Other Public Sector Study

335 items available

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Ethiopia: Modelling the Impact of Tobacco Tax Policy Reforms on Tobacco Use and Domestic Resources Mobilization Under Different Scenarios
(World Bank, Washington, DC, 2018-01-23) World Bank Group
As part of the ongoing tax policy dialogue with the Government of Ethiopia, the World BankGroup organized a workshop in Addis Ababa, on June 20, 2016, to discuss tobacco use, its healthimpact, and excise taxes on tobacco as a public policy measure to reduce tobacco use, and hencethe risk of ill health, premature mortality, and disability due to tobacco-related diseases, andmobilize additional domestic resources to expand the fiscal capacity of the government, inaccordance with the Financing for Development Addis Ababa Action Agenda. This event wasattended by officials from the Ministry of Health (MOH) and Ministry of Finance & EconomicCooperation (MoFEC). Ethiopia's Health Sector Transformation Plan 2015-2020 lists noncommunicable diseases (NCDs) as one of the major public health challenges facing the country. As in the rest of sub-Saharan Africa, NCDs are expected to become the leading cause of ill health and death by 2030, influenced by rapid urbanization, rapid per capita economic growth, increase in behavioral risk factors (most NCDs are the result of tobacco use, physical inactivity, unhealthy diet, and/or the harmful use of alcohol), and improvements in the control of infectious diseases that increase life expectancy. As NCDs have become a major health burden in the country, the Government has put in place ambitious targets to reduce the prevalence of the main health risk factors associated with the onset of NCDs among the population. The strategy focuses on increasing prevention and control of the main risk factors: tobacco use and alcohol abuse, physical inactivity and unhealthy diet, which contribute to about 80 percent of NCDs.
Integrating Social Accountability in Healthcare Delivery: Lessons Drawn from Kenya
(World Bank Group, Washington, DC, 2015-02) Wangũi Machira, Yvonne
The Constitution of Kenya provides that most functions of the state are decentralized in a devolution process. The devolved health system is four tiered: community health services, primary care services, county referral services, and national referral services. However, even though roles and responsibilities are elaborately outlined, in practice the transition from national to county governments has been marred by inconsistency, poor understanding of the system, management challenges, and lack of coordination between the national and county governments. This policy note provides observations from a pilot that tested integration of social accountability mechanisms in healthcare delivery in Kenya between 2011 and 2013.
Land Governance in South Sudan : Policies for Peace and Development
(Washington, DC, 2014-05) World Bank
South Sudan is a new country of 10.5 million people that has just emerged from conflict and still facing challenges with recovery and development. Although economic disparities, political exclusion and deprivation in the distribution of political and economic power between the northern and southern parts of then united Sudan were often tendered as the proximal causes of the conflict, at the center of the prolonged civil war was the struggle for ownership, control and use of land resources. The tool underpinning this report is the Land Governance Assessment Framework (LGAF), a diagnostic instrument for rapid evaluation of various aspects of land governance. LGAF was developed through a collaborative effort between the World Bank, Food and Agriculture Organization (FAO), UN Habitat, International Fund for Agriculture Development (IFAD), the International Food Policy Research Institute (IFPRI) and the African Union (AU).
Political Economy of Extractives Governance in Sierra Leone
(World Bank, Washington, DC, 2013-07) Fanthorpe, Richard; Gabelle, Christopher
Sierra Leone is still recovering from a brutal civil war (1991-2002), fuelled in part by a valuable and easily extractable natural resource (diamonds). Sierra Leone now stands on the verge of an unprecedented period of economic growth, driven primarily by revenues from large-scale iron ore mining. Yet it continues to face many governance and developmental challenges. The rapid rise of the extractives governance agenda in Sierra Leone requires an equally swift, yet strategic response from all stakeholders: the Government of Sierra Leone (GoSL), development partners (DPs), civil society organizations (CSOs), communities, and mining companies. This report uses a 'value chain' approach to mining governance which highlights the critical stages through which a resource dependent country is expected to progress as it seeks to transform resource rents into economic growth and sustainable human development. The objective of this study is ultimately to improve the management of the natural resource endowment, enjoyed by Sierra Leone, in a manner that will allow the revenues generated from natural resource extraction to contribute in an optimal manner towards sustainable economic growth. Specifically, the study focuses on mining (iron ore, diamonds, and other minerals) and to a much lesser extent, oil and gas. By using the 'theories of change' approach to political economy analysis, the report looks at the historical challenges around extractive governance, identifies systemic features, and characteristics of 'the problem', extrapolates and analyses the incentives shaping the activities and behaviors of key stakeholders, and then lays out a possible platform for engagement based on clearly identified entry points. This report is organized as follows: chapter one is introduction, chapter two presents a summary of previous analytical work on the political economy of Sierra Leone with special reference to the extractives sector, its governance past, and possible governance futures. Chapter three undertakes an in-depth analysis of the extractives value chain in Sierra Leone and chapter four identifies key stakeholders across this value chain, noting their influence on extractives management policy and implementation, their potential relationships with other stakeholders, and influence over policy outcomes. Chapter five identifies and highlights suitable entry points for policy dialogue on extractives-led governance in Sierra Leone and possible project and technical assistance interventions across the value chain.
Service Delivery Indicators : Senegal
(Washington, DC, 2012-04) World Bank
The indicators, which were piloted in Senegal, provide a set of metrics to benchmark the performance of schools and health clinics in Africa. The indicators can be used to track progress within and across countries over time, and aim to enhance active monitoring of service delivery to increase public accountability and good governance. The service delivery indicators project takes as its starting point the literature on how to boost education and health outcomes in developing countries. This literature shows robust evidence that the type of individuals attracted to specific tasks at different levels of the service delivery hierarchy, as well as the set of incentives they face to actually exert effort, are positively and significantly related to education and health outcomes. To evaluate the feasibility of the indicators, pilot surveys in primary education and health care were implemented in Senegal in 2010. The results from the pilot studies demonstrate that the indicators methodology is capable of providing the necessary information to construct harmonized indicators on the quality of service delivery, as experienced by the citizen, using a single set of instruments at a single point of collection. This paper is structured as follows: section one gives introduction. Section two outlines the analytical underpinnings of the indicators and how they are categorized. Section three presents the methodology of the pilot surveys in Senegal. The results from the pilot are presented and analyzed in section four. Section five presents results on education outcomes, as evidenced by student test scores. Section six discusses the advantages and disadvantages of collapsing the indicators into one score or index, and provides a method for doing so in case such an index is deemed appropriate. Section seven discusses lessons learned, trade-offs, and options for scaling up the project.
Service Delivery Indicators : Tanzania
(Washington, DC, 2012-04) World Bank
The indicators, which were piloted in Tanzania, provide a set of metrics to benchmark the performance of schools and health clinics in Africa. The indicators can be used to track progress within and across countries over time, and aim to enhance active monitoring of service delivery to increase public accountability and good governance. The service delivery indicators project takes as its starting point the literature on how to boost education and health outcomes in developing countries. This literature shows robust evidence that the type of individuals attracted to specific tasks at different levels of the service delivery hierarchy, as well as the set of incentives they face to actually exert effort, are positively and significantly related to education and health outcomes. To evaluate the feasibility of the indicators, pilot surveys in primary education and health care were implemented in Tanzania in 2010. The results from the pilot studies demonstrate that the indicators methodology is capable of providing the necessary information to construct harmonized indicators on the quality of service delivery, as experienced by the citizen, using a single set of instruments at a single point of collection. This paper is structured as follows: section one gives introduction. Section two outlines the analytical underpinnings of the indicators and how they are categorized. Section three presents the methodology of the pilot surveys in Tanzania. The results from the pilot are presented and analyzed in section four. Section five presents results on education outcomes, as evidenced by student test scores. Section six discusses the advantages and disadvantages of collapsing the indicators into one score or index, and provides a method for doing so in case such an index is deemed appropriate. Section seven discusses lessons learned, trade-offs, and options for scaling up the project.
Accountability in Public Services in South Africa
(World Bank, Washington, DC, 2011-03) World Bank
This report discusses selected issues regarding accountability in public services. The introduction discusses the accountability framework that will be used for the report. Chapter 1 assesses South Africa's progress on service access and quality, and summarizes recent policy initiatives. Chapters 2, 3, and 4 describe the international and South African experience with mechanisms that seek to improve accountability - public sector reform, citizen report cards, and others - and posits hypotheses to be explored in the following chapters. Chapter 5 applies the World Bank's accountability framework to a participatory assessment of services in six municipalities in South Africa. Chapters 6 and 7 apply the framework to the education and water and sanitation sectors. Chapter 8 explains why community-driven development does not factor in any main South African development programs. Chapter 9 explains the continuing learning practices pioneered in the manufacturing sector and addresses how these practices might be used by the South African government to effect change. Chapter 10 summarizes the conclusions, translates these into main hypotheses to be tested in future work, and formulates a number of policy recommendations for public debate.
Darfur - Dimensions of Challenge for Development : Background Volume
(Washington, DC, 2007-06-29) World Bank
This background volume is not about the recent conflict, nor the humanitarian situation in Darfur today. Rather, it adopts a longer term perspective in an attempt to understand the range of underlying structural obstacles to growth and prosperity in the region. The World Bank, in collaboration with a range of stakeholders, has investigated the nature and extent of the underlying structural obstacles to the region's development. This background volume presents the results of the work of several teams, drawing on primary and secondary sources and field work undertaken in the latter half of 2006. The aim is to help re-establish a knowledge base across multiple dimensions, to inform future development planning oriented toward broad-based growth and attainment of the millennium development goals. The report provides a diagnosis of existing constraints: the basic thesis is that redressing marginalization is central to effectively overcome the challenges to peace and prosperity in the region, and thus in the Sudan overall. The immense challenges facing Darfur reflect not only the immediate conflict, but a series of major structural factors that can be traced back over decades. Of foremast importance is the failure of national policies and development projects to promote broad-based development and good governance. Geographic and demographic factors, in particular increasing desertification, periodic droughts and rapid population growth - have exemplified the, challenges, but the underlying failure of institutions to function in ways that are accountable to the people, and conducive to pro-poor development, plays a critical explanatory role.
State and Local Governance in Nigeria
(Washington, DC, 2002-07-23) World Bank
The purpose of this study is to increase knowledge about state capacity in Nigeria by taking stock of governance issues, including public financial management and civil services, and analyzing them in representative states across the regions, as states assume an expanded role in delivering services to their populations under the 1999 constitution. Specifically, the study lays the groundwork for preparing a program of assistance to state governments, should the Federal Government seek financing from the Bank. Before capacity can be strengthened, the context for capacity building must be understood and the constraints analyzed. Thus the study focuses both on the evolving story of federalism in Nigeria, as well as the challenges states face in managing their finances and delivering services in the aftermath of misrule and decay under the military. Six states were selected for review: Bauchi, Nasarawa, Rivers, Anambra, Ogun and Sokoto--one from each of the geo-political zones of Nigeria. These are some of the principal findings: There is a great deal of variation across states in their capacity for governance. A new generation of state governors is emerging, albeit still a minority. Some are beginning to address public sector reform, through civil service modernization and right sizing, and strengthening financial management. These last are suggested areas for support, but they must be calibrated with the commitment to state reform, and not provided as an entitlement.