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Good Research, Great Video: What’s the Best Way to Motivate Community Health Workers?

Duncan Green's picture

Some more innovative work from the London School of Economics. This genuinely thought-provoking 8 minute video describes a collaboration between the LSE-hosted International Growth Centre and Zambia’s Ministry of Health. The background academic paper is here.

Researchers and officials worked together to answer an important question: to motivate people in rural villages to become rural community health workers (CHWs), is it best to appeal to their community spirit, or to their hopes for individual career development? If you do the latter, will people lose their link to the community, and replicate the problem with more standard professional health workers, many of whom hate working in rural areas, and head for the city?

To do that, they divided up 160 villages targeted for recruitment. In half they put up posters that stressed ‘come and serve your community’, in the rest they put the emphasis on careers (see above: figures 1a and 1b of the paper). Sure enough, the posters attracted different kinds of people to apply for CHW training.

Weekly Wire: The Global Forum

Roxanne Bauer's picture

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

Net Threats
Pew Research Internet Project
As Internet experts look to the future of the Web, they have a number of concerns. This is not to say they are pessimistic: The majority of respondents to this 2014 Future of the Internet canvassing say they hope that by 2025 there will not be significant changes for the worse and hindrances to the ways in which people get and share content online today. And they said they expect that technology innovation will continue to afford more new opportunities for people to connect. Still, some express wide levels of concern that this yearning for an open Internet will be challenged by trends that could sharply disrupt the way the Internet works for many users today as a source of largely unfettered content flows.
 
Good Governance- A Sustainable Development Goal Too Essential To Be Side-lined
Huffington Post
What do the public in the USA, UK, France and Germany consider the greatest impediment to global development? According to new research by the Gates Foundation and partners released at the InterAction forum last month called the Narrative Project, the answer is corruption. Additionally, a recent Gallup poll showed that, around the world, satisfaction with "freedom" is inversely proportional to the perception of corruption in a given country. The answer to corruption is good governance, at the national and local levels. But governance goes well beyond just stopping corruption. It is the cornerstone of individual freedom, political participation, secures the rights of the individual and the media, and makes politicians accountable to their constituencies.

Information Alone is Not Enough: It’s All About Who Uses It, and Why

Leni Wild's picture

It is 10 years since the World Bank launched its landmark World Development Report (WDR), Making Services Work For Poor People. A decade later, what have we learnt about the science and politics of service delivery – and what are the emerging issues that will shape future priorities? The recent anniversary Conference in Washington D.C., co-hosted by ODI and the World Bank, with support from the UK Department for International Development, discussed new developments, data and trends in public service delivery since 2004 across a range of service delivery sectors.

In the conference report, ODI experts share their reflections on the conference and on future directions in five key areas for service delivery: information and incentives, behavioral economics and social norms, financing service delivery, fragile states and the politics of delivery. This article by Leni Wild talks about information and incentives.

There is still a gap to be filled between having more information and figuring out whether and how services improve. However, February’s joint ODI and World Bank Conference marking ten years since the World Development Report (WDR) on Making Services Work for Poor People flagged up where progress has been made, and what we are learning about the role information can – and cannot – play here.

Collective action and community development: evidence from self-help groups in rural India

LTD Editors's picture

In response to the problems of high coordination costs among the poor, efforts are underway in many countries to organize the poor through "self-help groups" (SHGs) -- membership-based organizations that aim to promote social cohesion through a mixture of education, access to finance, and linkages to wider development programs.

Ending Open Defecation, Not by Evidence Alone

Jaehyang So's picture

Open defecation – going outside without using a toilet or latrine – is one of the most important threats to child health and human capital, period; ending it must be a policy priority.

Talking to 4,000 Women & Men about Gender: What Surprised Us Most

Stacy Morford's picture

In a new study on gender equality, researchers asked 4,000 people in 20 countries to describe the gender norms in their communities and the influence those norms have on their lives and their every-day decisions. The researchers spoke with men and women, youth and adults, living in villages and cities in developing countries, as well as higher income countries.

Here, three of the researchers describe their most memorable experiences from the interviews and the findings that surprised them the most.

What is the Evidence for Evidence-Based Policy Making? Pretty Thin, Actually

Duncan Green's picture

A recent conference in Nigeria considered the evidence that evidence-based policy-making actually, you know, exists. The conference report sets out its theory of change in a handy diagram – the major conference sessions are indicated in boxes.

Conclusion?

‘There is a shortage of evidence on policy makers’ actual capacity to use research evidence and there is even less evidence on effective strategies to build policy makers’ capacity. Furthermore, many presentations highlighted the insidious effect of corruption on use of evidence in policy making processes.

How Remittances Grease the Wheels of Bangladesh’s Economy

Zahid Hussain's picture

What impact do remittances have on stimulating overall economic growth? Remittances can be used for consumption and investment which further stimulates demand for goods and services, as well as contribute to financial development. On the other hand, they can create dependence in recipients and cause real exchange-rate appreciation which adversely affects domestic production.

The answer is an empirical one which we can answer using available data. Our findings echo recent economic research which shows that remittances, even when not invested directly, can have an important multiplier effect.

In our study, we focused only on the magnitude of the impact of remittances on aggregate demand in Bangladesh and calculated the traditional Keynesian multiplier effect, that is how much income is generated from every remittance dollar, following the approach adopted by Nicholas Glytsos by estimating a consumption function, an investment function, and an imports function. To estimate the parameters we used data from the Bangladesh Bureau of Statistics national accounts covering the period 1981-2010. We ran simple Ordinary Least Squares regressions to estimate the structural parameters. Here is a summary of our results:

Book Review: Knowledge, Policy and Power in International Development: A Practical Guide

Duncan Green's picture

This review appears in the Evidence and Policy journal, where it is now available free online (after I protested about the scandalous, rip-off $30 they were charging). Or you can just read it here. Note to self: in future, I will not write anything for journals that are not open access (thanks to Owen Barder for that suggestion).

In recent years, the public and policy debate over climate change, ‘climategate’, and the debacle of the Copenhagen Summit (and seemingly the wider UN negotiations) has brought home the tenuousness of the links between knowledge and public policy-making. ‘Do the research and they will come’ is clearly not a credible doctrine. Knowledge, Policy and Power, written by a group of researchers from the Overseas Development Institute, tackles some important aspects of these links, building on ODI’s strong track record on the interface between research and policy-making.

The book has good instincts – sceptical of all things linear, of researchers claiming to know more than they do, stressing the importance of values, beliefs, assumptions, taboos and other group pressures, hidden power  and in/exclusion in what are often portrayed as neutral processes of research and debate. There is ample discussion of the relative strengths and weakneses of different kinds of knowledge, whether derived from practice, ‘pure’ research or the people themselves.


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