Miscellaneous Knowledge Notes
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Publication
The Enabling Environment for Menstrual Health and Hygiene: Case Study - Kenya
(Washington, DC, 2022-08) World BankMenstrual health and hygiene (MHH) is essential to the well-being and empowerment of women and adolescent girls. Attaining adequate MHH requires access to at least three intersecting elements: (i) access to female-friendly facilities; (ii) access to information and knowledge on sexual reproductive health; and (iii) access to quality and affordable menstrual products. Each of these three elements is in turn influenced by an enabling environment that influences product availability and pricing, discriminatory practices on social stigmas, or the standards on design of public sanitary facilities. Kenya stands out with its comprehensive policies and regulations related to menstrual health and hygiene, including being one of the first countries to have introduced tax reforms on menstrual hygiene products in an effort to make such products more affordable. Despite momentum at the national policy level, women and girls in Kenya continue to face significant challenges in adequately and safely managing their menstrual health and hygiene. The experience and lessons learned in Kenya can therefore benefit other countries at earlier reform stages -
Publication
Monitoring COVID-19 Impacts on Households in Sudan: Results from a Panel Household High-Frequency Phone Survey
(World Bank, Washington, DC, 2022-06) Osman, Eiman ; Rahasimbelonirina, Ando ; Etang, AlvinThis brief focuses on the household survey component of the High-Frequency Phone Survey of Households (HFS). The sampling methodology adopted for the implementation of the household survey is probabilistic, and the sampling frame is provided by a compilation of a list of phone numbers collected during the implementation of various projects/surveys during the last few years at the household level across the country. The sample is representative of the 18 states of Sudan. This brief summarizes the main results of the core questions in the completed six rounds of the Sudan HFS of the same households (i.e., a panel survey). Results of the firm survey will be reported in a separate report. -
Publication
Socioeconomic Impacts of COVID-19 on Households in Somalia: Results from Round 1 of the Somali High-Frequency Phone Survey
(World Bank, Washington, DC, 2021-10-01) Karamba, Wendy ; Salcher, IsabelleThe coronavirus disease 2019 (COVID-19) pandemic and its effects on households create an urgent need for timely data and evidence to help monitor and mitigate the social and economic impacts of the crisis on the Somali people, especially the poor and most vulnerable. To monitor the socioeconomic impacts of the COVID-19 pandemic and inform policy responses and interventions, the World Bank designed and conducted a nationally representative Somali High-Frequency Phone Survey (SHFPS) of households. The survey covers important and relevant topics, including knowledge of COVID-19 and adoption of preventative behavior, economic activity and income sources, access to basic goods and services, exposure to shocks and coping mechanisms, and access to social assistance. This brief summarizes the findings of the first round of the SHFPS, implemented between June and July 2020. The information presented here is based on a sample of 2,811 households across all regions of Somalia, drawn using a random digit dialing protocol. Sampling weights are computed to ensure representativeness at the national and state level, and by population type. The same households will be tracked over 12 months, with selected respondents—typically the household head—completing interviews every 8-12 weeks. Monitoring the well-being of households over time will improve understanding of the effects of, and household responses to the COVID-19 pandemic in near-real time. -
Publication
COVID-19 Impact Monitoring: Malawi, Round 11
(World Bank, Washington, DC, 2021-07) World BankThe COVID-19 pandemic has socio-economic impacts on Malawians and there is need for timely data to monitor these impacts and support response efforts to the pandemic. In May 2020, the National Statistical Office (NSO), with support from the World Bank, launched the High Frequency Phone Survey on COVID-19; a monthly survey of a nationally representative sample of households previously interviewed as part of the Malawi Integrated Household Panel Survey to monitor the economic impact of the pandemic and other shocks. This brief presents the findings from the tenth and eleventh rounds of the Malawi High-Frequency Phone Sur-vey on COVID-19 (HFPS COVID-19) conducted between the 29th of April and the 9th of June 2021. -
Publication
Socioeconomic Impacts of COVID-19 in Kenya
(World Bank, Washington, DC, 2021-06) Pape, Utz Johann ; Delius, Antonia ; Khandelwal, Ritika ; Gupta, RheaThe Coronavirus disease 2019 (COVID-19) pandemic has had a strong impact on the livelihoods of Kenyan households, even though employment and income levels are recovering. The second lockdown resulted in another surge in food insecurity. While access to education worsened again due to renewed school closures, health services remained widely accessible to the population. Kenyans are well informed about the preventive measures to avoid COVID-19 infections, and compliance with hygiene measures against the virus increased again during the second lockdown. The majority of Kenyans will be willing to take a COVID-19 vaccine, but many are concerned about potential side effects. One-half of the Kenyan population is anxious due to the fear of contracting COVID-19 and potential employment losses. This brief summarizes the key results of the Kenya COVID-19 rapid response phone survey (RRPS) tracking the socioeconomic impacts of the crisis from May 2020 to June 2021. -
Publication
Are Communities Receiving Appropriate Care?: A Study on the Community Health Worker Program in Mozambique
(World Bank, Washington, DC, 2021-06) World BankCommunity involvement in promoting and providing health services is one of the principles underpinning the Mozambique Health sector strategic plan (2014–2024) and the investment case. Community-based health services in Mozambique are primarily provided through the community health workers or Agentes Polivalentes Elementares (APEs). Existing since 1974, the Ministry of Health (MOH) revitalized its APE program in 2010 after setbacks encountered during the civil war (1976–1992). The revitalized program, led by the Department of Health Promotion under the National Directorate of Public Health, seeks to increase the coverage and the quality of services provided, aiming to train and deploy additional APEs across the country, with a primary role in health promotion and disease prevention and a secondary role in curative services. This study seeks to assess the quality of care (QoC) provided by APEs to inform policymaking for the APE program from an evidence-based perspective. -
Publication
Health Expenditures in Mozambique, 2014-2018
(World Bank, Washington, DC, 2021-06) World BankThis brief explores trends in health expenditure and resource allocation in Mozambique between 2014 and 2018. It establishes a baseline for future assessments, with the objective of ensuring that resources continue to shift in alignment with the priorities laid out in the 2017 investment case for reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH-N). This analysis can be carried out annually using the data produced by routine information and management systems. -
Publication
Barriers to Accessing Medical Care in Sub-Saharan Africa in Early Stages of COVID-19 Pandemic
(World Bank, Washington, DC, 2021-03) Swindle, Rachel ; Newhouse, DavidEighty-two percent of respondents in a sample of Sub-Saharan African (SSA) countries were able to access medical care despite the COVID-19 pandemic. Of the remaining 18 percent, about one-third reported that the COVID-19 pandemic impaired their access, either due to lockdown restrictions, facility closures, or fear of contracting the virus. 'Lack of money' was by far the most frequently reported barrier to accessing care across countries, especially for food-insecure households, two-thirds of which cited 'lack of money' as the main healthcare access constraint. Continued monitoring can help shed light on who is most at risk of not being able to access healthcare during crises. This note makes use of newly harmonized data to summarize reasons why respondents in 11 SSA countries were unable to access medical care during early COVID-19 stages. -
Publication
Harnessing Momentum: Priority Areas of Intervention to Further Strengthen Malawi’s Health Sector
(World Bank, Washington, DC, 2020-11) World BankMalawians are healthier and live longer than they ever have. Achieving universal health coverage in a sustainable and equitable way is the main goal of Malawi’s health sector reform plan, and an essential health package (EHP) free at the point of use is the government’s primary tool to achieve this. Malnutrition also remains an ongoing challenge. Malawi’s Second Health Sector Strategic Plan (HSSP) for 2017-2022, identifies a set of interventions necessary to further improve health outcomes, and to ensure the delivery of quality, equitable, affordable and patient-centred health care services. Malawi’s 2018-2019 Harmonised Health Facility Assessment (HHFA), conducted by the government of Malawi with support from international health and development agencies, provides a comprehensive including government, faith-based, CHAM (Christian Health Association of Malawi) and private for-profit facilities between November 2018 and March 2019. This policy brief draws from this assessment, as well other research, identifying the most important policy interventions needed to achieve key health targets over the coming years. -
Publication
The Labor Market Impacts of COVID-19 in Four African Countries (April to October 2020): Evidence from LSMS-Supported High‑Frequency Phone Surveys on COVID-19
(World Bank, Washington, DC, 2020-10) Contreras-Gonzalez, Ivette ; Siwatu, Gbemisola Oseni ; Palacios-Lopez, Amparo ; Pieters, Janneke ; Weber, MichaelAs part of a global effort led by the World Bank to track the socio-economic impacts of Coronavirus disease 2019 (COVID-19), the living standards measurement study (LSMS) team supports high-frequency phone surveys in Ethiopia, Malawi, Nigeria, and Uganda (among other countries). This brief focuses on the early impacts of COVID-19 on the labor market and their evolution from April to October 2020 using phone surveys in four African countries.