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Impact evaluation

How to make services work for the poor?

Maria Jones's picture

This question is particularly relevant in the context of traditional public agricultural extension services. Expensive and burdened by high rates of under-staffing and low levels of accountability, privatization of extension services may be a way to improve cost-effectiveness. However, private services may lack incentives to tailor their services to the poorest, making them an unsatisfactory substitute for a public system of extension. This issue is particularly salient in sub-Saharan Africa, where markets for agricultural services are typically lean.

Biting back at malaria: On treatment guidelines and measurement of health service quality

Arndt Reichert's picture

Growing up in a tropical country, one of us (Alfredo) was acutely aware of mosquito-borne diseases such as dengue and malaria. For many years now, vector-control strategies were—and still are—promoted by government- and school-led campaigns to limit the spread of these diseases. Consequently, it is somewhat alarming to know that diseases spread by mosquitoes remain an enormous challenge facing large parts of the developing and even developed world, particularly sub-Saharan Africa. It is perhaps less surprising that our shared interest in the health sector has resulted in a joint paper on assessing the overall quality of the health care system via compliance with established treatment guidelines.

India’s informal doctors are assets not crooks

Jishnu Das's picture

This article was originally published on SciDev.Net. Read the original article.

Most of us would agree that when it comes to healthcare providers, some training is better than none. Yet even this seemingly innocuous statement is highly contentious in India, where training primary care providers who lack formal medical qualifications is anathema to the professional medical classes.
 
But the professionals are wrong. Training informal providers (IPs) could vastly improve the quality of care for millions of rural Indians and there is no evidence that it would make matters worse.
 
It is time to implement such training and critically evaluate its impact, to guide Indian states in deciding whether to treat these providers as an obstacle or an opportunity.

Getting more Bank for the buck

Jon Strand's picture

Whatever happened to the idea of getting the most ‘bang for the buck’? No, we don’t mean it in the literal sense of more firepower, as when the Eisenhower administration introduced the term in the 50’s. Nor do we refer to a derivative from the Cannabis plant, contrary to what an Indian colleague adamantly claimed was the origin of the term. We mean it in the unglamorous but important sense of getting the most benefit from the money and efforts spent by the World Bank, on its projects and other client support. Why is this imperative? Every dollar badly spent is a life that wasn’t saved; a child that didn’t receive education; a climate risk that wasn’t properly addressed. Such shortcomings make the Bank’s main targets, poverty eradication and inclusive growth, more difficult to attain.

Out of the shadows? Are firms more likely to formalize through tax simplification programs?

Caio Piza's picture
Red tape can be a significant barrier to having informal firms formalize and eventually benefit from any business support programs provided by governmental agencies. While the relationship between this formalization, access to finance and a firm’s performance has been implied by anecdotal evidence (de Soto 1989 and 2000), a recent survey of empirical evidence suggests that such programs may in fact achieve the opposite and not necessarily nudge firms to formalize. In fact, the evidence suggests that even with a significant reduction in red tape most informal firms decide to remain informal (see Bruhn and McKenzie 2013 for a survey).
 

What to expect when you’re expecting, in Nigeria: Lessons from a series of health impact evaluations

Anushka Thewarapperuma's picture
The life of a Nigerian midwife


Childbirth is a time for expectant mothers to revel in the wonders and joy surrounding the arrival of a new human being; one breathing crisp new air, bawling with resonance in finding their voice and opening their eyes in awe to see the world around them. It’s the last conceivable moment where a mother wants to worry about the cleanliness of the birth facility, the baby’s life and, least of all, her own life. But in many developing countries including Nigeria, this is the reality.  

Weekly wire: The global forum

Roxanne Bauer's picture

World of NewsThese are some of the views and reports relevant to our readers that caught our attention this week.


Middle-Class Heroes: The Best Guarantee of Good Governance
Foreign Affairs
The two economic developments that have garnered the most attention in recent years are the concentration of massive wealth in the richest one percent of the world’s population and the tremendous, growth-driven decline in extreme poverty in the developing world, especially in China. But just as important has been the emergence of large middle classes in developing countries around the planet. This phenomenon—the result of more than two decades of nearly continuous fast-paced global economic growth—has been good not only for economies but also for governance. After all, history suggests that a large and secure middle class is a solid foundation on which to build and sustain an effective, democratic state. Middle classes not only have the wherewithal to finance vital services such as roads and public education through taxes; they also demand regulations, the fair enforcement of contracts, and the rule of law more generally—public goods that create a level social and economic playing field on which all can prosper.
 

Humanitarian reform: What's on - and off - the table
IRIN News
As pressure mounts to come up with concrete proposals for the future of humanitarian aid, horse-trading and negotiations have begun in earnest behind the scenes in the lead-up to the first ever World Humanitarian Summit (WHS), to be held in Istanbul in May. The release this week of the UN secretary-general’s vision for humanitarian reforms marks one of the last stages in a multi-year process that has seen consultations with some 23,000 people around the world on how to improve crisis response. (See: Editor’s Take: The UN Secretary General’s vision for humanitarian reform)  Hundreds of ideas are floating around. Which are now rising to the top? And which are being pushed to the side? Here’s our take on the emerging trends:
 

The consequences of banning child labor

Caio Piza's picture
From a normative perspective, we can all agree that child labor is reprehensible and should be banned, particularly in its worst forms. According to the International Labor Organization (ILO), child labor has declined worldwide in the last fifteen years, but the numbers are still alarming. In 2012, 168 million children were a part of child labor with more than half of these kids involved in hazardous work.  

Appointing a gender equal cabinet is good for Canada – but not for the reason you think

Florence Kondylis's picture

Also available in: Français

Recently, Canada’s newly elected Prime Minister, Justin Trudeau, appointed a cabinet that is 50% female. Explaining the choice, Trudeau stated that it was important “to present to Canada a cabinet that looks like Canada” – and “because it’s 2015.”

The announcement has been greeted with considerable backlash in the press, with some news outlets going as far as to imply that promoting diversity is not good for governance. This view implies an either or – that appointing women and incorporating gender balance, while good for the country’s diversity, would undermine the quality of governance. One could probably name many male candidates who on paper look more accomplished than some of Trudeau’s appointees.


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