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Health Insurance in Zaire
This in-depth study of health insurance schemes in Zaire recommends developing more pilot insurance systems in areas where health systems already function - and strengthening existing systems through training, exchange visits, information systems, and technical assistance. Implementing a nationwide health insurance system is not likely to be as successful as decentralized, locally managed plans.
Private Participation in the Delivery of Guinea's Water Supply Services
Lease contracts provide a promising format for capturing the potential efficiency gains of private participation in the water supply sector. But to ensure that these gains accrue to society as a whole, lease contracts must be carefully designed and the responsible public authority must be capable of fulfilling the monitoring and regulatory role effectively.
Tax Reform in Malawi
Malawi's comprehensive reform of its tax system in the 1980s illustrates many of the issues that developing countries must address when altering the way they levy taxes.
Industrial Organization Implications of QR Trade Regimes
A three- sector calibrated simulation model is used to examine the welfare effects of an increase in quantitative trade restrictions when production in some sectors is characterized by increasing returns to scale.
Thirsting for Efficiency
One billion people in the world lack safe drinking water and almost 2 billion lack adequate sanitation services. As a result millions suffer and die every year from water and sanitation related diseases. Poor management and inefficient investment are often responsible for this situation, and countless past attempts at reform have accomplished little. Recently some developing countries have tried to reverse years of mismanagement of their water and sewerage systems by auctioning contracts to private operators. Why do countries that have tolerated mismanagement for decades develop a thirst for efficiency? What are the results of their efforts to change? What determines success or failure? This...
Rethinking Decentralization in Developing Countries
In an effort to reduce poverty and improve nutrition, this Bank operation assisted the Indian program Operation Flood to develop the dairy industry in India. This study examines the policy changes instituted to support the aid flow to the dairy sector and discusses the lessons learned and benefits realized through improved dairy production. It also presents suggestions for improvement. This program differs from other Bank efforts in that it focuses on a single commodity to alleviate poverty and raise living standards.
World Development Report 1994
World Development Report 1994 examines the link between infrastructure and development and explores ways in which developing countries can improve both the provision and the quality of infrastructure services. In recent decades, developing countries have made substantial investments in infrastructure, achieving dramatic gains for households and producers by expanding their access to services such as safe water, sanitation, electric power, telecommunications, and transport. Even more infrastructure investment and expansion are needed in order to extend the reach of services - especially to people living in rural areas and to the poor. But as this report shows, the quantity of investment canno...
Contracting for Public Services
A new book published by the World Bank's Private Sector Advisory Services outlines an innovative approach to delivering development assistance for public basic services such as potable water, safe sanitation, modern energy, and primary education and healthcare. Called output-based aid, the approach delegates service delivery to the non-profit or for profit private sector under contracts that tie payments to the outputs or results actually delivered to target beneficiaries. The book gathers cases of innovative, output-based approaches from across the infrastructure and social sectors, and also provides a checklist for designing and implementing output-based schemes. (From the World Bank website)
Public Private Partnerships for Urban Water Utilities
'Public-Private Partnerships for Urban Water Utilities: A Review of Experiences in Developing Countries' analyzes the market growth of Public-Private Partnerships (PPPs) in the developing world since 1990, and the performance of more than 65 large water PPP projects representing more than 100 million people for access, service quality, operational efficiency, and tariff levels. Although a relatively small portion of the water utilities in the developing world are operated under PPPs (about 7 percent in 2007), the urban population served by private water operators has grown every year since 1990. Despite many difficulties encountered by PPP projects and a few contract terminations, a large ma...
