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Health

For thriving cities, people vs. nature is a false choice

Joel Paque's picture
Brooklyn Bridge Park, New York
Brooklyn Bridge Park, New York. Photo credit: © Kevin Arnold
Municipal leaders face hundreds of difficult choices every day. With so many needs and worthy programs, how does one choose where to invest limited funding? In the face of pressing human needs, cities too often decide that funding for environmental programs will have to wait.

But pitting people against nature in this way offers a false choice.

What makes a good case for allocating more of the national budget to the health sector?

Maxwell Bruku Dapaah's picture

Making the case for increasing the national budget allocation to the health sector is critical if more domestic resources are to be garnered for financing universal health coverage. Yet, there are competing priorities for more allocation for other sectors. While political will remains pivotal to decisions on national priorities, against limited resources, fiscal managers- such as ministries of finance or treasury- have a challenging job translating national priorities into budget allocations for sectors.

It’s time to end malnutrition in South Asia

Idah Z. Pswarayi-Riddihough's picture
Chronic malnutrition remains prevalent across the region as many poor South Asians cannot afford nutritious foods or don’t have the relevant information or education to make smart dietary choices.
Chronic malnutrition remains prevalent across South Asia as many poor South Asians cannot afford nutritious foods or don’t have the relevant information or education to make smart dietary choices.

In Sri Lanka, as in the rest of South Asia, improving agricultural production has long been a priority to achieve food security. 

But growing more crops has hardly lessened the plight of malnutrition. 

Chronic malnutrition remains prevalent across the region as many poor South Asians cannot afford nutritious foods or don’t have the relevant information or education to make smart dietary choices. 
And children and the poorest are particularly at risk.

South Asia is home to about 62 million of the world’s 155 million children considered as stunted-- or too short for their age. 

And more than half of the world’s 52 million children identified as wasted—or too thin for their height—live in South Asia. 

Moderate-to-severe stunting rates ranged from 17 percent in Sri Lanka in 2016 to a high 45 percent in Pakistan in 2012–13, with rates above 30 percent for most countries in the region.

Moderate-to-severe wasting rates ranged from 2 percent in Bhutan in 2015 to 21 percent in India in 2015–16, with rates above 10 percent for most countries in the region. 

The social and economic cost of malnutrition is substantial, linked to impaired cognitive development, chronic disease, and lower future earnings.

And sadly, much remains to be done to ensure children across South Asia can access the nutritious foods they need to live healthy lives. 

Happy Father’s Day: Fathers and children’s self-esteem

Joachim De Weerdt's picture
The results of a longitudinal study show the impact of paternal death on children’s self-esteem. Photo: World Bank



On Sunday, many fathers around the world received cards and gifts from their children in celebration of Father’s Day. But fathers who have been following the academic and policy debates in the development community may feel somewhat exasperated that the role of men in the household and of fathers in raising children gets so little mention. It is the role of mothers that generally takes the spotlight; but what about fathers?

Applications open for third round of funding for collaborative data innovation projects

World Bank Data Team's picture
Photo Credit: The Crowd and The Cloud


The Global Partnership for Sustainable Development Data and the World Bank Development Data Group are pleased to announce that applications are now open for a third round of support for innovative collaborations for data production, dissemination, and use. This follows two previous rounds of funding awarded in 2017 and earlier in 2018.

This initiative is supported by the World Bank’s Trust Fund for Statistical Capacity Building (TFSCB) with financing from the United Kingdom’s Department for International Development (DFID), the Government of Korea and the Department of Foreign Affairs and Trade of Ireland.

Scaling local data and synergies with official statistics

The themes for this year’s call for proposals are scaling local data for impact, which aims to target innovations that have an established proof of concept which benefits local decision-making, and fostering synergies between the communities of non-official data and official statistics, which looks for collaborations that take advantage of the relative strengths and responsibilities of official (i.e. governmental) and non-official (e.g.,private sector, civil society, social enterprises and academia) actors in the data ecosystem.

Bigger tobacco taxes for better health outcomes in the Pacific Islands

Sutayut Osornprasop's picture


The issue

Data compiled over the past two decades has found that all four major non-communicable diseases (NCDs) in Tonga are on the rise – diabetes, cardiovascular disease, cancer, and respiratory diseases. According to the latest WHO data, NCDs accounted for four out of five leading causes of deaths in Tonga, which is among the highest in the Pacific.

The increase in risky behaviors such as smoking, poor diet, harmful alcohol intake, and physical inactivity are acknowledged as the major contributing factors to the rise in NCDs in Tonga. Almost one in two men smoke, and smoking appears to be increasing among young women in Tonga. These are all strongly linked to ‘unhealthy environments’, and require complementary policies, regulations and legislation interventions. 

A Pakistani daughter and her destiny

Sameera Al Tuwaijri's picture



Koshi is 4 days old. She was born in a small village near Hyderabad (Sindh, Pakistan) and is one of four siblings – all girls, all under the age of 10. Her parents were hoping that this time it would be a boy, but perhaps better luck next time? Her mother is worried that if she doesn’t give birth to a boy, she will be stigmatized. Family planning is out of the question – not that she and her husband have even discussed this. She worries about her girls’ well-being too. They are underweight and get sick a lot. She wants them to grow up healthy and get an education. Koshi’s father is worried about them too. He is a tenant farmer with a meager income. He already struggles to provide the basic necessities – food, clothing, shelter. Even if they marry young, how will he arrange their dowries? Of course this is only if Koshi and her sisters live long enough.

Koshi’s chances of survival are slim. In Pakistan, 1 in 20 newborns die within the first month of their birth.[i] By age 5, 79 of every 1000 children born die. There is an 11 percent chance that they will not survive beyond age 14 years.[ii] The situation in Sindh is worse than the national average, and the risk of deaths is higher in its rural areas where access to healthcare and other social services is more limited. Investing in the health and well-being of the population, especially the youth is pivotal for Sindh’s economic growth and development.

Having a primary health center near the village and local lady health workers for example will improve the girls’ chances of access to healthcare and childhood immunization – necessary for protection against diseases such as measles, polio, and diphtheria that still take a heavy toll on children’s lives. It also improves the mother’s access to skilled birth attendance. Skilled attendance at birth reduces newborn deaths by 43 percent[iii] and maternal deaths by 66.67 percent.[iv]

Leaving no one behind in development: a roadmap for disability inclusion

Maninder Gill's picture
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More than one billion people globally – about 15% of the world’s population – are estimated to have a disability. Most of them live in developing countries. This number is expected to increase as aging, war and conflict, natural disasters, forced displacement, and other factors continue to affect the prevalence of disability.

Persons with disabilities face higher rates of poverty compared with persons without disabilities. They encounter attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others. Persons with disabilities’ lower rates of economic and labor market participation also impose a higher welfare burden on governments.

The global development and poverty reduction agenda will not be effective unless it addresses the socioeconomic inequality of persons with disabilities and ensures their participation in all stages of development programs. With a focus on social inclusion, disability-inclusive development is directly responsive to the World Bank’s twin goals of ending extreme poverty and boosting shared prosperity.

Disability Inclusion and Accountability Framework

Over the last several years, the World Bank has accelerated its support for disability-inclusive development with significant strides in operations and analytical work.

This has culminated in World Bank’s first Disability Inclusion and Accountability Framework, which offers a roadmap for:
  1. Including disability in the World Bank’s policies, operations, and analytical work; and
  2. Building internal capacity for supporting clients in implementing disability-inclusive development programs.
The Framework is also relevant to policymakers, government officials, other development organizations, and persons with disabilities.

The Framework has been launched today on the occasion of the 11th Conference of States Parties to the Convention on the Rights of Persons with Disabilities at the United Nations, the premier international gathering of governments, development practitioners, and civil society working on disability inclusion.

How will the Framework support development work?

The Framework provides four main principles for guiding the World Bank’s engagement with persons with disabilities:
  • Nondiscrimination and equality
  • Accessibility
  • Inclusion and participation
  • Partnership and collaboration

The appendices to this Framework highlight key areas of engagement for a significant impact on the inclusion, empowerment, and full participation of persons with disabilities.

These areas include transport, urban development, disaster risk management, education, social protection, jobs and employment, information and communication technology, water sector operations, and health care.

The Framework is a living document that will be reviewed periodically and strengthened with new focus areas and evidence to reflect ongoing developments.

We invite you to download the Disability Inclusion and Accountability Framework. We hope you find it useful for your work to build inclusive, resilient, and sustainable cities and communities for all.

Keeping the promise of inclusive Universal Health Coverage: new data can improve health services for LGBTI people

Fernando Montenegro Torres's picture



When the door closed behind her, Maria’s world seemed to collapse. The mother of a girl and two boys had just learned that her eldest son, the teenager who became the pillar of the family after their father died, was not only in a deep depression and increasingly using alcohol but he was gay. She had noticed him becoming moodier and even heard he received a warning at his job for not showing up, something totally unlike him at all. She felt helpless but knew his depression had to stay hidden from the rest of the family and the neighbors as mental health problems brought with them social stigma. But she was most afraid someone would find out he was gay, causing the family to be ostracized and endangering the future of the other children.


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