Syndicate content

Impact evaluation

India’s informal doctors are assets not crooks

Jishnu Das's picture

This article was originally published on SciDev.Net. Read the original article.

Most of us would agree that when it comes to healthcare providers, some training is better than none. Yet even this seemingly innocuous statement is highly contentious in India, where training primary care providers who lack formal medical qualifications is anathema to the professional medical classes.
 
But the professionals are wrong. Training informal providers (IPs) could vastly improve the quality of care for millions of rural Indians and there is no evidence that it would make matters worse.
 
It is time to implement such training and critically evaluate its impact, to guide Indian states in deciding whether to treat these providers as an obstacle or an opportunity.

Getting more Bank for the buck

Jon Strand's picture

Whatever happened to the idea of getting the most ‘bang for the buck’? No, we don’t mean it in the literal sense of more firepower, as when the Eisenhower administration introduced the term in the 50’s. Nor do we refer to a derivative from the Cannabis plant, contrary to what an Indian colleague adamantly claimed was the origin of the term. We mean it in the unglamorous but important sense of getting the most benefit from the money and efforts spent by the World Bank, on its projects and other client support. Why is this imperative? Every dollar badly spent is a life that wasn’t saved; a child that didn’t receive education; a climate risk that wasn’t properly addressed. Such shortcomings make the Bank’s main targets, poverty eradication and inclusive growth, more difficult to attain.

Out of the shadows? Are firms more likely to formalize through tax simplification programs?

Caio Piza's picture
Red tape can be a significant barrier to having informal firms formalize and eventually benefit from any business support programs provided by governmental agencies. While the relationship between this formalization, access to finance and a firm’s performance has been implied by anecdotal evidence (de Soto 1989 and 2000), a recent survey of empirical evidence suggests that such programs may in fact achieve the opposite and not necessarily nudge firms to formalize. In fact, the evidence suggests that even with a significant reduction in red tape most informal firms decide to remain informal (see Bruhn and McKenzie 2013 for a survey).
 

What to expect when you’re expecting, in Nigeria: Lessons from a series of health impact evaluations

Anushka Thewarapperuma's picture
The life of a Nigerian midwife


Childbirth is a time for expectant mothers to revel in the wonders and joy surrounding the arrival of a new human being; one breathing crisp new air, bawling with resonance in finding their voice and opening their eyes in awe to see the world around them. It’s the last conceivable moment where a mother wants to worry about the cleanliness of the birth facility, the baby’s life and, least of all, her own life. But in many developing countries including Nigeria, this is the reality.  

The consequences of banning child labor

Caio Piza's picture
From a normative perspective, we can all agree that child labor is reprehensible and should be banned, particularly in its worst forms. According to the International Labor Organization (ILO), child labor has declined worldwide in the last fifteen years, but the numbers are still alarming. In 2012, 168 million children were a part of child labor with more than half of these kids involved in hazardous work.  

Appointing a gender equal cabinet is good for Canada – but not for the reason you think

Florence Kondylis's picture

Also available in: Français

Recently, Canada’s newly elected Prime Minister, Justin Trudeau, appointed a cabinet that is 50% female. Explaining the choice, Trudeau stated that it was important “to present to Canada a cabinet that looks like Canada” – and “because it’s 2015.”

The announcement has been greeted with considerable backlash in the press, with some news outlets going as far as to imply that promoting diversity is not good for governance. This view implies an either or – that appointing women and incorporating gender balance, while good for the country’s diversity, would undermine the quality of governance. One could probably name many male candidates who on paper look more accomplished than some of Trudeau’s appointees.

Lights, camera, action on entertainment education!

Anushka Thewarapperuma's picture

Also available in: Español | Français | العربية

Behavior change campaigns are all around us. They remind us to get our flu shots; warn us that food and drinks are not allowed when using public transportation; even prompt us to turn off the lights when we leave a room. They invoke socially acceptable norms and indirectly guide us towards positive behavior change. The advent of an assortment of new technologies and mass media outlets enables us to spread last-mile awareness on handwashing, safe sex, and gender-based violence, to name just a few.

Indeed, we in development, and governments that we work with, invest millions of dollars in behavior campaigns. However, many of these campaigns are unconvincing, lack inspiring narratives, and are communicated through outmoded and uninteresting outlets such as billboards and leaflets. Research shows that traditional mass media interventions are often ineffective in promoting behavior change, especially in the long run (Grilli et al 2002, Vidanapathirana et al 2005).
 
Entertainment Education

Using CCTs to Reduce Child Labor and Improve the Quality of Work that Children Perform

Ximena Del Carpio's picture

Does an increase in household wealth decrease child labor in poorer households? Available literature in economics suggests that when poorer households need to make their ends meet, they tend not to dispense on child labor. And as households’ income increases, child labor declines in favor of schooling. However, if schools are few and far, and their infrastructure and teachers’ performance are deficient, there is less incentives for parents to send their children to school. Child labor would then appear as a sensible option, not only for increasing family’s current income but also for training children in skilled work. Thus, an appropriate question is: To what extent and under what conditions an increase in household wealth can either decrease or increase child labor in poor households?

Watermelons vs. Sesame Seeds

Justin Yifu Lin's picture

The English cartoonist Ashleigh Brilliant once offered the following piece of advice to strategists of all sorts who are concerned with their reputation: “To be sure of hitting the target, shoot first, and call whatever you hit the target…” With little time and fewer resources than elsewhere to battle the burning issues of poverty, insecurity and sociopolitical instability, economists and policymakers in developing countries may not be in the position to benefit from such cynical wisdom. Rather than listening to Ashleigh Brilliant, they should always keep in mind the constraints they face and the urgency of the situation in poor countries, and reflect on the maxim that recommends to “always aim before shooting.

A policy and research domain where there is a serious deficit of strategic thinking and prioritization is that of evaluation, which is traditionally defined as the systematic assessment of the worth or merit of some project, program or policy. The importance of evaluation cannot be underestimated: first, in a world where ideas compete constantly for funding, it is essential to ensure that value for money is at the core of public policy. Second, only by assessing the pertinence and efficiency of development initiatives can we get a full picture of their outcomes, and ensure accountability. Third and perhaps even more importantly, evaluation helps define the criteria for decision-making on new initiatives, and chart the course of future action. It highlights what works and what does not. It is therefore not surprising that evaluation has become a hot area of research and policy.

Four cheers for the “results agenda"

Adam Wagstaff's picture
Photo © Dominic Sansoni / World Bank

The development community hasn’t exactly only just woken up to the fact that development is about achieving something. Projects have had logframes since time immemorial, showing how project activities and spending are expected to lead ultimately to development outcomes—things that matter to people, like health and learning. But the “results agenda” (an agenda that dates back to 2003 but which seems to be gaining momentum) has the scope to be transformative in at least four ways.

1) Work backwards, not forwards
First, it invites us to work backwards from these things that matter and think about alternative ways to achieving these outcomes. Take education. A lot of projects in the Bank and other development agencies have focused on building and rehabilitating schools, with the expectation that this will lead to higher school enrollments. And yet as my colleague Deon Filmer showed a while ago, proximity to a school has very little effect on the likelihood of a child enrolling in school. By contrast, as he and Norbert Schady showed in another paper, providing scholarships to poor children does increase enrollments.