03. Journals
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These are journal articles published in World Bank journals as well as externally by World Bank authors.
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Publication Measuring Human Capital in Middle Income Countries(Elsevier, 2022-12) Demirgüç-Kunt, Asli; Torre, IvánThis paper develops an indicator that measures the level of human capital to address the specific education and health challenges faced by middle income countries. We apply this indicator to countries in Europe and Central Asia, where productive employment requires skills that are more prevalent among higher education graduates, and where good health is associated to low levels of adult health risk factors. The Europe and Central Asia Human Capital Index (ECA-HCI) extends the World Bank's Human Capital Index by adding a measure of quality-adjusted years of higher education to the original education component, and it includes the prevalence of three adult health risk factors—obesity, smoking, and heavy drinking—as an additional proxy for latent health status. The results show that children born today in the average country in Europe and Central Asia will be almost half as productive as they would have had they reached the benchmark of complete education and full health. Countries with good basic education outcomes do not necessarily have good higher education outcomes, and high prevalence of adult health risk factors can offset good education indicators. This extension of the Human Capital Index could also be useful for assessing the state of human capital in middle-income countries in general.Publication Syrian Refugee Inflows, Health-Care Access, and Childhood Vaccination in Turkey(Published by Oxford University Press on behalf of the World Bank, 2022-11-14) Erten, Bilge; Keskin, Pinar; Omurtak, Miray; Ozen, Ilhan CanThis study explores the impact of the arrival of Syrian refugees in Turkey on access to health-care resources and subsequent changes in infectious disease rates among native children. Employing a distance-based instrument, it finds that native children living in regions that received large inflows of Syrian refugees experienced an increase in their risk of catching an infectious disease compared to children in less affected regions. In contrast, there is no evidence of significant changes in the incidences of noninfectious diseases such as diabetes, cancer, or anemia. The findings also reveal that the number of health-care professionals and hospital beds per capita declined in provinces that received large refugee inflows. This study also documents a decrease in native children’s probability of being fully vaccinated in provinces that received large refugee inflows. Although contact with potentially infected refugees may increase disease spread among natives, the migration-induced supply constraints in health-care access may also worsen health outcomes in host countries.Publication Centring Rights-Based Access to Self-Care Interventions(Taylor and Francis, 2022-11-11) Ferguson, Laura; Narasimhan, ManjulaaEnsuring sexual and reproductive health and rights (SRHR) is fundamental to the success of the Sustainable Development Goals and a range of other global commitments. As such, innovations that can help promote SRHR, including self-care interventions, offer exciting opportunities to improve health and rights simultaneously. While self-care is not new conceptually, the growing number of evidence-based technologies, medicines and products that can be accessed outside of the formal health sector point to the role lay people play as active participants in their own health care.Publication Improving the Well-Being of Adolescent Girls in Developing Countries(Published by Oxford University Press on behalf of the World Bank, 2022-10-13) Bergstrom, Katy; Özler, BerkThis paper conducts a large, narrative review of interventions that might plausibly (a) increase educational attainment, (b) delay childbearing, and/or (c) delay marriage for adolescent girls in low- and middle-income countries (LMICs). Using 108 interventions from 78 studies, predominantly in LMICs, the paper summarizes the performance of 15 categories of interventions in improving these outcomes. Transfer programs emerge as broadly effective in increasing educational attainment but their effects on delaying fertility and marriage remain mixed and dependent on context. Construction of schools in underserved areas and the provision of information on returns to schooling and academic performance also increase schooling. No category of interventions is found to be categorically effective in delaying pregnancies and reducing child marriages among adolescent girls. While targeted provision of sexual and reproductive health services, including vouchers and subsidies for family planning, and increasing job opportunities for women seem promising, more research is needed to evaluate the longer-term effects of such interventions. We propose that future studies should aim to measure short-term outcomes that can form good surrogates for long-term welfare gains and should collect detailed cost information.Publication The Timing of Elections and Neonatal Mortality: Evidence from India(Published by Oxford University Press on behalf of the World Bank, 2022-10-08) Bhattacharjee, ShampaThis paper uncovers evidence of political cycles in developmental outcomes in the Indian context. Comparing children born to the same mother, it shows that children born 0-11 months before scheduled state legislative assembly elections have a significantly lower risk of neonatal mortality. The effect of being born just before elections is higher in politically more competitive regions. The paper provides some evidence of the channels behind this result. The usage of prenatal care increases before elections and mothers of children born before elections are more likely to have antenatal checkups and tetanus injections during pregnancy. Components of antenatal checkups, like the probability of having a blood test or an abdominal examination during pregnancy, also increase before elections. The improvement in child health outcomes before elections seems to be driven by a transfer of resources from non-election to election years rather than an overall improvement in child health outcomes.Publication Can cities bounce back better from COVID-19? Reflections from emerging post-pandemic recovery plans and trade-offs(SAGE, 2022-10-01) Wahba, Sameh NAs cities plan for post-COVID recovery, many questions preoccupy mayors, policymakers, planners, and developers. This article examines COVID-19’s impact on cities, drawing on local governments’ developing policies and responses to identify some of the emerging trends and trade-offs. Overall, city recovery will likely involve some transformation to land uses and real estate markets, with increasing demand for urban amenities and nature, and with policies in support of affordable housing, slum upgrading and informal sector employment, to achieve more liveable and inclusive cities. This in turn will depend on the policies, planning, finance, digital infrastructure, and governance systems in place. While many city challenges predate COVID-19, they were exacerbated by the pandemic. The extent to which cities, and especially cities in the global South, will overcome such challenges will depend on political will and the implementation of targeted policies and low-cost investments in sustainability, liveability and inclusion.Publication The Quality of Primary Care in Cambodia: An Assessment of Knowledge and Effort of Public Sector Maternal and Child Care Providers(Taylor & Francis, 2022-09-22) Han, Dan; Nagpal, Somil; Bauhoff, SebastianImproving the quality of primary care is essential for achieving universal health coverage in low- and middle-income countries. This study examined the level and variation in primary care provider knowledge and effort in Cambodia, using cross-sectional data collected in 2014–2015 from public sector health centers in nine provinces. The data included clinical vignettes and direct observations of processes of antenatal care, postnatal care, and well-child visits and covered between 290–495 health centers and 370–847 individual providers for each service and type of data. The results indicate that provider knowledge and observed effort were generally low and varied across health centers and across individual providers. In addition, providers’ effort scores were generally lower than their knowledge scores, indicating the presence of a “know-do gap.” Although higher provider knowledge was correlated with higher levels of effort during patient encounters, knowledge only explained a limited fraction of the provider-level variation in effort. Due to low baseline performance and the know-do gap, improving provider adherence to clinical guidelines through training and practice standardization alone may have limited impact. Overall, the findings suggest that raising the low quality of care provided by Cambodia’s public sector will require multidimensional interventions that involve training, strategies that increase provider motivation, and improved health center manage-ment. The authors reported there is no funding associated with the work presented in this article.Publication Telescoping Error in Recalled Food Consumption: Evidence from a Survey Experiment in Ethiopia(Published by Oxford University Press on behalf of the World Bank, 2022-09-14) Abate, Gashaw T.; de Brauw, Alan; Gibson, John; Hirvonen, Kalle; Wolle, AbdulazizeTelescoping errors occur if survey respondents misdate events from outside the reference period and include them in their recall. Concern about telescoping influenced the design of early Living Standards Measurement Study (LSMS) surveys, which used a two-visit interview format to bound food consumption recall. This design fell out of favor although not for evidence-based reasons. To measure the extent of telescoping bias on food consumption measures, a survey experiment was conducted in Addis Ababa, Ethiopia, randomly assigning households to either a two-visit bounded recall or a single visit unbounded recall. The average value of reported food consumption is 16 percent higher (95 percent CI: 7.4–25.9) in the unbounded single visit recall relative to the two-visit bounded recall. Most of the error is explained by difference in reported spending on less frequently consumed, protein-rich foods, so apparent food security indicators based on household diet diversity are likely overstated with unbounded recall.Publication Child mortality after the Ebola virus disease outbreak across Guinea, Liberia, and Sierra Leone(Elsevier, 2022-09-01) Eun Kim, YoungThe Ebola virus disease outbreak in 2014-2016 had a substantial impact on population health in Guinea, Liberia, and Sierra Leone. This study aimed to assess whether the impact continued after the outbreak ended regarding child mortality. Cross-sectional logistic regressions were run using data from the Demographic and Health Surveys in the three countries. The average child mortality rate was significantly lower for children born after the outbreak than for those born before. However, the association of the child mortality rate with an increase in the number of Ebola cases per 100,000 people was significantly stronger for children born after the outbreak ended. Also, the change in the utilization of maternal health services after the outbreak varied across health services. Restoring disrupted child health services to pre-Ebola levels may be more difficult in areas that suffered a higher number of Ebola cases. The recovery of maternal health services after the outbreak might be affected by factors such as the resilience of health systems at the subnational level. This study suggests that strengthening the health system is crucial to fully recover from the Ebola outbreak and cope with future epidemics.Publication Direct Shock Experience vs. Tangential Shock Exposure: Indirect Effects of Flood Shocks on Well-Being and Preferences(Published by Oxford University Press on behalf of the World Bank, 2022-08-31) Stein, Wiebke; Weisser, Reinhard A.With extreme weather events on the rise, the question of how witnessing adverse weather events may affect individuals’ perception, and consequently their subjective well-being, gains in relevance. To identify events that have been witnessed, i.e., tangential exposure to a weather shock, satellite-based data on flooding is linked to an extensive household panel survey from rural Southeast Asia. Contrasting direct shock experience with tangential shock exposure, we find that mere proximity to a potentially adverse shock, without reporting any actual direct shock experience, could be sufficient to reduce subjective well-being. This effect is not only restricted to the present but can also impinge on expected future well-being dynamics. Eventually, such a persistent effect from witnessing a weather shock may have further politico-economic repercussions, for instance, by altering support for redistribution policies.