Is there a model to track citizen experience of water services and present it in a ready-to-use manner for decision makers and the public? Would better articulation of citizen preferences encourage more meaningful engagement with service providers?
Given confusion around the phrase “science of delivery,” it’s important to state that delivery science is not a “one-size-fits-all” prescription based on the premise that what works somewhere can work anywhere. And it does not profess that research and evidence ensure a certain outcome.
A few weeks ago, the World Bank and the Korea Development Institute convened a global conference on the science of delivery. Several development institutions assembled including the Gates Foundation, the Grameen Foundation, UNICEF, the Dartmouth Center for Health Care Delivery Science, and the mHealth Alliance. We discussed development opportunities and challenges when focusing on the extremely poor, including experiments in health care, how technology is reducing costs and increasing effectiveness, and the difficulty of moving from successful pilots to delivery at scale.
The consensus in Seoul was that a science of delivery underscores the importance of a data-driven and rigorous process to understand what works, under what conditions, why, and how. Too often in international development, we jump to conclusions without understanding counterfactuals and assume we can replicate success without understanding its constituent elements.
- World Bank Institute
- health care
- mHealth Alliance
- Dartmouth Center for Health Care Delivery Science
- Grameen Foundation
- The Gates Foundation
- Korea Development Institute
- world bank
- Science of Delivery
- Private Sector Development
- Labor and Social Protection
- Climate Change
- Korea, Republic of
Two kids wash their hands with clean water. Their home in Thai Binh Province, Vietnam got access to clean water in 2011. Watch video: Providing clean water in rural areas: an example from Vietnam
Despite Vietnam’s significant economic growth in recent years, there continues to be a gap between urban and rural areas when it comes to access to clean water and hygienic sanitation facilities. Many poor households in rural areas still do not have access to clean water or to a toilet. During one of our earlier field visits for the Red River Delta Rural Water Supply and Sanitation (RRDRWASS) project which began almost 10 years ago, I was struck by what a lady from a community told me. She questioned why people in urban areas have access to good water supply and sanitation services while those in rural areas do not. She said that compared to urban residents, perhaps people in rural areas were happy with a lower level of service and that the demand for better services was simply not there.
At first I thought that she might be right but I later came to realise that this is not the case. There is demand for improved services in rural areas, and more importantly, people have a fundamental right to have access to those services.
So what are the reasons for the gap?
Data on Millennium Development Goals (MDG) indicator trends for developing countries and for different groups of countries are curated in the World Development Indicator (WDI) database. Each year we use these data in the Global Monitoring Report (GMR) to track progress on the MDGs. Many colleagues, as well as non-Bank staff, approach us on a weekly basis with questions regarding where their region, or country, or sector stands in regard to achieving the core MDGs. Oftentimes in the same breath, they will also ask us whether or when we expect that a particular country or region will meet a certain MDG.
With less than 1,000 days remaining to the MDG deadline, work on the Post-2015 agenda is in full swing. In response to the growing demand for additional info about GMR analytics and the underlying data, we developed a suite of open and interactive data diagnostics dashboards available at: http://data.worldbank.org/mdgs. Below is an extract which summarizes the progress status towards meeting various MDGs among countries in various regions, income and other groups. Select different indicators and highlight categories of progress status to interact with the visualization.
When compared to urban water supply, rural areas present a different set of challenges:
Often, the cost per capita of constructing water systems is higher in rural than in urban areas, due to a smaller population which is scattered over a large area. This, in turn, leads to high operating costs, to be recovered by fewer users.
Most importantly, there may not always be an obvious institution to take the responsibility of managing and operating the system after construction. This institutional vacuum leads to poor collection of water fees, and ultimately to poor operation and maintenance of the rural water systems.