Gatti, Roberta

MENA Chief Economist Office
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Last updated May 17, 2023
Roberta Gatti is the World Bank’s chief economist of the Middle East and North Africa region and former chief economist of the Human Development Practice Group, where she led the SDI and the Human Capital Index initiatives. She joined the World Bank in 1998 as a Young Professional in the Development Research Group. Her research includes theoretical and empirical contributions to labor and household economics, political economy, growth, and social inclusion. She has authored multiple World Bank flagship reports, including Jobs for Shared Prosperity and Being Fair, Faring Better. She has taught at Georgetown University and Johns Hopkins University.

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Now showing 1 - 3 of 3
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    Management Practices and the Partial Government Ownership of Firms in the Middle East and North Africa Region
    (World Bank, Washington, DC, 2022-06) Islam, Asif M. ; Gatti, Roberta
    A wealth of evidence has shown the positive effects of better management practices on firms. More recent evidence has highlighted that ownership matters for several developing and advanced economies. However, this relationship has not been studied extensively for economies in the Middle East and North Africa, a region where the presence of the government in the productive sphere looms large. This study contributes to this gap in the literature by exploring how partial government ownership can influence the management practices of medium and large formal firms in the Middle East and North Africa. Using two waves of Enterprise Surveys undertaken in 2013 and 2019/2020, the evidence points at a negative relationship between partial government ownership and management practices in the developing Middle East and North Africa region. A subsample of panel firms confirms these findings. Analysis conducted for firms surveyed in Europe and Central Asia in the same time frame does not show a similar negative relationship between partial government ownership and management practices, highlighting regional heterogeneity.
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    What Can the Service Delivery Indicator Surveys Tell Us about COVID-19 Preparedness?
    (World Bank, Washington, DC, 2020-07) Sharma, Jigyasa ; Andrews, Kathryn ; Conner, Ruben ; Gatti, Roberta
    To aid national and international efforts to support countries in enhancing their pandemic preparedness in the face of COVID-19, this paper draws from the World Bank's Service Delivery Indicator surveys to highlight key aspects of health service preparedness in Kenya, Sierra Leone, and Tanzania. The results of this analysis paint a highly variable picture. At least 10 percent of lower-level facilities in all three countries have inpatient care capacity, suggesting that these lower-level facilities could help absorb surges in patient flow. Less than half of the facilities in the three countries have a fixed or mobile phone and less than a third have internet access, suggesting a likely challenge in communication and timely sharing of essential information. Concerningly, less than half of the facilities have appropriate handwashing facilities for patients, with even lower rates in rural areas. Between 80 and 95 percent of the facilities have a thermometer to diagnose fever, but availability of a thermometer, stethoscope, and blood pressure cuff together is variable (ranging from almost 90 percent of the facilities in Tanzania to less than 65 percent in Sierra Leone). The paper concludes by highlighting key innovations for future surveys to improve measurement of pandemic preparedness.
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    The Realities of Primary Care: Variation in Quality of Care Across Nine Countries in Sub-Saharan Africa
    (World Bank, Washington, DC, 2021-04) Andrews, Kathryn ; Conner, Ruben ; Gatti, Roberta ; Sharma, Jigyasa
    The COVID-19 pandemic has highlighted the centrality of primary care in protecting people’s health and well-being during and beyond crises. It has also provided an opportunity to strengthen and redesign primary care so that it will better serve its purpose. However, to-date there is limited evidence on the quality of service delivery in primary care. Service Delivery Indicators surveys have attempted to fill this gap. Using Service Delivery Indicators surveys of 7,810 health facilities and 66,151 health care providers in nine Sub-Saharan African countries, this paper investigates the quality of care across five domains to understand a citizen’s experience of primary care in his/her country. The results indicate substantial heterogeneity in the quality of primary care service delivery between and within countries. The availability of basic equipment, infrastructure, and essential medicines varies—public facilities, facilities in rural areas, and non-hospitals are more lacking compared with private facilities, urban facilities, and hospitals. In terms of patient care, health care providers’ ability to correctly diagnose and treat common health conditions is low and variably distributed. COVID-19 has catalyzed a long overdue health system redesign effort, and the Service Delivery Indicators surveys offer an opportunity to examine carefully the quality of service delivery, with an eye toward health system reform.