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Mosquito Nets in Kenya: Driving Africa’s Fastest Reduction in Infant Mortality

Kavita Watsa's picture


Growing up in India, mosquito nets were an essential part of life. I slept under them as a child in Bangalore, with their ropes tied to bedposts, doors, closets, window grills—anything that would offer support at the right height. It was like pitching a tent every night, and the occasional dramatic collapse would result in much helpless laughter. Later, going to college on the banks of the slow-flowing Koovam river in Madras (now Chennai), I tucked myself under a net in my dormitory at about 6 p.m. to avoid the twilight assault of mosquitos from the water. In fact, particularly after a bad attack of malaria when I was a child, a lot of my life was lived perforce under a mosquito net, until electric repellent gadgets reached the market and nets somewhat lost their popularity.

Recently, sitting in Halima Ibrahim’s house in Majengo, a neighborhood in the coastal city of Mombasa, and talking about the new mosquito nets her family had just received from the Kenyan government, I felt instantly at home in her tiny living room. It was packed from corner to corner with family and friends, all brimming with opinions about nets old and new. Everybody talked about malaria and what a problem the disease was in the community. The nets that had just been distributed to them free of cost would make a huge difference, they said, protecting them from being bitten by mosquitos, and saving them considerable expense. Many of the families on the street simply could not afford to buy durable and effective nets at the prices they commanded in the local market.

Reaching the Classroom Is Just the First Step

In his recent Huffington Post blog, World Bank President Jim Kim spoke about how the learning crisis is one of the greatest obstacles to development. According to the United Nations, an estimated 171 million people can lift themselves out of poverty if all students in poor countries acquired basic reading skills.

Reconciling the two “sciences of delivery”

Adam Wagstaff's picture

Last week on Let’s Talk Development, I asked what the term “science of delivery” (SOD) means. I suggested that SOD is about moving from thinking about “what to deliver” to “how to deliver”.  We know, for example, the interventions that cut child mortality (bednets, vaccinations, breastfeeding, etc.) but these interventions reach too few children, and the trick is to get them delivered to more. Much of the Bank’s analytic work, policy dialogue and lending work has focused precisely on how to reform policies and programs to ensure the interventions that are needed to improve development outcomes actually reach people. Much of this work merits the term “science” – it makes use of an explicit “theory of change” in the form of a results framework that reflects the latest social science, and builds on rigorous empirical evidence that compares actual outcomes with an explicit and plausible counterfactual.

Talking Somali Piracy in Mogadishu

Phil Hay's picture

Ninety minutes after leaving Nairobi, UN flight 13W banks sharply over the Somali coastline in a series of steep turns that line it up for final approach into Mogadishu airport. The sharp turns are standard security measures to minimize exposure to fire from would-be attackers on the ground. Out of the starboard window, a number of small boats cut a slow, languid path through the ocean, while closer to the airport, large merchant ships sit anchored just off the end of the runway waiting to be unloaded in the nearby port which is the city’s economic lifeline. As we land, the tarmac shimmers in the 100 degree heat that now envelopes the city.

We’ve come to Mogadishu to present the findings of a new Bank study called The Pirates of Somalia: Ending the Threat: Rebuilding a Nation to senior ministers from the Somali government. The report concludes that Somalia cannot ‘buy’ its way out of piracy, and neither can the international community rely solely on its navies and law enforcement agencies to defeat the pirates, whether at sea or on land. The solution to Somali piracy is first and foremost political. 

In a fresh look at ending piracy off the Horn of Africa, the Bank suggests that a sustained solution to ending piracy will only come with the recreation of a viable Somali state that can deliver essential health, education, nutrition, and other services throughout the entire country, especially in those areas where piracy flourishes.

In the Global War on Poverty, Think About Investing Early

Tamar Manuelyan Atinc's picture

When President Obama announced a number of investment priorities for his second term that would expand the economy and strengthen the middle class, his focus on bolstering early childhood education caught my attention. I agree with his premise and furthermore think that what is good for the United States is also good for developing countries. But what stands in the way of a more aggressive, nationwide emphasis on early childhood development worldwide? Are opportunities being missed because of lack of knowledge or coordination failures?

So what exactly is the “science of delivery”?

Adam Wagstaff's picture

The World Bank’s president, Jim Kim, has now made two major speeches outlining his vision for the institution – one at the Annual Meetings the other at Georgetown University on April 2 ahead of the upcoming Spring Meetings.

Several themes are emerging. Two are easy to grasp and likely to resonate strongly with Bank staff and stakeholders: “ending poverty” and “boosting shared prosperity”. For years the Bank has seen fighting poverty as its mission. It has made major contributions in the areas of measuring and monitoring poverty – Bank staff have authored many of the world’s most-cited publications with poverty in the title. The Bank’s work at the country level has always had a strong anti-poverty focus. “Ending” poverty – rather than merely “fighting” it – is a natural next step. The idea of “boosting shared prosperity” also resonates. While economic growth is still seen as the principal driver of poverty-reduction, the goal has always been pro-poor growth – a concept that links naturally to the idea of “shared prosperity”.

A Chance to Make History: Achieving a World Free of Poverty

Jim Yong Kim's picture

In two weeks, economic policymakers from around the world will gather in Washington, D.C., for the World Bank-IMF Spring Meetings. As has been the case for the past five years, there will be much talk of economic crisis and of strategies to restore confidence, kick start growth, and create jobs. There is growing evidence that we are on the right track, but this agenda still requires much more work. 

The meetings, though, also offer an occasion to look beyond the short term crisis-fighting measures. It is a chance for leaders to adopt a long-term perspective and assess where we stand and where we are headed.

 

If they do, they will see that today we are at a moment of historic opportunity. For the end of absolute poverty, a dream which has enticed and driven humanity for centuries, is now within our grasp.

Innovative Approaches to Low Cost Education: Examples from around the Globe

Harry A. Patrinos's picture

This was originally published on Pearson's Affordable Learning blog.

In many developing countries, the government remains the main financier and the dominant provider of education. The demand for quality education continues to increase while resources remain scarce, making education inaccessible to a significant part of society.

In Afghanistan, Recognizing Success, and Challenges Ahead

Jim Yong Kim's picture

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KABUL -- On my first trip to Afghanistan as World Bank Group president, I met with many of the country's senior leaders, including President Hamid Karzai,  as well as leaders in business and among women's groups. The challenges for Afghanistan, like many fragile or conflict-affected states, are huge, but it's critically important that we build on successes that we've achieved in the last decade. Learn more by watching the video.

In India, Ganges River Cleanup is Part of Poverty Fight

Jim Yong Kim's picture

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KANPUR, India -- I traveled to the banks of the Ganges River today to look at an Indian government initiative, supported by the World Bank Group, to clean up the sacred river. We're working with the government on this long-term effort -- an extraordinarily complex one in part because of the multiple sources of pollution that enter the river. It's part of our vitally important work in one of India's states, Uttar Pradesh, which is home to 200 million people. This state alone has 8% of the world's population living in extreme poverty. Watch the video for more.

What Do Iceland and Kenya Have in Common? Lots of Clean and Renewable Geothermal Energy

Sri Mulyani Indrawati's picture

Read this post in Español, Français, 中文, عربي

Walking out of Keflavik airport as the arctic breeze hit my face at 50 km per hour, I thought to myself, “I love my job.”  A job that makes a tropical citizen like me enjoy the hospitality of the very warm Icelanders and allows me to learn from their experience is hard to top. With 320,000 citizens and just the size of the U.S. state of Kentucky, subpolar Iceland has a lot to teach us development practitioners.

We are only beginning to put together a vision for how to deal with the dilemma of a warming-- and therefore more unpredictable and punishing--climate and ever increasing energy needs. But Iceland has long ago put its mind to the challenge and now lives productively and peacefully in an environment that throws at it tremendous challenges and great gifts.

My appreciation of Iceland's strategy to make use of its environment and harness its renewable energy rose as I visited Hellisheiði Geothermal Plant. Feeling the rumbles of the earth and looking at the steam that puffed from its heart against the backdrop of a volcanic landscape, I was in awe both of nature and the people who have embraced its imposing power.

A Sketch of a Ministerial Meeting on Universal Health Coverage

Adam Wagstaff's picture

I had been warned—I found it hard to believe—that WHO ministerial meetings can be rather dull affairs of little consequence. Ministers typically take it in turn to read their prepared speeches; their fellow ministers appear to be listening attentively through their headsets but some, it seems, have been known to zap through the simultaneous translation channels in search of lighter entertainment. Speeches aren’t played over the loudspeakers for fear of waking jetlagged ministers from their afternoon naps. WHO is a very considerate organization: it likes to make sure that while on its premises visitors reach “a state of complete physical, mental and social well-being.”

Well I’m happy to report that last week’s ministerial meeting on Universal Health Coverage (UHC)—held in Geneva on February 18-19, jointly organized by WHO and the World Bank, and attended by delegates from all over the world (see map)—didn’t fit the stereotype.

The Global Education Imperative

 

At last month's Annual Meeting of the World Economic Forum in Davos, Switzerland, UN Secretary-General Ban Ki-moon shared the stage with Western Union President Hikmet Ersek, Nigerian Minister of Communication Technology Omobola Johnson, World Bank Group President Jim Yong Kim, UN Special Envoy for Global Education, Gordon Brown and Danish Prime Minister Helle Thorning-Schmidt, during an hour-long panel entitled, "The Global Education Imperative."

Secretary-General Ban Ki-moon called upon participants to strengthen efforts to achieve global targets related to education and health, stressing the importance of building a better future for all. He noted that progress in this critical field has stalled in recent years, which was the impetus for his recently launched Education First Initiative.

From Afghanistan to World Bank, Youth Orchestra Brings a Beautiful Harmony

Ravi Kumar's picture

Available in Español, Français

Afghanistan National Institute of Music Concert

Students from the Afghanistan National Institute of Music (ANIM) play in the Wolfensohn Atrium.

There are days when your faith in humanity is not only restored but strengthened. Today was one of those days.

On a sunny afternoon in Washington, D.C., young students from Afghanistan showed off their musical talent in an orchestral performance at the World Bank.

I was inspired and excited to see the group of musicians, aged 9 to 21, who had travelled so far from a war-torn country to perform. As someone who grew up during a decade-long civil war in Nepal, I can in some ways relate to their hard work, persistence, and determination to excel despite all odds.

Flooding and a Changing Climate in Mozambique

Phil Hay's picture

Here in Mozambique, the rainy season has brought disaster for as many as 110,000 people living in the Limpopo Valley, as surging water over recent days has flooded their crops, capsized their towns and villages, and forced their evacuation to higher ground. Forty people are believed to have died in the floods so far. It’s expected that as many as 150,000 people may ultimately be affected.

A UN reconnaissance plane that flew over the Valley on Monday took photos of mile after square mile of crops and farm land under brown muddy water, a result of the Limpopo River and others nearby bursting their banks.  It's at times like this that you really appreciate the powerful humanitarian role of the UN.

Mozambican President Armando Guebuza quickly went to the scene to see for himself how the flooding had turned communities upside down.

Talking with people from the town of Chokwé and surrounding areas at an emergency shelter, the President said, "we are with you, we weep with you, because we know that you have lost many of your goods including your houses, your goats, your cattle and much that is of great value."


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