Read e-book online Improving Effectiveness and Outcomes for the Poor in Health, PDF

By World Bank

ISBN-10: 082137950X

ISBN-13: 9780821379509

ISBN-10: 0821379518

ISBN-13: 9780821379516

This learn evaluates the effectiveness of the area financial institution crew s aid for well-being, food, and inhabitants (HNP) in constructing nations from 1997 to 2008 totaling greater than $17 billion and distills classes for better impression sooner or later. It unearths that the financial institution staff now cash a smaller proportion of worldwide aid for HNP than a decade in the past, yet its help continues to be big and provides enormous price. approximately two-thirds of the financial institution s HNP help has had passable results, frequently in tough environments. yet in a few kingdom settings, quite in Africa, it has now not played good, partly as a result of excessive complexity and susceptible potential. in simple terms 1/2 HNP aid had a pro-poor concentration, whereas aid to lessen excessive fertility and advertise family members making plans has faded. The assessment highlights the contribution of investments in water provide, sanitation, and hygiene to enhancing the overall healthiness of the bad and the teachings from help for sector-wide techniques, communicable sickness regulate, and wellbeing and fitness reform. relocating ahead, the area financial institution must increase the functionality of its HNP help and the financial institution and IFC have to take activities to make sure their help reaches the negative and contributes higher social advantages, respectively.

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Additional info for Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population: An Evaluation of World Bank Group Support Since 1997 (Independent Evaluation Group Studies)

Example text

Despite some progress in important differences Bangladesh and India, undernutrition across and within remains very high in South Asia, while countries. in 26 countries, primarily in Africa, malnutrition is increasing (Shekar, Heaver, and Lee 2006, p. 3). 4 Communicable diseases account for about a third (36 percent) of the disease burden in developing countries (Jamison and others 2006b); within countries, the burden of morbidity and mortality is greatest among the poor (Gwatkin and Guillot 2000).

E) Develop mechanisms to ensure that the implementation and results for small health components retrofitted into projects are properly documented and evaluated. Management agrees, subject to the limitations mentioned previously related to M&E and attribution. Management action: the HNP sector continues to expand and deepen cross-sector engagement. Recent products include work on Social Safety Nets, Ageing and Demographic Change, Early Childhood Development and Poverty, Environment and Health. Ongoing initiatives include work with Water and Sanitation, Transport, Poverty Reduction and Economic Management, Agriculture and Rural Development, and Operations Policy and Country Services on global challenges ranging from global infectious threats, climate change (part of the 2010 World Development Report), road safety, and an Advanced Market Commitment to develop a pneumococcal vaccine suitable for use in Africa.

While we echo the view of the evaluation that the Bank still has a very important role to play, we were taken aback by the extent to which the Bank followed the trend of increased support to communicable disease control. At a time when diseasespecific programs were getting greatly increased support from elsewhere, we were surprised that the Bank did not provide a countervailing trend. Indeed, there was a fall of nearly half in the share of projects with objectives to reform the health system. We endorse the view in the report of the Bank’s comparative advantage—that it can provide long-term, sustained engagement, a focus on building country capacity in the sector, strong links to Ministries of Finance, and engagement across many sectors—and fully agree that its focus should be on making health systems work better and ensuring that benefits reach the poor.

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Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population: An Evaluation of World Bank Group Support Since 1997 (Independent Evaluation Group Studies) by World Bank


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