The Sakhra Comprehensive Health Center is small and slightly disheveled, with evident resource constraints. Nonetheless, it is teeming with activity and resourcefulness. A sheet on the wall is the “screen” from the previous night’s presentation on the safe use of certain medications. A blue curtain cordons off a corner in the maternal and child unit, providing privacy for nursing mothers. Staff members promptly respond to calls placed over a public address system that was proudly purchased by staff donations. Nestled in one of the poorest regions of Jordan (Ajloun Governorate), the Sakhra Comprehensive Health Center is a bustling hub.
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The announcement comes at a time when growth is slow, unemployment is high and the economy is still suffering from already ballooning subsidies -amounting to 9 percent of GDP- that have kept Egypt’s fiscal deficit at an exceptionally high 13.7 percent of GDP. At least seven countries in the Middle East and North Africa Region —including all those in transition after the Arab Spring (such as Egypt)--are trapped in a low-growth-poor-policy loop.
Shanta Devarajan, World Bank Chief Economist for the Middle East and North Africa region, discusses the latest issue of the Quarterly Economic Brief.