Although I have extensive project management experience in Daykundi Province, the scale and impact of the System Enhancement for Health Action in Transition (SEHAT) Program is truly inspiring—for example, the 39 centers that deliver the Basic Package of Health Services (BPHS) together serve over 77,000 outpatients per month. In October 2016, these centers managed the delivery of 615 babies, with as many as 69 deliveries in Temran Basic Health Center alone.
In fact, when it comes to female health, SEHAT has ensured that there is at least one female staff member in every health center. This has partly been possible because of the successful implementation of community-level education programs, such as the Community Midwifery Education (CME) and Community Health Nursing Education (CHNE). The program has also strengthened community-based health care by setting up health Shuras (councils) in all locations covered by SEHAT and implemented specific controls on qualifications and credentials of health workers.
SEHAT is a program of the Ministry of Public Health (MoPH), supported by the International Development Association (IDA), the World Bank Group’s fund for the poorest countries, and the Afghanistan Reconstruction Trust Fund (ARTF), in partnership with multiple donors. An NGO, PU-AMI, was contracted by MoPH between 2013 and June 2017 to deliver BPHS in Daykundi, in line with national health goals outlined by the ministry. These goals include reducing mother and child deaths and improving child health and nutrition. Thus, the program focuses on increasing access, building capacity, strengthening coordination, promoting use of monitoring and evaluation data, and enabling better support for pharmaceutical supplies.
Join us for #SLDU2017: Economic Benefits of Environment Management. This Twitter chat will be hosted by World Bank South Asia (@WorldBankSAsia) in collaboration with the Institute for Policy Studies IPS (@TalkEconomicsSL).
When is it?
August 21, 2017 from 5.30 – 7.30 pm
The chat will explore the findings of the Sri Lanka Development Update (SLDU), published this June.
I look forward to engaging with you together with a panel from different areas of expertise.
We’ll be discussing priority reforms with a focus on how Sri Lanka can better manage both its business and natural environment to bolster economic growth and sustain development.
In recent years, natural disasters have left parts of this island nation devastated, exacting a significant economic, fiscal and social toll. The SLDU identifies other challenges as well, pressing the case for fiscal consolidation, a new growth model, improved governance and programs to buffer against risk.
The latest update cautions against adopting piecemeal solutions, noting that the challenges facing the island nation are inter-linked and require a comprehensive and coordinated reform approach.
In the end, we also hope this Twitter chat will allow us to learn from you as we begin our preparations for the next SLDU.
How can you participate?
Never taken part in a Twitter chat before? It’s simple. Just think of this as an online Q&A. @WorldBankSAsia will moderate the discussion, posing questions to panellists. You are encouraged to join in too! Follow along, retweet and engage. If you have a question, simply tweet it out using the hashtag #SLDU2017. We’ll see it and try to get you some answers.
This is the third of a three-part series, Resilience in the of the Eye of the Storm, on how Bangladesh has become a leader in coastal resilience.
Over the years, Bangladesh has taken major strides to reduce the vulnerability of its people to disasters and climate change. And today, the country is at the forefront in managing disaster risks and building coastal resilience.
Let’s compare the impact of the Bhola Cyclone of 1970 to the far stronger Cyclone Sidr in 2007. The 1970 cyclone was then the deadliest in Bangladesh’s history, and one of the 10 deadliest natural disasters on record. Official documents indicate that over 300,000 lives were lost, and many believe the actual numbers could be far higher.
By contrast, Sidr was the strongest cyclone to ever make landfall in Bangladesh. This time, fewer than 3,500 people lost their lives. While tragic, this represents about 1% of the lives lost in 1970 or 3% of the nearly 140,000 lost lives in the 1991 cyclone.
The cyclones of 1970 and 1991 were unprecedented in scale. Yet, they steered the country into action.
Between 2005 and 2014, due to natural disasters, the region had a nominal cumulative loss of around US$5.8 billion, and witnessed more than 3,410 deaths and hundreds of thousands of displaced people. More recently, in October 2011, Tropical Depression 12-E hit the coasts of El Salvador and Guatemala with damages amounting to nearly US$1 billion.
In two recent studies, we evaluated the causal impacts of hurricane windstorms on poverty and income as well as economic activity measured using night lights at the regional and country level. In both cases, we applied a fully probabilistic windstorm model developed in-house, and calibrated and adjusted it for Central America. The first study (on poverty) used yearly information at the household level (for income and poverty measures) as well as the national level (GDP per capita). Due to the limited comparable household data between the countries, we decided to follow up with the second study (on economic activity) using granular data at the highest spatial resolution available (i.e., 1 km2) to understand more deeply the (monthly) impact over time.
Our results are striking:
Landing a job after college can be difficult anywhere, but it is especially hard in conflict-affected economies, such as Palestine. Joblessness and job insecurity are an unfortunate reality for too many young Palestinians.
Download the full version of the slideshow here.
The scene is as familiar as it is tragic: A devastating hurricane or earthquake strikes a populated area in a poor country, inflicting a high number of casualties, overwhelming the resources and capacity of rescue teams and hospital emergency rooms. First responders must resort to “triage” – the medical strategy of maximizing the efficient use of existing resources to save lives, while minimizing the number of deaths.
But if governments could apply triage to substandard housing, medical triage would be a much less frequent occurrence – because
From the 2017 Global Platform for Disaster Risk Reduction to the 2017 Urban Resilience Summit, practitioners and policymakers have increasingly focused their discussions on how we can boost the resilience of urban areas.
But this is a problem with a well-known solution:
upgrading the existing housing stock, where most the poor live, while making sure that new construction is built safe, particularly for natural disasters. After all, if floods or earthquakes do not distinguish between old and new homes, why should policymakers?
- resilient cities
- Sustainable Communities
- natural disasters
- resilient housing
- Disaster Resilience
- 2017 Global Platform for Disaster Risk Management
- disaster risk management
- Financial Sector
- Public Sector and Governance
- Urban Development
- Climate Change
- Latin America & Caribbean
The availability of disaster risk information is particularly important for a fragile state like Afghanistan where 4 out of 5 people rely on natural resources for their livelihoods. To strengthen resilience, investments in Afghanistan need to incorporate information on natural hazards in their planning, design and implementation. To help support government efforts, the World Bank and the Global Facility for Disaster Reduction and Recovery (GFDRR), in close cooperation with the Afghanistan National Disaster Management Authority (ANDMA), recently produced a comprehensive multi-hazard assessment level and risk profile, documenting information on current and future risk from fluvial and flash floods, droughts, landslides, snow avalanches and seismic hazards. The main findings, methodology and expected outcomes were recently discussed and presented to the Disaster Risk Management community of practice within the World Bank Group. A number of takeaways from the discussion are presented below:
What is Afghanistan’s risk profile and vulnerability?
- Flooding is the most frequent natural hazard historically, causing average annual damage estimated at $54 million; large flood episodes can cause over $500 million in damage
- Historically, earthquakes have caused the most fatalities, killing more than 10,000 people since 1980
- 3 million people are at risk from very high or high landslide hazard
- Droughts have affected 6.5 million people since 2000; an extreme drought could cause an estimated $3 billion in agricultural losses, and lead to severe food shortages across the country;
- An estimated 10,000 km of roads (15 percent of all roads) are exposed to avalanches, including key transport routes like the Salang Pass
This is the second of a three-part series, "Resilience in the of the Eye of the Storm," on how Bangladesh has become a leader in coastal resilience.
With a population of 160 million, Bangladesh is situated at the epicenter of some of the deadliest cyclones the world has ever experienced. Catastrophic events are the norm rather than the exception. A severe tropical cyclone can strike every 3 years and 25% of the land floods annually.
The network of the mighty Ganges-Brahmaputra-Meghna rivers makes its meandering journey through the delta into the Bay of Bengal forming the coast of Bangladesh.
The jagged coastline of Bangladesh spans hundreds of miles and is subject to multiple challenges: 62% of the coastal land has an elevation of up to 3 meters and 83% is up to 5 meters above sea level. These low-lying areas are highly vulnerable to natural hazards.
Earlier this year, I got a chance to see first-hand the challenges that this demanding landscape had brought onto the communities of a remote coastal village. What struck me most when speaking to members of this coastal community was their courage and resilience. Aware that a calamity can hit anytime, they struggle to protect their livelihoods affected by saltwater intrusion, and their own lives which are increasingly at risk due to rising sea levels, and exposure to more frequent and devastating storms and cyclones.
By 2050, the coastal population is projected to grow to 61 million people, whose livelihoods will increasingly be at risk due to the impact of climate change.
Triggered by climate change, seawater inundation could become a major problem for traditional agriculture. According to the Intergovernmental Panel on Climate Change Fifth Assessment Report (2014), climate-related declines in food productivity will impact livelihoods and exports and increase poverty. In Bangladesh, it is estimated that these factors would cause a net increase in poverty of 15% by 2030.
To mitigate against such risks, the government has been investing in strengthening the resilience of the coastal zone. Over the years, Bangladesh has become an example of how protective coastal infrastructure, together with social mobilization and community-based early warning systems, is helping to build resilience.
In a world divided over how to deal with such serious problems as terrorism, immigration, free trade, and climate change, governments agree on the urgency of solving what is arguably the biggest problem of all: supplying safe, well-located, and affordable housing for the billions of people who need it.
There is even agreement on the basic steps to that goal: improving land management and adopting more tenure-neutral policies.
There is also consensus on the fact that government alone cannot afford to pay the bill. According to McKinsey & Co., the annual price tag for filling the “global housing gap” ($1.6 trillion) is twice the cost of the global investments needed in public infrastructure to keep pace with GDP growth.
As we approach the 70th anniversary in 2018 of the declaration of housing as a “universal human right,” it’s time for governments to turn to an obvious solution for closing the housing gap that they continue to ignore only at their peril: long-term market finance. , and so will the odds of social discontent.