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Book
Turning COVID-19 Vaccines into Vaccinations : New Evidence from Sub-Saharan Africa
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Year: 2022 Publisher: Washington, D.C. : The World Bank,

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As COVID-19 vaccines have become more widely available in Sub-Saharan Africa, vaccination campaigns in the region have struggled to pick up pace and trail the rest of the world. This paper presents new evidence on vaccine hesitancy, uptake, last-mile delivery barriers, and potential strategies to reach those who remain unvaccinated. The data come from high-frequency phone surveys in five countries in East and West Africa (Burkina Faso, Kenya, Malawi, Nigeria, and Tanzania). The surveys were conducted by countries' national statistical agencies, have national scope, are cross-country comparable, and draw their samples from nationally representative sampling frames. The findings show that across the study countries, a majority is willing to get vaccinated. Still, vaccine hesitancy is non-negligible among those pending vaccination. Concerns about side effects of the vaccine are the primary reason for hesitancy. At the same time, many who are willing to get vaccinated are deterred by a lack of easy access to vaccines at the local level. Radio broadcasts have widespread reach and medical professionals have good rapport among the unvaccinated population. Furthermore, social ties and perceptions as well as intrahousehold power relations matter for vaccine take-up. Based on the findings, the paper elaborates policy options to boost vaccination campaigns in Sub-Saharan Africa.


Book
The Evolution of COVID-19 Vaccine Hesitancy in Sub-Saharan Africa : Evidence from Panel Survey Data
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Year: 2023 Publisher: [Place of publication not identified] : World Bank,

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COVID-19 vaccination rates in Sub-Saharan Africa lag behind other world regions, with just over 20 percent of the population in Sub-Saharan Africa fully vaccinated. To reach widespread coverage, high willingness to get vaccinated for COVID-19 among the population is considered an important prerequisite. Drawing on two years of panel survey data, this paper studies the dynamics of vaccine acceptance, its correlates, and reasons for hesitancy over time. The data come from multiple rounds of national High-Frequency Phone Surveys in five countries in East and West Africa (Burkina Faso, Ethiopia, Malawi, Nigeria, and Uganda), covering the period between 2020 and 2022. The surveys are cross-country comparable and draw their samples from nationally representative sampling frames. The paper finds that COVID-19 vaccine acceptance has been high throughout the study period (68 to 98 percent). However, acceptance levels were lower in 2022 than in 2020 in three countries (Burkina Faso, Malawi, and Nigeria) and higher in one country (Uganda). Moreover, individuals are observed to change their stated vaccine attitudes between survey rounds, to a limited extent in some countries (Ethiopia) and more frequently in others (Burkina Faso, Malawi, Nigeria, and Uganda). Vaccine hesitancy is higher in richer households and among those residing in urban areas, women, and the better educated. Conversely, hesitancy is lower in larger households and among heads of the household. The main reasons for hesitancy are concerns about side effects of the vaccine, its safety and efficacy, as well as assessments of COVID-19 risk, although these reasons fluctuate over time. The findings suggest that vaccine hesitancy is not the primary obstacle to reaching greater vaccine coverage in Sub-Saharan Africa. Instead, low coverage rates may be related to access and delivery barriers as well as supply shortages. Nevertheless, vaccine attitudes appear malleable so that continued efforts are needed to retain high levels of vaccine acceptance.

Keywords

Vaccination.


Book
Impact of Drought on Poverty in Somalia
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Year: 2019 Publisher: Washington, D.C. : The World Bank,

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Understanding the magnitude and importance of income shocks, such as drought or conflict, in causing and perpetuating poverty is critical to designing policies aimed at building resilience and contributing toward the goal of ending poverty. This paper uses micro-data from two waves of the Somali High Frequency Survey to assess the impact of the severe drought that Somalia experienced in 2016/17 on poverty, hunger, and consumption. The analysis uses a regression framework to quantify the effects of the drought, relying on spatial variation in drought exposure and the timing of data collection, which took place before and during the drought, for identification. The drought is found to have a sizable effect on poverty, consumption, and hunger in rural areas, where agricultural households and those lacking access to infrastructure and basic services are most severely affected. A renewed drought shock could lead to an increase in poverty of 9 percentage points. The findings underscore the importance of investing in rural resilience, especially among agricultural households.


Book
Recall Length and Measurement Error in Agricultural Surveys
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Year: 2020 Publisher: Washington, D.C. : The World Bank,

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This paper assesses the relationship between the length of recall and nonrandom error in agricultural survey data. Using data from the World Bank's Living Standards Measurement Study-Integrated Surveys on Agriculture in Malawi and Tanzania, the paper shows that key input and output variables are systematically related to the length of the recall period, indicating the presence of nonrandom measurement error. With longer recall periods, farmers report greater quantities of harvest, labor, and fertilizer inputs. Farmers list fewer plots as the recall period increases. The paper argues that it is plausible that farmers overestimate plot-level outcomes, or they forget some of their more marginal plots due to longer recall periods. The analysis also finds evidence of measurement error related to the length of recall in common measures of agricultural productivity. The size of the recall effect typically varies between 2 and 5 percent per additional month of recall length, which is economically significant. With data reliability affecting policy effectiveness, improving agricultural survey data quality remains an important concern. Mainstreaming objective measures where possible and reducing the risk of recall error through shorter recall periods appear to be promising avenues to improve the quality of key variables in agricultural surveys.


Book
Non-Labor Input Quality and Small Farms in Sub-Saharan Africa : A Review
Authors: --- ---
Year: 2022 Publisher: Washington, DC : World Bank,

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Adoption of non-labor agricultural inputs, including pesticides and mineral fertilizers, remains low among small-scale farmers in many low-income countries. Accurate measurement of the quality of these inputs and of quantities deployed is essential for assessing economic returns, understanding the drivers of agricultural productivity, and proposing and evaluating policies for increasing agricultural production. Reviewing evidence regarding the quality of mineral fertilizers and pesticides available to small farmers in Sub-Saharan Africa, this paper summarizes four key findings. First, the available evidence on non-labor input quality to date centers mostly on urea fertilizer and glyphosate herbicide, with limited assessment of other important inputs, including multi-nutrient fertilizers. Second, the evidence shows that nitrogen shortages are exceedingly rare for urea, although quality problems are more common in fertilizer blends including nitrogen, phosphorous, and potassium blends, as well as diammonium phosphate, and in glyphosate herbicide. Third, although nutrient shortages in nitrogen, phosphorous, and potassium fertilizer blends and diammonium phosphate fertilizer blends are likely attributable to problems with manufacturing and storage, problems with available herbicides could be due to manufacturing issues, counterfeiting, or adulteration. Fourth, although farmers are broadly suspicious of the quality of mineral fertilizer and pesticides, evidence from several studies suggests that these beliefs do not reflect lab-based assessments of quality. In light of these findings, this paper recommends best practices for evaluation of non-labor input quality and summarizes research evaluating farmer assessment of fertilizer and pesticide quality. The paper concludes by identifying key evidentiary gaps related to measuring non-labor agricultural input quality and use, and recommends specific topics for future research.


Book
The Climate Implications of Ending Global Poverty
Authors: --- ---
Year: 2023 Publisher: Washington D.C. : World Bank,

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Previous studies have explored potential conflicts between ending poverty and limiting global warming, by focusing on the carbon emissions of the world's poorest. This paper instead focuses on economic growth as the driver of poverty alleviation and estimates the emissions associated with the growth needed to eradicate poverty. With this framing, eradicating poverty requires not only increasing the consumption of poor people, but also the consumption of non-poor people in poor countries. Even in this more pessimistic framing, the global emissions increase associated with eradicating extreme poverty is small, at 2.37 gigatonnes of equivalent carbon dioxide in 2050, or 4.9 percent of 2019 global emissions. These additional emissions would not materially affect the global climate change challenge: global emissions would need to be reduced by 2.08 gigatonnes of equivalent carbon dioxide per year, instead of the 2.0 gigatonnes of equivalent carbon dioxide per year needed in the absence of any extreme poverty eradication. Lower inequality, higher energy efficiency, and decarbonization of energy can significantly ease this trade-off: assuming the best historical performance in all countries, the additional emissions for poverty eradication are reduced by 90 percent. Therefore, the need to eradicate extreme poverty cannot be used as a justification for reducing the world's climate ambitions. When trade-offs exist, the eradication of extreme poverty can be prioritized with negligible emissions implications. The estimated emissions of eradicating poverty are 15.3 percent of 2019 emissions with the lower-middle-income poverty line at $3.65 per day and or 45.7 percent of 2019 emissions with the $6.85 upper-middle-income poverty line. The challenge to align the world's development and climate objectives is not in reconciling extreme poverty alleviation with climate objectives but in providing middle-income standards of living in a sustainable manner.


Book
Representativeness of Individual-Level Data in COVID-19 Phone Surveys : Findings from Sub-Saharan Africa
Authors: --- ---
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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The COVID-19 pandemic has created urgent demand for timely data, leading to a surge in mobile phone surveys for tracking the impacts of and responses to the pandemic. This paper assesses, and attempts to mitigate, selection biases in individual-level analyses based on phone survey data. The research uses data from (i) national phone surveys that have been implemented in Ethiopia, Malawi, Nigeria, and Uganda during the pandemic, and (ii) the pre-COVID-19 national face-to-face surveys that served as the sampling frames for the phone surveys. The availability of pre-COVID-19 face-to-face survey data permits comparisons of phone survey respondents with the general adult population. Phone survey respondents are more likely to be household heads or their spouses and non-farm enterprise owners, and on average, are older and better educated vis-a-vis the general adult population. To improve the representativeness of individual-level phone survey data, the household-level phone survey sampling weights are calibrated based on propensity score adjustments that are derived from a model of an individual's likelihood of being interviewed as a function of individual- and household-level attributes. Reweighting improves the representativeness of the estimates for the phone survey respondents, moving them closer to those of the general adult population. This holds for women and men and a range of demographic, education, and labor market outcomes. However, reweighting increases the variance of the estimates and fails to overcome selection biases. Obtaining reliable data on men and women through phone surveys requires random selection of adult interviewees within sampled households.


Book
Estimation of Poverty in Somalia Using Innovative Methodologies
Authors: ---
Year: 2019 Publisher: Washington, D.C. : The World Bank,

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Somalia is highly data-deprived, leaving policy makers to operate in a statistical vacuum. To overcome this challenge, the World Bank implemented wave 2 of the Somali High Frequency Survey to better understand livelihoods and vulnerabilities and, especially, to estimate national poverty indicators. The specific context of insecurity and lack of statistical infrastructure in Somalia posed several challenges for implementing a household survey and measuring poverty. This paper outlines how these challenges were overcome in wave 2 of the Somali High Frequency Survey through methodological and technological adaptations in four areas. First, in the absence of a recent census, no exhaustive lists of census enumeration areas along with population estimates existed, creating challenges to derive a probability-based representative sample. Therefore, geospatial techniques and high-resolution imagery were used to model the spatial population distribution, build a probability-based population sampling frame, and generate enumeration areas to overcome the lack of a recent population census. Second, although some areas remained completely inaccessible due to insecurity, even most accessible areas held potential risks to the safety of field staff and survey respondents, so that time spent in these areas had to be minimized. To address security concerns, the survey adapted logistical arrangements, sampling strategy using micro-listing, and questionnaire design to limit time on the ground based on the Rapid Consumption Methodology. Third, poverty in completely inaccessible areas had to be estimated by other means. Therefore, the Somali High Frequency Survey relies on correlates derived from satellite imagery and other geo-spatial data to estimate poverty in such areas. Finally, the nonstationary nature of the nomadic population required special sampling strategies.


Book
Acceptance of COVID-19 Vaccines in Sub-Saharan Africa : Evidence from Six National Phone Surveys
Authors: --- --- ---
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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Recent debates surrounding the lagging COVID-19 vaccination campaigns in low-income countries center around vaccine supply and financing. Yet, relatively little is known about attitudes toward COVID-19 vaccines in these countries and in Africa in particular. This paper provides cross-country comparable estimates of the willingness to accept a COVID-19 vaccine in six Sub-Saharan African countries. It uses data from six national high-frequency phone surveys in countries representing 38 percent of the Sub-Saharan African population (Burkina Faso, Ethiopia, Malawi, Mali, Nigeria, and Uganda). Samples were drawn from large, nationally representative sampling frames providing a rich set of demographic and socioeconomic characteristics which are used to disaggregate the analysis. The findings show acceptance rates to be generally high, with at least four in five people willing to be vaccinated in all but one country. Vaccine acceptance ranges from nearly universal in Ethiopia (97.9 percent) to below what would likely be required for herd immunity in Mali (64.5 percent). Safety concerns about the vaccine in general and its side effects emerge as the primary reservations toward a COVID-19 vaccine across countries. These findings suggest that limited supply, not inadequate demand, likely presents the key bottleneck to reaching high COVID-19 vaccine coverage in Sub-Saharan Africa.


Book
Under what Conditions are Data Valuable for Development?
Authors: --- --- --- ---
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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Data produced by the public sector can have transformational impacts on development outcomes through better targeting of resources, improved service delivery, cost savings in policy implementation, increased accountability, and more. Around the world, the amount of data produced by the public sector is increasing at a rapid pace, yet their transformational impacts have not been realized fully. Why has the full value of these data not been realized yet This paper outlines 12 conditions needed for the production and use of public sector data to generate value for development and presents case studies substantiating these conditions. The conditions are that data need to have adequate spatial and temporal coverage (are complete, frequent, and timely), are of high quality (are accurate, comparable, and granular), are easy to use (are accessible, understandable, and interoperable), and are safe to use (are impartial, confidential, and appropriate).

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