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521. Performance-Based Incentives for Health: Six Years of Results from Supply-Side Programs in Haiti - Working Paper 121

Author:
Rena Eichler, Paul Auxila, Uder Antoine, and Bernateau Desmangles
Publication Date:
04-2007
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
USAID launched a project in 1995 to deliver basic health services in Haiti. The project began by reimbursing contracted NGOs for documented expenditures or inputs. In 1999, payment was changed to being based partly on attaining performance targets or outputs. The project also provided technical assistance to the NGOs, along with opportunities to participate in an NGO network and other cross-fertilization activities. Remarkable improvements in key health indicators have been achieved in the six years since payment for performance was phased in. Although it is difficult to isolate the effects of performance-based payment on these improved indicators from the efforts aimed at strengthening NGOs and other factors, panel regression results suggest that the new payment incentives were responsible for considerable improvements in both immunization coverage and attended deliveries. Results for prenatal and postnatal care were less significant, perhaps suggesting a strong patient behavioral element that is not under the influence of provider actions.
Topic:
Development, Education, Health, and Poverty
Political Geography:
Haiti

522. Performance-Based Incentives for Health: A Way to Improve Tuberculosis Detection and Treatment Completion?

Author:
Rena Eichler, Diana Weil, and Alexandra Beith
Publication Date:
04-2007
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Tuberculosis is a public health emergency in Africa, Eastern Europe, and Central Asia. Of the estimated 1.7 million deaths from TB, 98 percent are in the developing world, the majority being among the poor. In order to reach the MDG and the Stop TB partnership targets for 2015, TB detection rates need to double, treatment success rates must increase to more than 7075 percent, and strategies to address HIV-associated TB and multi-drug resistant TB must be aggressively expanded. DOTS, the internationally-recommended TB control strategy is the foundation of TB control efforts worldwide. A standard recording and monitoring system built on routine service-based data allows nearly all countries in the world to track progress in case detection and treatment completion through routine monitoring. This provides a good base for measuring the impact of different strategies for improving TB control outcomes.
Topic:
Health, International Organization, and Poverty
Political Geography:
Africa, Europe, and Asia

523. The Provision of Banking Services in Latin America: Obstacles and Recommendations

Author:
Liliana Rojas-Suarez
Publication Date:
06-2007
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
The depth of and access to financial services provided by banks throughout Latin America are extremely low in spite of its recognized importance for economic activity, employment and poverty alleviation. Low financial depth and access hurts the poor the most and is due to a variety of obstacles that are presented in this paper in four categories, along with recommendations to overcome them. The first category groups socio-economic obstacles that undercut the demand for financial services of large segments of the population. The second category identifies problems in the operations of the banking sector that impedes the adequate provision of financial services to households and firms. The third category captures institutional deficiencies, with emphasis on the quality of the legal framework and the governability of the countries in the region. The fourth category identifies regulations that tend to distort the provision of banking services. Recommendations to confront these obstacles include innovative proposals that take into consideration the political constraints facing individual countries. Some of the policy recommendations include: public-private partnerships to improve financial literacy, the creation of juries specialized in commercial activities to support the rights of borrowers and creditors, and the approval of regulation to allow widespread usage of technological innovations to permit low-income families and small firms to gain access to financial services.
Topic:
Development, Economics, International Trade and Finance, and Poverty
Political Geography:
Latin America

524. Reflections on the Macro Foundations of the Middle Class in the Developing World

Author:
Nancy Birdsall
Publication Date:
10-2007
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
In this working paper I define inclusive growth as growth conducive to increasing the size and economic command of the middle class. I suggest a definition of the middle class based on absolute and relative measures of country-based income distributions, and present evidence of change in the size of the “middle class” for selected developing countries. I then review how macroeconomic policies shape the environment and incentives for inclusive growth, focusing on three areas: fiscal discipline, the more rule-based the better; a fair tax and redistribution system; and a business friendly exchange rate.
Topic:
Education and Poverty
Political Geography:
South America, Latin America, and Central America

525. Stakeholder Participation in Poverty Reduction, INEF-Report 86

Author:
Walter Eberlei, Birte Rodenberg, and Thomas Siebold
Publication Date:
01-2007
Content Type:
Working Paper
Institution:
Institute for Development and Peace
Abstract:
Poverty Reduction Strategies (PRS) have become the most important policy instrument in more than 60 developing countries around the world. One of the core principles of the approach is country ownership, built on broad-based participation of stakeholders inside and outside the governments, including parliaments, civil society organizations, private sector representatives and other stakeholders at national as well as local levels. How this theoretical approach has been realized in practice – especially beyond the strategy development – is a matter of debate since its introduction in 1999.
Topic:
Government, Non-Governmental Organization, and Poverty

526. Program for the Study of Biofuels, Poverty and Food Security

Author:
Jikun Huang, Mark Rosengrant, Rosamond Naylor, Walter P. Falcon, David Victor, Kenneth Cassman, and Scott Rozelle
Publication Date:
02-2007
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
The recent global expansion of biofuels production is an intense topic of discussion in both the popular and academic press. Much of the debate surrounding biofuels has focused on narrow issues of energy efficiency and fossil fuel substitution, to the exclusion of broader questions concerning the effects of large-scale biofuels development on commodity markets, land use patterns, and the global poor. There is reason to think these effects will be very large. The majority of poor people living in chronic hunger are net consumers of staple food crops; poor households spend a large share of their budget on starchy staples; and as a result, price hikes for staple agricultural commodities have the largest impact on poor consumers. For example, the rapidly growing use of corn for ethanol in the U.S. has recently sent corn prices soaring, boosting farmer incomes domestically but causing riots in the streets of Mexico City over tortilla prices. Preliminary analysis suggests that such price movements, which directly threaten hundreds of millions of households around the world, could be more than a passing phenomenon. Rapid biofuels development is occurring throughout the developed and developing world, transforming commodity markets and increasingly linking food prices to a volatile energy sector. Yet there remains little understanding of how these changes will affect global poverty and food security, and an apprehension on the part of many governments as to whether and how to participate in the biofuels revolution.
Topic:
Agriculture, Development, Economics, Globalization, Government, International Political Economy, International Trade and Finance, and Poverty
Political Geography:
United States and Mexico

527. Information, Incentives and Institutions: Experimenting with Private-Public Partnerships to Link the Poor with Modern Supply Chains

Author:
Jikun Huang, Johan Swinnen, Marcel Fafchamps, Tom Reardon, Bart Minten, and Scott Rozelle
Publication Date:
03-2007
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
To lift more than 10,000 farmers directly out of poverty by developing new Best-Practice Models for linking the poor to modern supply chains and after scaling up by our private and public partners to lift more than 1 million farmers out of poverty.
Topic:
Agriculture, Development, Non-Governmental Organization, and Poverty
Political Geography:
Africa, China, India, Asia, Senegal, and Madagascar

528. Intergenerational Influences of Wealth in Mexico

Author:
Seymour Spilerman and Florencia Torche
Publication Date:
12-2007
Content Type:
Working Paper
Institution:
Institute for Social and Economic Research and Policy at Columbia University
Abstract:
Using the 2006 Mexican Social Mobility Survey, this research evaluates the influence of parental wealth on several outcomes of adult children, including educational attainment, consumption level, asset holdings, home ownership, and value of residence. Two mechanisms of parental influence on economic wellbeing are explored: an indirect effect mediated by parental investment in human capital, and the direct transfer of resources. Three main findings emerge from the analysis. First, parental wealth is a strong determinant of educational attainment, net of the standard indicators of advantage regularly used in stratification research, and the influence of wealth is stronger among the most disadvantaged children (those with low cultural capital, and residing in non-urban areas). Second, the mechanism of parental influence on adult children's economic wellbeing differs depending on the outcome: In the case of consumption level, the influence is largely indirect, mediated by parental investment in offspring's human capital, while the opposite is true for children's asset holdings, where a direct transfer of resources predominates. Third, while access to homeownership is only weakly stratified by parent's and children's resources, the value of the acquired home is significantly affected by parental wealth. These patterns of influence are similar to those found in Chile (Spilerman and Torche 2004, Torche and Spilerman 2006) and they highlight the critical impact of parental wealth in less developed countries.
Topic:
Demographics, Economics, Political Economy, Poverty, and Third World
Political Geography:
Latin America, Mexico, and United Arab Emirates

529. Managing Contradictions: The Inherent Dilemmas of Postwar Statebuilding

Author:
Timothy D. Sisk and Roland Paris
Publication Date:
11-2007
Content Type:
Working Paper
Institution:
International Peace Institute
Abstract:
State building—the construction of legitimate, effective governmental institutions—is a crucial element in any larger effort to create the conditions for a durable peace and human development in countries that are just emerging from war. In recent years, state building has emerged as a central goal of multidimensional United Nations peace operations in war-torn societies, and for good reason. Without functioning and legitimate state institutions, post conflict societies are less likely to escape the dual “traps” of violence and poverty.
Topic:
Political Violence, Development, Peace Studies, Poverty, United Nations, and War

530. Declining Poverty in Latin America? A Critical Analysis of New Estimates by International Institutions

Author:
Ann Helwege and Melissa B.L. Birch
Publication Date:
09-2007
Content Type:
Working Paper
Institution:
Global Development and Environment Institute at Tufts University
Abstract:
Indicators of progress in overcoming poverty in Latin America have been heralded recently by international institutions. Yet a closer look at data from the World Bank and the United Nations reveals contradictions that are not easily resolved by reference to the underlying methodologies. This paper provides an introduction to how poverty is measured, what the data indicate about trends in poverty, and reasons to tread cautiously in interpreting it as evidence of progress or stagnation. While significant progress has been achieved in a few large countries, the poorest countries are still very poor, and some countries have even seen increases in their poverty rates despite economic growth.
Topic:
International Political Economy, Poverty, and United Nations
Political Geography:
Latin America