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Remarks at the Human Capital Conclave

(World Bank, Washington, DC, 2021-04-05) Malpass, David

David Malpass, President of the World Bank, discussed the importance of investing in human capital for a green, resilient, and inclusive recovery from the Coronavirus disease crisis. He highlighted three important measures: 1) investing in people; 2) efficient expenditures and good governance; and 3) freeing up fiscal space.
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) World Bank Group

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.
Primary Health Care Vital Signs Profile Assessment for Colombia

(World Bank, Washington, DC, 2020-12) World Bank Group

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.
Remarks at the 2019 UN High-Level Meeting on Universal Health Coverage

(World Bank, Washington, DC, 2019-09-23) Malpass, David

David Malpass, President of the World Bank Group, spoke about the importance of accelerating progress toward universal health coverage (UHC), which is critical in alleviating extreme poverty and boosting shared prosperity. He highlighted on the role of IDA in funding the low-income countries for healthcare. He stated that the IDA funding was not enough and estimated a financing gap to achieve UHC in fifty-four of the poorest countries. He proposed four priority areas to close that gap. He concluded by saying that the country leadership is critical to build a healthier, prosperous, promising future for their people.
High-Performance Health Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century

(World Bank, Washington, DC, 2019-06-27) World Bank Group

The majority of developing countries will fail to achieve their targets for Universal Health Coverage (UHC) and the health- and poverty-related Sustainable Development Goals (SDGs) unless they take urgent steps to strengthen their health financing. The UHC financing agenda fits squarely within the core mission of the G20 to promote sustainable, inclusive growth and to mitigate potential risks to the global economy. Closing the substantial UHC financing gap in 54 low and lower middle-income countries will require a strong mix of domestic and international investment. G20 Finance Ministers and Central Bank Governors can help countries seize the opportunities of high-performance health financing by adopting and steering a UHC financing resilience and sustainability agenda.
Country Partnership Framework for the Republic of Guatemala for the Period FY17-20

(World Bank, Washington, DC, 2016-10-17) World Bank ; International Finance Corporation ; Multilateral Investment Guarantee Agency

Guatemala is at an historic juncture, following a political and institutional crisis in 2015, a newly elected government is starting to take on deep-rooted development problems. The crisis was triggered by the uncovering of a corruption scheme that permeated the tax administration superintendence (SAT) and the highest political levels. The country has enormous potential to generate growth and prosperity for its population; yet growth remains low, poverty and inequality persistently high, and high rates of childhood stunting threaten Guatemala’s ability to reach its full development potential. This glaring juxtaposition highlights the existence of two Guatemala’s, with large gaps in both social and economic outcomes. In this context, the World Bank Group’s (WBG) new country partnership framework (CPF) seeks to support Guatemala in fostering inclusion of vulnerable groups, and addressing bottlenecks to sustainable growth.
Central America Social Expenditures and Institutional Review: Panama

(World Bank, Washington, DC, 2015-07-06) World Bank Group

Panama has experienced impressive and significant economic growth, emerging as one of the better performers in Central America in recent years and one of the fastest growing economies worldwide. From 2003 to 2013, Panama has averaged an annual GDP growth rate of approximately 7 percent, surpassing the average GDP growth in Central America. It has also emerged as one of the fastest growing economies worldwide. Even during the economic crisis of 2008-2009, its economy continued to grow albeit at a lower rate. This note recommends that Panama prioritize three main aspects: a) improving the effectiveness of social public spending by further enhancing the pro-poor and pro-indigenous features of targeting mechanisms; b) reducing inefficiencies in the various sectors, for example, by improving the coordination between the Ministries of Education, Health, Social Development, and CSS to minimize duplication of efforts and resources; and c) strengthening planning, budgeting, and information tools and systems, legislation, and institutions to support implementation and track progress toward Government goals.
Central America Social Expenditures and Institutional Review: El Salvador

(Washington, DC, 2015-06-29) World Bank

El Salvador’s development over the past decade has been dichotomous. On the one hand, economic growth has remained persistently low, employment and labor force participation have barely increased, and progress on poverty reduction has slowed. On the other hand, inequality has fallen, and shared prosperity improved together with advances in many social indicators, such as pre-primary enrollment rates, access to prenatal care, immunizations, and water and sanitation. The increase in the use of social spending, which now accounts for 12.4 percent of GDP, together with an improvement in the quality of social spending, explain at least part of this dichotomy of redistributive and social gains despite low growth, a tight fiscal situation and generally low government revenues and spending. Looking forward, the key challenges El Salvador faces are related to continuing improving the quality and efficiency in the social sectors, while maintaining the overall level of social spending within an increasingly constrained fiscal environment, where fiscal constraints, low revenues, and the need to cut the deficit by 3 percent of GDP are significant elements, as well. Priority will have to be given to reallocations and improvements within the spending envelope for the social sectors to maximize impact. This document analyzes social spending for El Salvador for the education, health and social protection and labor sectors in depth and explores a series of policy options for El Salvador to reallocate social spending for more effective impacts, to enhance and reform social policies and social service delivery, and to improve the management of public spending and budget execution in the social sectors.