Some Thoughts on Shanta's Anniversary Blog
I have extracted what I find to be the key points in Shanta’s blog post “It’s not the How; It’s the Why” and have commented on them:
1. “Bad policies or institutions exist and persist because politically powerful people benefit from them.”
Bad policies or institutions are bad for those who are excluded from their benefits in the short-run, but they also harm the supposed beneficiaries in the long run. Further careful analysis can corroborate this, and show the long-term harm caused by bad policies to virtually everyone in a particular country.
East Asia and Pacific
Some Thoughts on Shanta's Anniversary Blog
The under-5 mortality rate worldwide has fallen by 49% since 1990, according to new child mortality estimates and press release launched today. This information is also summarized in the report Levels and Trends in Child Mortality 2014 by the United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME). Put another way, about 17,000 fewer children under-5 died each day in 2013 than in 1990.
These rates are falling faster than at any other time during the past two decades: from a 1.2% annual reduction during 1990-1995 to a 4% reduction during 2005-2013.
More children making it to their fifth birthday
The major improvements in under-5 child survival since 1990 are attributable to better access to affordable, quality health care, as well as the expansion of health programs that reach the most vulnerable newborns and children.
The 49% drop – from 90 deaths per 1,000 live births in 1990, to 46 deaths in 2013 – means that a baby born today has a dramatically better chance of survival to age 5 compared with a baby born in 1990.
More progress needed to achieve the global Millennium Development Goal 4 target
Four out of 6 World Bank Group regions are on track to achieve Millennium Development Goal 4 (MDG 4), which is to reduce the under-5 mortality rate by two-thirds by 2015. Sub-Saharan Africa and South Asia are two regions where the rates of decline remain insufficient to reach MDG 4 on a global scale. In 2013, the highest under-5 mortality rate was in Sub-Saharan Africa, where there were 92 deaths per 1,000 live births or where 1 in 11 children die before reaching the age of 5.
This week, Vietnam will host the twelfth ASEAN Health Minister’s Meeting in Hanoi. Universal Health Coverage (UHC) is likely to take center-stage in discussions, both formal and informal, among the region’s policymakers. After all, the drive for UHC, backed by large increases in public spending to subsidize coverage, is one of the most uniting features of health policy in the ASEAN region today.
Vietnam is somewhat forerunner in the region, having steadily expanded health insurance coverage through the 1990s. Through the Law of Social Health Insurance in 2008, Vietnam consolidated existing health insurance programs and adopted a single payer design ahead of some other larger ASEAN countries such as Indonesia and the Philippines. Today, not only is 68% of the population enrolled in health insurance but significant public sector investments have also been made to the supply side infrastructure and health human resource capacity of Vietnam in order to meet the growing demand for health care.
Hardly a week goes by without my hearing the statement, “It’s not the What; it’s the How.” On the reform of energy subsidies in the Middle East and North Africa, for instance, the discussion is focused not on whether subsidies should be reformed (everyone agrees they should be), but on how the reform should be carried out. Similar points are made about business regulations, education, agriculture, or health. I confess to having written similar things myself. And there is no shortage of such proposals on this blog.
Reforms are needed because there is a policy or institutional arrangement in place that has become counterproductive. But before suggesting how to reform it, we should ask why that policy exists at all, why it has persisted for so long, and why it hasn’t been reformed until now. For these policies didn’t come about by accident. Nor have they remained because somebody forgot to change them. And they are unlikely to be reformed just because a policymaker happens to read a book, article or blog post entitled “How to reform…”
Tanzania has undoubtedly performed well over the past decade, with growth that has averaged approximately 7% per year, thanks to the emergence of a few strategic areas such as communication, finance, construction and transport. However, this remarkable performance may not be enough to provide a sufficient number of decent or productive jobs to a fast-growing population that will double in the next 15 years. With a current workforce of about 20 million workers and an official unemployment rate of only 2%, the challenge for Tanzanians clearly does not lie with securing a job. Rather, it is to secure a job with decent earnings.
Economic development theorists and practitioners are increasingly using the term “middle-income trap” to describe the situation where developing economies’ convergence to the development frontier comes to a halt once their income per capita reaches a middle-income level. The term is ambiguous: is it a halt in convergence or slowdown in growth, and what exactly is the definition of middle-income? Nevertheless, the concept has been successfully used to create a scare that developing countries are more likely to run out of breath or even give up the race in the middle of the track than to continue catching up with the leading economies. Eichengreen et al. and several IMF economists are among those who provide empirical evidence that the “middle-income trap” is real and that developing countries do get stuck at some low-level equilibrium.
New developments and curiosities from a changing global media landscape: People, Spaces, Deliberation brings trends and events to your attention that illustrate that tomorrow's media environment will look very different from today's, and will have little resemblance to yesterday's.
Mobile games, developed for smartphones and tablets, represent an incredibly lucrative industry that is expanding very fast! They are the fastest growing segment of the overall games market, boasting a Cumulated Annual Growth Rate of 19%. Revenues are expected to reach $21.7 billion in 2014 and $35.4 billion by 2017. The growth in mobile games is fueled by both an increase in the number of players worldwide but also a greater willingness on the part of consumers to spend money on mobile games.
The following infographic illustrates that with 56% of the global revenue, Asia Pacific is the biggest market, and revenue within the region is estimated to reach $12.2 billion this year. However, Latin America takes the lead in terms of growth, with a year-on-year growth rate of 60% between 2013 and 2014.
We are living in a paradoxical time of population growth. In the media, there have been alarming reports asking how the world will be able to deal with a much larger population in years to come. The challenges are real, especially in Sub-Saharan Africa, whose population is expected to double by 2050 and possibly quadruple by 2100. At the same time, we have been experiencing the most rapid decline in global population growth ever.
But how can we reconcile those two facts: a rapid expansion of total population numbers with a fast slowdown of population growth? Here is an analogy from the world of cars: imagine you are driving on a German motorway, where speed limits are notoriously non-existent. You are cruising at 160km/h (100m/h) but soon you cross the border into France, where 130 km/h is the limit. You are still driving very fast, though substantially slower than before. Now you switch to a regional road, driving at 80km/h, and now you slow down further to 50 km/h as you enter into a town. Meanwhile, someone else is still driving at 160 km/h on that Autobahn.
Vietnam’s education system is receiving a lot of international attention following the country’s strong performance in the 2012 Program for International Student Assessment (PISA). Vietnam’s 15 year-olds performed as well in mathematics, reading and science as their peers in much richer Germany and Austria, and better than the international average. In an earlier blog I reviewed possible explanations for this success.
New analysis of data for Vietnam from the World Bank’s Skills Toward Employment and Productivity (STEP) skills measurement surveys confirms the message from PISA.