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  • Washington, D.C : The World Bank  (1,072)
  • Washington, DC : World Bank, Development Research Group, Finance  (1)
  • Social Protections and Labor  (580)
  • Health, Nutrition and Population  (575)
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  • 1
    Online Resource
    Online Resource
    Stress Testing Adaptive Social Protection Systems in the Sahel (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40814
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    MPI Ethno. Forsch.
  • 2
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    Job Finding and Separation among Syrian refugees in Jordan and Their Hosts during the COVID-19 Pandemic (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10670
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    MPI Ethno. Forsch.
  • 3
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    Could Digital Inclusion Close the Gender Economic Gap in the MENA Region? (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10663
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    MPI Ethno. Forsch.
  • 4
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    Maldives Human Capital Review : Unleashing People's Full Potential (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: Access and Equity in Basic Education ; Access To Education ; Agriculture ; Climate Change Impact ; Covid-19 Impact ; Education ; Food Security ; Health Service Management and Delivery ; Health, Nutrition and Population ; Human Capital Accumulation and Utilization ; Inclusive Development ; Long-Term Economic Growth ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This report is undertaken as a part of the Human Capital Project (HCP), a globalinitiative of the World Bank Group that aims to increase governments' awarenessof the importance of investing in people (World Bank date of publication not identifiedb). One of the maincomponents of the HCP is a cross-country metric--the Human Capital Index (HCI). The HCI estimates the amount of human capital a child born today can expect to accumulate by the age of 18, thus highlighting how current health and education outcomes shape the work productivity of the next generation. Moreover, given the cumulative nature of human capital, the HCI has clear milestones across the entire human life cycle: at birth, children need to survive; during childhood, they need to be well-nourished; at school age, they must complete all schooling and active adequate learning levels; and in adulthood, they need to stay in good health. Finally, the HCI includes a result: a score that ranges from 0 to 1. A country where an average child has virtually no risk of being stunted or dying before age five, receives high-quality education, and becomes a healthy adult, would have an HCI close to 1. Conversely, when the risk of being ill-nourished or prematurely dying is high, access to education is limited, and the quality of learning is low, the HCI would approach zero
    DOI: 10.1596/40944
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  • 5
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    Advancing Social Protection in the Western Balkans : Opportunities for Reform (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40828
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  • 6
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    The Welfare Cost of Drought in Sub-Saharan Africa (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Gascoigne, Jon The Welfare Cost of Drought in Sub-Saharan Africa
    Keywords: Climate Change ; Climate Change and Health ; Draught ; Health, Nutrition and Population ; Household Consumption ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper quantifies the impact of drought on household consumption for five main agroecological zones in Africa, developing vulnerability (or damage) functions of the relationship between rainfall deficits and poverty. Damage functions are a key element in models that quantify the risk of extreme weather and the impacts of climate change. Although these functions are commonly estimated for storm or flood damages to buildings, they are less often available for income losses from droughts. The paper takes a regional approach to the analysis, developing standardized hazard definitions and methods for matching hazard and household data, allowing survey data from close to 100,000 households to be used in the analysis. The damage functions are used to quantify the impact of historical weather conditions on poverty for eight countries, highlighting the risk to poverty outcomes that weather variability causes. National poverty rates are 1-12 percent higher, depending on the country, under the worst weather conditions relative to the best conditions observed in the past 13 years. This amounts to an increase in the total poverty gap that ranges from USD 4 million to USD 2.4 billion (2011 purchasing power parity)
    DOI: 10.1596/1813-9450-10683
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  • 7
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    The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Cho, Yoonyoung The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times
    Keywords: Cash Transfers ; Depression and Pandemic ; Health, Nutrition and Population ; Mental Health ; Mental Health Crisis ; Poverty Reduction ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: When it comes to mental health, do social protection programs matter more in times of crisis Using panel data from the Philippines around the onset of the COVID-19 pandemic, this study compares depression rates among beneficiaries of an existing conditional cash transfer program to those of non-beneficiaries of similar socioeconomic status. Depression rates were almost identical for the two groups in late 2019, but significantly lower for conditional cash transfer beneficiaries by July 2020, after the initiation of strict quarantine measures and a large emergency cash transfer program. One interpretation of the increased importance of the conditional cash transfer program during the pandemic is that these transfers have larger protective effects in times of vulnerability. Another possible reason is that the existing infrastructure of the program, by allowing for more timely distribution of the emergency cash, enhanced the effectiveness of the government's pandemic response for conditional cash transfer beneficiaries. This paper finds evidence supporting both explanations
    DOI: 10.1596/1813-9450-10669
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  • 8
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    For Labor or for Divorce? : Unilateral Divorce Laws and Women's Labor Outcomes (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10661
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  • 9
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    Reshaping Ukraine's Health Service Delivery : Vision and Investment Needs (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Sector ; Health, Nutrition and Population ; International Financing ; Investments ; Ukraine
    Abstract: The full-scale invasion of the Russian Federation in Ukraine has immense local impact and global consequences. Ukraine is experiencing huge human and economic suffering, which will have long-lasting effects. This war has been particularly devastating for the Ukrainian health sector, tremendously increasing the urgent need for specific services and simultaneously obstructing health outcomes and access to health care due to hostilities, disruption of service delivery, and damage and destruction of health facilities. Moreover, the recovery of Ukraine is shrouded in uncertainty as the duration of the ongoing war and the frequency and localization of the attacks are unknown, all occurring against the backdrop of economic challenges within the country and at a global scale. Despite an expected international effort to finance the recovery of Ukraine akin to the Marshall Plan, financial resources may not be easily available or may become more scarce and more expensive. Investments will receive more scrutiny, and competition for funds will increase due to monetary tightening, rising interest rates, and possibly sustained high inflation (International Monetary Fund 2022). However, in the short to medium term, Ukraine is expected to have favorable access to international financing on concessional terms. While Ukraine is struggling with the gruesome immediate impact of the war and a fight for survival, the shared understanding emerges that going back to business as usual will neither be possible nor desirable. This moment may also serve as a window of opportunity for rapid reform and innovation of health service delivery in Ukraine. Improving and reconstructing services while restoring and stabilizing them is critical to aiding a suffering population and to laying strong foundations of governance that will have lasting impacts into the country's future. This document provides a proposal for stakeholdersin the Ukrainian health sector on how service delivery may need to change, how to deal with this change, and how the health sector may come out stronger in the longer term. It focuses on the organization of health care service delivery and shares considerations of how it may develop using a long-term (10+ years) perspective
    DOI: 10.1596/40874
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  • 10
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    The Primary Health Care System of the Republic of the Marshall Islands : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Access and Coverage ; Equity ; Financing ; Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; PHCPI Framework ; PHP ; Quality
    Abstract: This report presents the findings of the primary health care (PHC) system in the Republic of the Marshall Islands (RMI), an assessment that the World Bank conducted in consultation with the Ministry of Health and Human Services (MHHS) of the government of RMI. The assessment provides an opportunity to understand the performance of RMI's PHC system, highlighting important areas of strengths and opportunities to address ongoing challenges. The assessment uses the Primary Health Care Performance Initiative (PHCPI) framework, which organizes various domains and subdomains of primary care using a logic model approach that encompasses the traditional inputs and outputs of a system, emphasizing service delivery and performance
    DOI: 10.1596/40846
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  • 11
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    Extremely Severe Cyclonic Storm Mocha, May 2023, Myanmar : Global Rapid Post-Disaster Damage Estimation (GRADE) Report (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40921
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  • 12
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    Investing in Human Capital in South Africa : A Framework for a Coordinated Multi-Sectoral Approach (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40941
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  • 13
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    Mauritania Human Capital Review : Building, Utilizing, and Protecting Human Capital for Inclusive and Resilient Economic Development (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40929
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  • 14
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    The Primary Health Care System in Fiji : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Governance ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; PHC ; Primary Health Care Performance ; Vital Signs Profile
    Abstract: This report presents the findings of the Vital Signs Profile (VSP) assessment conducted by the World Bank and the Primary Health Care Performance Initiative (PHCPI) in collaboration with Fiji's Ministry of Health and Medical Services (MHMS). The VSP provides an opportunity to assess the state of the primary health care (PHC) system in Fiji, highlighting areas of strength and challenges through the lens of the PHCPI framework. The framework organizes various domains and subdomains of primary health care using a logic model approach that encompasses the traditional inputs and outputs of PHC systems and emphasizes the capacity and processes of PHC service delivery and performance. Notably, while PHCPI recognizes the role of social determinants of health and intersectoral health promotion and prevention efforts as important factors influencing population health, the VSP is primarily focused on aspects of health service delivery. Fiji is one of four Pacific countries - alongside Kiribati, the Republic of the Marshall Islands, and Solomon Islands that have, with support of the World Bank, used PHCPI tools to take stock of current performance, safeguard what works well, and lay out a vision for areas requiring improvement
    DOI: 10.1596/40943
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  • 15
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    The Primary Health Care System of the Republic of Kiribati : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Insurance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; KIRIBATI ; PHP ; PHPCPI ; Vital Signs Profile
    Abstract: The assessment of Kiribati's primary health care (PHC) system, carried out by the World Bank in collaboration with the Government of Kiribati under the Primary Health Care Performance Initiative (PHCPI), marks a unique opportunity to identify the system's strengths and gaps and to catalyze further improvements. The PHCPI tools, including the Vital Signs Profile (VSP) methodology, provide important insights into the country's PHC system and generate actionable policy recommendations for improvement
    DOI: 10.1596/40847
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  • 16
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    World Bank Support to Jobs and Labor Market Reform through International Development Association Financing : A First-Stage Evaluation (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40885
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  • 17
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    Voices of the Vulnerable : Promoting Access to Justice in Sub-Saharan Africa (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40879
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  • 18
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    Bridging the Gap : Inequality and Jobs in Thailand (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40878
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  • 19
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    Rural Labor and Long Recall Loss (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10680
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  • 20
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    Exit Patterns from Brazil's Bolsa Familia and the Role of the Local Labor Market (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10676
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  • 21
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    Estimating Economic Costs of Unhealthy Diets : A Proposed Methodology (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Horton, Susan Estimating Economic Costs of Unhealthy Diets: A Proposed Methodology
    Keywords: Agrifood Policy ; Cancer ; Diet Quality ; Food Choices ; Health Economics and Finance ; Health, Nutrition and Population ; Healthcare Costs ; Non-Communicable Disease ; Nutrition ; Obesity ; Undernutrition
    Abstract: Healthy diets have been characterized as responding to four universal principles--nutrient adequacy, dietary diversity, macronutrient balance, and moderation. With rising incomes, diet concerns globally have shifted from inadequacy of nutrients and lack of diversity, to lack of balance and moderation. This has occurred alongside declining rates of stunting and wasting in children under five and increasing rates of overweight and obesity across a broad age span. Calculations undertaken for low- and middle-income countries for policy and advocacy purposes of the economic cost of unhealthy diets have used nutritional status as a proxy or have made estimates of the impact of noncommunicable diseases by simply adding up known risks of individual diet factors. Both these methods have problems. This paper proposes a new methodology, taking advantage of recent, more holistic, measures of diet quality. Preliminary regression results are presented using cross-country data and the Global Dietary Recommendations Score and Minimum Dietary Diversity for women. The results suggest that diet quality variables generally have the expected signs, but there are also clear limitations of using cross-country data. The methodology could be applied in future to a limited number of broadly representative low- and middle-income countries data sets containing both diet recall data as well as measures of noncommunicable disease risk status. The analysis suggests that this work could inform policies such as the repurposing of existing agrifood policies to complement existing public health policies, to reduce the economic and health burdens imposed by unhealthy diets
    DOI: 10.1596/1813-9450-10671
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  • 22
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    Comprehensive Assessment of the Childcare Landscape in Lebanon : A Mixed Methods Study (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40845
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  • 23
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    The Sovereign Spread Compressing Effect of Fiscal Rules during Global Crises (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Islamaj, Ergys The Sovereign Spread Compressing Effect of Fiscal Rules during Global Crises
    Keywords: Communicable Diseases ; Covid-19 Crisis ; Finance and Financial Sector Development ; Fiscal Rules ; Health, Nutrition and Population ; International Economics and Trade ; International Financial Markets ; International Trade and Trade Rules ; Sovereign Spreads
    Abstract: Do fiscal rules help suppress sovereign spreads during periods of global financial stress Yes! This paper examines whether fiscal rules contribute to mitigating sovereign spreads in emerging markets and developing economies during periods of heightened financial and economic volatility worldwide. It finds that the presence of fiscal rules is statistically significantly associated with lower sovereign spreads during the COVID-19 crisis -- about 350 basis points lower on average. Interestingly, this correlation persists even when nations deviate from these rules, indicating an expectation of post-crisis compliance. The study shows that deviations from fiscal rules are typically short-lived, with fiscal balance rules reinstated within 3.5 years. Robustness checks, including controls for institutional quality, fiscal rule strength, and global and regional factors confirm these results. Overall, the findings suggest that fiscal rules can help emerging markets and developing economies signal fiscal responsibility during episodes of global financial stress, reducing borrowing costs relative to countries without fiscal rules
    DOI: 10.1596/1813-9450-10741
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  • 24
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    Lives, Livelihoods, and Learning : A Global Perspective on the Well-Being Impacts of the COVID-19 Pandemic (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit Lives, Livelihoods, and Learning: A Global Perspective on the Well-Being Impacts of the COVID-19 Pandemic
    Keywords: Communicable Diseases ; Covid ; Education ; Health and Poverty ; Health, Nutrition and Population ; Learning ; Mortality ; Poverty ; School Health ; Welfare
    Abstract: This study compares the magnitude of national level losses that the COVID-19 pandemic inflicted across three critical dimensions: loss of life, loss of income, and loss of learning. The well-being consequences of excess mortality are expressed in years of life lost, while those of income losses and school closures are expressed in additional years spent in poverty (as measured by national poverty lines), either currently or in the future. While 2020-21 witnessed a global drop in life expectancy and the largest one-year increase in global poverty in many decades, widespread school closures may cause almost twice as large an increase in future poverty. The estimates of well-being loss for the average global citizen include a loss of almost three weeks of life (19 days), an additional two and half weeks spent in poverty in 2020 and 2021 (17 days), and the possibility of an additional month of life in poverty in the future due to school closures (31 days). Well-being losses are not equitably distributed across countries. The typical high-income country suffered more total years of life lost than additional years in poverty, while the opposite holds for the typical low- or middle-income country. Aggregating total losses requires the valuation of a year of life lost vis-a-vis an additional year spent in poverty. If a year of life lost is valued at five or fewer additional years spent in poverty, low-income countries suffered greater total well-being loss than high-income countries. For a wide range of valuations, the greatest well-being losses fell on upper-middle-income countries and countries in the Latin America region. This set of countries suffered the largest mortality costs as well as large losses in learning and sharp increases in poverty
    DOI: 10.1596/1813-9450-10728
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  • 25
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    Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (67 pages)
    Parallel Title: Erscheint auch als Boulhane, Othmane Empowering Adolescent Girls through Safe Spaces and Accompanying Measures in Cote D'Ivoire
    Keywords: Adolescent Girls ; Clubs ; Family Planning Research ; Gender ; Gender and Development ; Gender and Education ; Gender and Health ; Health, Nutrition and Population ; Husbands ; Income-Generating Activities ; Law and Development ; Randomized Experiment ; Safe Spaces
    Abstract: This study uses a cluster-randomized controlled trial to investigate the effects of a large-scale women and girls empowerment program on sexual and reproductive health and empowerment outcomes in Cote d'Ivoire. The study assesses and compares the impact of diverse strategies aimed at equipping girls with life skills and sexual and reproductive health knowledge, provided through well-established safe spaces, in isolation or in combination with livelihood support interventions, or with initiatives designed to engage boys and men and community and religious leaders. The findings show that one year after the end of the interventions, safe spaces alone have a moderate impact on girls' empowerment, while safe spaces combined with husbands' and future husbands' clubs are the most impactful. Combining safe spaces with livelihood support interventions leads to improvements in adolescent girls' employment outcomes, as expected. Finally, the findings show that engaging leaders in the context of safe spaces interventions yields mixed results on girls' empowerment
    DOI: 10.1596/1813-9450-10721
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  • 26
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    ESG Integration at the Government Pension Fund of Thailand (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41329
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  • 27
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    Colombia Climate and Health Vulnerability Assessment, 2024 (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: CHVA ; Climate and Health ; Climate Change Adaptation ; Climate Change and Health ; Climate Change Impacts ; Environment ; Health Risks ; Health, Nutrition and Population ; Vulnerability
    Abstract: The objective of this Climate and Health Vulnerability Assessment (CHVA) is to assist decision-makers in Colombia with planning effective adaptation measures to deal with climate-related health risks. This assessment includes sub-national considerations for health-related climate action (see Annex A for the methodology). Sub-national considerations are given for Colombia's 32 departments (see Figure 1). It also incorporates data from a Climate and Health Economic Valuation conducted by the World Bank to estimate of the potential economic costs of health impacts arising from projected changes in temperature and precipitation (see Annex B for the methodology). The findings from this CHVA are organized under four sections. Section I characterizes the climatology in Colombia, highlighting observed and projected climate exposures relevant to health. Section II describes key climate-related risks to health, including nutrition and food security, vector-borne diseases (VDBs), water-borne diseases, increasing temperatures, air quality, and zoonotic diseases. Section III analyzes the adaptive capacity and readiness of Colombia's health system to prevent and manage climate-related health risks. Recommendations are discussed in Section IV
    DOI: 10.1596/41249
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  • 28
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    Sierra Leone Human Capital Review : Maximizing Human Potential for Resilience and Inclusive Development (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Demographics ; Early Childhood Development ; Education ; Fetal and Maternal Health ; Food and Nutrition Policy ; Gender ; Gender and Poverty ; Government Financing ; Health, Nutrition and Population ; Human Capital ; Mortality ; Nutrition Services ; Pregnancy ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: This Human Capital Review (HCR) report presents an in-depth analysis of human capital indicators throughout a person's lifetime, from in utero to productive aging. By examining the various stages of human capital accumulation, the report aims to provide accurate recommendations for specific groups in Sierra Leone. Thus, the report disaggregates data whenever possible. It relies on an extensive consultative process involving various stakeholders such as Government counterparts, development partners, teachers, adolescent girls, students, private sector representatives, and local representatives. The consultation process followed a Problem-Driven Iterative Adaptation (PDIA) approach, which facilitates the identification and resolution of problems by local leadership. In addition, this report aims to inform the design and implementation of human capital reforms that will respond to specific challenges identified in the report
    DOI: 10.1596/41188
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  • 29
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    Urban Informality in Sub-Saharan Africa : Profiling Workers and Firms in an Urban Context (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10703
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  • 30
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    Gender Role Attitudes, Perceived Norms, and the "Double Burden" in Morocco (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10694
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  • 31
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    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 (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10691
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  • 32
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    Closing the Gap : Effect of a Gender Quota on Women's Access to Education in Afghanistan (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10674
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  • 33
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    The Global State of Financial Inclusion and Consumer Protection (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41250
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    Survey Report : Service Delivery Indicators Health Survey for Moldova (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Financial Protection ; Health Service Management and Delivery ; Health Services ; Health, Nutrition and Population ; SDI ; Service Quality ; Systems and Tools ; Workforce
    Abstract: The Service Delivery Indicators (SDI) health survey in Moldova serves as a vital tool for assessing and benchmarking the performance of health service delivery. Its primary aim is to evaluate the quality of basic health services. This comprehensive evaluation enables both governments and service providers to pinpoint deficiencies and bottlenecks in health service delivery, monitor progress over time, and make cross-country comparisons. The widespread availability of and public awareness about SDI indicators foster engagement among policy makers, citizens, service providers, donors, and stakeholders, in turn driving efforts to enhance service quality and ultimately development outcomes
    DOI: 10.1596/41145
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  • 35
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    Reimagining Higher Education in Cambodia : Modernizing Governance for Improved Access and Relevance (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41246
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  • 36
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    People and Plastics : The Profile, Vulnerabilities, and Role of Informal Waste Workers in Addressing Marine Plastics Pollution (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41193
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    Central America Human Capital Review : Promoting More and Better Investments in Human Capital (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41181
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    Tackling Gender Discriminatory Inheritance Law Privately : Lessons from a Survey Experiment in Tunisia (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10693
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  • 39
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    The Role of Firm Dynamics in Aggregate Productivity, Job Flows, and Wage Inequality in Ecuador (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10739
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  • 40
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    Environmental Hazards, Climate, and Health in Cambodia : The Shield of Sanitation (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Aguilar Gomez, Sandra Environmental Hazards, Climate, and Health in Cambodia: The Shield of Sanitation
    Keywords: Disease Control and Prevention ; Environmental Degradation ; Environmental Hazards ; Health and The Environment ; Health Policy and Management ; Health, Nutrition and Population ; Hygiene ; Pollution ; Public Health ; Sanitation
    Abstract: Environmental degradation is the largest public health challenge of the century and is likely to be exacerbated by climate change. This study undertakes a comprehensive examination of the health implications of environmental hazards in Cambodia, simultaneously addressing extreme temperatures, precipitation patterns, and air pollution. It leverages data from the Demographic and Health Surveys and satellite-derived metrics on temperature, precipitation, and fine particulate matter. The analysis identifies a positive association between temperature and the occurrence of diarrhea and cough among children and a nonlinear relationship between precipitation and these health outcomes. Furthermore, the study demonstrates that pollution significantly impacts cough incidence. To anticipate future trends, climate simulations are employed to forecast the incidence of child diarrhea in Cambodia under different climate and development scenarios. The projections indicate that diarrhea incidence could increase to 19 percent by 2040 without significant adaptation measures that would lessen the adverse impact of weather. For instance, the acceleration in toilet ownership over the last decade reduced diarrhea incidence by at least 1.2 to 1.4 percentage points. Nevertheless, the path ahead requires proactive efforts to improve sanitation and hygiene. The forecasts suggest that, without additional strategies to counter climate change's adverse effects, only universal toilet ownership would contain the climate-driven increase in diarrhea incidence expected by 2040
    DOI: 10.1596/1813-9450-10715
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  • 41
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    Beyond the Usual : Understanding the Multidimensional Nature of Job Quality in Bolivia's Labor Market (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10702
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  • 42
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    Nepal Crisis Preparedness Gap Analysis : Technical Annex (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41192
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  • 43
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    Adaptive Social Protection, Human Capital, and Climate Change : Identifying Policy Priorities for Indonesia (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41180
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  • 44
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    The Evolution of Benazir Income Support Programme's Delivery Systems : Leveraging Digital Technology for Adaptive Social Protection in Pakistan (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41154
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  • 45
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    Tanzania Economic Update, Issue 20 : Overcoming Demographic Challenges while Embracing Opportunities (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Demographics ; Family Planning Research ; Female Education ; Gender ; Gender and Education ; Health, Nutrition and Population ; High Fertility Rates ; High Population Growth ; Human Capital ; Mortality ; Population Policies ; Women's Agency
    Abstract: Tanzania has managed to sustain its growth momentum despite the intensifying effects of climate change. While Tanzania's economy continues to expand, recent growth has been concentrated in sectors that employ few workers from poor households, limiting its impact on poverty. The Bank of Tanzania (BoT) has implemented an effective monetary policy designed to curb inflation and alleviate mounting short-term demand pressure on foreign exchange. While Tanzania's recovery continues to accelerate, several serious threats cloud its economic outlook. Key risks include the slow or incomplete implementation of structural reforms, the damaging effects of climate change on the agriculture and tourism sectors, and the possibility of a global recession caused by fiscal and monetary policy tightening in advanced economies and major EMDEs. To mitigate these risks, policymakers must accelerate structural reforms as part of a sustained effort to attract greater private investment and spur resilient and inclusive private-sector-led growth. Over the longer term, one of the country's key challenges will be to complete its structural economic transformation, which will require creating a more favorable business climate to support the growth of the industrial and services sectors while boosting agricultural productivity. Another key long-term growth challenge will be achieving more balanced and inclusive growth
    DOI: 10.1596/41195
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    Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (22 pages)
    Parallel Title: Erscheint auch als Donfouet, Hermann Pythagore Pierre Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire
    Keywords: Communicable Diseases ; Covid-19 Pandemic ; Demographics ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Value of Statistical Life
    Abstract: Cote d'Ivoire, the largest economy in the West African Economic and Monetary Union, was hit by COVID-19, which claimed many lives. This paper estimates COVID-19 mortality costs over time using the value of a statistical life. Using a more conservative estimate of the value of a statistical life income elasticity ranging from 1 to 1.4, the overall COVID-19 mortality costs in Cote d'Ivoire since the pandemic range from USD 100.4 million to USD 284.3 million. Considering age-related adjustments, a 3 percent discount rate, and a value of a statistical life income elasticity of 1 to 1.4, the COVID-19 costs range from USD 5.4 million to USD 15.3 million. Similarly, the COVID-19 mortality costs range from USD 6.8 million to USD 19.3 million with a 5 percent discount rate and a value of a statistical life income elasticity of 1 to 1.4. More significantly, the findings suggest that COVID-19 mortality costs started to decline in 2021. To enhance prevention, preparedness, and response to future pandemics, policy makers could consider allocating pandemic funding within national budgets. Exploring potential partnerships with philanthropic organizations and international entities could further enhance domestic resource matching efforts
    DOI: 10.1596/1813-9450-10731
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  • 47
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    More, Better, and Inclusive Jobs in Kazakhstan : Social Protection and Jobs Europe and Central Asia - Analytical Report (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/41222
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    Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Hutton, Guy Costs of Health Care Associated Infections from Inadequate Water and Sanitation in Health Care Facilities in Eastern and Southern Africa
    Keywords: Disease Control and Prevention ; Health Policy and Management ; Health, Nutrition and Population ; Healthcare Associated Infections ; Healthcare Facilities ; Healthcare Waste Management ; Hygiene
    Abstract: In Sub-Saharan Africa, health care facilities face critical challenges in water supply, sanitation, and hygiene services; health care waste management; and environmental cleanliness. With coverage below 50 percent, these deficiencies pose significant health risks to patients and health care workers, contributing to health care-associated infections. Meta-analyses and individual studies estimate rates of health care-associated infections in Sub-Saharan Africa at between 13 and 30 percent of hospital admissions, impacting patients, families, and health care providers. Rising antimicrobial resistance further exacerbates health outcomes and costs. In Eastern and Southern Africa, an estimated 3.1 million health care-associated infections in 2022 incurred over 320,000 excess deaths, costing at least US
    DOI: 10.1596/1813-9450-10708
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  • 49
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    Does Africa Need More Roads in the Digital Age? : Evidence of Complementarities in Infrastructure (2024)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10730
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  • 50
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    Who did Covid-19 Hurt the Most in Sub-Saharan Africa? (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Seuyong, Feraud Tchuisseu Who did Covid-19 Hurt the Most in Sub-Saharan Africa?
    Keywords: Covid-19 ; Distributional Impacts ; Finance and Development ; Finance and Financial Sector Development ; Health Monitoring and Evaluation ; Health, Nutrition and Population
    Abstract: How did the economic crisis caused by the Covid-19 pandemic impact poor households in Sub-Saharan Africa This paper tackles this question by combining 73 High-Frequency Phone Surveys collected by national governments in 14 countries with older nationally representative surveys containing information on household consumption. In particular, it examines how outcomes differed according to predicted per capita consumption quintiles in the first wave of the survey, and in subsequent waves by households' predicted per capita consumption. The initial shock affected households throughout the predicted welfare distribution. Households in the bottom 40 percent responded by sharply increasing farming activities between May and July of 2020 and gradually increasing ownership of non-farm enterprises starting in August. This coincided with an improvement in welfare, as measured by a decline in food insecurity and distressed asset sales among these households during the second half of 2020. With respect to education, children in the bottom quintile were 15 percentage points less likely to engage in learning activities than those in the top quintile in the immediate aftermath of the crisis, and the engagement gap between the bottom 40 and top 60 widened in the summer before narrowing in the fall due to large declines in engagement among the top 60. Poorer households were slightly more likely to report receiving public assistance immediately following the shock, and this difference changed little over the course of 2020. The results highlight the widespread impacts of the crisis both on welfare and children's educational engagement, the importance of agriculture and household non-farm enterprises as safety nets for the poor, and the substantial recovery made by the poorest households in the year following the crisis
    DOI: 10.1596/1813-9450-10726
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    Not All that it Seems : Narrowing of Gender Gaps in Employment during the Onset of COVID-19 in Indonesia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Halim, Daniel Not All that it Seems: Narrowing of Gender Gaps in Employment during the Onset of COVID-19 in Indonesia
    Keywords: COVID Labor Market Impact ; COVID-19 Pandemic ; Employment and Gender ; Employment and Unemployment ; Female Employment ; Formal Job Loss ; Informal Sector ; Social Protections and Labor ; Urban Unemployment
    Abstract: This paper studies the impacts of the COVID-19 pandemic on Indonesia's labor market by exploiting the exogeneous timing of the pandemic in a seasonal difference-in-differences framework. The analysis uses multiple rounds of Indonesia's National Labor Force Survey from 2016 to 2020 to establish a pre-pandemic employment trend and then attribute any excess difference in employment outcomes from this trend as the estimated effect of the pandemic on individual employment outcomes. The results suggest that the pandemic has had mixed effects on the Indonesian labor market. While the pandemic has narrowed the gender gaps in employment participation through the "added worker effect" among women, it has also lowered the overall employment quality among both gender groups. The findings show that the increase in female employment is primarily driven by women in rural areas without high school education, entering informal work, agricultural employment, or unpaid family work. For men, the pandemic has had adverse impacts on their employment across the board in all sub-populations. Consistent with findings from other studies, steeper employment declines are observed in urban areas, particularly among males. Among those employed, both women and men work fewer hours and earn lower wages
    DOI: 10.1596/1813-9450-10337
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    Take-Up and Labor Supply Responses to Disability Insurance Earnings Limits (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (37 pages)
    Parallel Title: Erscheint auch als Kreko, Judit Take-Up and Labor Supply Responses to Disability Insurance Earnings Limits
    Keywords: Beneficiary Screening ; Disability ; Disability Insurance ; Earnings Limit ; Employment ; Labor Supply ; Policy Reform ; Social Protections and Labor
    Abstract: In most disability insurance programs, beneficiaries lose some or all of their benefits if they earn above an earnings threshold. While intended to screen out applicants with high remaining working capacity, earnings limits can also distort the labor supply of beneficiaries. This paper develops a simple framework to evaluate this trade-off. It uses a reduction in the earnings limit in Hungary to examine screening and labor supply responses. The findings show that the policy changed selection into the program modestly, but it reduced labor supply significantly. Viewed through the lens of the model, these findings suggest that the earnings threshold should be higher
    DOI: 10.1596/1813-9450-10325
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    Least Protected, Most Affected : Impacts of Migration Regularization Programs on Pandemic Resilience (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (16 pages)
    Parallel Title: Erscheint auch als Urbina, Maria Jose Least Protected, Most Affected: Impacts of Migration Regularization Programs on Pandemic Resilience
    Keywords: Amnesties ; COVID 19 Impact ; Disease Control and Prevention ; Forced Migration ; Health Policy and Management ; Health Service Management and Delivery ; Health, Nutrition and Population ; Poverty Reduction ; Refugee Pandemic Outcomes ; Refugee Resilience ; Regularization of Migrants
    Abstract: How can regularization programs improve forced migrants' resilience to shocks This paper leverages panel data collected during the COVID-19 pandemic to assess whether Venezuelan forced migrants who were eligible for a regularization program in Colombia were more resilient and less affected by the pandemic than similar but non-eligible forced migrants. The results indicate that access to the program promoted better health access for eligible migrants, facilitating adherence to prevention guidelines and increasing detection rates. Additionally, eligible migrants had better housing and labor conditions, relative to non-eligible migrants
    DOI: 10.1596/1813-9450-10291
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    Quantifying Vulnerability to Poverty in El Salvador (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Rude, Britta Quantifying Vulnerability to Poverty in El Salvador
    Keywords: Adaptive Safety Nets ; Development Patterns and Poverty ; Household-Level Shocks ; Inequality ; Poverty Reduction ; Risk Mitigation Strategy ; Social Development ; Social Protections and Labor ; Social Risk Management ; Vulnerability To Poverty ; Vulnerable Populations
    Abstract: El Salvador is marked by high vulnerability to risks and hazards, such as crime, natural disasters, and migration. Therefore, it is crucial to understand the vulnerability patterns of its population. This paper applies an innovative approach to estimate the population's vulnerability to poverty and analyze its underlying drivers. The findings show that ex-ante vulnerability to poverty decreased over 2016 to 2019, a parallel trend to the poverty reduction observed in the country during this period. This finding comes hand in hand with an increase in the importance of risk factors relative to a low accumulation of assets driving vulnerability. Additionally, household-level shocks play a more significant role than community-level shocks. To address vulnerabilities in the country, the government should invest in adaptive safety nets and risk mitigation strategies
    DOI: 10.1596/1813-9450-10289
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    Pacific Economic Update, February 2023 (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: COVID-19 ; Finance and Development ; Finance and Financial Sector Development ; Post-Pandemic ; Public Debt ; Social Protections and Assistance ; Social Protections and Labor ; Tourism ; Travel-Dependent
    Abstract: This publication is the inaugural edition of the future publication series on Pacific Economic Update (PEU). It consists of two parts. Part A analyzes the recent economic developments in Pacific Islands. Based on these developments, the PI EU summarizes the outlook for the region's economies and risks to this outlook. Second, the PEU provides an in-depth examination of a public debt issues in the Pacific and proposes policy recommendations to address public debt related challenges. The PEU is intended for a broad set of audience, including regional forums, policy makers, business leaders, international donors and the community of analysts and professionals engaged in the economies of Pacific Island countries. In dealing with the challenges of rising inflation, tepid recovery from the pandemic and global slowdown, the PICs should strike a balance between supporting livelihoods and reducing future public debt risks. The need for fiscal support during the current environment of high inflation and tepid economic recovery is understandable as it provides the much needed relief for vulnerable households and businesses to navigate the crisis. Nonetheless, these support measures create significant fiscal burdens, and are unsustainable, particularly if the high energy and food prices persist longer than envisaged. Most PICs already face low capacity to finance unexpected shocks which would be further tested by a natural disaster event. Therefore, PICs should tread a delicate balance between fiscal support measures and achieving fiscal sustainability. Any forthcoming fiscal support should be well-targeted, time-bound, and deficit-neutral. Over the medium-term, fiscal efficiency gains and ongoing donor support is critical to finance key development challenges and climate adaptation. Revenue-based fiscal consolidation measures could include improving the efficiency of tax collections and eliminating tax exemptions. On the expenditure side, PICs have limited room to sharply cut spending given the expected modest growth and ongoing development needs. Therefore, it becomes imperative to improve the efficiency of public spending, to maximize social dividends for every dollar spent. Resulting savings from fiscal consolidation measures could help build sovereign wealth funds to provide added fiscal buffers during shocks and economic downturns. Due to high vulnerability to disasters and climate change, PICs will need to seek ongoing concessional financing for critical climate adaptation and development needs
    DOI: 10.1596/39523
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    Timor-Leste Economic Report, December 2022 : Honoring the Past, Securing the Future (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Delivery Systems ; Economic Forecasting ; Economic Growth ; GDP ; Macroeconomics and Economic Growth ; Reform ; Social Protection ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: The global economy continues to face steep challenges, but Timor-Leste's economy is slowly recovering. Nevertheless, gross domestic product (GDP) per capita has not returned to pre-pandemic levels. Consumer price inflation reached 7.9 percent yoy in August 2022, one of the highest in the East Asia Pacific region. The real effective exchange rate (REER) has appreciated by about 10 percent since the first quarter of 2021. Enhancing productive capabilities through structural reforms and improving quality of public spending hold the key for accelerating and sustaining economic development. Extending the life of petroleum fund through fiscal consolidation is essential to delay the fiscal cliff and ensure the perpetuation of government spending to support economic growth. Despite receding impact of the pandemic, the level of government spending has not returned to the pre-COVID 19 levels
    DOI: 10.1596/39439
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    Preventing, Preparing for, and Responding to Disease Outbreaks and Pandemics : Future Directions for the World Bank Group (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Disease Control and Prevention ; Financing ; Global Activity ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; PPR ; Preparedness ; Prevention
    Abstract: This paper has outlined an ambitious agenda for the WBG to support PPR enhancement at country, regional, and global levels as part of a broader approach to strengthen health systems. It is an agenda that not only seeks to deliver on the Bank's IDA commitments related to disease outbreaks and crisis response but also to respond to demands from all our shareholders, clients, and other stakeholders for the Bank to play a key role in strengthening PPR capacities at country and regional levels through a wider health system strengthening agenda. Policy commitments from IDA's Human capital special themes support the building of resilient health systems that can provide core essential health services and have the capacity to prevent, detect, and respond to disease outbreaks and other health emergencies an approach that will ensure sustainability, efficiency, and effectiveness. The paper has highlighted that PPR is an inherently multisectoral agenda. Further, the paper has argued that there are large financing gaps to fill, particularly in LICs and MICs. Looking forward, the WBG will support strengthening of PPR through actions in three interconnected domains: 1) financing; 2) global engagements and partnerships; and 3) analytics, evidence, and dialogue
    DOI: 10.1596/38521
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    Digital Transformation of Philippine Higher Education (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Education Study
    Keywords: Connectivity ; Digital Transformation ; Education ; Education For the Knowledge Economy ; Government Information Network ; Higher Education ; Higher Education Reform ; ICT Applications ; ICT Policy and Strategies ; Information and Communication Technologies ; Internet ; Social Protections and Labor ; Vocational and Technical Education
    Abstract: The Digital Transformation of Philippine Higher Education recommends a medium-term strategy for the Commission on Higher Education (CHED). Chapter 1 presents an overview of the Philippine higher education sector and analyzes the sectoral and country context for digital transformation of higher education. Chapter 2 discusses the foundations and pillars that support digital transformation as well as the building blocks of common and shared platforms and services for students and academic, research, and administrative stakeholders in higher education. Based on the findings in Chapter 1 and global good practices on digital transformation in Chapter 2, Chapter 3 recommends strategic goals and actions for CHED and HEIs as well as other higher education key players to digitally transform Philippine higher education
    DOI: 10.1596/38481
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    Conscientiousness and Labor Market Returns : Evidence from a Field Experiment in West Africa (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Allemand, Mathias Conscientiousness and Labor Market Returns: Evidence from a Field Experiment in West Africa
    Keywords: Attitudes Towards Work ; Conscientiousness ; Labor Markets ; Non-Cognitive Skills ; Skills Training ; Social Protections and Labor ; Soft Skills Training
    Abstract: Non-cognitive skills are increasingly recognized as important determinants of labor market outcomes. To what extent specific skills can be affected in adulthood remains an open question. This study conducted a randomized controlled trial with low-skilled employed workers in Senegal, where workers were randomly assigned to receive a training intervention designed to affect conscientiousness-related skills. The findings show that treated workers were significantly more likely to stay in their job and have higher wages nine months after the intervention. The findings suggest that non-cognitive skills can be affected even later in the life cycle and can have substantial labor market returns
    DOI: 10.1596/1813-9450-10378
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  • 60
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    How did Urban Household Enterprises in Sub-Saharan Africa Fare during COVID-19? : Evidence from High-Frequency Phone Surveys (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Cunningham, Wendy How did Urban Household Enterprises in Sub-Saharan Africa Fare during COVID-19? Evidence from High-Frequency Phone Surveys
    Keywords: COVID-19 Pandemic ; Health, Nutrition and Population ; Income Loss ; Income Shock ; Informal Enterprise ; Informality ; Urban Household Enterprise
    Abstract: While the impact of COVID-19 on Sub-Saharan African labor markets is well documented, there is suggestive evidence that urban households may have fared particularly poorly. This paper uses data from high-frequency phone surveys in 27 Sub-Saharan African countries to investigate which kinds of urban household enterprises were most affected, what coping strategies were utilized, and heterogeneity by sociodemographic characteristics in the short and medium run. Using linear probability models, the paper finds that households that relied on income from non-farm enterprises were hit particularly hard during the early stage of the crisis, with 20-26 percent reporting income declines, and women experiencing even greater losses. Few coping strategies were utilized in the short run to counterbalance the loss of enterprise income. As the crisis progressed, wage employment recovered more quickly than self-employment, with faster gains for non-farm household enterprises, less poor households, and those headed by males and adults. Women, adults, and non-poor self-employed household heads were more successful at leveraging external sources of support early in the pandemic, but these supports largely dropped off by August 2020. These results demonstrate the vulnerability of non-farm household enterprises in urban Sub-Saharan Africa to the COVID-19 shock and highlight the need to expand publicly and privately financed coping mechanisms, particularly for women, youth, and poor household heads who are self-employed
    DOI: 10.1596/1813-9450-10360
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    Behavioral Aspects of Healthy Longevity (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Rojas, Ana Maria Behavioral Aspects of Healthy Longevity
    Keywords: Behavioral Science ; Decision Making ; Disease Risk Factors ; Global Health Policy Goals ; Habit Formation ; Health, Nutrition and Population ; Healthy Longevity ; Non-Communicable Disease (NCD)
    Abstract: Addressing the growing burden of noncommunicable diseases to achieve healthy longevity for an aging population has become central to global health policy goals. New policy tools are needed for effectively and efficiently tackling health and lifestyle behaviors and habits linked to the development of noncommunicable disease risk factors. Behavioral science offers insights into psychological barriers, mental models, biases, and other factors that influence decision making and habit formation. Applying these insights can support current policy efforts toward healthy longevity. This paper develops a framework to clarify the relationships between noncommunicable disease formation, detection, and management and behavioral determinants at the individual, community, and health system levels. Following the framework, the paper documents frequently identified behavioral barriers at the three key stages of patients' noncommunicable disease trajectories. It identifies policy lessons from the behavioral science literature to address such barriers and, together with other policies, reduce the incidence of noncommunicable diseases and improve treatment effectiveness
    DOI: 10.1596/1813-9450-10347
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    Carbon Pricing and Transit Accessibility to Jobs : Impacts on Inequality in Rio De Janeiro and Kinshasa (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Erscheint auch als Nell, Andrew Carbon Pricing and Transit Accessibility to Jobs: Impacts on Inequality in Rio De Janeiro and Kinshasa
    Keywords: Carbon Dioxide Emissions ; Climate Policy ; Co2 Mitigation ; Disaster Risk Management ; Distributional Impact ; Employment Accessibility ; Environment ; Social Protections and Labor ; Urban Labor Market ; Urban Pollution ; Urban Transit
    Abstract: Urban transport is a major driver of global carbon dioxide emissions. Without strong mitigation policies, rapid urbanization, especially in developing countries, is expected to exacerbate the problem. There is a growing consensus on the fundamental role of carbon pricing for achieving reductions in carbon dioxide emissions. However, carbon pricing policies are frequently criticized and resisted for having adverse distributional impacts, which could hinder their implementation, particularly when implemented as a fuel levy-which would impact private vehicle usage but may also affect transit services such as buses. Currently, there is a lack of evidence that quantifies these negative impacts, especially on people's ability to reach economic opportunities and services. To this end, this paper studies the impact of a uniform carbon price, as one of the most commonly discussed climate policies, on access to employment opportunities via transit services in Kinshasa and Rio de Janeiro. Reduced access to jobs would contribute to fragmented urban labor markets and thus lead to negative social outcomes. Unlike most previous studies, this study defines access as being constrained by both travel time and travel budget. The results indicate that fuel price increases (simulating increases induced by a carbon tax) reduce accessibility, but the effect is lower in more compact and walkable cities as well as in cities that have green transit options. The paper also shows that fuel price increases have spatially and socially disparate outcomes, with the lowest income communities not necessarily being the most affected, in part because even in the absence of carbon pricing, they are found to be priced out of using transit services. The results demonstrate the importance of strategies and investments, such as land use planning and decarbonized transit services, but also possibly complementary social protection programs (such as targeted subsidies, or even cash transfers), to mitigate the negative distributional consequences of carbon pricing policies
    DOI: 10.1596/1813-9450-10341
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    Labor Market Effects of Global Supply Chain Disruptions (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Ulate, Mauricio Labor Market Effects of Global Supply Chain Disruptions
    Keywords: COVID Impact On Labor Market ; Downward Nominal Wage Rigidity ; Macroeconomics and Economic Growth, Rural Labor Markets, Supply Chain Disruption ; Pandemic Labor Market Impact ; Rural Development ; Social Protections and Labor ; Trade Cost ; US Labor Force Participation Decline
    Abstract: This paper examines the labor market consequences of recent global supply chain disruptions induced by COVID-19. Specifically, it considers a temporary increase in international trade costs similar to the one observed during the pandemic and analyzes its effects on labor market outcomes using a quantitative trade model with downward nominal wage rigidities. Even omitting any health-related impacts of the pandemic, the increase in trade costs leads to a temporary but prolonged decline in U.S. labor force participation. However, there is a temporary increase in manufacturing employment as the United States is a net importer of manufactured goods, which become costlier to obtain from abroad. By contrast, service and agricultural employment experience temporary declines. Nominal frictions lead to temporary unemployment when the shock dissipates, but this depends on the degree of monetary accommodation. Overall, the shock results in a 0.14 percent welfare loss for the United States. The impact on labor force participation and welfare across countries varies depending on the initial degree of openness and sectoral deficits
    DOI: 10.1596/1813-9450-10434
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  • 64
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    Jobs, Food and Greening : Exploring Implications of the Green Transition for Jobs in the Agri-food System (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Agri-Food Jobs ; Agricultural Pollution ; Agriculture Employment ; Employment and Unemployment ; Environment ; Food and Beverage Industry ; Food and Nutrition Policy ; Food Industry ; Food Industry Pollution ; Green Issues ; Green Transition Jobs ; Health, Nutrition and Population ; Industry ; Poverty Reduction ; Social Protections and Labor ; Youth Employment
    Abstract: The agri-food system (AFS) employs about one third of the global workforce and contributes about one third of global greenhouse gas (GHG) emissions. This together with its large exposure to the effects of climate change and environmental degradation makes what happens in AFS central to the green transition and its implications for jobs and the structural transformation. Microeconomic evidence suggests that the adoption of climate smart agricultural practices will increase labor requirements, at least in the short run and at lower levels of incomes, when its mechanization is still limited. Econometric macro-model-based simulations suggest however that especially substantial investment in climate friendly agricultural R and D as well as soil and water preserving practices and market integration will more than offset the negative effects of climate change and even accelerate the structural transformation, especially in Sub Saharan Africa. Overall, the findings underscore the tremendous potential of increasing agricultural and climate friendly R and D investment for brokering an environmentally sustainable structural transformation. Repurposing of agriculture's current USD 638 billion support package towards supporting more climate friendly practices, including to overcome the time lag between the moment of investment and the realization of the benefits, provides an important policy entry point
    DOI: 10.1596/39819
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    Diagnosing the Binding Constraints to Better Jobs : An Approach and Framework (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Social Protection Study
    Keywords: Access To Capital ; Economic Growth ; Employment and Unemployment ; Human Capital Constraint ; Jobs ; Labor Market Policy ; Low Productivity Growth ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Protections and Labor
    Abstract: The persistent lack of good jobs that is, an inadequate level or quality of jobs, inefficient and/or inequitable jobs outcomes is a key economic issue in developing (and some developed) economies. Yet policy responses often lack an understanding of the causes. While the proximate drivers, such as low productivity growth, slow capital deepening, or a lack of firms and other organized economic actors, may share patterns, the policy roots and circumstances of these outcomes vary a great deal by country. Thus, making progress in a meaningful and lasting way requires, in the first instance, a clear understanding of the binding constraints which, if alleviated, would result in a substantial structural improvement to jobs outcomes. Binding constraints could arise in a host of policies and institutions, including possibly inadequate human capital and labor market policies but also in infrastructure, regulatory, financial, judicial and other areas. This paper provides a data-driven approach and framework for diagnosing the truly binding constraints to better jobs. The approach is to rule out broad categories of constraints using economic logic and data, and to utilize an array of empirical indicators to test whether remaining candidate constraints are binding. While this paper outlines an exhaustive approach, the style of thinking and techniques can also be applied selectively to fill analytical gaps and ensure that key issues are not left unaddressed
    DOI: 10.1596/39818
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    Firm Consolidation and Labor Market Outcomes (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10477
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    Protecting Who? : Optimal Social Protection Responses to Shocks with Limited Information (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Hernandez, Carlos Ospino Protecting Who? Optimal Social Protection Responses to Shocks with Limited Information
    Keywords: Adaptive Social Protection ; COVID-19 Pandemic ; Disaster Risk Management ; Social Protection ; Social Protections and Labor ; Targeting ; Targeting Social Protection Response
    Abstract: The literature on shock-responsive social protection focuses on operational features that improve the speed and reach of the response, but little is known about the optimal design of emergency social protection responses in terms of which programs to use, information about the people affected, and the extent of their losses. This paper studies optimal social protection responses to shocks, using microsimulations of different social assistance responses in Albania, Moldova, and North Macedonia. The paper shows that optimal design depends not only on the magnitude of the shock, but also on how the shock affects welfare rankings and on the parameters of the existing social assistance system, including the generosity of the schemes and how well they cover the poor. For given budgets, a universal transfer remains a suboptimal response. However, the extent to which existing programs should be expanded, as designed, to additional beneficiaries depends on the type of shock. When a shock tends to affect households homogeneously, increasing generosity and expanding the existing targeted social assistance program using established welfare metrics to assess eligibility is an effective response. When shocks affect households heterogeneously and bring some of them into extreme poverty, then pre-shock welfare indicators carry little information and policy makers should provide support through a new program or modified eligibility criteria, according to information on who suffered the shock. This analysis points to the importance of planning in advance for future crises and, within this, considering the optimal design of emergency social protection responses
    DOI: 10.1596/1813-9450-10461
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    The State of Noncommunicable Diseases in Kosovo (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Air Pollution ; Alcohol and Substance Abuse ; Disease Control and Prevention ; Economic Burden ; Health Burden ; Health, Nutrition and Population ; NCDS ; Policies and Regulations ; Sugar-Sweetened Beverages ; Tobacco and Alcohol ; Tobacco Use and Control
    Abstract: This report, which aims to raise awareness, identify gaps, and inform policies, is the first comprehensive report on NCDs in Kosovo. Unlike available studies, the present work explores multiple aspects of NCDs, including their burden on health outcomes, risk factors, management, economic burden, and policies introduced to protect the population from these conditions. The report's findings are based on data from existing literature, official documents such as laws, regulations, and protocols, secondary data analysis, and interviews with key informants. The report presents comparisons with available data from the Western Balkans (Albania, Bosnia and Herzegovina [BiH], Montenegro, North Macedonia, and Serbia), aspirational (former socialist, small European Union member states such as Croatia, Estonia, Latvia, Lithuania, and Slovenia) and structural peers (Albania, Armenia, Moldova, North Macedonia, and Kyrgyz) to contextualize the findings. The report concludes by providing recommendations to reduce the burden of NCDs in Kosovo to protect the human capital of current and future generations
    DOI: 10.1596/39935
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    Moving Up the Ladder : Economic Inclusion of Safety Net Recipients in Bangladesh (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Sector/Thematic Studies
    Keywords: Barriers ; Cash Transfers ; Economic Inclusion ; Safety Net Recipients ; Safety Nets and Transfers ; Social Protections and Labor
    Abstract: Bangladesh has a history of effective economic inclusion programs, but they are implemented primarily by civil society organizations. Government-implemented initiatives are critical for scale but there are no government-implemented economic inclusion programs in Bangladesh that meet the socioeconomic needs of the poor on a large scale. Yet the government has an opportunity to leverage its strong and expansive social safety net (SSN) system to develop ladders for poor and vulnerable households. This report examines three groups of SSN beneficiaries in Bangladesh - working-age widows, people with disabilities, and households with young children-in order to understand their potential to benefit from economic inclusion programming. The report describes the socioeconomic characteristics of the three low-income groups and identifies gaps in their access to and coverage by the government's main social protection programs; profiles a subset of SSN beneficiaries and presents findings on their potential to benefit from economic inclusion programming; describes packages of services; and examines the factors that need to be in place for economic inclusion programs to succeed. The authors then provide recommendations on how the government can build capacity to implement economic inclusion at scale in Bangladesh
    DOI: 10.1596/40144
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    A Way Forward for Building Resilient Health Systems : Lessons Learned from Eastern Europe and the South Caucasus (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Health Economics and Finance ; Health Systems Development and Reform ; Health, Nutrition and Population ; National Health Systems ; Resilience ; South Caucasus
    Abstract: This report looks at resilience through national health system lenses and provides lessons to strengthen health systems for future shocks. The findings are based on case studies from five countries in Eastern Europe and the South Caucasus (Armenia, Azerbaijan, Georgia, Moldova and Ukraine), as well as focus group discussions with the population and health care workers in Georgia, Armenia, and Moldova. The following section provides the definition and examples of health system resilience. This is followed by descriptions of the baseline characteristics of the five Eastern European and South Caucasus countries' health systems pre-pandemic performance, which determined most of their capacity and decisions to deal with the shock. The rest of this report reviews key baseline characteristics of the health systems in the countries, which are followed by lessons from the countries' responses to the pandemic (a summary of each country case study is provided in Annex A). The report concludes with recommendations for building the strong and resilient health systems needed to protect human capital through shocks and crises
    DOI: 10.1596/40124
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    The Economic Burden of SARS-CoV-2 Infection Amongst Health Care Workers in the First Year of the Pandemic in Kenya, Colombia, Eswatini, and South Africa (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: COVID-19 ; Economic Burden ; Health Care Workers ; Health Economics and Finance ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Pandemics ; Sars-COV-2
    Abstract: Health care workers (HCWs) face disproportionate risk of exposure and becoming ill in any infectious disease outbreak. SARS-CoV-2 has proven to be no exception: From Wuhan to Manaus, London to Tehran, and Delhi to Johannesburg, HCWs working in clinics and hospitals have been at heightened risk of developing COVID-19 disease, especially at the beginning of the pandemic when little was known about the then-novel pathogen. This study thus aims to estimate the economic costs of SARS-CoV-2 infections in HCWs during the first year of the pandemic from the societal perspective in four low or middle- income countries. The authors propose a framework to translate SARS-CoV-2 infection amongst HCWs into economic costs along three pathways, provide the estimated burden of HCW infections, and offer recommendations to mitigate against future economic losses due to HCW infections. The economic burden due to SARS-CoV-2 infection among HCWs makes a compelling investment case for pandemic preparedness, particularly the protection of HCWs, and resilient health systems going forward
    DOI: 10.1596/40070
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    Libya Economic Monitor, Spring 2023 : Towards a Sustainable Social Contract in Libya (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/40060
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    Reconceptualizing Global Multidimensional Poverty Measurement, with Illustration on Nigerian Data (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10577
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  • 74
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    The Labor Market Effects of Disability Benefit Loss (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10575
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  • 75
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    Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania : Results from a Randomized Trial (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    Parallel Title: Erscheint auch als Hemono, Rebecca Effect of a Lottery Intervention on Gender-Based Violence among Female Sex Workers in Dar Es Salaam, Tanzania: Results from a Randomized Trial
    Keywords: Female Sex Workers and Violence ; Gender ; Gender and Health ; Gender and Social Policy ; Gender Based Violence ; Health, Nutrition and Population ; HIV Prevention and Violence ; Law and Development ; Lottery Reward for Health Promotion ; Public Health Promotion ; Respect II ; Sexually Transmitted Infection (STI) Prevention
    Abstract: Financial incentives are a promising approach for HIV prevention. Some studies have shown that financial incentive interventions aimed to promote positive health and social behaviors have mixed or harmful effects on gender-based violence, and little is known about their effects among higher risk groups such as female sex workers. To address this gap, this study investigated the relationship between a lottery-based incentive and gender-based violence among female sex workers in Dar es Salaam, Tanzania. Data were analyzed from the RESPECT II trial, which enrolled 2,206 female sex workers in Dar es Salaam, Tanzania, to evaluate the effect of a lottery-based incentive on HIV and sexually transmitted infections. Participants were randomized in a one-to-one ratio to: (1) the basic test group (control), which provided baseline testing and counseling for HIV and sexually transmitted infections and bi-weekly text messages on safe sex practices; or (2) the lottery group, which included the basic test group intervention plus entry into a weekly random lottery for an award of 100,000 Tanzanian shillings conditional on negative tests for sexually transmitted infections (syphilis and trichomonas vaginalis). An intent-to-treat analysis was conducted to estimate differences in physical and sexual gender-based violence (overall), and intimate partner violence and non-partner violence between treatment arms at endline, with estimates expressed as unadjusted prevalence differences with 95 percent confidence intervals. Adjusted estimates controlled for baseline reports of violence. Multiple imputation and inverse-probability of treatment weighting were used to account for missing data. Causal, population-level impacts were estimated using g-computation. Gender-based violence, intimate partner violence, and non-partner violence declined in both treatment arms over the study period among the sample of 1,117 female sex workers retained at endline. The lottery group had a lower prevalence of gender-based violence overall, intimate partner violence, and non-partner violence compared to control at endline; however, the differences were not statistically significant. The results indicate that the lottery intervention had no effect on violence outcomes among endline participants in the RESPECT II trial. These results suggest that this economic approach does not pose additional risks of violence in the context of sex work; however, they must be interpreted with caution due to high attrition in the study sample. Additional research is warranted to examine how this incentive mechanism impacts violence for female sex workers
    DOI: 10.1596/1813-9450-10573
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  • 76
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    Women's Empowerment and Child Nutritional Outcomes in Rural Burkina Faso (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (35 pages)
    Parallel Title: Erscheint auch als Nikiema, Pouirketa Rita Women's Empowerment and Child Nutritional Outcomes in Rural Burkina Faso
    Keywords: Agriculture and Women ; Child Nutrition ; Early Child and Children's Health ; Gender and Health ; Gender and Rural Development ; Health, Nutrition and Population ; Maternal Empowerment ; Nutrition ; Women's Empowerment Index
    Abstract: Across developing countries, women play an important role both as producers of major food crops and in improving household nutrition. This research paper aims to assess the effect of improving women's empowerment on the nutritional status of children in rural Burkina Faso. Based on data from the 2014 Multisectoral Continuous Survey, the paper uses variables such as income control, access to land, autonomy in production decisions, access to credit, and social group membership to compute a composite index of women's empowerment. Accounting for potential endogeneity of empowerment, the study adopts a dual-estimation approach that, first, uses average empowerment by stratum and, second, applies an instrumental variable. The results show a low baseline level of women's empowerment in rural areas, but an improvement in empowerment has a relatively high and positive correlation with children's nutritional outcomes. The study suggests that improving women's empowerment components will translate into significant gains in children's nutritional outcomes in rural households
    DOI: 10.1596/1813-9450-10560
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  • 77
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    The Economic Cost of Exclusion Based on Sexual Orientation, Gender Identity and Expression, and Sex Characteristics in the Labor Market in the Republic of Serbia (2023)
    Washington, D.C : The World Bank
    Details
    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)
    DOI: 10.1596/40379
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  • 78
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    Financing of Essential Public Health Services in the Caribbean Region : Case Study (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Finance and Financial Sector Development ; Health Economics and Finance ; Health Expenditures ; Health Services ; Health, Nutrition and Population ; Public Health
    Abstract: This study examines the expenditure by Caribbean Community (CARICOM) countries on the delivery of Essential Public Health Services (EPHS), in the context of the global response to COVID-19. In particular, the study focuses on financing arrangements enacted to ensure the predictability of funding and the sustainability in the level and flow of funds over the medium and long terms to carry out essential public health functions in Barbados, Grenada, Jamaica, and Trinidad and Tobago. The study also highlights the close, synergistic relationship between the Caribbean Public Health Agency (CARPHA) and its Member States
    DOI: 10.1596/40381
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  • 79
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    The Impact of Health Taxes in Armenia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Alcohol ; Finance and Financial Sector Development ; Food and Nutrition Policy ; Health Taxes ; Health, Nutrition and Population ; High-Quality Health Care ; Macroeconomics and Economic Growth ; Sugar-Sweetened Beverages ; Tax Revenue ; Taxation and Subsidies ; Tobacco ; Universal Health Coverage
    Abstract: This report has been prepared by the World Bank, at the request of the MoH, to support ongoing efforts to improve population health and revenue mobilization in the sector. The study estimates the health impacts of increasing taxation on SSBs, alcohol, and tobacco across gender and income-quintiles. The revenue potential of these taxes is also explored. The target audience for these findings includes senior policymakers and technical advisers in the MoH, Ministry of Economy, and Ministry of Finance (MoF). The remainder of this report is organized as follows. In Chapter 2, the authors reviewthe current state of health and consumption taxes in Armenia. Chapter 3 outlines themethods used to estimate the change in tax revenue and consumption of alcohol, tobacco, and SSBs. Chapter 4 reports the analysis results, including the potentialadditional fiscal space and health gains. Finally, chapter 5 presents the conclusionsbased on the findings
    DOI: 10.1596/40345
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  • 80
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    The Caribbean Regulatory System : A Subregional Approach for Efficient Medicine Registration and Vigilance (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Disease Control and Prevention ; Drug Safety ; Health Policy and Management ; Health Systems Development and Reform ; Health, Nutrition and Population ; Pharmaceutical Surveillance ; Pharmacovigilance ; Public Health Agency Administration ; Public Health Cooperation ; Regulatory Medicine Review Process
    Abstract: This report focuses on the Caribbean Public Health Agency (CARPHA), one of the three multi-national public health agencies in the world, that commenced operations on Jan 1, 2013, with the aim of delivering the functions of five previous regional health institutions through one platform for greater synergy and cost-effectiveness and as the principal institutional expression of Caribbean Cooperation in Health. The activities of CARPHA include the provision of a subregional mechanism that supports regulatory action to ensure access to safe medicines, such as the subregional system for reporting adverse drug reactions (ADRs) and substandard and falsified products (VigiCarib), and the regional post marketing drug quality testing program under the CARPHA Medicines Quality Control and Surveillance Department. Another relevant CARPHA activity is reviewing new medicines which want to enter the Caribbean market. This was especially important during the COVID-19 pandemic, with the plethora of new vaccines. VigiCarib is a good example of a subregional approach to facilitate well-functioning post marketing monitoring activities, including PV. Although this is a relatively new program, it is well established, integrates lessons from more experienced regulatory authorities, and supports small economies without specific PV programs, thus helping ensure the safety, quality, and effectiveness of medicines and vaccines. VigiCarib can serve as a model in other parts of the world where a regional approach to strengthening regulatory systems is under consideration. However, a key lesson of the experience of CARICOM, is that regional initiatives are complex and require clear objectives, harmonization, respect for the individual countries and territories, and mutual trust
    DOI: 10.1596/40207
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  • 81
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    Realizing a Regional Approach to Pharmacovigilance : A Review of the European Union Approach (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: COVID-19 Vaccines ; EMA ; Health Policy and Management ; Health, Nutrition and Population ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance
    Abstract: This report reviews the pharmacovigilance system of the European Union (EU) mapping out its structure and processes with any eye to features that may be of particular interest to decision makers in other regions as they weigh options related to creating a regional pharmacovigilance architecture for themselves. It begins with a review of the European Medicines Agency (EMA), which plays a central role in the EU system, followed by an overview of the EU PV assessment and monitoring process and an example of the system in action regarding COVID-19 vaccines. It concludes with a summary several key insights of particular relevance for decision makers
    DOI: 10.1596/40178
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  • 82
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    Safety Monitoring of Medicines and Vaccines : A Situation Analysis (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: China-World Bank Partnership Trust Fund (CWPF) ; Disease Control and Prevention ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Immunizations ; Korea-World Bank Partnership Facility (KWPF) ; Medication Effectiveness Monitoring ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; Program for International Drug Monitoring (PIDM) ; Public Health Surveillance ; Vaccine Effectiveness Monitoring
    Abstract: Medicines, vaccines, medical devices, and blood are commonly used to treat disease. Medicines deserve a special focus because almost any medical visit ends with at least one prescription. So, monitoring the safety and effectiveness of therapeutic treatments and procedures is crucial at both the individual and community levels. In the case of medicines and vaccines, this surveillance activity is known as pharmacovigilance. Various methods are used to monitor the adverse and unwanted effects of medicinal products after they have received authorization for marketing, but reporting adverse reactions is the most widespread. The network of the Program for International Drug Monitoring (PIDM), which is supported by the World Health Organization (WHO), involves more than 170 countries. Its activities were initiated in 1968. The WHO-PIDM is the world's most comprehensive network involving health professionals, patients, and manufacturers. This situation analysis describes relevant aspects of the PIDM, including achievements and weak points. The analysis is the product of a systematic revision of studies that focus on the WHO-PIDM activities and related findings published in different medical journals and listed in PubMed. Available information was selected and organized according to different topics and summarized and presented in the different sections of the report. As information for some countries and regions is lacking in the available literature, the report is not a comprehensive review of the pharmacovigilance across countries. The report, therefore, shows what is in place and highlight some of the difficulties faced by many countries, particularly low-and-middle income countries. It offers an overview of the (1) common points and failures; (2) the advantages of a national PV system; (3) the difficulties in scaling up and consolidating these systems; and (4) the advantages of regional collaboration. This report is part of a series of companion reports on pharmacovigilance, that provide a detailed overview and discussion on technical aspects and country and regional experiences
    DOI: 10.1596/40197
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  • 83
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    North and Northeastern Development Initiative (NEDI) : Boosting Shared Prosperity for the North and Northeastern Counties of Kenya (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Climate-Smart Agriculture ; Education ; Education Finance ; Energy Resources Development ; Health Economics and Finance ; Health Systems ; Health, Nutrition and Population ; Inclusion ; Investment and Investment Climate ; Macroeconomics and Economic Growth ; NEDI ; Off-Grid Solar Access ; Transport and Trade ; Water and Sanitation
    Abstract: Kenya's north and northeastern region is a host to 11 percent of the total population scattered across 63 percent of the country's landmass. The arid and semi-arid region experiences recurrent droughts that create vulnerabilities for the nomadic pastoralist communities, pervasive insecurity, suffers fragility, and has been a host to the largest population of refugees in sub-Saharan Africa over the last three decades. These policy choices contributed to the significant lag in most of the development indicators for this region compared to the rest of the country. The region has huge infrastructure deficits, low literacy rates, and contributes only a modest 4.7 percent to the national gross domestic product. To address the socio-economic disparities and inequality challenges, the Government of Kenya with support from World Bank (WB) launched the North and Northeastern Development Initiative (NEDI) in 2018. The NEDI, the region's first significant, integrated, and transformative investment, cuts across foundational sectors including energy, water, transport, social protection, displacement, and agriculture
    DOI: 10.1596/40174
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  • 84
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    Reassessing the Impacts of Exports on Local Labor Market Outcomes : A Supply Chain Perspective - Evidence from the Arab Republic of Egypt (2023)
    Washington, D.C : The World Bank
    Details
    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
    DOI: 10.1596/1813-9450-10614
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  • 85
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    The Effects of Fiscal Policy on Inequality and Poverty in Iraq (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (55 pages)
    Parallel Title: Erscheint auch als Amjad, Beenish The Effects of Fiscal Policy on Inequality and Poverty in Iraq
    Keywords: Committment To Equity Model ; Fiscal and Monetary Policy ; Fiscal Incidence ; Fiscal Policy ; Inequality ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction ; Social Development ; Social Expenditure ; Social Inclusion and Institutions ; Social Protections and Labor ; Taxes
    Abstract: This study assesses the distributional impacts of public expenditures and taxes on poverty and inequality in the Republic of Iraq. The analysis uses the Commitment to Equity methodology and is based on the survey and government fiscal administrative data for fiscal year 2017. Results from the analysis show that Iraq's fiscal policy is modestly progressive. It reduces short-term inequality by 6.7 and 3.0 Gini points with and without including public spending on education and health services. Both results are less than the global and upper-middle-income country averages. However, driven by direct transfers from poverty targeted social safety net cash transfers and generous pension allowances, the fiscal system reduces short-term poverty by 5 percentage points when evaluated using the international poverty line of USD 5.5. This is one of the largest in the global and upper-middle-income country databases. These positive short-term results are achieved primarily because households pay almost no taxes. Iraq's tax revenues are far lower than even the lower-income countries' average. Unlike in most countries, Iraqi households in all quintiles, even the richest, are net beneficiaries of the fiscal policy. Given oil price volatility and the global movement away from fossil fuels, the high oil dependence and lack of a broader revenue base pose a significant fiscal sustainability challenge in Iraq
    DOI: 10.1596/1813-9450-10588
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  • 86
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    Does Informality Depress Investments and Job Recovery? : F.-L. Evidence from the COVID-19 Crisis in South Asia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Grover, Arti Does Informality Depress Investments and Job Recovery? F.-L. Evidence from the COVID-19 Crisis in South Asia
    Keywords: Access To Finance ; Competitiveness and Competition Policy ; Covid-19 Pandemic Firm-Level Impact ; Crisis Recovery In Informal Economies ; Employment and Unemployment ; Firm's Investment Decision ; Informality ; Private Sector Development ; Private Sector Economics ; Social Protections and Labor ; World Bank Business Pulse Survey
    Abstract: Using three rounds of the World Bank's Business Pulse Surveys in South Asia, this paper quantifies the relationship between informality and firms' investment and employment decisions. Accounting for multidimensionality in definition and the margins of informality, the analysis suggests that first, informal firms remain credit and liquidity constrained before and during the crisis, especially the necessity firms. In the pre-crisis period, access to finance is correlated with the extensive margin of informality, while during the crisis, both margins of informality matter. Second, informal firms perceive uncertainty to be higher because of pessimistic expectations on recovery and lower ability to predict future sales, especially the necessity firms. Third, credit constraints and accentuated uncertainty among informal firms discourage investments. Finally, while employment growth is slow and gradual for formal firms as they begin to recover sales, job growth in informal firms does not correspond to the recovery. The results suggest that countries with a large informal sector may face unusually depressed investments and jobs recovery and may have to deploy additional policy levers to accelerate recovery in the post-crisis period
    DOI: 10.1596/1813-9450-10580
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  • 87
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    Impact of Climate Change in Health in Colombia and Recommendations for Mitigation and Adaptation (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate Change ; Climate Change Adaptation ; Environment ; Health ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Human Rights ; Threat Mitigation
    Abstract: Climate change has been called the most important threat to human health in the 21st century. It is estimated that if thetemperature rises and its impact on the other climatic variablescontinues unchanged, it will kill more than 83 million people (1 percent of the world's population) in the next 80 years (Wattset al. 2020)-13 times the toll of the COVID-19 pandemic (WorldHealth Organization 2023). Historically, only pandemics or worldwars have posed such threats to human health. As a result, the issue has aroused unprecedented attention. In 2021, the World Health Organization (WHO) declared climate changethe greatest health threat facing humanity (WHO 2021). Now, more than 195 governments have included climate change mitigation and adaptation as pillars in their multi-year plans, and government health sectors have been developing plans tomeasure and respond to the impact of climate change on health. However, recognition of the links between climate change and health remains nascent, so these efforts have not yet been accompanied by strategic and actionable approaches to measure the impacts and ground the responses. This report contributes to addressing that gap by providing a framework for understandingthe impact of climate change on human health in Colombia and by outlining the most effective actions to mitigate the threat
    DOI: 10.1596/40494
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  • 88
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    The Trends in Adolescent and Youth Well-being in the United Republic of Tanzania : Harnessing the Potential of Adolescents and Youth in Tanzania (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Adolescent Well-Beng ; Climate Change Mitigation and Green House Gases ; Drop-Out Rate Reduction ; Economic Growth ; Education ; Energy and Environment ; Financial Sector and Social Assistance ; Gender ; Gender and Education ; Gendered Adolescent Health Trends ; Health, Nutrition and Population ; Secondary Education ; Water Resources Management ; Youth Health ; Youth Well-Being
    Abstract: This report focuses on the trends of adolescent and youth well-being in Tanzania, identifying how and why well-being has or has not changed over time. The report conceptualizes well-being holistically. Well-being can be defined as one's ability and opportunity to learn, make decisions, live a healthy life (physically and mentally), be well-nourished, express agency, have peace of mind, and ultimately be economically empowered. Well-being can be accumulated over time and is a composite of multiple aspects that affect the life one lives and the quality of that life. In many ways, how to live a good life and whether one is living this good life has been a key question asked across countries, and there are multiple frameworks that have been used to measure well-being. For the purposes of this study, six domains of well-being are recognized: (1) education and learning, (2) bodily integrity, (3) health, (4) psychological well-being (peace), (5) voice and agency, and (6) economic empowerment and skills. These domains are interconnected, and, also considered is the idea of peace of mind, without which, there is no wellness
    DOI: 10.1596/40499
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  • 89
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    Using Principles of Universal Design for Assessment (UDA) to Design Accessible Learning Assessments : Toolkit (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2113
    Keywords: Accessibility ; Accessible Learning ; Accessible Special Technologies ; Augmentative and Alternative Communication ; Climate Change and Health ; Climate Change Impacts ; Disability ; Education ; Inclusive Education ; Social Protections and Labor
    Abstract: The purpose of this toolkit is to generate knowledge on how to develop and adapt assessment tools using principlesof universal design that yield reliable and valid data andinformation to track the learning outcomes of marginalizedlearners, including learners with disabilities
    DOI: 10.1596/40493
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  • 90
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    Developing Skills for Tanzanian Youth Through Dynamic TVET : A World Bank Policy Note for Tanzania - Mainland (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 11872
    Keywords: Economic and Employment Structure ; Economic Growth ; Governance ; Inflation ; Labor Force Participation ; Learning Employable Skills ; Skills Development System ; Social Protections and Labor ; Technical and Vocational Education and Training (TVET) ; Youth Employment
    Abstract: Tanzania's rapidly growing population, particularly its youth, faces challenges in entering the labor market due to limited employable skills. This policy note first reviews the demand-side factors including Tanzania's economic, employment, and labor force characteristics, then it critically analyzes the technical and vocational education and training (TVET) and skills development system. It draws from existing studies and available data to provide an overview of key sector issues and highlights the challenges that require attention as they relate to cultivating employable skills for all Tanzanian youth. This policy note complements the World Bank Policy Note on Strengthening Basic Education System and Improving Learning Outcomes and offers timely input to the government's ongoing effort to strengthen the TVET sector
    DOI: 10.1596/40488
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    The Primary Health Care System of Moldova : A Primary Health Care Performance Initiative Assessment (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Capacity ; Equity ; Governance Indicators ; Health, Nutrition and Population ; Information Technology ; Performance ; PHC ; PHCPI Framework
    Abstract: This report presents the findings of the primary health care (PHC) system assessment in the Republic of Moldova undertaken by the World Bank in collaboration with the Moldovan government and under the leadership of the Ministry of Health (MoH). It highlights existing strengths, identifies areas in need of improvement, and suggests strategies for system strengthening
    DOI: 10.1596/40482
    URL: Deutschlandweit zugänglich
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  • 92
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    The Macroeconomic Effects of Cash Transfers : Evidence from Brazil (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Mendes, Arthur The Macroeconomic Effects of Cash Transfers: Evidence from Brazil
    Keywords: Bartik Instrument ; Bolsa Familia ; Cash Transfer ; Developing Countries ; Development Economics and Aid Effectiveness ; Employment ; Fiscal Multiplier ; Informality ; Local Multiplier ; Macroeconomics and Economic Growth ; Poverty Reduction ; Relative Multiplier ; Services and Transfers to Poor ; Social Protections and Labor
    Abstract: This paper provides new evidence on the macroeconomic impact of cash transfers in developing countries. Using a Bartik-style identification strategy, the paper documents that Brazil's Bolsa Familia transfer program leads to a large and persistent increase in relative state-level GDP, formal employment, and informal employment. A state receiving 1% of GDP in extra transfers grows 2.2% faster in the first year, with RD 100,000 of extra transfers generating five formal-equivalent jobs, half of which are informal. Consistent with a demand-side mechanism, the effects are concentrated in non-tradable sectors. However, an open-economy New Keynesian model only partially captures the high multipliers estimated
    DOI: 10.1596/1813-9450-10652
    URL: Deutschlandweit zugänglich
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  • 93
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    Unraveling the Factors behind Women's Empowerment in the Labor Market in Colombia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Parallel Title: Erscheint auch als Iregui-Bohorquez, Ana Maria Unraveling the Factors behind Women's Empowerment in the Labor Market in Colombia
    Keywords: Demographic Transition ; Early Child and Children's Health ; Female Labor Participation ; Gender ; Gender and Law ; Gender and Social Policy ; Health, Nutrition and Population ; Infant Mortality and Labor Participation ; Labor Markets ; Low Fertility and Labor Participation ; Population Sciences ; Social Protections and Labor ; Time-Varying Effect Modeling
    Abstract: This paper examines the evolution of Colombian women's participation in the labor market from 1960 to 2018, shedding light on the complex factors that influence their labor opportunities. The study emphasizes the significance of the historical context in understanding these factors. This research uncovers nuanced insights using a two-step methodology involving principal component analysis and time-varying effect modeling. The results indicate that the transition from high to low fertility rates significantly influenced female labor participation until the late 1970s. Educational advancements, economic growth, and changing marital dynamics also played a role in shaping evolving patterns. From 1980 to 1995, factors such as diminishing fertility, declining infant mortality, and varying economic conditions influenced women's labor involvement. From 1995 to 2010, higher education emerged as a key driver, accompanied by shifting societal norms, and from 2010 to 2018, the period witnessed positive contributions from fertility rates, minimum wage, and male labor participation. This study underscores the intricate relationship between education, demographics, social norms, and economics in shaping women's labor force participation, providing valuable insights for gender-inclusive policies and promoting women's economic empowerment
    DOI: 10.1596/1813-9450-10653
    URL: Deutschlandweit zugänglich
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  • 94
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    Government Support and Firm Performance during COVID-19 (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Erscheint auch als Bruhn, Miriam Government Support and Firm Performance during COVID-19
    Keywords: Covid-19 ; Disease Control and Prevention ; Employment ; Government ; Health, Nutrition and Population ; Pandemic ; Private Sector Development ; Private Sector Economics ; Social Protections and Labor
    Abstract: This paper assesses the medium-run effects of government support to firms during the COVID-19 crisis and whether the effectiveness of this support varied with its timing. Using data from three rounds of the World Bank's Enterprise Surveys COVID-19 Follow-up Surveys carried out between May 2020 and April 2022, it relates government support in Round 1 (received in the first half of 2020) and Round 2 (received during the second half of 2020 or early 2021) with firm performance in Round 3 (generally mid-2021). Controlling for a host of background characteristics, firms that received support in Round 1 performed better in terms of Round 3 sales, but only if they did not have continued support. Firms that also received support in Round 2 had similar Round 3 sales as those that received no support and were more likely to decrease employment. Firms that received government support only in Round 2 experienced no boost in Round 3 performance. The findings suggest that government support should be provided promptly, but it should also be phased out quickly
    DOI: 10.1596/1813-9450-10641
    URL: Deutschlandweit zugänglich
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  • 95
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    Food Insecurity Erodes Trust (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Kassa, Woubet Food Insecurity Erodes Trust
    Keywords: Agriculture ; Experiential Measures of Food Insecurity ; Food Insecurity ; Food Insecurity Experience Scale ; Food Security ; Gallup World Poll ; Governance ; Health, Nutrition and Population ; Social Contract ; Trust
    Abstract: This study examines the relationship between food insecurity and trust using the 2014-17 waves of the Gallup World Poll and the Food and Agriculture Organization's Food Insecurity Experience Scale. Trust improves public institutions, social capital, public health interventions, and economic development. Vertical trust is represented as an index of trust in national institutions, while horizontal trust is represented as a measure of trust in friends and family. The findings show that food insecurity is associated with a decrease in both measures of trust. The study further document heterogeneous effects of food insecurity across economic development rankings. The results suggest a need for governments to increase food security to bolster public trust, strengthen the social contract, and enhance the effectiveness of development efforts
    DOI: 10.1596/1813-9450-10314
    URL: lizenzpflichtig
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  • 96
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    Maternal Work and Children's Development : Examining 20 Years of Evidence (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Lo Bue, Maria C Maternal Work and Children's Development: Examining 20 Years of Evidence
    Keywords: Child Development ; Child Welfare ; Childcare ; Early Child and Children's Health ; Education ; Gender Equality ; Health, Nutrition and Population ; Household Income ; Industry and trade ; Maternal Labor Force Participation ; Maternal Work Review of Evidence ; Quality Daycare
    Abstract: Maternal work may affect children positively through increased household income, higher control of mothers over available income, and expansion of maternal information networks through work contacts and greater decision-making power of mothers as they become more economically empowered. However, maternal work may reduce maternal time spent with children. If maternal time is not substituted for time of equal quality by other caregivers, children's development may be penalized. Stress associated with work may also decrease the quality of parenting. This review summarizes causal evidence on the relationship between maternal work and children's development. The majority causal studies find positive or 0 impacts of maternal work on children's development
    DOI: 10.1596/1813-9450-10305
    URL: lizenzpflichtig
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  • 97
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    Firms' Digitalization during the COVID-19 Pandemic : A Tale of Two Stories (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Avalos, Edgar Firms' Digitalization during the COVID-19 Pandemic: A Tale of Two Stories
    Keywords: Coronavirus ; COVID-19 ; Digital Adoption in Developing Countries ; Digital Divide ; Digitalization ; Firm-Level Innovation ; Health, Nutrition and Population ; ICT Policy and Strategies ; Information and Communication Technologies ; Innovation ; Innovation and Technology Policy ; Mobiity Restrictions and Digitalization ; Private Sector Development ; Small and Medium Size Enterprises
    Abstract: The COVID-19 pandemic accelerated the digital transformation of businesses. Using a unique global panel dataset, this paper documents the patterns of digital adoption during the pandemic across firms in 57 (mostly developing) countries. The data show the tale of two stories. On one hand, the pandemic drove firms to increase the use of digital platforms and invest in digital solutions. On the other hand, there is evidence that the digital divide increased. There remain substantial gaps between small and large firms as well as across sectors, particularly for new investments in digital solutions. Firms that did not use any digital platform or channel before the pandemic, also lagged in their response to the pandemic, increasing the gap with those that were more digitally ready. Moreover, although the share of online sales across firms for all size groups increased, there is a growing concentration of online sales among top firms. The paper discusses some of the factors associated with this increase in the digital divide and find that changes in digitalization remain even after mobility restrictions have eased. The analysis suggests that the pandemic has accelerated digitalization, but some firms disproportionately benefited from the digital transformation, potentially increasing the digital divide
    DOI: 10.1596/1813-9450-10284
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  • 98
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    Randomized Regulation : The Impact of Minimum Quality Standards on Health Markets (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (65 pages)
    Parallel Title: Erscheint auch als Bedoya, Guadalupe Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets
    Keywords: Gesundheitswesen ; Gesundheitsreform ; Patienten ; Gesundheitsversorgung ; Produktqualität ; Epidemie ; Regulierung ; Experiment ; Kenia ; Health Care Market ; Health Care Utilizaton ; Health, Nutrition and Population ; Informal Sector ; Patient Safety Standards ; Public Health ; Regulatory Enforcement
    Abstract: This paper presents results from the first randomization of a regulatory reform in the health sector. The reform established minimum quality standards for patient safety, an issue that has become increasingly salient following the Ebola and COVID-19 epidemics. In the experiment, all 1,348 health facilities in three Kenyan counties were classified into 273 markets, and the markets were then randomly allocated to treatment and control groups. Government inspectors visited health facilities and, depending on the results of their inspection, recommended closure or a timeline for improvements. The intervention increased compliance with patient safety measures in both public and private facilities (more so in the latter) and reallocated patients from private to public facilities without increasing out-of-pocket payments or decreasing facility use. In treated markets, improvements were equally marked throughout the quality distribution, consistent with a simple model of vertical differentiation in oligopolies. This paper thus establishes the use of experimental techniques to study regulatory reforms and, in doing so, shows that minimum standards can improve quality across the board without adversely affecting utilization
    DOI: 10.1596/1813-9450-10386
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  • 99
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    Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions : The Case of Zimbabwe (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions: The Case of Zimbabwe
    Keywords: Coronavirus ; COVID Severity ; COVID-19 Pandemic ; Hand Washing Intervention ; Health, Nutrition and Population ; Public Health ; Severe COVID Prevention ; Spatial Modelling
    Abstract: The severity of COVID-19 disease varies substantially between individuals, with some infections being asymptomatic while others are fatal. Several risk factors have been identified that affect the progression of SARS-CoV-2 to severe COVID-19. They include age, smoking and presence of underlying comorbidities such as respiratory illness, HIV, anemia and obesity. Given that respiratory illness is one such comorbidity and is affected by hand hygiene, it is plausible that improving access to handwashing could lower the risk of severe COVID-19 among a population. In this paper, we estimate the potential impact of improved access to handwashing on the risk of respiratory illness and its knock-on impact on the risk of developing severe COVID-19 disease across Zimbabwe. We use a geospatial model that allows us to estimate differential clinical risk at the district level. Results show that the current risk of severe disease is heterogeneous across the country, due to differences in individual characteristics and household conditions. This study demonstrates how household level improved access to handwashing could lead to reductions in the risk of severe COVID-19 of up to 16% from the estimated current levels across all districts. Taken alongside the likely impact on transmission of SARS-CoV-2 itself, as well as countless other pathogens, this result adds further support for the expansion of access to handwashing across the country. It also highlights the spatial differences in risk of severe COVID-19, and thus the opportunity for better planning to focus limited resources in high risk areas in order to potentially reduce the number of severe cases
    DOI: 10.1596/1813-9450-10328
    URL: lizenzpflichtig
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  • 100
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    A Framework for the Economic Evaluation of Digital Health Interventions (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Wilkinson, Thomas A Framework for the Economic Evaluation of Digital Health Interventions
    Keywords: Digital Health Intervention ; Economic Evaluation ; Health Intervention Investment ; Health System Decision Making ; Health Systems Development and Reform ; Health, Nutrition and Population ; Low Income Country Health Interventions ; Middle Income Country Health Interventions
    Abstract: Numerous digital health interventions have been piloted in response to the health care challenges low- and middle-income countries face. Because the opportunity cost of investing in digital health interventions can be large, countries must make choices about which interventions to scale up. To make good investment decisions about digital health interventions, there is a need to define and establish their value, and to use economic evaluation to make informed decisions, however DHIs present methodological challenges for economic evaluation. To address these challenges, this paper first creates a 'gap map' of digitalevidence which reveals a dearth of economic evaluation evidence about digital health interventions; this lack can limit decisions on policy, programming, and appropriate scale-up of digital health interventions. To advance work in this field, this paper then develops an economic evaluation framework that can be used when determining the economic value of digital health interventions. Such a standardized approach, alongside guidance to assist the conduct and use of economic evidence, can improve decision making and investments in DHI under constrained health budgets. The resulting digital health intervention economic evaluation framework consists of 5 steps: (1) determine the context, (2) determine the intervention type, (3) establish the level of complexity, (4) set the analytic principles, and (5) represent the value proposition. Users of the framework should attempt to adhere to its steps and principles, but where this is not feasible or appropriate, they should provide justification for the methodological choice. The framework should facilitate methodological transparency, thereby improving the overall usefulness of economic evaluations of digital health interventions
    DOI: 10.1596/1813-9450-10407
    URL: Deutschlandweit zugänglich
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