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It’s not a simple task – engaging communities in the Golden 1,000 Days in Nepal

Kaori Oshima's picture
Field survey team in Nepal
A field survey team for the qualitative study holding a focus group discussion with women in one of the SHD project communities. Photo credit: World Bank

In Nepali, “Sunaula Hazar Din” means, “Golden 1000 Days” – which is a critical window of opportunity between conception and the age of two years that, with good health and nutrition, can mitigate the risks of malnutrition that hamper a child’s long-term physical and cognitive development.

Sunaula Hazar Din (SHD) is also the local nickname of the Government of Nepal’s recently completed “Community Action for Nutrition Project”, implemented by the Ministry of Federal Affairs and Local Development and  financially supported by the World Bank from 2012 to 2017. The project aimed to improve practices that contribute to reduced under-nutrition of women of reproductive age and children under the age of two and to provide emergency nutrition and sanitation response to vulnerable populations in earthquake affected areas.

The project used a “Rapid Results Approach (RRA)”, where target communities formed groups of nine members that would collectively select and work on an activity to address malnutrition for 100 days.  RRA focused   especially on the “1000 days” households– namely, households with children under 2 years and pregnant and/or lactating women and also had community -wide interventions targeted to address malnutrition.  
To better understand the local dynamics around the SHD design and activities, a qualitative study was conducted, with support from the South Asia Food and Nutrition Security Initiative (SAFANSI).

The study team gathered the voices of various stakeholders, including the community members, facilitators, and the village and district-level authorities. Listening to the voices of these stakeholders makes development practitioners and project teams recognize how participatory designs may work as expected – or not – in a specific context.

When in the eye of a storm….

Idah Z. Pswarayi-Riddihough's picture
Abandoned fishing boats lay on the banks of the dried Siyambalankkatuwa reservoir in Sri Lanka's Puttalam District, Aug. 10, 2017. Thomson Reuters Foundation/Amantha Perera
Abandoned fishing boats lay on the banks of the dried Siyambalankkatuwa reservoir in Sri Lanka's Puttalam District, Aug. 10, 2017. Thomson Reuters Foundation/Amantha Perera
This year, yet again, flooding caused by heavy monsoon rains came and receded. Meanwhile, this year alone, more than one million people have been hard hit by the worst drought in 40 years.
 
The media, with few exceptions, have moved on to other topics and a sense of calm pervades. 
 
We are in the eye of the storm -- that misleading lull before mother nature unleashes her fury once again. 
 
In Sri Lanka alone, costs from natural disasters, losses from damage to housing, infrastructure, agriculture, and from relief are estimated at LKR 50 billion (approx. USD 327 million).  The highest annual expected losses are from floods (LKR 32 billion), cyclones or high winds (LKR 11 billion), droughts (LKR 5.2 billion) and landslides (LKR 1.8 billion). This is equivalent to 0.4 percent of GDP or 2.1 percent of government expenditure. (#SLDU2017). Floods and landslides in May 2016 caused damages amounting to US$572 million.   
 
These numbers do not paint the full picture of impact for those most affected, who lost loved ones, irreplaceable belongings, or livestock and more so for those who are back to square one on the socio-economic ladder.
 
Even more alarming, these numbers are likely to rise as droughts and floods triggered by climate change will become more frequent and severe. And the brief respite in between will only get shorter, leaving less time to prepare for the hard days to come.
 
Therefore, better planning is even more necessary. Sri Lanka, like many other countries has started to invest in data that highlights areas at risk, and early warning systems to ensure that people move to safer locations with speed and effect.
 
Experience demonstrates that the eye of the storm is the time to look to the future, ready up citizens and institutions in case of extreme weather.
 
Now is the time to double down on preparing national plans to respond to disasters and build resilience. 

It’s the time to test our systems and get all citizens familiar with emergency drills. But, more importantly, we need to build back better and stronger.  In drought-affected areas, we can’t wait for the rains and revert to the same old farming practices. It’s time to innovate and stock up on critical supplies and be prepared when a disaster hits.
 
It’s the time to plan for better shelters that are safe and where people can store their hard-earned possessions.
 
Mobilizing and empowering communities is essential. But to do this, we must know who is vulnerable – and whether they should stay or move.  Saving lives is first priority, no doubt. Second, we should also have the necessary systems and equipment to respond with speed and effect in times of disasters. Third, a plan must be in place to help affected families without much delay.
 
Fortunately, many ongoing initiatives aim to do just that.

And a river runs through it

Atul Agarwal's picture

Integrating the Brahmaputra’s innumerable ferries into Assam’s wider transport network

Anyone who has visited Assam cannot help but being struck by the mighty Brahmaputra. The river straddles the state like a colossus, coursing through its heart, and severing it into two - the northern and southern banks. During the monsoon, so vast is the river’s expanse - almost 20 km in parts - that you cannot see the other side. And so fearsome can be its waters that the Brahmaputra is India’s only river to have a masculine name; all the others have feminine appellations. Yet, just four bridges, including India’s longest bridge that was recently inaugurated on its tributary the Lohit - and one more under construction - span the state’s entire 900 km stretch of river.
 
Given this formidable natural barrier, most of Assam’s towns have developed on the river’s southern flank, where the plains are wider. With little connectivity, the northern side remains cut off from the mainstream, and is largely underdeveloped.


 
What’s more, small communities who live on the river’s hundred or so inhabited islands, remain isolated. It can be quite frustrating to see a school or a medical center on the other side and not be able to get to it! Only Majuli, the world’s largest riverine island and an administrative district by itself, supports schools and some form of medical facilities for its more than 100,000 residents.

Sri Lankan Winners and exciting news: #StoriesfromLKA photo contest!

Tashaya Anuki Premachandra's picture

The three winning pictures of the online campaign #StoriesfromLKA

World Bank Sri Lanka launched an online campaign titled #StoriesfromLKA during the month of June celebrating World Environment day “Connecting People to Nature”. The campaign included online interactions to learn about World Bank operations related to the environment and a photo competition to appreciate the natural beauty of Sri Lanka that needs to be preserved while Sri Lanka pursues a development drive.
This competition began on the 21st of June and aimed at showcasing the many talented photographers from Sri Lanka as well as celebrating the rich flora and fauna of the country. After the contest ended on June 30th, 167 entries were shortlisted. We asked you which photos were your favorites and you voted on your selections through social media. Your votes helped us narrow down the top three winners, here they are:

How can digital technology transform lives and improve opportunities in Bhutan?

Yoichiro Ishihara's picture
Tech Park
The recently opened Thimphu tech park – Bhutan’s first IT park -

The Kingdom of Bhutan is a landlocked country located high in the eastern Himalayan mountain range with its population 760,000. Up until about 20 years ago, the country was isolated from the world; Bhutan’s first ever television broadcast occurred in 1999. Since then, information communications technology (ICT) has made rapid advancement. Mobile subscriptions increased from 0.4 per 100 people in 2003 to 87 in 2015. The proportion of people using the internet have increased from 0.1% in 1999 to 40% in 2015. Today, all 20 districts and 201 (out of 205) sub-districts are connected through fiber optic cables.

The World Bank’s 2016 World Development Report on “
Digital Dividends” argues that digital technologies have boosted growth, expanded opportunities, and improved service delivery. Use of ICT for development is especially applicable to small states with populations of less than 1.5 million. Another report, “World Bank Group Engagement with Small States” finds that ICT investments can help reduce economic isolation, lessen barriers to trade, promote tourism, and improve mobility. These messages are highly relevant to Bhutan today.

The Government has enthusiastically adopted the use ICT to improve its services to its citizens as described in Bhutan ICT Roadmap and Bhutan E-Government Masterplan. The Government to Citizen (G2C) program, launched in 2005, provides a one-stop-shop for more than 100 services such as procuring a passport. The national ePayment Gateway Infrastructure, established by the Royal Monetary Authority (RMA), the central bank, has enabled citizens to pay for some public services online. Recently, the National Land Commission (NLC) launched eCitizen Portal - an online one-stop shop for transferring property titles online. This has reduced the number of days to transfer ownership of a property from 90 days to 62 days in the capital, Thimphu. More importantly, the NLC is reaching out to the private sector to seek feedback on how to improve its usability by piloting a feedback survey using an Interactive Voice Response (IVR) tool for the first time in Bhutan. The government has also introduced an electronic government procurement system (e-GP) to make optimal use of resources. Given the size of the budget (exceeding 30 percent of GDP), the adoption of e-GP will contribute to effective use of public resources. The World Bank Group has been supporting these efforts through various instruments such as the second Development Policy Credit: Fiscal Sustainability and Investment Climate, which helped get the eCitizen Portal off the ground.

Is technology the way forward for addressing mental health among youth?

Varalakshmi Vemuru's picture
After an accident at his workplace, Bhoomi, a 26-year-old from rural Tamil Nadu, India, lost interest in work and isolated himself from everyone. His neighbors were at a loss to understand the change in his behavior. He was labeled a “lunatic,” which worried his parents and propelled them to seek help.
 
Mental illness or disability can be a debilitating experience for an individual as well as his or her family. People not only have to deal with the physical and biological impacts of an illness, but also with the social and cultural stigma that accompanies it.
 
This was what Bhoomi and his family went through before they benefited from the Tamil Nadu government’s Mental Health Program (TNMHP).

Can small grants, training, and mentorship for micro-entrepreneurs create jobs in Afghanistan?

Pratap Sinha's picture
Also available in: دری | پښتو
The NATEJA project supports entrepreneurs like Nooria to start new business. "With support from NATEJA, we were able to purchase the required equipment and
raw material to weave the carpets ourselves," said Nooria. Photo Credit: Rumi Consultancy/ World Bank


As the world marks International Youth Day on August 12, many in Afghanistan, especially the youth, strive to find better ways to make a prosperous future for themselves. According to the United Nations Population Fund, about 63 percent of Afghans are under 25 years of age, reflecting a steep pyramid age structure whereby a large cohort of young people is slowly emerging. Yet, young people in Afghanistan face significant challenges in health, education, employment, and gender inequality.

To tackle these challenges, the Ministry of Labor, Social Affairs, Martyrs and Disabled is targeting youth with low education in rural and semi-urban areas through a pilot micro-grants scheme to support aspiring entrepreneurs in the face of low growth and dim job creation prospects in the private sector. The scheme is implemented under the Non-Formal Approach to Training, Education, and Jobs in Afghanistan (NATEJA) project financed by the Afghanistan Reconstruction Trust Fund (ARTF).

When I saw Fariha, 23, during her selection interview for the micro-grant scheme, she was sceptical of receiving any government support, but confident about her beauty salon idea. It was a dream come true when she got the news of the micro-grant of $500. Fariha had learnt her skills first as a trainee at a beauty salon. After four years working there, she used the grant money to invest in the business and is now a partner and manager in the salon. “I did not earn enough as a trainee, but now I am a partner. It is a good job and it is getting better,” she says.

As a NATEJA grantee, Fariha attended a business training course to learn basic accounting, marketing, and key tips to start a business as a woman. She was also very happy to receive a pictorial, practical, and illustrative business start-up booklet at the training, given her low level of education.

Karnataka Becomes India’s First State to Safely Dispose Biomedical Waste at all Public Health Facilities

Suresh Mohammed's picture

What happens when infected needles, syringes, plasters, surgical gloves and intravenous sets are disposed of carelessly? Well, for a start, they spread hepatitis and HIV, not only among the poor rag-pickers who unsuspectingly handle them, but also infect all the waste around, multiplying the hazard manifold.  Then, when the waste is not properly incinerated, it causes further damage, polluting the very air we breathe. Liquids wastes are particularly harmful; they can leach into the soil and contaminate the water supply, with often devastating consequences.

Yet it is heartening to see how a few dedicated individuals can make a difference.
 

Nurses using needle cutter to destroy used syringes

Providing better healthcare in Afghanistan – A view from the field

Fahimuddin Fahim's picture
Also available in: دری | پښتو


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.

Twitter chat: Economic benefits of environment management in Sri Lanka

Ralph van Doorn's picture

Join us for #SLDU2017: Economic Benefits of Environment Management. This Twitter chat will be hosted by World Bank South Asia

What’s happening?

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
 
Unpacking #SLDU2017
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.

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