a multi-sectoral approach. The analysis compares human capital outcomes in the decade before the COVID-19 pandemic (2010-2019) against trends during the pandemic (2020-2021). Lastly, the report focuses on these four countries, which are the only UMI in Central America to take advantage of new data collected during the pandemic, which allowed to quantify some of the impacts of COVID-19 and understand some of their long-term implications for human development outcomes
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  • 48
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Asean Region ; Informal Waste Workers ; IWW ; Livelihood Models ; Marine Plastic Waste ; Social Protections and Assistance ; Social Protections and Labor ; Vulnerabilities ; Work and Working Conditions
    Abstract: The present study focuses on a particular group of actors along the plastics collection and recycling value chain--informal waste workers (IWWs)--on whom limited information has been collected at the country level. Specifically, the study examines two questions: (i) what is the profile and vulnerabilities of informal waste workers in the three countries including gender-specific vulnerabilities; and (ii) what livelihood opportunities and community-based innovation models have been piloted in the selected countries, and can be used as case study examples in future policies and interventions, with the objectives of reducing vulnerability of IWWs and contributing to improving solid waste management and recycling value chains
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  • 49
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Risk and Vulnerability Assessment
    Keywords: Access To Finance ; CPGA ; Environment ; Finance and Financial Sector Development ; Financial Preparedness ; Natural Disasters ; Primary Response ; Risk ; Social and Livelihood Support ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Crisis preparedness is cral to preventing shocks from becoming crises. Investments in ex ante preparedness are especially relevant in countries like Nepal that face high levels of exposure and vulnerability to a range of risks. In seeking to identify opportunities to strengthen the Government of Nepal's (GoN's) capacity to prepare for crisis events in an effective and timely manner, this Technical Annex presents findings from the application of the Crisis Preparedness Gap Analysis (CPGA) diagnostic in the country. It provides details on findings and entry points across the five componnts of crisis preparedness. For a summary, please refer to the accompanying CPGA Nepal Briefing Note. Following a brief description of the CPGA methodology, the Technical Annex presents a summary of findings from each CPGA component alongside identification of entry points and opportunities to strengthen crisis preparedness in the country. To provide a holistic assessment of preparedness, the CPGA focuses on five core components of crisis preparedness. These are (i) Legal and Institutional Foundations, (ii) Understanding and Monitoring Risks, (iii) FinancialPreparedness, (iv) Primary Response, and (v) Social and Livelihood Support
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  • 50
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Benazir Income Support Programme ; Benazir Nashonuma ; Benazir Taleemi Wazaif ; BISP ; Case Management ; CCT ; Conditional Cash Transfer ; Digital Divide ; Grievance Redress Mechanism ; ICT Applications ; National Socio-Economic Registry ; Social Protections and Labor
    Abstract: This report documents the progress that Pakistan has made so far in improving its systems for delivering social protection to its people. The government has increasingly relied on data and technology to increase the efficiency and effectiveness of the program. BISP UCT (Kafaalat),the country's largest social assistance program in terms of both budget allocation and number of beneficiaries has been responsible for the most innovative developments in the delivery of benefits. Its delivery systems have evolved significantly overtime expanding in scope from simply delivering the UCT to becoming a system that other programs can leverage to identify beneficiaries and deliver benefits. It has flexibility to be scaled up, both horizontally and vertically, in times of shock. This did not happen overnight: the government has consistently invested time and resources over the past decade and a half to improve how it functions. By documenting that journey, using the Social Protection Delivery Chain Framework developed by the World Bank in the "Sourcebook on the Foundations of Social Protection Delivery Systems," (Lindert and others 2020), this report can be a resource for domestic and international stakeholders
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  • 51
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agricultural Sector ; Agricultural Sector Economics ; Agriculture ; Gender ; Gender and Development ; Gender Disparities ; Inequality ; Informal Workers ; Jobs Diagnostic ; Labor Disparities ; Labor Markets ; Labor Standards ; Labor Supply ; Poverty Reduction ; Social Protections and Labor
    Abstract: Good quality jobs are key to accelerating poverty reduction and enhancing social cohesion in Togo. Following a decade of significant progress in reducing poverty, the COVID-19 pandemic and of Russia's invasion of Ukraine are likely to have reversed some of these gains in living standards, however. The creation of more good quality jobs plays a key role in any country's poverty reduction efforts, and will be essential to recover from recent shocks and reinforce earlier gains made in Togo. International research also points to lack of economic opportunities and insufficient social services as key drivers of radicalization of young people. Security threats in the northern region of the country have been growing, with terrorist attacks in Burkina Faso close to the Togolese border increasing in number and severity since 2018, and a first attack reported on Togolese territory in November 2021 in the Savanes region. Access to good quality jobs with a stable income for young Togolese will thus also be part of the solution to the security threats
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  • 52
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Conflict and Development ; Economic Growth ; Fiscal Policies ; Inflation ; Labor Markets ; Macroeconomics and Economic Growth ; Social Protection ; Social Protections and Labor
    Abstract: While armed clashed have declined, Libya continues to face fragmentation and fragility. The country's fragility is having far-reaching economic and social impact. Social conditions and public service delivery have been affected. Similar to numerous conflict-affected countries, the World Bank refrains from providing quantitative growth and macroeconomic forecasts. Despite the numerous challenges facing the country, the Libyan economy cab ne reconstructed and diversified by leveraging its substantial financial resources building on four critical pillars. The first is reaching a sustainable political agreement on the future of Libya. The second is the preparation of a shared vision on economic and social development that is based on accurate assessments of needs and aspirations. The third is the development of a modern and decentralized public financial management system that ensures adequate sharing of oil wealth and inter-governmental fiscal transfers as well as effective and transparent budget planning, execution, and reporting policies. The fourth is the establishment of a modern and comprehensive social policy that enables the reform of public administration and creates a clear distinction between social transfers and public wages
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  • 53
    Language: English
    Pages: 1 Online-Ressource (50 pages)
    Parallel Title: Erscheint auch als Decerf, Bonoit Reconceptualizing Global Multidimensional Poverty Measurement, with Illustration on Nigerian Data
    Keywords: Health and Poverty ; Health, Nutrition and Population ; Inequality ; Monitary Poverty Measurement Bias ; Mortality Impact Measurement ; Multidimensional Poverty Measurement ; Poverty Diagnostics ; Poverty Reduction ; Well-Being Indicator
    Abstract: Multidimensional poverty measures can in theory make well-being comparisons that are less biased than those solely based on monetary poverty. However, global multidimensional poverty measures suffer in practice from limitations that have led to credible criticisms. This paper presents the case for multidimensional poverty measures, two criticisms against their current implementations, as well as recently proposed solutions to improve on these criticisms. The paper develops a method for implementing these solutions in practice. The resulting well-being indicator is used to compare well-being across Nigerian states in 2019. This empirical illustration suggests that these solutions may substantially affect well-being comparisons. The paper also quantifies the potential bias inherent to comparing well-being solely based on monetary poverty. The results find substantially different well-being comparisons between the proposed well-being indicator and monetary poverty even though monetary poverty was (i) high in Nigeria in 2019 and (ii) very heterogeneously distributed across Nigerian states; and (iii) is integrated as one component of the proposed well-being indicator. The paper aims to improve global multidimensional poverty measures by making them more consistent with preference theory and by incorporating the direct impact of mortality, which deprives individuals of the most important functioning
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  • 54
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Carranza, Eliana Job Training and Job Search Assistance Policies in Developing Countries
    Keywords: Active Labor Market Policy ; Employment and Unemployment ; Job Search Assistance ; Job Training Effectiveness ; Poverty Reduction ; Skills Development and Labor Force Training ; Social Protections and Labor ; Worker Skills Training
    Abstract: Governments around the developing world face pressure to intervene actively to help jobseekers find employment. Two of the most common policies used are job training, based on the idea that many of those seeking jobs lack the skills employers want, and job search assistance, based on the possibility that even if workers have the skills demanded, search and matching frictions make it difficult for workers to be hired in the jobs that need these skills. However, reviews of the first generation of evaluations of these programs found typical impacts to be small, casting doubt on the usefulness and cost-effectiveness of these programs. This paper reexamines the arguments for whether, when, and how developing country governments should undertake job training and job search assistance policies. The authors use their experience with policy implementation, and evidence from recent impact evaluations, to argue that there is still a role for governments in using these programs. However, success depends critically on program design and delivery elements that can be difficult to scale effectively, and in many cases the binding constraint may be a lack of firms with job openings, rather than a lack of workers with the skills to fill these openings
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  • 55
    Language: English
    Pages: 1 Online-Ressource (42 pages)
    Parallel Title: Erscheint auch als Biro, Aniko The Labor Market Effects of Disability Benefit Loss
    Keywords: Benefit Reduction ; Disability ; Disability Insurance ; Disability Welfare Reform ; Disabled Persons Poverty ; Economic Policy, Institutions and Governance ; Employability Program ; Employment and Unemployment ; Joblessness ; Macroeconomics and Economic Growth ; Persons with Disabilities ; Public Welfare ; Social Protections and Labor
    Abstract: Disability benefits provide social insurance against the risk of losing working capacity, as well as an important source of income for individuals with disabilities. They are also costly and tend to reduce labor supply. Although spending can be contained by careful targeting, correcting past flaws in eligibility rules or assessment procedures may entail welfare costs. This paper studies a major reform in Hungary that reassessed the health and working capacity of a large share of beneficiaries. Leveraging age and health cutoffs in the reassessment, the paper estimates employment responses to loss or reduction of benefits. The findings show that among those who left disability insurance due to the reform, 58 percent were employed in the primary labor market, 6 percent participated in public works, and 36 percent were out of work without benefits in the post-reform period. The consequences of leaving disability insurance differed sharply by pre-reform employment status. Among the beneficiaries who were employed in the pre-reform year, 81 percent worked, while only 33 percent of those without pre-reform employment did. The gains of the reform in activating beneficiaries were small and strongly driven by pre-reform employment status. This points to the importance of combining financial incentives with broader labor market programs that increase employability
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  • 56
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Hemono, Rebecca Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania: Results from a Randomized Trial
    Keywords: Female Sex Workers and Violence ; Gender ; Gender and Health ; Gender and Social Policy ; Gender Based Violence ; Health, Nutrition and Population ; HIV Prevention and Violence ; Law and Development ; Lottery Reward for Health Promotion ; Public Health Promotion ; Respect II ; Sexually Transmitted Infection (STI) Prevention
    Abstract: Financial incentives are a promising approach for HIV prevention. Some studies have shown that financial incentive interventions aimed to promote positive health and social behaviors have mixed or harmful effects on gender-based violence, and little is known about their effects among higher risk groups such as female sex workers. To address this gap, this study investigated the relationship between a lottery-based incentive and gender-based violence among female sex workers in Dar es Salaam, Tanzania. Data were analyzed from the RESPECT II trial, which enrolled 2,206 female sex workers in Dar es Salaam, Tanzania, to evaluate the effect of a lottery-based incentive on HIV and sexually transmitted infections. Participants were randomized in a one-to-one ratio to: (1) the basic test group (control), which provided baseline testing and counseling for HIV and sexually transmitted infections and bi-weekly text messages on safe sex practices; or (2) the lottery group, which included the basic test group intervention plus entry into a weekly random lottery for an award of 100,000 Tanzanian shillings conditional on negative tests for sexually transmitted infections (syphilis and trichomonas vaginalis). An intent-to-treat analysis was conducted to estimate differences in physical and sexual gender-based violence (overall), and intimate partner violence and non-partner violence between treatment arms at endline, with estimates expressed as unadjusted prevalence differences with 95 percent confidence intervals. Adjusted estimates controlled for baseline reports of violence. Multiple imputation and inverse-probability of treatment weighting were used to account for missing data. Causal, population-level impacts were estimated using g-computation. Gender-based violence, intimate partner violence, and non-partner violence declined in both treatment arms over the study period among the sample of 1,117 female sex workers retained at endline. The lottery group had a lower prevalence of gender-based violence overall, intimate partner violence, and non-partner violence compared to control at endline; however, the differences were not statistically significant. The results indicate that the lottery intervention had no effect on violence outcomes among endline participants in the RESPECT II trial. These results suggest that this economic approach does not pose additional risks of violence in the context of sex work; however, they must be interpreted with caution due to high attrition in the study sample. Additional research is warranted to examine how this incentive mechanism impacts violence for female sex workers
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  • 57
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Assistance ; Gender ; Gender Identity ; Human Rights ; International Law ; Law ; Law and Development ; LGBTI Exclusion ; Sexual Orientation ; Social Development ; Social Inclusion ; Social Protections and Labor ; Sogiesc-Based Exclusion ; Vulnerable Groups ; Workplace Discrimination
    Abstract: Recent research suggests that the effects of stigma, discrimination, and exclusion against lesbian, gay, bisexual, transgender, and intersex (LGBTI) people could be costing economies billions of dollars. There are numerous reasons for these costs, including adverse educational environments, employment discrimination, physical and mental health disparities, and violence. This research aims to estimate the economic cost of exclusion based on sexual orientation, gender identity and expression, and sex characteristics (SOGIESC) in the Republic of North Macedonia and to provide the country's policy makers, civil society, and development partners with new evidence on the ongoing policy dialogue on strengthening the social inclusion of lesbian, gay, bisexual, transgender, and intersex (LGBTI) people. To estimate the cost of exclusion, this report presents two theoretical models focused on the labor market and related issues. The first model centers mainly on the accumulated loss of individual wages due to the consequences of exclusion. The second model calculates the negative effect of exclusion on accumulated fiscal revenues (due to lower income and payroll taxes) and expenditures (due to higher expenditures for unemployment benefits and active labor market programs)
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  • 58
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Assistance ; Gender ; Gender Identity ; Human Rights ; International Law ; Law ; Law and Development ; LGBTI Exclusion ; Sexual Orientation ; Social Development ; Social Inclusion ; Social Protections and Labor ; Sogiesc-Based Exclusion ; Vulnerable Groups ; Workplace Discrimination
    Abstract: Recent research suggests that the effects of stigma, discrimination, and exclusion against lesbian, gay, bisexual, transgender, and intersex (LGBTI) people could be costing economies billions of dollars. There are numerous reasons for these costs, including adverse educational environments, employment discrimination, physical and mental health disparities, and violence. This research aims to estimate the economic cost of exclusion based on sexual orientation, gender identity and expression, and sex characteristics (SOGIESC) in the Republic of Serbia and to provide the country's policy makers, civil society, and development partners with new evidence on the ongoing policy dialogue on strengthening the social inclusion of lesbian, gay, bisexual, transgender, and intersex (LGBTI) people. To estimate the cost of exclusion, this report presents two theoretical models focused on the labor market and related issues. The first model centers mainly on the accumulated loss of individual wages due to the consequences of exclusion. The second model calculates the negative effect of exclusion on accumulated fiscal revenues (due to lower income and payroll taxes) and expenditures (due to higher expenditures for unemployment benefits and active labor market programs)
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  • 59
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: FDA ; Health Policy and Management ; Health Sector Funding ; Health, Nutrition and Population ; Pharmacovigilance ; Safety Monitoring
    Abstract: The objective of this report is to examine the development of pharmacovigilance (PV) in Ghana and illustrate the role it plays in the health system, and more recently, during the COVID-19 emergency response. It concludes by offering some relevant lessons for building PV capacity in other low-and middle-income countries
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  • 60
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Agriculture ; Armed Conflict ; Children and Education ; Civil War ; Conflict ; Conflict and Development ; Displacement ; Food Security ; Food Unaffordability ; Health and Poverty ; Health, Nutrition and Population ; Humanitarian Response ; Limited Health Care ; Living Costs ; Living Standards ; Poverty Reduction ; Reduced Food Intake ; Repeated Shocks
    Abstract: This report highlights respondents' lived experiences during Yemen's conflict as experts of their own experiences. This report aims to present the voices of Yemenis who have now spent eight years living through a civil war, economic crisis, and close to famine. This report is among the few authentically capturing Yemeni voices on a range of day-to-day issues from different governorates across the country. But arguably the small sample size limits ability to generalize findings. However, generalizing findings was not the intention of the report. For each theme, 'Voices from Yemen' presents a multi-stakeholder perspective to mitigate bias towards a single stakeholder group or geographical area. Moreover, the report's findings are in line with those in quantitative reports, such as 'Surviving in the Times of War' or the 'World Bank Phone Survey' report on food security. 'Voices from Yemen' presents a comprehensive picture of suffering derived from human stories behind the statistics. The conflict has made Yemeni lives unaffordable, uncertain, vulnerable, and often unbearable. The power of people's speech and the intensity of their stories narrate their grave vulnerabilities and the sense of helplessness and suffering the conflict has caused
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  • 61
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Disease Control and Prevention ; Health Economics and Finance ; Health, Nutrition and Population ; NCDs ; Non-Communicable Diseases ; Prevention and Control ; Primary Health Care
    Abstract: This report aims to assess the current role and scope of private health care provision for non-communicable diseases (NCDs) in Republika Srpska and Federation of Bosnia and Herzegovina (Federation of BiH). Over the last decade, the Ministry of Health and Social Welfare in the Republika Srpska and the Federal Ministry of Health have implemented municipal initiatives to reduce NCD risk factor exposure and formulate an action plan for NCD control. These efforts have been supported by development partners, including the Swiss Agency for Development and Cooperation (SDC), the World Bank, and the World Health Organization (WHO). The assessment recommends actions that the health authorities in Republika Srpska and the Federation of BiH can take to better engage private providers in tackling NCDs. In mixed health systems, improving NCD prevention and control requires effective partnerships between the public and private sector and establishing an effective regulatory and financialcontext to contribute to progress towards Universal Health Coverage
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  • 62
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate ; Health Taxes ; Health, Nutrition and Population ; Household Budget ; Infectious Diseases ; UHC ; Universal Health Coverage
    Abstract: Leaving no one behind is a central promise of the 2030 Agenda for Sustainable Development, which recognizes health as a fundamental human right. Achieving Universal Health Coverage (UHC) is key to delivering on this promise. UHC ensures that everyone receives good quality health services, when and where needed, without incurring financial hardship arising from payments made for those services. The 2023 Universal Health Coverage Global Monitoring Report presents an alarming picture of stagnating access to essential health services and increased financial hardship from out-of-pocket health payments affecting especially the poorest and most vulnerable people. Globally, about 4.5 billion people, more than half of the world population, lack full access to essential health services. Since 2015, health service coverage has stagnated after a dynamic increase in previous years, indicating that urgent action is required by governments to ensure people can access health services. Past progress in service coverage was largely driven by improved access to infectious disease services, but since 2015 there has been minimal to no expansion of health service coverage related to infectious and noncommunicable diseases or for reproductive, maternal, newborn, and child health services. Financial hardship due to out-of-pocket health spending continues to worsen and undermine efforts to eradicate poverty globally. The number of people incurring catastrophic out-of-pocket health spending (more than 10% of their household budget) increased to more than 1 billion people in 2019, or almost 14% of the global population. About 1.3 billion people (almost 17% of the global population) were pushed or further pushed into poverty by out-of-pocket health spending. This includes 344 million people living in extreme poverty. Out-of-pocket health payments reduce the ability of households to afford other essential goods and services and negatively affect a family's consumption levels. Health costs also cause individuals to forgo essential care, which can lead to more severe illnesses or even death. Reaching the goal of UHC by 2030 requires substantial public sector investment and accelerated action by governments and development partners, building on solid evidence. This includes strengthening health systems based on a primary health care approach and advancing equity in both the delivery of essential health services and financial protection. Achieving UHC also requires modern, fit-for-purpose health information systems that provide timely and reliable data to inform policy design. Such shifts are essential following the pandemic's impact on health systems and health workers and in view of deepening macroeconomic, climate, demographic, and political trends which threaten to reverse hard-won health gains around the world
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  • 63
    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
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  • 64
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Education ; Education Finance ; Finance and Financial Sector Development ; Health ; Health Economics and Finance ; Health, Nutrition and Population ; HRM ; Human Development ; Macro Fiscal Context ; Public and Municipal Finance ; Public Expenditure ; Sustainability
    Abstract: This is an overview of the CAR Human Development (HD) Public Expenditure Review (PER). This overview provides an analytical basis to decision-makers and stakeholders for the formulation of ambitious yet fiscally responsible interventions to improve human capital outcomes in CAR. The PER examines public expenditure trends of the education, health, and social protection (SP) sectors with a focus on adequacy, efficiency, and equity of expenditures as well as human resource management (HRM). The primary objective is to provide analytical insights for government policy development and prioritization strategy as it seeks to achieve a resilient recovery and rebuild its education and health sectors and establish a strong SP system which will help the poorest households invest and protect their own human capital. The PER can also serve as a useful source of knowledge and information to development partners seeking to deepen the impact of their support to the human capital development sectors. The recommendations put forth by the PER are those identified as fiscally sustainable and most important for rebuilding and strengthening human capital development sectors, including a focus on future human resource (HR) recruitment needed in the education and health sectors
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  • 65
    Language: English
    Pages: 1 Online-Ressource (62 pages)
    Parallel Title: Erscheint auch als Baseler, Travis Does Food Insecurity Hinder Migration?: Experimental Evidence from the Indian Public Distribution System
    Keywords: Communities and Human Settlements ; Food Insecurity ; Food Security ; Food Voucher Policy ; Human Migrations and Resettlements ; Hunger Risk ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor ; Urban Migration
    Abstract: People may avoid migrating if they cannot insure themselves against the risk of a bad outcome. Governments can reduce the consumption risk faced by migrants by allowing them to access social protection programs in the destination. This study randomly informed around 62,000 households across 18 Indian states about a new program allowing migrants to collect their food ration across the country, together with information about practical barriers to using the program. Four months later, treated households held lower beliefs about food ration portability, and were less likely to migrate to cities. The findings indicate that food insecurity risk reduces urban migration
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  • 66
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Seitz, William Preferences for Wage Discrimination against Women
    Keywords: Age Bias ; Discrimination ; Equal Pay ; Equity and Development ; Gender ; Gender and Law ; Gender Equality ; Gender Wage Gap ; Inequality ; Poverty Reduction ; Social Protections and Labor ; Systematic Gender Bias ; Wages, Compensation and Benefits
    Abstract: This study demonstrates systematic bias against women in public perceptions of the fairness of wages. In nationally representative survey experiments across more than 70,000 individual vignettes posed to 4,500 respondents in three Central Asian countries, respondents were 13 percent more likely to say wages were "too high" when the randomly assigned person described in the vignette (subject) was a woman, and 34 percent more likely to say they were "too low" when the subject was a man. The pattern of bias favoring higher wages for men is statistically significant at conventional levels in all three countries, among both male and female respondents, and in each of the eight occupations studied. The results also demonstrate the presence of significant bias in favor or older workers, specifically for white-collar occupations, and the absence of this relationship for the blue-collar occupations included in the experiment. The findings reinforce the importance of bias as a contributing factor to the gender pay gap, and the value of equal pay regulations to prevent gender discrimination in wage setting
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  • 67
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: China-World Bank Partnership Trust Fund (CWPF) ; COVID-19 Pandemic Response ; Emerging Disease Challenge ; Health Systems ; Health Systems Development and Reform ; Health, Nutrition and Population ; Korea-World Bank Partnership Facility (KWPF) ; National Health Surveillance System ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; Public Health Promotion ; Public Health Risk Response ; Public Health Surveillance ; Seasonal Epidemic Infection
    Abstract: Although indispensable for improving health outcomes, medicines and vaccines or their administration and use can produce adverse effects, requiring continuous vigilance to ensure that the benefits outweigh the risks. Monitoring the safety of the use of marketed medicines and vaccines, also known as pharmacovigilance, should therefore become much more explicit in efforts to strengthen health systems and prepare for public health crises and normal times because the world is determined to build back better after the COVID-19 pandemic. The objective of this report is to examine the importance of pharmacovigilance in a health system both during a health crisis and in normal times, describe the function, structure, and processes of a functional pharmacovigilance system, and explain the value of drug safety monitoring in building resilience in health systems post-COVID-19 pandemic
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  • 68
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Vaccine ; Disease Control and Prevention ; Emerging Disease Challenge ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; National Health Surveillance System ; Pharmacovigilance Case Study ; Public Health Risk
    Abstract: The Spanish System of Pharmacovigilance (SSPV) started its activities almost 40 years ago, in 1985. Of particular interest to others considering various options for developing pharmacovigilance systems is the fact that this case study highlights an example that built from the ground up and actually started in academia: the SSPV began as a research project in a university institution in Catalonia that was later adopted by the Ministry of Health. From these origins, a regulatory framework gradually allowed this initiative to expand to the whole country. In 1990, after technical training for the professional staff involved, responsibility for coordinating the system was transferred to a specially created coordinating center for the SSPV located in the Spanish Medicines Agency. This report reviews the origins of the system and its key features, followed by two examples of the system in action and closing comments on aspects and lessons that may be of particular value to others developing pharmacovigilance systems elsewhere
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  • 69
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Climate-Smart Agriculture ; Education ; Education Finance ; Energy Resources Development ; Health Economics and Finance ; Health Systems ; Health, Nutrition and Population ; Inclusion ; Investment and Investment Climate ; Macroeconomics and Economic Growth ; NEDI ; Off-Grid Solar Access ; Transport and Trade ; Water and Sanitation
    Abstract: Kenya's north and northeastern region is a host to 11 percent of the total population scattered across 63 percent of the country's landmass. The arid and semi-arid region experiences recurrent droughts that create vulnerabilities for the nomadic pastoralist communities, pervasive insecurity, suffers fragility, and has been a host to the largest population of refugees in sub-Saharan Africa over the last three decades. These policy choices contributed to the significant lag in most of the development indicators for this region compared to the rest of the country. The region has huge infrastructure deficits, low literacy rates, and contributes only a modest 4.7 percent to the national gross domestic product. To address the socio-economic disparities and inequality challenges, the Government of Kenya with support from World Bank (WB) launched the North and Northeastern Development Initiative (NEDI) in 2018. The NEDI, the region's first significant, integrated, and transformative investment, cuts across foundational sectors including energy, water, transport, social protection, displacement, and agriculture
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  • 70
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Tillan, Pablo Reassessing the Impacts of Exports on Local Labor Market Outcomes: A Supply Chain Perspective - Evidence from the Arab Republic of Egypt
    Keywords: Export Competitiveness ; Export Impacts ; Firm Dynamics ; Gender and Labor Markets ; Global Value Chains and Business Clustering ; International Economics and Trade ; Labor Market Outcomes ; Labor Markets ; Limited Export Sector ; Private Sector Development ; Social Protections and Labor ; Trade Policy
    Abstract: This paper examines the overall impact of exports while accounting for supply chain linkages on local labor market outcomes in the Arab Republic of Egypt between 2007 and 2018. The paper assesses the effects not only on directly exporting industries, but also on industries indirectly affected by rising export demand. Furthermore, it examines potential impacts on specific groups of workers, such as high-skilled individuals and female workers. The results show that trade does not lead to the same connection with domestic labor markets in Egypt as observed in other countries, as highlighted in the existing literature explaining the adverse effects of imports on developing countries. Despite being more open to trade, trade-intensive industries in Egypt have not experienced a significant increase in their share of employment within the overall workforce. To harness the benefits of trade, Egypt must undertake deeper reforms aimed at significantly expanding the export sector
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  • 71
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2193
    Keywords: Agriculture ; Atlas Region ; Earthquake ; Economic Growth ; Environment ; Female Labor Force ; Gender ; Gender and Development ; Macroeconomics and Economic Growth ; Natural Disasters ; Poverty ; Social Protections and Assistance ; Social Protections and Labor ; Tourism ; Women's Economic Empowerment
    Abstract: The Moroccan economy is recovering. Following a sharp deceleration in 2022 caused by various overlapping commodity and climatic shocks, economic growth increased to 2.9 percent in the first semester of 2023, driven primarily by services and net exports. Inflation has halved between February and August 2023, but food inflation remains high. Lower commodity prices havealso contributed to a temporary narrowing of the current account deficit. The response to recent crises and the unfolding reform of the health and social protection systems are exerting pressures on public spending. However, the government is managing to gradually reduce the budget deficit
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  • 72
    Language: English
    Pages: 1 Online-Ressource (56 pages)
    Parallel Title: Erscheint auch als Brunckhorst, Ben Tracing Pandemic Impacts in the Absence of Regular Survey Data: What have we Learned from the World Bank's High-Frequency Phone Surveys?
    Keywords: Covid-19 Impacts ; Gender ; Gender and Public Expenditures ; Health, Nutrition and Population ; High-Frequency Phone Survey ; Household Questionnaire Design ; Household Welfare ; Inequality ; Labor Markets ; Macroeconomics and Economic Growth ; Social Protections and Labor ; Survey Method
    Abstract: The World Bank's High-Frequency Phone Surveys were deployed to support the monitoring of household welfare during the COVID-19 pandemic, when most of the regular household survey data collection was suspended. This paper reviews the analytical insights gained from the High-Frequency Phone Survey data, including uneven dynamics of household welfare during the pandemic across and within countries, as well as novel applications to simulate estimates of poverty and intergenerational mobility following the pandemic. The paper further derives lessons from the data collection experience. First, phone surveys, while inexpensive and quick, require reliable sampling frames. The predominant sampling strategies-previous household survey and random digit dialing-each have pros and cons in terms of representativeness, non-response, and post-survey adjustments. Second, on questionnaire design, country customization needs to be carefully balanced against standardization when cross-country comparisons are likely to be important. Finally, baseline metrics are critical for crisis monitoring; this requires more frequent welfare monitoring and better alignment of questions in phone surveys and existing data sources. While phone surveys can be a reliable toolkit for researchers and governments, more research is needed on key questions related to the survey mode effect, and the implications of different sampling frames and questionnaire design
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  • 73
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2180
    Keywords: Access To Technology ; Digital Financial Landscape ; Finance and Financial Sector Development ; Financial Literacy ; ICT Economics ; Macroeconomics and Economic Growth ; Poverty and Savings ; Savings Aspiration Survey ; Social Protections and Labor ; Urban Poverty and Financial Services
    Abstract: Gisela is among the large and diverse group of informal sector workers in urban Liberia who lack social protection coverage, have little interaction with formal financial institutions, and depend on informal saving groups to meet their financial needs. The financial vulnerability that this group faces not only puts their welfare at risk but also under-mines the economy at large. Despite the potential risks, there is little systematic information on how the urban informal poor in Liberia save, their saving aspirations, and what they need to save better. This report explores the saving behavior and aspirations of urban informal households in Liberia by presenting the findings from a survey of 1000 households in Monrovia, supplemented by an assessment of Liberia's existing informal savings institutions
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  • 74
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Access To Labor Market ; Accessibility ; Climate Change ; Disability Inclusion ; Economic Forecasting ; Economic Stabilization ; Environment ; Health Services ; Health, Nutrition and Population ; Inclusive Disaster Management ; Social Protection ; Social Protections and Labor
    Abstract: The impacts of climate change will be unevenly felt within and across countries partly due to social and economic inequalities. Persons with disabilities represent 16 percent of the global population and face widespread forms of social and economic marginalization yet have received little attention in prior studies of climate change and social inequality. The mortality rate of persons with disabilities in natural disasters is "up to four times higher than people without disabilities" (Stein and Stein 2021). How do the fast-moving shocks, flooding, drought, heatwaves and slower-moving social and economic effects of climate change impact persons with disabilities How can climate change adaptation efforts be disability inclusive This study examines these questions through original fieldwork and qualitative interviews conducted in Uzbekistan. In November 2022, the authors interviewed persons with disabilities in three regions of the country. The resulting qualitative data afford key insights into how climate change and disability status interact to generate distinct vulnerabilities. Within the nascent field of climate change and disability studies, this report represents one of the first fieldwork-based accounts of how climate change presents heightened risks to persons with disabilities in a developing country context
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  • 75
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Evaluation Techniques ; Jobs-Focused ; Labor Markets ; Labor Policies ; Social Protections and Labor ; Theory of Change
    Abstract: Economists and policy analysts have devised a wide variety of techniques to determine the impacts of various interventions on labor market outcomes. However, determining which evaluation technique should be implemented for a particular intervention requires a thorough understanding of the context and nature of the intervention, labor market structure and dynamics, and the universe of available impact measurement techniques. This report develops a standardized and transparent decision-making procedure for selecting feasible and appropriate techniques for evaluating the labor market impacts of an intervention. The decision-making procedure was developed by drawing on lessons from recent pilot studies undertaken by the World Bank
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  • 76
    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
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  • 77
    Language: English
    Pages: 1 Online-Ressource (63 pages)
    Parallel Title: Erscheint auch als Blanchard, Paul Struggling with the Rain: Weather Variability and Food Insecurity Forecasting in Mauritania
    Keywords: Adaptive Social Protection ; Climate Change and Health ; Climate Vulnerability ; Drought ; Early Warning System ; Environment ; Food Security ; Health, Nutrition and Population ; Probabilistic Risk Modeling ; Weather-Related Risk
    Abstract: Weather-related shocks and climate variability contribute to hampering progress toward poverty reduction in Sub-Saharan Africa. Droughts have a direct impact on weather-dependent livelihood means and the potential to affect key dimensions of households' welfare, including food consumption. Yet, the ability to forecast food insecurity for intervention planning remains limited and current approaches mainly rely on qualitative methods. This paper incorporates microeconomic estimates of the effect of the rainy season quality on food consumption into a catastrophe risk modeling approach to develop a novel framework for early forecasting of food insecurity at sub-national levels. The model relies on three usual components of catastrophe risk models that are adapted for estimation of the impact of rainy season quality on food insecurity: natural hazards, households' vulnerability and exposure. The paper applies this framework in the context of rural Mauritania and optimizes the model calibration with a machine learning procedure. The model can produce fairly accurate lean season food insecurity predictions very early on in the agricultural season (October-November), that is six to eight months ahead of the lean season. Comparisons of model predictions with survey-based estimates yield a mean absolute error of 1.2 percentage points at the national level and a high degree of correlation at the regional level (0.84)
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  • 78
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: COVID-19 ; Disease Control and Prevention ; ECA ; Education ; Education Reform and Management ; Health and Education ; Health, Nutrition and Population ; Human Capital ; Resilience ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Risk and uncertainty are on the rise, and countries across Europe and Central Asia (ECA) are not immune from it. The region is being hit by crises, conflicts, and continued uncertainty that are negatively affecting people's livelihoods in the short term and prosperity in the long term. Then COVID-19 hit, inflicting massive harm on people's wellbeing, livelihoods, and human capital. Lockdowns prevented people from working, school closures prevented students from learning, and overwhelmed hospitals had to defer important treatments. This report explores how to strengthen the resilience of health, education, and social protection systems to better protect people's human capital from the long-term effects of recurrent shocks and crises
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  • 79
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Air Pollution ; Alcohol and Substance Abuse ; Disease Control and Prevention ; Economic Burden ; Health Burden ; Health, Nutrition and Population ; NCDS ; Policies and Regulations ; Sugar-Sweetened Beverages ; Tobacco and Alcohol ; Tobacco Use and Control
    Abstract: This report, which aims to raise awareness, identify gaps, and inform policies, is the first comprehensive report on NCDs in Kosovo. Unlike available studies, the present work explores multiple aspects of NCDs, including their burden on health outcomes, risk factors, management, economic burden, and policies introduced to protect the population from these conditions. The report's findings are based on data from existing literature, official documents such as laws, regulations, and protocols, secondary data analysis, and interviews with key informants. The report presents comparisons with available data from the Western Balkans (Albania, Bosnia and Herzegovina [BiH], Montenegro, North Macedonia, and Serbia), aspirational (former socialist, small European Union member states such as Croatia, Estonia, Latvia, Lithuania, and Slovenia) and structural peers (Albania, Armenia, Moldova, North Macedonia, and Kyrgyz) to contextualize the findings. The report concludes by providing recommendations to reduce the burden of NCDs in Kosovo to protect the human capital of current and future generations
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  • 80
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Dobbelaere, Sabien Firm Consolidation and Labor Market Outcomes
    Keywords: Health Insurance ; Health, Nutrition and Population ; Labor Market Outcome ; Labor Restructuring ; Takeover
    Abstract: Using rich administrative data from the Netherlands, this paper studies the consequences of firm consolidation for workers. For workers at acquired firms, takeovers are associated with an 8.5 percent drop in employment at the consolidated firm and a 2.6 percent drop in total labor income. These effects are persistent even four years later. The paper shows that the primary mechanism for this job loss is labor restructuring at consolidating firms. Workers with higher-than-expected pay relative to their human capital and workers with skills that are likely already present at acquirers are less likely to be retained
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  • 81
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Diabetes ; Health Care ; Health Indicators ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Hypertension ; NCDS ; Noncommunicable Diseases
    Abstract: North Macedonia, an Eastern European nation of 1.836 million inhabitants, has a growing burden of noncommunicable diseases (NCDs). An aging population and high levels of NCD risk factors are mainly responsible, with tobacco, raised blood pressure, and unhealthy diets driving mortality and disability. To better address the needs of its rapidly aging population, the growing challenges posed by chronic conditions, and improve overall health system performance, the country is developing a new primary health care (PHC) model. This model should improve the quality of care and the efficiency of primary care by reducing fragmentation, enhancing coordination, prioritizing prevention, and strengthening the role of primary care nurses. Aim of the study is to strengthen the evidence on quality and continuity of care for diabetes and hypertension - the two conditions driving the burden of chronic NCDs and associated health care costs in North Macedonia - a cascade analysis was carried out using a mixed methods design. The assessment drew on secondary quantitative data from national and international sources, primary quantitative data from 2,400 patients in 12 general practitioner (GP) practices, and primary qualitative data from health care providers and patients. Patient data were extracted from the eHealth system (MojTermin) and paper medical records from September to November 2021
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  • 82
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Benefits ; Human Capital ; Integration ; International Economics and Trade ; International Migration ; Job Markets ; Labor Markets ; Migration ; Poverty Reduction ; Social Protections and Labor ; Welfare
    Abstract: The global economic recovery remains fragile, creating choppy seas for the recovering Pacific. While global conditions have gradually improved since the pandemic and spillovers from Russia's invasion of Ukraine, progress on reducing inflation in major economies has proven more challenging than expected. Given that all Pacific countries are net importers, this has resulted in persistently high imported inflation. The speed of monetary policy tightening by major central banks has slowed, but easing is unlikely in the near term. Aggregate demand in major trading partners of the Pacific (particularly Australia and New Zealand) remains lackluster. This could limit demand for travel and tourism services and other income sources such as remittance and commodity exports. Despite uncertainties in the global economic recovery, Pacific economies are expected to see ongoing expansion in 2023 and 2024. Fiji led the Pacific's post-COVID-19 recovery with open borders and a strong rebound in 2022 and is now on track to reach its pre-pandemic output level in 2023. Ongoing recovery expectations in the Pacific are broadly in line with March 2023 World Bank projections except for Tuvalu and Palau, where growth has been revised down given weaker than expected outcomes in construction and tourism. In 2023, Pacific growth is expected to reach 3.9 percent and then moderate to 3.3 percent in 2024 as the initial post-COVID-19 rebound dissipates and the region moves towards its long-term trend growth of 2.6 percent. Nonetheless, uncertainty remains high and depends on whether a soft landing can be achieved among key trading partners as they battle ongoing inflation. Inflation remained stubborn across the Pacific at an average of over 6.7 percent in 2022, a substantial increase from the 1.5 percent average during 2019-2021. This has increased the risk of vulnerable populations falling into poverty. In line with global trends, Pacific inflation is expected to decline to an average of 6.0 percent in 2023 and gradually subside thereafter
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  • 83
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: DEBT Management ; Fiscal Sector ; Food and Nutrition Policy ; Food Security ; Health, Nutrition and Population ; Inflation ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction
    Abstract: Ghana's economy entered a full-blown crisis in 2022, after having rebounded from the COVID-19 slowdown in 2021. In response to the macroeconomic challenges, the authorities enacted some fiscal adjustment in 2022 but fell short of their consolidation targets; the 2023Q1 fiscal deficit (cash) was within target. Expenditure consolidation and revenue mobilization continued to be hampered by structural constraints. To address these unsustainable domestic and external imbalances, the authorities embarked on a comprehensive debt restructuring operation. Against the backdrop, growth is projected to decelerate further in 2023-24, before picking up in the medium-term. The government has embarked on an ambitious fiscal consolidation plan: however, delivering on it will require addressing long-standing revenue mobilization and budget control weaknesses. In 2023, the authorities intend to finance the fiscal deficit from multilateral (and other official) sources, in the context of the International Monetary Fund (IMF) - supported program, and from the domestic treasury bills (T-bills) market. In addition, leveraging government programs to build up resilience against vulnerability is an imperative and should not be suspended during the crisis. Beefing up the government's payments through the livelihood empowerment against poverty will be critical. Second, support for food self-sufficiency is needed in Ghana (a goal for many countries now due to the global food crisis), while opening the country to generate more export revenues. The Ghana Tree Crops Diversification Project can serve as a critical puzzle piece of the country's current challenges. The project will support poverty alleviation while setting the country up to generate more foreign revenues in the medium to long-term
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  • 84
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Education ; Education Reform and Management ; Evolving Skills ; Labor Markets ; Low-Income Countries ; Middle-Income Countries ; Social Protections and Labor ; Technical and Vocational Education and Training ; TVET
    Abstract: Reform of formal technical and vocational education and training (TVET) is urgently needed in most low- and middle-income countries. Demographic trends, coupled with higher rates of students completing lower levels of education, can lead to an exponential increase in the number of secondary TVET students in the next 20 years, particularly in low-income countries (LICs). However, there are significant risks attached to expanding a system that is often considered a second-tier educational track and to which challenged learners are often directed. Because of a broken link between TVET systems and labor markets in low- and middle-income countries (LICs and MICs, together: L/MICs), TVET cannot deliver on its promise. The urgency is compounded by megatrends associated with globalization, technological progress, demographic transformation, and climate change, which affect both skills demand and the distribution of economic opportunities. This report offers guidance to policymakers designing and implementing TVET reforms, emphasizing core principles and practical considerations for L/MICs. There is much to be learned from recent L/MIC reform experiences like those in Bangladesh, El Salvador, and Mongolia, about identifying effective reform strategies and the likely impact of megatrends on future demand for TVET. The report focuses on secondary and post-secondary non-tertiary formal TVET, defined as TVET obtained within the formal education system that leads to diplomas, degrees, or other formal certifications. This overview, summarizing the main messages from the report, has three parts. The first, the TVET Promise, looks at the potential of TVET systems to deliver access to equitable, quality, and relevant training and contribute to employment and productivity. The second, the TVET Challenge, articulates the main limitations in practice for L/MIC TVET systems. The third, the Way Forward to Better TVET, proposes three interrelated transformations (three E's) and six policy priorities to help TVET deliver on its promise in L/MICs
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  • 85
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: COVID-19 ; Economic Burden ; Health Care Workers ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Pandemics ; Sars-COV-2
    Abstract: Health care workers (HCWs) face disproportionate risk of exposure and becoming ill in any infectious disease outbreak. SARS-CoV-2 has proven to be no exception: From Wuhan to Manaus, London to Tehran, and Delhi to Johannesburg, HCWs working in clinics and hospitals have been at heightened risk of developing COVID-19 disease, especially at the beginning of the pandemic when little was known about the then-novel pathogen. This study thus aims to estimate the economic costs of SARS-CoV-2 infections in HCWs during the first year of the pandemic from the societal perspective in four low or middle- income countries. The authors propose a framework to translate SARS-CoV-2 infection amongst HCWs into economic costs along three pathways, provide the estimated burden of HCW infections, and offer recommendations to mitigate against future economic losses due to HCW infections. The economic burden due to SARS-CoV-2 infection among HCWs makes a compelling investment case for pandemic preparedness, particularly the protection of HCWs, and resilient health systems going forward
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  • 86
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Employment and Unemployment ; Informal Owners ; Informal Sector Enterprise ; Informal Workers ; Labor Law ; Laws and Regulations ; Mena ; Social Protections and Assistance ; Social Protections and Labor ; Urban Informality ; Women Owners ; Work and Working Conditions
    Abstract: In Iraq, like many countries around the world, the informal sector is a major contributor to employment and business activity. The Iraq Labor Force Survey (LFS) of 2021 estimated that more than half of the workers in the country do not contribute to social insurance, consequently informal. Recent surveys conducted by the Central Statistics Organization (CSO) and the Kurdistan Region Statistics Office (KRSO) in collaboration with the United Nations Development Program (UNDP) found that 80 percent and 60 percent of businesses, respectively, are not registered with any public entity, consequently informal. Recognizing the prevalence of this sector and its role in people's earning and consumption, this report extends the knowledge about Iraq's urban informality through a new survey. The Informal Sector Enterprise Survey (ISES) was led by the World Bank, with the objective of further illuminating the characteristics of urban informal businesses and their workers. It was conducted in four key cities: Baghdad, Basrah, Najaf and Sulaymaniyah. It is complemented by two other World Bank surveys fielded around the same time: the World Bank Enterprise Survey (WBES) and the Micro-enterprise survey of 2022, both of which focus on formal businesses. The next sections are organized as follows. Section II explains the data collection process and final sample. Section III highlights the key findings. Section IV proposes some key policy and program priorities to improve the lives of the people who work in the sector and the performance of the businesses. Section VII concludes with a few remarks on the potential for future research on Iraq's informality
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  • 87
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Consistency ; Equity ; Finance and Financial Sector Development ; Financial Regulation and Supervision ; Health Financing ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; Impartiality ; UHC ; Universal Health Coverage
    Abstract: The report offers decision support on fair processes for policy choices relating to health financing for universal health coverage (UHC). It opens by making the case for why fair processes matter for health financing. It argues that procedural fairness contributes to fairer outcomes, strengthens the legitimacy of decision processes, builds trust in authorities, and promotes the sustainability of reforms on the path to UHC. The report then describes key health financing decisions with an impact on equity in service coverage and financial protection, where issues of procedural fairness are particularly important. Next, it offers principles and criteria for designing and assessing the processes around these health financing decisions and provides suggestions for how to make them fairer. Finally, the report examines country experiences with diverse instruments that can be used to operationalize principles and criteria for fair processes in health financing decision-making
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  • 88
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Davies, Elwyn Training Microentrepreneurs over Zoom: Experimental Evidence from Mexico
    Keywords: Adult Remote Learning ; Business Training ; Digital Delivery ; Educational Sciences ; Microenterprises ; Private Sector Development ; Remote Skill Training Effectiveness ; Skills Development and Labor Force Training ; Social Protections and Labor
    Abstract: Standard in-person business training programs are costly and difficult to scale to the millions of microenterprises in the developing world. The authors conducted an experiment to test the feasibility, cost-savings, and impact of delivering live training sessions over Zoom to microentrepreneurs in Mexico and Guatemala. This paper demonstrates that it is now feasible to recruit and train self-employed women online, covering a wide geographic area, with few technology issues. However, the cost savings over in-person classes are less than expected. Training improved business practices and performance over two months, but the impacts had dissipated within six months
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  • 89
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Granata, Julia Identifying Skills Needs in Vietnam: The Survey of Detailed Skills
    Keywords: Digital Skills ; Employment ; Gender ; Gender and Education ; O*net ; Poverty Reduction ; Programme for the International Assessment of Adult Competencies (PIAAC) ; Remote Work ; Routine Skills ; Skills Development and Labor Force Training ; Skills Toward Employability and Productivity (STEP) ; Social Protections and Labor ; Socioemotional Skills
    Abstract: This paper describes a new survey designed to collect comprehensive and granular information about required skills and tasks for detailed occupations in Vietnam. The Survey of Detailed Skills asks workers in Vietnam about their skills and tasks for a set of 30 occupations that are in demand or of strategic importance for economic growth. In doing so, the survey generates practical, detailed information at the occupation level that policy makers and practitioners can use to inform their efforts to build skills in Vietnam. The Survey of Detailed Skills makes several contributions. Most existing efforts to profile occupational skills and tasks in developing countries draw on data from other countries, most frequently the Occupational Information Network (O*NET) in the United States. However, recent research has shown that translating these data across countries via occupational crosswalks yields inaccurate results. The Survey of Detailed Skills is among the first surveys to collect detailed O*NET-type information at the detailed occupational level in a developing country setting. The collection of information about detailed skills means that these skills can be flexibly grouped into different categories (for example, socioemotional skills, digital skills, routine skills, and interpersonal skills) as needed. The use of a consistent scale anchored to the time spent using or performing a skill or task creates clarity for respondents while also yielding a measure of skill and task importance that is easily interpreted. The Survey of Detailed Skills requires outlays on administering the survey, and inclusion of all occupations in Vietnam with regular updating would require ongoing investment
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  • 90
    Language: English
    Pages: 1 Online-Ressource (18 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Influence of COVID-19 on Female Sex Workers in Dar Es Salaam, Tanzania: A Mixed-Methods Analysis
    Keywords: COVID-19 Impact on Sex Workers ; Extreme Financial Vulnerability ; Female Sex Worker Welfare ; Food Insecurity ; Gender ; Gender and Poverty ; Gender and Social Policy ; Health, Nutrition and Population ; Labor Law ; Social Protections and Labor ; Urban Homelessness
    Abstract: This study investigates how the landscape of sex work in Dar es Salaam, Tanzania, evolved in the context of the COVID-19 epidemic. Using a mixed-methods approach, the analysis triangulates data from quantitative and qualitative sources to quantify shifts in income, demand, and client frequency and describe female sex workers' perspectives on their work environment. The COVID-19 restrictions introduced in early 2020 resulted in dramatic decreases in sex work income, leading to extreme financial vulnerability, food insecurity, and challenges in meeting other basic needs such as paying rent. However, in a 2021 follow-up survey, sex workers reported the summer of 2021 as a key turning point, with the demand for sex work rebounding to closer to pre-pandemic levels. Notably, despite the average number of unique weekly clients not yet having fully rebounded, by 2021 the price per client and the total monthly sex work income had returned to pre-pandemic levels. This may potentially be explained by an increased number of repeat clients, which represented a larger proportion of all clients during the COVID-19 pandemic
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  • 91
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Nikiema, Pouirketa Rita Women's Empowerment and Child Nutritional Outcomes in Rural Burkina Faso
    Keywords: Agriculture and Women ; Child Nutrition ; Early Child and Children's Health ; Gender and Health ; Gender and Rural Development ; Health, Nutrition and Population ; Maternal Empowerment ; Nutrition ; Women's Empowerment Index
    Abstract: Across developing countries, women play an important role both as producers of major food crops and in improving household nutrition. This research paper aims to assess the effect of improving women's empowerment on the nutritional status of children in rural Burkina Faso. Based on data from the 2014 Multisectoral Continuous Survey, the paper uses variables such as income control, access to land, autonomy in production decisions, access to credit, and social group membership to compute a composite index of women's empowerment. Accounting for potential endogeneity of empowerment, the study adopts a dual-estimation approach that, first, uses average empowerment by stratum and, second, applies an instrumental variable. The results show a low baseline level of women's empowerment in rural areas, but an improvement in empowerment has a relatively high and positive correlation with children's nutritional outcomes. The study suggests that improving women's empowerment components will translate into significant gains in children's nutritional outcomes in rural households
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  • 92
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2190
    Keywords: Education and Work ; Gender ; Gender and Development ; Gender and Education ; Gender Based Violence ; Gender Equality ; Gender Norms ; Human Rights ; Informal Trading ; Labor Markets ; Labor Standards ; Law and Development ; Poverty ; Social Protections and Labor ; Teenage Pregnancies ; Women and Girls
    Abstract: Gender equality is a key foundation of inclusive and sustainable economic development that can translate into long-term and effective poverty reduction. While gender equality matters on its own as a human right, it also offers instrumental value for individuals, households, and societies at large. Global evidence consistently shows that empowering women and girls reduces poverty incidence and food insecurity, boosts economic growth and productivity, and enhances investments in children's human capital. Angola, a country where a third of the population lives in poverty and economic output is heavily dependent on its oil sector, stands out in Sub-Saharan Africa for its particularly large gender disparities, especially when compared to countries of same income levels. Family formation, education, and labor market decisions are intrinsically interwoven and connected, which in the case of Angola leads to extreme demographic pressure on an already weak public service system. To begin tackling these significant gender disparities, well-designed and targeted policies are needed. But there are significant knowledge gaps when it comes to understanding the key barriers facing Angolan girls and young women in accessing education and transitioning to the labor market. This report presents insights gained from the voices of young women and girls, their parents, and key informants through a series of interviews carried out in Luanda, home to a quarter of the country's population, in 2022. Based on these in-depth interviews with low-income young women in Luanda, this report points to the multiple challenges they face across their life cycle - challenges relating to the dimensions of education, family formation, and work. It also shows how those dimensions in a woman's life are deeply interconnected - and how they are determined by structural constraints including poverty and vulnerability, gender norms, corruption and lack of transparency in access to services and opportunities, and violence in public and private spheres
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  • 93
    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
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  • 94
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Palestinian Pension Agency ; Pension System ; Pensions and Retirement Systems ; PER ; SIAD ; Social Funds and Pensions ; Social Insurance Administrative Diagnostic ; Social Protections and Labor
    Abstract: This work builds on the Public Expenditure Review (PER) analysis of the pension system conducted in 2016 but also brings important innovations. It updates the financial analysis conducted then and offers new policy recommendations, with the key objective of improving the affordability of the pension system, subject to benefit adequacy. The principal difference of this work is in the adopted approach, which looks at the pension system holistically and offers advice from the angle of rationalizing the overall public expenditure policy in pensions, rather than working with each pension scheme individually. In doing so, it takes a forward-looking approach and minimizes the dependency path of the convoluted legacy system. The work also incorporates a component that looks at the Palestinian Pension Agency's (PPA) administrative systems using a new Bank tool - Social Insurance Administrative Diagnostic (SIAD). The findings reveal a system with unfinished reforms and call for a comprehensive restructuring of the pension financing arrangements, along with a change of the construct of the system. This work is largely diagnostic in nature, offering high level policy recommendations and suggesting a comprehensive follow up analysis. While presenting a status quo analysis and illustrating effects of several parametric adjustments, the main set of recommendations is centered around the structural adjustments and financial restructuring in the public sector pension scheme, which would require a round of follow up work, elaborating and modeling various reform cases, including careful fine-tuning of the transitional provisions
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  • 95
    Language: English
    Pages: 1 Online-Ressource (41 pages)
    Parallel Title: Erscheint auch als Bedoya, Juan Rule-Based Civil Service: Evidence from a Nationwide Teacher Reform in Mexico
    Keywords: Administrative and Civil Service Reform ; Civil Service Employment ; Civil Service Reform ; Education ; Education Reform and Management ; Effective Schools and Teachers ; Rule-Based Teacher Hiring ; Social Protections and Labor ; Teacher Hiring Methods ; Teacher Quality
    Abstract: This paper studies the effect of a civil service reform on the skills profile of new teachers in Mexico. The reform mandated the use of rule-based recruitment over discretionary hiring. The results show that the reform led to hiring teachers with higher cognitive skills. The paper also shows that an improvement in the bottom of the skills distribution of new hires drove this change. Two channels explain these effects. First, the reform decreased the prevalence of discretionary hires, who tended to be drawn from the bottom of the skills distribution. Second, the reform improved the screening efficiency of rule-based hiring, making cognitive skills more important determinants of hiring outcomes
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  • 96
    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
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  • 97
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Lain, Jonathan Seasonal Deprivation in the Sahel is Large, Widespread, and can be Anticipated
    Keywords: Agriculture ; Economic Insecurity ; Food and Nutrition Policy ; Food Insecurity ; Food Security ; Health, Nutrition and Population ; Livestock and Animal Husbandry ; Macroeconomics and Economic Growth ; Poverty ; Rainfed Agriculture ; Seasonal Poverty VARIATION ; Seasonality ; Welfare
    Abstract: Shocks and seasonality may have profound effects on poor households' wellbeing, especially in contexts like the Sahel where livelihoods depend on rainfed agriculture and pastoralism. Understanding how seasonal variation affects Sahelian households is therefore essential for guiding policies that jointly seek to address chronic poverty, seasonality, and unexpected shocks. This paper uses harmonized household survey data from Burkina Faso, Chad, Mali, Niger, and Senegal, collected in two distinct waves in 2018 and 2019, to examine the extent of seasonal deprivation in the Sahel. These data reveal significant seasonal variation in poverty and wellbeing. Mean real monetary consumption is around 10.5 percent lower in the lean season. Moreover, rather than representing a reduction in dietary diversity, this drop is concentrated in staple foods (especially cereals), implying that seasonality brings about extreme forms of deprivation. Welfare losses may begin early in the lean season, even as early as April. When the data were collected in 2018/19, the climatic conditions were relatively benign and the security situation was more stable than today, so the effects of seasonality shown in this paper likely represent a lower bound. On policy, although initiatives currently focus on responding to unpredictable shocks, seasonal food insecurity could be better tackled by expanding social protection and providing regular transfers early in the lean season, when prices are lower and fewer households have succumbed to extreme deprivation. Seasonal variation happens every year and more can be done to support Sahelian households if there is information on how it will perennially threaten their wellbeing
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  • 98
    Language: English
    Pages: 1 Online-Ressource (33 pages)
    Parallel Title: Erscheint auch als Rodriguez, Laura Fiscal Policy and Equity: Vietnam 2018 Fiscal Incidence Analysis
    Keywords: Equity and Development ; Fiscal Incidende ; Inequality ; Poverty ; Poverty Reduction ; Social Protections and Assistance ; Social Protections and Labor ; Social Spending ; Taxation ; Transfers
    Abstract: This paper examines the distributive and poverty reducing effects of Vietnam's fiscal system in 2018. The paper looks at the incidence across the distribution and the effect of (direct and indirect) taxes, subsidies, and social spending (in cash and in-kind) on inequality and poverty in Vietnam using the Commitment to Equity methodology. The overall pattern of taxes and transfers in Vietnam is moderately progressive, but most households pay more in taxes and co-payments than what they receive in cash benefits, and the fiscal system results in a small increase in poverty. The progressivity of the fiscal system and its inequality-reduction impact mostly comes from in-kind health and education spending. This reduction in inequality is about average for lower-middle-income countries, but Vietnam could do more to increase the progressivity of its fiscal system
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  • 99
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Adaptive Social Protection ; Crisis Response ; Resilience To Shocks ; Social Protections and Assistance ; Social Protections and Labor ; Universal Social Protection
    Abstract: Interconnected and often devastating covariate shocks are a threat to human development. Covariate shocks are shocks that affect large numbers of people or communities at once and can be natural, economic, or political. Occurrence and the human devastation from natural disasters has increased over the last 50 years, and the negative impacts of climate change are expected to exacerbate this trend. Poor households are particularly vulnerable to covariate shocks because they lack adequate capacity to prepare for, cope with, and adapt to shocks. Covariate shocks can also impoverish vulnerable households when their capacity to prepare, cope, and adapt is overwhelmed. Covariate shocks vary in magnitude, speed of onset, predictability, and duration, and thus these aspects should be considered when designing the most appropriate social protection response. Moreover, the needs and challenges that vulnerable and directly affected populations face will have implications for social protection systems. Adaptive social protection (ASP) builds resilience by helping poor and vulnerable households prepare for, cope with, and adapt to covariate shocks. The purpose of this evaluation is twofold: (i) assess whether the World Bank support for social protection has incorporated adaptive elements over time, and (ii) assess how effective the World Bank has been at helping client countries make their social protection systems more adaptive
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  • 100
    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
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