To get a full picture of how social accountability can improve the quality of health services in Indonesia, one only has to travel to the border areas in East Nusa Tenggara (NTT) province.
On a scorching afternoon in August 2015 in Bijaepasu sub-district, a six hour drive from the provincial capital Kupang, a queue was forming in front of the village health center or puskesmas. The crowd seemed undeterred by the temperature that hovered around 40 degrees Celcius.
Leaning against its deteriorating walls were mothers and babies, elderly women and men. The queue was long and slow moving. The health center workers appeared overwhelmed. There were barely any medical equipment or supplies.
Community Driven Development
Myanmar is undergoing a historic transition. After decades of armed conflict and economic stagnation, the country is beginning to make important strides toward realizing its potential and the aspirations of its people.
Our engagement in Myanmar started more than 60 years ago when it became a member of the World Bank, soon after gaining independence from British rule.
Back in 1955, the Bank’s first economic report stated: “the lack of security remains a disrupting influence on the economic life of the country” while “the long term economic potentials are bright” on account of its moderate population growth and abundant natural resources. It also noted the importance of “encouraging private sector enterprise to improve the standard of living of the people”— these are topics that continue to resonate in today’s development discourse.
In the early 1950s, Myanmar’s GDP per-capita was comparable to that of Thailand, Korea, and Indonesia. Like others in the region, Myanmar was coming out from colonial rule and a period of struggle. Sixty years on, Myanmar has a per capita GDP just above $1,100, less than one third the average for ASEAN countries and one of the lowest in East Asia.
The good news is that Myanmar has begun the catch up process. Major political and economic reforms since 2011 have increased civil liberties, reduced armed conflict, and removed constraints to trade and private enterprise that long held back the economy.
Axel van Trotsenburg, World Bank Vice President for East Asia & the Pacific, visited Myanmar from May 12-16 to observe some of the initial results of the National Community Driven Development Project, the World Bank’s first project in the country in 25 years.
In 2011, Thailand suffered the worst floods in half a century. The flood crisis impacted more than 13 million people. About 97,000 houses were damaged and entire villages and cities were under water for months.
House in Ayutthaya affected by the 2011 floods
Three years later, Thailand has been able to deal with the worst of the impacts but some of the poorest households are still struggling to recover. We visited 10 affected communities in Ayutthaya and Nakhon Sawan as part of the supervision of the Community-based Livelihood Support for Urban Poor Project (SUP). We could still see the water marks on their walls, damaged ceilings, and wobbly structures. The unrepaired houses stuck out but just as striking was the strong sense of community in the area. We were reminded that villagers came together to overcome the worst natural disaster most of them ever witnessed in their lives.
The flooding led to better disaster risk management in the neighborhoods that are most at risk. Local governments have taken the lead. But the disaster has also, just as importantly, mobilized ordinary citizens in some of the most deprived communities. Here are some of their stories: