Syndicate content

Governance

User fees and abuser fees

Shanta Devarajan's picture

If user fees for health have been so vilified (including in comments on this blog), why are we bringing the subject up again?  Because new evidence calls into question the prevailing view, namely that removing user fees leads to: (i) increased use of health services and hence to (ii) improved health outcomes.  Confirming (i), the recent literature shows that (ii) does not always follow.

Principles

Raising the price of a good or service has two effects: it reduces demand and increases supply.  In the case of user fees for health, it was thought that paying for a service also makes people use it more appropriately (you don’t go to the doctor for minor ailments) and value it more than if they obtained it for free. 

Is Tanzania strong enough to resist temptation?

Jacques Morisset's picture

Speaking about the often unruly behavior of his talented young players, Arsene Wenger, the famous Arsenal coach, said: "Some are wrong because they are not strong enough to fight temptation and some are wrong because they don't know."

Youth in Tanzania: a growing uneducated labor force

Jacques Morisset's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

"The youth of today are the leaders of tomorrow", so the old adage goes. All countries, including Tanzania, need to invest in and build a strong, healthy, well educated, dynamic and innovative youth.  In Africa, the number of youths (aged 14 to 25 years) have grown significantly  over the past decades, contributing to the bulk of the labor force.

Will Rising Temperatures Derail Africa’s Rise?

Tom Bundervoet's picture

Africa is on the move. After two decades of decline, fortunes reversed by the end of the 1990s, resulting in a decade of strong economic growth and sizable improvements in sanitation, education and health. Real incomes per capita in Sub-Saharan Africa grew by more than 30 percent over the last ten years, and six countries from the continent made it on the list of the ten fastest-growing economies in the world. Big men, although still around in some parts of the continent, have become less common, elections have become more frequent, and many civil wars have finally ended. All this has produced a narrative of “Africa Rising” and a widespread optimism that Africa is finally on the right track. Indeed, the 21st century may well turn out to be Africa’s century.

Or not. Ted Miguel’s keynote address at the annual conference of the Center for the Study of African Economies (CSAE) in Oxford highlighted a potentially important concern. Applying a common statistical framework to a large number of studies on the link between temperatures and human violence, Miguel and his co-authors find a remarkably consistent and strong correlation between exceptionally high temperatures and manifestations of violence. Drawing on detailed data from a variety of countries and studies, they show that exceptionally high temperatures are correlated with significant increases in witch killings (Tanzania), rapes (USA), murders (USA), aggressive behavior of baseball players (USA) and more frequent and more aggressive horn-honking.

Toilets missing in action

Waly Wane's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

Tanzania is ranked the second lowest in terms of access to improved sanitation worldwide out of 171 countries that reported statistics for 2010. The details read as follows:
- Only 1 in 10 Tanzanians has access to an improved sanitation facility, such as a flush toilet connected to a sewage system or septic tank or a covered pit latrine not shared with other households.
- The above access to improved sanitation for Tanzania is well below the average for sub-Saharan Africa (31 percent), and also much lower than in Kenya (32 per cent), Uganda (34 per cent) and Malawi (51 per cent).
- Urban residents are three times more likely to use an improved toilet facility than their rural counterparts (20 per cent vs. 7 per cent).
- A staggering 5.4 million Tanzanians do not have access to any toilet facility, and answer nature’s call in the open. This burden falls most heavily on the poorest quintile.

A bank in your pocket: The mobile money revolution in Tanzania

Isis Gaddis's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

The mobile phone is a truly novel device. It comes in just as handy and as easily when we need to communicate about the serious things as to chat about the simpler things in life.  Mobiles are not only being used as radios and flashlights but they are also delivering banking and financial services to those who urgently need them.

Increasingly, people around the world, especially in Africa, are paying their school fees, healthcare and utility bills using mobile phones today. Businesses use mobile money phones to pay their staff and suppliers. Poor people who have never entered a bank are using mobile services to send or receive remittances and to save their money.

To succeed, Kenya only needs to look within

Wolfgang Fengler's picture

“So how are you enjoying living in paradise?” Michael Geerts, the former German ambassador to Kenya asked me the other day.   He was posted in Nairobi during the difficult years in the end of the 1990s, and continues to stay in touch with a country he loves dearly. Many colleagues, who once worked in Kenya have bought houses in Nairobi, and plan to retire in the “city under the sun”. But not everybody shares their passion and faith in the country’s future. There are many pessimists who feel that the country is moving in the wrong direction. Kenya, they say, will never rid itself from grand corruption, and crime such as drug trafficking will continue to flourish.
 
Are they seeing the same country? Maybe both perspectives are right, because Kenya is a country of extremes.

A well-kept secret: Tanzania’s export performance

Jacques Morisset's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

Outward looking strategies have been used by most countries that have succeeded in their transition toward emergence. East Asian tigers and dragons have witnessed a tremendous and sustained boom in their exports, as have emerging countries like Chile, Tunisia, Botswana, and Mauritius. Even fast-growing ‘big’ countries such as Brazil and China have relied on world markets.

What might surprise some though is that Tanzania’s export performance in fact exceeded that of Brazil, Tunisia, Mauritius, Malaysia, Korea, and Thailand between 2000 and 2012. Among countries that did better were China and Uganda.

Please use -but don't abuse- Tanzania’s forests

Waly Wane's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

Globally, forests are disappearing at an increasing rate. Since 1990 alone, half of the world’s rainforests have vanished. Tanzania also has been severely affected by deforestation as illustrated by the following statistics:

- Forest area as a share of total land area declined from 50 per cent to 43 per cent to 37 per cent from 1938, to 1987 and 2010 respectively.

Punished twice: Kenya’s dual health burden

Wolfgang Fengler's picture

The data are un-ambiguous: Kenya’s economy is starting to catch up with the rest of the world. But many of you probably wonder if that is really true, especially when observing the streets of Nairobi or the daily life in rural areas. In other words, is economic catch-up translating into social progress?  Will today’s children live a better life than their parents? Will everyone enjoy decent social and infrastructure services in the new Kenya? Let’s zoom in on the case of health.

How healthy is Kenya today? Simply said, it could do better. This is important from an economic standpoint, because a population’s health is a key foundation for development. Healthy populations are more productive; they also save and invest more. On average and all other things equal, one extra year of life-expectancy is associated with an increase in a country’s GDP by 4 percent.

Pages