Publication:
Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population : An Evaluation of World Bank Group Support since 1997

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dc.contributor.authorIndependent Evaluation Group
dc.date.accessioned2012-03-19T10:03:51Z
dc.date.available2012-03-19T10:03:51Z
dc.date.issued2009
dc.description.abstractThis evaluation aims to inform the implementation of the most recent the World Bank and International Finance Corporation (IFC) health, nutrition, and population (HNP) strategies to enhance the effectiveness of future support. It covers the period since fiscal year 1997 and is based on desk reviews of the portfolio, background studies, and field visits. The evaluation of the HNP support of the World Bank focuses on the effectiveness of policy dialogue, analytic work, and lending at the country level, while that of IFC focuses on the performance of health investments and advisory services before and after its 2002 health strategy. The themes it covers are drawn from the two strategies and the approaches adopted by international donors in the past decade. Independent Evaluation Group (IEG) has previously evaluated several aspects of the Bank's HNP support. IFC's support for the health sector has never been fully evaluated. Many lessons have been learned over the past decade about the successes and pitfalls of support for health reform: First, the failure to assess fully the political economy of reform and to prepare a proactive plan to address it can considerably diminish prospects for success. Political risks, the interests of key stakeholders, and the risk of complexity- issues the evaluation case studies found to be critical are often neglected in risk analysis in project appraisal documents for health reform projects. Second, reforms based on careful prior analytic work hold a greater chance of success, but analytic work does not ensure success. Third, the sequencing of reforms can improve political feasibility, reduce complexity, ensure that adequate capacity is in place, and facilitate learning. When implementation is flagging, the Bank can help preserve reform momentum with complementary programmatic lending through the Ministry of Finance, as it did in Peru and the Kyrgyz Republic. Finally, monitoring and evaluation are critical in health reform projects-to demonstrate the impact of pilot reforms to garner political support, but also because many reforms cannot work without a well-functioning management information system.en
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090623035255
dc.identifier.doi10.1596/978-0-8213-7950-9
dc.identifier.isbn978-0-8213-7950-9
dc.identifier.urihttps://hdl.handle.net/10986/2645
dc.languageEnglish
dc.publisherWashington, DC: World Bank
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO FAMILY PLANNING
dc.subjectACCOUNTABILITY
dc.subjectAGED
dc.subjectAGING
dc.subjectAIDS RELIEF
dc.subjectALLOCATION OF RESOURCES
dc.subjectBANKS
dc.subjectCAPACITY BUILDING
dc.subjectCARE FOR CHILDREN
dc.subjectCHILD HEALTH
dc.subjectCHILD MORTALITY
dc.subjectCHILD SURVIVAL
dc.subjectCHILDREN PER WOMAN
dc.subjectCITIES
dc.subjectCIVIL SOCIETY ORGANIZATIONS
dc.subjectCLIMATE CHANGE
dc.subjectCOMMUNICABLE DISEASE CONTROL
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCONTRACEPTIVE USE
dc.subjectCOST-EFFECTIVENESS
dc.subjectDECENTRALIZATION
dc.subjectDEMOGRAPHIC CHANGE
dc.subjectDEMOGRAPHIC TRANSITION
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT ASSISTANCE
dc.subjectDEVELOPMENT OBJECTIVES
dc.subjectDEVELOPMENT POLICY
dc.subjectDISCUSSION OF POPULATION
dc.subjectDISSEMINATION
dc.subjectDOCTORS
dc.subjectEARLY CHILDHOOD
dc.subjectECONOMIC GROWTH
dc.subjectEMERGENCY PLAN
dc.subjectEMERGING MARKETS
dc.subjectEPIDEMIC
dc.subjectEPIDEMIOLOGY
dc.subjectEXERCISES
dc.subjectEXTERNALITIES
dc.subjectFAMILY PLANNING
dc.subjectFERTILITY RATE
dc.subjectFINANCE MINISTRIES
dc.subjectFINANCIAL CRISES
dc.subjectFINANCIAL PROTECTION
dc.subjectGENERIC DRUGS
dc.subjectGLOBAL DEVELOPMENT
dc.subjectGLOBAL REPRODUCTIVE HEALTH
dc.subjectGOOD GOVERNANCE
dc.subjectGOVERNMENT CAPACITY
dc.subjectGOVERNMENT LEADERSHIP
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CONDITIONS
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCE
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FUNDING
dc.subjectHEALTH IMPACT
dc.subjectHEALTH IMPACTS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INFORMATION SYSTEMS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURERS
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH INVESTMENTS
dc.subjectHEALTH NEEDS
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH PROJECTS
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH REFORM
dc.subjectHEALTH REFORMS
dc.subjectHEALTH RESULTS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH STRATEGY
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM PERFORMANCE
dc.subjectHEALTH SYSTEM REFORM
dc.subjectHEALTH SYSTEM STRENGTHENING
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH SYSTEMS STRENGTHENING
dc.subjectHEALTH-SECTOR
dc.subjectHEALTHY DEVELOPMENT
dc.subjectHIGH FERTILITY
dc.subjectHIV
dc.subjectHIV/AIDS
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD SURVEYS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN REPRODUCTION
dc.subjectHUMAN RESOURCES
dc.subjectHYGIENE
dc.subjectILL HEALTH
dc.subjectILLNESS
dc.subjectIMMUNODEFICIENCY
dc.subjectIMPACT EVALUATIONS
dc.subjectINCIDENCE OF POVERTY
dc.subjectINCOME
dc.subjectINCOME GROUPS
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATES
dc.subjectINFANT NUTRITION
dc.subjectINFANTS
dc.subjectINFECTIOUS DISEASES
dc.subjectINFORMATION SYSTEM
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINSTITUTIONAL DEVELOPMENT
dc.subjectINSTITUTIONAL MECHANISMS
dc.subjectINSURANCE SCHEMES
dc.subjectINTERNATIONAL COMMUNITY
dc.subjectINTERNATIONAL CONSENSUS
dc.subjectINTERNATIONAL COOPERATION
dc.subjectINTERVENTION
dc.subjectINVENTORY
dc.subjectLABOR MARKETS
dc.subjectLEGAL STATUS
dc.subjectLIFE INSURANCE
dc.subjectLOCAL CAPACITY
dc.subjectLONG-TERM CARE
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMALARIA
dc.subjectMALARIA CONTROL
dc.subjectMALARIA INCIDENCE
dc.subjectMANAGEMENT INFORMATION SYSTEMS
dc.subjectMANDATES
dc.subjectMARGINAL COSTS
dc.subjectMATERNAL CARE
dc.subjectMATERNAL MORTALITY
dc.subjectMEDICAL EDUCATION
dc.subjectMILLENNIUM DEVELOPMENT GOAL
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTRIES OF FINANCE
dc.subjectMINISTRIES OF HEALTH
dc.subjectMINISTRY OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH EXPENDITURES
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL STRATEGY
dc.subjectNUTRITION
dc.subjectNUTRITIONAL STATUS
dc.subjectPEACE
dc.subjectPILOT PROJECTS
dc.subjectPOLICY DIALOGUE
dc.subjectPOLICY MAKERS
dc.subjectPOLIO
dc.subjectPOLITICAL SUPPORT
dc.subjectPOOR HEALTH
dc.subjectPOOR PEOPLE
dc.subjectPOPULATION GROUPS
dc.subjectPOPULATION SECTOR
dc.subjectPORTFOLIO ANALYSIS
dc.subjectPOVERTY REDUCTION
dc.subjectPREPAYMENT SCHEMES
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTORS
dc.subjectPROBABILITY
dc.subjectPROFITABILITY
dc.subjectPROGRESS
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SPENDING
dc.subjectPUBLIC INSURANCE
dc.subjectPUBLIC INSURANCE SCHEMES
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY ASSURANCE
dc.subjectQUALITY OF SERVICES
dc.subjectREFUGEES
dc.subjectREGULATORY FRAMEWORKS
dc.subjectREORGANIZATION
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH PROGRAMS
dc.subjectRISK GROUPS
dc.subjectRURAL AREAS
dc.subjectRURAL DEVELOPMENT
dc.subjectSAFE WATER
dc.subjectSAFETY NET
dc.subjectSANITATION
dc.subjectSCREENING
dc.subjectSELF-ASSESSMENT
dc.subjectSERVICE DELIVERY
dc.subjectSEXUALLY TRANSMITTED DISEASES
dc.subjectSOCIAL IMPACT
dc.subjectSOCIAL SAFETY NETS
dc.subjectSOCIAL SECURITY
dc.subjectSTRATEGIC PRIORITIES
dc.subjectSUBSIDIARY
dc.subjectSUSTAINABLE ACCESS
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTRANSACTION COSTS
dc.subjectTRANSPORT
dc.subjectTRUST FUNDS
dc.subjectTUBERCULOSIS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectUNIVERSAL ACCESS
dc.subjectUSE OF HEALTH SERVICES
dc.subjectVITAL STATISTICS
dc.subjectWATER SUPPLY
dc.subjectWOMAN
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleImproving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population : An Evaluation of World Bank Group Support since 1997en
dspace.entity.typePublication
okr.date.disclosure2009-06-23
okr.doctypePublications & Research::Publication
okr.doctypePublications & Research::Publication
okr.docurlhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090623035255
okr.globalpracticeFinance and Markets
okr.globalpracticeFinance and Markets
okr.globalpracticeHealth, Nutrition, and Population
okr.guid626291468147842766
okr.identifier.doi10.1596/978-0-8213-7950-9
okr.identifier.externaldocumentum000334955_20090623035255
okr.identifier.internaldocumentum10715323
okr.identifier.report49047
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2009/06/23/000334955_20090623035255/Rendered/PDF/490470PUB0impr101Official0Use0Only1.pdfen
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicFinance and Financial Sector Development::Banks & Banking Reform
okr.topicHealth, Nutrition and Population
okr.unitIEG Public Sector (IEGPS)
okr.volume1 of 1
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