Publication:
Why should we care about care? Supply and Demand Assessment of Care Services in Georgia: A Mixed Methods Study

Loading...
Thumbnail Image
Files in English
English PDF (1.96 MB)
310 downloads
English Text (166.03 KB)
25 downloads
Published
2019-01-23
ISSN
Date
2019-02-08
Author(s)
Editor(s)
Abstract
Only 58 percent of Georgian women ages 15 and above participate in the labor market, a slightly higher share than the Europe (51 percent) and Organisation for Economic Co-operation and Development (OECD) (51.3 percent) average but 20 percentage points lower than the share among men in the country. Moreover, the gender gap in labor force participation has been constant and around 18 to 20 percentage points over the last decade. Married women living in households with children under age six are at a higher disadvantage in the labor market; only 50 percent of them participate in the labor force compared to 84 percent of men with similar characteristics.The conflicting demand on women’s time for care and work activities represents a fundamental barrier to economic participation and generates a vicious circle of low labor market attachment and prominence of the care provider role that leads to increased vulnerability and gender-based inequalities. About 60 percent of working-age women not looking for a job in Georgia cite family responsibilities as the main reason (the share is 67 percent among married ones). In the case of men, this percentage is 21 percent. Georgia cannot afford to underutilize a large share of women whose lifetime productivity in the labor market is currently reduced by informal and at-home care provision. In fact, for Georgia, it has been estimated that differences in labor market activity rates between men and women amount to potential economic losses in gross domestic product per capita of approximately 11 percent (Cuberes and Teignier 2016a, 2016b). Policy options to appropriately address the challenges identified in this note include the expansion ofpublicly and privately provided childcare centers in both urban and rural areas, establishment ofeducation and accreditation programs to prepare caregivers and care entrepreneurs, development of aplan to increase quality of services with attention to costs, and design of eldercare system considering the impacts on care recipients, the active aging promotion objective of age-related policies, as well as the impacts on informal and family care providers and their ability to contribute to sustained economic growth.
Link to Data Set
Citation
World Bank. 2019. Why should we care about care? Supply and Demand Assessment of Care Services in Georgia: A Mixed Methods Study. © World Bank. http://hdl.handle.net/10986/31253 License: CC BY 3.0 IGO.
Digital Object Identifier
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Why Should We Care about Care?
    (World Bank, Washington, DC, 2015-12-12) Levin, Victoria; Munoz Boudet, Ana Maria; Rosen, Beth Zikronah; Aritomi, Tami; Flanagan, Julianna; Rodriguez-Chamussy, Lourdes
    This note examines the provision of childcare and eldercare in FYR Macedonia with an emphasis on the availability, price, and quality of care, and suggests policy priorities that address the identified challenges. The analysis in this note is based on a study aimed at exploring childcare and eldercare in the Western Balkans region, drawing primarily from a new mixed-methods dataset, described in the following section, and building on relevant quantitative surveys and data sources specific to Western Balkans countries. The note is structured as follows: section two introduces the new, independent mixed methods data set that is the basis for the analysis and findings presented. Section three describes the use of formal care arrangements in FYR Macedonia, based on the analysis of perspectives both from families with care needs and from care providers and discussing the role of norms and perceptions of childcare and eldercare use, the following sections are dedicated to the description of supply and demand of childcare and eldercare, respectively. Sections four and five focuses on the supply and demand of childcare, and sections six and seven describe supply and demand of eldercare. Section eight concludes by examining what we know in terms of policies that can support families in informal care provision in a sustainable and incentive-compatible manner.
  • Publication
    Why Should We Care about Care?
    (World Bank, Washington, DC, 2015-10-30) Levin, Victoria; Munoz Boudet, Ana Maria; Zikronah Rosen, Beth; Aritomi, Tami; Flanagan, Julianna; Rodriguez-Chamussy, Lourdes
    Despite significant progress in closing the gender gap in education, there is a significant disparity between male and female labor participation rates in Bosnia and Herzegovina (BiH). Among men aged 15 to 64 years, 65.7 percent participate in the labor force compared to only 41 percent of females in the same age group. It is estimated that BiH forgoes around 16 percent of gross national income due to gender disparities in labor force participation. The conflicting demand of women's time for care and work activities represents a fundamental barrier to economic participation and generates a vicious circle of low labor market attachment and prominence of the care provider role that leads to increased vulnerability and gender-based inequalities.
  • Publication
    Why Should We Care about Care?
    (World Bank, Washington, DC, 2015-09-09) Levin, Victoria; Munoz Boudet, Ana Maria; Rosen, Beth Zikronah; Aritomi, Tami; Flanagan, Julianna; Rodriguez-Chamussy, Lourdes
    This note examines the provision of childcare and eldercare in Kosovo with an emphasis on the availability, price, and quality of care, and suggests policy priorities that address the identified challenges. The analysis in this note is based on a study aimed at exploring childcare and eldercare in the Western Balkans region, drawing primarily from a new mixed-methods dataset, described in the following section, and building on relevant quantitative surveys and data sources specific to Western Balkans countries. The note is structured as follows: section two introduces the new, independent mixed methods data set that is the basis for the analysis and findings presented. Section three describes the use of formal care arrangements in Kosovo. Next, based on the analysis of perspectives both from families with care needs and from care providers and discussing the role of norms and perceptions of childcare and eldercare use, the following sections are dedicated to the description of supply and demand of childcare and eldercare, respectively. Sections four and five focuses on the supply and demand of childcare, and sections six and seven describe supply and demand of eldercare. Section eight concludes by examining what we know in terms of policies that can support families in informal care provision in a sustainable and incentive-compatible manner.
  • Publication
    Why Should We Care about Care?
    (World Bank, Washington, DC, 2016-12) Levin, Victoria; Munoz Boudet, Ana Maria; Rosen, Beth Zikronah; Aritomi, Tami; Flanagan, Julianna; Rodriguez-Chamussy, Lourdes
    Despite a slight increase in female labor participation between 2012 and 2013, employment rates in Serbia stood at 40.1 percent for women in 2013, almost 15 percentage points below employment rates for men (at 54.9 percent). International evidence shows that support for childcare and eldercare affects women’s labor market participation. This note examines the care needs of families with children and or elderly household members and the provision of formal care services in Serbia with an emphasis on the availability, price, and quality characteristics. Based on the analysis of an independent mixed-methods dataset collected in the Western Balkans region, this note documents the perceptions and barriers in the use of quality formal care in Serbia. Quality provision of formal eldercare can potentially improve health outcomes for the elderly through prevention, early detection, and consistent maintenance of chronic diseases, which may imply long-term cost savings in the healthcare sector.
  • Publication
    Why Should We Care About Care? The Role of Childcare and Eldercare in Armenia
    (World Bank, Washington, DC, 2017-04) World Bank
    Only 56 percent of women ages 15-64 participate in the labor market, a slightly higher share than the Europe and Central Asia average, but 18 percentage points lower than the share among men in Armenia. The conflicting demand on women's time for care and work activities represents a fundamental barrier to economic participation and generates a vicious circle of low labor market attachment and prominence of the care provider role that leads to increased vulnerability and gender-based inequalities. International evidence shows that support for childcare and eldercare affects women's labor market participation. This note examines the care needs of families with children and/or elderly household members and the provision of formal care services in Armenia with an emphasis on the availability, price, and quality characteristics. Based on the analysis of an independent mixed-methods dataset collected in several countries of Europe and Central Asia, this note documents the perceptions and barriers in the use of quality formal care in Armenia. Five main messages emerge from the assessment of supply and demand of formal childcare and eldercare in Armenia: 1) Although social norms strongly highlight the role of women as caregiver, there is scope for policy aimed at increasing access and affordability of childcare and early education: Around 24 percent of parents of children ages 0 to 5 currently not attending kindergarten report that the reason of no attendance is lack of the service or being unable to afford it. 2) The demand for childcare services is voiced predominantly by parents perceiving benefits for their child’s development and working (or willing-to-work) mothers. 3) Use of childcare is regressive: There are significant differences in enrollment to kindergarten and nursery between the poorest and the richest households (12.7 and 36.4 percent respectively). A well-developed childcare sector not only would help generating economic participation opportunities for women but also implies potential improvements in the school readiness for children especially for the most vulnerable households. 4) Day-care centers and home-based formats—if available—will be more compatible with prevailing standards of care for the elderly. 5) Quality is important for potential users of formal care services and the main challenges of the existing supply involves human resources (HR).

Users also downloaded

Showing related downloaded files

  • Publication
    World Development Report 2023: Migrants, Refugees, and Societies
    (Washington, DC : World Bank, 2023-04-25) World Bank
    Migration is a development challenge. About 184 million people—2.3 percent of the world’s population—live outside of their country of nationality. Almost half of them are in low- and middle-income countries. But what lies ahead? As the world struggles to cope with global economic imbalances, diverging demographic trends, and climate change, migration will become a necessity in the decades to come for countries at all levels of income. If managed well, migration can be a force for prosperity and can help achieve the United Nations’ Sustainable Development Goals. World Development Report 2023 proposes an innovative approach to maximize the development impacts of cross-border movements on both destination and origin countries and on migrants and refugees themselves. The framework it offers, drawn from labor economics and international law, rests on a “Match and Motive Matrix” that focuses on two factors: how closely migrants’ skills and attributes match the needs of destination countries and what motives underlie their movements. This approach enables policy makers to distinguish between different types of movements and to design migration policies for each. International cooperation will be critical to the effective management of migration.
  • Publication
    World Development Report 2021
    (Washington, DC: World Bank, 2021-03-24) World Bank
    Today’s unprecedented growth of data and their ubiquity in our lives are signs that the data revolution is transforming the world. And yet much of the value of data remains untapped. Data collected for one purpose have the potential to generate economic and social value in applications far beyond those originally anticipated. But many barriers stand in the way, ranging from misaligned incentives and incompatible data systems to a fundamental lack of trust. World Development Report 2021: Data for Better Lives explores the tremendous potential of the changing data landscape to improve the lives of poor people, while also acknowledging its potential to open back doors that can harm individuals, businesses, and societies. To address this tension between the helpful and harmful potential of data, this Report calls for a new social contract that enables the use and reuse of data to create economic and social value, ensures equitable access to that value, and fosters trust that data will not be misused in harmful ways. This Report begins by assessing how better use and reuse of data can enhance the design of public policies, programs, and service delivery, as well as improve market efficiency and job creation through private sector growth. Because better data governance is key to realizing this value, the Report then looks at how infrastructure policy, data regulation, economic policies, and institutional capabilities enable the sharing of data for their economic and social benefits, while safeguarding against harmful outcomes. The Report concludes by pulling together the pieces and offering an aspirational vision of an integrated national data system that would deliver on the promise of producing high-quality data and making them accessible in a way that promotes their safe use and reuse. By examining these opportunities and challenges, the Report shows how data can benefit the lives of all people, but particularly poor people in low- and middle-income countries.
  • Publication
    Unlocking the Power of Healthy Longevity
    (Washington, DC: World Bank, 2024-09-12) World Bank
    Noncommunicable diseases (NCDs) are among the major health and development challenges of our time. Every year, about 41 million people die due to NCDs. This makes up about 74 percent of all deaths globally, the majority of which are in low- and middle-income countries (LMICs). Countless more people live with NCDs every day. Yet, NCDs are largely treatable and preventable. The risk of developing NCDs and deaths from them can both be lowered with appropriate attention to prevention and treatment. However, weak health systems and limited access to affordable care and information, especially in LMICs, contribute to lapses in seeking and receiving appropriate and timely care. This compendium is a compilation of 18 chapters, each exploring a different but related topic in the nexus of NCDs, human capital, and productivity. It is based on a series of analytical work taken up by the World Bank to support the Healthy Longevity Initiative (HLI) - a collaborative effort between the World Bank, the University of Toronto, and key academic and development partners including the Harvard University and the University of Washington. The HLI presents one of a growing set of efforts to increase the urgency of policy response to NCDs across the world.
  • Publication
    Western Balkans 6 Country Climate and Development Report
    (Washington, DC: World Bank Group, 2024-07-16) World Bank Group
    This Regional Western Balkans Countries Climate and Development Report (CCDR) stands out in several ways. In a region that often lacks cohesive regional alliances, this report emphasizes how the challenges faced across countries are often common and interconnected, and, importantly, that climate action requires coordination on multiple fronts. Simultaneously, it illustrates the differences across countries, places, and people that require targeted strategies and interventions. This report demonstrates how shocks and stressors re intensifying and how investments in adaptation could bring significant benefits in the form of avoided losses, accelerated economic potential, and amplified social and economic spillovers. Given the region’s high emission and energy intensity and the limitations of its current fossil fuel-based development model, the report articulates a path to greener and more resilient growth, a path that is more consistent with the aspiration of accession to the EU. The report finds that the net zero transition can be undertaken without compromising the economic potential of the Western Balkans and that it could lead to higher growth than under the Reference Scenario (RS) with appropriate structural reforms.
  • Publication
    World Development Report 2024
    (Washington, DC: World Bank, 2024-08-01) World Bank
    Middle-income countries are in a race against time. Many of them have done well since the 1990s to escape low-income levels and eradicate extreme poverty, leading to the perception that the last three decades have been great for development. But the ambition of the more than 100 economies with incomes per capita between US$1,100 and US$14,000 is to reach high-income status within the next generation. When assessed against this goal, their record is discouraging. Since the 1970s, income per capita in the median middle-income country has stagnated at less than a tenth of the US level. With aging populations, growing protectionism, and escalating pressures to speed up the energy transition, today’s middle-income economies face ever more daunting odds. To become advanced economies despite the growing headwinds, they will have to make miracles. Drawing on the development experience and advances in economic analysis since the 1950s, World Development Report 2024 identifies pathways for developing economies to avoid the “middle-income trap.” It points to the need for not one but two transitions for those at the middle-income level: the first from investment to infusion and the second from infusion to innovation. Governments in lower-middle-income countries must drop the habit of repeating the same investment-driven strategies and work instead to infuse modern technologies and successful business processes from around the world into their economies. This requires reshaping large swaths of those economies into globally competitive suppliers of goods and services. Upper-middle-income countries that have mastered infusion can accelerate the shift to innovation—not just borrowing ideas from the global frontiers of technology but also beginning to push the frontiers outward. This requires restructuring enterprise, work, and energy use once again, with an even greater emphasis on economic freedom, social mobility, and political contestability. Neither transition is automatic. The handful of economies that made speedy transitions from middle- to high-income status have encouraged enterprise by disciplining powerful incumbents, developed talent by rewarding merit, and capitalized on crises to alter policies and institutions that no longer suit the purposes they were once designed to serve. Today’s middle-income countries will have to do the same.