Universal health coverage (UHC) means that all people can obtain the health services they need without suffering financial hardship. A new report produced by the World Bank and the World Health Organization, finds that health expenditures are pushing about 100 million people per year into “extreme poverty,” those who live on $1.90 or less a day; and about 180 million per year into poverty using a $3.10 per day threshold.
In Bangladesh, chronic and acute malnutrition are higher than the World Health Organization’s (WHO) thresholds for public health emergencies—it is one of 14 countries where eighty percent of the world’s stunted children live.
Food insecurity remains a critical concern, especially in the Chittagong Hill Tracts (CHT).
Located in the southeastern part of Bangladesh, CHT is home to 1.7 million people, of whom, about a third are indigenous communities living in the hills. The economy is heavily dependent on agriculture, but farming is difficult because of the steep and rugged terrain.
Based on these findings, MJF helped raise awareness through nutrition educational materials and training. The foundation staff also formed courtyard theatres with local youth to deliver nutrition messages, expanded food banks with nutritious and dry food items, and popularized the concept of a “one dish nutritious meal” through focal persons or “nutrition agents” among these communities.
Robert Allen’s recent AER paper on “Absolute Poverty: When Necessity Displaces Desire” is a fascinating read, on many levels. The paper uses linear programming (LP) to compute (four variants of) least-cost diets for twenty countries, using prices from the International Comparisons Project (ICP) microdata. To the resulting least-cost food budgets, estimates of non-food costs covering housing, fuel, lighting, clothing and soap are added, generating “basic need poverty lines” (BNPL) for each country.
Online pundits, hurried journalists and policymakers love precision. They crave numbers. Preferably exact numbers; ranges suggest uncertainty and make them anxious. As a result, they will love the World Poverty Clock (WPC), a new website that claims to track progress towards ending global poverty in real time (see also this blog and Financial Times article). The website tells you that 632,470,507 people are currently living in extreme poverty - or were, on December 6 at 10:00am… Even more amazingly, the site claims to forecast poverty at any point in the future until 2030, the deadline for the UN’s Sustainable Development Goals. By scrolling along the elegant timeline on the bottom of the WPC screen you will learn, for example, that in 2028, 459,309,506 people will be living in extreme poverty!
The World Bank is working to mainstream climate smart agriculture in South Asia with a series of Climate-Smart Agriculture or “CSA” Country Profiles for Bhutan, Nepal and Pakistan, that were launched recently in collaboration with Governments and relevant stakeholders. The findings in the profiles are specific to national contexts, but there is a common thread. We learned that for South Asia, climate change adaptation and mitigation pose major challenges and opportunities for agriculture sector investment and growth.
The farmers, Government representatives and other stakeholders I met during the CSA Country Profile launches expressed huge interest in learning how they can put CSA into practice. Farmers especially were interested in making CSA part of their daily farming routines. As interest grows, so does momentum to take the CSA agenda forward, from research institutions and high level gatherings into farmer’s fields. As one farmer I met in Pakistan said, “Climate-smart agriculture is Common-sense agriculture.”
Climate change is already impacting Pakistan, which often experiences periods of severe droughts, followed by devastating floods. In the aftermath of the 2010 floods, one fifth of the country’s land area was submerged, damaging the economy, infrastructure and livelihoods, and leaving 90 million people without proper access to food. Moving forward, changes in monsoons and increased temperatures will further challenge the agricultural sector, particularly northern Pakistan where vulnerability to climate change is already high.
At the same time, CSA offers attractive opportunities for strengthening Pakistan’s agricultural sector. Innovative, technological practices like laser land leveling and solar powered irrigation systems and management changes like crop diversification, proper cropping patterns and optimized planting dates could put Pakistan’s food system onto a more climate-smart path. Investments in research to develop high-yielding, heat-resistant, drought-tolerant, and pest-resistant crop varieties as well as livestock breeds could also make a difference.
Every working day, I work closely with my colleagues and coordinate with other stakeholders. I am happy with my job as a member of the National Horticulture and Livestock Project (NHLP) because we work to strengthen rural development, the foundation of Afghanistan’s economy.
When I joined NHLP as the information and communication officer in 2009, I realized that farmers in northern Afghanistan were all but unaware of improved practices and technologies in horticulture, livestock, and irrigation systems. Their production and productivity were low, and maintaining consistent product quality was a challenge. As a person who studied agriculture and has lived in northern Afghanistan, I remember that farmers were never convinced by the idea of adopting modern horticultural techniques and, despite their hard work, they earned little.
At the beginning of the project, it was hard for the farmers to trust NHLP, the new techniques that were introduced were proven to be more efficient and economically viable. The project is transforming the traditional system of horticulture and livestock to a more productive and modern one. The new orchards are designed and laid out well, and planted with fruit saplings that are marketable and adapted to the weather and geography of the province.
Sixteen of the 17 warmest years in the 136-year record have occurred since 2001. The year 2016 ranks as the warmest on record. Recent analysis finds that climate change could push more than 100 million more people into poverty by 2030. But good development—rapid, inclusive, and climate informed—can prevent most of the impacts of climate change on extreme poverty by 2030.
As behavioral scientists to the World Bank, we at the Mind, Behavior, and Development (eMBeD) Unit tend to see behavioral science everywhere. With the holiday season fast approaching, it’s no surprise that we can apply behavioral science to any number of seasonally appropriate channels, including charitable giving. Reciprocity, it turns out, affects us at every age, and can be a good lesson for charitable giving campaigns.
This blog is certainly not about exploding mangoes but about the exploding Pakistani populace. The recent reactions of surprise on results of the census seems bewildering. Pakistan’s population is now over 207 million with a growth rate of 2.4 percent per year since the last census in 1998. The results were predictable and expected, as Pakistan has not implemented any large-scale population related interventions for over a decade. We should not be expecting results because inaction does not usually deliver them.
Pakistan’s efforts to reduce fertility and population growth were transformed during the 1990s. The period between 1990-2006 saw effective policy making under the Social Action Program with multiple interventions e.g. expansion of public sector provision, large scale private sector participation including social marketing innovations, improving access to women through community based providers. All the right things that delivered huge results. Fertility declined from around seven to four children per woman, and contraceptives use increased from 10% to over 30% - a 300% increase. Appropriate actions delivered results and some still can be photocopied and expanded on scale for making progress.