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Developing Gender-Disaggregated Poverty Small Area Estimates : Technical Report.
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Year: 2019 Publisher: Washington, D.C. : The World Bank,

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Small area estimates of poverty and inequality statistics, through survey-to-census imputation that lets consumption be estimated for each and every household in a census, are useful for at least three reasons. First, they can help improve the effectiveness of public spending, by targeting to prevent the leakage of benefits to the non-poor (and prevent the under-coverage of the poor). If poor people are concentrated in certain areas, spatial targeting by directing extra development projects and public services to those areas, may be more feasible than trying to individually target the poor. Geographic targeting is highly relevant in countries like Timor Leste, where mountainous topography contributes to high levels of heterogeneity. In similar environments, such as Papua New Guinea, the enclave nature of some modern economic development has created high levels of spatial inequality. The basic details are that household survey data are used to estimate a model of consumption, with explanatory variables restricted to those that have overlapping distributions from a census. The coefficients from this model are then combined with the variables from the census, and consumption is predicted for each household in the census. With these predictions available for all households, inequality and poverty statistics can be estimated for small geographic areas (Elbers et al, 2003).2 In the results below, the poverty statistics that are calculated by using the predicted consumption data for each census household are reported at the suco level (n=442). For the headcount poverty rate, the standard errors at the suco level (relative to the poverty index) average one-quarter and so this is a comparable degree of precision to what the survey offered at the municipality level (n=13) for a variable like the poverty severity index.


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Estimating Small Area Poverty and Welfare Indicators in Timor-Leste Using Satellite Imagery Data
Authors: --- --- ---
Year: 2020 Publisher: Washington, D.C. : The World Bank,

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This report is structured as follows: an in-depth explanation of the FHSAE method is presented in section two. Section three reviews the sub-district level data used in this study, which includes imprecise TL-SLS and DHS direct estimates, as well as satellite imagery data used in this study. The variable selection method used for the FHSAE model in this model is explained in section four. Section five provides the results of the FHSAE exercise on poverty estimates, average real per capita consumption and welfare index, presenting them in the graphical maps. Section six concludes.


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Capturing What Matters : Essential Guidelines for Designing Household Surveys
Authors: --- --- ---
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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The World Bank is an international leader in the methodology and implementation of household surveys, working in close partnership with national statistics offices (NSOs) around the world. This guidebook is a consolidation of field-tested best practices to implement, improve, and modernize nationally representative multi-topic household surveys for monitoring welfare and poverty. Offered as a reference guide for task team leaders (TTLs) within the World Bank, the guidebook is intended as a powerful tool for any survey practitioners (such as NSOs, development partners, educators, researchers, and students) implementing household surveys in low- and middle-income countries. This guidebook starts with survey design, the first step in any survey undertaking, with careful attention given to minimizing non-sampling errors. Subsequent sections are sampling; questionnaire modules, which form the core of this guidebook; followed by geographic information systems (GIS); computer-assisted personal interviewing (CAPI); and finally, documentation and dissemination of the resulting data.


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Primary Health Care Vital Signs Profile Assessment for Colombia.
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Year: 2020 Publisher: Washington, D.C. : The World Bank,

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Since the first case of COVID-19 was confirmed, on March 6, 2020, the Primary Health Care (PHC) system in Colombia has been on trial, displayinga variability in governance capacity across the national territory. The response of the Colombian health system to COVID-19 and the role that PHChas played highlight several of its strengths and weaknesses. Barriers to access to health services related to distance and cost perceived by the Colombian population have steadily decreased since 2010, while barriers corresponding to perceived quality of services have remained relativelyconstant. Although barriers have been reduced and the availability of services has increased in the Health Service Delivery Institutions (HSDI) of the country, aspects related to the quality of care they provide continue to show weaknesses such as in the continuity of care, adherence of providers to clinical guidelines and aspects of patient safety. In the system, inequities of access, quality and coverage of PHC services persist throughout the national territory. To achieve a high-performing PHC system, this report proposes a series of recommendations, including: (a) Implement a new model of care focused on PHC, which offers a comprehensive package of services and reflects the health needs of the population; (b) Prepare the next generation of technicians and health professionals in PHC to work in multidisciplinary teams, and (c) Use PHC as a strategy to reduce inequities in health.


Book
Poverty Imputation in Contexts without Consumption Data : A Revisit with Further Refinements
Authors: --- --- ---
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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A key challenge with poverty measurement is that household consumption data are often unavailable or infrequently collected or may be incomparable over time. In a development project setting, it is seldom feasible to collect full consumption data for estimating the poverty impacts. While survey-to-survey imputation is a cost-effective approach to address these gaps, its effective use calls for a combination of both ex-ante design choices and ex-post modeling efforts that are anchored in validated protocols. This paper refines various aspects of existing poverty imputation models using 14 multi-topic household surveys conducted over the past decade in Ethiopia, Malawi, Nigeria, Tanzania, and Vietnam. The analysis reveals that including an additional predictor that captures household utility consumption expenditures-as part of a basic imputation model with household-level demographic and employment variables-provides poverty estimates that are not statistically significantly different from the true poverty rates. In many cases, these estimates even fall within one standard error of the true poverty rates. Adding geospatial variables to the imputation model improves imputation accuracy on a cross-country basis. Bringing in additional community-level predictors (available from survey and census data in Vietnam) related to educational achievement, poverty, and asset wealth can further enhance accuracy. Yet, there is within-country spatial heterogeneity in model performance, with certain models performing well for either urban areas or rural areas only. The paper provides operationally-relevant and cost-saving inputs into the design of future surveys implemented with a poverty imputation objective and suggests directions for future research.


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Poverty, Vulnerability, and Welfare in Bhutan : Progress and Challenges.
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Year: 2019 Publisher: Washington, D.C. : The World Bank,

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This note uses data from the Bhutan living standards survey (BLSS) for 2007, 2012, and 2017 to examine trends in poverty reduction and shared prosperity and to assess the drivers of poverty reduction in the last decade. The note documents the remarkable progress that Bhutan has made in reducing poverty, sharing prosperity, and improving other measures of well-being. To this end, it first establishes a poverty trend that is measured in a consistent manner over time. The resulting poverty trend deviates from official poverty rates for mainly two reasons: (a) the consumption aggregate is being measured in a consistent way over time, resulting in a different distribution of consumption in each survey year; and (b) the 3.20 dollars World Bank poverty line for lower middle-income countries is used as the cut-off to define poverty. Poverty reduction was helped by improved earnings in the commercial agriculture sector. Moreover, vulnerability has remained high, partly because farmers are exposed to various uninsured risks, including price shocks, but also because the social protection system is weak overall and nonfarm diversification is low. Going forward, it will be important to continue increasing agricultural productivity and creating productive jobs outside of the agriculture sector. Proper prioritization and sequencing of policies may also help in this regard.


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Small Area Estimation of Child Malnutrition in Ethiopian Woredas
Authors: --- --- --- ---
Year: 2016 Publisher: Washington, D.C. : The World Bank,

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Reducing child undernutrition is a key social policy objective of the Ethiopian government. espite substantial reduction over the past decade and a half, child undernutrition is still high. With 48 percent of children stunted, underweight, or wasted, undernutrition remains an important child health challenge. The existing literature highlights that the targeting of efforts to reduce undernutrition in Ethiopia is inefficient, in part because of the lack of data and updated information. This paper remedies some of this shortfall by estimating levels of stunting and underweight in each woreda for 2014. The estimates are small area estimations based on the 2014 emographic and Health Survey and the latest population census. It is shown that small area estimations are powerful predictors of undernutrition, even controlling for household characteristics, such as wealth and education, and hence a valuable targeting metric. The results show large variations in share of children undernourished in each region, more than between regions. The results also show that the locations with larger challenges depend on the chosen undernutrition statistic, as the share, number, and concentration of undernourished children point to vastly different locations. There is limited correlation between the shares of children underweight and stunted across woredas, indicating that different locations face different challenges.


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Progress toward the Health MDGs : Are the Poor Being Left behind?
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Year: 2014 Publisher: Washington, D.C., The World Bank,

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This paper looks at differential progress on the health Millennium Development Goals between the poor and better-off within countries. The findings are based on original analysis of 235 Demographic and Health Surveys and Multiple Indicator Cluster Surveys, spanning 64 developing countries over the period 1990-2011. Five health status indicators and seven intervention indicators are tracked for all the health Millennium Development Goals. In most countries, the poorest 40 percent have made faster progress than the richest 60 percent. On average, relative inequality in the Millennium Development Goal indicators has been falling. However, the opposite is true in a sizable minority of countries, especially on child health status indicators (40-50 percent in the cases of child malnutrition and mortality), and on some intervention indicators (almost 40 percent in the case of immunizations). Absolute inequality has been rising in a larger fraction of countries and in around one-quarter of countries, the poorest 40 percent have been slipping backward in absolute terms. Despite reductions in most countries, relative inequalities in the Millennium Development Goal health indicators are still appreciable, with the poor facing higher risks of malnutrition and death in childhood and lower odds of receiving key health interventions.


Book
Small Area Estimation of Child Malnutrition in Ethiopian Woredas
Authors: --- --- --- ---
Year: 2016 Publisher: Washington, D.C. : The World Bank,

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Abstract

Reducing child undernutrition is a key social policy objective of the Ethiopian government. espite substantial reduction over the past decade and a half, child undernutrition is still high. With 48 percent of children stunted, underweight, or wasted, undernutrition remains an important child health challenge. The existing literature highlights that the targeting of efforts to reduce undernutrition in Ethiopia is inefficient, in part because of the lack of data and updated information. This paper remedies some of this shortfall by estimating levels of stunting and underweight in each woreda for 2014. The estimates are small area estimations based on the 2014 emographic and Health Survey and the latest population census. It is shown that small area estimations are powerful predictors of undernutrition, even controlling for household characteristics, such as wealth and education, and hence a valuable targeting metric. The results show large variations in share of children undernourished in each region, more than between regions. The results also show that the locations with larger challenges depend on the chosen undernutrition statistic, as the share, number, and concentration of undernourished children point to vastly different locations. There is limited correlation between the shares of children underweight and stunted across woredas, indicating that different locations face different challenges.


Book
Striving for Equity and Efficiency : An Assessment of Provider Payment Reforms in the Philippines Health Sector.
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Year: 2018 Publisher: Washington, D.C. : The World Bank,

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This report reviews the current provider payment arrangements and policies of the Philippines, and the extent to which they have contributed to the achievement of the HFS goals. It focuses on the pillars of the HFS that center on provider payment issues, including what is paid for and by whom (pillar 3) and how it is paid for (pillar 4). Because the HFS envisages that pooled sources of health funding, such as payments by the Philippines Health Insurance Corporation (PHIC or PhilHealth) and the government budget, should progressively replace OOP spending as the source of financing for health care, the extent to which this shift has occurred is a recurring theme. In addition, the assessment looks at how the purchasing arrangements improve allocative and technical efficiency, equity, and quality. It takes a sectoral approach to purchasing, looking not only at the purchasing arrangements of PhilHealth, but also purchasing of health services by the DOH and local government units (LGUs). The assessment concludes with concrete recommendations for the next five years and beyond.

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