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Publication
Case Study on the Role of Primary Health Care in the SARS COV-2 Pandemic in Colombia: Initial Phase - Period of 11th of March to May 31st, 2020
(World Bank, Washington, DC, 2020-12)The reforms of the Colombian Health System in the last decade have sought to position primary health care (PHC) as an essential strategy to guarantee integrated and comprehensive care of the population’s health needs. The Primary Health Care approach includes three integrated, interdependent components: health services, intersectoriality, and social participation in terms of empowering individuals, families and communities to take charge of their own health. Within this conceptual framework, Colombia has tackled the SARS CoV-2 (COVID-19) pandemic formally announcedby the World Health Organization (WHO) on March 11, 2020. This report examines the role of PHC in Colombia›s preparation for, response to, and recovery from the pandemic. The main features of the pandemic affecting the country are described first, followed by observations stemming from analysis of the regulatory component, the healthcare services delivered, and the role of public health communication and surveillance. The report ends with conclusions on the analysis. -
Publication
Primary Health Care Vital Signs Profile Assessment for Colombia
(World Bank, Washington, DC, 2020-12)Since the first case of COVID-19 was confirmed, on March 6, 2020, the Primary Health Care (PHC) system in Colombia has been on trial, displayinga variability in governance capacity across the national territory. The response of the Colombian health system to COVID-19 and the role that PHChas played highlight several of its strengths and weaknesses. Barriers to access to health services related to distance and cost perceived by the Colombian population have steadily decreased since 2010, while barriers corresponding to perceived quality of services have remained relativelyconstant. Although barriers have been reduced and the availability of services has increased in the Health Service Delivery Institutions (HSDI) of the country, aspects related to the quality of care they provide continue to show weaknesses such as in the continuity of care, adherence of providers to clinical guidelines and aspects of patient safety. In the system, inequities of access, quality and coverage of PHC services persist throughout the national territory. To achieve a high-performing PHC system, this report proposes a series of recommendations, including: (a) Implement a new model of care focused on PHC, which offers a comprehensive package of services and reflects the health needs of the population; (b) Prepare the next generation of technicians and health professionals in PHC to work in multidisciplinary teams, and (c) Use PHC as a strategy to reduce inequities in health. -
Publication
Colombia Policy Notes
(World Bank, Washington, DC, 2018-12-11)It is critical for the new administration to boost the reform momentum, focusing on implementation and results. The new government will face the challenge of unifying a polarized society and meeting the population’s expectations and aspirations of peace, security, prosperity and reduced inequality. The policy notes presented here focus to a large extent on ways in which this implementation can be improved, putting forward specific recommendations to advance towards the main objective. -
Publication
Migration from Venezuela to Colombia: Short- and Medium-Term Impact and Response Strategy
(World Bank, Colombia, 2018-11-02)El presente análisis tiene como objetivo principal determinar los impactos sociales, sectoriales y económicos que la migración sostenida de personas desde Venezuela está teniendo en Colombia, particularmente en los principales municipios receptores. Esta migración sin precedentes está teniendo impactos significativos en las áreas receptoras, particularmente pronunciados por las difíciles condiciones socioeconómicas de los migrantes. Como consecuencia, la migración está poniendo presiones significativas en las instituciones, los sistemas de provisión de servicios, el mercado laboral y las dinámicas sociales de las áreas receptoras. En este contexto, el reporte ofrece opciones de política y programáticas para su adecuado manejo, basadas en buenas prácticas internacionales. -
Publication
Afro-descendants in Latin America: Toward a Framework of Inclusion
(World Bank, Washington, DC, 2018-08-28)About one in four Latin Americans self-identify as Afro-descendants today. They comprise a highly heterogeneous population and are unevenly distributed across the region, but share a common history of displacement and exclusion. Despite significant gains over the past decade, Afro-descendants still are overrepresented among the poor and are underrepresented in decision-making positions, both in the private and the public sector. The extent to which Latin America will be able to end extreme poverty and boost shared prosperity will therefore depend, to a very large degree, on the social inclusion of Afro-descendants. The objective of this study is to deepen the region's empirical understanding of the drivers behind the persistent exclusion of the afro-descendants, as a first step to design appropriate solutions. The report proposes a framework to organize and think of the myriad options available to address their situations, based on the experience accumulated by the region and the data available. -
Publication
Minds and Behaviors at Work: Boosting Socioemotional Skills for Latin America’s Workforce
(World Bank, Washington, DC, 2016-07-11)Although the Latin American region has shown an impressive growth in educational attainment over the past two decades, that education has failed to yield expected benefits. A mounting body of research and policy debates argues that the quantity of education is not an adequate metric of human capital acquisition. Rather, individuals’ skills—what they actually know and can do—should stand as policy targets and be fostered across the life course. Evidence from around the world shows that both cognitive and socio-emotional skills are demanded by employers and favorably affect a range of outcomes, including educational attainment and employment outcomes. Through original empirical research investigating the role of cognitive and socio-emotional skills in shaping adults’ labor market outcomes in Bolivia, Colombia, El Salvador, and Peru, supplemented by similar studies in other Latin American countries, this review confirms that cognitive skills matter for reaping labor market gains in terms of higher wages and formal jobs in Latin America; but so do socio-emotional skills. Moreover, socio-emotional skills seem to particularly influence labor force participation and tertiary education attendance as a platform to build knowledge. The study also presents a policy framework for skills development by: (i) providing insights by developmental psychologists about when people are neuro-biologically, socio-emotionally, and situationally ready to develop socio-emotional skills, and (ii) suggesting new directions in cognitive development. -
Publication
Shared Prosperity and Poverty Eradication in Latin America and the Caribbean
(Washington, DC: World Bank, 2015-04)Over the last decade Latin America and the Caribbean region has achieved important progress towards the World Bank Group's goals of eradicating extreme poverty and boosting income growth of the bottom 40 percent, propelled by remarkable economic growth and falling income inequality. Despite this impressive performance, social progress has not been uniform over this period, and certain countries, subregions and even socioeconomic groups participated less in the growth process. As of today, more than 75 million people still live in extreme poverty in the region (using $2.50/day/capita), half of them in Brazil and Mexico, and extreme poverty rates top 40 percent in Guatemala and reach nearly 60 percent in Haiti. This means that extreme poverty is still an important issue in both low- and middle-income countries in the region. As growth wanes and progress in reducing the still high levels of inequality in the region slows, it will be more important than ever for governments to focus policies on inclusive growth. The book includes an overview that highlights progress towards the goals of poverty eradication and shared prosperity between 2003 and 2012, unpacks recent gains at the household level using an income-based asset model, and examines some of the policy levers used to affect social outcomes in the region. It draws on 13 country studies, eight of which are featured in this volume: Argentina, Brazil, Colombia, El Salvador, Mexico, Paraguay, Peru, and Uruguay. The other case studies include: Bolivia, Chile, Dominican Republic, Ecuador, and Honduras, which will be included in the web version of the book. -
Publication
Transforming Cities with Transit : Transit and Land-Use Integration for Sustainable Urban Development
(Washington, DC: World Bank, 2013-01-03)This study explores the complex process of transit and land-use integration in rapidly growing cities in developing countries. It first identifies barriers to and opportunities for effective coordination of transit infrastructure and urban development. It then recommends a set of policies and implementation measures for overcoming these barriers and exploiting these opportunities. Well-integrated transit and land development create urban forms and spaces that reduce the need for travel by private motorized vehicles. Areas with good access to public transit and well-designed urban spaces that are walkable and bikeable become highly attractive places for people to live, work, learn, play, and interact. Such environments enhance a city's economic competitiveness, reduce local pollution and global greenhouse gas emissions, and promote inclusive development. These goals are at the heart of transit-oriented development (TOD), an urban form that is increasingly important to sustainable urban futures. This book uses a case study approach. It draws lessons from global best-case examples of transit-oriented metropolises that have direct relevance to cities in developing countries and elsewhere that are currently investing in bus rapid transit (BRT) and other high-capacity transit systems. It also reports the results of two original in-depth case studies of rapidly growing and motorizing cities that introduced extended BRT systems: Ahmedabad, India and Bogota, Colombia. Two shorter case studies enrich the understanding of factors that are critical to transforming cities with transit. -
Publication
El Gasto Tributario en Colombia: Una propuesta de evaluacion integral y sistematica de este instrumento de politica publica
(World Bank, Washington, DC, 2012-06-01)El presente estudio forma parte de un programa de servicios de conocimiento programático ofrecido por el Banco Mundial. El objetivo global de esta iniciativa, preparada por el Departamento de Política Pública en la región de América Latina y el Caribe (LCSPE), es el fortalecimiento de la política fiscal y del crecimien¬to económico. Uno de sus principios más importantes es la flexibilidad de su contenido, considerando las demandas del cliente. El programa está vinculado a la Alianza Estratégica entre el Gobierno de Colombia y el Banco Mundial, apoyando a un mejor gestión fiscal, financiera y del riesgo, bajo el objetivo de “creci-miento incluyente con productividad mejorada”. En términos concretos, se busca fortalecer la política fiscal, tanto en el lado del recaudo como en el del gasto. Aparte del estudio presente, se contemplan otros estudios vinculados como: (1) un análisis de la política de redistribución fiscal en Co¬lombia; (2) un estudio del sistema pensional, para apoyar al Gobierno en el proceso de preparación de la reforma pensional; (3) un ejercicio de análisis fiscal en el nivel descentralizado. Finalmente, el programa de servicios de conocimiento tiene un vínculo importante con el Préstamo Programático para Políticas de Desarrollo a favor de la Recuperación del Crecimiento y la Sostenibilidad Fiscal, cuyo objetivo es aportar a un conjunto consolidado de reformas fiscales del Gobierno. -
Publication
Discrimination in Latin America : An Economic Perspective
(Washington, DC: Inter-American Development Bank and World Bank, 2010)The chapters presented in this volume adopt a variety of these methodological tools in order to explore the extent to which discrimination against women and demographic minorities is pervasive in Latin America. In chapter two, Castillo, Petrie, and Torero present a series of experiments to understand the nature of discrimination in urban Lima, Peru. They design and apply experiments that exploit degrees of information on performance as a way to assess how personal characteristics affect how people sort into groups. Along similar lines, in chapter three, Cardenas and his research team use an experimental field approach in Colombia to better understand pro-social preferences and behavior of both individuals involved in the provision of social services (public servants) and potential beneficiaries of those services (the poor). In chapter four, Elias, Elias, and Ronconi try to understand social status and race during adolescence in Argentina. They asked high school students to select and rank ten classmates with whom they would like to form a team and use this information to construct a measure of popularity. In chapters five and six, Bravo, Sanhueza, and Urzua present two studies covering different aspects of the labor market using different methodological tools. Based on an audit study by mail, their first study attempts to detect gender, social class, and neighborhood of residence discrimination in hiring practices by Chilean fir. In a second study, they use a structural model to analyze gender differences in the Chilean labor market. In chapter seven, Soruco, Piani, and Rossi measure and analyze possible discriminatory behaviors against international emigrants and their families remaining in southern Ecuador (the city of Cuenca and the rural canton of San Fernando). Finally, in chapter eight, Gandelman, Gandelman, and Rothschild use micro data on judicial proceedings in Uruguay and present evidence that female defendants receive a more favorable treatment in courts than male defendants.