Syndicate content

South Asia

In India, a hospital that’s just what the doctor ordered

Pankaj Sinha's picture



The Indian State of Bihar, by population, is larger than the Philippines. Or, if you prefer, by the number of residents, Bihar would be the 13th largest country in the world. Yet Bihar’s health indicators are consistently worse than India’s average. And despite accounting for nearly 9% of India’s population, not a single specialty health facility in Bihar is among the nearly 340 Indian hospitals accredited by the National Accreditation Board of Hospitals & Healthcare Providers.

The combination of a high population and a significant lack of quality specialty healthcare facilities has a profound negative impact on the people of Bihar. This is an onerous burden in a state that is already one of the five poorest in India, with a per capita income only half of that of the country as a whole.


New roads to better lives in rural Bhutan

Deepa Rai's picture
Men from the Pokri Dangra community working on the power tiller track. (Credit: RRCDP project) 

For remote rural communities in mountainous Bhutan, survival hinges upon access to roads and markets.

Since 2003, the Royal Government has built over 1,500 kilometers of farm roads and narrower, lower-cost “power tiller tracks” to help communities, which subsist mostly on agriculture, connect to the larger population, and improve their incomes and standards of living.

For farmers in the Pokri Dangra village in Samste Dzongkhag, a new track has brought more benefits than expected and significantly improved access to markets and services and reduced the cost of trading goods with other local communities.

Women Masons in Tamil Nadu: Lessons from a unique experiment

Varalakshmi Vemuru's picture
Not long ago, fifty three year old Parvati Amma was told that she was too old to train as a mason. But that didn’t deter this feisty lady. She took the rejection as a challenge and went on to ace the class.

Parvati Amma comes from Pulkattai village in the southern Indian state of Tamil Nadu where the Tamil Nadu Empowerment and Poverty Reduction Project (TNEPRP) has conducted a unique experiment.  In an effort to raise the very low levels of women’s participation in India’s labor force, it is helping rural women break into jobs that are traditionally held by men, where they could increase their earnings significantly.

In this part of Madurai district, most of the men folk are successful masons. The women worked as helpers, merely passing tools to the men as they laid brick over brick to build houses and office blocks. Being unskilled, the women earned half the men’s wages.

Even though Tamil Nadu is one of the most urbanized states in India with high literacy rates, new buildings are proceeding apace amidst the state’s booming construction industry, attracting over a million migrant workers - more than a tenth of whom work as unskilled labor. There is, however, a paucity of trained masons.

The challenge for the women was to take on age-old social and cultural barriers and enter into this exclusive male preserve. Masonry has never been seen as a woman’s job in India, much less in this conservative rural area. For a start, the women wear sarees that constrain them from climbing onto scaffolding to build the higher storeys. Masons are also required to travel long distances for work, and staying away from their families is not something the women could easily do. Apart from mobility constraints and worksites that are not women-friendly; domestic responsibilities, burden of child and elderly care, and a conservative societal outlook, are all challenges.

Nonetheless, the women of Madurai’s Pulkattai village were not to be daunted. They saw this as an opportunity to prove their worth and double their wages in the bargain.
 TNEPRP)
Women Masons in training (Photo Credit: TNEPRP

Supported by a visionary panchayat president and an expert mason from the village who had confidence in the women’s capability - Parvati Amma and 25 other women joined the masonry training offered by the project. 

In India, small interventions bring big changes for gender equality

R. Kyle Peters's picture
Young girls iin a  school in India
Young girls in a school in India. Credit: World Bank


I was in India a few weeks ago and had the chance to visit some rural schools in Uttar Pradesh. When I was there, I met a group of adolescent girls who could potentially help close the country’s gender gap.
 
These girls board at school, where they get nutritious meals and are able to focus on their studies. The program purposefully targets 11 to 13-year-old girls from poor households who cannot afford to send their daughters to school. Some girls are also at risk of being married off early.
 
By keeping the girls in school at this critical juncture, they have a chance at a better life.
 
Parents told me that many of the girls at this boarding school were underweight and malnourished when they arrived. As they studied and ate and slept well, they slowly gained weight and got taller. As their knowledge grew, so did they.
 
But how many of these girls will go on to fulfil their true potential and add to their family’s income by joining the job market?

For rural Afghan women, agriculture holds the potential for better jobs

Izabela Leao's picture
Photo: National Horticulture and livestock project

 “… If women in rural areas had the same access to land, technology, financial services, education and markets as men, agricultural production could be increased and the number of hungry people reduced by 100-150 million …”
                                                      
Agriculture Sector: Creating Opportunities for Women
In Afghanistan, agriculture continues to be the backbone of the rural economy – about 70% of the population in rural areas is engaged in on-farm activities. At the same time, large share of the employment generated in non-farm and off-farm sectors, such as manufacturing, are also closely linked to agriculture and food-processing.

Women’s participation in the labor market has been generally low in rural Afghanistan. For the last decade, the country had one of the world’s lowest rates (19%). In recent years, however, the rural labor market in Afghanistan has experienced an impressive influx of women, increasing the rate to 29%. Yet, a large share of the working-age female in rural Afghanistan (71%) remains out of the labor force. In 2013/14, out of 5.2 million women of age 14 or above, only 1.5 million (29% of total) were in the labor force, about one-third of that 1.5 million workers remained unemployed, and the other two-third were employed – which accounts for only 22% of total rural employment (Figure 1). Of the employed female workers, majority are employed in agriculture (11%) and livestock (59%).

In Bangladesh, changing behaviors for better health

Rokeya Ahmed's picture
A toilet in Chunarughat, Hobigonj reduces fecal contamination for this family (World Bank/M. Monir)
A toilet in Chunarughat in the Habiganj district in Bangladesh has helped reduce fecal contamination for Amena Begum and her family. Credit: World Bank/M. Monir

Amena Begum resides in a village in the Habiganj district in Bangladesh and is a mother to three young children.  Last year Amena spent US$100 to construct a toilet to ensure her three children were hygienically protected from feces.
 
Even though her family members have adapted to using the toilet, exposure to fecal contamination can occur anywhere.  For example, while playing outside, a child may accidentally ingest soil with animal feces, or the child could be exposed when he or she eats food off of dishes washed with pond water.  
 
It is also not uncommon for families without toilets to throw feces into a nearby bush, which remains exposed in their living area. These actions can lead to the contraction of hazardous, lethal diseases and create a traumatizing effect on the lives of many children, not to mention the unfavorable impact on the environment.
 
A new study on early childhood diarrhea in rural Bangladesh found that despite high on-site latrine access, frequent fecal contamination was present along all environmental pathways investigated. Human fecal markers on children’s hands and in soil, and rotavirus in stored water, soil and on hands had been detected. Animal (particularly ruminant) fecal markers were highly prevalent in water, soil and on hands.

Afghan youth sees future in emerging ICT sector

Sameer Ahmad Ahadi's picture
Photo Credit: Rumi Consultancy/World Bank

The audience cheers as Wahidullah Zazai, 26, ascends the stage during the award ceremony for DEWAE, a program to promote innovation across the country under the Information and Communication Technologies (ICT) Sector Development Project. His winning innovation is the development of a registration system for hajis, or people who have traveled to Mecca as pilgrims.
 
He receives a certificate and $2,000 to fund his idea at the award ceremony, which is a highlight of the Innovative Support Program that encourages innovative thinking by awarding cash prizes ranging from $2,000 to $80,000 within various categories of competition. The program plans to deliver 187 awards through five rounds before the end of 2016.

How will Bangladesh reach higher levels of prosperity?

Sanjay Kathuria's picture
Bangladesh has now joined the ranks of a lower middle-income country. But the next phase of growth and poverty reduction is harder. Credit: World Bank

There is no doubt that Bangladesh is a modern day success story—a far cry from Henry Kissinger’s label of a “basket case.” Its growth has been steady, even impressive in the context of feeble global growth, and it has now joined the ranks of a lower middle-income country. Its poverty reduction record is even more impressive, with over 20.5 million people escaping poverty between 1991 and 2010.  

But the next phase of growth and poverty reduction becomes harder, since the more obvious sources of growth have largely been exploited.

A year of building sustainable communities in 12 stories

Andy Shuai Liu's picture
What are some of the key issues that will shape global development in 2017?

​From addressing the forced displacement crisis to helping indigenous communities, and from implementing the “New Urban Agenda” to enhancing resilience to disasters and climate change, one thing is clear: we must step up efforts to build and grow economies and communities that are inclusive, resilient, and sustainable for all—especially for the poor and vulnerable.
 
In the timeline below, revisit some of the stories on sustainable development that resonated the most with you last year, and leave a comment to let us know what you wish to see more of in our “Sustainable Communities” blog series in 2017.

Pages