The World Bank is preparing a new project in partnership with the Government of Uganda to support infrastructure development in 14 of the country’s Municipal Councils. The Uganda Support for Municipal Infrastructure Development (USMID) project will be one of the first in the world to pilot a new way of distributing World Bank funds to governments. The new pay-out process will link the disbursement of funds directly to project results. For instance, unless the Municipal Council completes the infrastructure they plan to build, no more money will be given to the government. That’s just an example. This process, called Program for Results, is important because it places a more direct emphasis on development results.
Working in development, there are some faces you never forget because they come back to you at the end of a long day, time and again. As we recognize International Day of Action for Women, I’ve been thinking about some of these faces from a recent trip to Sudan. Faces of young women who are doing community work that is so important, it is really in a league of its own. I’d like to dedicate this “day” to these women of action, the young graduates of village midwife schools in eastern Sudan.
The doorway to the midwives school in Kassala, a town close to the Red Sea, leads you into a small courtyard crowded with beds, belongings, and cooking utensils gently baking under the desert sun. Passing through this open air dormitory, another door opens into a classroom, in which a group of about twenty young women dressed in soft white are listening to a lecture that involves plenty of gesticulating and a plastic model lying on a bed. These students have already qualified as midwives and are now in town to learn more advanced skills that they can take back to their villages in a few months.
On June 5, the World Bank will host an event focused on the ongoing relationship between Brazil and countries in Sub-Saharan Africa. The event will be web streamed. Panelists will discuss Brazil’s experiences in the areas of agriculture, social protection and vocational training, and ways in which African countries can benefit.
Ahead of the event, we’re seeking your questions and comments. Please read the recently launched report Bridging the Atlantic: Brazil and Sub-Saharan Africa Partnering for Growth. The report highlights these key points:
The scientific evidence is overwhelming. As Robert Beaglehole and colleagues at the World Health Organization (WHO) pointed out years ago, tobacco is the only consumer product that eventually kills half of its regular users if they follow its manufacturers’ recommendations.
Given this dire reality, it is clear that Africa is now at a crossroads. On one hand, the countries in this region have become an attractive and under-tapped market as tougher regulations, high taxes, and greater consumer awareness of the dangers of smoking in developed countries are “closing the door” to tobacco imports and leading to significant drops in consumption. And on the other hand, cigarettes are becoming increasingly affordable as incomes rise in several African countries due to the rapid economic growth of recent years. Indeed, African countries are experiencing the highest increase in the rate of tobacco use amongst developing countries--the number of smokers in sub-Saharan Africa is projected to increase 148 percent by 2030, to 208 million smokers or one-fifth of the total population.
I met Roselynd Laubhouet in 2004 when, as a recent graduate, she accepted an assignment as a Junior Professional Associate with the World Bank's Africa Region in Washington, D.C. From day one, it was evident that Roselynd was special. Being an entrepreneur at heart, she was filled with dreams, aspirations, and a passion for her home country of Senegal (and her continent) that set her apart.
When Roselynd and I reconnected in Abidjan last December, eight years after our first meeting, I was pleasantly surprised to learn that not only had she moved home to Senegal, but she had also started a successful international business. The journey from bureaucrat to entrepreneur was not easy, but it was clear that--having returned home--Roselynd was realizing her dreams.
I was curious to learn the secrets of her success, to understand the challenges facing returnees, and gather any advice for other Africans in the Diaspora considering a return. Roselynd was kind enough to share her experiences with me in the hopes that other young women in the Diaspora might be inspired to follow in her footsteps.
Imagine you are a poor child from Kibera, Kenya’s largest slum, and have a dream to become a soccer star. Some young players come close to this dream when the International School (ISK) in Nairobi hosts its annual “Nairobi Mini World Cup”.
The Mini World Cup started after ISK’s Principal of the Elementary School, Patricia Salleh Matta, introduced a Saturday sports program three years ago and opened the school not just to its own students but to many communities around the school.
My 11-year-old son Marco and I have a passion for soccer (we call it football). In order to advance the game at ISK, where he goes, I got involved in coaching and eventually became the school’s “Soccer Commissioner.” As such, my main task is to organize soccer tournaments. The highlight of our year is the annual "Nairobi Mini World Cup," which has become a fixture for many schools and soccer clubs in the city.
“Tuberculosis was a silent killer a few years ago,” says Rogers, a community health worker at the Kangemi Health Center, which assists people living with TB to receive effective treatment in a sprawling settlement on the outskirts of Nairobi.
Community health workers like Rogers are a vital link between patients and medical providers and are well respected and trusted. They educate, enlighten, and empower patients and people in the wider community. They work with the local area chiefs in mobilizing communities in the fight against TB. Rogers proudly notes that he actively identifies TB cases, provides home-based care, and traces people defaulting on treatment, all critical elements in managing TB at the community level.
Detection and management of TB are critical in Africa, where roughly a quarter million TB deaths were reported in 2010. The continent accounts for about one-quarter of the global TB burden and is facing challenges in meeting the Millennium Development Goal of reducing 1990 TB mortality rates by half by 2015. However, there is also reason for hope on TB control in Africa, as seen in communities like Kangemi. In Kenya, with support from government and partners, including the World Bank (Health Sector Support Project, Total War Against HIV/AIDS Project, East Africa Public Health Laboratory Networking Project), activities are underway to strengthen the availability of drugs, channel funds directly to lower level health centers , and improve access to the latest diagnostic tools for detecting TB. “The state-of-the-art diagnostics will go a long way to turn the tide on this pandemic,” notes Lucy Chesire, Executive Director of the TB Action Group in Nairobi. “Patients will no longer wait months to get results.”
Sub-Saharan Africa is still largely in the dark when it comes to access to electricity. Fewer than three out of 10 of the region’s people have grid-based access to electricity which is essential for education, agriculture, healthcare and business, and where it has been installed, it is all too often patchy, costly and unreliable.
One Sunday, I was invited for a late lunch at the house of Dorcas Wanjiku Njoroge in Thika. Deeply seated in armchairs in the living room, we enjoyed sukuma wiki, ugali and a bit of cooked meat while she told me the story of her life.
Today is International Women’s Day, and the empowerment of rural women is the theme of the ongoing 56th session of the Commission on the Status of Women. At the World Bank, it is a day to “think equal and to act equal.”
It is in this context that I share the life of Wanjiku, as told by her.
Wanjiku was born on in 1933 at a tea farm in Kiambu where her parents worked. As she grew up, she took care of the many children at the farm and was not taken to school, as her father did not see the use of education to a girl.
More often than not, “we” criticize the “system” for being corrupt; yet it is simply a reflection of what we make of it. For example, what would happen if “we” decided never to collect bribes from users in our health service system? Or if we implemented and respected the rule of ‘first come, first served’ instead of paying or collecting bribes for faster service delivery? What would happen when it is brought to our knowledge that there are irregular practices operating within our health centers?