Publication: Stakeholder Analysis to Manage for Results: Experience of Niger in Health
Loading...
Published
2020-05
ISSN
Date
2020-05-20
Editor(s)
Abstract
Despite years of development programming, Niger has seen limited change in its reproductive health and nutritional (RHN) outcomes. This brief presents results from stakeholder analyses conducted by the Ministry of Public Health (MOH) to support health districts in Niger to plan social mobilization strategies that enhance three disbursement linked indicators (DLIs), namely: (1) number of women between 15 and 49 utilizing modern contraceptive methods; (2) number of births delivered by a trained health professional; and (3) mothers of infants having received nutrition counseling and an updated growth chart.
Link to Data Set
Citation
“Karamoko, Djibrilla; Randrianarivelo, Benjamina; Meiro-Lorenzo, Montserrat; Dondasse, Pato; Harati, Elissar Tatum. 2020. Stakeholder Analysis to Manage for Results: Experience of Niger in Health. Health, Nutrition and Population Knowledge Brief;. © World Bank. http://hdl.handle.net/10986/33782 License: CC BY 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Improving Results of District Health Plans in Niger(World Bank, Washington, DC, 2020-01)The Ministry of Public Health (MOH) in Niger has used Rapid Results Initiatives (RRIs) to achieve targets for reproductive health and nutrition. Key outcomes of this approach include: • Mobilization of regions and districts to overcome constraints to assisted deliveries, family planning (FP), nutritional counseling and measles vaccination, and thus achieve Disbursement Linked Indicators (DLIs). • Collaboratively planned provision of mobile health services, door-to-door visits and outreach to remote and underserved areas, by health teams and communities. • Engagement of local leaders to help health centers increase coverage of services to women and children, including mapping of households with low uptake of health services; implementing social sanctions to reduce home births. • Inclusion of FP and assisted deliveries and other messages on reproductive health and nutrition in sermons of religious leaders. The Government of Niger has rated RRI as one of the top innovations in its national health plan. The MOH and the regions are bound by annual performance contracts to improve results using RRIs.Publication Connecting Sectors and Systems for Health Results(World Bank, Washington, DC, 2012-12)Strengthening public health, that is, improving the health of whole populations through action across all relevant sectors is at the heart of the World Bank's mission. This policy note takes stock of the global progress in public health over the past decade; lays out the challenges that must be addressed for this progress to be sustained and accelerated; and proposes an approach for the Bank to maximize its contribution to public health in the years ahead. This note comes at a critical juncture, given the important gains made in public health over the past decade. Key global indicators, including life expectancy at birth, under-five mortality and maternal mortality, have shown steady improvement, while initiatives such as the scale-up of polio vaccination and the distribution of bed nets to combat malaria have saved millions of lives. The Bank is proud to have worked with countries and development partners to contribute to these achievements. The note emphasizes that the Bank will need to root its future public health efforts in its areas of comparative advantage, including its capacity to analyze the economic and development impact of health investments, and its extensive experience in working across sectors for health results. The Bank finances investments in all the sectors that impact health, including education, social protection, infrastructure, water and sanitation and transportation, to name a few, and is well placed to help mobilize such sectors through coordinated, population-based interventions to improve health and accelerate development. Given its analytic capability, the Bank has a potentially critical role to play in focusing finite budgets on the most cost-effective actions, particularly in prevention and health promotion.Publication Building the Foundation for Healthy Societies(2014-06)The KP aims to support the Bank in adopting a significantly more systematic approach to multisectoral action in countries to maximize investment in other sectors for health results, in line with its comparative advantage. It will help to meet the Bank s twin goals and add value to its work in countries, by providing task teams with data on the burden of disease and risks and their upstream determinants, which multisectoral action could address, toward the goal of reducing poverty. It will assist in demonstrating the links between upstream determinants, such as poverty and inequality, and health outcomes. KP will identify proven and cost-effective multisectoral solutions from international best practice that have the potential for transferability to local contexts. It will then help understand the drivers, opportunities and constraints of work across practices and sectors on a common agenda to meet the Bank s goals. Finally, contributing to the effective delivery of existing Bank work across sectors within countries, and provide foresight and priorities for future action.Publication Effective Responses to Non-communicable Diseases : Embracing Action Beyond the Health Sector(World Bank, Washington, DC, 2011-09)Effective responses to non-communicable disease: Embracing action beyond the health sector focuses on solutions, indicating opportunities for the prevention and control of non-communicable diseases (NCDs) and the kinds of actions that will achieve it. NCDs exact a heavy toll on individuals and society. They cause disease, disability, and death, and reduce productivity which is vital for development. They also impose hefty costs on health services, particularly since NCDs frequently lead to ongoing disability and need for long-term care. Prevention that results in healthy aging and the reduction of morbidity is far more cost-effective and financially sustainable than treatment alone. A small number of proven prevention measures could stem the rise of the NCD epidemic. Data indicate the potential of affordable, potent, prevention tools focused on five key areas: tobacco, alcohol, diet, exercise and nutrition. Together, programs targeting these areas could reduce the burden of NCDs by more than half, while costing only a tiny fraction of current health spending. Since successful prevention involves multiple sectors and actors, countries will need to adopt a framework that clearly sets out the different levels of accountability of each role player. Such a framework will require strong national buy-in, but there are tools, examples, and support agencies available to facilitate this. Middle- and low-income countries can seize the opportunity and act now to tackle NCDs and the underlying risk factors of these diseases. If they do so, these countries will greatly increase their prospects of reaping the full benefits of their demographic dividend, and of ensuring sustained economic development, greater equality, and a better quality of life for their people in the years ahead.Publication Building the Foundation for Healthy Societies(World Bank, Washington, DC, 2014-06)The KP aims to support the Bank in adopting a significantly more systematic approach to multisectoral action in countries to maximize investment in other sectors for health results, in line with its comparative advantage. It will help to meet the Bank s twin goals and add value to its work in countries, by providing task teams with data on the burden of disease and risks and their upstream determinants, which multisectoral action could address, toward the goal of reducing poverty. It will assist in demonstrating the links between upstream determinants, such as poverty and inequality, and health outcomes. KP will identify proven and cost-effective multisectoral solutions from international best practice that have the potential for transferability to local contexts. It will then help understand the drivers, opportunities and constraints of work across practices and sectors on a common agenda to meet the Bank s goals. Finally, contributing to the effective delivery of existing Bank work across sectors within countries, and provide foresight and priorities for future action.
Users also downloaded
Showing related downloaded files
Publication Guinea-Bissau Country Climate and Development Report(Washington, DC: World Bank, 2024-10-23)Guinea-Bissau is endowed with a wealth of natural resources, with the highest natural capital per capita in West Africa (US3,874 dollars per capita), which could be leveraged for sustainable and resilient growth. However, Guinea-Bissau faces significant development hurdles, such as high poverty rates, political instability, and economic challenges, including an over-reliance on cashew nuts. Rural poverty has increased, and the nation's infrastructure, education, and health care systems are underdeveloped. Climate change poses a severe threat, potentially impacting agriculture, fisheries, and infrastructure. Without adaptation, it could lead to a significant cut in real GDP per capita (minus 7.3 percent by 2050) and increase in poverty (with up to over 200,000 additional poor by 2050, that is, 5 percent of the expected population, in the worst scenario). The country's low greenhouse gas emissions are expected to rise, mainly due to agriculture and land-use changes, with deforestation being a major contributing factor. Although Guinea-Bissau is a low emitter, it has high mitigation ambitions, targeting a 30 percent reduction in greenhouse gas emissions by 2030. The Nationally Determined Contribution outlines significant climate actions, with initiatives focused on forest conservation, sustainable agriculture, and community development. However, the country's political instability, institutional weaknesses, and limited financial resources pose challenges to implementing these climate commitments, which depend heavily on external funding. The financial sector's underdevelopment and vulnerability to external shocks limit its ability to support green investments, though reforms could enhance resilience. Guinea-Bissau must consider its climate financing as development financing and vice-versa, engage the private sector, and integrate climate goals with national development plans to ensure a sustainable future. Concessional climate financing is vital due to the underdeveloped financial sector and the government’s limited borrowing capacity. Addressing Guinea-Bissau's vulnerability to climate change and its structural issues requires a cohesive approach that integrates development and climate strategies. This could involve improving governance, diversifying the economy, protecting natural capital, developing human capital, and investing in sustainable agriculture and infrastructure. The transition to a more sustainable and inclusive development pathway that supports economic growth is possible, but requires focusing on key strategic sectors, enhancing institutional capacity, and creating the conditions to mobilize finance. As a highly vulnerable country, there are myriad needs in the different sectors; however, to be more efficient and effective, Guinea-Bissau should prioritize actions in a few sectors, especially actions on biodiversity, agriculture, and social protection. Low carbon development, especially in energy and forestry sectors, could provide cost-efficient solutions and attract climate finance, including from the private sector, which will support the overall development agenda.Publication Comoros Country Climate and Development Report(Washington, DC: World Bank, 2025-06-18)The Union of the Comoros (The Comoros) has significant vulnerability to climate change-related risks but has considerable opportunities to strengthen preparedness and resilience against these challenges. According to the Notre Dame Global Adaptation Index, the Comoros is the 29th-most vulnerable country to climate change and the 163rd most ready to adapt (out of 191). The Comoros archipelago is exposed to many natural hazards that adversely affect the country’s natural capital, people, and physical infrastructure. In 2014, the economic cost of climate-related disasters was estimated at 5.7 million dollars annually, equivalent to 9.2 percent of Gross Domestic Product (GDP). Between 2018 and 2023, as many as 11 tropical depressions or cyclones impacted the country, with Cyclone Kenneth causing the greatest damage, equivalent to 14 percent of GDP, resulting in total economic growth falling from 3.6 percent in 2018 to 1.9 percent in 2019. More than 345,000 people (40 percent of the population) were affected by the cyclone, with 185,000 people experiencing severe impacts and 12,000 people displaced. However, there is an opportunity for the country to grow more robust and shock-responsive, and to establish pre-positioned funding mechanisms to enhance future crisis response efforts. For the Comoros, adaptation and climate-resilient development are the key climate change focus areas, with the country projected to face 836 million dollars 2050 in additional costs due to climate-related impacts. Current plans to adapt to the impacts of climate change in the Comoros include efforts to improve water management, strengthen coastal protection, and develop climate-smart agriculture practices. Given the country’s reliance on its natural resource base for economic growth and mobility, protection of these resources from climate change will be essential for promoting resilient growth and development. In addition to growing the adaptive capacity of the country’s natural resource sectors, strategic economic diversification will be important to help minimize future climate impacts, and development activities will need to be undertaken in such a way as to attract low-carbon co-benefits. The Union of the Comoros is committed to addressing climate change through its Nationally Determined Contribution (NDC) and national priorities. The country’s NDC (which was revised in 2021 for a ten-year horizon) sets ambitious targets, with a goal of reducing greenhouse gas emissions by 23 percent by 2030. The country also plans to significantly increase the share of renewable energy in its energy portfolio, reaching 33 MW by 2030. This will not only promote low-carbon development but also reduce the country’s dependency on imported oil and coal, which currently make up 95 percent of the energy mix. Additionally, the Comoros has declared its intention to increase CO2 removals by 47 percent by 2030, compared to BAU.Publication Jobs in a Changing Climate: Insights from World Bank Group Country Climate and Development Reports Covering 93 Economies(Washington, DC: World Bank, 2025-11-05)The World Bank Group’s Country Climate and Development Reports (CCDRs) provide a crosscutting look at how countries’ development prospects, and the job opportunities they offer to their people, can be threatened by climate impacts and supported by climate policies. Climate change and policies affect jobs through impacts on productivity, energy and material efficiency, and physical, human, and natural capital. They can also transform employment opportunities, especially through complementary measures that help workers and firms adapt to and benefit from new technologies and production practices. Prepared by the World Bank, the International Finance Corporation (IFC), and the Multilateral Investment Guarantee Agency (MIGA), CCDRs integrate country perspectives, climate science and economic modeling, private sector information, and policy analysis to assess how countries can successfully grow and develop their economies and create jobs despite increasing climate risks and while achieving their climate objectives and commitments. Each CCDR starts from the country’s development priorities, opportunities, and challenges, and is developed in close consultation with governments, businesses, and civil society, ensuring the recommendations reflect national priorities. By combining evidence on adaptation, resilience, and emissions pathways, CCDRs highlight where climate action can reinforce development and job creation, and where targeted policies are needed to manage risks and smooth labor market transitions. Taken together, these elements can help create local jobs, ensure economic transitions are just and inclusive, and equip workers and firms to navigate the disruptions and opportunities of a changing climate and changing technologies.Publication Mongolia Country Climate and Development Report(Washington, DC: World Bank, 2024-10-22)Mongolia’s development prospects are uniquely challenged by both the impacts of climate change and the global shift toward a low-carbon economy. The country’s efforts toward decarbonization pose significant challenges given the structurally high-emission intensity of its economy. While challenging, climate action also presents Mongolia with opportunities to achieve important development benefits. The effects of climate risks and the shift away from coal will have diverse impacts across different regions, communities, and socioeconomic levels. The report assesses the critical interconnections between Mongolia’s development ambitions and climate change action and identifies ways to transition to a more economically diversified, inclusive, and resilient development path. It highlights key climate and transition risks affecting Mongolia’s future development and presents a pathway to enhance climate mitigation and adaptation. The report also makes a case for strengthening policies to enhance resilience to climate change and ensure a just transition, particularly for the most vulnerable. The report is structured as follows: section 1 gives introduction. Section 2 delves into the linkages between development and climate in Mongolia and presents model-based findings on the economic and poverty impacts of climate change under different scenarios. Section 3 covers four in-depth sectoral analyses. The first two mainly focus on adaptation to climate change in the agriculture and water sectors. The third considers prospects for the extraction sector, while the fourth sectoral analysis focuses on decarbonizing power and heat generation. Section 4 shifts the focus to how the government can boost resilience for climate-vulnerable populations. Section 5 outlines options for mobilizing private and public financing and private investments to support the green transition. Section 6 examines the existing institutional and governance structure for climate action and presents recommendations to improve its effectiveness, and section 7 concludes with a framework for prioritizing the policy actions outlined in this report.Publication Kyrgyz Republic Country Climate and Development Report(Washington, DC: World Bank, 2025-11-03)This Country Climate and Development Report (CCDR) on the Kyrgyz Republic aims to support the country’s development goals amid a changing climate. The CCDR considers two policy scenarios up to 2050: the business-as-usual (BAU) and high-growth scenarios. As it quantifies the likely impacts of climate change on the Kyrgyz economy between now and 2050, the report highlights key government actions to best prepare for and adapt to climate impacts (referred to as “with adaptation” measures), with a particular focus on the time horizon up to 2030. The CCDR also outlines a path to net zero emissions by 2050 (referred to as “with mitigation” measures, “decarbonization,” or, simply, “net zero 2050”), highlighting associated development co-benefits.