Africa Region Findings & Good Practice Infobriefs

415 items available

Permanent URI for this collection

http://hdl.handle.net/10986/9389

These briefs report on ongoing operational, economic, and sector work carried out by the World Bank and its member governments in the Africa Region.

Items in this collection

Now showing 1 - 10 of 35

Health Expenditures, Services and Outcomes in Africa

(World Bank, Washington, DC, 2010-04) Peters, David H. ; Kandola, Kami ; Elemendorf, A. Edward ; Chellaraj, Gnanaraj

In the past thirty years, Sub-Saharan African countries have made remarkable improvements in health conditions and status. However, they still suffer from some of the worst health problems in the world, and AIDS is making conditions much worse than they will be otherwise. This study, health expenditures, services, and outcomes in Africa considers 48 countries of Sub-Saharan Africa and outlines broad patterns of health spending, service delivery, mortality, fertility and nutrition in the early to mid-1990s. The study focuses on how to better monitor progress and use information to identify problems and improve health outcomes within and among different African countries. Good information about inputs, processes and results in the health sector is vital for policymakers to make intelligent choices about health strategies and investments, and often is simply not available. For purposes of the study, countries were classified as lowest-income, low-income and middle-income categories. Over three quarters of the African countries are low income or even lowest income countries, and nearly all have weak health management systems.
Multi-Dimensional Results Measurement in CDD Projects : Experiences from the Malawi, Tanzania, and Uganda Social Action Funds

(World Bank, Washington, DC, 2007-12) Pidatala, Krishna ; Lenneiye, Nginya Mungai

In the last decade, Malawi, Tanzania, and Uganda have used the Community-Driven Development (CDD) approach to implement projects that exhibit multi-sectoral linkages, complex institutional structures and implementation processes, creative tension between the supply and demand sides, and convergence at the Local Government Authority (LGA) level in environments compounded by the pace of decentralization. The projects have broadened the issue of results focus from the measurement of a few input-output indicators to include intermediate outcomes (which measure beneficiaries potentially reached by outputs produced by the projects). In the process, these projects have been able to scale up from 'isolated boutique-type projects' to a mass production of outputs through participatory decision-making, local capacity development, and community control of resources. At the national level, the projects have contributed to: (a) poverty reduction, (b) improved social welfare, and (c) improved transparency and accountability.
Learning from the Extreme Poor : Participatory Approaches to Fostering Child Health in Madagascar

(World Bank, Washington, DC, 2007-08) Blanchard, Caroline ; Godinot, Xavier ; Laureau, Chantal ; Wodon, Quentin

Definitions of poverty in developing countries used by most development organizations focus on household income or consumption that falls below a given threshold, such as one dollar per capita per day, and on other quantified indicators. While such definitions have the merit of providing a standard by which to measure progress, the very poor use quite different terms and ideas to communicate what extreme poverty means to them. This paper discusses learning from the extreme poor in the form of participatory approaches to fostering child health in Madagascar.
Malawi - Public Works Programme : Conditional Cash Transfers as an Emergency Response to a National Food Shortage

(World Bank, Washington, DC, 2006-05) Kalanda, Boniface ; Mandala, Charles ; Magwira, Joseph

This paper reports that in the 2004-2005 growing season, Malawi experienced a drought which affected farm produce and subsequently led to country-wide food shortages. Due to the food shortage, the Malawi Government implemented a Public Works Programme -- Conditional Cash Transfers (PWP-CCT) to transfer cash income to vulnerable households to enable them buy food and agricultural inputs for the 2005-2006 growing season. The paper explains the 2004-2005 drought, implementation of the PWP-CCT, and the issues and lessons learnt.
Senegal - Successful Innovation in the Water Sector

(World Bank, Washington, DC, 2005-07) Mohan, P.C.

The water sector project's overall development objectives were to address: (a) sustainability, by improving the management, pricing and cost recovery and reducing government subsidies for industrial, domestic and irrigation water; (b) poverty alleviation and health, by increasing access to safe potable water and adequate and more affordable sanitation for the urban poor; and (c) private sector participation, by engaging a private company to manage urban water supply. Implemented over the period 1996-2004, with a credit of US$100 million, the project design and implementation were regarded as highly satisfactory. Donors such as Agence Francaise de Developpement, the European Union and the Banque Ouest Africaine de Developpement (the West African Development Bank) actively participated in the design of the project.
Migrant Labor Remittances in Africa : Reducing Obstacles to Developmental Contributions

(World Bank, Washington, DC, 2005-02) Sander, Cersten ; Mainbo, Samuel Munzele

Migrants have received heightened international recognition from the development community in recent times. New World Bank estimates on the volume of remittances show that documented remittance flows continue to increase at a rapid rate, putting global annual flows at US$88 billion for 2002 (revised up from earlier estimates of US$80 billion reported in the 2003 World Bank Global Development Report) and projecting $90 billion for 2003, based on trends in the first half of the year. Actual figures are generally accepted to be much higher. This means that remittance flows constitute the largest source of financial flows to developing countries after Foreign Direct Investment (FDI), and indeed in many countries exceed FDI flows.
Kenya - The Arid Lands Resource Management Project

(World Bank, Washington, DC, 2005-02) Mohan, P.C.

The project ( 1996-2001 - US$22 million credit ) was uniquely designed as a risk management instrument - it conceived the establishment of a viable, government-run system of drought management, through early warning systems, contingency plans, mitigation and quick response. The design also devolved responsibility to the district and community level, encouraging civil servants and other district development actors to empower local communities in the design and implementation of development projects. The project built on the experience of others before it such as the Netherlands-supported Drought Management Project ( DMP ) and subsequently, the Drought Preparedness, Intervention and Recovery Project ( DPIRP ). The IDA-financed Emergency Drought Recovery Project (EDRP ) also provided useful insights.
Estimating Financing Needs for Local Services in Madagascar

(World Bank, Washington, DC, 2004-06) Febgler, Wolfgang

This note presents the methodology and findings of a field study on the financing needs of Madagascar's communes-the country's lowest but most institutionally advanced level of subnational government. Following a first round of municipal elections in 1995, more than 1,500 communes are now formally responsible for maintaining basic administrative services and social and economic infrastructure, including local waste disposal and sanitation. In addition, communes are responsible for identifying and coordinating local investments and for supporting implementation of the national Poverty Reduction Strategy at the local level.
Mali : Exporting Mangoes to Europe

(World Bank, Washington, DC, 2003-10) Morgane, Danielou

European consumers were more likely, until recently, to eat Indian, Israeli or Brazilian mangoes rather than Malian ones. However, since 2001, sea-freighted Malian mangoes produced in the south of the country by small-scale farmers have been successfully exported and retailed in Northern Europe. This achievement was quite significant given the prior failure of similar projects and the overall difficulty in finding investors for the export of perishables from landlocked countries with poor transport connections, like Mali. The export of Malian products is controlled by Ivorian exporters with few returns to the producers on the other side of the border. Despite the high quality of its fresh fruit and vegetables, the high cost of airfreight was impeding the expansion of production and export. By establishing a multi-modal shipment system and improving every step of the supply chain, the mango export pilot project proved the feasibility and profitability of such innovation.
Mitigating the Food Crisis in Southern Africa : From Relief to Development

(World Bank, Washington, DC, 2003-03) Babu, Suresh

More than 10 million people in southern Africa-Lesotho, Malawi, Mozambique, Swazilan, Zambia, and Zimbabwe-are currently threatened with famine, with the crisis being particularly severe in Malawi, Zambia and Zimbabwe. The immediate causes of the food shortage, namely of maize, the region's staple crop, are drought, flooding, and low levels of planting. However, what has made these countries so vulnerable to famine is chronic poverty, inadequate development policies and, in some cases, poor governance. Shocks such as drought bring collapse only to systems that are already weakened by these factors. The key to preventing food shortages and possibly famine, therefore, is effective and appropriate food security policies and responsible governance. Policies for mitigating the effects of a critical food shortage or famine lie on a spectrum ranging from immediate relief to recovery to initiating development. Preventing future famines requires long-term development policies. In addressing the crisis, policymakers should design measures that not only provide relief, but which also lay the foundations for development. Interventions must be combined and sequenced with each other, depending on a country's context, to generate the greatest possible short- and long-term benefits. Described here are policy approaches, that IFPRI research in Africa has shown to be effective in mitigating severe food shortage and enabling development.