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The Impact of Community Based Health Insurance Schemes on Out-of-Pocket Healthcare Spending: Evidence from Rwanda
Achieving universal health coverage, including financial risk protection and access to quality essential health-care services, is one of the main Sustainable Development Goals. In low-income countries, innovative and affordable health financing systems are key to realize these goals. This paper assesses the impacts of Community-Based Health Insurance Scheme in Rwanda on health-related financial risks using a nationally representative household survey data collected over a ten-year period. We find that the scheme significantly reduce annual per capita out-of-pocket spending by about 3,600 Rwandan Franc (about US$12) or about 83 percent of average per capita healthcare expenditure compared to the baseline level in 2000.The impacts however favor the rich as compared to the poor. The program also reduces the incidence of catastrophic healthcare spending significantly.
Creating Decent Jobs
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Mitigating Climate Change at the Firm Level: Mind the Laggards
Using self-reported data on emissions for a global sample of 4,000 large, listed firms, we document large heterogeneity in environmental performance within the same industry and country. Laggards—firms with high emissions relative to the scale of their operations—are larger, operate older physical capital stocks, are less knowledge intensive and productive, and adopt worse management practices. To rationalize these findings, we build a novel general equilibrium heterogeneous-firm model in which firms choose capital vintages and R&D expenditure and hence emissions. The model matches the full empirical distribution of firm-level heterogeneity among other moments. Our counter-factual analysis shows that this heterogeneity matters for assessing the macroeconomic costs of mitigation policies, the channels through which policies act, and their distributional effects. We also quantify the gains from technology transfers to EMDEs.
Gendered Taxes: The Interaction of Tax Policy with Gender Equality
This paper provides an overview of the relation between tax policy and gender equality, covering labor, capital and wealth, as well as consumption taxes. It considers implicit and explicit gender biases and corrective taxation. On labor taxes, we discuss the well-established findings on female labor supply and present new empirical work on the impact of household taxation. We also analyze the impact of progressivity on pay gaps and labor supply. On capital and wealth taxation, we discuss the implications of lower effective capital income taxation on the personal income tax burden gap across genders. We show that countries with relatively low female shares of capital income and wealth also tend to tax property and inheritances particularly lightly. On consumption taxes, we cover taxes on female hygiene products and excise taxes, which we assess in relation to externalities and differences in consumption patterns across genders.
Africa's Urban Youth
Making up 65 percent of Africa's population, young people between the ages of 18 and 35 play a key role in politics, yet they live in an environment of rapid urbanization, high unemployment rates and poor state services. Drawing from extensive fieldwork in Ghana, Uganda and Tanzania, this book investigates how Africa's urban youth cultivate a sense of citizenship in this challenging environment, and what it means to them to be a 'good citizen'. In interviews and focus group discussions, African youth, activists, and community leaders vividly explain how income, religion, and gender intertwine with their sense of citizenship and belonging. Though Africa's urban youth face economic and political marginalization as well as generational tensions, they craft a creative citizenship identity that is rooted in their relationships and obligations both to each other and the state. Privileging above all the voice and agency of Africa's young people, this is a vital, systematic examination of youth and youth citizenship in urban environments across Africa.
African Economic Outlook 2017 Entrepreneurship and Industrialisation
The African Economic Outlook 2017 presents the continent’s current state of affairs and forecasts its situation for the coming two years.
Migration, Remittances, and Sustainable Development in Africa
This book provides a strong multidisciplinary examination of the links between migration, remittances and sustainable development in Africa. It makes evidence-based policy recommendations on migration to help achieve the Sustainable Development Goals. The key themes examined are migration and remittances, and their relations with the following issues: economic transformation, education and knowledge, corruption and conflict. Cross-cutting issues such as gender equality and youth are weaved throughout the chapters, and a rich range of country contexts are presented. The volume also discusses challenges in managing migration flows. It will be of interest to advanced students, academics and policy makers in development economics and sustainable development.
Youthquake
A riveting study of Africa's demographics – its youth and growth – and what they mean for the continent, today and into the future. 'Essential reading' Guardian 'Intensely researched – and very important!' The Week 'The research in Youthquake is meticulous' Tim Marshall, Reaction 'Attempts to end the hysteria and ignorance surrounding demographic trends' New Statesman 'Meticulously researched, nuanced and brilliant' Mary Harper Africa's population growth in the last 50 years has been unprecedented. By mid-century, the continent will make up a quarter of the global population, compared to one-tenth in 1980. Africa's youth is the most striking aspect of its demography. As the rest of the world ages, almost 60 per cent of Africa's population is younger than 25 years old. This 'youthquake' will have immense consequences for the social, economic and political reality in Africa. Edward Paice presents a detailed, nuanced analysis of the varied demography of Africa. He rejects the fanciful over-optimism of some commentators and doom-laden prophecies of others, while scrutinising received wisdom, and carefully considering the ramifications of the youthquake for Africa and the world.
There's Nothing Micro about a Billion Women
Why it takes more than microloans to empower women and promote sustainable, inclusive economic growth. Nearly one billion women have been completely excluded from the formal financial system. Without even a bank account in their own names, they lack the basic services that most of us take for granted—secure ways to save money, pay bills, and get credit. Exclusion from the formal financial system means they are economic outsiders, unable to benefit from, or contribute to, economic growth. Microfinance has been hailed as an economic lifeline for women in developing countries—but, as Mary Ellen Iskenderian shows in this book, it takes more than microloans to empower women and promote sustai...
