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  • Washington, D.C : The World Bank  (1,145)
  • Poverty Reduction  (717)
  • Health, Nutrition and Population  (575)
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  • 1
    Online Resource
    Online Resource
    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
    URL: Deutschlandweit zugänglich
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    MPI Ethno. Forsch.
  • 2
    Online Resource
    Online Resource
    Implications of Choice of Second Stage Selection Method on Sampling Error and Non-Sampling Error : Evidence from an IDP Camp in South Sudan (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Himelein, Kristen Implications of Choice of Second Stage Selection Method on Sampling Error and Non-Sampling Error: Evidence from an IDP Camp in South Sudan
    Keywords: Cross-Sectional Household Survey ; Displacement ; Economic Theory and Research ; Estimation ; Household Survey Design ; Macroeconomics and Economic Growth ; Microeconomic Data ; Poverty Reduction ; Social Development ; Survey and Sampling Methods ; Voluntary and Involuntary Resettlement
    Abstract: The most common sampling approach for cross-sectional household surveys in the developing world is a stratified two-stage design, where the first stage is usually a sample from a census-based area frame, and the second stage is a random sample of households from each of the areas selected in the first stage. To overcome the problem of outdated census frame information, it is common to conduct a household listing operation within these areas. However, these listing operations come with severe implications for survey costs, timeframe, as well as quality. To avoid such second-stage operations, some surveys choose alternate approaches for their second-stage operation. This paper compares five of these approaches, namely, satellite mapping, segmentation, grid square, the north method, and random walk, through simulations based on a census conducted in a refugee camp in South Sudan. The paper compares the simulated approach with the estimates derived from the actual experiment and finds that all the resulting estimates are biased. Nevertheless, in addition to their practical challenges, the satellite mapping, segmentation, and grid square approaches exhibit the smallest bias. Although random walk shows the worst performance in the simulations, it regains ground in its implementation, especially vis-a-vis the north method, where implementation adds most significantly to its bias. In conclusion, most probability-based methods perform better than non-probability methods like random walk and are therefore preferrable when no traditional household listing can take place. Although it is important to consider the theoretical properties of sampling approaches, implementation is at least as important. Training, implementation modalities, and monitoring of compliance are key factors in the overall performance
    DOI: 10.1596/1813-9450-10675
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    MPI Ethno. Forsch.
  • 3
    Online Resource
    Online Resource
    The Primary Health Care System in Fiji : A Primary Health Care Performance Initiative Assessment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Health Sector Review
    Keywords: Governance ; Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; PHC ; Primary Health Care Performance ; Vital Signs Profile
    Abstract: This report presents the findings of the Vital Signs Profile (VSP) assessment conducted by the World Bank and the Primary Health Care Performance Initiative (PHCPI) in collaboration with Fiji's Ministry of Health and Medical Services (MHMS). The VSP provides an opportunity to assess the state of the primary health care (PHC) system in Fiji, highlighting areas of strength and challenges through the lens of the PHCPI framework. The framework organizes various domains and subdomains of primary health care using a logic model approach that encompasses the traditional inputs and outputs of PHC systems and emphasizes the capacity and processes of PHC service delivery and performance. Notably, while PHCPI recognizes the role of social determinants of health and intersectoral health promotion and prevention efforts as important factors influencing population health, the VSP is primarily focused on aspects of health service delivery. Fiji is one of four Pacific countries - alongside Kiribati, the Republic of the Marshall Islands, and Solomon Islands that have, with support of the World Bank, used PHCPI tools to take stock of current performance, safeguard what works well, and lay out a vision for areas requiring improvement
    DOI: 10.1596/40943
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  • 4
    Online Resource
    Online Resource
    Fiscal Policy, Poverty, and Inequality in a Constrained Environment : The Case of the West Bank and Gaza (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (79 pages)
    Parallel Title: Erscheint auch als Amjad, Beenish Fiscal Policy, Poverty, and Inequality in a Constrained Environment: The Case of the West Bank and Gaza
    Keywords: Cash Transfer Program ; Commitment To Equity ; Comparative Analysis ; Fiscal Policy ; Indirect Taxes ; Inequality ; Inequality Reduction ; Macroeconomics and Economic Growth ; Poverty Reduction ; Tax Administration ; VAT
    Abstract: This report analyzes the distributional impacts of the main taxes and transfers on households' welfare in the West Bank and Gaza. The analysis uses the Commitment to Equity methodology, enabling comparison of the results to other countries where this framework has been applied. The report assesses the effects of government taxation, social expenditure, and indirect subsidies on poverty and inequality in the West Bank and Gaza. The results indicate that the combination of taxes and transfers modelled in the West Bank and Gaza reduces inequality by 6.5 Gini points but increases the national poverty headcount by 8.4 percentage points. These fiscal policy outcomes on poverty and inequality reduction are below average in terms of desirability compared to other lower-middle-income countries. The taxes and transfers modelled in the West Bank and Gaza achieve most inequality reduction through in-kind benefits from public basic education and public hospitals, followed by the Cash Transfer Program and the value-added tax (VAT). Their large impact on inequality reduction is explained by a combination of their progressivity and their size relative to household income. The redistributive effect of direct taxes, customs duties, and indirect subsidies is zero or close to zero. Indirect taxes represent the fiscal interventions contributing most to the increase in national poverty; customs duties followed by VAT represent the largest burden on households' incomes. Direct transfers from social protection cannot offset the impoverishment effect from indirect taxes because they have very limited coverage. Only the poorest decile is a net cash beneficiary after paying taxes and receiving cashable transfers. The rest of the deciles are net payers to the fiscal system. To decrease poverty and inequality in the West Bank and Gaza, the most significant policy recommendation to emerge from the analysis is to expand direct transfers to the second and third deciles to compensate for indirect tax burdens. Financing this reform is feasible through domestic tax mobilization or through rationalization of inefficient fuel and electricity subsidies that benefit the top income deciles most
    DOI: 10.1596/1813-9450-10687
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  • 5
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    Online Resource
    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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  • 6
    Online Resource
    Online Resource
    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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  • 7
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    Online Resource
    Estimating Economic Costs of Unhealthy Diets : A Proposed Methodology (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Horton, Susan Estimating Economic Costs of Unhealthy Diets: A Proposed Methodology
    Keywords: Agrifood Policy ; Cancer ; Diet Quality ; Food Choices ; Health Economics and Finance ; Health, Nutrition and Population ; Healthcare Costs ; Non-Communicable Disease ; Nutrition ; Obesity ; Undernutrition
    Abstract: Healthy diets have been characterized as responding to four universal principles--nutrient adequacy, dietary diversity, macronutrient balance, and moderation. With rising incomes, diet concerns globally have shifted from inadequacy of nutrients and lack of diversity, to lack of balance and moderation. This has occurred alongside declining rates of stunting and wasting in children under five and increasing rates of overweight and obesity across a broad age span. Calculations undertaken for low- and middle-income countries for policy and advocacy purposes of the economic cost of unhealthy diets have used nutritional status as a proxy or have made estimates of the impact of noncommunicable diseases by simply adding up known risks of individual diet factors. Both these methods have problems. This paper proposes a new methodology, taking advantage of recent, more holistic, measures of diet quality. Preliminary regression results are presented using cross-country data and the Global Dietary Recommendations Score and Minimum Dietary Diversity for women. The results suggest that diet quality variables generally have the expected signs, but there are also clear limitations of using cross-country data. The methodology could be applied in future to a limited number of broadly representative low- and middle-income countries data sets containing both diet recall data as well as measures of noncommunicable disease risk status. The analysis suggests that this work could inform policies such as the repurposing of existing agrifood policies to complement existing public health policies, to reduce the economic and health burdens imposed by unhealthy diets
    DOI: 10.1596/1813-9450-10671
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  • 8
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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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  • 9
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    Fiscal Incidence on the Island : Grenada's Fiscal System and Its Incidence (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Canavire Bacarreza, Gustavo Fiscal Incidence on the Island: Grenada's Fiscal System and Its Incidence
    Keywords: Consumption ; Fiscal Incidence ; Fiscal Policy Interventions ; Inequality ; Living Standards ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction ; Public Expenditure ; Public Revenue ; Social Transfers ; Tax ; Taxation and Subsidies
    Abstract: This paper examines the distributional effects of fiscal policy in Grenada. Using data from the 2017-18 Living Conditions and Household Budgets Survey and following the Commitment to Equity analysis framework, the paper estimates the effects of fiscal policy interventions on inequality and poverty. It analyzes the distributional incidence of direct and indirect taxes, direct transfers provided by social transfers and school feeding programs, and in-kind transfers generated by public services in health and education. The results show that Grenada has a tax system that is neutral on the value-added tax side and progressive on the personal income tax side. Furthermore, direct transfers make a modest contribution to poverty reduction and are almost neutral in their distributive impact. The results contribute to the understanding of who bears the burden of taxation and benefits from transfers and of how Grenada's fiscal system can improve its redistributive effect
    DOI: 10.1596/1813-9450-10678
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  • 10
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    Missing Evidence : Tracking Academic Data Use around the World (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Stacy, Brian Missing Evidence: Tracking Academic Data Use around the World
    Keywords: Academia ; Academic Research Article Survey ; Country Data Analysis ; Developing Country Research Study ; Economic Policy, Institutions and Governance ; Macroeconomics and Economic Growth ; Natural Language Processing ; Poverty and Policy ; Poverty Reduction
    Abstract: Data-driven research on a country is key to producing evidence-based public policies. Yet little is known about where data-driven research is lacking and how it could be expanded. This paper proposes a method for tracking academic data use by country of subject, applying natural language processing to open-access research papers. The model's predictions produce country estimates of the number of articles using data that are highly correlated with a human-coded approach, with a correlation of 0.99. Analyzing more than 1 million academic articles, the paper finds that the number of articles on a country is strongly correlated with its gross domestic product per capita, population, and the quality of its national statistical system. The paper identifies data sources that are strongly associated with data-driven research and finds that availability of subnational data appears to be particularly important. Finally, the paper classifies countries into groups based on whether they could most benefit from increasing their supply of or demand for data. The findings show that the former applies to many low- and lower-middle-income countries, while the latter applies to many upper-middle- and high-income countries
    DOI: 10.1596/1813-9450-10673
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  • 11
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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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  • 12
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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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  • 13
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    Female Headship and Poverty in the Arab Region : Analysis of Trends and Dynamics Based on a New Typology (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (97 pages)
    Parallel Title: Erscheint auch als AlAzzawi, Shireen Female Headship and Poverty in the Arab Region: Analysis of Trends and Dynamics Based on a New Typology
    Keywords: Female-Headed Households (FHH) ; Female-Headedness Typology ; Gender ; Household Survey Data ; Poverty Dynamics ; Poverty Feminization ; Poverty Reduction ; Synthetic Panels
    Abstract: Various challenges are thought to render female-headed households (FHHs) vulnerable to poverty in the Arab region. Yet, previous studies have had mixed results and the absence of household panel survey data hinders analysis of poverty dynamics. This paper addresses these challenges by proposing a novel typology of FHHs and analyzes synthetic panels constructed from 20 rounds of repeated cross-sectional surveys spanning the past two decades from the Arab Republic of Egypt, Iraq, Jordan, Mauritania, the West Bank and Gaza, and Tunisia. The paper finds that the definition of FHHs matters for measuring poverty levels and dynamics. Most types of FHHs are less poor than non--FHHs on average, but FHHs with a major share of female adults are generally poorer. FHHs are more likely to escape poverty than households on average, but FHHs without children are the most likely to do so. While more children are generally associated with more poverty for FHHs, there is heterogeneity across countries in addition to heterogeneity across measures of FHHs. The findings provide useful inputs for social protection and employment programs aiming at reducing gender inequalities and poverty in the Arab region
    DOI: 10.1596/1813-9450-10672
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  • 14
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    Labor Market Participation and Employment Choice in Ghana : Do Individual Personality Traits and Gender Role Attitudes Matter? (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Amankwah, Akuffo Labor Market Participation and Employment Choice in Ghana: Do Individual Personality Traits and Gender Role Attitudes Matter?
    Keywords: Education ; Employment Outcome ; Employment Preference ; Gender ; Gender Monitoring and Evaluation ; Gender Norms ; Gender Role Attitudes ; Informal Sector Measurement Study ; Labor Markets ; Multi-Stage Sampling ; Personality Traits ; Poverty Reduction ; Secondary Education Equity ; Self-Employment
    Abstract: In addition to the conventional determinants of labor market participation and the choice between wage employment and self-employment, there is a growing interest of the significance of gender role attitudes and personality traits. This study uses data from the 2022 Ghana Informal Sector Measurement Study to investigate the influence of these factors on employment outcomes in the Northern and Ashanti regions of Ghana. The findings are based on a series of analyses, including descriptive, multinomial logistic, and linear probability model regressions. The empirical results show the critical role played by both gender role attitudes and personality traits in shaping individuals' decisions on labor market participation and employment choices. Notably, personality traits emerge as significant drivers of observed employment outcomes. However, the impact of these personality traits is often mitigated or even reversed in the presence of heightened traditionalism. Furthermore, the gender-disaggregated analysis reveals that possessing at least a secondary education level is a pivotal factor in the selection of men into formal employment, whereas this criterion holds less significance for women. Conversely, once the decision to participate in the labor market has been made, having at least a secondary education becomes relevant for securing wage employment, regardless of an individual's gender
    DOI: 10.1596/1813-9450-10664
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  • 15
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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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  • 16
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    Little Nomads : Economic and Social Impacts of Migration on Children (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (48 pages)
    Parallel Title: Erscheint auch als Cortina Toro, Magdalena Little Nomads: Economic and Social Impacts of Migration on Children
    Keywords: Child Migration ; Education Services ; Migration ; Migration Influence on Children ; Poverty Reduction
    Abstract: This paper reviews the main findings from 110 studies produced between 1990 and 2023, focusing on the impact of migration on various child groups affected through the migration path, including left-behind, immigrant (including voluntary and forced), and native children. The findings reveal that migration's influence on children's outcomes is complex and context- dependent, and it is dramatically influenced by household demographics and public policies. Key findings include the following: (i) left-behind children benefit from remittances but experience dramatic declines in their cognitive and non-cognitive development due to parental absence; (ii) immigrant children generally fare better than those in their origin countries but still underperform compared to native children in host countries; and (iii) the impacts of migration on native children is largely dependent on the adjustment of public service supply to the increased demand for public services. In cases where education services expand to meet rising demand, the effect on native children can be minimal or even positive. The paper emphasizes the need for more experimental or quasi-experimental research examining the effectiveness of programs supporting migrant and minor host children and calls for longitudinal data collection for better understanding the challenges and needs of migrant children, particularly in developing countries
    DOI: 10.1596/1813-9450-10686
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  • 17
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    The Costs Come before the Benefits : Why Donors Should Invest More in Refugee Autonomy in Uganda (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (14 pages)
    Parallel Title: Erscheint auch als Atamanov, Aziz The Costs Come before the Benefits: Why Donors Should Invest More in Refugee Autonomy in Uganda
    Keywords: Communities and Human Settlements ; Development Assistance Need ; Development Economics and Aid Effectiveness ; Displacement ; Financial Inclusion ; Human Migrations and Resettlements ; Humanitarian Aid ; International Economics and Trade ; International Migration ; Labor Market Inclusion ; Poverty Reduction ; Refugees ; Self-Reliance
    Abstract: When host countries allow refugees to earn income, two main groups benefit: refugees, who become financially autonomous, and international institutions that can reduce the humanitarian aid that would otherwise be needed to support refugees. Uganda is one of the more progressive countries when it comes to promoting the financial independence of refugees and shifting from humanitarian aid to development ways of working. This note considers how successful refugees in Uganda have been in becoming financially independent and estimates how assistance has been saved due to these efforts at economic inclusion. Using the international poverty line of USD 2.15 in 2017 purchasing power parities to proxy the costs of basic needs, the results suggest that the amount of total aid needed was reduced by almost 45 percent. They also show that many refugees live in poverty, implying that the present combination of aid and work is inadequate to assure a decent standard of living. While more assistance is needed in the short run, reductions in development assistance are feasible but require upfront investments in refugee earning capacity to realize them
    DOI: 10.1596/1813-9450-10679
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  • 18
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    Reassessing Welfare Impacts of Bulgarian Fiscal Policy through a Child Poverty Perspective (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Robayo, Monica Reassessing Welfare Impacts of Bulgarian Fiscal Policy through a Child Poverty Perspective
    Keywords: Child Poverty ; Commitment To Equity (CEQ) Model ; Covid-19 Pandemic Impact on Child Poverty ; Fiscal and Monetary Policy ; Fiscal Incidence ; Fiscal Policy ; Living Standards ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development ; Social Spending ; Taxation
    Abstract: This paper delves into Bulgaria's persistent issue of child poverty, even amidst policy efforts at the European Union (EU) and national levels. The study updates a comprehensive fiscal incidence analysis using the Commitment to Equity (CEQ) model, considering COVID-19's impact and a child-focused perspective, and simulates child-related policy interventions' effectiveness in alleviating child poverty. Our results show that Bulgaria's fiscal system has a limited impact on the overall at-risk of poverty rate, though it shows potential in reducing poverty for lower income deciles. Bulgaria's fiscal system reduces inequality compared to other countries with similar income levels, primarily driven by the substantial influence of direct transfers, education, and health allocations. Nevertheless, the redistributive effect of direct taxes and transfers remains comparatively modest within Europe. The study emphasizes the progressive nature of Bulgaria's fiscal components, benefiting the poorest through social benefits. When applying a child lens, our results show that fiscal policy is not very effective in addressing child poverty, as it reduces it by just 0.3 percentage points. However, means-tested programs targeting families and children play a significant role in mitigating child poverty. This research also underscores that specific households in Bulgaria face heightened vulnerability and may not receive optimal support from fiscal measures, including households with three or more children and lone-parent households, especially those headed by lone females. Microsimulation results suggest that enhancing child tax deductions among low-income earners and refining the design of child benefits to improve targeting effectiveness and generosity can notably contribute to child poverty reduction. The paper offers insights into more equitable policy design in Bulgaria's pursuit of combating child poverty
    DOI: 10.1596/1813-9450-10657
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  • 19
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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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  • 20
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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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  • 21
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    The Growth Elasticity of Poverty : Is Africa Any Different? (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Wu, Haoyu The Growth Elasticity of Poverty: Is Africa Any Different?
    Keywords: Aggregate Economic Growth ; Global Poverty Reduction ; Gross Domestic Product Per Capita ; Growth Elasticity ; Poverty Reduction
    Abstract: On current trends, the future of global poverty reduction will be determined by Sub-Saharan Africa. Yet even during Sub-Saharan Africa's period of high economic growth -- roughly corresponding to the first decade and a half of the 2000s -- the extent to which this growth translated into improved living standards for African households was hotly debated. This paper revisits the issue of Sub-Saharan Africa's relatively low growth elasticity of poverty using a sample of 575 successive and comparable growth spells between 1981 and 2021. The findings confirm that, even controlling for initial differences in poverty, income levels, and inequality, Sub-Saharan Africa consistently had a significantly lower growth elasticity of poverty relative to other regions over this period. The lower growth elasticity of poverty, which has remained unchanged over time, is due to a lower passthrough between growth in gross domestic product per capita (or growth in household final consumption expenditure as measured by national accounts) and growth in household consumption expenditures as measured from surveys. Given the low passthrough of economic growth to households, Africa thus needs higher rates of economic growth than its peer countries in other regions to achieve equal rates of poverty reduction. Given the challenge of achieving this in the current global economic environment, success in reducing global poverty will require a focused effort to strengthen the effect of aggregate economic growth on household welfare in Sub-Saharan Africa. The results suggest that this will require (i) improved provision of basic education services and basic infrastructure, (ii) faster structural transformation, and (iii) a decrease in the occurrence and persistence of violent conflicts
    DOI: 10.1596/1813-9450-10690
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  • 22
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    Using Survey-to-Survey Imputation to Fill Poverty Data Gaps at a Low Cost : Evidence from a Randomized Survey Experiment (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (78 pages)
    Parallel Title: Erscheint auch als Dang, Hai-Anh Using Survey-to-Survey Imputation to Fill Poverty Data Gaps at a Low Cost: Evidence from a Randomized Survey Experiment
    Keywords: Consumption ; Household Surveys ; Information and Communication Technologies ; Macroeconomics and Economic Growth ; Poverty ; Poverty Diagnostics ; Poverty Reduction ; Survey-To-Survey Imputation
    Abstract: Survey data on household consumption are often unavailable or incomparable over time in many low- and middle-income countries. Based on a unique randomized survey experiment implemented in Tanzania, this study offers new and rigorous evidence demonstrating that survey-to-survey imputation can fill consumption data gaps and provide low-cost and reliable poverty estimates. Basic imputation models featuring utility expenditures, together with a modest set of predictors on demographics, employment, household assets, and housing, yield accurate predictions. Imputation accuracy is robust to varying the survey questionnaire length, the choice of base surveys for estimating the imputation model, different poverty lines, and alternative (quarterly or monthly) Consumer Price Index deflators. The proposed approach to imputation also performs better than multiple imputation and a range of machine learning techniques. In the case of a target survey with modified (shortened or aggregated) food or non-food consumption modules, imputation models including food or non-food consumption as predictors do well only if the distributions of the predictors are standardized vis-a-vis the base survey. For the best-performing models to reach acceptable levels of accuracy, the minimum required sample size should be 1,000 for both the base and target surveys. The discussion expands on the implications of the findings for the design of future surveys
    DOI: 10.1596/1813-9450-10738
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  • 23
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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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  • 24
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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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  • 25
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    The Gendered Impact of the COVID-19 Crisis on the Iranian Labor Market (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (16 pages)
    Parallel Title: Erscheint auch als Redaelli, Silvia The Gendered Impact of the COVID-19 Crisis on the Iranian Labor Market
    Keywords: Covid-19 ; Gender ; Gender Monitoring and Evaluation ; Gender Norms ; Labor Force Participation ; Poverty Reduction ; Women in The Workforce
    Abstract: Despite sizable government interventions to sustain the economy, in the first year of the pandemic (2021/22), approximately 1 million jobs were lost in the Islamic Republic of Iran, and labor force participation contracted by 3 percentage points. Iranian women were the most affected: two out of three jobs lost between 2019/20 and 2020/21 were previously held by women. The gendered impact of the crisis contributed to widening Iranian women's disadvantage in the labor market. Most importantly, the gains in female labor force participation that had slowly accumulated since 2011 vanished. Consistent with what is observed in other countries, women with young children were the most affected by the crisis. The combined effect of school closures and unequal intra-household allocation of care responsibilities, associated with prevailing gender norms, pushed Iranian women with children out of the labor force. Whether or not these trends will be reversed as the management of the COVID-19 pandemic is normalized and the economy recovers from the crisis remains an important policy question
    DOI: 10.1596/1813-9450-10705
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  • 26
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    Fiscal Policy, Poverty and Inequality in Jordan : The Role of Taxes and Public Spending (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (54 pages)
    Parallel Title: Erscheint auch als Rodriguez, Laura Fiscal Policy, Poverty and Inequality in Jordan: The Role of Taxes and Public Spending
    Keywords: Finance and Development ; Finance and Financial Sector Development ; Fiscal Policy and Inequality ; Income Inequality ; Poverty and Social Impact ; Poverty Monitoring and Analysis ; Poverty Reduction ; Public Sector Development
    Abstract: Analysing who benefits from different taxes and spending is important to understand how fiscal policy is affecting poverty and inequality in Jordan. This study traces how the Jordanian fiscal system affects different households, while paying income tax and GST and benefiting from social assistance, and services, such as, cash transfers, electricity and water subsidies, education and health. The study finds that Jordan's current fiscal system is modestly progressive, but more could be achieved. Inequality, as measured by the Gini Index, falls 5.8 points between household market incomes and post-fiscal incomes (after paying income and consumption taxes as well as receiving government transfers and subsidized services). When considering only monetary taxes and benefits (that is, excluding non-cash education and health services), inequality falls by only 2.6 points and poverty would be almost the same as the official poverty rate. Nonetheless, the recent expansion of social assistance programs is making Jordan's fiscal policies more equalizing and there is scope for other reforms which would both close the fiscal gap while further reducing poverty and inequality
    DOI: 10.1596/1813-9450-10732
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  • 27
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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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  • 28
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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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  • 29
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    Responsibility Sharing and the Economic Participation of Refugees in Chad (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Coulibaly, Mohamed Responsibility Sharing and the Economic Participation of Refugees in Chad
    Keywords: Adaptation To Climate Change ; Climate Change ; Communities and Human Settlements ; Disaster Risk Management ; Environment ; Flood and Drought Risk Management ; Human Migrations and Resettlements ; Natural Resources Management ; Poverty Assessment ; Poverty Reduction
    Abstract: The Global Compact on Refugees recognizes the importance of responsibility sharing for hosting, protecting, and assisting refugees, while emphasizing the potential of economic participation to reduce the cost of humanitarian assistance. This note explores the relative importance of aid in caring for refugees hosted in Chad and the importance of the incomes earned by the refugees. It finds that the combination of aid and self-earned incomes falls far short of a minimum standard of living (the poverty line) as a consequence of which the vast majority of refugees lives in abject poverty. It is also finds that although refugees are hosted in camps with relatively few economic opportunities, self-generated income covers 54 percent of the poverty line and aid only 14 percent. As Chad has adopted a policy of refugee inclusion and dispersion, the note then explores how much these progressive policies might increase the income earning potential of refugees. This is found to be substantial. Economic participation policies are estimated to reduce refugee poverty from 88 to 50 percent (thus increasing the self-sufficiency of refugees dramatically), while increasing the incomes generated by poor refugees by more than 50 percent. The greatest participation benefits will be realized when refugees move to areas with more economic potential
    DOI: 10.1596/1813-9450-10727
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  • 30
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    New Evidence on Inequality of Opportunity in Sub-Saharan Africa : More Unequal than we Thought (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (49 pages)
    Parallel Title: Erscheint auch als Atamanov, Aziz New Evidence on Inequality of Opportunity in Sub-Saharan Africa: More Unequal than we Thought
    Keywords: Circumstances ; Consumpton Inequality ; Equity and Development ; Inequality ; Inequality of Opportunity ; Poverty Reduction ; Social Development
    Abstract: Unequal access to economic opportunity for individuals with different innate characteristics, such as ethnicity or parents' socioeconomic status, is often seen as both morally undesirable and bad for economic growth. This paper estimates inequality of opportunity, or the share of inequality explained by birth characteristics, across 18 countries in Sub-Saharan Africa. For many countries, this is the first time inequality of opportunity is measured. The paper uses nationally representative household survey data harmonized to allow for cross-country comparisons. Using consumption per capita as the outcome, the findings show that inequality of opportunity in Sub-Saharan Africa is stark and more pronounced than previously estimated. On average, inherited circumstances explain more than half of inequality in the region. Estimates range from 40 to 60 percent in most countries and reach 74 percent in South Africa. The findings show that birthplace, parents' education, and ethnicity tend to be the most significant contributors, but there is large variation in the importance of circumstances across countries. This represents the most comprehensive estimate of inequality of opportunity to date in the poorest and one of the most unequal regions in the world, and it underscores the pressing need for policy makers to intensify their efforts to address inequality of opportunity to foster societies that are more equitable and unlock the full potential for growth in the region
    DOI: 10.1596/1813-9450-10723
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  • 31
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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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  • 32
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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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  • 33
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    How Large Are the Economic Dividends from Closing Gender Employment Gaps in the Middle East and North Africa? (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Fiuratti, Federico Ivan How Large Are the Economic Dividends from Closing Gender Employment Gaps in the Middle East and North Africa?
    Keywords: Gender ; Gender Employment Gap ; Gender Employment Gap Index ; Gender Monitoring and Evaluation ; Neoclassical Growth Models ; Poverty Reduction ; Women in The Workforce
    Abstract: This paper quantifies the gains in gross domestic product per capita from closing gender employment gaps in the Middle East and North Africa, using three neoclassical growth models. The paper starts with baseline impacts from the Gender Employment Gap Index, which suggests that in the long run, gross domestic product per capita would be around 50 percent higher in the typical economy in the region if gender employment gaps were closed (mean 54 percent, median 49 percent). However, the gains are heterogeneous, ranging from less than 10 percent in Qatar to more than 80 percent in the Republic of Yemen. The paper then explores short-term gains, when capital is fixed (or adjusts slowly), and gains in the medium-term, with sluggish implementation of reforms using the Long Term Growth Model, which roughly halves the gains (and lowers the gains by more than half in resource-rich countries). Finally, the paper incorporates the effects of changes in the skill distribution in a model incorporating capital-skill complementarities in production. Because gender employment gaps in the Middle East and North Africa tend to be larger among the unskilled, closing these gaps reduces average skill levels, moderating long-term gains by 5-10 percentage points. However, if women in the Middle East and North Africa continue the current trend toward greater educational attainment, the gains will be greater than in the baseline. All three models--the Gender Employment Gap Index, the Long Term Growth Model, and capital-skill complementarities--point to large increases in gross domestic product per capita from closing gender employment gaps
    DOI: 10.1596/1813-9450-10706
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  • 34
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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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    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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  • 36
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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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  • 37
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    Comparing Internally Displaced Persons with those Left Behind : Evidence from the Central African Republic (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Lain, Jonathan Comparing Internally Displaced Persons with those Left Behind: Evidence from the Central African Republic
    Keywords: Armed Conflict ; Central African Republic ; Communities and Human Settlements ; Conflict ; Conflict and Development ; Displacement ; Human Migrations and Resettlements ; Poverty ; Poverty Diagnostics ; Poverty Reduction
    Abstract: Global poverty is increasingly becoming concentrated in conflict-affected settings. Therefore, assessing the welfare of those people displaced by conflict is of growing policy importance. Collecting and analyzing data on displaced people is challenging because sampling them is difficult, standard welfare metrics may not reflect their experiences, and they are highly heterogeneous. Assessing the welfare effects of displacement also hinges on constructing counterfactuals that show how internally displaced persons would have fared had they stayed in place. Displaced people typically come from a nonrandom subset of communities affected by conflict or other shocks, so comparing them with the rest of the population may be misleading. This paper addresses this issue using data from the Central African Republic, which recorded detailed information on displacement histories to isolate the communities from which those living in internally displaced person camps originated. Using these "catchment areas" for internally displaced person camps as a counterfactual suggests that although displaced households have lower monetary consumption and higher monetary poverty than the overall population, they may be no worse off on many key metrics than those left behind in the communities originally affected by conflict. Moreover, those left behind enjoy none of the benefits of being in camps, such as additional access to water and sanitation services. These results underline the importance of tailoring policies and data collection to consider those in communities originally affected by conflict, just as practitioners are doing for displaced populations
    DOI: 10.1596/1813-9450-10725
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  • 38
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    Assessing the Extent of Monetary Poverty in the Syrian Arab Republic after a Decade of Conflict (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Parallel Title: Erscheint auch als Redaelli, Silvia Assessing the Extent of Monetary Poverty in the Syrian Arab Republic after a Decade of Conflict
    Keywords: Data Deprivation ; Fragility and Conflict ; Poverty Measurement ; Poverty Monitoring and Analysis ; Poverty Nowcasting ; Poverty Reduction ; Social Conflict and Violence ; Social Development ; Social Development and Poverty
    Abstract: The data for estimating monetary poverty in the Syrian Arab Republic are outdated. In the context of data scarcity, this paper aims to propose a methodological approach to address the knowledge gap regarding welfare in Syria over the past decade. In particular, the analysis provides (i) updated pre-conflict poverty baseline estimates based on grouped data from the 2009 Household Income and Expenditure Survey; (ii) supporting evidence on the viability of using Humanitarian Needs Assessment Programme Demographic and Water Supply, Sanitation, and Hygiene 2022 survey data for the estimation of monetary poverty in 2022; and (iii) supporting theoretical and empirical evidence to identify growth in per capita gross domestic product in current prices deflated by Consumer Price Index as the best metric to project poverty using a nowcasting approach. Based on this analysis, the paper proposes to use 2022 Humanitarian Needs Assessment Programme-based poverty estimates to anchor the most recent estimates to the best available evidence, and to interpolate the poverty evolution obtained from back-casting 2022 and nowcasting 2009 poverty estimates over 2009-22 using the growth rate of per capita gross domestic product in current prices, deflated by the Consumer Price Index with a passthrough of 0.7
    DOI: 10.1596/1813-9450-10736
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  • 39
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    Are Unit Values Reliable Proxies for Prices? : Implications of Better Price Data for Household Consumption Measurement in a Low-Income Context (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Alimi, Omoniyi Babatunde Are Unit Values Reliable Proxies for Prices? Implications of Better Price Data for Household Consumption Measurement in a Low-Income Context
    Keywords: Commodity Group Price ; Household Consumption And Expenditure ; Household Survey ; Macroeconomics and Economic Growth ; Nominal Consumption Aggregate ; Poverty Line ; Poverty Monitoring and Analysis ; Poverty Reduction ; Separability Assumption ; Unit Values
    Abstract: Household Consumption and Expenditure Surveys are key to consumption-based monetary poverty measurement. In the absence of market price surveys that are linked to Household Consumption and Expenditure Surveys, unit values are used as proxies for market prices in estimating nominal consumption aggregates, price deflators, poverty lines, and poverty statistics. This practice relies on the Hicksian separability assumption: within-commodity group relative prices are constant across space and the price of a single good is an accurate proxy for the commodity group price. To test, for the first time in a low-income context, whether Hicksian separability holds, this paper uses the price data collected for an extensive list of food items, including several variety/quality-differentiated products for specific items, in a national market survey that was conducted in Malawi in sync with the Household Consumption and Expenditure Survey that is the source of official poverty statistics. The analysis demonstrates that Hicksian separability fails to hold across space and time and that unit values are biased proxies for prices. Integrating the Household Consumption and Expenditure Survey and market survey data based on location and timing of fieldwork permits an assessment of consumption and poverty estimation based on market prices versus unit values. Relative to unit values, using market prices leads to higher food and overall consumption expenditures--both in nominal and real terms--while generating higher poverty lines and higher food and overall poverty rates. Compared to their counterparts based on unit values, spatially-disaggregated poverty estimates based on market prices exhibit a stronger correlation with nightlights --an objective proxy for living standards
    DOI: 10.1596/1813-9450-10698
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  • 40
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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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  • 41
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    Liberia Country Climate Development Report (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Country Climate and Development Reports (CCDRs)
    Keywords: Adaptation To Climate Change ; Climate Change Adaptation ; Economic Growth ; Environment ; Finance ; Inlcusive Growth ; Macroeconomics and Economic Growth ; Poverty Reduction ; Resilience
    Abstract: This Country Climate and Development Report (CCDR) examines Liberia's development trajectory through the lens of the country's vulnerability to climate change. It identifies Liberia's development risks and opportunities, models various scenarios of climate impact and intervention, and proposes ways to strengthen resilience and finance climate actions that support Liberia's development aspirations of inclusive growth and poverty reduction
    DOI: 10.1596/41241
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  • 42
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    Governance in Sub-Saharan Africa in the 21St Century : Four Trends and an Uncertain Outlook (2024)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Isser, Deborah H Governance in Sub-Saharan Africa in the 21St Century: Four Trends and an Uncertain Outlook
    Keywords: Centralized Power Arrangements ; Checks and Balances ; Fiscal and Monetary Policy ; Governance Reform ; Governance Trajectory ; Macroeconomics and Economic Growth ; Poverty Reduction ; Social Development ; Social Inclusion and Institutions
    Abstract: What can be learned from the governance trajectory of African countries since the beginning of the 21st century What is the quality of governance on the African continent and how does it shape development The first decade of the millennium saw promising growth and poverty reduction in much of the continent. Yet, Sub-Saharan Africa has also been the stage of a stream of governance reform failures and policy reversals, and many countries continue to suffer from the consequences of poor governance. This paper explores the dynamics of governance reform on the continent over the past two decades and points to four key trends. First, effective state institutions, capable of maintaining peace, fostering growth, and delivering services, have developed unevenly. Second, progress has been made on enhancing the inclusiveness and accountability of institutions, but it remains constrained by the weakness of checks and balances and the persistence of patterns of centralized and exclusive power arrangements. Third, civic capacity has risen considerably, but the inability of institutions to respond to social expectations and political mobilization threatens to turn liberal civic engagement into distrust, populism, and radicalization. Fourth, the combination of these three trends contributes to the rise of political instability, which constitutes a major threat for the continent
    DOI: 10.1596/1813-9450-10713
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  • 43
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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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  • 44
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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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  • 45
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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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  • 46
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    Tunisia Economic Monitor, Fall 2023 : Migration Amid a Challenging Economic Context (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Drought ; Economic Recovery ; Emigration ; Inflation ; Migration ; Poverty Reduction
    Abstract: Migration will likely become increasingly important for Tunisia in terms of both inflows and outflows, given the demographic transition in both Tunisia and Europe. As such Tunisia can work (also with partner countries) to maximize the benefits of migration. As a country of mainly emigration, Tunisia could help strengthen the match of its emigrants with the demand abroad, including through enhanced cooperation with destination countries. Such cooperation should include focusing international assistance towards development objectives in Tunisia. Based on available evidence, increasing household incomes will contribute to reducing the propensity to consider emigrating through irregular channels. As its importance as a destination country (hence migrants who want to settle in Tunisia) is likely to increase, Tunisia can also enhance the economic benefits from immigrants by facilitating migrants' regular status and streamlining the recognition of their qualifications, which has been identified as one of the key aspects for the successful implementation of bilateral mobility agreements involving skill partnerships
    DOI: 10.1596/40676
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  • 47
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    Cash and Conflict : Large-Scale Experimental Evidence from Niger (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (29 pages)
    Parallel Title: Erscheint auch als Premand, Patrick Cash and Conflict: Large-Scale Experimental Evidence from Niger
    Keywords: Boko Haram ; Cash Transfer Effectiveness ; Cash Transfers and Conflict ; Conflict ; Conflict and Development ; Financial Terrorism ; International Terrorism and Counterterrorism ; Poverty Reduction ; Sabatoge of Government Programs ; Social Protections and Labor ; Terrorism
    Abstract: Conflict undermines development, while poverty, in turn, breeds conflict. Policy interventions such as cash transfers could lower engagement in conflict by raising poor households' welfare and productivity. However, cash transfers may also trigger appropriation or looting of cash or assets. The expansion of government programs may further attract attacks to undermine state legitimacy. To investigate the net effect across these forces, this paper studies the impact of cash transfers on conflict in Niger. The analysis relies on the large-scale randomization of a government-led cash transfer program among nearly 4,000 villages over seven years, combined with geo-referenced conflict events that draw on media and nongovernmental organization reports from a wide variety of international and domestic sources. The findings show that cash transfers did not result in greater pacification but-if anything-triggered a short-term increase in conflict events, which were to a large extent driven by terrorist attacks by foreign rebel groups (such as Boko Haram) that could have incentives to "sabotage" successful government programs
    DOI: 10.1596/1813-9450-10293
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  • 48
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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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    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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  • 50
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    Droughts and Welfare in Afghanistan (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (52 pages)
    Parallel Title: Erscheint auch als Kochhar, Nishtha Droughts and Welfare in Afghanistan
    Keywords: Climate Change ; Climate Change and Health ; Drought ; Food Consumption ; Food Insecurity ; Health, Nutrition and Population ; Household Consumption ; Natural Disaster ; Poverty ; Poverty Impact Evaluation ; Poverty Reduction ; Poverty, Environment and Development ; Social Aspects of Climate Change ; Social Development ; Social Protection and Climate Change
    Abstract: This paper studies the effect of the 2018 drought on household consumption and poverty in Afghanistan, a semi-arid and conflict-affected country. The paper combines geolocated household data with remote-sensing weather data on precipitation, vegetation, and temperature. The findings show that drought-like conditions decreased monthly per capita consumption expenditures and hence increased poverty, with a highly nonlinear relationship between consumption and weather shocks. When forced to cut back, households reduced nonfood consumption to maintain their food consumption; only under severe stress did they reduce food consumption. Households that owned agricultural land were more resilient to the 2018 drought. Based on the historical distribution of weather shocks, estimates of vulnerability to poverty suggest that 62.5 percent of people have a one in four probability of falling into poverty due to weather shocks. Given that climate change will exacerbate the frequency and severity of future droughts, these findings highlight the importance of investments in resilience and shock-responsive social protection to supplement urgent humanitarian assistance
    DOI: 10.1596/1813-9450-10272
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    Labor Productivity Growth and Industrialization in Africa (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als McMillan, Margaret Labor Productivity Growth and Industrialization in Africa
    Keywords: Business in Development ; Competitiveness and Competition Policy ; General Manufacturing ; Global Value Chains and Business Clustering ; Industry ; International Economics and Trade ; Manufacturing ; Manufacturing Jobs ; Manufacturing Linkages ; Poverty Reduction ; Premature Deindustrialization ; Productivity ; Productivity Growth ; Small Firm Productivity
    Abstract: Manufacturing has made an important contribution to raising living standards in many parts of the world. Concerns about premature deindustrialization have made some observers skeptical about the potential for manufacturing to play this role in Africa. But employment in African manufacturing has grown rapidly over the past 20 years. These employment gains have been accompanied by: (i) large increases in the number of small manufacturing firms, (ii) limited employment gains in large firms, and (iii) robust labor productivity growth in Africa's large firms. Limited employment growth in Africa's large manufacturing firms is partly a result of the capital intensity of the manufacturing subsectors in which African countries are most engaged-the processing of resources-and partly a result of rising capital intensity in manufacturing. The potential for manufacturing to raise living standards in Africa depends on indirect job creation by large firms through backward and forward linkages and increasing labor productivity in small firms
    DOI: 10.1596/1813-9450-10294
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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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  • 53
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    Welfare and Climate Risks in Coastal Bangladesh : The Impacts of Climatic Extremes on Multidimensional Poverty and the Wider Benefits of Climate Adaptation (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Verschuur, Jasper Welfare and Climate Risks in Coastal Bangladesh: The Impacts of Climatic Extremes on Multidimensional Poverty and the Wider Benefits of Climate Adaptation
    Keywords: Adaptation Co-Benefits ; Climate Change ; Coastal Risk ; Cyclone Hazard Data ; Environmental Risk ; Household Survey ; Multidimensional Poverty Index ; Poverty ; Poverty Reduction ; Welfare Implications
    Abstract: It is widely recognized that climate hazards impact the poor disproportionately. However, quantifying these disproportionate hazard impacts on a large scale is difficult given limited information on households' location and socioeconomic characteristics, and incomplete quantitative frameworks to assess welfare impacts on households. This paper constructs a household-level multidimensional poverty index using a synthetic household dataset of 43 million people residing in the coastal zone of Bangladesh. Households are spatially linked to the critical infrastructure networks they depend on, including housing; water, sanitation, and hygiene; electricity; education; and health services. Combined with detailed cyclone hazard data, the paper first quantifies risks to households, agriculture, and infrastructure. It then presents a novel framework for translating critical infrastructure impacts into the temporary incidence of service deprivations, which can contribute to temporary deprivations and hence multidimensional poverty. The paper uses this framework to evaluate the benefits of various adaptation options. The findings show that asset risk due to flooding is USD 483 million per year at present, increasing to USD 750 million per year in 2050 under climate change. Households face an average infrastructure service disruption of two days per year, which is expected to increase to 4.6 days per year in 2050. This, in turn, would incur a temporary increase in multidimensional poverty (7.2 percent of people are multidimensionally poor at the baseline) of up to 94 percent (2.9 million people) 30 days after an extreme cyclone event (a 1-in-100 years event) at present and 153.9 percent (4.8 million people) in the future. The paper quantifies the large welfare benefits of upgrading embankments, showing how apart from significant risk reduction, these interventions reduce service disruptions by up to 70 percent in some areas and can help up to 1.6 million (0.23 million under current and proposed programs) people from experiencing some form of temporary poverty. Overall, the paper identifies poor households exposed to climate impacts, as well as those prone to falling into poverty temporarily, both ofcould help to mainstream equity considerations in new adaptation programs
    DOI: 10.1596/1813-9450-10373
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  • 54
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    Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions : The Case of Zimbabwe (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George Estimating Spatially Disaggregated Probability of Severe COVID-19 and the Impact of Handwashing Interventions: The Case of Zimbabwe
    Keywords: Coronavirus ; COVID Severity ; COVID-19 Pandemic ; Hand Washing Intervention ; Health, Nutrition and Population ; Public Health ; Severe COVID Prevention ; Spatial Modelling
    Abstract: The severity of COVID-19 disease varies substantially between individuals, with some infections being asymptomatic while others are fatal. Several risk factors have been identified that affect the progression of SARS-CoV-2 to severe COVID-19. They include age, smoking and presence of underlying comorbidities such as respiratory illness, HIV, anemia and obesity. Given that respiratory illness is one such comorbidity and is affected by hand hygiene, it is plausible that improving access to handwashing could lower the risk of severe COVID-19 among a population. In this paper, we estimate the potential impact of improved access to handwashing on the risk of respiratory illness and its knock-on impact on the risk of developing severe COVID-19 disease across Zimbabwe. We use a geospatial model that allows us to estimate differential clinical risk at the district level. Results show that the current risk of severe disease is heterogeneous across the country, due to differences in individual characteristics and household conditions. This study demonstrates how household level improved access to handwashing could lead to reductions in the risk of severe COVID-19 of up to 16% from the estimated current levels across all districts. Taken alongside the likely impact on transmission of SARS-CoV-2 itself, as well as countless other pathogens, this result adds further support for the expansion of access to handwashing across the country. It also highlights the spatial differences in risk of severe COVID-19, and thus the opportunity for better planning to focus limited resources in high risk areas in order to potentially reduce the number of severe cases
    DOI: 10.1596/1813-9450-10328
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  • 55
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    Candle in the Wind? : Insights from COVID-19 Emergency Cash Transfers to Informal Sector Workers in Sierra Leone (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (77 pages)
    Parallel Title: Erscheint auch als Adhikari, Samik Candle in the Wind? Insights from COVID-19 Emergency Cash Transfers to Informal Sector Workers in Sierra Leone
    Keywords: Covid-19 Pandemic ; Economic Security Measures ; Emergency Cash Transfer ; Health Policy ; Health, Nutrition and Population ; Informal Workers Protection ; Unconditional Cash Transfers ; Vulnerable ICT Workers
    Abstract: This paper takes stock of the insights and learnings from a COVID-19 emergency cash transfer program that was administered to vulnerable informal sector workers in Sierra Leone. It starts by reviewing relevant examples of cash transfer programs that were instituted in response to the COVID-19 crisis. It then describes the context, intervention, and data of the emergency cash transfer program, before presenting a quasi-experimental analysis of the emergency cash transfer's potential impacts on various measures of economic security and subjective well-being of households with urban informal sector workers. The analysis is conducted by matching administrative data to survey data and using program eligibility criteria and inverse probability weights to identify the short- and medium-term relationship between a one-off USD 135 cash transfer and various labor market, food security, human capital, and subjective well-being outcomes for recipient and nonrecipient households of the emergency cash transfer. The analysis finds a positive potential impact of the transfer and the number of hours worked as well as employment in the medium term. It also finds that program beneficiaries report higher chances of their main income increasing or staying the same compared to nonbeneficiaries. The positive correlation between the transfer and income disappears over the medium term, perhaps suggesting that one-off transfers work best to cushion vulnerable self-employed households and informal wage workers in the short term but do not impact medium-term employment or income
    DOI: 10.1596/1813-9450-10395
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  • 56
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    The Importance of Maintenance : Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (21 pages)
    Parallel Title: Erscheint auch als Joseph, George The Importance of Maintenance: Geospatial Analysis of Cholera Risk and Water and Sanitation Infrastructure in Harare, Zimbabwe
    Keywords: Cholera Outbreaks ; Cholera Risk ; Communicable Disease ; Health and Sanitation ; Health, Nutrition and Population ; Infrastructure Maintenance ; Sanitation Infrastructure ; Water-Born Illness ; Waterinfrastructure
    Abstract: Understanding the specific factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. This paper uses georeferenced case data from the cholera epidemic that occurred in Harare, Zimbabwe, from September 2018 to January 2019. The paper applies spatio-temporal modeling to understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. The study highlighted a number of findings. First, using call detail records to estimate weekly population movement throughout the city, the results suggest that human movement helps to explain the spatiotemporal patterns of the cases observed. In addition, the results highlight a number of sociodemographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure, with populations living in close proximity to the sewer network with high access to piped water being at higher risk. A possible explanation for this surprising observation is that sewer bursts led to the contamination of the piped water network, turning access to piped water, usually assumed to be protective, into a risk factor. Although further studies are required to test this hypothesis, if it is true, it highlights the importance of maintenance for achieving the Sustainable Development Goals of improved water and sanitation infrastructure
    DOI: 10.1596/1813-9450-10327
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  • 57
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    The Rigor of Case-Based Causal Analysis : Busting Myths through a Demonstration (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: IEG Independent Evaluations and Annual Reviews
    Keywords: Case Study Review ; Case-Based Evaluation ; Economic Theory and Research ; Evaluation Design ; Intervention Effectiveness ; Interventions and Outcomes ; Macroeconomics and Economic Growth ; Poverty Impact Evaluation ; Poverty Monitoring and Analysis ; Poverty Reduction ; World Bank Support To Carbon Finance Case Study
    Abstract: Several myths persist within research and evaluation circles about the power and limitations of evaluation designs that use cases (or case studies) as their primary empirical material (case-based evaluation designs). Using a real-world application, this paper busts two myths regarding the use of case-based designs in evaluations that aim to answer effectiveness questions and unpack the relationships between interventions and observed changes in outcomes (broadly known as causal analysis): that case studies cannot be used for causal analysis and that it is impossible to generalize from case studies. Through a detailed demonstration of how the evaluation of the World Bank's support to carbon finance has been designed and implemented, the paper undoes these preconceived ideas about the inferential, explanatory, and generalizability power of case-based evaluation designs
    DOI: 10.1596/39773
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  • 58
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    Protecting Human Capital Through Shocks and Crises : How lessons learned from the COVID-19 response across Eastern Europe and the South Caucasus can be used to build better and more resilient human development systems (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Social Analysis
    Keywords: COVID-19 ; Disease Control and Prevention ; ECA ; Education ; Education Reform and Management ; Health and Education ; Health, Nutrition and Population ; Human Capital ; Resilience ; Social Protections and Assistance ; Social Protections and Labor
    Abstract: Risk and uncertainty are on the rise, and countries across Europe and Central Asia (ECA) are not immune from it. The region is being hit by crises, conflicts, and continued uncertainty that are negatively affecting people's livelihoods in the short term and prosperity in the long term. Then COVID-19 hit, inflicting massive harm on people's wellbeing, livelihoods, and human capital. Lockdowns prevented people from working, school closures prevented students from learning, and overwhelmed hospitals had to defer important treatments. This report explores how to strengthen the resilience of health, education, and social protection systems to better protect people's human capital from the long-term effects of recurrent shocks and crises
    DOI: 10.1596/39716
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  • 59
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    Cholera Risk in Lusaka : A Geospatial Analysis to Inform Improved Water and Sanitation Provision (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Gething, Peter W Cholera Risk in Lusaka: A Geospatial Analysis to Inform Improved Water and Sanitation Provision
    Keywords: Cholera Risk Map ; Communicable Diseases ; Health, Nutrition and Population ; Infrastructure ; Spatial Modelling ; Targeting Infrastructure Investment ; Urban Water ; Water Scarcity ; Water Utilities
    Abstract: Urbanization combined with climate change are exacerbating water scarcity for an increasing number of the world's emerging cities. Water and sanitation infrastructure, which in the first place was largely built to cater only to a small subsector of developing city populations during colonial times, are increasingly coming under excessive strain. In the rapidly growing cities of the developing world, expansion does not always keep pace with population demand, leading to waterborne diseases, such as cholera (Vibrio cholerae) and typhoid (Salmonella serotype Typhi). Funding gaps therefore make targeting for efficient spending on infrastructure upgrades essential for reducing the burden of disease. This paper applies geospatial analysis in Lusaka, Zambia, in the context of the cholera outbreak of October 2017 to May 2018, to identify different water and sanitation infrastructure investment scenarios and their relative impact on reducing the risk of cholera in the city. The analysis presented uses cholera case location data and geospatial covariates, including the location of and access to networked and non-networked Water and sanitation infrastructure, groundwater vulnerability, and drainage, to generate a high-resolution map of cholera risk across the city. The analysis presents scenarios of standalone or combined investments across sewerage coverage and maintenance, on-site sanitation improvements, piped water network coverage and quality, and ensuring the safety of point source water. It identifies the investment most strongly correlated with the largest reduction in cholera risk as the provision of flush to sewer infrastructure citywide. However, it also considers the trade-offs in terms of financial cost versus health benefits and takes note of where the next highest health benefits could be achieved for a much lower cost. Finally, the analysis was done in the context of a considered restructuring of an existing World Bank investment, the Lusaka Sanitation Program. It identifies what appears to be the most efficient combined initiative as partial sanitation investment scale-up and investment in piped water in 10 priority wards where the cholera risk was highest
    DOI: 10.1596/1813-9450-10469
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  • 60
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    Using Paradata to Assess Respondent Burden and Interviewer Effects in Household Surveys : Evidence from Low- and Middle-Income Countries (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (39 pages)
    Parallel Title: Erscheint auch als Hasanbasri, Ardina Using Paradata to Assess Respondent Burden and Interviewer Effects in Household Surveys: Evidence from Low- and Middle-Income Countries
    Keywords: Computer-Assisted Interviewing ; Household Surveys ; Interviewer Effects ; Paradata ; Poverty Reduction ; Respondent Burden ; Social Analysis ; Social Development ; Survey Methodology
    Abstract: Over the past decade, national statistical offices in low- and middle-income countries have increasingly transitioned to computer-assisted personal interviewing and computer-assisted telephone interviewing for the implementation of household surveys. The byproducts of these types of data collection are survey paradata, which can unlock objective, module- and question-specific, actionable insights on respondent burden, survey costs, and interviewer effects. This study does precisely that, using paradata generated by the Survey Solutions computer-assisted personal interviewing platform in recent national household surveys implemented by the national statistical offices in Cambodia, Ethiopia, and Tanzania. Across countries, the average household interview, based on a socioeconomic household questionnaire, ranges from 82 to 120 minutes, while the average interview with an adult household member, based on a multi-topic individual questionnaire, takes between 13 to 25 minutes. Using a multilevel model that is estimated for each household and individual questionnaire module, the paper shows that interviewer effects on module duration are significantly larger than the estimates from high-income contexts. Food consumption, household roster, and non-farm enterprises consistently emerge among the top five household questionnaire modules in terms of total variance in duration, with 5 to 50 percent of the variability being attributable to interviewers. Similarly, labor, health, and land ownership appear among the top five individual questionnaire modules in terms of total variance in duration, with 6 to 50 percent of the variability being attributable to interviewers. These findings, particularly by module, point to where additional interviewer training, fieldwork supervision, and data quality monitoring may be needed in future surveys
    DOI: 10.1596/1813-9450-10456
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  • 61
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    Towards Better Labor Migration Systems in Northern Central America : Overview of Findings from El Salvador, Guatemala, and Honduras (2023)
    Washington, D.C : The World Bank
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    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other ESW Reports
    Keywords: Foreign Labor Markets ; International Access ; Labor Markets ; Labor Migration ; Legal Framework ; NCA Countries ; Poverty Reduction ; Social Protections and Labor
    Abstract: This note aims to close the knowledge gap about the effectiveness and capacity of labor migration sending systems in NCA countries. The report assesses whether NCA countries have the fundamental elements of an effective labor migration sending system, identifies the missing elements, and offers recommendations for strengthening the systems over time. Filling such a knowledge gap is critical to inform policies that maximize the benefits and minimize the costs of economic migration. Programs and policies that help expand legal pathways for regular migration will not only promote mutually beneficial migration, but could be a step, albeit small, towards dissuading individuals from pursuing risky migration patterns. Indeed, evidence from Mexico indicates that investing in legal labor pathways can reduce irregular migration (Clemens and Gough, 2018). In this context, this note summarizes the main findings from three institutional diagnostics of the labor migration sending systems in NCA countries, with a view to deepening the understanding of the supply side of labor flows. To this end, and building on previous World Bank experience globally, a diagnostic tool was developed to identify what steps the NCA governments have taken to recognize and respond to foreign demand for workers. The tool examines if appropriate structures, systems, processes, and resources exist to prepare and deliver adequate labor supply arrangements in the context of bilateral agreements (BLAs) or Temporary Work Agreements (TWAs) with other countries. The diagnostic tool is organized around four main pillars to regulate, facilitate, fortify, and further access of labor migrants to international labor markets
    DOI: 10.1596/40131
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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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    An Operational Approach to Enhancing Women's and Girls' Empowerment in World Bank Projects (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Women in Development and Gender Study
    Keywords: Empowerment ; Equity and Development ; Gender ; Gender and Development ; Gender Equality ; Poverty Reduction ; WGE ; Women and Girls ; World Bank Projects
    Abstract: Gender equality has long been central to the World Bank's twin goals of ending extreme poverty and boosting shared prosperity in a sustainable manner. More recently, women's and girls' empowerment (WGE) has become a priority in the Africa region in the context of the region's demographic transition. There has been a proliferation of World Bank projects with development objectives that include "empowerment", yet there remains a lack of consensus around its definition and operationalization. This note lays out a pragmatic Operational Approach to enhancing women's and girls' empowerment in World Bank projects. It is not intended to provide a new definition of empowerment or to present a new framework. Instead, the objective of the note is to translate widely accepted empowerment concepts into an operational approach to WGE that Bank Task Team Leaders (TTLs) can use in their project and ASA work. The approach includes: (i) a systematic way to analyze constraints to achieving WGE in the context of lending or analytical products; (ii) a list of potential intervention areas within the three empowerment pillars that can be integrated into World Bank projects; and (iii) guidance on how to incorporate the operational approach to WGE into project design
    DOI: 10.1596/40110
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  • 64
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    Liberia Economic Update, June 2023 : Getting Rice Right for Productivity and Poverty Alleviation (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: Financial Sector ; Fiscal Policy ; Growth and Poverty ; Inflation ; Macroeconomics and Economic Growth ; Poverty Diagnostics ; Poverty Reduction ; Rice Economy
    Abstract: In the last two years, Liberia's economic performance has improved. Inflation remained in single digits despite high global food and fuel prices and a relaxation in monetary and fiscal policies. Liberia's poverty rate is projected to have declined slightly in the last two years as GDP growth rebounds and inflation moderates. On the external side, Liberia's current account balance improved in 2022, thanks to the continued increase in mining export earnings. The increase in gold export in 2022 offset the increase in imports. Liberia's medium-term economic outlook is positive, but uncertainties remain. Even as it has been trying to recover from a decade of weak economic and social performance, Liberia's overall productivity and economic efficiency remain low, especially in vital sectors of the economy, including agriculture. Demographic trends, economic growth, and a strong preference for rice are the main drivers of demand. Yet, Liberia produces only one-third of its rice needs due to several constraints, including limited access to technology, inefficient farming practices, low public and private investments, and a fragmented value chain, among other factors that have kept productivity low. Amid low production, the increase in imported rice prices continues to fuel food insecurity, poverty, and vulnerabilities in Liberia. Domestic production would need to triple to satisfy local demand, but increasing production would require significant investments in the rice sector, as well as policy actions. This report provides some broad directions for policies
    DOI: 10.1596/40108
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  • 65
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    Seventh Ghana Economic Update : Price Surge - Unraveling Inflation's Toll on Poverty and Food Security (2023)
    Washington, D.C : The World Bank
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    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Economic Updates and Modeling
    Keywords: DEBT Management ; Fiscal Sector ; Food and Nutrition Policy ; Food Security ; Health, Nutrition and Population ; Inflation ; Macroeconomics and Economic Growth ; Poverty ; Poverty Reduction
    Abstract: Ghana's economy entered a full-blown crisis in 2022, after having rebounded from the COVID-19 slowdown in 2021. In response to the macroeconomic challenges, the authorities enacted some fiscal adjustment in 2022 but fell short of their consolidation targets; the 2023Q1 fiscal deficit (cash) was within target. Expenditure consolidation and revenue mobilization continued to be hampered by structural constraints. To address these unsustainable domestic and external imbalances, the authorities embarked on a comprehensive debt restructuring operation. Against the backdrop, growth is projected to decelerate further in 2023-24, before picking up in the medium-term. The government has embarked on an ambitious fiscal consolidation plan: however, delivering on it will require addressing long-standing revenue mobilization and budget control weaknesses. In 2023, the authorities intend to finance the fiscal deficit from multilateral (and other official) sources, in the context of the International Monetary Fund (IMF) - supported program, and from the domestic treasury bills (T-bills) market. In addition, leveraging government programs to build up resilience against vulnerability is an imperative and should not be suspended during the crisis. Beefing up the government's payments through the livelihood empowerment against poverty will be critical. Second, support for food self-sufficiency is needed in Ghana (a goal for many countries now due to the global food crisis), while opening the country to generate more export revenues. The Ghana Tree Crops Diversification Project can serve as a critical puzzle piece of the country's current challenges. The project will support poverty alleviation while setting the country up to generate more foreign revenues in the medium to long-term
    DOI: 10.1596/40064
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    Climate and Equity : A Framework to Guide Policy Action (2023)
    Washington, D.C : The World Bank
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    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Equitable Growth, Finance and Institutions Insight
    Keywords: Adaptation to Climate Change ; Climate Change Impact ; Climate Change Impacts ; Environment ; Equity and Development ; Future Hazards ; Policy Actions ; Poverty Reduction
    Abstract: Reducing the impact of climate change on poor and vulnerable households is essential to hastening poverty reduction. In thinking about policies that do this, it is useful to apply the same hazard, exposure and vulnerability framework that is often used to understand the physical impacts of climate change and add the non-climate benefits and costs to households that these policies can also bring. Policies that reduce hazards and vulnerability whilst bringing non-climate benefits-triple win policies-are not very common, but where possible they should be prioritized. Policies that reduce vulnerability and bring non-climate benefits are more common. However, some development policies that bring non-climate benefits, particularly in higher-income and higher-growth countries, may increase emissions by enough to worsen future hazards, so their emissions impact needs to be managed with compensating actions. Policies that reduce the hazards faced by poor households are needed, and the non-climate cost of these policies on poor people should be minimized or compensated where it cannot be avoided
    DOI: 10.1596/39952
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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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    Effects of a Lottery Incentive on Sexually Transmitted Infections and HIV Incidence among Female Sex Workers in Tanzania : Results from the Respect II Randomized Trial (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (32 pages)
    Parallel Title: Erscheint auch als Balampama, Marianna Effects of a Lottery Incentive on Sexually Transmitted Infections and HIV Incidence among Female Sex Workers in Tanzania: Results from the Respect II Randomized Trial
    Keywords: Communicable Diseases ; Female Sex Worker Intervention ; Financial Incentives To Safe Sex ; Health, Nutrition and Population ; HIV Among Sex Workers ; HIV Prevention ; Lottery Incentive Case Study ; Public Health Promotion ; STD Prevention
    Abstract: Female sex workers are a key population who experience a disproportionately high burden of HIV and sexually transmitted infections. A growing body of evidence suggests that financial incentives can reduce risky sexual behavior and the incidence of HIV and sexually transmitted infections; however, few studies have examined a lottery-based incentive mechanism or been conducted with female sex workers. This paper examines the effect of a lottery intervention on the combined incidence of HIV and herpes simplex virus 2 among female sex workers in Tanzania. The RESPECT II trial was an unmasked, two-arm, parallel group randomized controlled trial conducted in Dar es Salaam, Tanzania among 2,206 enrollees from 2018 to 2021. Participants were randomized in a one-to-one ratio to the basic test control group or to the lottery intervention group. The basic test group received testing and counseling for HIV and biweekly text messages with information on safe sex practices. The lottery group received the basic test group intervention plus entry into a weekly lottery with a 100,000 Tanzanian shilling (USD 50) reward offered to 10 randomly selected participants, conditional on negative test results for syphilis and trichomonas. The primary outcome was combined HIV and herpes simplex virus 2 incidence after 36 months. The results showed no statistically significant effect on this primary outcome. Thus the study finds no evidence that the lottery-based incentives reduced the incidence of HIV and sexually transmitted infections among the female sex worker population. However, the results may have been affected by disruption from the COVID-19 pandemic, and unexpectedly high study attrition levels made it impossible to statistically rule out possible moderate-sized effects
    DOI: 10.1596/1813-9450-10571
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  • 69
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    Rebel with a Cause : Effects of a Gender Norms Intervention for Adolescents in Somalia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (66 pages)
    Parallel Title: Erscheint auch als Brar, Rajdev Rebel with a Cause: Effects of a Gender Norms Intervention for Adolescents in Somalia
    Keywords: Adolescent Gender Norm Intervention ; Equity and Development ; Gender ; Gender and Development ; Gender and Social Policy ; Gender Impact Evaluation ; Gender Inequality ; Gender Innovation Lab, Africa Region ; Gender Monitoring and Evaluation ; Gender Norm Conformity ; Girl's Life Choices ; Poverty Reduction ; Women's Empowerment
    Abstract: Gender inequality and restrictive norms are often reinforced and internalized during adolescence, influencing pivotal life choices. This paper presents results from a randomly-assigned gender norms intervention for young adolescents in Somalia that led to greater support for gender equality in reported attitudes among both girls and boys. In a novel lab-in-the-field experiment designed to observe social group dynamics, treated adolescents were also found to be less likely to succumb to peer pressure to conform when stating their gender attitudes in public. Perceptions of gender norms appears to shift for boys, leading to a greater public expression of gender egalitarian ideals. Furthermore, the findings show improved adolescent mental health, increased caring behavior towards siblings of the opposite sex, and a higher likelihood of involvement in household chores by boys. A complementary gender norms intervention for parents had limited marginal impact on the attitudes and behaviors of adolescents. The results suggest that gender norms interventions can be effective in influencing the attitudes and public discourse around gender equality, even in early adolescence
    DOI: 10.1596/1813-9450-10567
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  • 70
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    Ghana's Pharmacovigilance Experience : From Vertical Program Activity to Nationwide System (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: FDA ; Health Policy and Management ; Health Sector Funding ; Health, Nutrition and Population ; Pharmacovigilance ; Safety Monitoring
    Abstract: The objective of this report is to examine the development of pharmacovigilance (PV) in Ghana and illustrate the role it plays in the health system, and more recently, during the COVID-19 emergency response. It concludes by offering some relevant lessons for building PV capacity in other low-and middle-income countries
    DOI: 10.1596/40382
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  • 71
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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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  • 72
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    Voices from Yemen (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2209
    Keywords: Agriculture ; Armed Conflict ; Children and Education ; Civil War ; Conflict ; Conflict and Development ; Displacement ; Food Security ; Food Unaffordability ; Health and Poverty ; Health, Nutrition and Population ; Humanitarian Response ; Limited Health Care ; Living Costs ; Living Standards ; Poverty Reduction ; Reduced Food Intake ; Repeated Shocks
    Abstract: This report highlights respondents' lived experiences during Yemen's conflict as experts of their own experiences. This report aims to present the voices of Yemenis who have now spent eight years living through a civil war, economic crisis, and close to famine. This report is among the few authentically capturing Yemeni voices on a range of day-to-day issues from different governorates across the country. But arguably the small sample size limits ability to generalize findings. However, generalizing findings was not the intention of the report. For each theme, 'Voices from Yemen' presents a multi-stakeholder perspective to mitigate bias towards a single stakeholder group or geographical area. Moreover, the report's findings are in line with those in quantitative reports, such as 'Surviving in the Times of War' or the 'World Bank Phone Survey' report on food security. 'Voices from Yemen' presents a comprehensive picture of suffering derived from human stories behind the statistics. The conflict has made Yemeni lives unaffordable, uncertain, vulnerable, and often unbearable. The power of people's speech and the intensity of their stories narrate their grave vulnerabilities and the sense of helplessness and suffering the conflict has caused
    DOI: 10.1596/40351
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  • 73
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    Tracking Universal Health Coverage : 2023 Global Monitoring Report (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2203
    Keywords: Climate ; Health Taxes ; Health, Nutrition and Population ; Household Budget ; Infectious Diseases ; UHC ; Universal Health Coverage
    Abstract: Leaving no one behind is a central promise of the 2030 Agenda for Sustainable Development, which recognizes health as a fundamental human right. Achieving Universal Health Coverage (UHC) is key to delivering on this promise. UHC ensures that everyone receives good quality health services, when and where needed, without incurring financial hardship arising from payments made for those services. The 2023 Universal Health Coverage Global Monitoring Report presents an alarming picture of stagnating access to essential health services and increased financial hardship from out-of-pocket health payments affecting especially the poorest and most vulnerable people. Globally, about 4.5 billion people, more than half of the world population, lack full access to essential health services. Since 2015, health service coverage has stagnated after a dynamic increase in previous years, indicating that urgent action is required by governments to ensure people can access health services. Past progress in service coverage was largely driven by improved access to infectious disease services, but since 2015 there has been minimal to no expansion of health service coverage related to infectious and noncommunicable diseases or for reproductive, maternal, newborn, and child health services. Financial hardship due to out-of-pocket health spending continues to worsen and undermine efforts to eradicate poverty globally. The number of people incurring catastrophic out-of-pocket health spending (more than 10% of their household budget) increased to more than 1 billion people in 2019, or almost 14% of the global population. About 1.3 billion people (almost 17% of the global population) were pushed or further pushed into poverty by out-of-pocket health spending. This includes 344 million people living in extreme poverty. Out-of-pocket health payments reduce the ability of households to afford other essential goods and services and negatively affect a family's consumption levels. Health costs also cause individuals to forgo essential care, which can lead to more severe illnesses or even death. Reaching the goal of UHC by 2030 requires substantial public sector investment and accelerated action by governments and development partners, building on solid evidence. This includes strengthening health systems based on a primary health care approach and advancing equity in both the delivery of essential health services and financial protection. Achieving UHC also requires modern, fit-for-purpose health information systems that provide timely and reliable data to inform policy design. Such shifts are essential following the pandemic's impact on health systems and health workers and in view of deepening macroeconomic, climate, demographic, and political trends which threaten to reverse hard-won health gains around the world
    DOI: 10.1596/40348
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  • 74
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    Central African Republic - Public Expenditure Review in Key Human Development Sectors : Summary (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2109
    Keywords: Education ; Education Finance ; Finance and Financial Sector Development ; Health ; Health Economics and Finance ; Health, Nutrition and Population ; HRM ; Human Development ; Macro Fiscal Context ; Public and Municipal Finance ; Public Expenditure ; Sustainability
    Abstract: This is an overview of the CAR Human Development (HD) Public Expenditure Review (PER). This overview provides an analytical basis to decision-makers and stakeholders for the formulation of ambitious yet fiscally responsible interventions to improve human capital outcomes in CAR. The PER examines public expenditure trends of the education, health, and social protection (SP) sectors with a focus on adequacy, efficiency, and equity of expenditures as well as human resource management (HRM). The primary objective is to provide analytical insights for government policy development and prioritization strategy as it seeks to achieve a resilient recovery and rebuild its education and health sectors and establish a strong SP system which will help the poorest households invest and protect their own human capital. The PER can also serve as a useful source of knowledge and information to development partners seeking to deepen the impact of their support to the human capital development sectors. The recommendations put forth by the PER are those identified as fiscally sustainable and most important for rebuilding and strengthening human capital development sectors, including a focus on future human resource (HR) recruitment needed in the education and health sectors
    DOI: 10.1596/40337
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  • 75
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    A Spatial Perspective on Booms and Busts : Evidence from Turkiye (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (51 pages)
    Parallel Title: Erscheint auch als Baez, Javier E A Spatial Perspective on Booms and Busts: Evidence from Turkiye
    Keywords: Business Cycles and Growth ; Business Cycles and Stabilization Policies ; Data on National Income ; Economic Development Analysis ; Economic Geography ; Economic Growth Cycles ; Inequality ; International Economics and Trade ; Macroeconomic Analyses ; Macroeconomics and Economic Growth ; Measurement of National Income ; Poverty Reduction ; Regional Economic Activity ; Spatial Inequality
    Abstract: This paper combines official subnational and remote-sensed data to uncover the relationships between business cycles in Turkiye and the corresponding changes in economic activity at lower levels of spatial aggregation. The objective is to document changes in the nature of growth within and across business cycles, with a focus on understanding how sectoral changes interact with within-country remoteness during each phase. The paper shows that: (i) the significant growth between 2010 and 2017 was bookended by recessions in which gross domestic product per capita fell more sharply the closer a province was to one of the two largest cities; (ii) the two recessions differed in terms of their sectoral impacts, with manufacturing declines inversely related to remoteness during the first recession and positively related during the second; (iii) there were large increases in the construction sector's gross value added during the post-2009 rebound-consistent with unprecedented increases in nighttime light luminosity-with growth positively related to remoteness; and (iv) changes in nighttime light luminosity are correlated with changes in physical activity: a 10 percent increase in nighttime lights is associated with a 3.5 percent increase in construction output and a 1.5 percent increase in manufacturing output. Together, the results suggest that recessions and recoveries that may appear to be similar at a macroeconomic scale may be driven by very different changes at more disaggregated spatial scales and have varied impacts on regional convergence
    DOI: 10.1596/1813-9450-10553
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  • 76
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    Fiscal Policy and Equity : Vietnam 2018 Fiscal Incidence Analysis (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (33 pages)
    Parallel Title: Erscheint auch als Rodriguez, Laura Fiscal Policy and Equity: Vietnam 2018 Fiscal Incidence Analysis
    Keywords: Equity and Development ; Fiscal Incidende ; Inequality ; Poverty ; Poverty Reduction ; Social Protections and Assistance ; Social Protections and Labor ; Social Spending ; Taxation ; Transfers
    Abstract: This paper examines the distributive and poverty reducing effects of Vietnam's fiscal system in 2018. The paper looks at the incidence across the distribution and the effect of (direct and indirect) taxes, subsidies, and social spending (in cash and in-kind) on inequality and poverty in Vietnam using the Commitment to Equity methodology. The overall pattern of taxes and transfers in Vietnam is moderately progressive, but most households pay more in taxes and co-payments than what they receive in cash benefits, and the fiscal system results in a small increase in poverty. The progressivity of the fiscal system and its inequality-reduction impact mostly comes from in-kind health and education spending. This reduction in inequality is about average for lower-middle-income countries, but Vietnam could do more to increase the progressivity of its fiscal system
    DOI: 10.1596/1813-9450-10538
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  • 77
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    Implications of Using Nonstandard Poverty Lines : An Illustration using the Case of the Arab Republic of Egypt (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (27 pages)
    Parallel Title: Erscheint auch als Decerf, Benoit Implications of Using Nonstandard Poverty Lines: An Illustration using the Case of the Arab Republic of Egypt
    Keywords: Absolute Poverty ; Equity and Development ; Equivalence Scale ; Gender and Poverty ; Identification of Poor Households ; Implicit Genderi Bias ; Poverty Methodology ; Poverty Reduction ; Poverty Trend
    Abstract: Many developing countries' official poverty methodologies rely on nonstandard poverty lines, which complicate poverty comparisons across space or time. The paper considers the case of the Arab Republic of Egypt, whose official poverty lines have two important nonstandard features. First, the line is neither absolute nor relative, but rather hybrid or "weakly relative" Second, the poverty line's implicit equivalence scales are not fixed, but are rather endogenous. This paper provides a conceptual and quantitative understanding of these two nonstandard features. The results reveal that the equivalence scale implicit in the official methodology is quantitatively very similar to the (simpler) per capita equivalence scale. Switching to a per capita equivalence scale would help address an implicit gender bias that the paper identifies in Egypt's official poverty lines. The analysis shows that the official distribution of poverty across regions is very similar to that associated with a purely absolute line. In addition, the change in official poverty rates over the period analyzed (2015 to 2017/18) lies halfway between the larger increase captured by a purely absolute line (10 percentage points) and that captured by a purely relative measure (1 percentage point). However, the results show that these more standard poverty lines do not systematically perform better than the official methodology with respect to the identification of disadvantaged households
    DOI: 10.1596/1813-9450-10437
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  • 78
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    Overview of the Republic of Korea Pharmacovigilance System : Learning from Best Practices (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Health Study
    Keywords: Drug Regulation ; Drug Safety ; Health Monitoring and Evaluation ; Health Policy and Management ; Health, Nutrition and Population ; Korea-World Bank Partnership Trust Fund (KWPF) ; People-Centered Drug Safety Policy ; Pharmaceutical Safety System ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilanc
    Abstract: Building capacity in countries to conduct thorough surveillance of the use of all newly authorized drugs and vaccines, both brand name and generic, is a critical "public good" investment to ensure that drugs work correctly and that their health benefits outweigh their known risks. Korea's pharmacovigilance system (PVS) is an international best practice. It is the result of a continuous and sustained government effort over the past three decades-from small pilot projects to a nationwide monitoring network-and offers valuable lessons to other countries on the vital role that such a system can play in ensuring the safety of drugs post-marketing. This report provides an overview of the Korean pharmacovigilance system, describing its main structural and operational elements, to monitor the safety and effectiveness of medicines. It draws from a review of available literature in journal articles, as well as from the websites and reports of Korean institutions
    DOI: 10.1596/40208
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  • 79
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    The Value of Pharmacovigilance in Building Resilient Health Systems Post-COVID : Overview Report (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) ; COVID-19 Pandemic Response ; Emerging Disease Challenge ; Health Systems ; Health Systems Development and Reform ; Health, Nutrition and Population ; Korea-World Bank Partnership Facility (KWPF) ; National Health Surveillance System ; Pharmaceuticals and Pharmacoeconomics ; Pharmacovigilance ; Public Health Promotion ; Public Health Risk Response ; Public Health Surveillance ; Seasonal Epidemic Infection
    Abstract: Although indispensable for improving health outcomes, medicines and vaccines or their administration and use can produce adverse effects, requiring continuous vigilance to ensure that the benefits outweigh the risks. Monitoring the safety of the use of marketed medicines and vaccines, also known as pharmacovigilance, should therefore become much more explicit in efforts to strengthen health systems and prepare for public health crises and normal times because the world is determined to build back better after the COVID-19 pandemic. The objective of this report is to examine the importance of pharmacovigilance in a health system both during a health crisis and in normal times, describe the function, structure, and processes of a functional pharmacovigilance system, and explain the value of drug safety monitoring in building resilience in health systems post-COVID-19 pandemic
    DOI: 10.1596/40205
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  • 80
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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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  • 81
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    Is Natural Capital a Complement to Human Capital? : Evidence from 46 Countries (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (38 pages)
    Parallel Title: Erscheint auch als Damania, Richard Is Natural Capital a Complement to Human Capital? Evidence from 46 Countries
    Keywords: Climate Change and Health ; Deforestation and Health ; Disease Control and Prevention ; Economic Development and Deforestation ; Ecosystem Services ; Environment ; Health, Nutrition and Population ; Natural Resources ; Stunting and Waterborne Disease ; Sustainability ; Valuation of Environmental Effects ; Water Pollution
    Abstract: The environment has long been the foundation of human flourishing, but its continued degradation is threatening to reverse recent development gains, especially in human health. This paper analyzes the possible complementarity between natural and human capital by linking high-resolution deforestation data with health outcomes for 0.7 million children across 46 countries. Forest loss is often a consequence of economic activities that may confer market and other benefits. At the same time, it can adversely affect the provision of forest ecosystem services and reduce the associated socioeconomic and environmental benefits for rural communities. The net effect is thus ambiguous. The paper focuses on the hydrological services provided by forests and exploits quasi-random variation in deforestation upstream to assess the impacts on waterborne disease outcomes for rural households downstream. The results not only indicate increases in diarrheal disease incidence among children under 5 years old, but also offer new evidence of early-life exposure to deforestation on childhood stunting, a well-known indicator of later-life productivity. A case study for Peru shows similar results for diarrheal disease, but a weaker effect of forest loss on stunting. The paper concludes that maintaining natural capital has the potential to generate meaningful improvements in long-run human capital
    DOI: 10.1596/1813-9450-10617
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  • 82
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    Economic Sentiments and Expectations in Sub-Saharan Africa in a Time of Multiple Shocks (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (40 pages)
    Parallel Title: Erscheint auch als Wollburg, Philip Economic Sentiments and Expectations in Sub-Saharan Africa in a Time of Multiple Shocks
    Keywords: Economic Insecurity ; Economic Sentiment ; Expectations ; Living Standards ; Living Standards Measurement Survey Data ; Macroeconomics and Economic Growth ; Phone Survey ; Poverty Reduction ; Quality of Life and Leisure ; Schocks ; Social Development ; Uncertainty
    Abstract: Against the background of high inflation, climate shocks, and concerns about rising food insecurity, this study documents the state of economic sentiments and expectations of households in five African countries--Burkina Faso, Ethiopia, Malawi, Nigeria, and Uganda--that are home to 36 percent of the Sub-Saharan African population. Leveraging nationally representative phone survey data, 57 percent of households across the five countries report that their financial situation and their country's economic situation have worsened significantly in the past 12 months. While expectations for the future are more positive, there are marked differences across countries that suggest uneven recovery prospects and nonnegligible uncertainty about the future. Households overwhelmingly report prices to have increased considerably over the past 12 months and expect prices to increase faster, or at the same rate, over the next 12 months. Close to 54 percent of households--home to 206 million individuals--further expect that climate shocks will have adverse impacts on their finances in the next year. Economic sentiments are closely related to livelihood outcomes such as food insecurity, lack of access to staple foods, income loss, and unemployment, and sentiments about the household financial situation, country economic situation, price increases, and climate shocks are also interdependent. Households whose financial situation has worsened in the past year are consistently more pessimistic about their financial future. Food insecure households, in particular, are not only more likely to report a worsening financial situation in the recent past and pessimism about the future, but also more likely to expect to be adversely impacted by climate shocks
    DOI: 10.1596/1813-9450-10604
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  • 83
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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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  • 84
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    Tracing Pandemic Impacts in the Absence of Regular Survey Data : What have we Learned from the World Bank's High-Frequency Phone Surveys? (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (56 pages)
    Parallel Title: Erscheint auch als Brunckhorst, Ben Tracing Pandemic Impacts in the Absence of Regular Survey Data: What have we Learned from the World Bank's High-Frequency Phone Surveys?
    Keywords: Covid-19 Impacts ; Gender ; Gender and Public Expenditures ; Health, Nutrition and Population ; High-Frequency Phone Survey ; Household Questionnaire Design ; Household Welfare ; Inequality ; Labor Markets ; Macroeconomics and Economic Growth ; Social Protections and Labor ; Survey Method
    Abstract: The World Bank's High-Frequency Phone Surveys were deployed to support the monitoring of household welfare during the COVID-19 pandemic, when most of the regular household survey data collection was suspended. This paper reviews the analytical insights gained from the High-Frequency Phone Survey data, including uneven dynamics of household welfare during the pandemic across and within countries, as well as novel applications to simulate estimates of poverty and intergenerational mobility following the pandemic. The paper further derives lessons from the data collection experience. First, phone surveys, while inexpensive and quick, require reliable sampling frames. The predominant sampling strategies-previous household survey and random digit dialing-each have pros and cons in terms of representativeness, non-response, and post-survey adjustments. Second, on questionnaire design, country customization needs to be carefully balanced against standardization when cross-country comparisons are likely to be important. Finally, baseline metrics are critical for crisis monitoring; this requires more frequent welfare monitoring and better alignment of questions in phone surveys and existing data sources. While phone surveys can be a reliable toolkit for researchers and governments, more research is needed on key questions related to the survey mode effect, and the implications of different sampling frames and questionnaire design
    DOI: 10.1596/1813-9450-10585
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  • 85
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    (Perceptions of) Inequality, Demand for Redistribution, and Group-Specific Public Goods : A Survey Experiment in India (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (34 pages)
    Parallel Title: Erscheint auch als Bussolo, Maurizio (Perceptions of) Inequality, Demand for Redistribution, and Group-Specific Public Goods: A Survey Experiment in India
    Keywords: Biased Perceptions ; Community ; Distribution ; Income ; Inequality ; Living Standards ; Macroeconomics and Economic Growth ; Personal Wealth ; Poverty Reduction ; Public Goods ; Redistribution
    Abstract: This paper uses data from a survey of 116,061 households in India to study people's beliefs about inequality and demand for redistribution. The findings show that a household's beliefs about inequality, implied by the perception of their position on the income distribution, is negatively correlated with support for reducing inequality. This is relevant since there are significant differences between where individuals believe their household stands and their actual position, with the gap between perceived and actual position exceeding two deciles on average. Despite these large differences, informing individuals of their household's position on the income distribution has no discernible effect on support for reducing inequality. The paper posits that demand for redistribution may be unresponsive to this information because it is based on exclusively on household's income and does not account for the sharing of resources within communities. In communities where group-specific public goods, such as religious and social goods, are present, class antagonism and redistribution are mitigated by community solidarity. Households benefit from these goods, and such benefits alter the individuals' beliefs of inequality. Consistent with this prediction, the average individual perceives their household as richer in districts with a greater supply of religious or social goods. The sharing of resources within religious or ethnic groups can shape perceptions of the income distribution and reduce support for redistribution within these groups, and thus requires serious consideration in studies of inequality
    DOI: 10.1596/1813-9450-10505
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  • 86
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    Independent Evaluation Group Validation of the Management Action Record 2023 (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: r02
    Keywords: Gender ; IEG Recommendation Implementation ; Independent Evaluation ; Management Action Record 2023 ; Monitoring and Evaluation ; Poverty Reduction
    Abstract: The report provides the Independent Evaluation Group's (IEGs) validation of World Bank Group management's report Learning and Adapting for Outcomes through the Management Action Record 2023: A World Bank Group Management Report on Implementation of IEG Recommendations for the period July 2022 to June 2023. The purpose of the Management Action Record (MAR) assessment system is to support accountability, learning, and adaptation for the Bank Group's implementation of recommendations from IEG evaluations. This validation document presents IEG's assessment of progress toward achieving the intended outcomes of evaluations and the evidence in management's MAR report. The Bank Group made steady progress in implementing IEG recommendations through delivering internal products and adapting processes; in some cases, it has achieved meaningful change of direction that shows that the outcomes of recommendations are being achieved. The validation assessed the evidence for all 22 IEG evaluations included in the MAR, that is, all evaluations reviewed by the Board Committee on Development Effectiveness (CODE) between FY19 and FY22. These 22 evaluations contain 59 recommendations
    DOI: 10.1596/40551
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  • 87
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    Learning and Adapting for Outcomes through the Management Action Record 2023 : A World Bank Group Management Report on Implementation of IEG Recommendations (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: r02
    Keywords: Development Effectiveness ; Gender ; Gender Monitoring and Evaluation ; IEG Implementation ; Poverty Impact Evaluation ; Poverty Monitoring and Analysis ; Poverty Reduction ; Progress Towards Outcomes ; World Bank Self-Assessment ; World Bank Strategy
    Abstract: The Management Action Record (MAR) provides Management's annual self-assessment of World Bank Group (WBG)-wide progress in implementing recommendations from the Independent Evaluation Group's (IEG) major evaluations to deliver outcomes in key priority areas. The MAR is an important vehicle for monitoring the uptake of IEG evaluations; it aims to ensure that recommendations lead to targeted actions that help shape the WBG's strategic directions, improve its development effectiveness, and ultimately help countries achieve their development goals. This year's MAR report provides updates on 59 recommendations from 22 IEG evaluations issued between FY19 and FY22, covering a diverse range of areas of strategic importance to the WBG. Building on progress achieved over the previous reporting cycles since the 2020 MAR Reform, this year's MAR process featured enhanced candor in the self-assessment, a broader evidence base, and a widening of the teams involved in providing feedback to IEG for richer reporting. During this year's MAR update cycle, Management continued its more intensive engagement approach, with more touchpoints, to enhance the MAR's learning focus and build understanding between evaluators and technical staff. This has included the facilitation of dozens of evaluation-specific working meetings with IEG, involving over 130 participants from across the WBG, with representation from all relevant WB Global Practices, IFC, and MIGA regional and industry teams
    DOI: 10.1596/40550
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  • 88
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    Background Note on Bringing Climate Change into Vulnerability Analysis (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 39458
    Keywords: Climate Change ; Environment ; Poverty ; Poverty Reduction ; Vulnerability Analysis ; Water Resources Institutions and Participations ; Weather Shocks ; Weather Vulnerability ; Welfare Impact
    Abstract: Weather vulnerability is often assessed using historical data, but this can be very misleading in a world of changing climate. Weather refers to short-term atmospheric conditions, while climate is the weather averaged over a long period. With climate change, some places are becoming wetter, some drier, and extreme weather events, such as heatwaves, floods, droughts, and tropical cyclones, are becoming more likely. Hence, the nature of weather risks will vary considerably. Despite the magnitude of this shift, there is currently no widely accepted method for bringing climate change into catastrophe risk modeling. The objective of this note is to review, compare, and contrast the different techniques used in this literature to include climate change into vulnerability analysis. To do so, it summarizes recent research papers exploring how to bring climate change into catastrophe risk modeling. The note builds on this review to propose and explain a robust methodology and highlight its potential caveats. As such, this note is a first step towards unifying approaches and disseminating the analysis of climate change in vulnerability analysis. The method proposed in this note can be applied by researchers, economists, and public policy practitioners to study a wide range of topics, from the impact of climate change on diseases to stress-testing social protection programs
    DOI: 10.1596/40533
    URL: Deutschlandweit zugänglich
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  • 89
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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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  • 90
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    Healthy Cities : Revisiting the Role of Cities in Promoting Health (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2201
    Keywords: Climate Change ; Economic Policy, Institutions and Governance ; Environment ; Health Equity ; Health, Nutrition and Population ; Healthy Cities ; Low-Carbon ; Poverty Impact Evaluation ; Tip Framework ; Urban Development ; Urban Health ; Waste Management ; Water and Sanitation
    Abstract: With most people already living in cities and the global urban population estimated to double by 2050, cities are central to human well-being and sustainable development. Whereas cities reap the economic and social benefits of agglomeration, proximity to services, and innovation, they also face significant health and environmental issues. The presence of urban poverty, complexity of urban systems, rapidity of often-unplanned urbanization, and certainty of unanticipated shocks complicate urban strategies for health and well-being. Indeed, COVID-19 revealed the significant vulnerability of global and urban systems to pandemics and the imminent climate-related impacts. Cities can confront these threats and support communities by integrating healthy city action with other urban development agendas and prioritizing human and ecosystem health in the design and management of urban environments. The Healthy Cities Report aims to provide high-level guidance to practitioners in green, inclusive, and resilient urban development while asserting the essential role of cities in improving human and ecosystem health. It introduces an action-oriented 'TIP' Framework for achieving healthy cities with three components: Targeted support, Integrated action, and Preparation for future challenges. It explores three pivotal modern issues-equity, climate change, and COVID-19-as they define the context for urban health policy and practice. The report suggests eight action areas for healthy cities, including adequate housing, public spaces, transportation systems, access to healthcare, water and sanitation systems, food systems, effective institutions, and sustainable funding
    DOI: 10.1596/40486
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  • 91
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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
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  • 92
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    The Primary Health Care System of the Gambia : A Primary Health Care Performance Initiative Assessment (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: 2196
    Keywords: Health Insurance ; Health Policy and Management ; Health, Nutrition and Population ; Medicines and Supplies ; NCD ; PHC ; Quality Of Care
    Abstract: The results of the assessment point to four policy recommendations to address challenges related to governance, availability of medicines and supplies, comprehensiveness of services, and ability to deliver adolescent sexual and reproductive health (ASRH) services and promote universal and effective PHC coverage in The Gambia: 1. Establish a PHC-specific policy focused on improving coordination across governmental and non-governmental actors, quality of care, and monitoring and evaluation. 2. Increase the availability of medicines and supplies by leveraging. existing purchasing mechanisms and strengthening supply chain management.3. Implement a people-centered model of PHC focused on delivering comprehensive infectious and NCD services. 4. Increase capacity for adolescent sexual and reproductive health service delivery
    DOI: 10.1596/40481
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  • 93
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    Productive Longevity : What can Work in Low- and Middle-Income Countries? (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (43 pages)
    Parallel Title: Erscheint auch als Johansson de Silva, Sara Productive Longevity: What can Work in Low- and Middle-Income Countries?
    Keywords: Aging ; Aging Populations and Social Protection ; Employable Skills ; Employment Incentives Labor Supply ; Health, Nutrition and Population ; Labor and Employment Law ; Labor Market Policy and Aging ; Labor Productivity ; Law and Development ; Population Policies ; Poverty Reduction
    Abstract: The world's population is aging at dramatic speed. By 2050, most of the world's seniors (aged 65+) will be living in what are currently low- and middle-income countries. Aging will require low- and middle-income countries to develop comprehensive policy solutions to sustain welfare levels and ensure that welfare is equitably distributed across generations and socioeconomic groups. Given higher informality and lower human capital levels in low- and middle-income countries than more advanced economies, the balance and composition of the policy package in these contexts may differ, but there will be a common need for labor market policies to increase "productive longevity"--that is, to foster higher labor force participation and productivity among mature workers. This paper presents a framework identifying market, institutional, and behavioral failures that create constraints to productive longevity, and policies that may overcome these constraints. Drawing, to the extent possible, on the experience of low- and middle-income countries, the paper reviews evidence on supply-side and demand-side interventions to improve incentives, remove barriers to work, and invest in skills, as well as policies to improve matching of mature workers in labor markets. The paper ends with a discussion of meta-lessons for low- and middle-income countries
    DOI: 10.1596/1813-9450-10636
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  • 94
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    Togo : Economic Inclusion of Youth and Women into High Potential Value Chains (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Keywords: Agricultural Producer Organizations ; Agriculture ; Gender ; Gender and Development ; Gender and Rural Development ; Ginger Farming Value Chain ; Informality ; Labor Markets ; Poverty Reduction ; Shea Butter Production Value Chain ; Smallholder Farmers ; Women in Agriculture Value Chains
    Abstract: Good quality jobs are key to accelerating poverty reduction and strengthening social cohesion in Togo. While Togo has made significant progress in creating more good quality jobs, with robust growth performance in the past decade, several jobs-related challenges remain. Togo's labor market is characterized by high levels of informality and underemployment, low productivity, and low-quality jobs. This difficult situation is compounded by the demographic trend of large cohorts of young people entering the labor market every year. As a result of this trend, it is estimated that, beginning in 2024, Togo will need to create 200,000 new jobs every year to absorb the influx of new entrants into the labor market. As described in the companion document to this report, Togo Jobs Diagnostic, a holistic approach to creating more and better jobs should be applied looking at the macro-, demand-, and supply side constraints. Solutions should focus on creating new jobs, improving job quality and productivity, and ensuring access to employment for vulnerable segments of the population
    DOI: 10.1596/40755
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  • 95
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    Is Climate Change Slowing the Urban Escalator Out of Poverty? : Evidence from Chile, Colombia, and Indonesia (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Parallel Title: Erscheint auch als Nakamura, Shohei Is Climate Change Slowing the Urban Escalator Out of Poverty? Evidence from Chile, Colombia, and Indonesia
    Keywords: Climatic Change ; Environment ; Flooding ; Migration ; Poverty Reduction ; Urban Agglomeration ; Urban Climate Shock ; Urban Poverty
    Abstract: While urbanization has great potential to facilitate poverty reduction, climate shocks represent a looming threat to such upward mobility. This paper empirically analyzes the effects of climatic risks on the function of urban agglomerations to support poor households to escape from poverty. Combining household surveys with climatic datasets, the panel regression analysis for Chile, Colombia, and Indonesia finds that households in large metropolitan areas are more likely to escape from poverty, indicating better access to economic opportunities in those areas. However, the climate shocks offset such benefits of urban agglomerations, as extreme rainfalls and high flood risks significantly reduce the chance of upward mobility. The findings underscore the need to enhance resilience among the urban poor to allow them to fully utilize the benefits of urban agglomerations
    DOI: 10.1596/1813-9450-10383
    URL: lizenzpflichtig
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  • 96
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    Services-Led Growth : Better Prospects after the Pandemic? (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (47 pages)
    Parallel Title: Erscheint auch als Nayyar, Gaurav Services-Led Growth: Better Prospects after the Pandemic?
    Keywords: COVID-19 Pandemic Impact on Service Sector ; Digitalization ; Emerging Market Growth ; Growth ; Health, Nutrition and Population ; Market Access Policy ; Offshoring Services ; Service Sector
    Abstract: The service sector accounted for two-thirds of economic growth in emerging market and developing economies over the past three decades. It consists of a wide range of activities, ranging from high-skilled offshorable services, such as information and communications technology (ICT) and professional services, to low-skilled "contact" services, such as retail and hospitality. The pandemic disrupted many low-skilled contact services that typically require face-to-face interactions between providers and consumers. High-skilled offshorable services were the least affected owing to the use of digital technology that enabled remote delivery. Increased digitalization has improved prospects for scale economies and innovation in the service sector that were previously constrained by the need for physical proximity and the lack of opportunities to augment labor with capital. Policies to support the diffusion of digital technologies could therefore further raise the growth potential of the service sector. Policies to improve market access for, and skills in, ICT and professional services could ease important constraints on growth opportunities in these high-skilled offshorable services that have best withstood the pandemic. The same holds true for policies, including regulatory reforms, that promote investment in low-skilled contact services, such as transportation, which have important linkages with the wider economy
    DOI: 10.1596/1813-9450-10382
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  • 97
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    Leaning in at Home : Women's Promotions and Intra-Household Bargaining in Bangladesh (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (100 pages)
    Parallel Title: Erscheint auch als Uckat, Hannah Leaning in at Home: Women's Promotions and Intra-Household Bargaining in Bangladesh
    Keywords: Decision Making and Poverty ; Female Managers ; Female Role Models ; Gender ; Gender and Economic Empowerment ; Poverty Reduction ; Textile Industry Jobs ; Womens Agency ; Womens Career Impact
    Abstract: It is established that entering employment improves a woman's bargaining position in the household. This paper investigates whether a woman's career advancement further improves her intra-household bargaining power. The analysis exploits quasi-random participation in a career promotion program in Bangladesh's garment industry to causally estimate the impact of women's promotion on household decision-making. The findings show that women who participate in the promotion program gain bargaining power as measured by higher expenditures on women (51%) and girls (74%), and on remittances (58%). The promotion-related income effect only partially explains these increases, suggesting that women gain more agency over household income more generally. Further, these new female managers now serve as role models to their staff. The paper finds that the direct effects spill over to women who are quasi-randomly exposed to the new female managers, who also report more say in household decisions. Complementarities between women's positions in the workplace and in the household appear important
    DOI: 10.1596/1813-9450-10370
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  • 98
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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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  • 99
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    The Impact of Infrastructure on Development Outcomes : A Meta-Analysis (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (59 pages)
    Parallel Title: Erscheint auch als Foster, Vivien The Impact of Infrastructure on Development Outcomes: A Meta-Analysis
    Keywords: Digital Infrastructure Outcomes ; Energy Infrastructure Research ; ICT Infrastructure Research ; Information and Communication Technologies ; Infrastructure Elasticities ; Infrastructure Literature Meta-Analysis ; Infrastructure Policy Research ; Poverty Reduction ; Transport Infrastructure Outcomes
    Abstract: This paper presents a meta-analysis of the infrastructure research done over more than three decades, using a database of close to a thousand estimates from 201 papers conducted between 1983-2022, reporting outcome elasticities. The analysis casts a wide net to include the transport, energy, and digital or information and communications technology sectors and the whole set of outcomes covered in the literature, including output, employment and wages, inequality and poverty, trade, education and health, population, and environmental aspects. The results allow for an update of the underlying parameters of interest, the "true" underlying infrastructure elasticities, accounting for publication bias, as well as for heterogeneity stemming from both study design and context, with a particular focus on policy relevant subsectors and developing countries
    DOI: 10.1596/1813-9450-10350
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  • 100
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    Improving Estimates of Mean Welfare and Uncertainty in Developing Countries (2023)
    Washington, D.C : The World Bank
    Details
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Merfeld, Joshua D Improving Estimates of Mean Welfare and Uncertainty in Developing Countries
    Keywords: Development Policy ; Geospacial Data ; Household Census Data ; Machine Learning ; Macroeconomics and Economic Growth ; Poverty Reduction ; Prediction of Poverty ; Prediction of Wealth ; Welfare
    Abstract: Reliable estimates of economic welfare for small areas are valuable inputs into the design and evaluation of development policies. This paper compares the accuracy of point estimates and confidence intervals for small area estimates of wealth and poverty derived from four different prediction methods: linear mixed models, Cubist regression, extreme gradient boosting, and boosted regression forests. The evaluation draws samples from unit-level household census data from four developing countries, combines them with publicly and globally available geospatial indicators to generate small area estimates, and evaluates these estimates against aggregates calculated using the full census. Predictions of wealth are evaluated in four countries and poverty in one. All three machine learning methods outperform the traditional linear mixed model, with extreme gradient boosting and boosted regression forests generally outperforming the other alternatives. The proposed residual bootstrap procedure reliably estimates confidence intervals for the machine learning estimators, with estimated coverage rates across simulations falling between 94 and 97 percent. These results demonstrate that predictions obtained using tree-based gradient boosting with a random effect block bootstrap generate more accurate point and uncertainty estimates than prevailing methods for generating small area welfare estimates
    DOI: 10.1596/1813-9450-10348
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