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To succeed, Kenya only needs to look within

Wolfgang Fengler's picture

“So how are you enjoying living in paradise?” Michael Geerts, the former German ambassador to Kenya asked me the other day.   He was posted in Nairobi during the difficult years in the end of the 1990s, and continues to stay in touch with a country he loves dearly. Many colleagues, who once worked in Kenya have bought houses in Nairobi, and plan to retire in the “city under the sun”. But not everybody shares their passion and faith in the country’s future. There are many pessimists who feel that the country is moving in the wrong direction. Kenya, they say, will never rid itself from grand corruption, and crime such as drug trafficking will continue to flourish.
Are they seeing the same country? Maybe both perspectives are right, because Kenya is a country of extremes.

Punished twice: Kenya’s dual health burden

Wolfgang Fengler's picture

The data are un-ambiguous: Kenya’s economy is starting to catch up with the rest of the world. But many of you probably wonder if that is really true, especially when observing the streets of Nairobi or the daily life in rural areas. In other words, is economic catch-up translating into social progress?  Will today’s children live a better life than their parents? Will everyone enjoy decent social and infrastructure services in the new Kenya? Let’s zoom in on the case of health.

How healthy is Kenya today? Simply said, it could do better. This is important from an economic standpoint, because a population’s health is a key foundation for development. Healthy populations are more productive; they also save and invest more. On average and all other things equal, one extra year of life-expectancy is associated with an increase in a country’s GDP by 4 percent.

Is Rwanda Set to Reap the Demographic Dividend?

Tom Bundervoet's picture

From almost every point of view, Rwanda’s performance over the past decade has been an unambiguous success story.

Between 2001 and 2011, Rwanda’s economy grew by 8.2 percent per annum, earning the country a spot on the list of the ten fastest growing countries in the world. Poverty rates fell by 14 percentage points, effectively lifting more than one million Rwandans out of poverty. Social indicators followed the general trend: Net enrolment in primary school increased to almost 100 percent, completion rates tripled, and child mortality decreased more than threefold, hitting the mark oftwo-thirds reduction as targeted by the Millennium Development Goals.

Yet buried under all this good news lays another maybe even more important evolution.  After a decade-and-a-half stall, total fertility rates in Rwanda dropped from 6.1 in 2005 to 4.6 in 2010. This means that during a period of five years, the average number of children a woman of childbearing age can expect to have, has declined by 1.5.

HIV/Aids: Still Claiming Too Many Lives

Jacques Morisset's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

HIV/Aids remains one of the deadliest diseases in sub-Saharan Africa, causing misery and suffering to millions of affected people and their families. But there are also signs of hope, as new infections and the number of Aids-related deaths have come down significantly since the mid-2000s. Similar to the broader trend in the region, Tanzania has achieved some success in reducing HIV/Aids:

- HIV prevalence among adults declined from its peak in 1996 (8.4 per cent of those aged 15-49 years) to 5.8 per cent in 2007, though it has stagnated since then.
- The number of people dying from Aids has fallen by about one third, from 130,000 in 2001 to 84,000 in 2011.

Transferts monétaires conditionnels au Burkina Faso: Pour quels enfants les conditions sont-elle importantes?

Damien de Walque's picture

Auteurs: Richard Akresh, Damien de Walque et Harounan Kazianga

Dans une récente étude, nous présentons les impacts sur l’éducation d’un projet-pilote de transferts monétaires au Burkina Faso1, dans la Province du Nahouri. Ce projet-pilote est accompagné d’une évaluation d’impact expérimentale randomisée pour mesurer et comparer, dans le même contexte en zone rurale au Burkina Faso, l’efficacité de transferts monétaires conditionnels et non-conditionnels qui ciblent les ménages pauvres. Les programmes de transferts monétaires conditionnels (TMC), comme les transferts monétaires non-conditionnels (TMNC), transfèrent des ressources monétaires aux ménages pauvres à intervalles réguliers. Mais la différence principale c’est que les TMC imposent des conditions aux ménages, telles que l’inscription et la fréquentation scolaire pour les enfants d’âge scolaire.

Avec les TMC, si les conditions ne sont pas respectées pour une période donnée, les transferts ne sont pas payés pour cette période. Au contraire, avec les TMNC, il n’y pas de conditions à respecter.

Law and Order: Countering the threat of crime in Tanzania

Waly Wane's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

For many Tanzanians the fear of crime is a daily reality, especially for those living in urban areas. It negatively affects their quality of life as it makes them feel insecure and vulnerable as they go about otherwise normal activities. A few facts:

- In 2010/11 about 390,000 households (four per cent) reported that they had been severely affected by hijacking, robbery, burglary or assault (over the previous year).
- Residents of urban areas are about three times more likely than those in rural areas to be victims of these crimes.

The Costs of Inaction

Shanta Devarajan's picture

Sudhir Anand and co-authors recently published a fascinating book, The Costs of Inaction, which looks at cost-benefit analysis in a different way. All cost-benefit analysis requires the analyst to specify a counterfactual—how the world would have evolved in the absence of the project of program.  This is critical.  An evaluation in Kenya included increased use of cellphones as an indicator of project success — neglecting the fact that cellphone use in neighboring villages was just as widespread. 

In many cases, the counterfactual could be “doing nothing.”  For a number of important areas such as health and education in Africa, The Costs of Inaction calculates the costs of doing nothing in terms of lives lost or under-educated children. 

Has the African Growth Miracle Already Happened?

Shanta Devarajan's picture

Most of the literature about Africa’s growth, “Africa Rising”, “Lions on the Move”, etc., refer to the present or the future.  An oft-quoted World Bank report said, “Africa could be on the brink of an economic takeoff, much like China was 30 years ago and India 20 years ago.” 

Meanwhile, Alwyn Young has recently published a paper that claims that per-capita consumption on the continent has been growing at 3.4-3.7 percent a year for the last two decades—about three to four times the growth rates documented in other studies. Instead of using national accounts data (which, as we know, suffer from several deficiencies), Alwyn adopts the Demographic and Health Surveys (DHS), which calculate the households’ ownership of assets and other indicators of well-being (ownership of a car or bicycle; material of the house floor; birth, death or illness of a child, etc.). 

What is the best way to save one million lives?

David Evans's picture

Last October, the Government of Nigeria committed to save one million lives by 2015 by increasing access to cost-effective health services and commodities, a bold goal.

Crucially, the Federal Ministry of Health is coupling the scale-up of services and commodities with a focus on knowledge, using rigorous impact evaluation strategically and systematically across their programs (in partnership with the World Bank’s Development Impact Evaluation Unit and the Gates Foundation).  Each evaluation adapts promising evidence from elsewhere in the world to fit the Nigerian context, letting the Government and its partners see which interventions are most effective in saving lives.

Perilous pregnancies: How to improve maternal health in Tanzania?

Isis Gaddis's picture

Let's think together: Every Sunday the World Bank in Tanzania in collaboration with The Citizen wants to stimulate your thinking by sharing data from recent official surveys in Tanzania and ask you a few questions.

Pregnancy and childbirth can be a tremendously exciting time for a family if the expectant mother and her unborn child benefit from quality medical services and the baby is delivered in a safe environment. 

However, it can also be a traumatizing experience if the mother loses her life during childbirth or if the newborn is sick or dies. 

In Tanzania many mothers and mothers-to-be are dying young and unnecessarily as illustrated by the following statistics: