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Europe and Central Asia

Transforming Primary Health Care in Tajikistan through Performance-Based Financing

Sarvinoz Barfieva's picture
Also available in: Русский

In Tajikistan, primary health care (PHC) accounts for just 27 percent of public health spending and yet PHC accounts for over 70 percent of all referrals and health visits across the country.

Given this imbalance, in April 2014 the country launched the pre-pilot of a new PHC financing mechanism, using a Performance-Based Financing (PBF) approach, which should significantly improve the quality and coverage of PHC services. The pre-pilot phase focuses primarily on the prevention and early detection of maternal and child health (MCH) related diseases and non-communicable diseases.

Tajik women and a child

Protecting Armenia’s future: Let’s make it great to be a girl!

Laura Bailey's picture
One of the most striking things I first noticed after moving to Armenia was the importance of strong extended family networks – and the extent to which this aspect of Armenian social structure has evolved over time, transcending distance and getting ever-stronger through adversity.

This solid social network is an essential element in understanding and responding to the challenges that Armenia faces – and it can, if well-mobilized, help boost the country’s ability to reduce poverty and ensure that economic growth and prosperity are shared among all.

Women – Pillars of Armenia’s economy and society

Laura Bailey's picture
On Sunday, March 8th, we celebrate International Women’s Day. In Armenia, the date is also a national holiday and, coincidentally, this year it marks exactly six months since I arrived in Yerevan to lead the World Bank team here.

So, for me this is an opportune moment to pause and reflect on some of the gender realities that I am learning about in Armenia, including their influence on socio-economic dynamics.

When less is more: How Serbia could deliver better justice with fewer judges

Georgia Harley's picture
When less is more: How Serbia could deliver better justice with fewer judges
 
In courts across Europe, there is a common refrain: “we need more judges!” Your court has a backlog? Many hands will make light work. Your courts are out of touch? Let’s bring in some new blood.
 
Serbia, however, has the opposite problem. Serbia has too many judges. And the implications for system performance, service delivery, and justice reform are significant.
 
How many is too many?
 

What the world can learn about sustainable food systems from Ireland's 'Origin Green'

Juergen Voegele's picture
To feed up to 9 billion people by 2050, the agriculture sector will need to produce about 50% more food.
 
But the natural resources needed to grow food are overstretched, and in many cases, severely depleted. Agriculture is also vulnerable to climate change and a changing climate could reduce crop yields by up to 25%. At the same time, agriculture is a big contributor to the climate problem, generating close to a quarter of greenhouse gas emissions. Without targeted interventions, that number could rise further, threatening the world’s food supplies.
 

Rain and shine: Deliberations in Istanbul on the impact of oil prices

Ulrich Bartsch's picture
On a recent rainy Saturday in Istanbul, the mood was so gloomy that a roomful of macro-economists were at pains to admit that the sharp fall in the oil price since June 2014 would actually benefit a lot of people. On display was an impressive assortment of "two handed economists", who saw almost as many losers as winners. They cited negative effects on fiscal balances in oil exporting countries, investment declines because of uncertainty, and demand shortfalls in countries in which consumers are still deleveraging after the Global Crisis. In addition, the gains in many countries would be tempered by government interventions, which may reduce subsidies or raise taxes without translating fiscal space into higher spending.

Can Court Fee Waivers Open the Door for Justice in Serbia?

Georgia Harley's picture
The courts are open and justice is blind, or so they say. But if you’re poor, the courts may be beyond your reach. How can you protect your rights if you cannot afford to walk through the door of the courthouse?

In many countries, courts offer to waive their fees to anyone who can demonstrate that they cannot afford them.

Whilst it is true that fee waivers will not overcome profound barriers to access to justice, they do provide an important safety net for the poor to access essential services. And by helping the poor to pursue their rights, the courts can help to level that unequal playing field that is the courtroom.

In Serbia, providing court fee waivers are particularly pertinent.
 

Rising Financial Pressures from the East

Aurora Ferrari's picture
It’s hard to get a break in the Europe and Central Asia region, it seems – even a short one. Hit hard by the troubles in the Eurozone at the beginning of the decade, emerging and developing countries in Eastern Europe are, at the beginning of this year, contending with renewed fears. Meanwhile, external pressures have built up on the Central Asia side as well.

All eyes turned to Russia recently, when on 16 December the ruble plunged by more than 11 percent, despite the Central Bank of Russia’s last-minute interest rate hike of 6.5 percentage points to 17 percent. When it looked like Russia’s turmoil might spread to global markets, western economies sat up and paid close attention.

What may have gone unnoticed, however, is the ongoing impact on our client countries in the Europe and Central Asia region.

What Does It Take For Turkey To Close The Regional Gap?

Can Selçuki's picture
Also available in: Türkçe
When our friends who are new to Turkey arrive in Istanbul, they are often surprised to find a developed country. Then they may be told that the west of the country is well developed, but there are regions in the east that are really lagging behind. However, upon a visit to Gaziantep or Kayseri, they realize that these cities are doing much better than they initially thought with developing industry and rapid urbanization.

So what  is the story about regional inequalities in Turkey?

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