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Improving Effective Coverage in Health
In many low- and middle-income countries, health coverage has improved dramatically in the past two decades, but health outcomes have not. As such, effective coverage--a measure of service delivery that meets a minimum standard of quality--remains unacceptably low. 'Improving Effective Coverage in Health' examines one specific policy approach to improving effective coverage: financial incentives in the form of performance-based financing (PBF), a package reform that typically includes performance pay to frontline health workers as well as facility autonomy, transparency, and community engagement.This Policy Research Report draws on a rich set of rigorous studies and new analysis. When compar...
Altered Destinies
Growth is forecasted to slow down for the Middle East and North Africa region. The war in Ukraine in 2022 exacerbated inflationary pressures as the world recovered from the COVID 19 pandemic-induced recession. The response by central banks to raise rates to curb inflation is slowing economic activity, while rising food prices are making it difficult for families to put meals on the table. Inflation, when it stems from food prices, hits the poor harder than the rich. Moreover, food insecurity in MENA has been rising over decades. The immediate effects of food insecurity can be a devastating loss of life, but even temporary increases in food prices can cause long-term irreversible damages, especially to children. The rise in food prices due to the war in Ukraine may have altered the destinies of thousands of children in the region, setting them on paths to limited prosperity. Food insecurity imposes challenges to a region where the state of child nutrition and health were inadequate before the shocks from the COVID-19 pandemic. The report discusses policy options and highlights the need for data to guide effective decision making.
Poverty and Shared Prosperity 2022
The COVID-19 pandemic triggered a pronounced setback in the fight against global poverty—likely the largest setback since World War II. Many low- and middle-income countries have yet to see a full recovery. High indebtedness in many countries has hindered a swift recovery, while rising food and energy prices—fueled in part by conflict and climate shocks—have made a return to progress on poverty reduction more challenging than ever. These setbacks have altered the trajectory of poverty reduction in large and lasting ways. The world is significantly off course on the goal of ending extreme poverty by 2030.The year 2020 also marked a historic turning point as decades of global income conv...
Cash transfers and intimate partner violence (IPV) in low- and middle-income settings: A joint research agenda to inform policy and practice
Over the last five years, there has been increasing interest from global stakeholders in the relationship between cash transfers and gender-based violence, and in particular, intimate partner violence (IPV). Interest has grown both within the development and humanitarian spaces, although empirical research is mainly concentrated in the former. A mixed-method review paper published in 2018 found that, across 22 quantitative or qualitative studies in low- and middle-income countries (LMICs), the majority (73%) showed that cash decreased IPV; however, two studies showed mixed effects, and several others showed heterogenous impacts (Buller et al. 2018). A more recent meta-analysis of 14 experime...
Foreign Aid and Its Unintended Consequences
Foreign aid and international development frequently bring with it a range of unintended consequences, both negative and positive. This book delves into these consequences, providing a fresh and comprehensive guide to understanding and addressing them. The book starts by laying out a theoretical framework based on complexity thinking, before going on to explore the ten most prevalent kinds of unintended effects of foreign aid: backlash effects, conflict effects, migration and resettlement effects, price effects, marginalization effects, behavioural effects, negative spillover effects, governance effects, environmental effects, and ripple effects. Each chapter revolves around a set of concret...
Do ultra-poor graduation programs build resilience against droughts? Evidence from rural Ethiopia
We study the role of a multifaceted ultra-poor graduation program in protecting household wellbeing and women’s welfare from the effects of localized droughts in Ethiopia. We use data from a large experimental trial of an integrated livelihood and nutrition intervention that supplemented the consumption support provided by Ethiopia’s Productive Safety Net Program (PSNP), conducted within a sample in which all households were beneficiaries of the PSNP. We match three rounds of household survey data to detailed satellite weather data to identify community-level exposure to droughts. We then exploit random assignment to the graduation program to evaluate whether exposed households show hete...
2022-2023 Diversity & Inclusion Report
This paper provides an update on progress towards the Fund’s FY 2025 Diversity Benchmarks, as of the end of FY 2023. The paper also includes information on action the Fund is taking to promote greater diversity and inclusion through a two-year roadmap of initiatives primarily focused on recruitment, talent development, equity and inclusion and promoting greater leadership accountability and transparency. The paper also covers plans to convene a cross-functional working group to establish the Diversity Benchmarks targets for FY 2030.
The Oxford Handbook of Research Ethics
The development of new pharmaceutical products and behavioral interventions aimed at improving people's health, as well as research that assesses the efficacy and cost-effectiveness of public policies, such as policies designed to improve children's education or reduce poverty, depends on research conducted with human participants. It is imperative that research with human subjects is conducted in accordance with sound ethical principles and regulatory requirements. Featuring 45 original essays by leading research ethicists, The Oxford Handbook of Research Ethics offers a critical overview of the ethics of human subjects research within multiple disciplines and fields, including biomedicine, public health, psychiatry, sociology, political science, and public policy.
The effectiveness of cash and cash plus interventions on livelihoods outcomes: Evidence from a systematic review and meta-analysis
Over the last 20 years, a burgeoning scholarly literature has analyzed the effects of cash transfer and cash plus interventions in a wide range of contexts and using a range of empirical designs. We conduct a systematic review and meta-analysis to estimate the pooled effect of any cash or cash plus intervention on livelihoods-related outcomes (consumption, income and labor supply), ultimately compiling 305 different treatment estimates from 155 treatment arms in 104 studies (and in 43 countries). Using random effects and multilevel models, our findings suggest that cash transfer programming is associated with an increase of between $1 and $2 in monthly household consumption and income per $100 in cumulative transfers, an effect that persists for a period of roughly three years (inclusive of the period of program implementation); this effect is meaningfully larger (as much as $4 larger) for cash transfer programs that also include a cash plus livelihoods intervention. There are no significant effects observed on labor force participation. We also present a range of estimates capturing the longer-term (cumulative) effects of cash transfers on consumption under alternate assumptions.
Climate Justice
Climate justice requires sharing the burdens and benefits of climate change and its resolution equitably and fairly. This book brings together economic and philosophical discourse on climate justice in order to support public policy dialogue on the topic.
