Miscellaneous Knowledge Notes

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Pakistan Health Financing System Assessment: Providing an Empirical Foundation for National and Sub-National Health Financing Strategy Dialogues - Policy Brief
(Washington, DC: World Bank, 2025-01-13) World Bank
Accelerated progress towards and achievement of universal health coverage (UHC) has become a central goal of the Government of Pakistan’s (GoP) policy agenda in health in recent years. Both at the center and in the provinces, Pakistan’s domestic governments have now consistently reiterated, through the National Health Vision 2016–2025 and other essential agenda setting documents, their joint commitments to making UHC and primary care access a priority across the country. The federal and provincial governments have initiated critical UHC and primary health care (PHC) related interventions. First, Pakistan has become an early adopter of the Disease Control Priority 3 (DCP3) framework and, in collaboration with the DCP3 Secretariat and the World Health Organization (WHO), has begun implementing for the first time a prioritized Essential Package of Health Services (EPHS). Another major program led by the federal government and now adopted by the provincial governments is the social health protection initiative, the Sehat Sahulat Program (SSP). The program, a tax-financed scheme, provides cash-free coverage to inpatient hospital services at empaneled public and private hospitals for eligible low-income populations (households earning less than US2 dollar per day). The EPHS and the public health insurance scheme are two promising developments that together hold the potential to expand health coverage, grow existing health finance resource pools, and improve efficiency of public health expenditures. Each would in turn help achieve broader objectives in a health financing system that has to date produced concerningly lagging health and human development outcomes. However, faced with resource needs significantly higher than current health expenditures, and a particularly turbulent near-term macro-fiscal environment, the GoP’s ability to sustainably fund crucial UHC priorities has become decidedly uncertain.
Thailand Monthly Economic Monitor, 30 July 2024
(Washington, DC: World Bank, 2024-07-31) World Bank
Recent indicators of economic activity point to a gradual recovery, supported by improvement in manufacturing production, goods exports, and tourism. The number of tourist arrivals expanded, nearing pre-pandemic levels. However, private consumption moderated. Growth is projected to accelerate from 1.9 percent in 2023 to 2.4 percent in 2024. The Bank of Thailand has maintained a neutral policy rate and anticipates inflation to return to its target by Q4 2024. The banking sector remained stable with adequate buffers, though vulnerabilities in household debt and small and medium enterprise (SME) non-performing loans (NPLs) persist. The government has approved a flagship Digital Wallet program, expected to boost gross domestic product (GDP) in the short term and rolled out a soft loan program to support SMEs. The Thai baht depreciated due to delays in the Fed’s easing cycle and ongoing concerns about the Thai economy.
Nepal Crisis Preparedness Gap Analysis: Policy Brief
(Washington, DC: World Bank, 2024-03-13) World Bank
Crisis preparedness is cral to preventing shocks from becoming crises. Investments in ex ante preparedness are especially relevant in countries like Nepal that face high levels of exposure and vulnerability to a range of risks. In seeking to identify opportunities to strengthen the Government of Nepal’s (GoN’s) capacity to prepare for crisis events in an effective and timely manner, this Technical Annex presents findings from the application of the Crisis Preparedness Gap Analysis (CPGA) diagnostic in the country. It provides details on findings and entry points across the five componnts of crisis preparedness. For a summary, please refer to the accompanying CPGA Nepal Briefing Note. Following a brief description of the CPGA methodology, the Technical Annex presents a summary of findings from each CPGA component alongside identification of entry points and opportunities to strengthen crisis preparedness in the country. To provide a holistic assessment of preparedness, the CPGA focuses on five core components of crisis preparedness. These are (i) Legal and Institutional Foundations, (ii) Understanding and Monitoring Risks, (iii) Financial Preparedness, (iv) Primary Response, and (v) Social and Livelihood Support.
Thailand Monthly Economic Monitor, February 2024
(Washington, DC: World Bank, 2024-03-11) World Bank
Thailand's economic recovery lagged further behind ASEAN peers as growth was a disappointing 1.7 percent in the fourth quarter and resulted in slower annual growth of 1.9 percent in 2023. Growth was hampered by weak external sector and delayed budget approval. In December, economic activity softened due to weak manufacturing, investment, and goods export. Inflation remained negative for the third consecutive month due to falling energy and food prices as well as energy subsidies. In this context, the Bank of Thailand held its policy rate. The fiscal deficit decreased due to the delayed budget approval. In January, the Thai baht remained stable against major trading partners, despite significant net foreign portfolio outflows.
Philippines Monthly Economic Developments, January 2024
(Washington, DC: World Bank, 2024-02-13) World Bank
The economy expanded by 5.6 percent year-on-year in Q4 2023 as robust private consumption continued to fuel growth, while the recovery of tourism buoyed the expansion of services. The cumulative fiscal deficit declined in November 2023, while low external demand dampened goods exports, which weighed on manufacturing output growth. The unemployment rate fell to a 15-year low in November, supported by strong domestic demand during the holidays, yet job quality remains a concern.
Thailand Monthly Economic Monitor, July 2023
(Washington, DC: World Bank, 2023-07-24) World Bank
The economy maintained moderate expansion, driven by private consumption and tourism. Declining inflation alleviated pressure on living costs and supported private consumption. However, goods exports as well as manufacturing production and investment contracted due to weak external demand. Public debt remained stable;a decrease in budget deficit financing was offset by increased borrowing to support the State Oil Fund. In June, the Thai baht depreciated compared to major ASEAN currencies, primarily due to an all-year high current account deficit.
COVID-19 in South Asia: An Unequal Shock, An Uncertain Recovery - Findings on Labor Market Impacts from Round 1 of the SAR COVID Phone Monitoring Surveys
(Washington, DC, 2022-04) World Bank
All countries across South Asia, faced with the rising risks of COVID-19 infection rates, implemented severe economic lockdowns in early 2020 with varying frequencies and time periods. While the exact nature and duration of these lockdowns varied across countries in the South Asia Region (SAR), almost all SAR countries imposed their first economic lockdown in late March 2020 in response to the growing health threat of COVID-19 infections. In India, for instance, the national lockdown was first introduced in late March 2020, which coincided with the imposition of similar lockdowns in Bangladesh, Nepal, and Sri Lanka, followed by a national lockdown in Pakistan on April 1, 2020. By April 17, 2020, the population of all SAR countries was under severe lockdown with varying rules and conditions based on national or local directives. The introduction of these lockdowns led to a drastic, abrupt disruption in all forms of physical mobility and economic activities. Trends from the Google COVID-19 Community Mobility data reveal this sharp drop in day-to-day mobility related to four different types of economic activity across 6 out of 8 SAR countries for which this data was available. Figure 1 plots the daily change in the Google Mobility index, which is constructed by taking an equally weighted mean across the four dimensions of economic activity for the five weeks before March 2020. In the six SAR countries, the average mobility remained approximately, on average, 58 percent below their respective pre-COVID levels during the first week of the lockdown. For example, in Nepal, where the lockdown was first introduced on March 24, 2020, mobility (as measured by the Google Mobility index) was 66 percent below pre-COVID levels on the first day of the lockdown; and it remained, on average, 71.5 percent below per-COVID levels between March 24, 2020, and March 30, 2020. We observe a similar pattern of immediate and large disruptions in mobility in all SAR countries, except in Afghanistan (22.5 percent below pre-COVID levels), where restrictions were more localized. The Google Mobility index closely follows these changes in rules and conditions in SAR countries, which varied over time within each country as well as across countries. In countries like Nepal, India, and Sri Lanka, with an extended period of restrictions imposed through national or local directives at different points in time, mobility had not returned to pre-COVID levels even as late as April 2021. In Nepal and Sri Lanka, where the second lockdown was introduced in August and November 2020, respectively, we observe a sharp drop again in mobility after a gradual recovery following the easing of the first lockdown. In other SAR countries like Afghanistan, Bangladesh, and Pakistan, mobility only returned to pre-COVID levels between September and October 2020. These results underscore the dramatic and prolonged impact that COVID-19 induced lockdowns have had on mobility and economic activity, which is perhaps unprecedented in the region, at least in recent history4. These lockdowns are likely to have important implications on various socio-economic dimensions of welfare, including labor market outcomes, both immediately and in the medium, to long-term. More importantly, the long-term impacts will also be determined by the nature and the pace of recovery observed in these countries in the months and years after the initial phase of lockdown. Moreover, the emergence of new mutants leaves open the possibility of future lockdowns as a policy response to mitigate the health effects of the virus, which could impact economic activity and reverse observed recoveries.
Nepal - Impacts of COVID-19 on Work and Wages in 2020: Policy Brief
(Washington, DC: World Bank, 2021-11-01) World Bank
This brief describes the results of the labor market module, which tracks changes in employment status, job type, and labor earnings. Job- and earnings-related outcomes are tracked in three periods: (a) in January 2020; (b) at the time of the first lockdowns (March–April 2020), through a series of retrospective questions; and (c) in the previous seven days, through standard questions about current work status. This retrospective panel design allows for the assessment of changes in labor market outcomes for economically active people in 2020. A complimentary brief examines the impacts of income shocks on the ability to meet basic needs and the coping strategies available to households.
Nepal - Assistance and Coping Strategies in 2020 During COVID-19: Policy Brief
(Washington, DC: World Bank, 2021-11-01) World Bank
The data used in this brief come from the first round of the World Bank’s South Asia COVID-19 Phone Monitoring Survey, which surveyed individuals in the eight South Asia Region (SAR) countries. The survey assessed the short-run impacts of COVID-19 on the labor market, the impacts of income shocks on the ability to meet basic needs, and the coping strategies available to households. This brief summarizes the findings from the safety net and coping mechanisms module. A complementary brief details the labor market impacts of the COVID-19 crisis in Nepal.
What Do We Know About Interventions to Increase Women’s Economic Participation and Empowerment in South Asia?
(World Bank, Washington, DC, 2021-06) World Bank
The World Bank’s South Asia Region Gender Innovation Lab is conducting a systematic review and meta-analysis of interventions with direct or indirect effects on measures of women’s economic empowerment. The review focuses on changes in labor force participation, employment, income, and empowerment outcomes. The goal is to document what has worked and has not for women in the region (covering all countries; Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka), the types of interventions implemented, and identifiable gaps in knowledge and action. The review organizes interventions in six broad categories: skills, assets, credit, labor market, entrepreneurship, and empowerment. This note summarizes the main findings from skill-building interventions.